Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, Health System
Scott Gilman, Director, Behavioral Health and Recovery Services
Subject: Amendment to the Agreement with Ever Well Health Systems, LLC for Residential Services for Mentally Ill Clients
RECOMMENDATION:
title
Adopt a resolution authorizing an amendment to the agreement with Ever Well Health Systems, LLC for residential services for mentally ill clients, increasing the amount by $32,025 to an amount not to exceed $607,425, with no change to the term.
body
BACKGROUND:
Due to the lack of affordable housing and depletion of licensed Board and Care homes and Room and Board homes in San Mateo County, Behavioral and Recovery Services (BHRS) has not been able to identify any new housing resources within the County, in particular for its aging clients. Because of this, BHRS must consider placing clients into residential service facilities out of the area.
Ever Well Health Systems, LLC (Ever Well Health Systems) is an appropriate model/level of care for aging clients with serious mental illnesses to offer support for individuals to re-enter and experience life in the community and become de-institutionalized.
On September 12, 2017, the Board approved an agreement with Ever Well Health Systems for residential services for mentally ill clients for the term of July 1, 2017 through June 30, 2020, in an amount not to exceed $575,400.
DISCUSSION:
The agreement with Ever Well Health Systems, LLC is for the provision of three beds for San Mateo County residents. Through this agreement the Contractor will provide supervised housing, treatment and rehabilitation services for clients with a co-occurring diagnosis. The services enable these clients to be treated in the community, thus avoiding more costly acute and sub-acute psychiatric hospitalization.
It is now necessary to amend this agreement to add another bed, increasing the maximum amount by $32,025.
The amendment and resolution have been reviewed and approved by County Counsel as to form.
It is anticipated that no more than 10% of all admissions will be discharged to an acute psychiatric level of care.
PERFORMANCE MEASURE:
|
Measure |
FY 2019-20 Estimate |
FY 2020-21 Projected |
|
No more than 10% of all admissions will be discharged to an acute psychiatric level of care |
90% 2 clients |
90% 2 clients |
FISCAL IMPACT:
The term of the agreement is July 1, 2017 through June 30, 2020. This amendment increased the contract amount by $32,025, to an amount not to exceed $607,425. Of that amount, $32,025 has been included in the BHRS FY 2019-20 Adopted Budget. Of that amount, sales tax through Realignment will fund $28,502. The Net County Cost will be $3,523.