Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Jei Africa, Director, Behavioral Health and Recovery Services
Subject: Second Amendment to the Agreement with Jefferson Union High School District for Mental Health Services, Alcohol and Other Drug Prevention Services and the DCYHC COVID Youth Resiliency Response Initiative
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with Jefferson Union High School District for mental health services, alcohol and other drug prevention services, and the Daly City Youth Health Center (DCYHC) COVID Youth Resiliency Response Initiative, increasing the amount by $140,000 to an amount not to exceed $2,254,182, with no change to the term of the agreement.
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BACKGROUND:
Jefferson Union High School District (JUHSD) operates the Daly City Youth Health Center (DCYHC), which provides youth with outpatient mental health services in Pacifica, Daly City, Colma, Brisbane, and parts of South San Francisco, and alcohol and other drug (AOD) prevention services to reduce access to and availability of AOD to youth.
In December 2021, this Board approved an agreement with JUHSD to provide mental health services and AOD prevention services, for the term July 1, 2021, through June 30, 2022, in an amount not to exceed $1,159,618.
In June 2022, this Board approved an amendment to the agreement increasing the amount by $954,564 to a total amount not to exceed $2,114,182 and extending the term through June 30, 2023.
DISCUSSION:
DCYHC has had an unanticipated increase in the number of Behavioral Health and Recovery Services (BHRS) youth clients accessing specialty mental health services for FY 2022-23. BHRS is providing a one-time increase of $140,000 for the current fiscal year to fund the additional services.
The amendment and resolution have been reviewed and approved by County Attorney as to form. Under the B-1 Administrative Memo, agreements with other public entities, including governments, universities, schools, or other organizations acting as governmental agencies, are exempt from the County’s Request for Proposals requirement.
The resolution contains the County’s standard provision allowing amendment of the County’s fiscal obligations by a maximum of $25,000 (in aggregate).
BHRS provides a range of services to promote wellness and recovery and to support consumers remaining in the lowest possible level of care. The provision of outpatient mental health services is one established level of care. It is anticipated that 99% of clients who receive services through this agreement will be maintained at a current or lower level of care.
PERFORMANCE MEASURE:
|
Measure |
FY 2021-22 Actual |
FY 2022-23 Estimated |
|
Percentage of clients who receive services through this agreement that are maintained at current of lower level of care |
97% 194 out of 200 clients |
98% 203 out of 207 clients |
FISCAL IMPACT:
The term of the amended agreement is July 1, 2021, through June 30, 2023. This amendment increases the agreement amount of $2,114,182 by $140,000 to a new maximum of $2,254,182 for the two-year term. The amended maximum for FY 2022-23 is $974,776, which is included in the BHRS 2022-23 Adopted Budget. Of that amount, 2011 Realignment will find $347,567, Medi-Cal Federal Financial Participation will fund $372,415, and the Substance Abuse Prevention Treatment Block Grant (SABG) will fund $232,444. Funds from the SABG and American Rescue Plan Act through the California State Department of Health Care Services will fund 100% of the amendment. The Net County Cost is $22,350.