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COUNTY OF SAN MATEO
Inter-Departmental Correspondence
Health System
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DATE:
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September 23, 2010
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BOARD MEETING DATE:
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October 19, 2010
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SPECIAL NOTICE/HEARING:
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None
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VOTE REQUIRED:
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Majority
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TO:
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Honorable Board of Supervisors
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FROM:
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Jean S. Fraser, Chief, Health System
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Louise Rogers, Director, Behavioral Health & Recovery Services
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SUBJECT:
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Second Amendment to Agreement with Pyramid Alternatives, Inc.
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RECOMMENDATION:
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Adopt a Resolution authorizing the President of the Board to execute a Second Amendment to the Agreement with Pyramid Alternatives, Inc., for the provision of alcohol and other drug services, increasing the amount by $24,200 for a maximum obligation of $4,382,451, with no change to the Agreement term of July 1, 2009 through June 30, 2011.
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BACKGROUND:
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In June 2009 your Board approved an Agreement with Pyramid Alternatives, Inc. and eleven other providers to align current treatment services with the Alcohol and Other Drug Services (AOD) Strategic Directions 2010 plan, to initiate a quality performance improvement process, and authorized the Chief of Health System or designee to execute contract amendments which modify the County’s maximum fiscal obligation by no more than $25,000. The services provided under the Agreement with Pyramid 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. This Agreement includes multiple program and funding sources.
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On October 13, 2009, Behavioral Health and Recovery Services received a funding award for the San Mateo County Second Chance Program from the Bureau of Justice Assistance. This grant award spans two fiscal years, FY 2009-10 and FY 2010-11, and is the source of funding for the Second Chance Act Prisoner Re-Entry Initiative Program.
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In August 2010 the Chief of the Health System approved the First Amendment to the Agreement to decrease funding in the amount of $24,795, to a new maximum of $4,358,251.
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DISCUSSION:
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This Second Amendment to the Agreement is now necessary to reduce the administrative fee to the First Offender Program from 10% to 8%, and to increase Second Chance Act Re-Entry Services to include outpatient and intensive day treatment, increasing the maximum obligation by $24,200, to a new maximum obligation of $4,382,451 with no change to the Agreement term. The goal of the San Mateo County Second Chance Program is to establish and continuously improve a re-entry system that reduces recidivism among County jail inmates at high risk for re-offending. Currently under this program, the only available substance abuse treatment and recovery services are in a residential setting.
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The Amendment and Resolution have been reviewed and approved by County Counsel.
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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.
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Approving this Amendment will 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 60% of participants will successfully complete the alcohol and drug treatment services offered through the amended Agreement. The completion of these services promotes a greater ability to reduce recidivism.
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Performance Measure:
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Measure
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FY 2009-10
Actual
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FY 2010-11
Projected
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Percentage of clients who successfully complete
alcohol and drug treatment services
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60%
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60%
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FISCAL IMPACT:
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The term of this amended Agreement remains July 1, 2009 through June 30, 2011. The maximum obligation is increased by $24,200 to a new maximum of $4,382,451. Funding for the increase is as follows: Reentry Grant $17,666; County match $6,534 which is the Net County Cost. These funds are included in the BHRS FY 2010-11 Adopted Budget.
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