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COUNTY OF SAN MATEO
Inter-Departmental Correspondence
Health System
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DATE:
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March 24, 2011
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BOARD MEETING DATE:
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April 26, 2011
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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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Fourth 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 Fourth Amendment to the Agreement with Free At Last for the provision of alcohol and other drug services, increasing the maximum obligation by $25,000 to $5,098,962, 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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On May 18, 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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On November 2, 2010, your Board approved a Third Amendment to the Agreement to provide residential substance abuse and recovery services to individuals receiving services under the San Mateo County Second Chance Program, decreasing the maximum amount by $61,795, to a new maximum obligation of $5,073,962.
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DISCUSSION:
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This Fourth Amendment to the Agreement is now necessary to increase Second Chance Act Re-Entry Residential Services by $25,000, to a new maximum of $5,098,962. 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 clients that includes 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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Approval of this 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 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 increased by $25,000 to a new maximum of $5,098,962. The total flat rate obligation is increased by $25,000 to $1,391,834; the variable amount is unchanged at $3,707,128. For FY 2010-11 funding is as follows: Re-entry grant $18,250; County Match Funds $6,750. There is no Net County Cost. Funds for this amended Agreement are included in the BHRS FY 2010-11 Adopted Budget.
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