COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health Department

DATE:

March 10, 2005

BOARD MEETING DATE:

March 29, 2005

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

TO:

Honorable Board of Supervisors

FROM:

Charlene A. Silva, Director, Health Department

Gale Bataille, Director of Mental Health Services

SUBJECT:

Amendment to the Agreement with MAR-RIC Transitional and Recovery Facility

RECOMMENDATION:

Adopt a resolution authorizing the President of the Board to execute an Amendment to the Agreement with MAR-RIC Transitional and Recovery Facility to increase the Agreement total obligation by $35,230 to $106,800.

VISION ALIGNMENT:

Commitment: Ensure basic health and safety for all.

Goal(s): Help vulnerable people-the aged, disabled, mentally ill, at risk youth, and others – achieve a better quality of life.

This Agreement contributes to this commitment and goal by providing transitional residential mental health services to San Mateo County residents.

Performance Measure:

Measure

FY 2003-04
Actual

FY 2004-05
Projected

Percentage of clients discharged who will go to a lower level of care (not a locked facility).

N/A

70%

BACKGROUND:

On November 23, 2004, the County Manager’s Office approved an Agreement with MAR-RIC Transitional and Recovery Facility to provide services to individuals who are transitioning from locked facilities or psychiatric inpatient units, or who would otherwise require locked facility placement. This program provides room and board, 24-hours a day 7-days-a-week supervision, medication assistance, onsite medical and psychiatric coverage, onsite individual and group therapy, and general support and assistance. The goals of this program are to prevent recidivism back to locked facilities or psychiatric inpatient units, ensure continuity of treatment and to provide a higher quality of life for program clients.

DISCUSSION:

This provider has been effective in working with clients to keep them in the community and out of more restrictive and more expensive locked facility placements. The need for these services is greater than the volume of services provided through the original agreement. We are requesting that the agreement be amended to increase the anticipated bed use from 3 beds per night, to 5 beds per night.

The amended agreement has been reviewed and approved by County Counsel and Risk Management.

FISCAL IMPACT:

The term of the agreement remains July 1, 2004 through June 30, 2005. The total amount of the contract has been increased from $71,570 to $106,800. The increase of $35,230 has been included in the FY2004-05 budget. Of this amount, sales tax through realignment will cover $31,355. The remaining $3,875 represents the net county cost as maintenance of effort for realignment.