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 Canyon Manor for Mental Health Services for Mental Health Rehabilitation Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with Canyon Manor for mental health rehabilitation services for the term of July 1, 2019 through June 30, 2021, in an amount not to exceed $975,193.
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BACKGROUND:
Canyon Manor provides a full range of mental health residential services, which include: rehabilitative mental health services, psychiatric services, medication support, and individual and group therapy. Canyon Manor provides a continuum of care and treatment, from traditional psychiatric services to recovery programs, geared towards community reintegration. Behavioral Health and Recovery Services (BHRS) publishes a public notice every year to solicit applications for new providers.
Behavioral Health & Recovery Services (BHRS) manages the placements in this and other residential service facilities within the total budgeted amount for mental health residential services.
DISCUSSION:
Canyon Manor is a locked Mental Health Rehabilitation Center and is a vital resource for difficult-to-place clients. The contractor will provide four beds for BHRS clients who are seriously mentally ill and in need of mental health rehabilitation, treatment, and long-term care. Services provided through this agreement offer an alternative to the use of more costly hospital emergency services, inpatient hospital admissions, and correctional facilities.
Under the B-1 Administrative Memorandum, the selection of providers of residential services for mental health clients is exempt from the Request for Proposals requirements.
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.
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 no more than 25% of all admissions will be discharged to an acute psychiatric level of care.
PERFORMANCE MEASURE:
|
Measure |
FY 2019-20 Estimated |
FY 2020-21 Projected |
|
Percentage of clients discharged to an acute psychiatric level of care. |
25% 1 client |
25% 1 client |
FISCAL IMPACT:
The term of the agreement is July 1, 2019 through June 30, 2021. The amount of the agreement is not to exceed $975,193 for the two-year term. Funds in the amount of $481,056 will be included in the BHRS FY 2019-2020 Recommended Budget. Of that amount, it is anticipated that $432,950 will be funded by 1991 realignment, and $48,106 will be funded by Net County Cost. Similar arrangements will be made for future year. The payment provisions and level of services in the agreement are essentially the same as the prior agreement.