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:

First Amendment to the Agreement with Creekside Mental Health Rehabilitation Program

RECOMMENDATION:

Adopt a Resolution:

1) Authorizing the President of the Board to execute an Amendment to the Agreement with Creekside Mental Health Rehabilitation Program for the provision of mental health rehabilitation services and long term care for seriously mentally ill San Mateo County residents, extending the term through June 30, 2009, and increasing the maximum obligation by $298,505 to a new maximum of $398,505; 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.

This amended Agreement contributes to this commitment and goal by providing mental health services and long term care treatment for seriously mentally ill San Mateo County residents needing mental health rehabilitation, treatment and long term care.

Performance Measure:

Measure

FY 2006-07
Actual

FY 2007-08
Projected

Percentage of clients discharged to acute psychiatric level of care

25%

25%

BACKGROUND:

Creekside Mental Health Rehabilitation Program provides unique services that are both difficult to find and necessary for clients who might otherwise require hospital placement. This contractor is the only provider known to Mental Health Services in the greater Bay Area that provides special treatment for adults with both chronic mental illness and medical needs. On February 2, 2007, by Agreement Number 61000-07-C172, the County Manager approved an Agreement with Creekside Mental Health Rehabilitation Program for the term September 1, 2006 through June 30, 2007, for a maximum obligation of $100,000. Under that original Agreement Creekside provided two dedicated beds and one bed on an “as-needed” basis. The County Manager approved a waiver of the Request for Proposals process requirement for these services prior to approving the original Agreement.

DISCUSSION:

The increased need for the specialized services provided by Creekside necessitates an increase in the volume of services in this Agreement. This Agreement is being amended to add a third dedicated bed and to eliminate the “as-needed” bed, effective May 1, 2007. The Agreement term is also being extended through June 30, 2009. This Agreement is on the Continuing Resolution.

The Amendment to 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.

FISCAL IMPACT:

The term of the amended Agreement is September 1, 2006 through June 30, 2009. The Agreement maximum for the three-year period is being increased by $298,505 to a new maximum of $398,505. For FY 2007-08 the budgeted maximum is $137,250, which has been included in the Mental Health Services’ tentatively Adopted FY 2007-08 Budget. Sales tax through realignment will fund $122,153, and the Net County Cost is $15,097. Similar arrangements will be made for FY 2008-09.