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HomeMy WebLinkAboutMINUTES - 11011983 - T.4 THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Adopted this Order on November 1, 1983 _, by the following vote: AYES: Supervisors Fanden, .McPeak, Torlakson, Schroder NOES: None ABSENT: Supervisor Powers ABSTAIN: None SUBJECT: Beilensen Hearing on Proposed Reductions in Mental Health Drug and Alcohol Programs This being the time for hearing on proposed reductions in Mental Health Drug and Alcohol Programs pursuant to Health and Safety Code Sections 1442 and 1442. 5; Supervisor T. Torlakson, Chairman of the Finance Committee (Supervisor S. W. McPeak, member) commented on the provisions of the Finance Committee' s report dated October 25, 1983, with respect to allocations from the Reserve for Contingencies to the Health Services Department and the Social Service Department, noting that the full Board is scheduled to act on the Committee' s recommendations at the Board meeting of November 8, 1983• C. L. Van Marter, Assistant County Administrator-Human Services, referred to the list of proposed reductions and advised that litiga- tion precluded from consideration at this time proposed reductions with respect to transportation services to detox facilities and/or program reductions at the detox centers (Item No. 4b) . He also requested that Item 4c providing for the elimination of two coun- seling positions in the AIRS program be deleted from consideration since anticipated increases in revenue to Account 9823 will fund same. Mr . Van Marter advised that if the Board approves the recom- mendation of the Finance Committee, program deficits relative to Prevention Services (Item 6) will be mitigated. On recommendation of Mr. Van Marter , the Board adopted Resolution No. 83/1139 determining indigency for purposes of Health and Safety Code Sections 1442 and 1442. 5. In accordance with the recommendation of staff, IT IS BY THE BOARD ORDERED that the documents noted on the list attached hereto and by reference incorporated herein are INCLUDED as part of the hearing record. Board members discussed the need for a report evaluating mental health programs and were in agreement that standards/criteria should be developed in order to rate the programs and providers in a con- sistent manner. The Chairman then declared the hearing open and the following persons appeared and commented: Manuel Herrera, Director, Familias Unidas Counseling Center , referred to the reductions in funds allocated to his facility and stated that his program is the only bi-lingual program in the County serving approximately 1200 unduplicated clients per year; William V. Wagner , Jr. , Director, Contra Costa Alliance for the Mentally I11, emphasized the need for mental health prevention and rehabilitation programs and the need to spend allocated funds in a judicious way; 232 Sarah M. Houghton spoke in support of the Rubicon Garden Center ; Mona Reeva, Executive Director , Rubicon Programs, commented on the restrictions placed on the utilization of "Bates funds" ; she also requested the establishment of a special task force to evaluate the Garden Center' s Vacation Program; Robert J. Kenneally, a participant in the Mental Health Program, commented on the assistance and emotional support he has received and requested that funds not be reduced; Malcolm Tatman, participant in the Rubicon Program, requested continued funding for the program; Eric Miglorin, graduate of the Rubicon Program, related the accomplishments he has achieved as a result of his enrollment in the program; Monica Thyberg, Program Director, Rubicon Vocational Services, spoke on the role and successof her program in providing assistance to clients, endorsed the proposal for an evaluation procedure and suggested that a task force be established to accomplish same; membership on the task force should include representatives from the State Department of Mental Health, industry, various government boards and commissions, and the Private Industry Council; Kathy Lee Noll, participant in the Rubicon Program, advised of her achievements as a result of the program; Joan J. Zane, a private citizen, requested that the Phoenix Program be funded and spoke of the benefits a member of her family received at Casa Cecilia Chi; Daniel M. Zane, participant in the Phoenix Program, requested funding to provide for the continuation of the Program; Ben Russell, member of the Board of Directors , Phoenix Programs, Inc. , urged the Board to support the recommendations of the Finance Committee and the Mental Health Advisory Board to restore the proposed cuts for Nyumba Chuki and Casa Cecilio Chi and provide the funding necessary for Nierika out of the Reserve for Contingency fund; he noted that reductions in funding allocations over the last two years have . impacted severely on the ability of his agency to provide needed services; Vickie Smith, Executive Director of Phoenix Programs, thanked the Board for the thorough review given to these Mental Health cuts and requested the Board to continue its funding of mental health programs; Stanley T. Hutter , representating Contra Costa County Employees Association, Local 1, requested the Board to defer action on proposed reductions in allocations to mental health programs pending receipt of a report on the anticipated shortfall; suggested that an independent audit and review of the Mental Health Division and CHAS accounting system be implemented prior to the establishment of a new computerized system; proposed that the Mental Health Division be given its own Enterprize Fund; Sharrin Bennett, Executive Director , Center for Human Development, requested the Board to reaffirm its commitment to prevention and community self-help efforts by approving the Finance Committee' s recommendation to approve $40, 000 from contingency funds to maintain priority services; also requested the Board to consider reinstating an additional $18, 000 to the Community Health Connection (quarterly newspaper) ; -2- 233 f Charles L. Norman, participant in the Casa Cecilia Chi program, requested the Board to provide funding for said program and submitted a petition signed by parents and friends of clients; Muntu Buchongo, Program Director , Nyumba Chuki , spoke on the success rate of Phoenix Program participants and the need to continue to fund said facilities; Bonnie Outman, Chair , Children and Adolescent Task Force, expressed understanding of the budget problems faced by the Board; indicated that priority funding of Children' s Services should go to the Social Service Department; and requested that if and when funds become available, that consideration be given to "fair share" funding of children' s programs; Christina Vega, President, Board of Directors, Familias Unidas Counseling Center (Desarrollo Familiar, Inc. ) , expressed the opinion that west county was underserved and indicated that funds should be solicited not only from the public sector but the private sector as well; Henry Clarke, General Manager , Contra Costa County Employees Association, Local 1, advised that he did not believe there should be any additional staff reductions and expressed con- cern with respect to a newly projected $1. 5 million deficit in the Mental Health program; William F. Taylor , Chairman, Contra Costa County Alcoholism Advisory Board, requested restoration of the Executive Assistant position to the three advisory boards within the Alcohol/Drug Abuse/Mental Health Division at 60 percent or more; Barbara Bender , Chairperson, Contra Costa County Mental Health Advisory Board, advised that the Advisory Board supports the reinstatement of the Executive Assistant position at 3/5 time and the reinstatement of $113, 000 for Ribicon, Phoenix, and Desarollo, and preservation of the children' s portion of funding for the Center for Human Development; she conveyed the interest of the Advisory Board to join with the County in a strong collaborative effort to raise public awareness of, and fiscal support for, the mentally ill in both this County and the State. A statement was received from Marilyn Roregelos, Chair , Contra Costa County Drug Abuse Board, advising that the Drug Abuse Board has taken a position in opposition to the proposed elimination of the Executive assistant position, but would support a proposal to restore that position to the 60 percent level. All persons desiring to speak having .been heard, the Chairman declared the hearing closed. Board members discussed the need to resolve the impact of reduced funds on mental health programs and expressed support for the concept of placing a measure on the ballot to provide for a tax to partially fund mental health services. Mr . Van Marter advised that the financial records of the Health Services Department are being reviewed by the Auditor' s Office and that a report will be forth coming on the financial status of said Department. There being no further discussion, IT IS BY THE BOARD ORDERED that the County Administrator , County Counsel, and the Health Services Director are DIRECTED to draft findings for Board consider- ation at its meeting on November 8, 1983. 0hereby certify thafthis;satrue and correct copyof an action taken ar;-!?^;r,.^;+!!{q; ;;.>,77irUtgS Of the Board of p_... ..;::. •:,-; • ;c, to ::down. cc: County Administrator County Counsel ATTESTED.: . Health Services Director J.R. G;.;.' " r;, Y(`rcRx and ex c,t;;i,'� L;tr,f of Cie Board 23S Deputy ' LISTING OF DOCUMENTS INTRODUCED INTO EVIDENCE FOR HEARING PURSUANT TO OEALTH AND SAFETY CODE SECTIONS 1442 and 1442.5 NOVEMBER 15 1983 1 . 1983-1984 Budget Message for the County of Contra Costa 2. Finance Committee Report on the 1983-1984 Budget dated June 13, 1983 3. Budget Act of 1983, Chapter 324, Statutes of 1983 with Governor' s Veto Message as approved by the Governor July 21 , 1983 4. Memorandum from County Administrator and Health Services Director to Board of Supervisors dated September 19, 1983 commenting on the Fiscal Year 1982-1983 year end fund balance deficit 5. Board Order dated September 20, 1983 on the Health Services Department Budget 6. Final Budget schedules filed with the Board of Supervisors September 20, 1983 7. Memorandum from County Administrator to Department Heads dated September 21 , 1983 on the County Budget for Fiscal Year 1983-1984 8. Memorandum from Claude Van Marter to Gordon Soares dated September 22, 1983 transmitting final budget figures for 1983-1984 as adopted by the Board of Supervisors 9. Board Order dated September 27, 1983 and Notice of Hearing fixing November 1 , 1983 at 2:30 p.m. for the "Beilenson" Hearing 10. Memorandum dated September 29, 1983 from Jonna Stratton to Lonny Davis directing the posting of the "Beilenson" Notice 11 . Letter dated September 30, 1983 from M. G. Wingett to Dr. Peter Abbott, notifying the State Department of Health Services of the "Beilenson" Hearing 12. Board Order dated October 3, 1983 on the Health Services Department's 1982- 1983 budget deficit 13. Memorandum dated October 7, 1983 from the Health Services Director to the Board of Supervisors regarding the Center for Human Development contract 14. Memorandum dated October 10, 1983 from Stuart McCullough to the Finance Committee on the proposed budget reductions for the Alcohol , Drug Abuse, and Mental Health Division 15. Memorandum dated October 11 , 1983 from Claude Van Marter to Gordon Soares on items to be reported to the Finance Committee October 24, 1983 16. Memorandum dated October 20, 1983 from the Health Services Director to Claude Van Marter on Finance Committee presentation for October 24, 1983 17. Memorandum dated October 20, 1983 from Stuart McCullough to the Finance Committee on the Center for Human Development budget reduction 18. Report dated October 25, 1983 from the Finance Committee to the Board of Supervisors on supplemental funding for various departments 19. Letter dated October 31 , 1983 from the County Administrator to the Board of Supervisors commenting on the availability of alcoholism counseling fees 235 THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Adopted this Order on November 1 , 1983 by the following vote: AYES: Supervisors Fanden, McPeak, Torlakson, Schroder NOES: None ABSENT: Supervisor Powers ABSTAIN: None RESOLUTION NO. 83/1139 SUBJECT: In the matter of ) determining indigency ) for purposes of Health ) and Safety Code Sections ) 1442 and 1442. 5 ) The Contra Costa County Board of Supervisors RESOLVES THAT: The Contra Costa County Board of Supervisors hereby ADOPTS the standards of aid and care for the indigent and dependent poor of the County as established by Resolution No. 79/446 and amended by Resolution No. 80/1120 and as amended by Resolution 83/1008, and the State established eligibility criteria for individuals formerly eligible to the State' s Medi-Cal Medically Indigent Adult program, as more fully set forth in Resolutions 82/1486 and 83/191 , as the general criteria for determining indigency for purposes of Health and Safety Code Sections 1442 and 1442. 5. "Indigents" for purposes of the Board' s November 1 , 1983 legislative hearings pursuant to Health and Safety Code Section 1442.5 are those persons eligible for- County aid (General Assistance) and/or those persons eligible for the Basic Adult Care (BAC) Program under Resolutions cited herein. i hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Superviscrs on the date shown. ATTESTED: /,,1 yX,3 J.R. OL.'37 -��:!, '-"!j':i:TV CLERK and ex officio Cls;i; of the Board By .. �' ��, Deputy brig. Dept.: County Administrator cc: Health Services Director State Dept. of Health Services Health Systems Agency County Counsel RESOLUTION NO. 83/1139.