COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health Services Agency

DATE:

November 16, 2004

BOARD MEETING DATE:

December 7, 2004

TO:

Honorable Board of Supervisors

FROM:

Charlene A. Silva, Director of Health Services

Gale Bataille, Director of Mental Health Services

SUBJECT:

Agreement with Mateo Lodge, Inc.

Recommendation

Adopt a resolution:

A) Authorizing the President of the Board to execute an agreement with Mateo Lodge, Inc.; 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.

Background

Mateo Lodge 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 these critical services. The Division evaluates proposals based on quality and cost factors.

Discussion

Mateo Lodge 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.

Medi-Cal administrative requirements have been added to this Agreement.

The FY 2003-04 objectives and actual performances, and FY 2004-05 objectives are as follows:

Performance Measure

2003-04 Objectives

2003-04 Actual

2004-05 Objectives

Percent of clients satisfied with the services received.

85%

74%

92%

Transitional Residential Services: Percent of unduplicated clients discharged, after completion of 6 months or more of treatment, to more independent living.

50%

78%

50%

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

Mateo Lodge was granted a 1% COLA for FY 2004-05 which is reflected in the Agreement maximum of $1,426,738. 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 $117,943 and $107,065, respectively. Sales tax provided through realignment will cover $73,415. The net County cost is $53,095, of which $39,315 is the required match for the PATH grant, and $13,780 is the COLA increase. Funding for this agreement is included in the Mental Health Services approved budget for FY 2004-05.