Inter-Departmental Correspondence
Health System



April 30, 2010


May 25, 2010







Honorable Board of Supervisors



Jean S. Fraser, Chief, Health System


Louise Rogers, Director, Behavioral Health & Recovery Services



Agreement with MAR-RIC Transitional and Recovery Facility



Adopt a Resolution:

1) Authorizing the President of the Board to execute an Agreement with MAR-RIC Transitional and Recovery Facility to provide transitional residential mental health services to seriously mentally ill adults for the term July 1, 2010 through June 30, 2012, for a maximum obligation of $255,631; 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.



Behavioral Health and Recovery Services (BHRS) has contracted with MAR-RIC Transitional and Recovery Facility since February 2002 for the provision of transitional residential services for individuals who are transitioning from locked facilities or psychiatric inpatient units to a lower level of care or who would otherwise require locked facility placement. This provider has been effective in working with seriously mentally ill clients to keep them in the community and out of more restrictive and more expensive locked facility placements.


Under the B-1 Administrative Memorandum housing services and related supports for Mental Health clients are exempt from the Request for Proposals process requirement.



The Agreement with this provider is for a two-year term. This provider will deliver services for up to five clients daily.


The Agreement has been reviewed and approved by Risk Management, and the Agreement and Resolution have been reviewed and approved by County Counsel. 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.


Subsequent to the final adoption of the State budget it may be necessary to make changes to this contract in order to reflect legislative action. This contract is recommended to your Board at this time in order to provide a continuity of services to the community until final funding levels can be determined. The contract provides that the County may reduce the scope of the contract to reflect any shortfall in funding from State or federal allocations.


The Agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by providing transitional residential mental health services to seriously mentally ill adults. 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 mental health services to seriously mentally ill adults is one established level of care. The services provided through this Agreement contribute to this measure. It is anticipated that 68% of clients who receive transitional mental health services through this Agreement will be discharged to a lower level of care.


Performance Measure:


FY 2009-10

    FY 2010-11

Percentage of clients maintained at a current or lower level of care





The term of the Agreement is July 1, 2010 through June 30, 2012, and the maximum obligation is $255,631. For FY 2010-11, the maximum obligation is $127,641. Of that amount, it is anticipated that $114,877 will be funded by sales tax through realignment, and $12,764 is Net County Cost. Funds for these services will be included in the BHRS FY 2010-11 Recommended Budget. A similar arrangement will be in place for FY 2011-12.