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 Canyon Manor for Mental Health Rehabilitation Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with Canyon Manor for mental health rehabilitation services for the term of July 1, 2021 through June 30, 2023, in an amount not to exceed $1,022,876.
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BACKGROUND:
Canyon Manor provides a full range of mental health residential services including, rehabilitative mental health services, psychiatric services, medication support, and individual and group therapy. Canyon Manor also provides a continuum of care and treatment, ranging from traditional psychiatric services to recovery programs, which are geared towards community reintegration. Behavioral Health and Recovery Services (BHRS) publishes a public notice every year to solicit applications for new providers.
BHRS manages the placements of this and other residential service facilities within the total budgeted amount for mental health residential services.
DISCUSSION:
Canyon Manor is a locked mental health rehabilitation center and is a vital resource for difficult-to-place clients. Canyon Manor will provide four beds to BHRS clients who are seriously mentally ill and in need of mental health rehabilitation, treatment, and long-term care. Services provided through this agreement offer an alternative to the use of more costly hospital emergency services, inpatient hospital admissions, and correctional facilities.
Under the B-1 Administrative Memorandum, the selection of providers of residential services for mental health clients is exempt from the Request for Proposals requirements.
The resolution contains the County’s standard provisions allowing amendments of the County’s fiscal obligation by a maximum of $25,000 (in aggregate).
The agreement and resolution have been reviewed and approved by County Counsel as to form.
It is anticipated that no more than 25% of all admissions will be discharged to an acute psychiatric level of care.
PERFORMANCE MEASURE:
|
Measure |
FY 2021-22 Projected |
FY 2022-2023 Projected |
|
Percentage of clients discharged to an acute psychiatric level of care. |
25% 1 client |
25% 1 client |
FISCAL IMPACT:
The term of the agreement is July 1, 2021 through June 30, 2023. The amount of the agreement is not to exceed $1,022,876 for the two-year term. Funds in the amount of $511,438 will be included in the BHRS FY 2021-2022 Recommended Budget. Of that amount, it is anticipated that $460,294 will be funded by 1991 Realignment, and $51,144 will be funded by Net County Cost. Similar arrangements will be made for future years. The payment provisions and level of services in the agreement are essentially the same as the prior agreement.