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 Mental Health Association of San Mateo County



Adopt a Resolution:

1) Authorizing the President of the Board to execute an Agreement with Mental Health Association of San Mateo County for the provision of transitional residential treatment and supported housing for seriously mentally ill adults, housing for transition-age youth and Flexible Fund administration for the period July 1, 2010 through June 30, 2011, for a maximum obligation of $1,582,283; 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.



The Mental Health Association of San Mateo County (MHA) has contracted with Behavioral Health and Recovery Services (BHRS) to provide shelter, supported housing and other mental health rehabilitation services to San Mateo County clients for many years. These services focus primarily on providing low cost, community-based alternatives for BHRS clients who are at risk of an acute inpatient psychiatric admission, placement in a locked skilled nursing facility, or becoming homeless. In addition, MHA provides Flexible Funds administration for Adult and Older Adult Services and the Pathways Program. Flexible Funds are used to purchase unique services for BHRS clients such as food, shelter, clothing and other basic necessities to help them maintain independent living in the community, to remain engaged in mental health services, and to avoid hospitalization.



BHRS is contracting with MHA for the provision of rehabilitation services for Seriously Mentally Ill (SMI) adults with mental health and co-occurring disorders and emergency short-term housing at the Spring Street Emergency Shelter for homeless, mentally ill clients. MHA will also provide Shelter Plus Care Project coordination, operate the Friendship Center, and administer Flexible Funds for Adult and Older Adult Services and the Pathways Program. In addition, MHA will secure and manage twenty (20) units of high-quality housing for transition-age youth (TAY) Full Service Partnerships (FSP) enrollees. Under the B-1 Administrative memorandum, the selection of providers of housing services for BHRS clients is exempt from the Request For Proposals (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 transitional residential treatment and supported housing for 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 treatment 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 2008-09

    FY 2009-10

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, and the maximum obligation is $1,582,283. Of that amount, it is anticipated that $326,361 will be funded by Federal Medi-Cal, $4,482 will be funded through insurance and fees, $675,790 will be funded by sales tax through realignment, including the state match for Medi-Cal, and $269,440 will be funded by Mental Health Services Act funding for Supported Housing. The Net County Cost is $306,210. These funds have been included in the BHRS FY 2010-11 Recommended Budget.