Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Colleen Chawla, Chief, San Mateo County Health
Jei Africa, Director, Behavioral Health and Recovery Services
Subject: Agreement with Andrade Inc for Transitional Residential Mental Health Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with Andrade Inc. for transitional residential mental health services for the term of July 1, 2026 through June 30, 2028, in an amount not to exceed $850,000.
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BACKGROUND:
Behavioral Health and Recovery Services (BHRS) has contracted with MAR-RIC Transitional and Recovery Facility (MAR-RIC) since February 2002. MAR-RIC provides transitional residential services to individuals who (1) are transitioning from locked facilities or psychiatric inpatient units to a lower level of care, or (2) would otherwise require locked facility placement.
Casa de Luz operates a board and care facility for difficult-to-place clients and provides enhanced services for seriously mentally ill clients who require a higher level of supervision and services. These higher-level services include intensive mental health services, social skills training, and assistance with daily living activities.
DISCUSSION:
Under this agreement, services for MAR-RIC and Casa de Luz will continue to be integrated under their parent company, Andrade, Inc. Together, the programs will continue to provide up to eight beds per month for individuals who are transitioning from locked facilities or psychiatric inpatient units or individuals who would otherwise require locked facility placement.
These services provide an important community-based alternative to more restrictive and costly institutional placements. MAR-RIC and Casa de Luz will provide room and board, 24-hour supervision, medication support, medical and psychiatric care, individual and group therapy, and other supportive services to San Mateo County clients.
Pursuant to the B-1 Administrative Memorandum, the selection of these services for the provision of Housing Services and Related Supports is exempt from the Request for Proposals requirement.
The resolution contains the County’s standard provisions allowing amendment of the County’s fiscal obligations by a maximum of $25,000 (in aggregate).
The agreement and resolution have been reviewed and approved by the County Attorney as to form.
BHRS provides a continuum of services designed to promote wellness, recovery, and placement in the least restrictive level of care appropriate to client needs. Transitional residential mental health services for seriously mentally ill adults are a key component of this continuum. It is anticipated that 100% of discharged clients will either maintain their current level of care or transition to a less restrictive or independent living setting.
PERFORMANCE MEASURE:
|
Measure |
FY 2025-26 Estimated |
FY 2026-27 Projected |
|
Percentage of all discharged clients that are maintained at current level of care or transition to a less restrictive or independent living setting |
100% 3 of 3 clients |
100% 3 of 3 clients |
COMMUNITY IMPACT:
This contract will positively impact a critically underserved community of behavioral health clients who have severe mental illness and need a residential placement. Residential providers such as Andrade Inc. are a vital resource for housing such individuals. This agreement with Andrade Inc. affords these individuals an ability to step down from higher acute, more costly levels of care to a community placement. This provider is committed to serving this population and supporting them with being successful while living in a community setting.
FISCAL IMPACT:
The term of the agreement is July 1, 2026, through June 30, 2028. The amount of the agreement is not to exceed $850,000 for the two-year term. Of that amount, $425,000 is included in the BHRS FY 2026-27 Recommended Budget. It is anticipated that $137,890 will be funded by 1991 Realignment, $271,790 will be funded by Behavioral Health Services Act, and the remaining $15,3200 will be funded by Net County Cost. Similar funding arrangements will be in place for FY 2027-28. The payment provisions and levels of service in this agreement remain essentially the same as those of the prior agreement.