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 Caminar, Inc. for Full Service Partnership Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with Caminar, Inc. for full service partnership services for the term of July 1, 2019 through June 30, 2021, in an amount not to exceed $5,660,552.
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BACKGROUND:
The cornerstone of the County’s Mental Health Services Act (MHSA) Community Services and Supports (CSS) plan is to deliver Full Service Partnership (FSP) services for its highest risk consumers with serious mental illness. FSP programs are designed to allow consumers to remain living in the community and decrease their chances of becoming hospitalized or incarcerated by providing case management, medication management, therapy, social activities, and 24/7 response capability to mitigate an evolving crisis.
DISCUSSION:
Caminar provides 30 consumer slots for comprehensive FSP and Housing Support Program (HSP) services. FSP enrollees have services available 24 hours a day, 7 days a week. HSP services are provided to FSP enrollees to assist them in achieving independence, stability, and wellness. Caminar seeks to incorporate persons who have personal experiences in facing the challenges of mental illness and/or alcohol, as well as other drug addiction, as program staff. Through the Assisted Outpatient Treatment FSP, Caminar serves a target population of adults with serious mental illnesses that are unable to survive safely in the community without supervision, have a history of unsuccessful treatment experiences, and have a deteriorating ability to manage their symptoms.
Behavioral Health and Recovery Services (BHRS) is requesting your Board to waive the Request for Proposals (RFP) process, allowing BHRS time to finalize the evaluation of current services and restructure the RFP scope of work for this and two other FSP contracts. In 2020, BHRS will release an RFP for FSP services beginning July 1, 2021.
The resolution contains the County’s standard provisions allowing amendments 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 late due to prolonged contract negotiations and is on the Continuing Resolution.
Approval of this agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by providing mental health services to adults and older 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 annual hospitalization days for clients who receive FSP services will be reduced by 76%.
PERFORMANCE MEASURE:
|
Measure |
FY 2018-19 Actual |
FY 2019-20 Projected |
|
Percentage reduction in the annual hospitalization days for clients who receive FSP services |
N/A* |
76% |
* BHRS contracts with American Institutes for Research (AIR) to evaluate effectiveness of FSPs. AIR’s results for FY 2018-19 will not be available until January 2020.
FISCAL IMPACT:
The term of the agreement is July 1, 2019 through June 30, 2021. The amount of the agreement is not to exceed $5,660,552 for the 2-year term. Of that amount, $2,774,780 are included in the BHRS FY 2019-20 Recommended Budget. Funding shall be as follows: Federal Medi-Cal $588,473; Medicare $19,643; MHSA $1,924,756; 1991 and 2011 Realignment $83,787; and Net County Cost of $158,121. The payment provisions and levels of service in this contract are essentially the same as the prior contract. Similar arrangements will be put in place for FY 2020-21.