COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health System

DATE:

May 13, 2009

BOARD MEETING DATE:

June 9, 2009

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

TO:

Honorable Board of Supervisors

FROM:

Jean S. Fraser, Chief, Health System

Louise Rogers, Director, Behavioral Health and Recovery Services

SUBJECT:

Agreement with Creekside Mental Health Rehabilitation Program

RECOMMENDATION:

Adopt a Resolution:

1) Authorizing the President of the Board to execute an Agreement with Creekside Mental Health Rehabilitation Program for the provision of mental health rehabilitation and long-term care services for the term July 1, 2009 through June 30, 2012, for a maximum obligation of $739,825; 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.

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

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 locked facility long-term care services is one established level of care. The services provided through this Agreement contribute to this measure.

Performance Measure:

Measure

FY 2008 – 09
Estimate

FY 2009 – 10
Target

Percentage of clients maintained at current or lower level of care

62%

62%

BACKGROUND:

Creekside Mental Health Rehabilitation Program (Creekside) is the only known provider to BHRS in the Bay Area that provides special treatment for adults with both chronic mental illness and medical needs. Creekside offers specialized locked Mental Health Rehabilitation Center (MHRC) facility services that meet BHRS client needs for placement at a lower level of care following hospital discharge. BHRS has contracted with Creekside for the provision of these services since September 2006. 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.

DISCUSSION:

The Agreement with Creekside is for a three-year term. The maximum number of beds available to San Mateo County residents at Creekside is five. In order to provide the flexibility needed to place clients in the most appropriate and cost effective facility, more MHRC beds are contracted than are actually used system-wide. BHRS manages the placements in this and other adult and older adult long-term residential service facilities within the total budget available for these services.

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 Agreement is July 1, 2009 through June 30, 2012. The Agreement maximum is $739,825 for the three-year term. The budgeted maximum for FY 2009-10 is $237,250, which has been included in the BHRS FY 2009-10 Recommended Budget. Sales tax through realignment will fund $211,153, and the Net County Cost is $26,097. Similar arrangements will be in place for FY 2010-11 and FY 2011-12. The estimated Net County Cost for the term of the Agreement is $81,380.