Inter-Departmental Correspondence

Health System



April 29, 2011


May 24, 2011







Honorable Board of Supervisors



Jean S. Fraser, Chief, Health System


Stephen Kaplan, Interim Director, Behavioral Health & Recovery Services



Agreement with Mateo Lodge, Inc.



Adopt a Resolution authorizing the:

A) President of the Board to execute an Agreement with Mateo Lodge, Inc. for the provision of residential and mental health treatment services for the term July 1, 2011 through June 30, 2012, for a maximum obligation of $1,843,469; and


B) Chief of the Health System or designee to execute contract amendments which modify the County's maximum fiscal obligation by no more than $25,000 (in aggregate), and/or modify the contract term and/or services so long as the modified term or services is/are within the current or revised fiscal provisions.



For more than two decades, Mateo Lodge has provided residential and other mental health treatment services to Behavioral Health and Recovery Services (BHRS) clients who are residents of San Mateo County. Their services are focused on providing low cost, community-based alternatives for seriously mentally ill adults with co-occurring disorders who otherwise would have to live in locked psychiatric facilities, homeless shelters, or on the streets.



BHRS is contracting with Mateo Lodge to provide transitional residential treatment for seriously mentally ill adults with co-occurring disorders at the Contractor’s Wally’s Place facility and supported housing (rehabilitative services with housing) at their Humboldt, Cassia, and Poplar houses. Supported housing services are designed to aid clients in a variety of community living arrangements and to assist clients in finding or maintaining permanent housing, employment, education, health care, and mental health services. In addition, Mateo Lodge has a mobile support team that provides outreach and rehabilitation services to individuals who are homeless or at risk of becoming homeless and are mentally ill. Under the B-1 Administrative Memorandum the selection of providers of housing services and related supports for BHRS clients is exempt from the Request for Proposals (RFP) process requirement.


The Agreement and Resolution have been reviewed and approved by County Counsel. The Contractor’s insurance has been reviewed and approved by Risk Management.


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.


The Agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by providing transitional residential treatment for seriously mentally ill adults. BHRS provides a range of services to promote wellness and recovery and to support consumers remaining in the lowest possible level of care. The provision of transitional residential treatment services is one established level of care. It is anticipated that 77% of clients who receive services will be maintained at their current or lower level of care.


Performance Measure:


FY 2010-11

    FY 2011-12

Transitional Residential Treatment Services: Percentage of clients maintained at current or lower level of care.





The term of the Agreement is July 1, 2011 through June 30, 2012, and the maximum obligation is $1,843,469. Of that amount, it is anticipated that $495,482 will be funded by Federal Medi-Cal, $146,530 will be funded by Projects for Assistance in Transition from Homelessness (PATH) grant funds, $94,811 will be funded by Substance Abuse and Mental Health Services Administration (SAMHSA) grant funds, $107,001 will be funded by the Mental Health Services Act (MHSA), and $593,119 will be funded by sales tax through Realignment. The Net County Cost is $406,526. These funds have been included in the BHRS FY 2011-12 Recommended Budget.