Title
a. Approve and authorize the Director of Health or Assistant Director of Health to execute a three (3) year Mental Health Services Agreement with Edgewood Center for Children and Families in San Francisco, CA for the provision of mental health services for Monterey County youth residents ages 5-18 with severe psychiatric disabilities in the amount of $786,674 for Fiscal Year (FY) 2016-17, $794,517 for FY 2017-18, and $802,596 for FY 2018-19, for a total Agreement amount not to exceed $2,383,787, retroactive to July 1, 2016 through June 30, 2019; and
b. Approve and authorize the Director of Health or Assistant Director of Health to approve up to three (3) future amendments that do not exceed ten percent (10%) ($238,379) of the original Agreement amount and do not significantly alter the scope of services.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Approve and authorize the Director of Health or Assistant Director of Health to execute a three (3) year Mental Health Services Agreement with Edgewood Center for Children and Families in San Francisco, CA for the provision of mental health services for Monterey County youth residents ages 5-18 with severe psychiatric disabilities in the amount of $786,674 for Fiscal Year (FY) 2016-17, $794,517 for FY 2017-18, and $802,596 for FY 2018-19, for a total Agreement amount not to exceed $2,383,787, retroactive to July 1, 2016 through June 30, 2019; and
b. Approve and authorize the Director of Health or Assistant Director of Health to approve up to three (3) future amendments that do not exceed ten percent (10%) ($238,379) of the original Agreement amount and do not significantly alter the scope of services.
SUMMARY/DISCUSSION:
This new Mental Health Services Agreement with Edgewood Center for Children and Families replaces Agreement A-12521 that expired on June 30, 2016. Edgewood will provide crisis intervention services, medication support, case management, and mental health services, to include individual, group and family therapy, therapeutic behavioral health services, mental health rehab, and hospital diversion services as required by the treatment plan. The current Agreement allows for two placements in the Mental Health Services program, and one placement in the Hospital Diversion program.
Edgewood Center for Children and Families provides services to those who require the highest level of residential care. The goals for the services provided in this Agreement are to reduce inappropriate behavioral and/or psychiatric symptoms to a level of care whereby the youth can return home or move to a lower level of care.
This Agreement is delayed in being brought before your Board due to several factors including lengthy contract negotiations and fiscal year-end workload issues.
This Agreement contains the County’s standard 30-day “no cause” provision (Section IV, B) and an additional defunding provision (Section IV, D), which provides the County the ability to amend or terminate the Agreement in the event of a reduction and/or termination of funding.
This work supports the following Monterey County Health Department 2011-2015 strategic plan initiative: 3) Ensure access to culturally and linguistically appropriate, customer-friendly, quality health services. It also supports one of the ten essential public health services, specifically: 7) Link people to needed personal health services and assure the provisions of health care when otherwise unavailable.
OTHER AGENCY INVOLVEMENT:
County Counsel and Auditor-Controller have reviewed and approved this Agreement as to legal form and fiscal provisions, respectively.
FINANCING:
This Agreement is funded by Federal Financial Participation (35%), 2011 Realignment revenues (EPSDT; 15%), and Special Education Local Plan Area (SELPA; 50%) funds that pay for children who are placed through the Individual Education Plan (IEP). The funds for this Agreement ($786,674) are included in the Health Department’s Behavioral Health (HEA012, Unit 8410) Fiscal Year (FY) 2016-17 Adopted Budget. The funds for this Agreement for FY 2017-18 ($794,517) and FY 2018-19 ($802,596) will be included in the respective Health Department’s Behavioral Health (HEA012, Unit 8410) FY 2017-18 and FY 2018-19 Requested Budgets.
Prepared By: Norm Morris, Management Analyst II, 1277
Approved By: Elsa M. Jimenez, Director of Health, 4526
Attachment:
Agreement is on file with Clerk of the Board