COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health System

DATE:

April 30, 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 & Recovery Services

SUBJECT:

Agreement with Free at Last

RECOMMENDATION:

Adopt a Resolution:

1) Authorizing the President of the Board to execute an Agreement with Free at Last to provide alcohol and drug treatment services for the term of July 1, 2009 through June 30, 2011, for a maximum obligation of $5,047,580; 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 individuals and families in San Mateo County with intervention and treatment services to support recovery, which in turn contributes to the health and safety of the communities in San Mateo County.

Behavioral Health and Recovery Services (BHRS) provides a range of services to promote wellness and recovery and to support clients to maintain abstinence and sobriety.  The provision of substance abuse treatment services provided through this Agreement contributes to this measure. 

Performance Measure:

Measure

FY 2008-09

Estimate

FY 2009-10

Target

Percentage of clients who successfully complete alcohol and drug treatment services

59%

60%

BACKGROUND:

In November 2006 your Board approved the Alcohol and Other Drug Strategic Plan, “Strategic Directions 2010.” A Request for Proposals (RFP) process was initiated in April 2007 to select providers of treatment services. The RFP called for providers to implement and sustain effective alcohol and drug treatment services. The initial contracts awarded as a result of the RFP were for an 18-month period. 

DISCUSSION:

This is one of twelve agreements that will align current treatment services with the Strategic Directions 2010 Plan, and will initiate a quality performance improvement process. The services provided under this Agreement emphasize a developmental approach to making changes required under the Strategic Directions 2010 Plan through the provision of a continuum of alcohol and drug services to youth and adults identified as priority populations. This Agreement includes multiple program and funding sources. The services to be provided will include residential treatment and recovery services, and drug testing.

This 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 this Agreement is July 1, 2009 through June 30, 2011. The contractor will be paid a flat amount of $1,364,652, and will draw from an aggregate amount of $3,682,928 that is allocated among all contractors who provide the same or similar services. The combined maximum funding of $5,047,580 is provided through the following sources:

Services and Funding Sources

FY 2009-10

FY 2010-11

SACPA *

$950,863

$950,863

SACPA OTP *

305,494

305,494

SACPA OTP Match Requirement

33,944

33,944

SB223 - Drug Testing Program *

160,607

160,607

DCP - State Drug Court *

72,231

72,231

CDCI *

233,325

233,325

Ryan White Care Act *

85,000

85,000

BASN Services

47,956

47,956

NNA Outpatient and Residential Services

220,997

220,997

Co-Occurring Disorders Mental Health Services Act

31,404

31,404

County Funded/Outpatient and Residential

381,969

381,969

Total Funding

$2,523,790

$2,523,790

* Aggregate funding source.

The amount of $2,523,790 has been included in the BHRS FY 2009-10 Recommended Budget. The Net County Cost for FY 2009-10 is $415,930, which includes the amount for all agreements utilizing these aggregate funding sources. Of that amount $33,944 is the County match requirement to obtain SACPA OTP funds. Funding for the second year will be included in the BHRS FY 2010-11 Recommended Budget. The anticipated Net County Cost for the two-year term is $831,860.