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 Ever Well Health Systems, LLC for Residential Services for Mentally Ill Clients
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with Ever Well Health Systems, LLC for residential services for mentally ill clients, for the term of July 1, 2017 through June 30, 2020, in an amount not to exceed $575,400.
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BACKGROUND:
Due to the lack of affordable housing and depletion of licensed Board and Care homes and Room and Board homes in San Mateo County, Behavioral and Recovery Services (BHRS) have not been able to identify any new housing resources within the County, in particular for its aging clients. Because of this, BHRS must consider placing clients to residential service facilities out of the area.
Ever Well Health Systems, LLC (Ever Well Health Systems) is an appropriate model/level of care for many clients with serious mental illnesses to experience life in the community and become de-institutionalized.
Under the B-1 Administrative Memorandum, the selection of providers for these long-term locked facility services is exempt from the Request for Proposals process.
DISCUSSION:
The agreement with Ever Well Health Systems, LLC is for the provision of three beds for San Mateo County residents. Through this agreement the Contractor will provide supervised housing, treatment and rehabilitation services for clients with a co-occurring diagnosis. The services enable these clients to be treated in the community thus avoiding more costly acute and sub-acute psychiatric hospitalization.
The resolution contains the County’s standard provisions allowing amendments of the County’s fiscal obligation by a maximum of $25,000 (in aggregate).
The agreement and resolution have been reviewed and approved by County Counsel as to form. The agreement is on the Continuing Resolution. The agreement is late due to protracted negotiations with the vendor.
Approval of this agreement contributes to the Shared Vision 2025 outcome of a Healthy Community through the provision of residential board and care services to mentally ill clients. It is anticipated that 2 out of 3 contractor clients who receive locked psychiatric care will be maintained at the current level of care or discharged to a lower level of care.
PERFORMANCE MEASURE:
|
Measure |
FY 2016-17 Estimate |
FY 2017-18 Projected |
|
Percentage of clients maintained at a current or lower level of care |
90% 2 clients |
90% 2 clients |
FISCAL IMPACT:
The term of the agreement is July 1, 2017 through June 30, 2020. The amount of the agreement is not to exceed $575,400 for the three-year term. Of that amount, $191,625 has been included in the BHRS FY 2017-18 Approved Recommended Budget. Of that amount, sales tax through Realignment will fund $170,547. The Net County Cost will be $21,078. Similar arrangements will be made for future years.