File #: 09-0637    Version: 1
Type: Agenda Item Status: Approved
File created: 5/11/2009 In control: Board of Supervisors
On agenda: 6/30/2009 Final action: 6/30/2009
Title: Health Services Department, Mental Health Division, recommending Chairman be authorized to sign Agreement 679-S0911 with Sierra Child and Family Services in an amount not to exceed $650,000 for the term July 1, 2009 through June 30, 2010 to provide specialty mental health services for seriously emotionally disturbed minors on an “as requested” basis for said Department. FUNDING: Medi-Cal/EPSDT, SB163, AB 3632, and Realignment.
Attachments: 1. A - Blue Route 679-S0911 (132-MHD0309), 2. B - 679-S0911 (132-MHD0309)
Title
Health Services Department, Mental Health Division, recommending Chairman be authorized to sign Agreement 679-S0911 with Sierra Child and Family Services in an amount not to exceed $650,000 for the term July 1, 2009 through June 30, 2010 to provide specialty mental health services for seriously emotionally disturbed minors on an "as requested" basis for said Department.
 
FUNDING:  Medi-Cal/EPSDT, SB163, AB 3632, and Realignment.
Body
BUDGET SUMMARY:
 
 
Total Estimated Cost
 
$650,000
 
 
 
     Funding
 
 
          Budgeted
$650,000
 
          New Funding
$
 
          Savings
$
 
          Other
$
 
     Total Funding Available
$650,000
 
Change To Net County Cost
 
$0
 
      
Fiscal Impact/Change to Net County Cost: The not-to-exceed amount of this Agreement is $650,000.  There is no Net County Cost associated with this Agreement.
 
Reason for Recommendation:  Sierra Child and Family Services has been providing specialty mental health services to County youth for over eight years. Sierra Child and Family Services offers a unique set of clinical services, not all available at the mental health clinics operated by the County Health Services Department's Mental Health Division (MHD). Prior to referral of a youth to Sierra Child and Family Services, MHD assesses the child to determine if specialty mental health services are medically necessary, and in cooperation with the parents or guardians, determines what specific services are required. Sierra Child and Family Services is well equipped to serve youth requiring a complex array of services, including after hours and weekend services, when necessary. The services requested by MHD from Sierra Child and Family Services are intended to keep youth out of higher and far more expensive levels of care.
 
The Purchasing Agent has determined that it is appropriate to dispense with any competitive selection process for services performed by Sierra Child and Family Services as the Department contracts with multiple local area firms to provide similar services to its clients on an "as needed" basis.  The Purchasing Agent concurs that the Department's request is in compliance with Board of Supervisors Policy C-17, Sections 7.4.2, 7.5, and 7.10.
 
Renewal of this contract will allow the continuation of specialty mental health services required for seriously emotionally disturbed youth in the County.  
 
This agreement covers the period July 1, 2009 through June 30, 2010.  The agreement includes the County's standard "fiscal out" termination clause, as well as a provision for the County to terminate the agreement in seven (7) calendar days upon written notice.
 
 
Action to be taken following Board approval:
1.      Chairman to sign two (2) original Agreements.
2.      Board Clerk's Office to return one (1) original Agreement to the Health Services Department, Mental Health Division.
3.      Mental Health Division to distribute as appropriate.
 
Contact: Neda West, Health Services Department
 
Concurrences: This Agreement has been approved by County Counsel and Risk Management and a copy is on file in the Board Clerk's Office.