Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Stephen Kaplan, Director, Behavioral Health & Recovery Services
Louise Rogers, Chief, Health System
Subject: Amendment to the Agreement with MAR-RIC Transitional and Recovery Facility for Transitional Residential Mental Health Services
RECOMMENDATION:
title
Adopt a resolution authorizing an amendment to the agreement with MAR-RIC Transitional and Recovery Facility for transitional residential mental health services, increasing the amount by $421,575 to $976,375, with no change to the term of the agreement.
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BACKGROUND:
On July 12, 2016, your Board approved an agreement with MAR-RIC Transitional and Recovery Facility for transitional residential mental health services, in the amount of $554,800, for the term July 1, 2016 through June 30, 2018.
Under the Administrative Memorandum B-1, agreements that provide housing services and related supports for BHRS clients are exempt from the Request for Proposals process.
DISCUSSION:
MAR-RIC provides beds for individuals transitioning from locked facilities or psychiatric inpatient units, or individuals who would otherwise require locked facility placement. These services offer an alternative for clients to remain in the community and out of a more restrictive and more expensive locked facility placement. MAR-RIC provides room and board, 24-7 supervision, medication assistance, medical and psychiatric care, individual and group therapy, and general support and assistance services to San Mateo County clients.
It is now necessary to amend this agreement to increase the number of beds from nine to sixteen, increasing the amount of the agreement by $421,575 to $976,375. This increase results from BHRS utilizing MAR-RIC’s services more often than originally estimated, as such services have proven to be an alternative to more costly placements in a locked facility. There is no change to the term of the agreement.
The amendment and resolution have been reviewed and approved by County Counsel as to form.
Approval of this amendment contributes to the Shared Vision 2025 outcome of a Healthy Community by providing transitional residential mental health services to seriously mentally ill adults. BHRS provides a range of services to promote wellness and recovery, and to support consumers remaining in the lowest possible level of care. The provision of transitional residential mental health services to seriously mentally ill adults is one established level of care. It is anticipated that 40% of all discharged clients will be discharged to a less restrictive or more independent level of care.
PERFORMANCE MEASURES:
|
Measure |
FY 2016-17 Estimated |
FY 2017-18 Projected |
|
Percentage of all discharged clients that will be discharged to a less restrictive, or more independent level of care |
40 % |
40% |
|
|
10 clients |
10 clients |
FISCAL IMPACT:
The term of the agreement is July 1, 2016 through June 30, 2018. The amount of the agreement is not to exceed $976,375. The amendment increases the contract amount by $421,575. Of the increase, $210,788 is included in the BHRS FY 2016-17 Adopted Budget. It is anticipated that $189,709 will be funded by sales tax through Realignment, and the remaining $21,079 will be funded by Net County Cost. Similar funding arrangements will be in place for FY 2017-18.