Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise Rogers, Chief, Health System
David Young, Director, Behavioral Health and Recovery Services
Subject: Agreement with Mateo Lodge, Inc. for Residential and Mental Health Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with Mateo Lodge, Inc. for residential and mental health treatment services for the term July 1, 2017 through June 30, 2019, in an amount not to exceed $4,971,110.
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BACKGROUND:
For more than three decades, Mateo Lodge, Inc. has provided residential and other mental health treatment services to Behavioral Health and Recovery Services (BHRS) clients that reside in San Mateo County. Mateo Lodge, Inc.’s services are low cost, community-based alternatives for seriously mentally ill adults with co-occurring disorders who otherwise would live in locked psychiatric facilities, in homeless shelters, or on the streets.
DISCUSSION:
Mateo Lodge, Inc. will provide a variety of services to a minimum of 471 seriously mentally ill adult clients with co-occurring disorders in San Mateo County. These services include transitional residential treatment, supportive rehabilitation services, and community-based case management to clients in need of additional clinical treatment.
The services also include mobile outreach to 250 seriously mentally ill clients with co-occurring disorders who are homeless or at risk of homelessness. Furthermore, through the Family Assertive Support Team, the contractor will provide in-home outreach and engagement services to a minimum of 72 non-homeless individuals with serious mental illness and their family or caretaker.
Under the B-1 Administrative Memorandum, the selection of providers of housing services and related supports for BHRS clients is exempt from the County’s Request for Proposals process requirement.
The resolution contains the County’s standard provisions allowing amendment of the County’s fiscal obligations by a maximum of $25,000 (in aggregate).
The agreement and resolution have been reviewed and approved by County Counsel as to form. This agreement is coming to your Board late because the Drug Medi-Cal contract amendments have placed a significant workload demand on the BHRS contracts unit, causing several other BHRS contracts to be delayed. This agreement is on the Continuing Resolution.
Approval of this agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by providing housing and housing-related services, supported education services, and other rehabilitation services. BHRS provides a range of services to promote wellness and recovery, supporting consumers remaining in the lowest possible level of care. The provision of transitional residential services is one established level of care. It is anticipated that 80% of clients are discharged to more independent living after completing 12 or more months of treatment in a Transitional Residential Treatment Services program.
PERFORMANCE MEASURE:
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FY 2016-17 Actual |
FY 2017-18 Projected |
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Percentage of clients discharged to more independent living after completing 12 or more months of treatment in Transitional Residential Treatment services program |
80% 10 of 13 clients |
80% 10 of 13 clients |
FISCAL IMPACT:
The term of the agreement is July 1, 2017 through June 30, 2019. The amount of the agreement is not to exceed $4,971,110 for the two-year term. For FY 2017-18, the amount not to exceed is $2,485,555 and is funded as follows: $451,618 will be funded by sales tax through Realignment; $512,051 by the Mental Health Services Act; $556,378 by Federal Medi-Cal; $140,654 by Projects for Assistance in Transition from Homelessness grant funds; $218,307 by Substance Abuse and Mental Health Services Administration grant funds; and $822 by private insurance. The Net County Cost is $605,725. The payment provisions in the agreement remain essentially the same as compared to those of the prior agreement. Funds for these services have been included in the BHRS FY 2017-18 Adopted Budget. Similar arrangements will be put in place for FY 2018-19.