Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise Rogers, Chief, Health System
Stephen Kaplan, Director, Behavioral Health and Recovery Services
Subject: Agreement with Family Service Agency of San Francisco for Outpatient Mental Health Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with Family Service Agency of San Francisco for outpatient mental health services for the term of July 1, 2017 through June 30, 2019, in an amount not to exceed $2,649,025.
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BACKGROUND:
Family Service Agency of San Francisco (FSA-SF) is the oldest, nonsectarian, nonprofit charitable social services provider in San Francisco. In collaboration with the University of California San Francisco, FSA-SF has delivered prevention and recovery for early onset psychosis, serving youth and young adults from around the Bay Area, through its innovative Prevention and Recovery in Early Psychosis (PREP) Program. This program was the first early intervention and treatment program in Northern California and is now considered the most comprehensive program in the western United States.
In January 2014, FSA-SF began delivering Bipolar Early Assessment and Management (BEAM) services. Modeled after PREP, BEAM provides treatment to adolescents and young adults with bipolar disease, teaching them to manage their condition and move towards remission and recovery.
Under the San Mateo County Mental Health Services Act (MHSA) Prevention and Early Intervention (P&EI) Plan, FSA-SF is working to prevent early psychosis and early bipolar disorder. Behavioral Health and Recovery Services (BHRS) conducted research on relevant programs in the San Francisco Bay Area and found FSA-SF to provide a unique approach that aligns with the MHSA Plan. The research found BEAM and PREP to be the only local programs of their kind successfully incorporating elements deemed essential by BHRS: public education, outreach and engagement, a rigorous diagnostic process, Cognitive Behavioral Therapy for Early Psychosis, algorithm-guided medication management, multifamily psycho-education groups, computer-based cognitive rehabilitation, education and employment support for clients, co-occurring treatment; and case management. Therefore BHRS is requesting authority to waive the requirement for the Request for Proposals process and contract with FSA-SF for the continued service delivery of BEAM and PREP in San Mateo County.
DISCUSSION:
FSA-SF will provide mental health services through its BEAM and PREP programs. BEAM provides an early intervention for the treatment of bipolar spectrum disorders, bringing a coordinated series of evidence-based interventions. PREP is a rigorous, evidence-based, monitored approach, targeting individuals who are at high risk of experiencing a psychotic episode and individuals having had such experiences within the past two years.
The resolution contains the County’s standard provisions allowing amendment of the County’s fiscal obligations by a maximum of $25,000 (in aggregate).
The agreement and resolution have been reviewed and approved by County Counsel as to form. This agreement is late due to the late return of a signed copy by the vendor. This agreement is on the continuing resolution.
Approval of this agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by providing mental health services to children and families. BHRS provides a range of services to promote wellness and recovery and to support consumers remaining in the lowest possible level of care. It is anticipated that 50% of clients will experience a decrease in the number of days hospitalized after start of the program.
PERFORMANCE MEASURE:
|
Measure |
FY 2016-17 Actual |
FY 2017-18 Projected |
|
Percentage of clients experiencing a decrease in the number of days hospitalized after start of the program |
50% 15 clients |
50% 15 clients |
|
|
|
|
FISCAL IMPACT:
The term of the agreement is July 1, 2017 through June 30, 2019. The amount of the agreement is not to exceed $2,649,025 for the two-year term. $1,324,512 will be included in the BHRS FY 2017-18 Approved Recommended Budget. Of that amount, $316,986 will be funded by Medi-Cal Federal Financial Participation, $588,460 will be funded by MHSA, $329,324 by Measure A, and $51,164 will be funded by private insurance. The Net County Cost is $38,578. A similar arrangement will be in place for FY 2018-19. The payment provisions and levels of service in the agreement are essentially the same as the prior agreement.