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 Caminar, Inc. for Full Service Partnership Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with Caminar, Inc. for Full Service Partnership services for the term of July 1, 2021 through June 30, 2022, in an amount not to exceed $2,896,536.
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BACKGROUND:
The cornerstone of the County’s Mental Health Services Act (MHSA) Community Services and Supports (CSS) plan is to deliver Full Service Partnership (FSP) services for its highest risk consumers with serious mental illness. FSP programs are designed to allow consumers to remain living in the community and decrease their chances of becoming hospitalized or incarcerated by providing case management, medication management, therapy, social activities, and 24/7 response capability to mitigate an evolving crisis.
DISCUSSION:
Caminar provides 30 consumer slots for comprehensive FSP and Housing Support Program (HSP) services. FSP enrollees have services available 24 hours a day, 7 days a week. HSP services are provided to FSP enrollees to assist them in achieving independence, stability, and wellness. Caminar seeks to incorporate persons who have personal experiences in facing the challenges of mental illness and/or alcohol, as well as other drug addiction, as program staff. Through the Assisted Outpatient Treatment FSP, Caminar serves a target population of adults with serious mental illnesses that are unable to survive safely in the community without supervision, have a history of unsuccessful treatment experiences, and have a deteriorating ability to manage their symptoms.
Behavioral Health and Recovery Services (BHRS) is requesting your Board to waive the Request for Proposals (RFP) process, allowing BHRS time to finalize the evaluation of current services and restructure the RFP scope of work for this and two other FSP contracts. In 2021, BHRS will release an RFP for FSP services beginning July 1, 2022.
The resolution contains the County’s standard provisions allowing amendments 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. This agreement is late due to prolonged contract negotiations and is on the Continuing Resolution.
BHRS provides a range of services to promote wellness and recovery and to support consumers remaining in the lowest possible level of care. It is anticipated that the annual number of hospitalization days for clients who receive FSP services will be reduced by 76%.
PERFORMANCE MEASURE:
|
Measure |
FY 2020-21 Actual |
FY 2021-22 Estimate |
|
Percentage reduction in the annual number of hospitalization days for clients who receive FSP services |
N/A* |
76% |
* BHRS contracts with American Institutes for Research (AIR) to evaluate effectiveness of FSPs. AIR’s results for FY 2020-21 will not be available until January 2022.
FISCAL IMPACT:
The term of the agreement is July 1, 2021 through June 30, 2022. The amount of the agreement is not to exceed $2,896,536 for the one-year term and is included in the BHRS FY 2021-22 Adopted Budget. Funding shall be as follows: Federal Medi-Cal $588,473; Medicare $19,643; MHSA $2,058,121; and 2011 Realignment $72,178. The Net County Cost is $158,121.