File #: 11-0578    Version: 1
Type: Agenda Item Status: Approved
File created: 5/17/2011 In control: Board of Supervisors
On agenda: 6/28/2011 Final action: 6/28/2011
Title: Health Services Department, Mental Health Division, recommending the Board authorize the Chair to sign Agreement 031-S1211 with Sierra Child and Family Services, Inc. in the amount of $720,000 for the term July 1, 2011 through June 30, 2012 to provide specialty mental health services for seriously emotionally disturbed minors on an “as requested” basis for said Department. FUNDING: Medi-Cal/Early and Periodic Screening, Diagnosis and Treatment (EPSDT) funding, Mental Health Realignment, and/or Mental Health Services Act (MHSA) funding, based upon eligibility of each youth and specific services provided.
Attachments: 1. A - Blue Route 031-S1211, 2. B - Agmt Sierra Child & Family 031-S1211
Title
Health Services Department, Mental Health Division, recommending the Board authorize the Chair to sign Agreement 031-S1211 with Sierra Child and Family Services, Inc. in the amount of $720,000 for the term July 1, 2011 through June 30, 2012 to provide specialty mental health services for seriously emotionally disturbed minors on an "as requested" basis for said Department.
 
FUNDING:  Medi-Cal/Early and Periodic Screening, Diagnosis and Treatment (EPSDT) funding, Mental Health Realignment, and/or Mental Health Services Act (MHSA) funding, based upon eligibility of each youth and specific services provided.
Body
BUDGET SUMMARY:
 
 
Total Estimated Cost
 
$720,000
 
 
 
     Funding
 
 
          Budgeted
$720,000
 
          New Funding
$
 
          Savings
$
 
          Other
$
 
     Total Funding Available
$720,000
 
Change To Net County Cost
 
$0
      
Fiscal Impact/Change to Net County Cost:  The not-to-exceed amount of this Agreement is $720,000. There is no Net County Cost associated with this Agreement.
 
Compensation for Services:  Payments are made to Contractor based upon monthly invoicing at specified billing rates for actual services performed and documented per contract requirements. Services and rates are detailed on page 3 of the contract.
 
Contract Termination:  This Agreement includes the County's standard Fiscal Considerations termination language, as well as a provision for the County to terminate the Agreement without cause upon seven (7) calendar days written notice.
 
Reason for Recommendation:  Sierra Child and Family Services has been providing specialty mental health services to County youth for over ten (10) 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 7.5 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, 2011 through June 30, 2012.
 
Action to be taken following Board approval:  
 
1.      Chair to sign three (3) original Agreements.
2.      Board Clerk's Office to return two (2) original Agreements 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.