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 $105,494 to an amount not to exceed $1,340,800 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. Front Street 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. Front Street 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 and extending the term of the agreement through June 30, 2022.
On April 20, 2021 your Board approved the second amendment to the agreement to add two beds, increasing the maximum amount of the agreement by $136,365 to a new maximum of $1,235,306, with no change to the term of the agreement.
DISCUSSION:
Currently, under this agreement, Front Street will provide seven 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 three beds for a new total of ten beds, increasing the maximum amount by $105,494 to an amount not to exceed $1,340,800, 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 obtain stable housing (permanent or transitional) upon discharge.
PERFORMANCE MEASURE:
Measure |
FY 2020-21 Actual |
FY 2021-22 Estimated |
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 agreement is not to exceed $1,340,800 for the five-year term. This amendment increases the contract amount by $105,494. Of that amount, $105,494 is included in the FY 2021-22 Adopted Budget. 100% of this increase is funded by 1991 Realignment funds. There is no Net County Cost associated with this amendment.