Inter-Departmental Correspondence


Health Services Agency



November 12, 2004


December 7, 2004



Honorable Board of Supervisors



Charlene A. Silva, Director of Health Services

Gale Bataille, Director of Mental Health Services



Agreement with Mental Health Association of San Mateo County



Adopt a resolution:


A) Authorizing the President of the Board to execute an agreement with Mental Health Association of San Mateo County; and


B) Authorizing the Director of the Health Services Agency to execute subsequent amendments and minor modifications not to exceed an aggregate of $25,000 and to make minor changes in the type of services and activities provided under the Agreement.



Mental Health Association (MHA) has contracted with Mental Health Services to provide shelter, supported housing and other mental health rehabilitation services to San Mateo County clients for many years. 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 Mental Health’s plan for contracted services, housing and supportive services, such as those provided by MHA, 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.



MHA will provide rehabilitation services for seriously mentally ill adults and emergency short-term housing for homeless mentally ill at the Spring Street emergency shelter. In addition, 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.


In cooperation with the Housing Authority, MHA will provide supportive services, including intensive case management, mental health and substance abuse services, health care, and access to educational and vocational programs to assist Permanent Supportive Housing Project participants to maintain their housing in the community.


The performance objectives are as follows:

Performance Measure

2003-04 Objectives

2003-04 Actuals



Overall satisfaction with mental health services.



* n/a

Minimum percentage of customer survey respondents who will rate services as good or better.

* n/a

* n/a


Minimum percentage of clients who obtain stable housing (permanent or transitional) upon discharge




* FY 2004-05 Mental Health Services revised the performance measures for this Contractor.


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 and goal 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, 2004, through June 30, 2005. The Agreement has been reviewed and approved by Risk Management and County Counsel.


MHA was granted a 1% COLA for FY 2004-05 which is reflected in the Agreement maximum of $932,851. Federal and State Medi-Cal are expected to fund a total of $504,966. Sales tax provided through realignment will cover $338,309. The net County cost is $89,576 which is included in the FY 2004-05 approved budget. The net County cost includes the FY 2004-05 COLA, and the mandatory County match for the Permanent Supportive Housing Project in the amount of $16,371.