HomeMy WebLinkAboutBOARD STANDING COMMITTEES - 12142015 - FHS Cte Agenda Pkt
FAMILY & HUMAN SERVICES
COMMITTEE
December 14, 2015
10:30 A.M.
651 Pine Street, Room 101, Martinez
Supervisor Federal D. Glover, Chair
Supervisor Candace Andersen, Vice Chair
Agenda
Items:
Items may be taken out of order based on the business of the day and preference
of the Committee
1.Introductions
2.Public comment on any item under the jurisdiction of the Committee and not on this
agenda (speakers may be limited to three minutes).
3. CONSIDER recommending to the Board of Supervisors the appointments of Deena
Jones to the Consumer #4 East County seat and Doug Rowe to the Public Agency #4
East County seat on the Local Planning and Advisory Council for Early Care and
Education, as recommended by the County Office of Education.
4. CONSIDER accepting a report from the Employment and Human Services Department
on the Affordable Care Act and the Contra Costa County Covered California Call
Center. (Kathy Gallagher, EHSD Director)
5. CONSIDER accepting a report from the Employment and Human Services Committee
on the impacts of elder abuse in Contra Costa County and referring the report it to the
Board of Supervisors for their information. (Kathy Gallagher, EHSD Director)
6. CONSIDER accepting the annual update report from the Health Services Department on
the HIV Prevention and Needle Exchange program and forwarding the information to
the Board of Supervisors. (Carla Goad, HSD)
7. CONSIDER accepting the recommendation from the County Administrator's Office
staff regarding the continuation of referrals to the Family and Human Services
Committee in 2016. (Dorothy Sansoe, County Administrator's Office)
8.Meetings for the 2016 calendar year have not yet been scheduled.
9.Adjourn
The Family & Human Services Committee will provide reasonable accommodations for persons
with disabilities planning to attend Family & Human Services Committee meetings. Contact the
staff person listed below at least 72 hours before the meeting.
Any disclosable public records related to an open session item on a regular meeting agenda and
distributed by the County to a majority of members of the Family & Human Services Committee
less than 96 hours prior to that meeting are available for public inspection at 651 Pine Street, 10th
floor, during normal business hours.
Public comment may be submitted via electronic mail on agenda items at least one full work day
prior to the published meeting time.
For Additional Information Contact:
Enid Mendoza, Committee Staff
Phone (925) 335-1039, Fax (925) 646-1353
enid.mendoza@cao.cccounty.us
FAMILY AND HUMAN SERVICES COMMITTEE 3.
Meeting Date:12/14/2015
Subject:Appointments to the Local Planning Council
Submitted For: FAMILY & HUMAN SERVICES COMMITTEE,
Department:County Administrator
Referral No.: 25
Referral Name: Appointment to the LPC
Presenter: Ruth Fernandez Contact: Ruth Fernandez
Referral History:
The review of applications for appointments to the Contra Costa Local Planning Council for Child
Care and Development was originally referred to the Family and Human Services Committee by
the Board of Supervisors on April 22, 1997.
Referral Update:
Please see the attached request from the Local Planning Council and the application.
Recommendation(s)/Next Step(s):
RECOMMEND the following appointments, to the Local Planning and Advisory Council for
Early Care and Education with terms expiring April 30, 2018, as recommended by the County
Office of Education:
Consumer #4 East County: Deena Jones
Public Agency Seat #4 East County: Doug Rowe
Fiscal Impact (if any):
Not applicable.
Attachments
Appointment Request Memo
Current LPC Roster
FHS Agenda page 3
M E M O R A N D U M
DATE: November 30, 2015
TO: Family and Human Services Committee
Supervisor Federal D. Glover, District V, Chair
Supervisor Candace Andersen, District II, Vice Chair
Contra Costa County Office of Education
Karen Sakata, Contra Costa County Superintendent of Schools
Dr. Pamela Comfort, Deputy Superintendent of Schools
FROM: Ruth Fernández, LPC Coordinator/Manager, Educational Services
SUBJECT: Referral #25 – LPC APPOINTMENTS
Contra Costa County Local Planning and Advisory Council for Early Care and Education (LPC)
RECOMMENDATION(S):
1) APPOINT the following members to the Contra Costa Local Planning and Advisory Council for
Early Care and Education, as recommended and approved by the LPC members at the General
Council meeting held on Monday, November 23, 2015. See attached applications and letters of
interest.
Name Seat Area
Deena Jones Consumer 4 East County
Doug Rowe Public Agency 4 East County
REASON/S FOR RECOMMENDATION:
The Contra Costa County Local Planning Council for Child Care and Development (LPC) was
established in April 1998. Required by AB 1542, which was passed in 1993, thirty members of the
LPC were appointed by the County Board of Supervisors and the County Superintendent of
Schools. Childcare consumers and providers, public agency representatives, and community
representatives each comprise 20% of the LPC. The remaining 20% are discretionary appointees.
Membership is for a three-year term. On January 7, 2003, membership was decreased from 30 to
25 members, due to the difficulty being experienced in filling all of the seats.
On September 19, 2012 membership was decreased from 25 to 20, due to continued difficulty to fill
vacant seats. Official reduction of appointed seats provides flexibility to ensure quorum is met in
order to conduct Council business.
Membership consists of the following:
• Four consumer representatives - a parent or person who receives or has received child care
services in the past 36 months;
• Four child care providers - a person who provides child care services or represents persons
who provide child care services;
FHS Agenda page 4
• Four public agency representatives - a person who represents a city, county, city and county,
or local education agency;
• Four community representatives - a person who represents an agency or business that
provides private funding for child care services or who advocates for child care services
through participation in civic or community based organizations;
• Four discretionary appointees - a person appointed from any of the above four categories or
outside of those categories at the discretion of the appointing agencies.
Appointments to the Contra Costa County Local Planning and Advisory Council for Early Care and
Education (LPC) are subject to the approval of the Board of Supervisors and County Superintendent
of Schools, Karen Sakata. The Board of Supervisors designated the Family and Human Services
Committee to review and recommend appointments on their behalf. Dr. Pamela Comfort, Deputy
Superintendent of Schools has been designated to review and recommend appointments on behalf of
the County Superintendent of Schools.
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Seat Title Appt. Date Expires Name Business/Affiliation Address Home Address Email Work #Home #Fax #
Cell or
Alternate #
Consumer 1
West County 6/25/2013 4/30/2016 Dr. Crystal McClendon-Gourdine
(First Vice-Chair)
Baby Love Child Development Services
845 Meadow View Drive
Richmond, CA 94806
same herculesbabylove@yahoo.com (510) 799-9003 (510) 799-9003 (510) 799-9013 (510) 205-0000
Consumer 2
Central/South County 4/1/2013 4/30/2016 Cynthia Castain
My Space to Grow
7197 Amador Valley Blvd.
Dublin, CA 94568
127 Trestle Cove
Hercules, CA 94547 mstgccc@aol.com (925)829-4063 (510) 964-7750 (510) 912-9265
Consumer 3
Central/South County 4/30/2017 Vacant
Consumer 4
East County 4/30/2017 Vacant
Child Care Provider 1
West County 4/16/2013 4/30/2016 Silvana
Mosca-Carreon
ICRI-El Nuevo Mundo
Children's Center
208 Milbrook Dr.
Pittsburg, 94565 bcarreon@nhu.edu (510) 233-2329 (510) 965-1771
Child Care Provider 2
Central/South County 4/16/2013 4/30/2016 Kathy Lafferty
Cambridge Child Development Center
1146 Lacey Lane
Concord, 94520
kathy@cambridgecom.org (925) 798-1078
x201 (925) 827-4906
Child Care Provider 3
Central/South County after 6/9/2014 4/30/2016 Luis Arenas
The Unity Council
Deputy Director
1187 Meadow Lane
Concord, CA 94520
420 Miller Avenue
Vallejo CA 94591 larenas@unitycouncil.org (925) 338-9150 (510) 931-0901
Child Care Provider 4
East County 12/2/2014 4/30/2016 Estela Alvarez
PACE
436 14th Street Ste 205
Oakland, CA 94612
510 Dursey Dr.
Pinole, CA 94564 estela@pacenet.org (415) 749-6851 (415) 397-7223
Public Agency 1
West County 9/11/2012 4/30/2018 Carolyn Johnson
Contra Costa County
Community Services Bureau
3068 Grant Street
Concord, 94520
1848 Cleveland Court
Concord, 94521 cjohnson@ehsd.cccounty.us (925) 646-5797 925-270-7010 (925) 646-5815 925-852-9735
Public Agency 2
Central/South County after 3/31/2015 4/30/2018 Vacant (707) 386-3150
Public Agency 3
Central/South County 4/16/2013 4/30/2016 Joan Means
Diablo Valley College Adjunct Faculty
Early Childhood Education
321 Golf Club Road
Pleasant Hill, CA 94523
96 Greenock Lane
Pleasant Hill, 94523 rjmeans@comcast.net (925) 685-1230
ext. 1870 (925) 937-8821 (925) 788-8821
Public Agency 4
East County 4/30/2018 Vacant
Community 1
West County 6/25/2013 4/30/2016 Margaret
Wiegert-Jacobs
CC Child Care Council
Director, Early Learning Institute
1035 Detroit Avenue, #200
Concord, 94518
1003 Hacienda Drive
Walnut Creek, 94598 margaret.jacobs@cocokids.org (925) 676-5442 (925) 945-8129 (925) 676-5442 (925) 708-7179
Community 2
Central/South County 4/162013 4/30/2016 Dr. Deborah Penry
(Chair)
CARE Parent Network
Early Education Coordinator
1340 Arnold Drive, #115
Martinez, 94553
67 Rheem Blvd.
Orinda, 94563 dpenry@CAREParentNetwork.org (925)313-0999
ext. 107 925-528-9027 (925) 370-8651
Community 3
Central/South County 4/30/2018 Vacant
Community 4
East County 4/16/2013 4/30/2016 Janeen
Rockwell-Owens
3209 G Street
Antioch, CA 94509 same ouryard@comcast.net (925) 754-2518
Discretionary 1
East County 12/16/2014 4/30/2018 Eran Perera 19 Oakview Lane
Martinez, CA 94553 eran@pereravineyard.com (925) 957-1918 (925) 323-5748
Discretionary 2
Central/South County 8/14/2012 4/30/2018 Daniel Safran (Second
Vice-Chair)
105 Rolling Green Cir.
Pleasant Hill, CA
94523
danielsafran@yahoo.com (925) 689-5452 (925) 998-1094
Discretionary 3
Central/South County 4/16/2013 4/30/2018 Cathy Roof Martinez Early Childhood Center
615 Arch Street
Martinez, 94553
97 Valley Avenue
Martinez, 94553 biscuit94553@aol.com (925) 229-2000 (925) 229-2185 (925) 229-2088 (925) 899-2690
Discretionary 4
West County 12/16/2014 4/30/2016 Aurora Ruth 629 13th Street
Richmond, CA 94801 auroraruth@gmail.com (510)231-0668 (510)776-8188
LPC Coordinator Ruth Fernández 77 Santa Barbara Road
Pleasant Hill, 94523 rfernandez@cccoe.k12.ca.us (925) 942-3413 (925) 942-3480 (925) 586-2329
Administrative Assistant Mary Louise
Vander Meulen
77 Santa Barbara Road
Pleasant Hill, 94523 mvandermeulen@cccoe.k12.ca.us (925) 942-5313 (925) 942-3480
CONTRA COSTA LOCAL PLANNING AND ADVISORY COUNCIL FOR EARLY CARE AND EDUCATION
Terms of Office
FHS Agenda page 26
CCCOE Deputy Superintendent
of Schools Dr. Pamela Comfort 77 Santa Barbara Road
Pleasant Hill, 94523 pcomfort@cccoe.k12.ca.us (925) 942-3358 (925) 942-5319
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FAMILY AND HUMAN SERVICES
COMMITTEE 4.
Meeting Date:12/14/2015
Subject:Call Center Update
Submitted For: FAMILY & HUMAN SERVICES COMMITTEE,
Department:County Administrator
Referral No.: 108
Referral Name: Call Center Update
Presenter: Kathy Gallagher Contact: Wendy Therrian,
925-313-1593
Referral History:
On April 16, 2013 the Board of Supervisors referred oversight and receipt of updated on the
establishment of the Contra Costa County Covered California Call Center (7Cs) to the Family and
Human Services Committee. The Department also reports on the Affordable Care Act (ACA).
Referral Update:
The Employment and Human Services continues to operate the Contra Costa Covered California
Call Center under the Affordable Care Act. Please see the attached report from the Department.
Recommendation(s)/Next Step(s):
Accept the report and direct staff to transmit the information to the Board of Supervisors for their
information.
Fiscal Impact (if any):
No fiscal impact from the recommended action.
Attachments
Report on the ACA and 7Cs
FHS Agenda page 29
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FAMILY AND HUMAN SERVICES COMMITTEE 5.
Meeting Date:12/14/2015
Subject:Elder Abuse
Submitted For: FAMILY & HUMAN SERVICES COMMITTEE,
Department:County Administrator
Referral No.: 45
Referral Name: Elder Abuse
Presenter: Contact:
Referral History:
On May 23, 2000 the Board of Supervisors referred to the Family and Human Services
Committee an annual report on the progress made on the issue of elder abuse in Contra Costa
County. Since that time the Committee has received an annual report from the Employment and
Human Services Committee.
Referral Update:
Please see the attached report.
Recommendation(s)/Next Step(s):
Accept the attached report and refer it to the Board of Supervisors for approval.
Fiscal Impact (if any):
No fiscal impact from the recommended action.
Attachments
APS Report
FHS Agenda page 43
Adult
Protective
Services
Statistics and Annual Update
Victoria Tolbert
Aging and Adult Services Director
Employment and Human Services Department
December 14, 2015
FHS Agenda page 44
1 1.Source U.S. Census Bureau: State and County Quick Facts.
Program Scope
Contra Costa County Adult Protective Services (APS) is designed to investigate and mitigate abuse,
neglect or exploitation of elder adults (65 years and older) and dependent adults (18-64 who are
disabled), when these adults are unable to meet their own needs. These services are provided to any
person meeting the program criteria who resides in the community (not in licensed long term care
facilities, state hospital or state developmental center). The program is primary considered an
emergency response program, however, APS services are also considered preventive in nature and part
of a continuum of services offered by the department. An effective APS program reduces the need for
services in higher cost emergency health care interventions, public guardian, public administrator and
law enforcement costs.
APS staff also provides information and referral to other agencies and educates the public about
reporting requirements and responsibilities under the Elder and Dependent Adult Abuse Reporting
Laws. APS further partners with these agencies to develop a comprehensive response to abuse and
neglect.
APS attempts to create a stable environment where the individual can safely function without requiring
additional intervention from the adult protective services program. The goal of the program is to
provide such support in the community and in the clients own home. Adult protective services include:
Response to reports of known or suspected abuse or neglect.
Investigations.
Time-limited case management and arrangement for delivery of services.
Emergency shelter/in-home protection.
Tangible resources.
Multidisciplinary team.
Current Staffing
Staffing for the APS program continues to be below the levels established in 2008 prior to the economic
downturn and staff reductions in Contra Costa County. As a result, the program continues to struggle
with providing critical services to the target population and, in fact, remains out of compliance with
some state mandates of the program (see Challenges below). The current staffing include the following:
1 Division Manager
1 Senior Staff Assistant
1 Secretary
2 APS Supervisors
2 Clerks
13 APS Social workers.
Program Strengths
FHS Agenda page 45
2 1.Source U.S. Census Bureau: State and County Quick Facts.
The APS program has a long history in Contra Costa County and has been a model of service in the past.
The program staff is committed to growing and rebuilding the program in a way that better meets the
needs of the vulnerable seniors and disabled adults served. The team is actively engaging in a plan of
correction. The program continues to receive reports from key community partners in the protection of
elders including law enforcement, banking institutions, health care providers and community based
programs such as senior centers. These partners are anxious to strengthen those relationships for
improved outcomes.
Challenges
Staffing levels, longstanding vacancies in key leadership positions and increased demand for services
have created an environment where the APS program is unable to meet the basic mandated
requirements of the program. The department has been successful in slowly building staffing levels
back to the 2008 levels, but changes in the program demands dictate that this will not be sufficient. The
population in Contra Costa County has grown 5.9% between 2010 and 2014.
APS cannot currently take very many live calls on the APS hotline. While the hotline is the first point of
contact with the program, the phone lines are staffed by two clerks who take a message and pass it on
to two trained social workers who then attempt to reach the reporting party. This system does not
allow for a trained social worker to provide an immediate response to a crisis situation, since reporters
are often busy health care, law enforcement and other professionals, which may not be immediately
available to wait for a call back. The result is a loss of potential reports.
Performance Data
The need for Adult Protective Services continues to grow with the growing population in the county. As
families, friends, neighbors and caregivers are better educated to recognize the signs of abuse, even
more reports are coming into the department. All reports should be investigated by APS.
The overall number of abuse reports has risen from 3,115 in FY 13/14 to 4,484 in FY 14/15. This
represents a 30% increase in the number of APS calls. In light of the slow staff growth, there is an
alarming trend toward screening only the highest risk calls thereby reducing the programs ability to
provide preventative support.
Below are the Intake Summary Reports and the Case Closure Statistics for the program. These charts
represent program activity in regards to client flow and illustrate the high demand for and the
complexity of the APS case.
Of the 4,484 reports that were received by the department, a face to face assessment was conducted on
1,639 cases, approximately 25%. The reasons for this include unfounded reports, client not consenting
to services, placement in long term care facilities and inability of the limited staff answering the hotline
calls to respond live to callers and establish full reports.
FHS Agenda page 46
3 1.Source U.S. Census Bureau: State and County Quick Facts.
Closure Statistics
FHS Agenda page 47
4 1.Source U.S. Census Bureau: State and County Quick Facts.
Cases Where a Face to Face was Completed
Total Number of Cases Closed After Face to Face 1,626
Reason for Closure CASES
Protection issue resolved and client safe 365
Risk of abuse was reduced 527
Receiving intervention from another agency/resource 109
Client was placed in a long term care facility 77
Client does not consent to services 250
Client requested case closure 20
Client is deceased 37
Client moved out of jurisdiction 20
Allegations unfounded, no protective issue 121
Client does not meet criteria for APS 4
Other 96
Future Plans
APS is a short-term emergency response program, designed to provide a rapid and comprehensive
response to the critical needs of elders and disabled adults. Partnerships with key community partners
are critical. Over two thirds of all APS cases are open for less than 2 months, during which time the staff
work intensively to reduce risk, stabilize and connect families to necessary resources. In order to meet
that demand the program must continue to evolve and grow.
Increase APS Social Work Staffing to rebuild the Division to meet the current demand for
service.
Create an integrated call center for calls to Adult Protection, In Home Support Services and
Information and Assistance to better coordinate services to those callers who require the
assistance of other community based programs to prevent the escalation of a low level concern
to a crisis.
Re-establish the Multi-disciplinary Team and the Financial Abuse Services Team meetings with
community partners to better coordinate integrated service plans for complex cases of abuse
and neglect and create a Senior Staff Assistant position to facilitate and coordinate the two
teams
To better equip our staff to respond to the complex needs of this population, created in
partnership with all Aging Divisions, a Staff Development Trainer dedicated to producing and
FHS Agenda page 48
5 1.Source U.S. Census Bureau: State and County Quick Facts.
supporting county based induction and ongoing training related to aging services.
Create a Tangible Services fund to meet the immediate needs of program clients by providing
one time support for critical needs such as emergency repairs, transportation, food, shelter or
utility shut offs.
To improve data tracking and reporting in order to create performance management reports to
be used for informed decision making and to improve program outcomes.
The unfortunate specter of elder abuse is not declining. In fact, legislative proposals are moving toward
the need for greater, not less intervention on the part of APS. As the population grows, so does the
need for protection. Financial abuse schemes are becoming more sophisticated, neglect and self-
neglect are prevalent and the physical abuse or injury can be the result of violence or poor training on
the part of a caregiver. The complex dynamics facing families are impacting these vulnerable adults as
well. Contra Costa County has the history of providing model services in adult protection and the
department is striving to become a model of service once again.
FHS Agenda page 49
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FAMILY AND HUMAN SERVICES COMMITTEE 6.
Meeting Date:12/14/2015
Subject:Annual Report on HIV Prevention and the Needle Exchange Program
Submitted For: FAMILY & HUMAN SERVICES COMMITTEE,
Department:County Administrator
Referral No.: 61
Referral Name: HIV Prevention/Needle Exchange
Presenter: Carla Goad, Deputy Director HIV/AIDS & STD
Program
Contact: Christine
Leiverman
Referral History:
The HIV Prevention/Needle Exchange program was referred to the Family and Human Services
Committee in October 2002. The issue was discussed four times during 2003 and was
subsequently closed. The referral was then re-opened on January 4, 2005. Since that time the
Family and Human Services Committee has discussed the surrounding issues nine times. This
will be the eleventh report.
Referral Update:
Please see the attached report and PowerPoint presentation for the 2015 annual update on the
program and services.
Recommendation(s)/Next Step(s):
Accept update and recommendations contained in the attached report.
Fiscal Impact (if any):
No fiscal impact from the recommended action.
Attachments
Needle Exchange Report
Needle Exchange Powerpoint
FHS Agenda page 51
RECOMMENDATIONS
1) Accept this report on needle exchange as part of the comprehensive prevention
program to reduce transmission of HIV in Contra Costa County.
2) Direct the Health Services Department to continue supporting and monitoring
needle exchange services.
SUMMARY
In 2006, the Contra Costa Board of Supervisors:
• Terminated the local State of Emergency first declared on December 14, 1999;
• Authorized the Health Services Department to administer a clean needle and
syringe exchange project pursuant to Health and Safety Code section 121349 et
seq; and
• Directed the Health Services Director to annually report to the Board on the
status of the clean needle and syringe exchange project.
This report satisfies State regulatory requirements to maintain needle exchange services
in Contra Costa.
As of December 2014, 2075 individuals are living with HIV or AIDS in Contra Costa.
There is a decline in HIV attributed to injection drug use from earlier years among
those living with HIV or AIDS in Contra Costa. The percentage of new HIV (not AIDS)
infections attributed to Injection Drug Use is also lower than in previous years.
Needle exchange services are provided under a contract with HIV Education and
Prevention Project of Alameda County (HEPPAC).The Health Department continues to
provide $54,000 in County general funds annually to support the operation of Needle
Exchange services in West and East County on a weekly basis. While there has been a
drop in the number of individuals served, there has been an increase in referrals to
health and supportive services this past fiscal year.
Neither Needle Exchange nor legislative changes allowing pharmacies to dispense
syringes without a prescription have had any apparent negative effect on residents,
business or law enforcement in Contra Costa. The availability of needle exchange as
part of a comprehensive continuum of services for injection drug users continues to be
a necessary Public Health measure to reduce transmission of blood borne diseases in
Contra Costa.
FHS Agenda page 52
BACKGROUND ON ACCESS TO CLEAN NEEDLES TO REDUCE TRANSMISSION
The California Department of Public Health (CDPH) reports that of the 117,553 people
living with HIV/AIDS in California in 2012, 15% identified their risk for HIV as injection
drug use (IDU). Further, the CDPH Office of Viral Hepatitis estimates that at least 60%
Hepatitis C virus (HCV) infections in the state are associated with injection drug use.
Lack of access to new, sterile injection equipment is one of the primary risk factors that
may lead to sharing of hypodermic needles and syringes, which puts people who inject
drugs at high risk for HIV and HCV, as well as for Hepatitis B infection 1.
Needle exchange has been an essential component of Contra Costa’s strategy to reduce
the transmission of HIV attributed to Injection Drug Use (IDU) since 1999, when the
program operated under the Board’s declaration of a State of Emergency to authorize
needle exchange services. Health and Safety Code Section 121349.3 removed the
requirement for a Declaration of Emergency and current regulations now require only
that Needle Exchange information be provided at an open meeting of the authorizing
body every two years.
During 2005-2010, Contra Costa participated in a statewide Disease Prevention
Demonstration Project (DPDP) to assess the potential to reduce transmission of HIV by
increasing access to sterile needles and syringes. The project evaluation showed lower
injection-related risks among people who inject drugs in those counties with syringe
exchange programs. Additionally, evaluators of the pilot project found lower levels of
unsafe discard of used syringes, no increase in the rate of accidental needle-stick
injuries to law enforcement and no increase in rates of drug use or drug-related crime 2.
As a result of the success of the DPDP, 2011 legislation expanded syringe access
through pharmacies throughout the state. Assembly Bill (AB) 1743 (Ting, Chapter 331,
Statutes of 2014) further expanded access in January 2015 by allowing customers to
purchase and possess an unlimited number of syringes. Participating pharmacies must
provide counseling and offer information on safe disposal.
REDUCING TRANSMISSION OF DISEASE
As of December 31, 2014 there were 2075 individuals reported living with HIV or AIDS
(PLWH/A) in Contra Costa. Roughly 39% reside in Central County, 34% in West
County, and 27% in East County. Of all PLWH/A in Contra Costa, 306 individuals
(14.8%) identify injection drug use or injection drug use among men who have sex with
other men as their mode of transmission3. While the majority of those identifying
injection drug use transmission are in the West and Central areas of the county,
1 http://www.cdph.ca.gov/programs/aids/Pages/OASAMaterials.aspx 2 The full report of the evaluation can be accessed on the California Department of Public Health, Office of AIDS website
http://www.cdph.ca.gov/programs/Documents/SB1159StateReportFinal.pdf -
3 Contra Costa Public Health Epidemiology, Planning and Evaluation unpublished report dated June 17, 2015
FHS Agenda page 53
looking at IDU transmission as a percentage of overall cases living in different regions
of the county demonstrates that West and East Contra Costa are disproportionately
impacted – these are the areas of Contra Costa selected for needle exchange locations.
The number of new HIV infections occurring over the last 5 years has been relatively
consistent, averaging about 95-100 new HIV cases per year. Geographic distribution
of the new cases has shifted a bit in recent years, with numbers again creeping up in
West County.
West
42%
Central
32%
East
26%
Distribution of PLWHA Attributing Infection to Injection
Drug Use in Contra Costa n= 306
17.9%
12.3%
14.3%
0.0%
5.0%
10.0%
15.0%
20.0%
IDU Transmission as a Percentage of all PLWHA by
Region in Contra Costa
West
Central
East
FHS Agenda page 54
Most new cases of HIV are men who have sex with other men (MSM). No Identified
Risk or No Risk Reported (NIR/NRR), about 20% of the cases, is largely among women
in cases where the status of their partner is unknown.
HIV attributed to injection drug use continues to decline from 2005 and 2006, when
injection drug users comprised about 25% of all People Living with AIDS in Contra
Costa 4. Statewide about 7 percent of those living with HIV or AIDS report injection drug
use as their primary risk and injection drug users who also report MSM activity account
for about 7.6 percent of those living with HIV or AIDS. 5 While Contra Costa continues
to have a higher percentage of individuals living with HIV or AIDS who attribute their
infection to injection drug use (9.8%) than the State, the numbers are now more
closely aligned than in the past, and the number of newly infected (chart above) who
cite IDU as their mode of transmission are dramatically lower still.
4 Contra Costa Public Health Division report, July 2006. http://cchealth.org/health-data/pdf/hiv_2006_07.pdf
5 HIV/AIDS Surveillance in California as of December 2013:
http://www.cdph.ca.gov/data/statistics/Pages/OASS2013Stats.aspxhttp://www.cdph.ca.gov/programs/aids/Documents/RSEpiProfile
Update2009.pdf
0
5
10
15
20
25
30
35
40
45
50
2009 2010 2011 2012 2013 2014Newly Identified HIV Cases HIV Incidence by County Region 2009-2014
West County
East County
Central County
0
10
20
30
40
50
60
70
80
2009 2010 2011 2012 2013 2014Newly Identified HIV Cases HIV Incidence by Mode of Exposure 2009-2014
IDU
Heterosexual
NIR/NRR
MSM IDU
MSM
FHS Agenda page 55
Maternal Transmission
It often takes two or three months for an accurate diagnosis of HIV or AIDS in a
newborn, as a positive test at birth may be reflecting maternal antibodies and not HIV.
Children with HIV have the usual childhood infections more often and more severely
than uninfected children, and can also be susceptible to the same opportunistic
infections as adults.
There is no comprehensive tracking of maternal transmission since the Stanford project
was defunded in 2009. Of the 2,075 individuals living with HIV or AIDS, 15 are
pediatric cases: 3 are children 12 years of age or younger based on current age.
Identification and treatment of HIV positive women in prenatal care is nearly universal,
but we still have women who do not seek prenatal care prior to delivery.
Hepatitis C
Hepatitis C infection (HCV) is largely attributed to the use of contaminated needles.
Chronic HCV can lead to scarring of the liver, cirrhosis, liver failure and/or liver cancer.
Across California the number of chronic Hepatitis C carriers continues to be unreliable
due to variation in reporting capacities and the high volume of duplicated positive lab
tests. Consequently, in Contra Costa the Acute Communicable Disease (ACD) program
reviews only a fraction of the reports and only follows those cases with extremely acute
infections and those with a higher likelihood of yielding opportunities for contact
intervention and transmission interruption. Of the 2,650 reports received in 1415, 196
records were reviewed by ACD. There were multiple reporting duplications in this
subset. The State is reviewing reporting and recording processes and we will suspend
analysis and inclusion of Hepatitis C data in this report until the data is more accurate.
Exposure Impact on Law Enforcement and First Responders
Occupational exposure to needlestick injuries for first responders remains low. The
Communicable Disease Control Program reviews reported exposures to ensure that law
enforcement and first responders have access to the information, care and treatment
needed to ensure their health and wellbeing following any exposure. Prepackaged kits
containing all necessary paperwork and blood collection tubes are provided to CML, the
lab under contract with the Sherriff’s Department, to ensure the correct process is
followed and proper documentation provided. Printed materials are also available on
our website at http://cchealth.org/aids/syringe-exchange.php. Eight of 56 exposures
reported this year are needlestick contacts, up somewhat from previous years 6. Public
Health has received no reports of subsequent HIV infection as a result of needlestick
injury among law enforcement or first responders.
6 Contra Costa Health Department Communicable Disease Program
FHS Agenda page 56
Needle Exchange Services, Fiscal Year 14/15
All data below is supplied by the needle exchange contractor, HIV Education Prevention
Project of Alameda County (HEPPAC). HEPPAC assumed the contract in mid-2012.
Needle exchange services in the region rely on a combination of county general funds
and other funding secured by the contractor through foundations and other
organizations. The budget funds two outreach workers, a site supervisor, staff
training, and supplies. Service delivery and reporting has improved over time,
attributed to an agency with a stronger structure and better infrastructural support.
In FY 14/15, HEPPAC noted a significant drop in client load, primarily in West County.
They do not know why participation has declined, but did report some staffing
interruptions during the year. The agency responded by searching for new West
County sites and introducing a “roving” needle exchange service which proved
somewhat successful in increasing the number of individuals served at the end of the
fiscal year. The agency continues to search for appropriate locations in West County in
an effort to rebuild weekly services in Richmond. Overall, the number of African
Americans and Hispanics served through all needle exchange sites dropped by 50% and
38% respectively compared to the previous year.
In East County, the situation is different: the Pittsburg site yields the highest volume of
syringe exchanges in Contra Costa. The average client at East County sites is a
Caucasian male between the ages of 40-49. The East County sites also report an
increase in the number of participants reporting use of prescription opioid pills, crushed
and modified for injection. This trend is reflective of national trends and may be a
contributing factor in accidental overdose deaths.
HEPPAC also reports a significant increase in health and social services referrals from
306 referrals in the previous year to 871 referrals last year. This positive move is
FHS Agenda page 57
attributed to HEPPAC’s stronger linkages to health care, substance use treatment, and
other resources.
Even though the total number of clients served has dropped this year, the number
served remains relatively consistent with the number served two years ago. One-for-
one syringe exchange continues to be the core operating principle of needle exchange,
and individuals access services for themselves or exchange on behalf of others. Of the
987 individuals (contacts) served in the year, 655 (approx. 66%) were male. A total of
66% of the contacts were in East County and 34% in West County. The data reported
by HEPPAC shows a continued shift toward increasing utilization at the East Contra
Costa sites. The agency is actively seeking new sites in West County.
Ethnicity Totals Over Time
12/13 13/14 14/15
African American 382 622 313
White 534 694 524
Latino/Hispanic 177 183 139
Native American 1 3 1
Asian/Pacific Islander 5 5 7
Other 1 3 3
Total 1100 1509 987
Individuals accessing needle exchange are reported as “Contacts” : the number may
contain duplicates.
Exchanging syringes for others is called a secondary exchange. Individuals who
exchange for others report the estimated number of individuals for whom they
exchange syringes, summarized in the chart below. The overall volume of secondary
exchange has increased over time: while the reported percentage increased by about
34% from the previous year, these numbers are also duplicated and based on self-
report.
1100
1509
987
0
500
1000
1500
2000
1213 1314 1415
Reported Individuals (contacts)
At Needle Exchange
FHS Agenda page 58
Finally, the total number of syringes distributed over time is increased by 116% since
FY 1213. Again, the increase is largely attributed to having a stronger agency
managing the program, as well as an increase in secondary exchanges reported by
those individuals who exchange for others.
Overall, the agency is performing well and will continue to provide services in both East
and West Contra Costa on a weekly basis. The Public Health program will continue to
monitor service delivery in West County to both assess why the volume of clients has
dropped off and determine if other steps are needed to increase performance.
Alcohol and Other Drug Services (AODS)
Admissions to AODS services in Fiscal year 14-15 were up by nearly 22% from the
previous year, and at this time it appears that the reduction in treatment capacity since
FY 0607 has been reversed. The increased enrollment is attributed to several factors,
including an expansion of methadone treatment services due to increased admissions
for opioid abuse treatment and increased access due to the Affordable Care Act.
Admissions are not necessarily unduplicated individuals – one person may enter
treatment multiple times during the year depending on the availability of treatment
slots. Indeed, 33% of injection drug users reported 3 or more prior AODS treatment
admissions.
1100 1509 2025
0
2000
4000
1213 1314 1415number Secondary Exchanges at Needle Exchange
Services
148410
324857 320610
0
100000
200000
300000
400000
1213 1314 1415
Reported Number of Syringes Distributed by Fiscal Year
FHS Agenda page 59
Of the 4926 admissions this past fiscal year, roughly 18% identified injection drug use
behavior. The proportion of injection drug users to the overall population in AODS
services has remained fairly constant over the last several years, ranging from 18 –
20% of all enrollees.
Among major race / ethnicity groups, the overall percentage of African Americans
enrolled in services has declined from 26% in 2010 to 21% in 2014-2015. Hispanics
have held relatively steady at roughly 20% of those served, and Whites comprise just
over half the service enrollees. Women remain roughly 34% of those served.
Nearly 40% of those served in FY 1415 are new enrollees, and nearly 30% of all IDUs
served in the year had no prior AOD treatment admissions.
723 693 765 920 911
0
2000
4000
6000
1011 1112 1213 1314 1415
Total Clients Served and IDUs as a Proportion of
All AOD Services Total
Served
In FY 14-15 the Total N was 4926. 911 IDUs were served.
1049 974 901 1017 1043
2111 2114 1995 2039
2614
780 747 796 825 978
0
500
1000
1500
2000
2500
3000
1011 1112 1213 1314 1415
Enrollment Changes in AODS Programs By
Primary Race/Ethnicity African Am
White
Hispanic
FHS Agenda page 60
Most enrollees are marginally housed, with 35% of all AODS enrollees indicating that
they were homeless at entry and 53% that they are in a “dependent” living condition
(reliant on someone else or some other institution for their housing).
The Public Health HIV/AIDS and STD Program provides comprehensive HIV and STD
Education, HIV rapid testing, HCV testing, and STD testing at selected AODS residential
and detox centers serving adults and/or youth in Contra Costa. In FY 1415, HIV/AIDS
and STD education services were provided to 1047 adults and 238 youth. Nearly half of
those completing education sessions also received HIV testing services (36% of the
adults and 51% of the youth). HIV positive individuals are linked to care and
treatment via HIV case management services, and individuals with positive STD results
are provided treatment and follow-up. The Program also continues to offer limited
rapid Hepatitis C testing to approximately 35-50 of the highest risk individuals per year,
referring those with positive tests to their clinical providers for follow-up care.
Opioid Overdose
The public health epidemic in Indiana is currently shedding light on the effectiveness of
needle exchange and other harm reduction services for HIV/AIDS prevention. Scott
County Indiana experienced an outbreak of HIV cases linked to the injection drug use
4097 3996 3829 4054
4926
1680 2413
1460 1412 1956
1011 1112 1213 1314 1415
New Enrollees in AODS Services
Total Served
new (never enrolled)
4097 3996 3829 4054
4926
1399 1288 1246 1398 1707
0
2000
4000
6000
1011 1112 1213 1314 1415
Homeless Proportion of Enrollment in AOD
Services
Total Served
Homeless
FHS Agenda page 61
of the prescription painkiller Opana. The number of new HIV infections attributed to
IDU jumped from 5-6 per year to over 170. Emergency legislation was enacted to allow
needle exchange services in several counties with high numbers of IDUs.
Opioids are medications that relieve pain. They reduce the intensity of pain signals
reaching the brain, diminishing the effects of a painful stimulus. Medications that fall
within this class include hydrocodone (e.g., Vicodin), oxycodone (e.g., OxyContin,
Percocet), morphine (e.g., Kadian, Avinza), codeine, and related drugs. Hydrocodone
products are the most commonly prescribed for a variety of painful conditions, including
dental and injury-related pain. Morphine is often used before and after surgical
procedures to alleviate severe pain. Codeine, on the other hand, is often prescribed for
mild pain. In addition to their pain relieving properties, some of these drugs—codeine
and diphenoxylate (Lomotil) for example—can be used to relieve coughs or severe
diarrhea.
Heroin is an opioid drug that is synthesized from morphine. In 2011, 4.2 million
Americans aged 12 or older (or 1.6 percent) had used heroin at least once in their lives.
It is estimated that about 23 percent of individuals who use heroin become dependent
on it.7 Approximately 60% of IDUs served in AOD programs identify Heroin as their
primary problem at admission. Prescription opioid pain medications such as Oxycontin
and Vicodin can have effects similar to heroin when taken in doses or in ways other
than prescribed, and they are currently among the most commonly abused drugs in the
United States. Admissions to AOD treatment services for which opioids are the primary
problem at admission have increased by roughly 46% since 2011, from 21% of overall
admissions in 2011/2012 to 31% of admissions in 2014 / 2015.
The California Department of Health estimates in 2012 there were 1,800 opioid related
deaths, most attributed to prescription pain medications either with or without alcohol
7 http://www.drugabuse.gov/publications/drugfacts/heroin
856 858 1093 1249
0
1000
2000
3000
4000
5000
1122 1213 1314 1415
All AOD Admissions and Opioid- Related
Admissions All Admissions
Opioid Admissions
opioid classification
includes heroin,
oxycodone,
oxycontin, other
opiates / synthetics
FHS Agenda page 62
or other drugs. In Contra Costa County in 2013, 137 deaths were attributed to
unintentional drug poisoning.” This year the California Board of Pharmacy initiated steps
to address concerns with death by opioid overdose. Acknowledging that increasing
accessibility to naloxone would contribute to general public health and safety, in April,
2015 an amendment to Title 16 of the California Code of Regulations (Section 1746.3)
was adopted, authorizing pharmacists to furnish, without a prescription, an antidote to
reverse opioid overdose. Naloxone works only on opioids, and does not reverse
overdose of cocaine, amphetamines, methamphetamine, alcohol, or other non-opioid
drugs. Pharmacists must complete one hour of continuing education on the use of
Naloxone Hydrochloride, screen for any hypersensitivity, and provide the recipient with
training to recognize, respond and administer naloxone. Locally, clients at the Syringe
Exchange sites, particularly in East County, are requesting information about and access
to Naloxone and the Public Health Department is exploring methods to provide
Naloxone at needle exchange sites. Due to its capacity to diminish the effects of other
substances, Naloxone has no street value. Public Health has also entered into
discussions with other Divisions in the Health Department to identify strategies that will
support efforts to address abuse of prescription medications.
Disposal
Contra Costa Environmental Health (CCEH) administers the Medical Waste Management
Program for Contra Costa County, and is the local enforcement and regulatory agency
for Medical Waste Generators. CCEH issues permits and registers generators of medical
waste, responds to complaints of abandoned medical waste on public property, and
implements the Medical Waste Management Act (Part 14, C. 1-11 of the California
Health and Safety Code). The agency web site maintains a list of frequently asked
questions (FAQs) on syringe and needle disposal, a list of disposal sites in Contra Costa,
a number of pamphlets describing the proper disposal of syringes and other medical
waste, as well as links to state and other resources. Additional information can be
found at http://www.calrecycle.ca.gov/FacIT/Facility/Search.aspx#MOVEHERE
NO. FACILITY NAME ADDRESS CITY
ZIP
CODE COUNTY TELEPHONE
MATERIAL
CATEGORIES MATERIALS
1 Alamo Sheriff's
Substation
150 Alamo
Plaza, Suite C
Alamo 94507 Contra
Costa
(925) 837-
2902
Sharps or
Medications
Sharps (Home-
Generated)
2 City of Clayton 6000 Heritage
Trl
Clayton 94517 Contra
Costa
(800) 646-
1431
Sharps or
Medications
Sharps (Home-
Generated)
3 Danville Police
Station
510 La Gonda
Way
Danville 94526 Contra
Costa
(925) 314-
3700
Sharps or
Medications
Sharps (Home-
Generated)
FHS Agenda page 63
4 Delta HHW
Collection Facility
(East County)
2550
Pittsburg
Antioch Hwy
Antioch 94509 Contra
Costa
(925) 756-
1990
Sharps or
Medications
Sharps (Home-
Generated)
5 El Cerrito Recycling
CTR
7501 Schmidt
Ln
El Cerrito 94530 Contra
Costa
(510) 215-
4350
Sharps or
Medications
Sharps (Home-
Generated)
6 Lafayette Fire
Station
3338 Mt
Diablo Blvd
Lafayette 94549 Contra
Costa
(925) 941-
3300
Sharps or
Medications
Sharps (Home-
Generated)
7 Moraga-Orinda fire
station
1280 Moraga
Way
Moraga 94556 Contra
Costa
(925) 258-
4599
Sharps or
Medications
Sharps (Home-
Generated)
8 Mountain View
Sanitation District
3800 Arthur
Rd
Martinez 94553 Contra
Costa
(925) 228-
5635
Sharps or
Medications
Sharps (Home-
Generated)
9 Orinda Police
Station
22 Orinda
Way
Orinda 94523 Contra
Costa
(925) 254-
6820
Sharps or
Medications
Sharps (Home-
Generated)
10 San Ramon Valley
Fire District HQ
1500
Bollinger
Canyon Rd
San
Ramon
94583 Contra
Costa
(925) 838-
6600
Sharps or
Medications
Sharps (Home-
Generated)
11 Walnut Creek City
Hall
1666 North
Main St
Walnut
Creek
94596 Contra
Costa
(800) 750-
4096
Sharps or
Medications
Sharps (Home-
Generated)
12 Walnut Creek Fire
Station
1050 Walnut
Ave
Walnut
Creek
94598 Contra
Costa
(925) 941-
3300
Sharps or
Medications
Sharps (Home-
Generated)
13 West Contra Costa
County Hazardous
Waste Collection
Facility
101 Pittsburg
Ave
Richmond 94801 Contra
Costa
(888) 412-
9277
Sharps or
Medications
Sharps (Home-
Generated
The Public Health HIV/AIDS and STD program has received no complaints from law
enforcement, business, pharmacies, or community members regarding discarded
syringes this year.
Other Prevention Activities For Injection Drug Use
The Contra Costa HIV Prevention plan has recently been updated and is aligned with
both the State HIV Prevention strategy and the National AIDS strategy. Our plan
targets the highest risk populations including men who have sex with other men and
FHS Agenda page 64
injection drug users, for HIV prevention services. Needle exchange remains an integral
component of the plan and we anticipate continuing the use of County General Funds
for needle exchange services to support the downward trend in HIV infections
attributed to injection drug use. There is renewed advocacy for the incorporation of
Naloxone into our prevention strategy to reduce transmission of HIV and accidental
death among injection drug users. The current plan can be found on the Public Health
website http://cchealth.org/aids/pdf/HIV-Prevention-Plan-Update-2012-2015.pdf and the
newest update will be posted when vetting is complete. Other Prevention strategies to
reduce the transmission of HIV include:
HIV rapid testing services in the community reaching more than 2000 people per
year.
The availability of Pre Exposure Prophylaxis to prevent transmission of HIV.
Partner Counseling services to notify partners of potential exposure and testing
available to HIV positive individuals and their providers.
Tighter linkages to medical appointments for new positives to reduce the number
of individuals falling out of care and to increase adherence to HIV medications:
81% of newly diagnosed HIV positive individuals in Contra Costa are linked to
HIV care within 90 days.
Training to increase community capacity to provide prevention services in Contra
Costa is provided annually.
Community based promotion of HIV testing among highest risk communities.
Cross training between HIV, STD and HIV Surveillance staff to increase the pool
of individuals available to meet demand for services
CONCLUSIONS:
1. Access to clean needles has made a difference in Contra Costa and remains an
important component of the overall strategy to reduce transmission of blood borne
diseases.
2. Law enforcement exposure to potential blood borne pathogens via needle stick
injury has not increased with the implementation of needle exchange and pharmacy
sales. Materials for Law Enforcement to document potential exposure and request
assistance are available on the website.
3. The number of children under 12 years of age living with HIV or AIDS has
decreased and there is no evidence of increased maternal transmission of HIV to
unborn children.
Needle exchange is a critical component of Contra Costa’s HIV prevention strategy and
should remain in effect until further notice. Should the Committee desire, frequency of
presentations can be at two year intervals
FHS Agenda page 65
NOVEMBER 2015PREPARED FOR THE CONTRA COSTA BOARD OF SUPERVISORS BY CONTRA COSTA HEALTH DEPARTMENTNeedle Exchange Update FHS Agenda page 66
•In 1999, the Contra Costa Board of Supervisors authorized needle exchange services. •This report satisfies the legislative requirement to maintain needle exchange services in Contra Costa County.NEEDLE EXCHANGE FHS Agenda page 67
As of December 31, 2014, 2075 individuals were reported living with AIDS or HIV in Contra Costa. Predominant transmission among those living with HIV or AIDS remains men who have sex with other men (MSM). Injection drug use is 17.9% of the West county cases, 14.3% of East county cases and 12.3% of Central county cases. HIV/AIDS in Contra Costa County FHS Agenda page 68
•Of the 2075 individuals living with HIV or AIDS in Contra Costa, 3 were twelve years of age or younger as of 2014. •The vast majority of HIV+ women delivering infants are on antiretroviral therapy.Children with HIV and AIDSFHS Agenda page 69
New Cases of HIV01020304050607080200920102011201220132014Newly Identified HIV CasesHIV Incidence by Mode of Exposure 2009‐2014IDUHeterosexualNIR/NRRMSM IDUMSM9.8% of all those living with HIV or AIDS attribute their infection to IDUFHS Agenda page 70
Law Enforcement and First Responder ExposuresFHS Agenda page 71
SERVICES ARE PROVIDED BY HIV EDUCATION PREVENTION PROJECT OF ALAMEDA COUNTY (HEPPAC)THE NUMBER OF CONTACTS DROPPED THIS YEAR DUE TO LOW ATTENDANCE AT WEST COUNTY SITES: 987 INDIVIDUALS WERE SERVED AT ALL SITES IN FY 1415Needle Exchange ServicesFHS Agenda page 72
SECONDARY EXCHANGES ARE UP OVER PREVIOUS YEARS AND THE AGENCY ESTIMATES THOSE EXCHANGES SERVED 2025 INDIVIDUALSTHIS PAST FISCAL YEAR 871 REFERRALS WERE PROVIDED TO HEALTH CARE, SUBSTANCE ABUSE TREATMENT, AND OTHER SERVICES. Exchange Services (2)FHS Agenda page 73
Number of Syringes Distributed Over TimeFHS Agenda page 74
Secondary Exchanges Reported Over TimeFHS Agenda page 75
AOD Clients72369376592091101000200030004000500060001011 1112 1213 1314 1415Total Clients Served and IDUs as a Proportion of All AOD ServicesTotal ServedIDUIn FY 14-15 the Total N was 4926.911 IDUs were served.FHS Agenda page 76
AODS Service Enrollment FY 1415 n=4246 (911 IDUs)FHS Agenda page 77
Opioid-Related Admissions FHS Agenda page 78
•HIV rapid testing services at community venues reaching more than 2000 people per year. •Notification to partners of potential exposure and testing is available.•Pre Exposure Prophylaxis (PrEP) in Contra Costa•Tighter linkages to medical appointments for new positives to reduce the number of individuals falling out of care and to increase adherence to HIV medications. •Training to increase community capacityOther Prevention Strategies to Reduce Transmission of HIV in IDUsFHS Agenda page 79
Adults anywhere in California may purchase syringes without a prescription. A link to the full list of disposal sites is maintained by the Contra Costa Environmental Health Program, as is a list of FAQs on syringe and needle disposal and links to syringe disposal mail back services. More information on disposal is located at http://www.cchealth.org/eh/medical_wasteSyringe Disposal OptionsFHS Agenda page 80
1. Access to clean needles has made a difference in Contra Costa and remains an important component of the overall strategy to reduce transmission of blood borne diseases. 2. There have been no reports of new HIV cases attributed to needle sticks among first responders. 3. The number of children under 12 years of age living with HIV or AIDS has decreased and there is no evidence of increased maternal transmission of HIV to unborn children. CONCLUSIONSFHS Agenda page 78
FAMILY AND HUMAN SERVICES COMMITTEE 7.
Meeting Date:12/14/2015
Subject:2015 Year End Referrals to the 2016 Committee
Submitted For: FAMILY & HUMAN SERVICES COMMITTEE,
Department:County Administrator
Referral No.:
Referral Name: Year End Report
Presenter: Dorothy Sansoe Contact: Enid Mendoza, 925-335-1039
Referral History:
At the end of each calendar year, the staff person to the Family and Human Services Committee
reports to the Committee on the activities during the year and makes recommendations regarding
the closure of referrals and the carryover of other referrals to the next year.
Referral Update:
Please see the attached report.
Recommendation(s)/Next Step(s):
Please see the attached report.
Fiscal Impact (if any):
No fiscal impact from the recommendation.
Attachments
2015 Year-End Memo
FHS Agenda page 79
County of Contra Costa
OFFICE OF THE COUNTY ADMINISTRATOR
MEMORANDUM
DATE: December 14, 2015
TO: Family and Human Services Committee
Supervisor Federal D. Glover, Chair
Supervisor Candace Andersen, Vice Chair
FROM: Enid Mendoza
Dorothy Sansoe
Sr. Deputy County Administrators
SUBJECT: 2015 YEAR-END REPORT ON FAMILY AND HUMAN SERVICES
COMMITTEE REFERRAL ITEMS
RECOMMENDATION(S):
I. ACKNOWLEDGE that the Board of Supervisors carried over sixteen referrals from the prior
year into the 2015 calendar year and approved five new referrals.
II. ACCEPT the recommendation to carry forward the following sixteen referrals from the 2015
Family and Human Services Committee to the 2016 Committee:
a. Referral #5 – Continuum of Care Plan for the Homeless/Healthcare for the Homeless
b. Referral #20 – Public Service Portion of the CDBG
c. Referral #25 – Child Care Planning/Development Council Membership
d. Referral #44 – Challenges for EHSD
e. Referral #45 – Adult Protective Services and Challenges for Aged & Disabled Populations
f. Referral #56 – East Bay Stand Downs for Homeless Veterans
g. Referral #61 – HIV Prevention/Needle Exchange Program
h. Referral #78 – Community Services Bureau/Head Start Oversight
i. Referral #81 – Local Child Care & Development Planning Council Activities
j. Referral #82 – Secondhand Smoke Ordinance
k. Referral #92 – Local Planning Council – Child Care Needs Assessment
l. Referral #93 – Independent Living Skills Program
m. Referral #101 – FACT Committee At-Large Appointments
n. Referral #103 – SNAP/CalFresh (Food Stamp) Program
o. Referral #107 – Laura’s Law
p. Referral #108 – Call Center Oversight and the Health Care Reform Update
q. Referral #109 – Workforce Innovation and Opportunity Act
r. Referral #110 – Innovative Community Partnerships
s. Referral #111 – Human Trafficking – Update on Commercial Sexual Exploitation of
Children and Update on the Family Justice Center
t. Referral #112 – Policy Options to Protect Youth from Tobacco Influences in the Retail
Environment and Health in All Policies
FHS Agenda page 80