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:
title
Adopt a resolution authorizing an agreement with Davis Guest Home Inc. for residential and transitional care services, for the term of July 1, 2023, through June 30, 2024, in an amount not to exceed $631,450.
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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 to mentally ill adult clients. These services enhance successful community living and avoid a more costly, higher level of care.
Because residential facilities services are limited in San Mateo County, under the B-1 Administrative Memorandum, the selection of providers of residential services for mental health clients is exempt from the Request for Proposals requirement.
DISCUSSION:
Davis Guest Home shall continue to provide beds for difficult-to-place clients and augmented services for seriously mentally-ill clients who require a higher level of care and supervision. These include supplemental intensive mental health services, social skills training, and assistance with daily living activities.
The resolution contains the County’s standard provisions allowing amendments to the County’s fiscal obligation by a maximum of $25,000 (in aggregate).
The agreement and resolution have been reviewed and approved by the County Attorney as to form.
It is anticipated that 75% of clients will remain at the same level of care or be discharged to a less restrictive level of care.
PERFORMANCE MEASURE:
Measure |
FY 2022-23 Estimated |
FY 2023-24 Projected |
Percentage of clients that remain at the same level of care or are discharged to a less restrictive level of care |
40% 3 clients |
75% 7 clients |
FISCAL IMPACT:
The term of the agreement is July 1, 2023, through June 30, 2024.The amount of the agreement is not to exceed $631,450 for the one-year term. For FY 2023-24 the maximum amount is $631,450 and will be included in the BHRS FY 2023-2024 Recommended Budget. Of that amount, it is anticipated that $419,750 will be funded by Mental Health Services Act; $190,530 will be funded by sales tax through realignment, and $21,170 will be Net County Cost.