Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise Rogers, Chief, Health System
Stephen Kaplan, Director, Behavioral Health and Recovery Services
Subject: Agreement with Front St. Inc. for Board and Care Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with Front St. Inc. for residential board and care services, for the term of July 1, 2017 through June 30, 2020, in an amount not to exceed $551,420.
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BACKGROUND:
Front St. Inc. provides unique services that are both difficult to find and necessary for clients who might otherwise require hospital placement. This contractor is the only Bay Area provider known to Behavioral Health and Recovery Services (BHRS) that provides 24-hour residential services for older adults with serious and persistent mental illness. The contractor has provided these services since 2008.
Under the B-1 Administrative Memorandum, the selection of providers of residential services for mental health clients is exempt from the Request for Proposals requirement. BHRS publishes a public notice every year to solicit applications for new providers.
DISCUSSION:
Under this agreement, Front St. Inc. will provide eight dedicated beds providing 24-hour residential care services for older adults. This component of the housing continuum allows a cost efficient alternative to using more costly emergency services (e.g., Psychiatric Emergency Services).
The resolution contains the County’s standard provisions allowing amendments of the County’s maximum fiscal obligation by no more than $25,000 (in aggregate).
The agreement and resolution have been reviewed and approved by County Counsel as to form.
Approval of this agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by providing residential board and care services to mentally ill clients. It is anticipated that 75% of clients will be obtaining stable housing (permanent or transitional) upon discharge.
PERFORMANCE MEASURE:
|
Measure |
FY 2017-18 Estimate |
FY 2018-19 Projected |
|
Percentage of clients who obtain stable (permanent or transitional) housing upon discharge. |
75% 3 |
75% 3 |
|
|
|
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FISCAL IMPACT:
The term of the agreement is July 1, 2017 through June 30, 2020. The amount of the agreement is not to exceed $551,420 for the three-year term. Funds in the amount of $183,639 are included in the BHRS FY 2017-18 Approved Recommended Budget. Of that amount, it is anticipated that Federal Financial Participation for Medi-Cal eligible services will fund $20,200; $163,439 will be funded by 1991 Realignment funds. There is no Net County Cost. Similar arrangements will be made for future years. The payment provisions and levels of service in the agreement are essentially the same as the prior agreement.