2007-26622 ResoRESOLUTION NO. 2007-26622
A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF THE
CITY OF MIAMI BEACH, FLORIDA, WAIVING THE COMPETITIVE
BIDDING REQUIREMENT, FINDING SUCH WAIVER TO BE IN THE
BEST INTEREST OF THE CITY, AND APPROVING AND AUTHORIZING
THE CITY MANAGER TO EXECUTE AN AGREEMENT WITH CITRUS
HEALTH NETWORK, INC., IN THE AMOUNT OF $47,450, FOR THE
PROVISION OF TWO (2) BEDS TO BE USED TO PROVIDE
SUBSTANCE ABUSE AND MENTAL HEALTH TREATMENT BEDS TO
THE CITY'S HOMELESS POPULATION.
WHEREAS, the City has the necessity for providing emergency shelter beds and case
management services to Miami Beach homeless individuals; and
WHEREAS, shelter beds expedite the placement of homeless individuals and reduce the
incidence of homelessness in Miami Beach; and
WHEREAS, reducing homelessness is a Key Intended Outcome in the City's budget plan;
and
WHEREAS, homeless individuals with substance addiction issues and mental illness have
special needs that cannot be adequately addressed in conventional emergency shelters; and
WHEREAS, Citrus Health Network, Inc. is a private, not-for-profit agency that provides
emergency housing and services to the homeless suffering from substance addiction and mental
illness; and
WHEREAS, contracting with Citrus Health Network, Inc. will fill the immediate need for
emergency shelter for homeless individuals suffering from substance addiction and mental illness
served by the City's Office of Community Services; and
WHEREAS, accordingly, the City Manager would recommend that the Mayor and City
Commission hereby waive, by 5/7ths vote, the competitive bidding requirement, finding such waiver
to be in the best interest of the City, and authorize the City Manager to enter into an agreement with
Citrus Health Network, Inc., in the amount of $47,450, to provide emergency shelter to homeless
persons with substance addiction and mental illness in the City of Miami Beach.
NOW, THEREFORE, BE IT DULY RESOLVED BY THE MAYOR AND CITY COMMISSION
OF THE CITY OF MIAMI BEACH, FLORIDA, that the Mayor and City Commission hereby waive, by
5/7ths vote, the competitive bidding requirement, finding such waiver to be in the best interest of the
City, and authorizing the City Manager to execute an agreement with Citrus Health Network, Inc., in
the amount of $47,450, to provide emergency shelter beds for the City of Miami Beach's homeless
population with substance addiction issues and mental health illness.
PASSED and ADOPTED this 5th day of Sept.2007.
APPR~'/C:~ RS TG
T: FORM & I~r~,~~AR~~
~~~ & FOR EXI<C:'_' .._ .
CITY CLER Matti Herrera Bower
Robert Parcher ~ ~ 3j dT Vice-Mayor
tornev-t~~ f D e
COMMISSION ITEM SUMMARY
Condensed Title:
A resolution of the Mayor and City Commission of the City of Miami Beach, Florida, waiving competitive bidding
requirements, and approving and authorizing the City Manager to execute an agreement in the amount of $47,450
with Citrus Health Network, Inc. for the purchase of two (2) beds to be used to provide homeless clients with
substance abuse and mental health treatment.
Key Intended Outcome Supported:
Reduce the number of homeless
Supporting Data (surveys, environmental scan, etc.): The issue of homelessness appears as one of the most
important areas affecting residents' and business owners' quality of life. 32% of residents rated our ability to address
this issue as excellent or good. 28% of businesses rated our ability to address this as excellent or good.
Issue:
Should the Commission approve the Resolution?
Item Summary/Kecommenaaiion:
The Office of Community Services/Neighborhood Services Department served 2,314 homeless persons in FY 2005/2006.
Of these, 773 reported mental illness and 907 reported chronic addictions (including drugs and alcohol). These chronic
conditions pose impediments to finding and maintaining stable housing. According to the National Resource and Training
Center on Homelessness and Mental Illness, 20 to 39% of the single adult population in the country suffers from some
form of severe and persistent mental illness. According to another study, up to two-thirds of homeless adults suffer from
alcoholism and at least half suffer from drug disorders. According to A Nation In Denial, by Alice Baum and Donald
Burnes, many of the myths surrounding the root causes of homelessness have little to do with the economy,
governmental social policies, lack of affordable housing, and so forth. According to their research, at least 65-85% of all
homeless adults suffer from chronic alcoholism, drug addiction, mental illness, or some combination of the three, often
complicated by serious medical problems. Citrus Health Network is a local non profit provider of services to the
chronically mentally ill. The City currently partners with Citrus Health in outreach to chronic homeless persons in the City.
In light of the number of chronic homeless mentally ill persons in our City, and the existing relationship with Citrus
Health Network to provide specialized outreach to engage these homeless persons into services, the Administration
recommends that the Mayor and City Commission waive competitive bidding and authorize the City Manager to
enter into an agreement with Citrus Health Network, Inc., for two treatment beds, in order to better address chronic
homelessness in our City.
Adviso Board Recommendation:
N/A
Financial Information:
Source of Amount Account Approved
Funds: 1 $47,450.00 011.0320.000349
2
3
O PI Total $47,450.00
Financial Impact Summary:
Cit Clerk's Office Le islative Trackin
Vivian P. Guzman, ext. 6749
Sign-Offs:
Department Director Assi a t City Manager City Manager
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City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
COMMISSION MEMORANDUM
TO: Mayor David Dermer and Members of the City Commission
FROM: Jorge M. Gonzalez City Manager
DATE: September 5, 2007
SUBJECT: A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF THE CITY OF
MIAMI BEACH, FLORIDA, WAIVING THE COMPETITIVE BIDDING
REQUIREMENT, FINDING SUCH WAIVER TO BE IN THE BEST INTEREST OF
THE CITY, AND APPROVING AND AUTHORIZING THE CITY MANAGER TO
EXECUTE AN AGREEMENT WITH CITRUS HEALTH NETWORK, INC., IN THE
AMOUNT OF $47,450, FOR THE PROVISION OF TWO (2) BEDS TO BE USED
TO PROVIDE SUBSTANCE ABUSE AND MENTAL HEALTH TREATMENT
BEDS TO THE CITY'S HOMELESS POPULATION
ADMINISTRATION RECOMMENDATION
Adopt the resolution.
ANALYSIS
The Office of Community Services/Neighborhood Services Department served 2,314
homeless persons in FY 2005/2006.Of these, 773 reported mental illness and 907 reported
chronic addictions (including drugs and alcohol). These chronic conditions pose
impediments to finding and maintaining stable housing.
According to the National Resource and Training Center on Homelessness and Mental
Illness, 20 to 39% of the single adult population in the country suffers from some form of
severe and persistent mental illness. More so, the Center reports that the new wave of
deinstitutionalization,the denial of health services, and the unplanned discharge brought on
by managed care arrangements maybe contributing to the continued presence of seriously
mentally ill persons within the homeless population. In another study, up to two-thirds of
homeless adults are known to suffer from alcoholism, and at least half suffer from drug
disorders. According to A Nation In Denial, by Alice Baum and Donald Burnes, many of the
myths surrounding the root causes of homelessness have little to do with the economy,
governmental social policies, lack of affordable housing, and so forth. Their research further
finds that at least 65-85% of all homeless adults suffer from chronic alcoholism, drug
addiction, mental illness, or some combination of the three, often complicated by serious
medical problems.
Findings by the National Resource Center on Homeless and Mental Illness reveals that
persons with mental and addictive disorders share many of the same treatment needs,
including carefully-designed client engagement and case management strategies, housing
solutions and long-term follow-up and support services. These same findings underscore the
importance of service integration especially between outreach and engagement.
Commission Memorandum
September 5, 2007
Page 2 of 2
According to current outreach and engagement trends in our City, 33% of engaged clients
suffer from mental illness and 39% suffer from some form of addiction, including alcohol and
drugs. Since late 2004, the City's Homeless Outreach teams have partnered with Citrus
Health Network to provide specialized outreach to the City's chronic homeless population
and engage these chronically homeless clients in our community suffering with
mental health and/or substance abuse problems. This Citrus Health Network outreach team,
funded by the Miami-Dade County Homeless Trust, is especially trained to engage
chronically mentally ill homeless individuals into services. Because of the high concentration
of chronically mentally ill in the City's homeless population, last year the Homeless Trust
authorized Citrus Health to provide two days of these specialized outreach services on
Miami Beach. Citrus coordinates their outreach activities with our outreach teams, ensuring
consistency in approach, more intensive engagement and coordination of services
offered/provided.
Citrus Health Network is awell-known provider of community mental health services, offering
comprehensive programs for homeless individuals, including the first "safe haven" low-
demand emergency housing program in the County. Citrus' services include crisis
stabilization, outpatient psychiatric services, day treatment programs,and transitional and
supportive permanent housing programs. They operate 75 transitional housing beds, and
provide more than 510 permanent housing units with supportive services. Their targeted
populations are the mentally ill, the dually diagnosed and especially the chronic mentally ill.
In an effort to complement the intensive outreach to the chronically mentally ill, it is
recommended that the City contract with Citrus Health Network for the acquisition of two
treatment beds from Citrus Health Network, Inc. This will enable outreach staff to offer
homeless clients with mental illness and/or substance addiction with coordinated, targeted
short-term housing that will improve access to needed services and lead to permanent
housing. In addition to accessing program services offered by one of the homeless
continuum's most experienced provider of services to the chronically mentally ill, using Citrus
Health Network will permit a seamless transition for these hard-to-engage clients. This pilot
program will enable us to explore new engagement strategies with mental health and
substance abuse providers as a means of improving our housing placement success.
Funding for the program has been included in the FY 07/2008 budget. Staff will monitor the
use of the beds and the outcomes to determine if additional beds should be considered.
CONCLUSION
In light of the number of chronic homeless mentally ill persons in our City, and the existing
relationship with Citrus Health Network to provide specialized outreach to engage these
homeless persons into services, the Administration recommends that the Mayor and City
Commission waive competitive bidding and authorize the City Manager to enter into an
agreement with Citrus Health Network, Inc., for two treatment beds, in order to better
address chronic homelessness in our City.
Attachment
JMG/HMF/VPG/mlr