Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Scott Gilman, Director, Behavioral Health and Recovery Services
Subject: Agreement with Fred Finch Youth Center for Mental Health Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with Fred Finch Youth Center for mental health services for the term of July 1, 2019 through June 30, 2022, in an amount not to exceed $5,347,851.
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BACKGROUND:
Fred Finch Youth Center (Fred Finch), a nonprofit organization, was founded in 1891 as an orphanage and has since changed its focus in response to the changing needs of the community. Headquartered in Oakland, Fred Finch offers mental health and social services to children, young adults, and their families throughout the San Francisco Bay Area. Behavioral Health and Recovery Services (BHRS) has contracted with this agency since 1999.
In 2017, BHRS issued a Request for Proposals (RFP) for Therapeutic Behavioral Services (TBS) and In-Home Program Services (IHPS), which are both exempt under the B-1 memo. Two proposals were received. Of the two, Fred Finch was the only respondent that had experience providing both TBS and IHPS and was subsequently selected to provide these services.
DISCUSSION:
Fred Finch will provide TBS to San Mateo County youth who are Medi-Cal beneficiaries. TBS are short-term behavioral intervention services for severely emotionally disturbed youth experiencing stressful transitions or life crises and who are at risk of placement in an institution or intensive residential program.
This contractor will also provide Full Service Partnership (FSP) services. FSP services are strength-based wraparound and crisis response services tailored to meet the specific mental health, educational, social, and cultural needs of youth placed in foster care outside of the county, as well as their foster parents/caregivers.
Outpatient mental health services will also be provided. Furthermore, IHPS will be provided to youth recently released from Juvenile Hall who are at risk for group home placement and in need of additional support to stabilize and to transition into the community. Lastly, Fred Finch will provide co-chair services for the Filipino Mental Health Initiative.
The resolution contains the County’s standard provisions allowing amendments of the County’s fiscal obligation 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 coming to your Board late due to prolonged negotiations.
Approval of this agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by providing residential board and care services to mentally ill clients. It is anticipated that 80% of clients who receive services will be maintained at current or lower level of care.
PERFORMANCE MEASURE:
|
Measure |
FY 2019-20 Estimated |
FY 2019-20 Projected |
|
Percentage of clients that are maintained at current or lower level of care |
80% 53 clients |
80% 53 clients |
FISCAL IMPACT:
The term of the agreement is July 1, 2019 through June 30, 2022. The amount of the agreement is not to exceed $5,347,851 for the three-year term. Funds in the amount of $1,782,617 are included in the BHRS FY 2019-20 Approved Recommended Budget. Of that amount, Federal Medi-Cal will fund $794,878; 2011 Realignment, including the “match” for Medi-Cal services for children and youth, will fund $440,667; SB 163 (Wraparound Services for Children, Youth, and Families) will fund $252,000; the Mental Health Services Act will fund $180,802; and Net County Cost for IHPS and Net of Federal Medi-Cal will fund $114,270.
The payment provisions and level of services in this agreement are essentially the same as the prior agreement. Similar arrangements will be made for future years.