Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Scott Gilman, Director, Behavioral Health and Recovery Services
Subject: Agreement with Bruce-Badilla Home Care for Board and Care Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with Ligaya Bruce-Badilla dba Bruce-Badilla Home Care for board and care services, for the term of July 1, 2019 through June 30, 2022, in an amount not to exceed $544,158.
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BACKGROUND:
Since December 1985, your Board has approved resolutions authorizing expenditures for residential care facilities serving mentally ill clients. Behavioral Health and Recovery Services (BHRS) has contracted with Bruce-Badilla since 1998 for the provision of specialized residential care for dually-diagnosed adult clients.
DISCUSSION:
Bruce-Badilla operates a 12-bed board and care facility. Through this agreement, Bruce-Badilla will provide supervised housing, treatment, and rehabilitation services to assist male clients with a co-occurring diagnosis by helping them to manage and recover from mental illness and substance abuse symptoms. The services enable these men to be treated in the community, thus avoiding costlier acute and sub-acute psychiatric hospitalization.
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.
The resolution contains the County’s standard provision 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.
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 100 percent of board and care clients will be retained in this level of care.
PERFORMANCE MEASURE:
|
Measure |
FY 2019-20 Estimated |
FY 2020-21 Projected |
|
Percent of board and care clients retained in this level of care |
100% 12 clients |
100% 12 clients |
FISCAL IMPACT:
The term of the agreement is July 1, 2019 through June 30, 2022. The amount of the agreement is not to exceed $544,158 for the three-year term. Funds in the amount of $181,440 will be included in the BHRS FY 2019-2020 Recommended Budget. Of that amount, it is anticipated that 100 percent will be funded by Mental Health Services Act. 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.