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 Canyon Manor for Mental Health Rehabilitation Services
RECOMMENDATION:
title
Adopt a resolution authorizing an agreement with Canyon Manor for mental health rehabilitation services for the term of July 1, 2025 through June 30, 2027, in an amount not to exceed $669,500.
body
BACKGROUND:
Canyon Manor provides a full range of mental health residential services, including rehabilitative mental health services, psychiatric services, medication support, and individual and group therapy. Canyon Manor also provides a critical continuum of care and treatment, ranging from traditional psychiatric services to recovery programs, which are geared towards community reintegration.
Behavioral Health and Recovery Services (BHRS) manages the placements of this and other residential service facilities within the total budgeted amount for mental health residential services.
DISCUSSION:
Canyon Manor is a locked mental health rehabilitation center (MHRC) that will provide two beds to BHRS clients who are seriously mentally ill and in need of mental health rehabilitation, treatment, and long-term care. Services provided through this agreement offer a much-needed alternative to the use of more costly hospital emergency services, inpatient hospital admissions, and correctional facilities. These MHRC placements are vital in supporting San Mateo County clients in stepping down from higher, more costly levels of care.
MHRC facilities like Canyon Manor have established expertise serving clients with complex behavioral health needs. However, California is currently confronting a shortage of MHRC facilities like Canyon Manor, which provides acute, psychiatric, and subacute beds within the state. This shortage results in high bed occupancy rates and long waitlists for placements, which means that clients stay at the more costly acute levels of care until an MHRC placement is available for them. San Mateo County clients continue to suffer the detrimental effects of this MHRC bed shortage. To illustrate: BHRS currently has eight clients who have been waiting for over four months in acute facilities for placement at an MHRC.
The needs of the clients served by MHRC facilities, as well as the uniqueness of the MHRC market, inform the procurement approach that the County has adopted for this contract, in addition to the B-1 Administrative Memo exception for Housing Services and Related Supports.
The resolution contains the County’s standard provisions allowing amendments of 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 no more than 50% of all admissions will be discharged to an acute psychiatric level of care.
PERFORMANCE MEASURE:
|
Measure |
FY 2024-25 Estimated |
FY 2025-26 Projected |
|
Percentage of clients discharged to an acute psychiatric level of care |
50% 2 clients |
≤ 50% 2 clients |
|
|
COMMUNITY IMPACT:
This contract will positively impact a critically underserved community of behavioral health clients who have severe mental illness and are in need of mental health rehabilitation, treatment, and long-term care. MHRC providers such as Canyon Manor are a vital resource for providing such services. Having this contract with Canyon Manor affords these individuals the ability to step down from inpatient hospitalization to MHRC. 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, 2025 through June 30, 2027. The amount of the agreement is not to exceed $669,500 for the two-year term. Funds in the amount of $334,750 will be included in the BHRS FY 2025-2026 Recommended Budget. Of that amount, it is anticipated that $301,275 will be funded by 1991 Realignment, and $33,475 will be funded by Net County Cost. Similar arrangements will be made for future years. The payment provisions and level of services in the agreement are essentially the same as the prior agreement.