COUNTY OF SAN MATEO
Inter-Departmental Correspondence
Health System

DATE:

August 20, 2010

BOARD MEETING DATE:

September 14, 2010

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

TO:

Honorable Board of Supervisors

FROM:

Jean S. Fraser, Chief, Health System

Louise Rogers, Director, Behavioral Health & Recovery Services

SUBJECT:

Agreement with Youth and Family Enrichment Services

RECOMMENDATION:

Adopt a Resolution:

A)

Waiving the Request for Proposal process and authorizing the President of the Board to execute an Agreement with Youth and Family Enrichment Services for mental health services, support for the Youth Development Initiative, and community worker services, for the term July 1, 2010 through June 30, 2011, for a maximum obligation of $1,347,651; and

B)

Authorizing the Chief of the Health System or designee to execute contract

amendments which modify the County's maximum fiscal obligation by no more than

$25,000 (in aggregate), and/or modify the contract term and/or services so long as the modified term or services is/are within the current or revised fiscal provisions.

BACKGROUND:

For several years the County has contracted with Youth and Family Enrichment Services (YFES) for services authorized by the Mental Health Plan (MHP), Girls’ Juvenile Court services, child abuse treatment services through Behavioral Health and Recovery Services (BHRS), community worker services through Family Health Services (FHS), and support of the Youth Development Initiative (YDI) through Health Policy and Planning (HPP). YDI promotes youth asset development, supports the Youth Commission, and recruits and trains youth and adult mentors to participate on County Boards and Commissions to give input regarding policies affecting youth in San Mateo County. In April 2008 FHS issued a Request for Proposals (RFP) for community worker services. In Spring 2009 BHRS issued an RFP for child abuse treatment. YFES was selected in both RFP processes.

DISCUSSION:

The scope of services to be provided includes continuity of services offered by the MHP, child abuse services, community worker services and YDI support. The contract increases YDI capacity to work with young people as partners and to serve as adult allies. It also adds the Women’s Enrichment Center clinic that will provide trauma informed co-occurring services for clients dealing with Mental Health and Substance Abuse conditions.

HPP requests a waiver of the RFP requirements for YDI services. The continuity of YDI services is critical to ensure the Youth Commission continues as an integral part of service delivery for the County. BHRS requests a waiver of the RFP requirement for outpatient mental health services; and will continue to accept “any qualified provider” who requests to contract with the County as a means to encourage competition for public contracts.

The Agreement and Resolution have been reviewed and approved by County Counsel The Contractor’s insurance has been reviewed and approved by Risk Management. The Contractor has assured compliance with the County’s Employee Jury Service Ordinance, as well as all other contract provisions that are required by County ordinance and administrative memoranda, including but not limited to insurance, hold harmless, non-discrimination, equal benefits. This contractor was included in the Continuing resolution.

Subsequent to the final adoption of the State budget it may be necessary to make changes to this contract in order to reflect legislative action. This contract is recommended at this time in order to provide a continuity of services until final funding levels can be determined. The contract provides that the County may reduce the scope of the contract to reflect any shortfall in funding from State or federal allocations

The Agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by providing services that promote wellness and recovery and to support consumers remaining in the lowest possible level of care. Services included within this Agreement are transitional treatment and support to seriously mentally ill adults, community worker services, support of YDI, and peer mentor training. The services provided within this Agreement are an established level of care and contribute to this measure. It is anticipated that 77% of clients who receive services through this Agreement will be maintained at a current or lower level of care.

Performance Measures:

Measure

FY 2009-10
Actual

FY 2010-11
Projected

Percentage of clients maintained at a current or lower level of care.

77%

77%

FISCAL IMPACT:

The term of the Agreement is July 1, 2010 through June 30, 2011, and the maximum obligation is $1,347,651. Behavioral Health and Recovery Services maximum obligation is $662,842, of which $156,412 is from Medi-Cal, $64,349 is from Healthy Families/Healthy Kids, $22,660 is from AB 3632 funds, $93,847 is from State Early Periodic Screening, Diagnosis and Treatment (EPSDT) funds, $58,482 is from Realignment, $106,090 is from Mental Health Services Act funds, $75,000 is from Short-Doyle Medi-Cal, $49,131 Strategic Direction 2010, and $36,871 is Net County Cost (NCC). Health, Policy and Planning maximum obligation for YDI services is $146,441 which is all NCC. The maximum obligation for Family Health Services is $538,368, of which $156,463 is from First Five grant funds, $269,184 is from Medi-Cal Targeted Case Management, and $112,721 is NCC, which includes in-kind support for the First Five grant. These revenues and expenditures have been included in the Health System FY 2010-11 Recommended Budget for each division.