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 GHC of SAC - SNF, LLC dba Gramercy Court for Residential Care Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with GHC of SAC - SNF, LLC dba Gramercy Court for residential care services, for the term of January 1, 2025 through December 31, 2025, in an amount not to exceed $288,350.
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BACKGROUND:
Behavioral Health and Recovery Services (BHRS) has contracted with GHC of SAC - SNF, LLC dba Gramercy Court (Gramercy Court) since December 1, 2023, for residential care facilities in Sacramento County to provide beds for BHRS clients who need locked Specialized Treatment Programs (STP’s). STP’s have augmented services that provide a higher level of care, supervision, and intensive programming, which address behavioral health issues that impact step down to unlocked community placements. Such services include supplemental intensive mental health services, skilled nursing, psychiatric services, rehabilitation treatment, social skills training, and assistance with daily living activities.
DISCUSSION:
Under this agreement, Gramercy Court shall continue to provide beds for difficult-to-place clients and augmented services for adults with a severe mental illness who require a higher level of care and supervision. These services include supplemental intensive mental health services, social skills training, and assistance with daily living activities. This agreement will provide up to a maximum of two beds per month.
The resolution contains the County’s standard provisions allowing amendments of the County’s fiscal obligation by a maximum of $25,000 (in aggregate).
Under Administrative Memorandum B-1, the selection of providers of residential services for mental health clients is exempt from the Request for Proposals requirement.
The agreement and resolution have been reviewed and approved by the County Attorney as to form.
It is anticipated that 85% of clients will not be readmitted to a higher level of care within 30 days of admission.
PERFORMANCE MEASURE:
|
Measure |
FY 2024-25 Estimated |
FY 2025-26 Projected |
|
Percentage of clients that will not be readmitted to a higher level of care within 30 days of admission |
85% 3 clients |
85% 3 clients |
EQUITY IMPACT:
This agreement will positively impact a critically undeserved community of BHRS clients who have severe mental illness and will benefit from a secured placement to support their stabilization and recovery. Providers such as Gramercy Court are a vital placement resource for such individuals. This agreement with Gramercy Court affords these individuals an ability to step down from higher acute, more costly levels of care to a placement that can address their behavioral health needs. This provider is committed to serving this population and supporting them with achieving their recovery goals.
FISCAL IMPACT:
The term of the agreement is January 1, 2025, through December 31, 2025.The amount of the agreement is not to exceed $288,350 for the one-year term. For FY 2024-25 the maximum amount is $288,350 and will be included in the BHRS FY 2024-2025 Adopted Budget. Of that amount, it is anticipated that $288,350 will be funded by 1991 Realignment. There is no Net County Cost associated with this agreement.