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COUNTY OF SAN MATEO
Inter-Departmental Correspondence
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Health Department
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DATE:
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May 12, 2008
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BOARD MEETING DATE:
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May 20, 2008
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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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Louise Rogers, Director, Behavioral Health & Recovery Services
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SUBJECT:
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Amendment to the Agreement with California Psychiatric Transitions
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RECOMMENDATION:
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Adopt a Resolution authorizing the President of the Board to execute an Amendment to the Agreement with California Psychiatric Transitions, increasing the maximum obligation by $174,000 from $1,271,360 to $1,445,360, with no change to the term of July 1, 2005 through June 30, 2008.
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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 amended Agreement contributes to this commitment and goal by providing mental health rehabilitative services for the treatment of severely mentally ill San Mateo County residents.
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Performance Measure:
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Measure
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FY 2006-07
Actual
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FY 2007-08
Projected
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Percentage of patients to be discharged to a less restrictive, more independent level of care, which shall include all community-based supported housing.
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67%*
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40%
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* Two of three patients were discharged this year by provider.
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BACKGROUND:
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California Psychiatric Transitions (CPT) is located in Delhi, California, and is one of a very limited number of Mental Health Rehabilitation Centers (MHRC) that specialize in working with people who are dually diagnosed as seriously mentally ill and developmentally disabled or brain injured. CPT offers specialized services that meet Behavioral Health and Recovery Services (BHRS) client needs for placement at a lower level of care following hospital discharge.
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On December 13, 2005, your Board approved an Agreement with CPT by Resolution 067727 for the term July 1, 2005 through June 30, 2008 for a maximum obligation of $1,271,360. Under this Agreement CPT provides mental health rehabilitation services for up to five severely mentally ill adults.
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DISCUSSION:
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The need for services by this provider has increased. This Agreement is being amended to increase the maximum number of client beds from five to eight. The term of July 1, 2005 through June 30, 2008 is unchanged.
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The amended Agreement has been reviewed and approved by County Counsel. 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 term of the amended Agreement remains July 1, 2005 through June 30, 2008. The Agreement maximum is being increased by $174,000 from $1,271,360 to $1,445,360. The maximum for FY 2007-08 is $578,560, which is included in the BHRS FY 2007-08 Adopted Budget. Of the increased funds, sales tax through realignment will cover $154,860. The remaining $19,140 represents Net County Cost.
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