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 California Clubhouse, Inc. for Consumer-Run Peer-Support and Self-Help Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with California Clubhouse, Inc. for consumer-run peer-support and self-help services for the term of July 1, 2023, through June 30, 2026, in an amount not to exceed $1,187,148.
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BACKGROUND:
In March 2014, a comprehensive Community Program Planning (CPP) process to develop the Mental Health Services Act (MHSA) Fiscal Year 2014-17 Three-Year Program and Expenditure Plan was kicked off by the Behavioral Health Commission (BHC) that included a needs assessment and strategy development and prioritization process. Over 300 individuals were engaged in the CPP process through community input meetings and surveys. One of the priorities identified and included in the plan included the need to support individuals living with serious mental illness in their communities by connecting them to employment, volunteer opportunities, and ongoing peer support.
The BHC voted to open a 30-day public comment, closed with the public hearing on November 5, 2014, and recommended that this Board approve the MHSA Fiscal Year 2014-17 Three-Year Program and Expenditure.
A group of parents whose adult children live with a persistent, serious mental illness researched and launched the California Clubhouse (Clubhouse) in San Mateo County to meet the needs of the identified MHSA priority.
They received formal training, and the Clubhouse was granted 501(c)(3) not-for-profit status as a consumer-run organization to provide consumer peer support and self-help services in the County. The Clubhouse has provided services to Behavioral Health and Recovery Services (BHRS) clients since 2015.
DISCUSSION:
Through this agreement, the Clubhouse shall continue to provide a membership-based community where adults with severe mental illness find a network of support and skills needed to achieve social, financial, educational, and vocational goals.
The Clubhouse is one of only three Clubhouse International accredited clubhouses in California and the only one on the Bay Area Peninsula; the other two are in Contra Costa County and Marin County. Under the B-1 Administrative Memorandum, agreements that provide “sole source” services are exempt from the Request for Proposal process.
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. This agreement has been delayed due to prolonged contract negotiations with the provider.
The Clubhouse fills gaps in support services, a primary strategy for MHSA in San Mateo County. It is anticipated that 90% of the total clients served will receive peer-support services.
PERFORMANCE MEASURE:
|
Measure |
FY 2022-23 Actual |
FY 2023-24 Estimated |
|
Percentage of clients served that received peer support services |
90% 175 of 194 Clients |
90% 180 of 200 Clients |
FISCAL IMPACT:
The term of the agreement is July 1, 2023, through June 30, 2026. The amount of the agreement is not to exceed $1,187,148 for the three-year term. Funds in the amount of $395,716 are included in the BHRS FY 2023-24 Recommended Budget. Funds in the amount of $395,716 will be included in the BHRS FY 2024-25. Of the FY 2023-24 amount, it is anticipated that MHSA will fund $395,716 or 100%. A similar arrangement will be in place for FY 2024-25 and FY 2025-26. There is no Net County Cost associated with this agreement.