Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Chester J. Kunnappilly, MD, Chief Executive Officer, San Mateo Medical Center
Subject: Agreement with Puente de la Costa Sur to Provide Behavioral Health Service Expansion Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with Puente de la Costa Sur to provide behavioral health service expansion services for the term of January 1, 2025 through December 31, 2026, in an amount not to exceed $300,000.
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BACKGROUND:
San Mateo County Health has been awarded the Health Care for the Homeless/Farmworker Health (HCH/FH) grant from the Bureau of Primary Health Care, Health Services and Resources Administration of the US Department of Health and Human Services (HHS). The grant funds San Mateo Medical Center’s (SMMC) ongoing HCH/FH program, which is designed to assist homeless and farmworker adults, families, and youth with access to and utilization of SMMC’s continuum of care and other medical, health and support services. In August 2024, the HCH/FH program completed a Request for Proposals for expansion services of behavioral health services.
DISCUSSION:
HCH/FH requested proposals for qualified contractor(s) to provide comprehensive mental health services and/or substance use disorder services to underserved populations in San Mateo County. Puente was elevated due to their expertise and deep connection to the County’s Coastal region and the farmworker communities of Pescadero, La Honda, Loma Mar, and San Gregorio. Since 1998, Puente has worked to reduce the stigma around behavioral health support and foster trust among participants, both of which are key desired outcomes of this funding. In addition, Puente delivers services in a trauma-informed and culturally and linguistically accessible manner, which are critical to addressing the unique needs of the region’s diverse population. Puente’s proven track record of community engagement, outreach, and program delivery makes them uniquely qualified to lead this initiative effectively.
County Attorney has reviewed and approved the resolution and agreement as to form.
The resolution contains the County’s standard provisions allowing amendment of the County fiscal obligations by a maximum of $25,000 (in aggregate).
It is anticipated that Puente will engage with 150 unique farmworkers through Behavioral Health Promotor/a outreach and preventative mental health campaigns.
PERFORMANCE MEASURE:
|
Measure |
FY 2024-25 Estimated |
FY 2025-26 Projected |
|
Number of unique farmworkers Puente will engage with through Behavioral Health Promotor/a outreach and preventative mental health campaigns |
75 farmworkers |
150 farmworkers |
EQUITY IMPACT:
The HCH/FH program is dedicated to providing comprehensive, culturally competent, and accessible healthcare services to individuals and families experiencing homelessness. The HCH/FH program serves individuals experiencing homelessness and farmworkers, including their dependents. On average, the program serves approximately 5,000 unique patients a year (1,200 farmworkers, and 3,800 homeless). The HCH/FH program ensures continuity and addresses the unique needs of this vulnerable population. By collaborating with community partners, the program continuously adapts to reduce health disparities and promote long-term health outcomes.
FISCAL IMPACT:
The term of the agreement is January 1, 2025 through December 31, 2026. The amount of the agreement is not to exceed $300,000 for the two-year term. Funds in the amount of $75,000 are included in the SMMC FY 2024-25 Adopted Budget. Funds in the amount of $150,000 will be included in the SMMC FY 2025-26 Recommended Budget.
The cost of the agreement is grant funded by HHS as indicated above. As a result, entering into the agreement is not expected to cause a net fiscal impact due to inclusion of those funds within SMMC’s budget.
ATTACHMENT:
RFP Matrix