COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health Services Agency

DATE:

August 28, 2003

BOARD MEETING DATE:

September 23, 2003

TO:

Honorable Board of Supervisors

FROM:

Margaret Taylor, Director of Health Services

Brian Zamora, Director, Public Health and Environmental Protection

SUBJECT:

Agreement with Mental Health Association of San Mateo County

Recommendation

Adopt a resolution authorizing

1

The President of the Board to execute an Agreement with Mental Health Association of San Mateo County

2

The County Manager to execute amendments and modifications to this agreement not to exceed $100,000.

Background

The San Mateo County AIDS Program (SMCAP) receives funding from the Ryan White CARE Act, Title I (CARE), and the Housing Opportunities for Persons with AIDS (HOPWA) Act for the purpose of providing health and social services to people with HIV/AIDS. A specific portion of both grants is intended to help people with HIV/AIDS optimize their health by acquiring and maintaining stable housing.

In December 2000, the AIDS Program conducted a Request for Proposals (RFP) for the provision of housing services and management of the Wrap Around Fund for client emergencies. The Service League of San Mateo County and Mental Health Association of San Mateo County (MHA) were the only two organizations to respond. SMCAP awarded contracts to both agencies, who are also current providers of housing services for people with HIV/AIDS.

Discussion

MHA has been successfully providing housing services for people with HIV/AIDS in San Mateo County since 1994. Over the years, they have helped numerous clients maintain stable housing, enabling them to keep their medical appointments and adhere to increasingly complex medication regimens. This agreement will allow them to continue to provide services to their clients without interruption.

In addition, MHA will administer a $61,000 Wrap Around Fund for emergency assistance to their clients. The Wrap Around Fund, paid for by CARE, covers items such as utility bills and car repairs and other emergency expenses that will enable clients to achieve a better quality of life.

The Mental Health Services Division also has a contract with MHA to provide emergency housing, rehabilitation services, administration of the adult Wrap Around Fund, and coordination of shelter plus care for seriously mentally ill adults. The Mental Health agreement is for $893,388 for the term of July 1, 2003 through June 30, 2004, and will be recommended to your board as a separate contract due to the complexities of funding and program reporting requirements.

Outcome Measures

Measure

Actual

2002-03

Objective

2003-04

Percentage of homeless clients housed by Contractor or referred for appropriate housing within twenty-four (24) hours of intake

95%

97%

Percentage of homeless clients housed by Contractor who maintain their housing for at least six (6) months

90%

92%

Percentage of all clients who respond to an in-house client satisfaction survey who indicate satisfaction with housing services received from Contractor

93%

95%

County Counsel has reviewed and approved this agreement.

Vision Alignment

The contract with Mental Health Association of San Mateo County keeps the commitment of ensuring 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. It also keeps the commitment of offering a full range of housing choices and goal number 9: Housing exists for people at all income levels and for all generations of families. The contract contributes to these commitments and goals by providing an HIV Housing Assistance Program and improving the quality of life for those living with, or at risk for this disease.

Fiscal Impact

The term of the agreement is July 1, 2003 through June 30, 2004. The total amount of funding for the agreement is $682,555. $505,999 in HOPWA funds for housing, $115,556 in CARE funds for housing, and $61,000 in CARE funds for Wrap Around. Funds for the agreement are included in the recommended FY 2003-04 budget for the AIDS Program. A maintenance of County effort is required for all CARE funding which amounts to the net County cost for the AIDS Program for FY 2002-03, i.e., $373,000.