COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health Services Agency

DATE:

August 2, 2002

BOARD MEETING DATE:

August 20, 2002

TO:

Honorable Board of Supervisors

FROM:

Margaret Taylor, Director of Health Services

Gale Bataille, Director of Mental Health Services

SUBJECT:

Agreement with Mental Health Association of San Mateo County

Recommendation

Adopt a resolution authorizing the President of the Board

1. to execute an agreement with the Mental Health Association of San Mateo County (MHA) for emergency housing, rehabilitation services, administration of the adult services Wrap Around Fund, and coordination of Shelter Plus Care for seriously mentally ill adults, and

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

Background

MHA is a long term provider of residential and other mental health rehabilitation services to San Mateo County clients. These services focus on providing low cost community-based alternatives to mental health clients who are at risk of an acute inpatient psychiatric admission, placement in a locked skilled nursing facility, or becoming homeless.

Under the Division's plan for contracted services, residential and supportive services are in the "any qualified provider" category, a category that allows an unlimited number of qualified providers. Any agency can submit a proposal at any time and the proposal will be evaluated on quality and cost factors.

Discussion

MHA provides rehabilitation services for seriously mentally ill adults and emergency short-term housing for homeless mentally ill at the Spring Street emergency shelter. In addition, under this agreement, MHA will provide Shelter Plus Care Project coordination, operate the Friendship Center, and administer the adult services Wrap Around Fund. The Wrap Around Fund purchases unique services for mental health clients to help maintain independent living in the community, thus avoiding costly hospitalization.

The performance objectives are as follows:

Performance Measure

2001-02 Objectives

2001-02 Actuals

2002-03

Objectives

Overall satisfaction with mental health services.

85%

83%

85%

Percent of clients who improve or maintain their level of functioning based on a standardized outcome instrument designed by the State.

70%

100%*

80%

*Only 1 person had multiple administrations of the standardized instrument during FY 2001-02.

Vision Alignment

This agreement with the Mental Health Association 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 agreement contributes to this commitment by providing rehabilitation services for seriously mentally ill adults and emergency short term housing for homeless mentally ill.

Fiscal Impact

The term of this agreement is July 1, 2002, through June 30, 2003. The agreement has been reviewed and approved by Risk Management and County Counsel.

The maximum amount of the agreement is $893,388, which has been included in the Mental Health Services Division FY 2002-03 budget. It is projected that $504,079 will be covered by federal and state Medi-Cal funds and $11,000 will be funded by the Board of Corrections. Sales tax provided through realignment will cover $356,409. The net County cost is $21,900.

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