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: Amendment to the Agreement with Fred Finch Youth Center for Mental Health Services
RECOMMENDATION:
title
Adopt a resolution authorizing an amendment to the agreement with Fred Finch Youth Center for mental health services, increasing the amount by $892,000 to an amount not to exceed $6,239,851, with no change to the agreement term.
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BACKGROUND:
On September 17, 2019, the Board approved an agreement with Fred Finch Youth Center (Fred Finch) to provide mental health services, for the term July 1, 2019 through June 30, 2022, in the amount of $5,347,851.
On September 18, 2019, an amendment was done through an Executive Letter to increase mental health rates, with no change to the term and conditions of the agreement.
Fred Finch provides Therapeutic Behavioral Services (TBS) for up to 44 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. Fred Finch 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, In Home Stabilization Program (IHSP) services will be provided to youth recently released from Juvenile Hall, at risk for group home placement, and in need of additional support to stabilize and to transition into the community.
DISCUSSION:
It is now necessary to amend the agreement to support the growing youth service need for TBS. After data analysis, it was determined that outpatient mental health and in-home stabilization services were declining in utilization. Through the amendment the outpatient mental health and in-home stabilization services will be removed and the FSP services will be reduced to divert funding to TBS where the need and utilization is greater.
Additionally, Fred Finch is taking referrals from another TBS program that is closing. Behavioral Health and Recovery Services (BHRS) will add funding from the other TBS program to offset the cost of the additional 21 clients to be served. BHRS is requesting to amend the agreement with Fred Finch, increasing the maximum by $892,000 to a new maximum of $6,239,851, with no change to the term of the agreement.
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 THE Board late due to prolonged negotiations.
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 2020-21 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 amended agreement is July 1, 2019 through June 30, 2022. The amount of the amended agreement is not to exceed $6,239,851 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 $895,270; 2011 Realignment, including the “match” for Medi-Cal services for children and youth, will fund $488,550; SB 163 will fund $144,000; the Mental Health Services Act will fund $180,802; and Net County Cost for IHPS and Net of Federal Medi-Cal will fund $73,995.
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.