COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health Services Agency

DATE:

April 24, 2002

BOARD MEETING DATE:

May 14, 2002

TO:

Honorable Board of Supervisors

FROM:

Margaret Taylor, Director of Health Services

Gale Bataille, Director of Mental Health Services

SUBJECT:

Agreement with Bruce-Badilla Board and Care Home for the provision of residential care services for dually diagnosed male clients.

Recommendation

Adopt a resolution authorizing the President of the Board

1. to execute an agreement with Bruce-Badilla Board and Care Home for the provision of residential care services.

2. to delegate signing authority for the Health Services Director to execute minor amendments and adjustments up to $25,000.

3. to authorize the Health Services Director to negotiate yearly rate increases after the first year.

Background

Bruce-Badilla Board and Care Home was awarded a contract in 1998 through an RFP process. This residential care facility offers therapy groups, 12-step meetings and Dual Recovery Anonymous meetings for men with mental illness and substance abuse problems.

Discussion

The services provided by Bruce-Badilla Board and Care Home include supervised housing, treatment and rehabilitation services that assist dually-diagnosed clients to manage and recover from mental illness and substance abuse problems. The services enable these men to be treated in the community, thus avoiding more costly acute and sub-acute psychiatric hospitalization. This facility has been assessed and certified by the Mental Health Services Division to provide services under the Supplemental Rate.

Program.Performance Measures

The following performance measures have been negotiated for fiscal years 2002-03 through 2004-05:

Performance Measure

2000-01 Actuals

2002-03 Objectives

2003-04 Objectives

2004-05 Objectives

Percent of clients who showed a reduction in acute service for six months after discharge

90%

90%

90%

90%

Client satisfaction with services

90%

92%

93%

94%

Client participation in aftercare support services

100%

100%

100%

100%

Vision Alignment

This contract with Bruce-Badilla Board and Care Home keeps the commitment to Ensure Basic Health and Safety for All and goal number 8: Help vulnerable people-the aged, disabled, mentally ill, at risk youth, and others- achieve a better quality of life. The contract contributes to this commitment by providing residential, rehabilitation and support services for dually diagnosed male clients.

Fiscal Impact

The term of this agreement is July 1, 2002 through June 30, 2005. The agreement has been reviewed and approved by Risk Management and County Counsel.

The new contract maximum is $207,918, which covers the three-year term and will be sufficient to pay 3% annual increases in FY 2003-04 and FY 2004-05, if budgeted. The amount of $67,268 has been included in the Mental Health Services budget for FY 2002-03. Sales tax through realignment will cover 85.5% or $57,514 of the cost. The remaining $9,754 is the net County cost, which consists of maintenance of effort requirement for realignment. A similar arrangement will be in place for FY 2003-04 and FY 2004-05.

We request that the Director of Health Services be authorized to negotiate yearly rate increases after the first year. In no event shall the maximum compensation for the agreement be exceeded.

We request that the Director of Health Services be given signing authority to execute minor amendments and adjustments up to $25,000.