COUNTY OF SAN MATEO
Inter-Departmental Correspondence
Health System

DATE:

December 2, 2010

BOARD MEETING DATE:

January 11, 2011

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:

First Amendment to the Agreement with Youth and Family Enrichment Services

RECOMMENDATION:

Adopt a Resolution authorizing the President of the Board to execute a First Amendment to the Agreement with Youth and Family Enrichment Services for the provision of Early Childhood Community Team Services; increasing the maximum obligation by $108,518 to a new maximum of $1,456,169, with no change to the Agreement term of July 1, 2010 through June 30, 2011.

BACKGROUND:

Behavioral Health & Recovery Services (BHRS) has contracted with Youth and Family Enrichment Services (YFES) since 2003 for the provision of outpatient mental health services.

On September 14, 2010, the Board of Supervisors approved an Agreement with YFES. The scope of services provided in the Agreement include outpatient mental health services authorized by the Mental Health Plan (MHP), Girls’ Juvenile Court services, child abuse treatment services, and Women’s Enrichment Center clinic that will provide co-occurring services for clients dealing with mental health and substance abuse conditions 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.

DISCUSSION:

The Early Childhood Community Team (ECCT) is one of several initiatives developed through an extensive planning process that resulted in the Mental Health Services Act (MHSA) prevention and early intervention approved plan. The purpose of ECCT is to support healthy social emotional development in child care settings by providing consultation to child care providers. ECCT services will focus on the parent-child relationship as a vehicle to long-term healthy child development. The ECCT will serve a community with a high proportion of Latino or isolated farm worker families, or a community experiencing a significant degree of interpersonal and community violence-which has significant impact on families and young children.

In July, 2010 BHRS issued a Request For Proposals (RFP) for the ECCT. YFES, in conjunction with Jewish Family and Children’s Services, was selected in the ECCT RFP process.

YFES will work with JFCS to create the ECCT to serve the Daly City and the Coastside communities. The ECCT will be comprised of a community outreach worker, an early childhood mental health consultant, and a licensed clinician. YFES will provide a bilingual community outreach worker and a licensed clinician. JFCS will provide an early childhood mental health consultant and a clinician. This collaboration will enable the two agencies to serve a greater geographical area than either would be able to do alone. YFES and JFCS will share resources and training, planning techniques and outreach strategies to better serve the targeted communities.

This First Amendment to the Agreement with YFES is now necessary to include ECCT services, increasing the maximum obligation by $108,518 for a new maximum of $1,456,169, with no change to the Agreement term.

The Amendment 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 Contractor 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 and equal benefits.

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

Performance Measure:

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 this amended Agreement remains July 1, 2010 through June 30, 2011. The maximum obligation is increased by $108,518 for a new maximum obligation of $1,456,169. The increase will be funded by MHSA funds ($79,486) and Medi-Cal Federal Financial Participation ($29,032). There is no additional Net County Cost. These funds have been included in the BHRS FY 2010-11 Adopted Budget.