Inter-Departmental Correspondence
Health System



May 14, 2010


June 8, 2010







Honorable Board of Supervisors



Jean S. Fraser, Chief, Health System


Louise Rogers, Director, Behavioral Health & Recovery Services



Agreement with Caminar



Adopt a Resolution:

1) Waiving the Request for Proposals requirement for supported education services; and


2) Authorizing the President of the Board to execute an Agreement with Caminar for the provision of housing and housing-related services, supported education services, intensive case management services, and rehabilitation services for the term July 1, 2010 through June 30, 2011, for a maximum obligation of $6,568,875; and


3) 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 Caminar for over 27 years for housing and housing-related services, supported education services, and rehabilitation services to psychiatrically disabled adult consumers. Without community-based support services, BHRS clients who receive these services would be at significantly increased risk of psychiatric hospitalization, placement in a locked facility, or becoming homeless.



Caminar will provide crisis residential treatment, transitional residential treatment, medication support, case management, intensive case management, rehabilitation services for adult clients, and enhanced supported education services. The supported education services are included in the Mental Health Services Act (MHSA) plan approved by the State. BHRS is requesting a waiver of the Request for Proposals (RFP) requirement for supported education services for this Agreement. Caminar is the only known provider of supported education services in San Mateo County. Under the B-1 Administrative memorandum, housing and housing-related services are exempt from the County RFP process.


The Agreement has been reviewed and approved by Risk Management, and the Agreement and Resolution have been 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 housing and housing-related services, supported education services, and rehabilitation 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 transitional residential services is one established level of care. The services provided through this Agreement contribute to this measure. It is anticipated that 77% of clients who receive services through this Agreement will be maintained at a current or lower level of care.


Performance Measure:


FY 2009-10

    FY 2010-11

Transitional Residential Services: Percentage of clients maintained at current or lower level of care.





The term of the Agreement is July 1, 2010 through June 30, 2011. The Agreement maximum will be $6,568,875. Of that amount, federal Medi-Cal will fund $2,803,480 and Medicare, insurance and fees will fund $144,957. MHSA funds will provide $273,080, Substance Abuse and Mental Health Services Administration (SAMHSA) will fund $50,020 and sales tax provided through Realignment will cover $2,646,324. The Net County Cost is $651,014, which includes the required match for Realignment. Funds for these services have been included in the BHRS FY 2010-11 Recommended Budget.