To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment/Extension #24-928-41 with Fred Finch Youth Center
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract Amendment/Extension #24-928-41 with Fred Finch Youth Center, a non-profit corporation, effective June 30, 2026, to amend Contract #24-928-40, to increase the payment limit by $1,334,917, from $2,541,247 to an amount not to exceed $3,876,164, and to extend the termination date from June 30, 2026 to December 31, 2026, to provide additional Medi-Cal specialty mental health services for Seriously Emotionally Disturbed (SED) youth in West and Central Contra Costa County .
FISCAL IMPACT:
Approval of this Contract Amendment/Extension will result in additional expenditures of up to $1,334,917 and will be funded 50% by Federal Medi-Cal revenues and 50% by Mental Health Realignment funds. (Rate increase)
BACKGROUND:
This Contract meets the social needs of County’s population by providing school and community based mental health services, including assessments, individual, group and family therapy, medication support, case management, outreach, therapeutic behavioral services and crisis intervention services for SED youth and their families. This Contractor had been providing these services to County since January 1998.
This Contract is entered into under and subject to the following legal authorities: Welfare and Institutions Code, § 5600 et seq. (The Bronzan McCorquodale Act); California Code of Regulations (“CCR”), Title 9, § 523 et seq. (Community Mental Health Services) and California Government Code §§ 26227 and 31000. This Contract was approved by Health Services Personnel to ensure there is no conflict with labor relations. The Behavioral Health’s Quality Management, Utilization Management and Contract Monitor Staff meet on a regular basis to ensure monitoring and performance measures in the Contract are upheld. Per Administrative Bulletin 600.3, the Department has posted a continuous Request for Qualifications and maintains a current qualified list of vendors at all times.
On October 7, 2025, the Board of Supervisors approved Contract #24-928-40 with Fred Finch Youth Center, in an amount not to exceed $2,541,247, for the provision of Medi-Cal specialty mental health services for SED youth in West and Central Contra Costa County, for the period July 1, 2025 through June 30, 2026.
Approval of Contract Amendment/Extension #24-928-41 will allow the Contractor to provide additional Medi-Cal specialty mental health services through December 31, 2026.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment/Extension is not approved, there will be fewer Medi-Cal specialty mental health services available for SED youth in West and Central Contra Costa County as the County solicits and engages an alternative Contractor.
CHILDREN’S IMPACT STATEMENT:
This program supports the following Board of Supervisors’ community outcomes: “Children Ready For and Succeeding in School”; “Families that are Safe, Stable, and Nurturing”; and “Communities that are Safe and Provide a High Quality of Life for Children and Families”. Expected program outcomes include an increase in positive social and emotional development as measured by the Child and Adolescent Functional Assessment Scale (CAFAS).