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: Authorizing the Chief of San Mateo County Health or Designee to Execute Amendments to the Agreements with Essential Local Community-Based Organizations for Board and Care Services
RECOMMENDATION:
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Adopt a resolution authorizing the Chief of San Mateo County Health or designee(s) to execute amendments to the agreements with each contractor listed in Attachment A to provide board and care services, increasing the amount by $101,050, to an amount not to exceed $3,563,050 with no change to the agreement terms.
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BACKGROUND:
Since 1985, this Board has approved resolutions authorizing expenditures for residential board and care (B&C) facilities serving clients with severe mental illness by providing residential care services. Local in-County B&C facilities serve a critical role in the care of Behavioral Health and Recovery Services (BHRS) clients. B&C facilities provide long-term placements and care for a population of clients that are often stigmatized and perceived as having too many complex issues. B&C facilities provide clients with meals, assistance with daily living activities, medication support, and social skills development. Additionally, being placed in an in-County B&C means that a client is close to and receives support from their family, friends, and community. The alternative to in-County B&C placement would be a more costly placement out of County and away from a client's community and support network.
In recent years, the County B&C market has been struggling. Established B&C contractors have been retiring and closing down their operations, and new facilities are not being opened to succeed them. BHRS has attempted to engage with B&C operators based in-County who are not contracted with the Count...
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