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 Felton Institute for Outpatient Mental Health Services
RECOMMENDATION:
title
Adopt a resolution authorizing an amendment to the agreement with Felton Institute for outpatient mental health services and aftercare services, increasing the amount by $189,028 to an amount not to exceed $3,298,053, with no change to the agreement term.
body
BACKGROUND:
On June 25, 2019, your Board approved an agreement with Felton Institute (Felton), formerly known as Family Service Agency of San Francisco to provide outpatient mental health services and aftercare services, for the term July 1, 2019 through June 30, 2021, in an amount not to exceed $3,109,025.
On September 24, 2019, your Board approved the FY 2019-20 Adopted Budget. Previously, on June 25, 2019 your Board received the FY 2020-21 Preliminary Recommended Budget. These budgets included a 4% Cost of Living Adjustment (COLA) for Behavioral Health and Recovery Services community-based organizations that provide mental health services and substance abuse disorder services.
DISCUSSION:
Felton provides mental health services through its Bringing Early Awareness and Management (BEAM) and (re)MIND programs. BEAM provides an early intervention for the treatment of bipolar spectrum disorders. (re)MIND is a rigorous, evidence-based, monitored approach, targeting individuals who are at high risk of experiencing a psychotic episode. In addition, Felton provides aftercare services to program graduates, integrating access into current service delivery methods seamlessly.
It is now necessary to amend the agreement with Felton to add the COLA to FY 2019-20 and FY 2020-21, increasing the amount by $189,028 to an amount not to exceed $3,298,053. The term of the agreement remains the same.
The resolution contains the County’s standard provisions allowing amendment of the County’s fiscal obligations by a maximum of $25,000 (in aggregate).
The amendment and resolution have been reviewed and approved by County Counsel as to form.
BHRS provides a range of services to promote wellness and recovery and to support clients remaining in the lowest possible level of care. It is anticipated that 50% of clients will experience a decrease in the number of days hospitalized after starting the program.
PERFORMANCE MEASURE:
|
Measure |
FY 2018-19 Actual |
FY 2019-20 Projected |
|
Percentage of clients who experience a decrease in the number of days hospitalized after starting the program |
50% 15 clients |
50% 15 clients |
FISCAL IMPACT:
The term of the agreement is July 1, 2019 through June 30, 2021. The amount of the amended agreement is not to exceed $3,298,053. The amendment increases the contract amount by $189,028. Of this amount, $62,180 is included in the BHRS FY 2019-20 Adopted Budget. Federal Financial Participation will fund $13,680 and Net County Cost will fund $48,500.