Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Jei Africa, Director, Behavioral Health, and Recovery Services
Subject: Amendment to the Agreement with Mateo Lodge, Inc. for Residential and Mental Health Services
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with Mateo Lodge, Inc. for residential and mental health treatment services, increasing the amount by $3,260,182 to an amount not to exceed $8,881,311, and extending the term through June 30, 2024.
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BACKGROUND:
For more than three decades, Mateo Lodge, Inc. (Mateo Lodge) has provided residential and other mental health treatment services to Behavioral Health and Recovery Services (BHRS) clients who reside in San Mateo County. Mateo Lodge’s services are low-cost, community-based alternatives for seriously mentally ill adults with co-occurring disorders who otherwise would live in locked psychiatric facilities, at homeless shelters, or on the streets.
On September 14, 2021, this Board approved an agreement with Mateo Lodge for residential and mental health treatment services and technology supports for clients and family members, for the term of July 1, 2021, through June 30, 2022, in an amount not to exceed $2,688,377.
On June 14, 2022, this Board designated the Chief of San Mateo County Health or designee to approve a Cost-of-Living-Adjustment amendment to increase the amount by $2,932,752 to an amount not to exceed $5,621,129 and extend the term through June 30, 2023.
DISCUSSION:
Through this amendment, Mateo Lodge will continue to provide a variety of services to a minimum of 471 seriously mentally ill adult clients with co-occurring disorders in the County. These services include transitional residential treatment, supportive rehabilitation services, and community-based case management for clients needing additional clinical treatment. The services also include 13 board and care beds for consumers in need of placement at a licensed Adult Residential Facility beginning in FY 2023-24.
The continued services also include mobile outreach to 200 seriously mentally ill clients with co-occurring disorders who are homeless or at risk of homelessness. Furthermore, through the Family Assertive Support Team, Mateo Lodge will provide in-home outreach and engagement services to a minimum of 72 non-homeless individuals with serious mental illness and their families or caretaker.
The resolution contains the County’s standard provisions 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 the County Attorney as to form.
It is anticipated that 100% of board and care clients will be retained in this level of care.
PERFORMANCE MEASURE:
|
Measure |
FY 2022-23 Actual |
FY 2023-24 Estimated |
|
Percentage of board and care clients that will remain in this level of care |
0* |
100% 13 clients |
*New measure for FY 2023-24
FISCAL IMPACT:
The term of the amended agreement is July 1, 2021, through June 30, 2024. This amendment increases the agreement amount by $3,260,182 to an amount not to exceed $8,881,311 for the three-year term. Funds in the amount of $ 3,170,781 are included in the BHRS FY 2023-24 Recommended Budget. Of the FY 2023-24 amount, it is anticipated that sales tax through 1991 Realignment will fund $431,026, the Mental Health Services Act will fund $527,932, Federal Medi-Cal will fund $487,919, Projects for Assistance in Transition from Homelessness grant funds will fund $141,087, Substance Abuse and Mental Health Services Administration grant funds will fund $120,444. The Net County Cost is $1,462,373.