Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, County Health
Scott Gilman, Director, Behavioral Health and Recovery Services
Subject: Amendment to the Agreement with Mental Health Association of San Mateo County for Housing and Housing-Related Mental Health Services, Rehabilitation Services, and Flexible Fund Administration
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with the Mental Health Association of San Mateo County for housing and housing-related mental health services, rehabilitation services, and Flexible Fund administration, increasing the amount by $58,116 to an amount not to exceed $4,430,184, with no change to the agreement term.
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BACKGROUND:
On October 23, 2018, the Board approved an agreement with Mental Health Association of San Mateo County (MHA), to provide housing and housing-related mental health services, rehabilitation services, and Flexible Fund administration for the term July 1, 2018 through June 30, 2020, for amount of $4,352,068.
On April 7, 2019, the Chief of San Mateo County Health approved an amendment to the agreement for the Spring Street transitional housing program, increasing the amount by $20,000 to $4,372,068 with no change to the agreement term.
On September 24, 2019, the Board approved the FY 2019-20 adopted budget. Previously, on June 25, 2019, the 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:
MHA provides rehabilitation services for seriously mentally ill (SMI) adults with co-occurring disorders, as well as emergency short-term housing at the Spring Street Emergency Shelter for homeless clients. MHA also provides Shelter Plus Care Project coordination, operates the Friendship Center, and administers Flexible Funds for BHRS’ Adult and Older Adult Services and its Pathways Program. Finally, MHA secures and manages 30 units of high-quality housing for transition-age youth Full-Service Partnership enrollees.
It is now necessary to amend this agreement to: 1) add the COLA to FY 2019-20, and 2) remove the Veterans Treatment Court Funds in FY 2019-20. The net effect of these two actions is to increase the amount of the agreement by $58,116 to an amount not to exceed $4,430,184.
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 agreement 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 consumers remaining in the lowest possible level of care. It is anticipated that 85% of clients in supportive housing will not be hospitalized.
PERFORMANCE MEASURE:
|
Measure |
FY 2018-19 Actual |
FY 2019-20 Projected |
|
Percentage of clients in supportive housing who will not be hospitalized |
85% 143 clients |
85% 143 clients |
FISCAL IMPACT:
For the term July 1, 2018 through June 30, 2020, the amount of the amended agreement is not to exceed $4,430,184. The amendment increases the contract amount by $58,116 and is included in the BHRS FY 2019-20 Adopted Budget. Of this amount, 100% of the COLA increase and net reductions in flex funds is funded by Net County Cost.