Inter-Departmental Correspondence
Health System



May 20, 2010


May 25, 2010







Honorable Board of Supervisors



Jean S. Fraser, Chief, Health System


Louise Rogers, Director, Behavioral Health & Recovery Services


Lisa Mancini, Director of Aging and Adult Services



Agreement with the Helios Healthcare, LLC



Adopt a Resolution:

1) Authorizing the President of the Board to execute an Agreement with Helios Healthcare, LLC for residential rehabilitation and long-term care services for the term July 1, 2010 through June 30, 2011, for a maximum obligation of $366,000; 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.



Helios Healthcare, LLC is a convalescent care provider of mental health services. The company provides neurobehavioral, psychosocial rehabilitation, adult residential, community, wellness recovery action planning, and health and wellness programs. Services include behavior modification, skilled nursing, life skills training, recreation and rehabilitation, neurobehavioral support, dementia and Alzheimer’s care, behavior intervention, vocational and pre-vocational training, and self-advocacy.

Behavioral Health and Recovery Services (BHRS) has contracted with Helios Healthcare, LLC since 1988 when they were part of Crestwood Behavioral Health, Inc., to provide long-term care for County residents.

In October 2000 the gero-psychiatric unit at San Mateo Medical Center (SMMC) was closed. Some of the patients at SMMC were transferred to the Idyllwood – Sunnyvale facility, which is now Helios Healthcare.



To accommodate specialized treatment care needs and to distinguish between the LPS conserved mentally ill clients and the probate dementia conservatees, this contract has a

Mental Health component and an Aging and Adult Services (AAS) component. The Mental Health component provides services for up to 10 clients who are seriously mentally ill and in need of mental health rehabilitation, treatment and long-term care. The AAS component provides services for up to six clients who are probate dementia conservatees and who require a locked long-term treatment setting.

Services provided through this Agreement offer an alternative to the use of more costly emergency services (i.e. Psychiatric Emergency Services, inpatient administrative days, and Corrections).

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.

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 budget allocations.

    County Counsel has reviewed and approved this Agreement and Resolution and Risk Management has approved the insurance coverage for this provider. 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.

This Agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by providing residential rehabilitation and long-term care for the vulnerable population of adults suffering from serious mental illness. It is estimated that the number of clients maintained at current or lower level of care will be kept at 68%.


Performance Measure:



FY 2009-10


FY 2010-11


Percentage of clients maintained at current or lower level of care





The term of this Agreement is July 1, 2010 through June 30, 2011. The maximum obligation under this Agreement is $366,000. Of this amount $193,000 is for BHRS, which is funded as follows: 90% or $173,700 is from sales tax provided through realignment, and 10% or $19,300 is Net County Cost. These funds are included in the BHRS Recommended FY 2010-11 Budget. For AAS, $173,000 is included, which will be funded through client reimbursements. These funds are included in the AAS Recommended FY 2010-11 Budget. There is no Net County Cost associated with the AAS component of this Agreement.