To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment/Extension #24-710-12 with Youth Homes Incorporated
☒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 #24-710-12 with Youth Homes Incorporated, a non-profit corporation, effective June 30, 2026, to amend Contract #24-710-10, as amended by Contract Amendment #24-710-11, to increase the payment limit by $95,271, from $186,805 to a new payment limit of $282,076, and to extend the termination date from June 30, 2026 to December 31, 2026, for additional Behavioral Health Services Act (BHSA) Full Service Partnership (FSP) program services for Seriously Emotionally Disturbed (SED) transitional age youth (TAY) in Contra Costa County.
FISCAL IMPACT:
Approval of this Contract Amendment/Extension will result in additional expenditures of up to $95,271 and will be funded 100% by BHSA revenues. Beginning July 1, 2026, the Mental Health Services Act (MHSA) funding fully transitions to the BHSA to reflect full implementation and oversight required under California Proposition 1, approved by voters in March 2024, which modernizes MHSA by renaming it the BHSA and redirecting funding to support building a comprehensive, integrated, and unified behavioral health system statewide. (No rate increase)
BACKGROUND:
This Contract meets the social needs of County’s population by providing BHSA services for SED-TAY ages 16-25 in Conta Costa County, who are likely to exhibit co-occurring disorders with severe life stressors by providing a comprehensive range of services and supports through Contractor’s Full-Service Partnership (FSP) program including, but not limited to, crisis management support, therapy, coaching, and substance abuse prevention. This program is aimed at increasing client’s stability, independent living skills, and overall functioning to reduce hospitalizations, incarcerations and homelessness. This Contractor has been providing BHSA services to the County since December 2013.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000. 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. This contract was approved by Health Services Personnel to ensure there is no conflict with labor relations.
This provider was selected in collaboration with community stakeholder advisory bodies and was approved as part of the comprehensive BHSA Three-Year Plan as required by State regulation. Providers interested in providing specialized services were invited proactively to participate in program development and offered the opportunity to submit interest at dozens of publicly noticed meetings. The services and vendors were identified in the formal Three-Year plan was approved on the following schedule that was noticed to the public and approved by the Board on August 1, 2023. The Three-Year Plan was posted for public comment from June 5, 2023 through July 5, 2023, there was a Public Hearing at the Mental Health Commission meeting on July 5, 2023, and it was approved by the Board of Supervisors on August 1, 2023.
In September 2025, the Purchasing Services Manager approved and executed Contract #24-710-10 with Youth Homes Incorporated, in an amount not to exceed $117,857, for the provision of BHSA FSP program services for SED-TAY in Contra Costa County for the period July 1, 2025 through June 30, 2026.
In December 2025, the Purchasing Services Manager approved and executed Contract Amendment #24-710-11 with Youth Homes Incorporated, to increase the payment limit from $117,857 to $186,805, for additional BHSA FSP program services for SED-TAY in Contra Costa County, with no change in the term.
Approval of Contract Amendment/Extension #24-710-12 will allow the Contractor to provide additional BHSA FSP program services for SED-TAY in Contra Costa County through December 31, 2026.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment/Extension is not approved, SED-TAY in Contra Costa County will not receive Contractor’s BHSA FSP program services.
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).