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Home My WebLink AboutMINUTES - 08091988 - 1.32 • - POSITION ADJUSINT REQUEST No. /�`/ 3 Date: 6/13/88 PERSOMMP 0 c RrM�Nr Dept. Nojhh� Copers u Department 1 h Svrs/ADA1NM Budget Unit 9. 4 Aq*. No. 5975 Agency No. 54 Action Requested: Establish the class of Dual Diagnosis Program Coordinator-Project, allocate it to salarylevel C5-1969 (post 7/l/88 adjustment level) and classify one 1 40/40 position. I Proposed Effective Date: 7/201gg Explain why adjustment i^ Deeded: to provide a position to coordinate the newly funded Dual Diagnosis Demostratlon Proiect, raft. s ec. £has #-ie -i xa- ,� r.+tached: Yes Qx No [[ Estimated cost of adjustment: $ 4133/mo Cost is within department's budget: Yes []x No (100% Federal Funds) If not within budget, use reverse side to explain how costs are to be funded., Department must initiate necessary appropriation adjustment. •�e Use additional sheets for further explanations or comments. Web Beadle, Personnel Office for Department Head Personnel Department Recommendation Date: 2— Establish the class of Dual Diagnosis Program Coordinator - Project, Salary Level C5 1969 (3253-3954) ; classify one 40/40 position. Amend Resolution 71/17 establishing positions and resolutions allocating classes to the Basic/Exempt Salary Schedule, as described above. Effective: day following Board action. , l `7 --a 7 -S� fC j� MJ Date _ for Director of Personnel County Admi istrator Recommendation Date: 7Itcd?8 pprove Recommendation of Director of Personnel Disapprove Recommendation of Director of Personnel Other: I f r Co__unty Administrator 3oard of Supervisors Action 9 Phil Batchelor, Clerk of the Board of 4djustment APPROVED on AUG � Superviso s d C unty Administrator )ate: AUG 9 1988 By: APPROVAL OF THIS ADJUSTMENT; CONSTITUTES A PERSONNEL/SALARY RESOLUTION AMENDMENT. M . 2/9'5 . _ i I i ABSTRACT: CONTRA COSTA COUNTY ADAMH PROPOSAL FOR A LOCAL DEMONST�TI PROSECT TO SERVE YOUNG ADULTS WITH(BOT MENTAL ILLNESS AND SUBSTANCE ABUSE ROI Contra Costa County's ADAMH Division inaugurated a Dual Diagnosis Task Force three years ago and has given high priority to the work of that task force. Our division is now prepared to begin a county-wide training for staff of all ADA,`Mi programs and for staff of the county's Probation and Jail programs. This training will increase the effectiveness of current programs in treating the dual diagnosis client. I The federally-funded portion of the proposed project would add dual diagnosis treatment components to a social rehabilitation residential facility and to a partial hospital program. Both programs are located in central Richmond, in a residential I area in which neighboring families represent a full range of racial and ethnic backgrounds. Both programs have a high proportion of minority staff, are adapted Ito meet the needs of minority clients, and currently serve a high proportion of minority clients. The dual di ,gnosis treatment component would add two dual diagnosis specialists to the residential facility. It would add a Dual Diagnosis Team, consisting of a Clinical Nurse Specialist, with dual diagnosis training and experience, and a Dual Diagnosis Counselor. The Dual Diagnosis Team would.be attached to the par- tial hospital and would also spend time in the residential facility. They would provide consultation to the staff of both programs. They would provide con- sultation and linkage with other community programs, as well as direct work with clients and1family. The treatmenit and activities implemented by the dual diagnosis component of the two programs would include individual and family therapy, self-help groups, and educational components, and activities intended to make 'clear and sober living' a positive and rewarding experience. . The residential program will have twelve slots. The partial hospital will have 24 treatment slots distruibuted as follows: 8-12 clients who are also in the residentiallprogram, 4-8 dual diagnosis clients who are in the partial hospital program alone, and 8 clients who are not identified as dual diagnosis. Clients would stay an average of 6-8 months in the residential program and 4-6 months in the partial hospital program. j The previous i activities of Contra Costa ADAMH Division have prepared our staff for the tasks included in this proposal. The Dual Diagnosis Task Force has already developed a workshop presentation. The training activities of the next six months Will create county-wide interest in the demonstration project. Saving an effective and appropriate community program on line for dual diagnosis clients will enhance staff interest in this area and maximize the effectiveness of the county-wide training. I , I 1 l i Page 14I DUAL DIAGNOSIS DEMONSTRATION PROJECT will continue to offer a multi-cultural, multi-racial program. i Contra Costa County A/DA/MH Division will add a dual-diagnosis treatment component to a partial hospital program. The Partial Hospital program will have 8-12 slots for clients who are in the dual-diagnosis residential program, 4-8 slots for dual-diagnosis clients who are not in the residential program, and 8 slots for other mentally disordered clients. I Contra Costa County A/DA/MH Division will employ a Dual-Diagnosis Team consisting of a Master' s level Clinical Nurse Specialist and one Dual-Diagnosis Counselor, Masters level or with experience substitution with training and experience in both mental health and substance abuse treatment. This team will provide consultation to both the Partial Hospital Program and the residential program, and to other agencies, and will provide direct services to 50 clients per year, including clients who are receiving follow-up after leaving the residentialprogram- 7 Board and care with supplemental services and/or transitional housing (apartment living with support services) will be available for dual-diagnosis clients who are ready to leave the residential programa Dual-diagnosis clients who are in only the Partial Hospital portion of the dual-diagnosis program will also receive assistance in finding appropriate living arrangements. Contra Costa County A/DA/MH Division will provide dual-diagnosis services to 50 clients a year, not counting I lients who remain in the program less than 30 days. • I i The program will provide combined residential and partial hospital treatment to 25 dual-diagnosis clients per year, not counting clients who remain in the program less than 30 days. The program will provide partial hospital treatment without residential treatment to 25 dual-diagnosis clients per year, not counting clients who remain in the program less than 30 days. 7 Of those clients who are in both the residential and Partial Hospital programs and who remain more than 30 days, at least 40% will move at least two steps on a scale of normalized community living, when the pre-treatment placement is compared to the placement six months after the client leaves the program. These clients will have 20% . fewer days in acute hospital care and 30% fewer days in long-term hospital care during the follow-up period a compared in the pre-admission period. These clients will I i