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COUNTY OF SAN MATEO
Inter-Departmental Correspondence
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Health Services Agency
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DATE:
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June 6, 2003
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BOARD MEETING DATE:
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June 24, 2003
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TO:
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Honorable Board of Supervisors
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FROM:
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Margaret Taylor, Director of Health Services
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Gale Bataille, Director of Mental Health Services
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SUBJECT:
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Napa State Hospital Agreement with State Department of Mental Health
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Recommendation
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Adopt a resolution authorizing the President of the Board to execute an agreement with the State Department of Mental Health (DMH) for the purchase of services at Napa State Hospital for FY 2002-03.
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Background
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The 1991-92 state budget changed mental health funding from a state allocation system to sales tax funding with more local control. The realignment legislation required that DMH develop a performance agreement replacing all previous agreements used between counties and the state. That agreement includes various administrative assurances, performance outcome requirements, maintenance of effort requirements, and has, until this year, identified the number of beds reserved for the County at Napa State Hospital. This year the DMH has developed this separate agreement for State Hospital services. Napa State Hospital provides the highest level of care for Mental Health clients. These services are reserved for seriously mentally ill clients with the most severe behavioral issues, for whom there is no lower level of care available.
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Discussion
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This agreement establishes dedicated capacity for Napa State Hospital services and stipulates that the County will pay for a specific number of beds regardless of whether the beds are occupied. The County manages this resource carefully and assures utilization matches the number of beds contained in the agreement. The County may negotiate “bed trades” with other counties as needed. Mental Health Services recommends that the County purchase seven beds in the State Hospital system for FY 2002-03. This represents no change from the prior year number of beds and reflects the County’s consistent use of 7 beds throughout 2001-02 and 2002-03. The number, type, and cost of Napa State Hospital beds for FY 2002-03 compared to FY 2001-02 are as follows:
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Napa Beds
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Cost
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Change
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Type of Service
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2001-02
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2002-03
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2001-02
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2002-03
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Beds
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Cost
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Skilled Nursing
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0
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0
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$ 0
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$ 0
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(0)
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0
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Subacute
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7
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7
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$800,456
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$844,249
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(0)
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$43,793
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TOTAL
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7
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7
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$800,456
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$844,249
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(0)
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$43,793
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Vision Alignment
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This contract with DMH 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 mental health services at Napa State Hospital to appropriate clients.
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Fiscal Impact
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This agreement is effective from July 1, 2002, through June 30, 2003, and has been reviewed and approved by County Counsel. The late submission of this agreement occurred because it was not received from the DMH until April 14, 2003.
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State Hospital services will cost a total of $844,249 for FY 2002-03. The State Hospital expense is included in the FY 2002-03 Mental Health Services’ budget and is completely funded through state realignment funds. There is no net County cost.
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