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: Amendment to the Agreement with Heart and Soul, Inc. for the Helping Our Peers Emerge Program
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with Heart and Soul, Inc. for the Helping Our Peers Emerge (HOPE) program operating expenses, increasing the amount by $46,888 to an amount not to exceed $2,278,695, with no change to the agreement term.
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BACKGROUND:
In 2009, Heart and Soul, Inc. was established as an independent 501(c)(3) consumer-run organization to provide peer-support and self-help services in San Mateo County. Heart and Soul, Inc. has been working with Behavioral Health and Recovery Services (BHRS) since its establishment.
On October 17, 2017, your Board approved an agreement with Heart and Soul, Inc. for consumer-run peer-support services and health and wellness services, for the term July 1, 2017 through June 30, 2019, in an amount not to exceed $907,502.
On November 9, 2017, the Chief of San Mateo County Health approved an amendment to the agreement for summit planning and preparation, increasing the amount of the agreement by $4,999 to $912,501, with no change to the agreement term.
On December 12, 2017, through a separate agreement, the Chief of San Mateo County Health approved an agreement with Heart and Soul, Inc. for the HOPE program start-up costs, for the term January 1, 2018 through February 28, 2018, in an amount not to exceed $100,000. Due to time constraints from the State, it was necessary to get the program set up as quickly as possible, with the intent to incorporate this agreement with the larger Heart and Soul agreement.
On March 27, 2018, your Board approved merging the two Heart and Soul agreements for: 1) consumer-run peer-support services and health and wellness services, in the amount of $912,501; 2) the HOPE program, for start-up costs in the amount of $100,000; and 3) HOPE program services, extending the term of the HOPE program through June 30, 2019, and increasing the amount of the agreement by $1,201,141 to $2,213,642.
On December 20, 2018, the Chief of San Mateo County Health approved an amendment to the agreement, increasing the amount of the agreement by $18,165 to a new maximum of $2,231,807, with no change to the term of the agreement.
DISCUSSION:
It is now necessary to amend this agreement for the following increases in HOPE program-related operating costs: rent for leased office space, insurances, travel expenses for meeting clients in out-of-County placements, and client supplies.
The agreement and resolution have been reviewed and approved by County Counsel as to form.
The agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by providing consumer-run peer-support services for adults and transition-age youth. BHRS provides a range of services to support consumers as they progress through all phases of wellness/recovery, including periods of relapse. The provision of consumer-run peer-support services is one established level of support. Participation in peer-support services is an indicator of the clients’ commitment to improving their own wellness and recovery. It is anticipated that no more than 5% of program participants will be readmitted to a higher level of care.
PERFORMANCE MEASURE:
|
Measure |
FY 2017-18 Actual |
FY 2018-19 Projected |
|
Percent of program participants readmitted to a higher level of care |
N/A * |
<5% 4 of 80 clients |
*New Measure for FY 2018-19.
FISCAL IMPACT:
The term of the amended agreement is July 1, 2017 through June 30, 2019. The amount of the amended agreement is not to exceed $2,278,695. The amendment increases the contract amount by $46,888 and is included in the BHRS FY 2018-19 Adopted Budget. The increase will be fully funded by the State Department of Health Care Services through the Whole Person Care grant. There is no Net County Cost.