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Committee backs $18 million amendment to UCSF Citywide contract to sustain CASC services

San Francisco County - Video Open Video Only in Windows Media Player - Jul 04, 2025 · October 30, 2019

Summary

The committee recommended increasing UCSF Citywide’s contract to $18 million and extending the term to Oct. 31, 2022 to continue operation of the Community Assessment and Services Center (CASC), citing expanded capacity, clinical case management slots and state AB 109 and SB 678 funding.

The Budget and Finance Committee voted to forward to the full Board with a positive recommendation a first amendment to the agreement between Adult Probation and UCSF Citywide to operate the Community Assessment and Services Center (CASC), increasing total funding to $18,000,000 and extending the term through Oct. 31, 2022.

Veronica Martinez of Adult Probation explained the amendment increases the not‑to‑exceed amount to $18,000,000 (up from the original $5,800,000 agreement signed in Oct. 2017) and extends the term. She presented a five‑year budget snapshot showing about 73% of funds going to salaries and benefits and 27% to operating costs; the amendment adds positions, including a clinical social worker supervisor funded by the state.

UCSF Citywide representatives described CASC as an 18,000‑square‑foot center that serves justice‑involved adults, with approximately 120 unduplicated people per day and roughly 3,500 unduplicated people in 2018–19. They outlined clinical case management (about 8 clinical case managers and 120 clinical slots), reentry case management capacity (~150 slots), drop‑in services, peer mentors, partnerships with the Department of Public Health and community providers, and a newly launched medication distribution service.

Supervisor Rafael Mandelmann and committee members questioned wait‑list lengths and treatment‑on‑demand capacity; UCSF staff said clinical wait lists typically hold about 30–40 people at a time, that drop‑in services and on‑call case managers meet immediate needs, and that the program uses a forensic assertive community treatment model to avoid dropping clients and to manage transitions.

The Budget Analyst summarized the amendment (increase by $12,200,000 for a total $18,000,000) and recommended approval. A clerical correction to the resolution start date (correct start date 11/01/2017) was accepted as non‑substantive. The committee accepted the amendment and moved the item to the full Board with a positive recommendation as amended.

Next steps: the amended agreement will go to the full Board for final approval.

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