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 Front Street, Inc. for Residential Services
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with Front Street, Inc. for Residential Services increasing the amount by $136,365 to an amount not to exceed $1,235,306 with no change to the term.
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BACKGROUND:
Front Street Inc. (Front Street) provides unique services that are both difficult to find and necessary for clients who might otherwise require hospital placement. This contractor is the only Bay Area provider known to Behavioral Health and Recovery Services (BHRS) that provides 24-hour residential services for older adults with serious and persistent mental illness. The contractor has provided these services since 2008.
On July 25, 2017, your Board approved an agreement with Front Street for residential services for mentally ill clients for the term of July 1, 2017 through June 30, 2020, in an amount not to exceed $551,420.
On April 21, 2020, your Board approved a first amendment to add one bed increasing the maximum amount of the agreement by $547,521 to a new maximum of $1,098,941, extending the term of the agreement through June 30, 2022.
DISCUSSION:
Currently, under this agreement, Front Street will provide five beds and 24-hour residential care services for older adults. This component of the housing continuum allows a cost-efficient alternative to using more costly emergency services (e.g., Psychiatric Emergency Services).
It is now necessary to amend this agreement to add two beds for a new total of seven beds, increasing the maximum amount by $136,365 to an amount not to exceed $1,235,306, with no change to the term of the agreement.
The resolution contains the County’s standard provision 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.
It is anticipated that 75% of clients will be obtaining stable housing (permanent or transitional) upon discharge.
PERFORMANCE MEASURE:
|
Measure |
FY 2019-20 Actual |
FY 2020-21 Projected |
|
Percentage of clients who obtain stable housing (permanent or transitional) upon discharge |
75% 3 clients |
75% 3 clients |
FISCAL IMPACT:
The term of the amended agreement is July 1, 2017 through June 30, 2022. The amount of the amended contract is not to exceed $1,235,306. This amendment increases the contract amount by $136,365. Of that amount, $38,012 is included in the BHRS FY 2020-21 Adopted Budget. 100% of this increase is funded by 1991 Realignment funds. There is no Net County Cost.