HomeMy WebLinkAboutMINUTES - 01112011 - C.107RECOMMENDATION(S):
ACCEPT update and report on sustainability of the Seneca Residential Program from the Health Services
Department, Mental Health Division, as recommended by the Family and Human Services Committee.
FISCAL IMPACT:
None - report only.
BACKGROUND:
On December 6, 2010 the Health Services Department, Mental Health Division provided an annual update on the
services and sustainability of the Seneca Residential Program. The report is attached. The Committee requested that
staff return in early 2011 with another update.
CONSEQUENCE OF NEGATIVE ACTION:
None
CHILDREN'S IMPACT STATEMENT:
None
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD
COMMITTEE
Action of Board On: 01/11/2011 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYES 4 NOES ____
ABSENT ____ ABSTAIN ____
RECUSE ____
Contact: Dorothy Sansoe,
925-335-1009
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes
of the Board of Supervisors on the date shown.
ATTESTED: January 11, 2011
David J. Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc:
C.107
To:Board of Supervisors
From:Family and Human Services Committee
Date:January 11, 2011
Contra
Costa
County
Subject:FHS Referral #94 - Update on the Children's Treatment Center
z Contra Costa Alcohol and Other Drugs Services z Contra Costa Emergency Medical Services z Contra Costa Environmental Health z Contra Costa Health Plan z
z Contra Costa Hazardous Materials Programs z Contra Costa Mental Health z Contra Costa Public Health z Contra Costa Regional Medical Center z Contra Costa Health Centers z
William B. Walker, M.D. CONTRA COSTA
HEALTH SERVICES DIRECTOR MENTAL HEALTH
DONNA M. WIGAND, L.C.S.W. CHILDREN’S SYSTEM OF CARE
MENTAL HEALTH DIRECTOR VERN L. WALLACE, L.M.F.T
CHILDREN’S PROGRAM CHIEF
1340 Arnold Drive, Suite 200
Martinez, CA 94553
Phone: (925) 957-5126
Fax: (925) 957-5156
Memorandum – Executive Brief
To: Family and Human Services Committee
From: Donna Wigand
Mental Health Director
By: Vern Wallace
Child and Adolescent Program Chief
Date: December 6, 2010
Re: Update and Sustainability of the Seneca Residential Program (C5 Residential).
SUBJECT:
Update to the Family and Human Services Committee regarding the Seneca
C-5 Program
RECOMMENDATION:
Request the Family and Human Services Committee accept this report on the C-5 program operated by
Seneca Center.
FISCAL IMPACT:
Cost Neutral. The cost of the program remains the same on a cost per child basis. As a result of the
changes at the state level the program going forward will only be able to accept MediCal youngsters.
However, the daily cost per child exceeds all current reimbursements and the provider is working to
reduce this cost to the lowest possible level. Previously this money, referred to as “match,” was claimed
to the SB 90 mandate claim from the AB3632 program, and was available for cost reimbursement.
However, in order to maintain a youth in this placement the additional daily dollars will have to be funded
from some other source or the cost will have to be reduced in some way.
As a result, we are proposing to reduce the daily Contra Costa enrollment in the program to eight
MediCal youngsters. A daily “patch “ of county dollars will be required in order to continue to sustain the
placements for these very troubled youngsters. Overall costs will be reduced. In addition to the eight
Contra Costa youth the vendor will offer eight beds to surrounding counties at a slightly higher daily rate.
Additionally, other counties will be charged a user fee of $125.00 per day to offset the Contra Costa Day
rate and patch. However, the program may still be underfunded and could require some county
contribution of funds in order to be sustainable. Without this program Contra Costa will be forced to place
youngsters at great distance from their home, with some out-of-state, and with greater emotional cost to
the families.
.
z Contra Costa Alcohol and Other Drugs Services z Contra Costa Emergency Medical Services z Contra Costa Environmental Health z Contra Costa Health Plan z
z Contra Costa Hazardous Materials Programs z Contra Costa Mental Health z Contra Costa Public Health z Contra Costa Regional Medical Center z Contra Costa Health Centers z
BACKGROUND:
The Health Services Department, Mental Health Division, has been providing services to children at the
Oak Grove facility in Concord through a contract with Seneca since 1999. Mental Health, along with its
interagency System of Care partners, has fought to maintain services at the facility. Current changes in
the state budget and the availability of additional funding sources once again challenge the sustainability
of the program... This program includes step down, or community re-entry programming, Intensive
treatment foster care, and a number of best practice models of service delivery. It will continue to
enhance the current children’s system of care and maintain Contra Costa as one of the leading providers
of Children’s mental health services in the nation. Not sustaining this program could lead to greater cost
to the County and families of Contra Costa.
CURRENT
Today there are 15 Contra Costa youngsters at the C5 program. Most of these youngsters will require
intense mental health services and out of home placement. Some will go home, but some will live a life
in care, with many remaining in the Mental Health Adult System of Care.