Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, Health System
Stephen Kaplan, Interim Director, Behavioral Health and Recovery Services
Subject: Agreement with the Mental Health Association of San Mateo County for Housing and Housing-Related Mental Health Services, Rehabilitation Services, and Flexible Fund Administration
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with the Mental Health Association of San Mateo County for housing and housing-related mental health services, rehabilitation services, and Flexible Fund administration for the term of July 1, 2018 through June 30, 2020, in an amount not to exceed $4,352,068.
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BACKGROUND:
For many years, the Mental Health Association of San Mateo County (MHA) has contracted with Behavioral Health and Recovery Services (BHRS) to provide shelter, supported housing, and other mental health rehabilitation services to County clients. These services focus primarily on providing community-based alternatives for BHRS clients who are at risk of an acute, inpatient psychiatric admission, placed in a locked skilled nursing facility, or becoming homeless. In addition, MHA administers the Flexible Funds, which may be used to purchase unique services for BHRS clients such as food, shelter, clothing, and other basic necessities. MHA’s Flexible Funds help clients maintain independent living in the community, remain engaged in mental health services, and avoid hospitalization.
Under the B-1 Administrative memorandum, the selection of providers of housing services for BHRS clients is exempt from the Request for Proposals process.
DISCUSSION:
MHA will provide rehabilitation services for seriously mentally ill (SMI) adults with co-occurring disorders, as well as emergency short-term housing at the Spring Street Emergency Shelter for homeless clients. MHA will also provide Shelter Plus Care Project coordination, operate the Friendship Center, and administer Flexible Funds for BHRS’ Adult and Older Adult Services and its Pathways Program. Finally, MHA will secure and manage 30 units of high-quality housing for transition-age youth Full Service Partnership enrollees.
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 due to prolonged contract negotiations and is on the Continuing Resolution.
The agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by providing transitional residential treatment and supported housing for SMI adults. BHRS provides a range of services to promote wellness and recovery and to support consumers remaining in the lowest possible level of care. It is anticipated that 85% of clients in supportive housing will not be hospitalized.
PERFORMANCE MEASURE:
|
Measure |
FY 2017-18 Actual |
FY 2018-19 Projected |
|
Clients remaining in the community and out of the hospital |
85% 143 clients |
85% 143 clients |
|
|
|
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FISCAL IMPACT:
The term of the agreement is July 1, 2018 through June 30, 2020. The amount of the agreement is not to exceed $4,352,068 for the two-year term. $2,196,567 will be included in the BHRS FY 2018-19 Recommended Budget. Of that amount, it is anticipated that $929,822 will be funded by 1991 Realignment, $452,000 by Federal Medi-Cal, $378,446 by the Mental Health Services Act (MHSA) for Supportive Housing, $11,500 by MHSA for Workforce Training, and the remaining $424,799 as Net County Cost. A similar arrangement will be in place for 2019-20. The payment provisions and levels of service in the agreement are essentially the same as the prior agreement.