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Home My WebLink AboutMINUTES - 09191989 - 2.2 v7.a .a✓ THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Adopted this Order on September 19, 1989 , by the following vote: AYES: Supervisors Powers, Fanden, Schroder, McPeak, Torlakson NOES: None ABSENT: None ABSTAIN: None ------------------------------------------------------------------ ------------------------------------------------------------------ SUBJECT: A/DA/MH Reductions The Board received the attached report dated September 18, 1989 from Mark Finucane, Director of Health Services, relative to proposed reductions in the Alcohol, Drug Abuse and Mental Health (A/DA/MH) Division and the cost-of-living adjustment (COLA) funding for the A/DA/MH contractors. Mr. Finucane advised that the County has received additional non-categorical Federal funds which could be used to avoid the reduction of the CHD NEAT Program and the Discovery House Program. Board members discussed the need for additional drug services to be provided by the additional funding which has been allocated to the County. Mr. Finucane referred to the options contained in the attached report relative to financing of COLA' s granted to the A/DA/MA contractors, and recommended Option C whereby the County would finance 1000 of the COLA, with financing to be composed of $90,000 Challenge Grant funds and the remainder from Health Department program modifications. Board members being in agreement, IT IS ORDERED that the following actions are APPROVED: 1. ACCEPTED report form Health Services Director relative to proposed reductions in the A/DA/MH Division; 2. APPROVED recommended reduction plan and the use of discretionary funding for the CHD NEAT Program and Discovery House Program; 3 . APPROVED use of the Challenge Grant funds and Health Department program modifications to fund 1000 of the COLA award to A/DA/MH contractors; and 4. REQUESTED report back to the Board in six months on additional drug services provided by the NEAT Program and Discovery House. cc: Health Services Director Mental Health Director Auditor-Controller I hereby certify that this is a true and correct copy of County Counsel an action taken rand entered on the minutes of the County Administrator Board of Supenri on the date shown. ATTESTED: /9 /9 PHIL BAT ELOR.Clerk of the Board of Superrbon and County Adminletr w TO: BOARD OF SUPERVISORS Cmtr 4 FRCM: Phil Batchelor, County Administrator Mark Finucane, Director of Health Serviced Costa DATE: September 18, 1989 COurl SUBJECT: A/DA/MH Reductions SPECIFIC REOuEST t S y OR RECOWEMAT I ON(S) s BACIQiROUPO AAD JUST I F I CATION RECOMMENDATIONS• 1 . Accept report from the Health Services Director regarding proposed reductions in the Alcohol, Drug Abuse and Mental Health (A/DA/MH) Division of the Health Services Department. 2. Approve reduction plan and use of discretionary Alcohol,Drug Abuse, and Mental Health Financing. 3. Approve use of the Challenge grant revenues and one of four options related to Mental Health Contractor Cost-of-Living Adjustment calculation and funding. BACKGROUND: On August 15, 1989, your Board authorized the Health Services Director to initiate planning for service reductions which would realize the savings necessary to fund the work force salary and benefit increases, and other items for FY 1989/90 . On September 12, 1989, your Board was presented with the Medical and Administrative reductions necessary to generate $1,902,000 of the required savings . The balance of the service reductions, $329,000, was related to the Alcohol, Drug Abuse, and Mental Health Division of the Department. The specific A/DA/MH reductions, coupled with a validation of the A/DA/MH Contractor COLA allocation methodology, is now before your Board for consideration. CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF **AND COMMITTEE APPROVE OTHER a I GTtATURE r s� TION OF OOARO ON APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. CC: A ED L BATCHELOR, CLERK OF THE P�^:RD SUP ISORS AND COUNTY ADMINISTRATOR BY ,DEPUTY �+3s� �_a3 -2- PROPOSED REDUCTIONS: 1 . Reduce Phoenix Contract. . . . . . . . . . . . . . .$ 20,000 (Current Contract Amt. $1.6 million) 2 . Reduce Outpatient Services . . . . . . . . . . . . . . . . $ 83,000 (1 . 75 FTE MHTS Positions; Incumbents may be reassigned to new Drug Abuse Programs, see discussion below) 3 . Reduce Registry Use. . . . . . . . . . . . . . . . . . . . . . . $ 42,000 Subtotal $145,000 4 . Reduce CHD NEAT Program * $150,000 5 . Reduce Discovery House. * $ 34, 000 *(Possible Alternative funding option;see discussion below) Subtotal $184,000 Total Reductions: $329, 000 ALTERNATIVE TO REDUCTIONS: Over the past week, the Department has been advised of the award of $800,000 in Federal one-time grant funds for the prevention and treatment of Drug Abuse. This amount, coupled with the previously awarded $285,000 in non-categorical Federal dollars, provides nearly $1. 1 million in "new" drug funding for the 1989/90 fiscal period. Additionally, Federal War on Drug monies allocated to the Alcohol program, in the amount of $85,000, have been approved for local use. The Drug Abuse and Alcohol Advisory Boards have indicated a need for program service expansion and enhancement utilizing one hundred percent of these new dollars . We are currently working with the Advisory Boards to clarify the Department's current budget situation and to seek their advice and input. Your Board has the option of utilizing a portion of the non-categorical ( $285., 000+$85,000) dollars to maintain existing programs . Programs numbered 4 and 5 above are eligible for funding consideration. On Friday, September 15th, the Legislature included an additional $25 million in non-categorical funding for Mental Health Services . If this item is approved by the Governor, increased funding of $233,000 will be available to the Department. It is the Department's intent to restore program items numbered 1 and 2 from the new funding. CONTRACTOR COST-OF-LIVING ADJUSTMENT (COLA) : Negotiations are progressing with all County employee groups at this time. No new money was identified to pay for this item. Your Board has expressed a willingness to provide an across-the-board COLA to A/DA/MH Contractors equal to that provided to County employees . On August 15, 1989 , your Board requested clarification and options regarding the funding formula to be utilized in the granting of a COLA to A/DA/MH contractors . The methods for calculating the amount of Cost-of-Living Adjustment Funds to be granted to A/DA/MH Contractors are as follows: Option A: Fund thirty seven (37%) of the general cost-of- living increase granted to County employees . The thirty seven percent factor is equal to the general fund financing granted to the average County Department. -3- Option B: Fund sixty six percent ( 66%) of the general cost-of-living increase granted to County employees . The sixty six percent factor is equal to the general fund financing granted to the Health Services Department (Note: Health Department given priority over other County Departments) . Option C: Fund one hundred percent ( 100%) of the general cost-of-living increase granted County employees . Option D: Reallocate one hundred percent ( 100%) of the general cost-of-living increase granted County employees through the reduction/elimination of one or more A/DA/MH contracts . FINANCIAL IMPACT: Recommendation 2, as proposed, would result in County General Fund savings of $329,000 . The actual dollar value of Recommendation 3 will be dependent upon the final outcome of the County salary negotiations . Utilizing the 1988/89 COLA award granted to A/DA/MH contractors of $211, 000 as a base example the relative impact of the various options can be seen: Option A: $211,000 COLA amount; County finances 37% or $78,000; Financing composed of the $90, 000 Challenge grant. Option B: $211, 000 COLA amount: County finances 66% or $139, 000; Financing composed of the $90, 000 Challenge grant and Health Department program modifications . Option C: $211,000 COLA amount: County finances 100% or $211, 000: Financing composed of $90,000 Challenge grant and Health Department program modifications . Option D: $211,000 COLA award; Financing composed of A/DA/MH contractor reduction. The specific Contractors which would be eliminated or reduced would be brought back to your Board for final approval . a.a� THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA DATE: September 19, 1989 MATTER OF RECORD --------------------------------------------------------------- SUBJECT: A/DA/MH Reductions The Board this date approved certain actions relating to reductions in the Alcohol, Drug Abuse and Mental Health Division of the Health Services Department. The following persons submitted comments for the record urging the Board to retain the CHD NEAT Family Program: Tracy M. Ray, 390 Taylor Blvd. , Pleasant Hill, Mark Davis, Walnut Creek, George Edgerton, 100 Shady Lane, Walnut Creek, Sally Edgerton, 100 Shady Lane, Walnut Creek, Becca Hardin, 536 Mesa Verde Place, Pleasant Hill, Lucy Hunter, 710 W. Boyd Road, Pleasant Hill, Drew Diamond, 370 Donald Drive, Moraga, Monica Traczyk, 4819 Clayton Road, Concord, Oscar P. Rodriguez, 1703 Teakwood Drive, Martinez, Beth Schecker, Center for Human Development, and Ed Tenningsen, Center for Human Development. THIS IS A MATTER FOR RECORD PURPOSES ONLY NO BOARD ACTION TAKEN