Inter-Departmental Correspondence
Health System



April 7, 2010


April 13, 2010







Honorable Board of Supervisors



Jean S. Fraser, Chief, Health System


Louise Rogers, Director, Behavioral Health & Recovery Services



Amendments to Agreements with five Providers



Adopt a Resolution:

1) Waiving the Request for Proposals requirement for re-entry residential treatment and recovery services, and housing assistance; and


2) Authorizing the President of the Board to execute Amendments to the Agreements with Free At Last, Our Common Ground Inc., Project Ninety, Inc., The Latino Commission, and Women’s Recovery Association to incorporate a re-entry system to reduce recidivism among County jail inmates, increasing the fixed obligation by $486,667, for a new fixed maximum obligation of $9,581,328; and in the case of Our Common Ground Inc., increasing the aggregate amount by $100,000, to incorporate Adolescent Residential Services for a new aggregate maximum obligation of $4,335,418, with no change to the Agreement term of July 1, 2009 through June 30, 2011.



In June 2009 your Board approved Agreements with the aforementioned Contractors to align current treatment services with the AOD Strategic Directions 2010 plan, and to initiate a quality performance improvement process. The services provided under these Agreements emphasize a developmental approach to making changes required under the Strategic Directions 2010 plan through the provision of a continuum of alcohol and other drug services to youth and adults identified as priority populations. These Agreements include multiple program and funding sources. The services provided include residential treatment and recovery services.



Behavioral Health and Recovery Services (BHRS) submitted a proposal to the Bureau of Justice Assistance for the FY 2009 Second Chance Act Prisoner Re-entry Initiative Program. In October 2009 it was notified of a funding award for the San Mateo County Second Chance (SMCSC) Program. The goal of the SMCSC is to establish and continuously improve a re-entry system that reduces recidivism among County jail inmates at high risk for re-offending.

The Amendments incorporate funding for services to reduce recidivism among County jail inmates. Services include, but are not limited to, housing services for families, women’s and men’s residential substance abuse treatment and transitional living.

In October 2009 the providers were included in the grant awarded to provide services to the criminal justice population under the Strategic Directions 2010 plan.

A waiver of the Request for Proposals (RFP) requirement for the selection of providers of re-entry residential treatment and recovery services is requested for these providers, because they were named in the grant.


The Amendments and Resolution have been reviewed and approved by County Counsel. Risk Management has reviewed and approved the Amendments. The Contractors have 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 amended Agreements contribute to the Shared Vision 2025 outcome of a Healthy Community by implementing activities which reduce recidivism among County jail inmates at high risk of re-offending. It is anticipated that 70% of participants receiving services through the amended Agreements will avoid re-incarceration.


Performance Measure:


FY 2008-09

    FY 2009-10

Percentage of offenders receiving services who successfully re-enter society and avoid re-incarceration for six (6) months



*This is a new program measure. Baseline data will be collected in FY 2009-10.



The term of the amended Agreements remains July 1, 2009 through June 30, 2011. The combined fixed rate is increased by $486,667 for a new maximum of $9,581,328. The shared maximum obligation is increased by $100,000, for a new maximum of $4,335,418. The new combined maximum obligation for all services is $13,916,746. Of this increase, $221,667 is for FY 2009-10, and $365,000 is for FY 2010-11.

Funding for the FY 2009-10 increase is as follows: $100,000 is from the Net Negotiated Contract; $88,334 is from the Re-entry Grant, and $33,333 is from the County Match Funds. The Net County Cost for FY 2009-10 is $33,333. Funding for these services is included in the BHRS FY 2009-10 Adopted Budget. Similar arrangements will be put in place for FY 2010-11.