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 Front Street, Inc. for Residential Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with Front Street, Inc. for Residential Services, for the term of July 1, 2022 through June 30, 2025, in an amount not to exceed $1,567,030.
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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. The contractor has provided these services since 2008. 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.
Under the B-1 Administrative Memorandum, the selection of providers of residential services for mental health clients is exempt from the Request for Proposals requirement. BHRS publishes a public notice every year to solicit applications for new providers.
DISCUSSION:
Under this agreement, Front Street will provide ten dedicated 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).
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 agreement and resolution have been reviewed and approved by County Counsel as to form.
It is anticipated that no more than ten percent (10%) of all admissions will be discharged to an acute psychiatric level of care.
PERFORMANCE MEASURE:
|
Measure |
FY 2022-23 Estimated |
FY 2023-24 Projected |
|
Percentage of clients discharged to an acute psychiatric level of care |
≤10% 1 client |
≤10% 1 client |
FISCAL IMPACT:
The term of the agreement is July 1, 2022 through June 30, 2025. The amount of the agreement is not to exceed $1,567,030 for the three-year term. Funds in the amount of $506,500 will be included in the BHRS FY 2022-23 Preliminary Recommended Budget. Of that amount, it is anticipated that 100% or $506,511 will be funded by 1991 Realignment funds. There is no Net County Cost. Similar arrangements will be made for future years. The payment provisions and levels of service in the agreement are essentially the same as the prior agreement.