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COUNTY OF SAN MATEO
Inter-Departmental Correspondence
Health System
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DATE:
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October 7, 2010
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BOARD MEETING DATE:
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November 2, 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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Third Amendment to Agreement with Free At Last
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RECOMMENDATION:
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Adopt a Resolution authorizing the President of the Board to execute a Third Amendment to the Agreement with Free At Last for the provision of alcohol and other drug services, decreasing the maximum obligation by $61,795 to $5,073,962, 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 Free At Last 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 authorize 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 this Agreement 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 included 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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On April 13, 2010, your Board approved a First Amendment to the Agreement to provide residential substance abuse and recovery services to individuals receiving services under the San Mateo County Second Chance Program, increasing the maximum amount by $81,600, to a new maximum obligation of $5,129,180.
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In May 2010 the Chief of the Health System approved a Second Amendment to the Agreement to provide residential substance abuse and recovery services to individuals receiving services under the San Mateo County Second Chance Program, increasing the maximum amount by $6,577, to a new maximum obligation of $5,135,757.
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DISCUSSION:
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This Third Amendment to the Agreement is now necessary to reduce funding from Strategic Directions 2010 Perinatal Residential Services; to adjust the units of services with a decrease in funds paid during FY 2008-09 for Second Chance Act Re-Entry residential services; increase Second Chance Act Re-Entry outpatient and intensive day treatment Services; and reduce the administrative fee to the First Offender Program from 10% to 8%. 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. The term of the Agreement remains the same.
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Expanding available substance abuse treatment and recovery services offered to include outpatient and intensive day treatment will strengthen and improve the re-entry system in San Mateo County.
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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 alcohol and other drug 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 2009-2010
Actual
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FY 2010-2011
Projected
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Percentage of clients who successfully complete alcohol and other 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 the amended Agreement remains July 1, 2009 through June 30, 2011. The maximum obligation is decreased by $61,795 to a new maximum of $5,073,962. The net decrease is comprised of a decrease in the annual flat rate by $85,995 to $1,366,834 and an increase in the variable rate by $24,200 to $3,707,128. For FY 2010-11 funding is as follows: Re-entry grant $27,010; County Match Funds $9,990; and $24,795 in contractual costs. The Net County Cost is decreased by $34,785 to $6,534. Funds for this amended Agreement are included in the BHRS FY 2010-11 Adopted Budget.
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