COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health Department

DATE:

August 31, 2007

BOARD MEETING DATE:

September 11, 2007

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

TO:

Honorable Board of Supervisors

FROM:

Charlene A. Silva, Director of Health

Gale Bataille, Interim Director, Behavioral Health & Recovery Services

SUBJECT:

Agreement with Mateo Lodge, Inc.

RECOMMENDATION:

Adopt a Resolution:

1) Authorizing the President of the Board to execute an Agreement with Mateo Lodge, Inc. for residential and mental health treatment services for the term July 1, 2007 through June 30, 2008, for a maximum obligation of $1,745,977; and

2) Authorizing the Director of Health or the Director's designee to execute contract amendments which modify the County's maximum fiscal obligation by no more than $25,000 (in aggregate) and/or modify the contract term and/or services so long as the modified term or services is/are within the current or revised fiscal provisions.

VISION ALIGNMENT:

Commitment: Ensure basic health and safety for all.

Goal 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 rehabilitative services with housing for seriously mentally ill individuals at risk of homelessness.

Performance Measures:

Measure

FY 2006-07 Actual

FY 2007-08 Projected

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

89%

90%

Percentage of unduplicated clients discharged to more independent living after completion of six months or more of treatment

61%*

70%

*Mental Health staff will work with contractor to improve outcomes for FY 2007-08.

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, homeless shelters, or on the streets.

DISCUSSION:

Mental Health Services is renewing the Agreement with Mateo Lodge for FY 2007-08. Mateo Lodge provides transitional residential treatment for seriously mentally ill adults at their Wally’s Place facility and supported housing (rehabilitative services with housing) at their Humboldt, Cassia, Dexter, and Poplar houses. Supported housing services are designed to aid 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 has a mobile support team that provides outreach and rehabilitation services to individuals who are homeless and mentally ill. Under the B-1 Administrative Memorandum the selection of providers of housing services and related supports for Mental Health clients is exempt from the requirement for a Request for Proposals process.

The Agreement has been reviewed and approved by County Counsel and Risk Management. 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. This FY 2006-07 Agreement with this provider is on the Continuing Resolution.

FISCAL IMPACT:

The term of the Agreement is July 1, 2007 through June 30, 2008. Mateo Lodge was granted a 3% COLA for FY 2007-08 which is reflected in the Agreement maximum of $1,745,977. Federal and State Medi-Cal and Medicare are expected to fund $471,921. Sales tax provided through realignment will cover $903,378. The Mental Health Services’ Projects for Assistance in Transition from Homelessness (PATH) grant funds will cover $117,943, and Substance Abuse and Mental Health Services Administration (SAMHSA) grant funds will cover $107,065. The Net County Cost is $145,670, which includes the COLA and the County match for PATH grant funds. Funds have been included in the Mental Health Services tentatively Adopted FY 2007-08 Budget.