Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Jei Africa, Director, Behavioral Health, and Recovery Services
Subject: Agreement with Davis Guest Home Inc. for Residential and Transitional Care Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with Davis Guest Home Inc. for residential and transitional care services, for the term of July 1, 2024, through June 30, 2025, in an amount not to exceed $646,050.
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BACKGROUND:
Behavioral Health and Recovery Services (BHRS) has contracted with Davis Guest Home Inc. (Davis Guest Home) since May 1, 1999, for residential care facilities in Stanislaus County to provide residential care services for adults living with a mental illness. These services enhance successful community living and avoid a more costly, higher level of care.
Out-of-county Board and Care (B&C) facilities serve a critical role in the care of BHRS clients. These facilities provide long-term placements and care for a population of clients that are often stigmatized and perceived as having too many complex issues. The facilities provide clients with meals, assistance attending to activities of daily living, medication support, and social skills development. These facilities are needed due to the limited number of beds available at in-county B&C facilities.
In recent years, the County B&C market has been struggling. Established B&C contractors have been retiring and closing down their operation, and new facilities are not being open to succeed them. BHRS attempted to engage with B&C operators who are not contracted with the County, but these operators are not interested in serving clients with severe mental illness, or for relatively low expected revenue.
As a result, over the past few years, BHRS lost six in-county contracted B&C facilities, resulting in a total loss of 41 B&C beds. In response, BH...
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