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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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Second Amendment to the Agreement with Creekside Mental Health Rehabilitation Program
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RECOMMENDATION:
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Adopt a resolution authorizing the President of the Board to execute a Second Amendment to the Agreement with Creekside Mental Health Rehabilitation Program, increasing the maximum obligation by $109,420 to a new maximum of $507,925, with no change to the term of September 1, 2006 through June 30, 2009.
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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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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.
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Performance Measure:
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Measure
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FY 2007-08
Actual
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FY 2008-09
Projected
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Percentage of clients maintained at current or lower level of care
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79%*
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79%
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* These data are for all contractors providing locked long-term care services.
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BACKGROUND:
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Creekside Mental Health Rehabilitation Program (Creekside) 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 Behavioral Health and Recovery Services (BHRS) in the greater Bay Area that provides special treatment for adults with both chronic mental illness and medical needs. On February 2, 2007, the County Manager approved Agreement 61000-07-C172 with Creekside for the term September 1, 2006 through June 30, 2007, for a maximum obligation of $100,000. Creekside provided two dedicated beds and one bed on an “as-needed” basis under that original Agreement. On September 11, 2007, by Resolution 068972, your Board approved a first amendment to the Agreement, effective May 1, 2007, increasing the number of dedicated beds from two to three, increasing the maximum obligation to $398,505, eliminating one bed used on an “as-needed” basis, and extending the term through June 30, 2009. Under the B-1 Administrative Memorandum, the selection of providers for these long-term locked facility services is exempt from the Request for Proposals requirement.
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DISCUSSION:
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The need for the specialized services provided by Creekside has increased. This Agreement is being amended to add two additional dedicated beds, for a total of five dedicated beds, effective May 1, 2008. The Agreement term is unchanged.
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The Second 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.
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FISCAL IMPACT:
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The term of the amended Agreement remains September 1, 2006 through June 30, 2009. The Agreement maximum is being increased by $109,420 to a new maximum of $507,925. For FY 2007-08 the budgeted maximum is $152,500, which has been included in the BHRS FY 2007-08 Adopted Budget. Sales tax through Realignment will fund $135,725, and Net County Cost is $16,775. For 2008-09 the budgeted maximum is $235,425, which has been included in the BHRS FY 2008-09 Recommended Budget. Sales tax through realignment will fund $209,528, and Net County Cost is $25,897.
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