Inter-Departmental Correspondence

Health System



April 24, 2009


May 19, 2009







Honorable Board of Supervisors



Jean S. Fraser, Chief, Health System


Louise Rogers, Director, Behavioral Health and Recovery Services



Agreement with Mateo Lodge, Inc.



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, 2009 through June 30, 2010, for a maximum obligation of $1,841,180; and


2) Authorizing the Chief of the Health System or 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.



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 (SMI) adults with mental health and co-occurring disorders at risk of homelessness.


Behavioral Health and Recovery Services (BHRS) provides a range of services to promote wellness and recovery and to support consumers remaining in the lowest possible level of care. The provision of transitional residential treatment provided through this Agreement contributes to this measure.


Performance Measure:


FY 2008-09 Estimate

FY 2009-10 Target

Transitional Residential Services: Percentage of clients maintained at current or lower level of care.





For more than two decades, Mateo Lodge has provided residential and other mental health treatment services to Behavioral Health and Recovery Services (BHRS) clients who are residents of San Mateo County. Their services are focused on providing low cost, community-based alternatives for SMI adults with mental health and co-occurring disorders who otherwise would have to live in locked psychiatric facilities, homeless shelters, or on the streets.



BHRS is contracting with Mateo Lodge for FY 2009-10. Mateo Lodge will provide transitional residential treatment for SMI adults with mental health and co-occurring disorders at their Wally’s Place facility and supported housing (rehabilitative services with housing) at their Humboldt, Cassia, 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 BHRS clients is exempt from the requirement for a Request for Proposals (RFP) 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.



The term of the Agreement is July 1, 2009 through June 30, 2010. The Agreement maximum is $1,841,180. Medi-Cal and Medicare will each fund $239,189. Sales tax provided through realignment will cover $915,621. Projects for Assistance in Transition from Homelessness (PATH) grant funds will cover $119,641, and Substance Abuse and Mental Health Services Administration (SAMHSA) grant funds will cover $159,595. The Net County Cost is $167,945, which includes the County match for PATH grant funds. Funds have been included in the BHRS FY 2009-10 Recommended Budget.