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Commission approves UCSF citywide case management contracts for four PSH buildings
Summary
The commission approved a grant agreement with UCSF to provide on-site case management and clinical services at four master-leased permanent supportive housing buildings serving 320 units; commissioners probed staffing ratios, salary floors and indirect rates.
The Homelessness Oversight Commission on Oct. 10 voted to approve a grant agreement with the University of California, San Francisco Citywide case management team to deliver on-site clinical and case-management services at four permanent supportive housing sites (the Camelot, the Empress, the Lanai and the Windsor) totaling 320 units.
Elizabeth Hewson, HSH's supportive housing programs manager, said the award would transition services that were previously provided by city staff to UCSF and bring a staffing pattern that includes licensed clinicians and a 1:25 case-manager ratio (HSH benchmark). Hewson said the agreement includes an indirect rate of 15% and budgeted salary estimates for UCSF positions (about $77,000 for social work associate-level roles and $113,000 for clinical social worker positions in UCSF's projected budget).
Commissioners raised concerns about parity between nonprofit providers and a university contractor, whether HSH can ensure comparable starting wages across contract types, and how clinical staffing differs from typical case management roles. Hewson said HSH established a $28/hour floor for case management positions across PSH contracts and added budget enhancements to allow agencies to meet that benchmark.
Lauren Hall, a supportive-housing provider who operates the four sites, spoke in support of UCSF, calling the partnership "our strongest partnership to date" and praising UCSF's clinical approach.
After commissioners discussed conflicts of interest and indirect rates, they moved and seconded the item. A roll-call vote approved the agreement.
What's next: UCSF will assume service provision at the four sites and begin staffing under the agreed budget and program specifications; HSH staff will monitor service parity and staffing outcomes.
Vote: Item 12 c passed by roll call.
