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 Baker Places, Inc., for Adult Crisis Residential Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with Baker Places, Inc., for adult crisis residential services, for the term of August 25, 2026 through June 30, 2029, in an amount not to exceed $8,316,934.
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BACKGROUND:
San Mateo County Behavioral Health and Recovery Services (BHRS) provides a continuum of services for children, youth, families, adults and older adults for the prevention, early intervention and treatment of serious mental illness and/or substance use conditions. BHRS is committed to supporting treatment of the whole person to achieve wellness and recovery, and promoting the physical and behavioral health of individuals, families, and communities we serve.
Since the closing of Redwood House Crisis Residential in November 2024, there has been a gap in BHRS services within San Mateo County as it pertains to "step down" placement options for those stepping down from our San Mateo Medical Center Psychiatric Emergency Room, San Mateo Medical Center Inpatient Psychiatric Unit, Mills Peninsula Psychiatric Emergency Department, Mills Health Center Psychiatric Inpatient Unit, other Bay Area hospitals, Mental Health Rehabilitation Centers (MHRCs), and jails for clients requiring further stabilization as they re-enter the community. Currently, San Mateo County has only 13 crisis respite beds through Serenity House, which is unable to accommodate those clients stepping down from locked inpatient settings. Because of this situation, San Mateo County needs a Crisis Residential program that is designed and staffed to treat individuals with severe mental illness, substance use disorders, and/or co-occurring diagno...
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