COUNTY OF SAN MATEO

Inter-Departmental Correspondence

 

Health Services Agency

 

DATE:

September 5, 2003

BOARD MEETING DATE:

September 23, 2003

 

TO:

Honorable Board of Supervisors

FROM:

Margaret Taylor, Director of Health Services

Gale Bataille, Director of Mental Health Services

   

SUBJECT:

Agreement with Mateo Lodge, Inc.

 

Recommendation

Adopt a resolution authorizing:

1.

The President of the Board to execute an agreement with Mateo Lodge, Inc.; and

2.

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

 

Background

Mateo Lodge, Inc., has provided residential and other mental health treatment services to San Mateo County clients for more than two decades. Their services are focused on providing low cost community-based alternatives for mental health adult clients who otherwise would have to live in locked psychiatric facilities, board and care homes, homeless shelters, or on the streets.

 

Under the Mental Health Division's plan for contracted services, residential and supportive services are in the "any qualified provider" category. Any provider in the category may submit proposals at any time for consideration by the Division, since there are too few providers for this critical service. The Division evaluates proposals based on quality and cost factors.

 

Discussion

Mateo Lodge, Inc., provides transitional residential treatment for seriously mentally ill adults at Wally's Place and rehabilitation services including housing at their Humboldt, Cassia, Dexter, and Poplar houses. Rehabilitation services are designed to support clients in a variety of community living arrangements and to assist clients in finding or maintaining permanent housing, employment, education, health care and mental health services. In addition, Mateo Lodge, Inc. has a mobile support team that provides outreach and rehabilitation services to individuals who are homeless and mentally ill.

 

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

 

The FY 2002-03 objectives and actual performance and FY 2003-04 objectives are as follows:

 

Performance Measure

2002-03 Objectives

2002-03 Actual

2003-04 Objectives

Percent of clients satisfied with their services

85%

100%

85%

Transitional Residential Services: Percent of unduplicated clients discharged to acute inpatient services

10%

7%

10%

 

Vision Alignment

This agreement with Mateo Lodge 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 and goal by providing residential, rehabilitation and support services for vulnerable mentally ill clients.

 

Fiscal Impact

The term of this agreement is July 1, 2003, through June 30, 2004. The agreement has been reviewed and approved by Risk Management and County Counsel.

 

The agreement maximum is $1,378,036 and has been included in the approved Mental Health Services Division FY 2003-04 budget. It is projected that $1,075,220 will be covered by federal and state Medi-Cal. PATH (Projects in Assistance in Transition from Homelessness) and SAMHSA (Substance Abuse and Mental Health Services) federal grant funding will cover $83,021 and $107,065, respectively. Sales tax provided through realignment will cover $85,036. The net County cost is $27,694, which is the required match for the PATH grant.