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 MAR-RIC Transitional and Recovery Facility for Transitional Residential Mental Health Services
RECOMMENDATION:
title
Adopt a resolution authorizing an agreement with MAR-RIC Transitional and Recovery Facility for transitional residential mental health services for the term July 1, 2020 through June 30, 2022, in an amount not to exceed $1,080,495.
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BACKGROUND:
Behavioral Health and Recovery Services (BHRS) has contracted with MAR-RIC Transitional and Recovery Facility (MAR-RIC) since February 2002, for transitional residential services for individuals who are transitioning from locked facilities or psychiatric inpatient units to a lower level of care, or individuals who would otherwise require locked facility placement.
Under the B-1 Administrative Memorandum, agreements that provide housing services and related supports for mental health clients are exempt from the Request for Proposals process requirement.
DISCUSSION:
MAR-RIC shall continue to provide up to 13 beds per month for individuals who are transitioning from locked facilities or psychiatric inpatient units or individuals who would otherwise require locked facility placement. Services through this agreement offer an alternative for clients to remain in the community and out of a more restrictive and more expensive locked facility placement. MAR-RIC shall provide room and board, 24/7 supervision, medication assistance, medical and psychiatric care, individual and group therapy, and general support and assistance services to San Mateo County clients.
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. The agreement is on the Continuing Resolution due to prolonged contract negotiations.
BHRS provides a range of services to promote wellness and recovery, and to support consumers remaining in the lowest possible level of care. The provision of transitional residential mental health services to seriously mentally ill adults is one established level of care. It is anticipated that 40% of all discharged clients will be discharged to a less restrictive, or independent level of care.
PERFORMANCE MEASURE:
|
Measure |
FY 2019-20 Estimated |
FY 2020-21 Projected |
|
Percentage of discharged clients who are discharged to a less restrictive or independent level of care |
40% 10 clients |
40% 10 clients |
FISCAL IMPACT:
The term of the agreement is July 1, 2020 through June 30, 2022. The amount of the agreement is not to exceed $1,080,495 for the two-year term. Of that amount, $540,247 is included in the BHRS FY 2020-21 Recommended Budget. It is anticipated that $66,436 will be funded by sales tax through Realignment, $419,786 will be funded by Mental Health Services Act, and the remaining $54,025 will be funded by Net County Cost. Similar funding arrangements will be in place for FY 2021-22. The payment provisions and levels of service in this agreement remain essentially the same as those of the prior agreement.