COUNTY OF SAN MATEO
Inter-Departmental Correspondence
Health System

DATE:

October 6, 2010

BOARD MEETING DATE:

November 2, 2010

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

TO:

Honorable Board of Supervisors

FROM:

Jean S. Fraser, Chief, Health System

Louise Rogers, Director, Behavioral Health & Recovery Services

SUBJECT:

Third Amendment to Agreement with The Latino Commission

RECOMMENDATION:

Adopt a Resolution authorizing the President of the Board to execute a Third Amendment to the Agreement with The Latino Commission for the provision of alcohol and other drug services, decreasing the maximum obligation by $595 to $4,993,023, with no change to the Agreement term of July 1, 2009 through June 30, 2011.

BACKGROUND:

In June 2009 your Board approved an Agreement with The Latino Commission and eleven other providers to align current treatment services with the Alcohol and Other Drug Services (AOD) Strategic Directions 2010 plan and to initiate a quality performance improvement process. Your Board also granted the Chief of Health System or designee the authority 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 includes multiple programs and funding sources.

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.

In April 2010 your Board approved an 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 agreement maximum by $81,600, to a new maximum of $4,979,534.

In May 2010 the Chief of the Health System approved an Amendment to increase funding for Bay Area Services Network and day treatment services by $14,084, to a new maximum of $4,993,618.

DISCUSSION:

This Third Amendment to the Agreement is now necessary to adjust the units of services with a decrease in funds paid during FY 2008-09, and to increase funding for Second Chance Act Re-Entry Services to include outpatient and intensive day treatment. 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.

The Amendment and Resolution have been reviewed and 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.

Approval of the Amendment contributes 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.

Performance Measure:

Measure

FY 2009-10

Actual

FY 2010-11

Projected

Percentage of clients who successfully complete

alcohol and drug treatment services

60%

60%

FISCAL IMPACT:

The term of the amended Agreement remains July 1, 2009 through June 30, 2011. The maximum obligation is decreased by $595 to a new maximum of $4,993,023. The net decrease is comprised of a decrease in the annual flat rate by $24,795 to $1,285,895, 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 $17,666; County match funding $6,534. The Net County Cost for FY 2010-11 is decreased by $18,261 to $6,534. Funds for FY 2010-11 are included in the BHRS FY 2010-11 Adopted Budget.