Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Stephen Kaplan, Director, Behavioral Health and Recovery Services
Subject: Measure K: Amendment to the Agreement with HealthRIGHT 360 to Operate a Behavioral Health Respite Center
RECOMMENDATION:
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Measure K: Adopt a resolution authorizing an amendment to the agreement with HealthRIGHT 360 adding overnight therapist services, for the Behavioral Health Respite Center increasing the amount by $307,125 to an amount not to exceed $4,239,658, with no change to the agreement term.
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BACKGROUND:
On April 11, 2017 your Board approved an agreement with HealthRIGHT 360 to operate a Behavioral Health and Recovery Service (BHRS) Respite Center providing substance use prevention and treatment services, mental health services for seriously emotionally-disturbed students at middle schools within the County, outpatient mental health services authorized by the Mental Health Plan, and the North County Outreach Collaborative providing outreach, linkage, and case management services to emotionally-disturbed youth and others residing in the north region of the County.
DISCUSSION:
It is now necessary to amend this agreement for the BHRS Serenity House Respite Center (SHRC) to add overnight therapist services in order to: conduct intake mental health assessments, address any clinical crisis during the overnight shift, support clients and para-professional staff through the night, support clients in going to higher level of care if needed, and transport clients when safe or when seeking first responder-transportation.
The agreement 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 individuals and families in the County with prevention and treatment services to support recovery, which in turn contributes to the health and safety of communities throughout the County. Successful treatment discharge occurs when clients are successfully engaged in the support services they receive to remain in the community. It is anticipated that at least 90% of SHRC clients will be referred, linked, or re-established to services in the community following discharge.
PERFORMANCE MEASURE:
|
Measure |
FY 2017-18 Actual |
FY 2018-19 Projected |
|
SHRC clients that will be referred, linked, or re-established to services in the community following discharge. |
N/A* |
90% 315 clients |
*Due to delay in construction, it is estimated that services will begin October 1, 2018. Data will be available in FY 2018-19
FISCAL IMPACT:
The term of the agreement is April 1, 2017 through June 30, 2020. The amount of the agreement is not to exceed $4,239,658. The amendment increases the contract amount by $307,125. For FY 2018-19, the increase is $131,625 and will be 100% funded by 1991 Realignment Funds. There is no Net County Cost. Similar funding arrangements will be put in place for FY 2019-20.