Inter-Departmental Correspondence

Health System



January 13, 2011


February 8, 2011







Honorable Board of Supervisors



Jean S. Fraser, Chief, Health System


Louise Rogers, Director, Behavioral Health & Recovery Services



Third Amendment to the Agreement with Caminar



Adopt a Resolution authorizing the President of the Board to execute a Third Amendment to the Agreement with Caminar for the provision of technical assistance and for expenses incurred by Linden Street fire increasing the maximum obligation by $117,937 to a new maximum of $6,819,665, with no change to the term of July 1, 2010 through June 30, 2011.



On June 8, 2010, your Board approved an Agreement with Caminar to provide 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. On September 2, 2010, the Chief of the Health System approved an Amendment to the Agreement to hire a consultant to implement the new Behavioral Health and Recovery Services (BHRS) Electronic Medical Record software Avatar, to members of the San Mateo Contractor’s Association and increase the maximum obligation by $25,000 to a new maximum of $6,593,875. On January 11, 2011, your Board approved a Second Amendment to the Agreement adding technical assistance, and the “Seeking Safety” service model, and increasing the maximum obligation by $107,853 to a new maximum of $6,701,728.



BHRS is implementing a new electronic medical record system called Avatar. As part of the rollout for this system, BHRS is now making Avatar available to Alcohol and Other Drugs (AOD) service providers. AOD Providers, both County and Contracted County Based Organization staff, will transition from paper documentation and an AOD legacy system to performing comparable tasks on Avatar. The technical consultant will provide real time solutions and instruction to aid AOD providers in becoming successful users of the Avatar system. It is now necessary to increase the contract maximum by $87,937 to cover the additional hours of technical assistance needed to ensure a smooth rollout of this system and to provide user support.

In November 2010 the Linden Street apartments, owned by Caminar, was destroyed by fire and many San Mateo County clients were displaced. Emergency housing and transportation were required to ensure the safe relocation of the clients affected by the fire. The County is reimbursing Contractor $30,000 for the expenses they incurred in their provision of emergency housing and transportation for these clients.


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 this Amendment contributes to the Shared Vision 2025 outcome of a Healthy Community through the provision of mental health rehabilitation services and long-term care treatment for seriously mentally ill San Mateo County residents. BHRS provides a range of services to consumers of mental health and alcohol and other drug services in order for them to remain in the lowest possible level of care. The provision of prevention and early intervention services is one established level of care. The services provided through this amended Agreement contribute to this measure. It is anticipated that 77% of clients receiving services through this amended Agreement will be maintained at their current or a lower level of care.


Performance Measure:


FY 2009-10

    FY 2010-11

Percentage of clients maintained at current or lower level of care.





The term of the amended Agreement remains July 1, 2010 through June 30, 2011. The Agreement maximum is being increased by $117,937 to a new maximum of $6,819,665 which has been included in the BHRS FY 2010-11 Adopted Budget. Of the amended amount, 100% will be funded through Departmental Reserves. There is no Net County Cost.