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COUNTY OF SAN MATEO
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Inter-Departmental Correspondence
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Health Department
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DATE:
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August 31, 2006
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BOARD MEETING DATE:
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September 12, 2006
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SPECIAL NOTICE/HEARING:
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None
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VOTE REQUIRED:
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Majority
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TO:
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Honorable Board of Supervisors
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FROM:
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Charlene A. Silva, Director of Health
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Gale Bataille, Director of Mental Health Services
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SUBJECT:
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Agreement with Telecare Corporation for Transitions Program
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RECOMMENDATION:
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Adopt a Resolution:
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1) Waiving the request for proposals process;
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2) Authorizing the President of the Board to execute an agreement with Telecare Corporation for Transitions Program AB 2034 services for the term July 1, 2006 through June 30, 2007, for a maximum obligation of $1,192,274; and
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3) Authorizing the Director of Health to execute subsequent amendments and minor modifications not to exceed an aggregate of $25,000 and to make minor changes in the types of services and activities provided under the Agreement.
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VISION ALIGNMENT:
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Commitment: Ensure basic Health and Safety for all.
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Goal 8: Help vulnerable people-the aged, disabled, mentally ill, at risk youth and others-achieve a better quality of life.
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The agreement contributes to this commitment and goal by providing supported housing and intensive community treatment for mentally ill persons who are homeless.
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Performance Measures:
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Measure
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Percentage reduction of total days of psychiatric hospitalization for enrolled program clients in comparison to total days enrolled 12 months prior.
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63%
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70%
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Percentage reduction of total days of incarceration for enrolled program clients in comparison to total days enrolled 12 months prior.
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91%*
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85%
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*Contractor exceeded 85% FY 2005-06 target. If performance remains high target will be increased for FY 2007-08.
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BACKGROUND:
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In February 2001 your Board accepted AB 2034 grant funding in order to implement a program for homeless mentally ill persons and approved a lease with the Department of Veterans Affairs, Palo Alto Health Care System (VA), to provide space for housing for homeless individuals. Since 2001 Telecare has provided the services portion of this program, known as the Transitions Program. This program includes supported housing services at the VA and an intensive community treatment team known as the Assertive Community Treatment (ACT) team that serves mentally ill clients who are homeless or at risk of becoming homeless. In addition, the Transitions Program purchases interim housing resources for clients who do not reside at the VA. The Transitions Program serves 75 homeless mentally ill adults and transition age youth. An agreement with the VA for the use of a building on their Willow Road campus to house this program was approved by your Board on June 6, 2006.
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DISCUSSION:
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The Health Department is renewing the agreement with Telecare to provide services for up to 65 adults and 10 transition youth who are seriously and persistently mentally ill and are homeless or at immediate risk of becoming homeless. Program participants may have co-occurring drug and alcohol problems. The ACT team functions as the point of entry to the program, providing outreach to individuals who are on the streets, who arrive at Psychiatric Emergency Services or who are in homeless shelters. This outreach is critical to the successful enrollment of homeless mentally ill persons, many of whom have been unwilling or reluctant to use more traditional mental health services. Juvenile Probation and Human Services may refer transition age youth to the program, including youth emancipating from foster care. Under this agreement clients will receive pharmacy services through the Mental Health Services Pharmacy Benefits Management (PBM) provider.
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The Health Department has two other agreements with Telecare. One agreement is for the provision of mental health services and for tuberculosis treatment at Cordilleras Mental Health Center. A second agreement is for the provision of Full Service Partnership (FSP) services for adult and older clients of Mental Health Services as a component of the County Mental Health Services Act three-year plan.
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The Health Department is requesting a waiver of the request for proposals (RFP) process for these services. Due to the shortage of available housing for mentally ill adults, Mental Health is willing to contract with all providers who are qualified and able to provide housing services. The ACT team intensive community treatment services are equivalent to FSP intensive case management services. Mental Health Services conducted an RFP process in December of 2005 to select a FSP provider. Telecare was one of two providers who submitted proposals and was selected to provide those services.
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The term of the agreement is July 1, 2006 through June 30, 2007. The agreement has been reviewed and approved by County Counsel and Risk Management.
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The contractor has assured compliance with the County's Contractor Employee Jury Service Ordinance, as well as all other contract provisions that are required by County ordinance and administrative memoranda, including but not limited to insurance, hold harmless, non-discrimination and equal benefits.
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FISCAL IMPACT:
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The Agreement maximum is $1,192,274, which is included in the Mental Health Services' tentatively Adopted FY 2006-07 Budget. AB 2034 grant funds will reimburse $914,400. The balance of $277,874 will be funded by State and Federal Medi-Cal and Medicare. There is no Net County Cost. The total cost for the Program operated by Telecare is $1,375,070, which includes Supplemental Security Income (SSI) payments from participants of $182,796.
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