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: Measure K: Amendment to Agreement with HealthRIGHT 360 to Operate a Behavioral Health Respite Center
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with HealthRIGHT 360, increasing the amount by $53,020 to an amount not to exceed $4,292,678, with no change to the agreement term.
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BACKGROUND:
On April 11, 2017 the Board approved an agreement with HealthRIGHT 360 (HR 360) to operate the Behavioral Health and Recovery Services (BHRS) Serenity House Respite Center (SHRC) for the term April 1, 2017 through June 30,2020, in an amount not to exceed $3,932,533. The SHRC is designed as an alternative to hospitalization and incarceration for adults experiencing an acute psychiatric episode.
On November 6, 2018, the Board approved an amendment to the agreement adding Overnight Therapist Services, increasing the amount by $307,125 to an amount not to exceed $4,239,658, 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 BHRS community-based organizations that provide mental health services and substance abuse disorder services.
DISCUSSION:
The SHRC stay is short-term and designed to stabilize and return clients to their current living situation, if appropriate, or an alternative environment. SHRC services may also be utilized for clients who are psychiatrically destabilized due to loss of housing, placement, or a support system. HR 360 provides short term respite services for up to 13 adult clients with psychiatric disabilities.
It is now necessary to amend the agreement with HR 360 to add the COLA to FY 2019-20, increasing the amount by $53,020 to an amount not to exceed $4,292,678. The term of the agreement remains the same.
It is anticipated that 90% of SHRC clients will be referred, linked, or re-established to services in the community following discharge.
PERFORMANCE MEASURE:
|
Measure |
FY 2018-19 Actual |
FY 2019-20 Projected |
|
Percentage of SHRC clients referred, linked, or re-established to services in the community following discharge. |
90% 315 clients |
90% 315 clients |
FISCAL IMPACT:
The term of the agreement is April 1, 2017 through June 30, 2020. The amount of the amended agreement is not to exceed $4,292,678. The amendment increases the contract amount by $53,020 and is included in the BHRS FY 2019-20 Adopted Budget. Of this amount, 1991 Realignment will fund $11,664 and Net County Cost will fund $41,356.