HomeMy WebLinkAboutBOARD STANDING COMMITTEES - 02222017 - FHS Cte Agenda Pkt
FAMILY & HUMAN SERVICES
COMMITTEE
February 22, 2017
1:30 P.M.
651 Pine Street, Room 108, Martinez
Supervisor John Gioia, 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 Miguel
Hidalgo-Barnes, John Eckstrom, Cecilia McCloy, Stephanie Batchelor, Doug Leich,
Anne Struthers, Brenda Kain, John Barclay and Joseph Villareal to the Contra Costa
Council on Homelessness. (Jaime Jenett, Health Services Department)
4. CONSIDER recommending to the Board of Supervisors the appointments of Summer
Selleck, Jessica Laird, Phyllis Gordon, Rosa Davila-Luevano and Tracy Ward to the
Contra Costa Commission for Women.
5. CONSIDER approving the recommendation of the Department of Conservation and
Development to allocate $22,224 of fiscal year 2016/17 Community Development Block
Grant funds to the Contra Costa County Health Services Department to support the
operation of the Coordinated Outreach Referral and Engagement (CORE) Homeless
Street Outreach Program. (Gabriel Lemus, CDBG Program Manager)
6. CONSIDER accepting the report from the Health Services Department on children's
mental health services, and providing direction to the department on the future reporting
expectations of Family and Human Services Referral No. 115 - Child and Teen
Psychiatric Services. (Vern Wallace, Mental Health Program Chief)
7.The next meeting is currently scheduled for March 27, 2017.
8.Adjourn
1
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
2
FAMILY AND HUMAN SERVICES COMMITTEE 3.
Meeting Date:02/22/2017
Subject:Appointments to the Council on Homelessness
Submitted For: FAMILY & HUMAN SERVICES COMMITTEE,
Department:County Administrator
Referral No.: N/A
Referral Name: Appointments to Advisory Bodies
Presenter: Jaime Jenett, Health Services
Department
Contact: Enid Mendoza, (925)
335-1039
Referral History:
On December 6, 2011 the Board of Supervisors adopted Resolution No. 2011/497 adopting policy
governing appointments to boards, committees, and commissions that are advisory to the Board of
Supervisors. Included in this resolution was a requirement that applications for at
large/countywide seats be reviewed by the Board of Supervisors sub-committee.
Referral Update:
Please see the attached memo from the Council on Homelessness, which details their request to
fill nine of the current eleven vacancies on the council as stated in the recommendation below.
The total council membership consists of 18 seats.
Recommendation(s)/Next Step(s):
CONSIDER recommending to the Board of Supervisors the appointment of the following
individuals to the Contra Costa Council on Homelessness:
Appointee Seat Name Affliation Term
Expiration District
Miguel Hidaldo-Barnes Behavioral Health Representative Program Manger, Hume
Center 12/31/2017 I
John Eckstrom CoC/ESG Program Grantee Executive Director,
SHELTER, Inc.12/31/2018 II
Cecelia McCloy Community Member Seat #3 Retired business person 12/31/2018 II
Stephanie Batchelor Consumer/Consumer Advocate Lived Experience of
Homelessness 12/31/2017 V
Doug Leich Faith Community Representative Multi-Faith ACTION
Coalition 12/31/2018 II
Anne Struthers Government Seat #1
Homeless Manager, Contra
Costa Employment and
Human Services
12/31/2018 II
3
Brenda Kain Government Seat #2
Community Services
Program Manager, City of
Concord
12/31/2018 IV
John Barclay Health Care Representative
Director of Community
Based Services, Contra
Costa Health Plan
12/31/2018 IV
Joseph Villarreal Public Housing Authority
Executive Director, Housing
Authority of Contra Costa
County
12/31/2018 IV
Attachments
Memo to F&HS from CoH
Miguel Hidalgo-Barnes Application
John Eckstrom Application
Cecelia McCloy Application
Stephanie Batchelor Application
Doug Leich Application
Anne Struthers Application
Brenda Kain Application
John Barclay Application
Joseph Villareal Application
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
FAMILY AND HUMAN SERVICES COMMITTEE 4.
Meeting Date:02/22/2017
Subject:Appointments to the Contra Costa Commission for Women
Submitted For: FAMILY & HUMAN SERVICES COMMITTEE,
Department:County Administrator
Referral No.: N/A
Referral Name: Appointments to Advisory Bodies
Presenter: Enid Mendoza, Senior Deputy County
Administrator
Contact: Enid Mendoza, (925)
335-1039
Referral History:
On December 6, 2011 the Board of Supervisors adopted Resolution No. 2011/497 adopting policy
governing appointments to boards, committees, and commissions that are advisory to the Board of
Supervisors. Included in this resolution was a requirement that applications for at
large/countywide seats be reviewed by the Board of Supervisors sub-committee.
Referral Update:
Please see the attached memo from the Contra Costa Commission for Women, which details their
request to reappoint three members and appoint two new members. The total Commission
membership consists of twenty members and one alternate. If these appointments are approved,
the Commission will continue their efforts to fill the remaining three vacant seats.
Recommendation(s)/Next Step(s):
CONSIDER recommending to the Board of Supervisors the appointment of the following
individuals to the Contra Costa Commission for Women:
Appointee Seat Term expires District
Summer Selleck At Large Seat 14 2/28/2020 V
Jessica Laird At Large Seat 13 2/28/2020 I
Phyllis Gordon At Large Seat 7 2/28/2020 V
Rosa Davila-Luevano At Large Seat 2 2/28/2020 III
Tracy Ward At Large Seat 4 2/28/2020 I
Attachments
Memo to F&HS from the CCCCW
Summer Selleck Application
Jessica Laird Application
51
Phyllis Gordon Application
Rosa Davila-Luevano Application
Tracy Ward Application
52
CONTRA COSTA
COMMISSION FOR WOMEN
P.O. Box 6695
Concord, CA 94520
E-Mail: womenscommission@gmail.com
DATE: February 1, 2017
TO: Family and Human Services Committee
FROM: Phyllis L. Gordon, Membership Chair, Contra Costa Commission for Women
SUBJECT: Recommended Appointments to the Contra Costa Commission for Women
The purpose of this memorandum is to forward to you the following recommendation from the Contra Costa
Commission for Women (CCCW) with terms expiring on February 28, 2020. Please consider for appointment:
Summer Selleck to At Large Seat 14 on the CCCW
Jessica Laird to At-Large Seat 13 on the CCCW
Phyllis Gordon to At-Large Seat 7 on the CCCW
Rosa Davila-Luevano to At-Large Seat 2 on the CCCW
Tracy Ward to At-Large Seat 4 on the CCCW
Background
The Contra Costa Commission for Women was formed to educate the community and advise the Contra Costa
County Board of Supervisors and other entities on the issues relating to the changing social and economic
conditions of women in the County, with particular emphasis on the economically disadvantaged.
The Committee consists of 20 members and one alternate, including:
Five district representatives; (one from each supervisorial district)
Fifteen at large members; and
One at large alternate.
The five district representatives are nominated for a three year term by each of the five members of the Board of
Supervisors. The fifteen at large members and one at large alternate are nominated by the CCCW membership
committee and forwarded to the full CCCW. All nominated appointments to the CCCW are reviewed by the
Family and Human Services Committee (IOC) and referred to the Board of Supervisors for approval. CCCW
terms are for three years and they are staggered across the membership.
Current Status of Appointments
The CCCW have been actively recruiting applicants on an ongoing basis to fill the vacant seats.
The membership committee unanimously approved the above recommendations.
53
C:\DOCUME~1\DESTIN~1\LOCALS~1\Temp\BCL Technologies\easyPDF 7\@BCL@F40F06CF\@BCL@F40F06CF.doc 2
As of January 1, 2017 there are 3 at large vacancies and the At Large Alternate seat is also vacant.
If the appointments recommended in this memorandum are ultimately approved, two at large seats will be filled.
The vacancies remaining after approval would be 3 at large seats and one alternate. With several other
applicants in process (interviews) as of February 1, 2017. A district appointee Beth Mora who is a current At-
Large 11 member is also being recommended by Supervisor Candace Anderson’s office as her appointee and
therefore At-large seat 11 will be declared open .
Since May 2004, the CCCW has had extremely limited staff support and no budget provided by the County.
However, the CCCW Membership Committee is continuing its recruiting efforts and plans to fill the remaining
vacancies within the next few months.
cc without attachment : CCCW Membership Committee/Gordon,Chair
Enid Mendoza, CAO
54
55
56
57
58
59
60
61
62
63
64
FAMILY AND HUMAN SERVICES COMMITTEE 5.
Meeting Date:02/22/2017
Subject:CDBG Funds to Provide Homeless Street Outreach Services
Submitted For: FAMILY & HUMAN SERVICES COMMITTEE,
Department:County Administrator
Referral No.: 20
Referral Name: Public Service Portion of the Community Development Block Grant (CDBG)
Presenter: Gabriel Lemus, CDBG Program
Manager
Contact: Enid Mendoza, (925)
335-1039
Referral History:
On February 11, 1997, the Board of Supervisors referred to the Family and Human Services
Committee (F&HS) the subject of the Public Service Portion of the Community Services Block
Grant (CDBG) Program. Therefore, the Department of Conservation and Development reports to
F&HS at least annually regarding recommendations for funding allocations in the Public Services
category and Emergency Solutions Grant funding recommendations.
Referral Update:
On April 11, 2016, the Department of Conservation and Development reported to F&HS on the
CDBG Program Public Service Portion funding recommendations for fiscal year 16/17 and to the
Board of Supervisors on May 10, 2016. Although at that time, there were two agencies funded by
CDBG funds under the Public Service Category providing street outreach services and other
related services to the homeless population of the County, those two agencies were ceasing the
provisions of those services effective June 30, 2016. Given that street outreach services to the
homeless population of the County is a critical need and is a high priority within the CDBG
Consolidated Plan, County CDBG confirmed that they would issue a Request for Proposal (RFP)
for these services sometime during the first two quarters of the 2016/17 fiscal year. The
department has issued a RFP and is returning to F&HS to report back on their selection of Contra
Costa County Health Services (CCC-HSD).
CCC-HSD proposes to serve a total of approximately 700 homeless persons in the County, of
65
CCC-HSD proposes to serve a total of approximately 700 homeless persons in the County, of
which 225 (or 32 percent) will be from the CDBG Urban County area (the Urban County area is
comprised of all incorporated cities and unincorporated areas of the County, except for the
incorporated Cities of Antioch, Concord, Pittsburg, and Walnut Creek). The total County CDBG
cost to fund this program equates to approximately a $99.00 per client cost. Now that the
CCC-HSD's new Coordinated Entry system is underway, the department will be the lead entity
providing oversight to the CORE Homeless Street Outreach Program, which is comprised with
day and evening/weekend homeless street outreach teams. This will ensure that all homeless
outreach operates with the same protocol, with warm hand-offs between the teams, and will give
jurisdictions an accurate and unduplicated count of persons served by the combined team and
programmatic effort. At this time, there are two day teams which are staffed by CCC-HSD, with
one peer outreach worker on each team. The daytime teams and supervision are being funded by a
combination of State Emergency Solutions Grant (ESG) funds and other sources, such as Mental
Health Services Act (MHSA) funds and other County funds. Night/weekend homeless outreach is
overseen by CCC-HSD but the actual evening/weekend service teams are provided through a
sub-contract that CCC-HSD has with Anka Behavioral Health, the non-profit agency which was
the winner of the County's Coordinated Entry Request for Proposal process for evening outreach.
Please see the attached memo for additional information.
Recommendation(s)/Next Step(s):
Approve the recommendation of the Department of Conservation and Development to allocate
$22,224 of fiscal year 2016/17 Community Development Block Grant funds to the Contra Costa
County Health Services Department to support the operation of the Coordinated Outreach
Referral and Engagement (CORE) Homeless Street Outreach Program.
Fiscal Impact (if any):
No General Fund impact. All funds are provided to the County on a formula basis through the
U.S. Department of Housing and Urban Development (HUD). Catalog of Federal Domestic
Assistance Number: Community Development Block Grant (CDBG) Program - 14.218
Attachments
Memo to F&HS on Homeless Outreach Services
66
1
CONTRA COSTA COUNTY
DEPARTMENT OF CONSERVATION AND
DEVELOPMENT
30 Muir Road
Martinez, CA 94553
Telephone: (925) 674-7882
MEMORANDUM
DATE: February 22, 2017
TO: Family and Human Services Committee
Supervisor John Gioia, Chairperson
Supervisor Candace Andersen, Member
FROM: Gabriel Lemus, CDBG Program Manager
SUBJECT: Report on allocating FY 2016/17 Community Development Block
Grant (CDBG) funds to provide Homeless Street Outreach Services
BACKGROUND
On May 10, 2016, the Board of Supervisors approved the Contra Costa County Action
Plan for the use of FY 2016/17 CDBG funds. Under the Public Services category,
$22,224 of CDBG funds were committed to provide support towards Homeless Street
Outreach services; however, due to the reorganization of the County’s homeless
Continuum of Care service approach to embrace the new Coordinated Entry system
strategy, no agency was identified at that time to carry out the service.
Implementation of the new Coordinated Entry system is currently underway. Under the
new system, Contra Costa County Health Services Department (CCC-HSD) is the lead
entity in the Coordinated Outreach Referral and Engagement (CORE) Homeless Street
Outreach Program. Under the CORE Homeless Street Outreach Program, CCC-HSD
provides oversight to both day and evening/weekend homeless street outreach teams.
This ensures that all homeless outreach operates with the same protocol, with warm
handoffs between the teams, and gives jurisdictions an accurate and unduplicated count
of persons served by the combined team and programmatic effort. At this time, there are
two day teams consisting of two trained outreach workers, two trained outreach team
leads, and an Outreach Coordinator which are staffed by CCC-HSD. The day teams hand
67
2
off street outreach services for evening/weekend (Saturday) homeless outreach to teams
staffed by Anka Behavioral Health, who is subcontracted with CCC-HSD to provide
evening/weekend outreach services as part of the overall CORE Street Outreach Program.
CORE Homeless Street Outreach Program services and support will include but are not
limited to:
Referral and connection to “Health Care for the Homeless” Program medical staff
to engage homeless individuals including collection of basic personal and
demographic data;
Administer initial screening tools and document concerns and disabilities
regarding lack of housing financial support;
Connect to medical and mental health and any substance abuse services;
Facilitate the completion and submission of Medi-Cal, CalFresh, and/or SSI
applications and related documentation for eligible consumers;
Provide basic survival supplies;
Assist local law enforcement, communities, and businesses in non-enforcement
types of responses where appropriate;
Connect individuals to the Mental Health Transitions Team for mental health
needs and non-psychiatric emergencies with individuals ready to accept substance
abuse treatment;
Connect consumers to interim housing, multiservice centers, case management,
and supports towards permanent housing.
County CDBG staff utilized the recent State ESG procurement process and results to
fulfill federal procurement responsibilities under the CDBG Program. Utilizing this
procurement process, CCC-HSD submitted an application for $22,224 of CDBG funds to
support its the Coordinated CORE Homeless Street Outreach Program.
On January 17, 2017, the Board of Supervisors approved allocating $22,224 of FY
2016/17 CDBG funds to CCC-HSD to support its CORE Homeless Street Outreach
Services Program. The Cities of Antioch, Pittsburg, and Walnut Creek support this
homeless street outreach service approach and have also recently allocated some of their
FY 2016/17 CDBG funds to CCC-HSD for the CORE Program.
cc: John Kopchik, Director – Department of Conservation and Development
Kara Douglas, Assistant Deputy Director
68
FAMILY AND HUMAN SERVICES
COMMITTEE 6.
Meeting Date:02/22/2017
Subject:Children's Psychiatric Services
Submitted For: FAMILY & HUMAN SERVICES COMMITTEE,
Department:County Administrator
Referral No.: 115
Referral Name: Child and Teen Psychiatric Services
Presenter: Vern Wallace, MH Program Chief Contact: Enid Mendoza, (925) 335-1039
Referral History:
At the April 26, 2016 Board of Supervisors meeting the topic of child and teen psychiatric
services and the utilization planning of the 4-D Unit was referred to the Family and Human
Services Committee (F&HS) for follow up.
Referral Update:
Please see the attached report from the Health Services Department Children's Mental Health
Division. This is the first report to the F&HS from the department on this topic.
Recommendation(s)/Next Step(s):
Accept the report from the Health Services Department on children's mental health services and
provide direction to the department on the future reporting expectations of F&HS Referral No.
115 - Child and Teen Psychiatric Services.
Attachments
Report to F&HS on Child Mental Health Services
69
Report to the
Family and
Human Services
Committee
Contra Costa County
Mental Health Services
Children’s Mental Health
Program Chief Vern Wallace,
LMFT
70
Report to the Family and Human Services Committee
February 22, 2017
Overview
The Children’s Bureau within Behavioral Health has grown over the past three years in
responsibility as evidenced by a seventeen percent growth in EPSDT services. Our basic
mental health services have been expanded with the implementation of the Affordable Care Act,
and now Katie A. Continuum of Care Reform (AB403), and an All County Letter from State
Department of Health Care Services and Social Services. Affordable care has increased the
number of consumers at our door. Katie A. has added a demand for additional services,
Continuum of Care has added to those services and expanded them to serve many more
children and youth, and finally the All County Letter (MHSUDS Information Notice 16-004)
expands services to all Specialty Mental Health youngsters meeting the criteria for those
additional targeted EPSDT services.
These initiatives when taken together afford the Behavioral Health Division an opportunity to
strategically expand EPSDT services in order to answer the demand for services posed by each
of these new areas of responsibility for Children’s Mental Health. This expansion will improve
services for children in the Foster Care System and in the Mental Health Children’s System of
Care in general.
Strategic Priorities for Fiscal Year 2017-2018
Evidenced Based Practice
Over the past few years Children’s has been involved in the development and implementation of
several Evidenced Based Practices (EBP’s) including Trauma Focused Cognitive BT designed
to address Post Traumatic Stress from Trauma, Dialectic Behavioral Therapy (DBT) targeting
destructive patterns of thinking and behaving, Wraparound Services focusing on the
coordination of services for multi-agency involved families, Multi Systemic Therapy (MST)and
Multidimensional Family Therapy (MDFT) both addressing the juvenile delinquent population
along with , Functional Family Therapy (FFT), and most recently Family Based Therapy for
Eating Disorders (FBT). Additionally, Children’s Mental Health participates in an ongoing
consortium of seven Bay Area Counties funded by a SAMSHA Grant focused on the
development of regional approaches to dealing with Trauma in our lives and communities. We
continue to strive toward a goal of each staff being trained in three EBP’s in each regional clinic.
Mobile Response Team
The Mobile Response Team (MRT) has been in existence for more than fifteen years through
SENECA Agency for Children and Families. It has been limited historically by funding but we
are exploring the expansion of this team to 16-18 hours per day 24/7. This would make them
available during the busiest hours for youth in crisis between 8A.M. and 12A.M. This team
71
attempts to support families in crisis who voluntarily are accepting of their service. Children and
youth from Psychiatric Emergency Services, parents, schools, and our interagency partners will
be able to refer to the Mobile Response Team.
Continuum of Care Reform and Katie A.
California has experienced an increasing number of children being placed in Residential
Treatment Centers both in State and out of state. Continuum of Care Reform (SB403) changes
the way Residential Treatment is instituted. What was once a long term holding place for
youngsters is now limited to three to six months with a possible waiver to six months of short
term high intensity care. After this a kid will return to the community to a more “family” like
environment, such as, a foster home to continue with their services and find support in a family.
This will require additional outpatient services and mandates several new pieces of support.
Those include Intensive Care Coordination (ICC) and In Home Behavioral Services (IHBS),
along with, Child and Family Team Meetings ever ninety days offered to all CCR Children
adding about 400-500 new cases to the Children’s roles. This is an addition to the services
needed for general Specialty Mental Health consumers which total over six hundred children of
the more than 2500 we are currently serving in County run programs.
We are planning for CCR and its demands on the systems as an interagency collaborative with
Child and Family Services and Juvenile Probation. Each partner brings unique skills and
requirements to the table to serve these Children. This planning process has an executive,
advisory, and steering committee structure each charged with a particular level of the
implementation of the CCR Plan. Services began on the first of this year and Probation will join
the actual case mix in January 2018. Probation is currently participating in all facets of the
implementation of the plan.
All County Letter (MHSUDS Information Notice 16-004)
In the spring of 2016 Contra Costa Received an ACL from State Department of Health Care
Services California Department of Social Services. This letter directed Specialty Mental Health
Plans to provide ICC and IHBS services to all Specialty Mental Health beneficiaries that meet
the criteria for it without regard to CFS or JPD status. In
Canvassing our open clinic charts the number of children needing this service was determined
to be about six hundred. Each of these children will receive ICC service which will necessitate
having a Child and Family Team meeting every ninety days while the child is meeting the
criteria for ICC service.
Treatment Foster Care (TFC)
TFC is another entitlement services new to County Mental who will be charged with
implementing and managing TFC in partnership with CFS. Child and Family Services will locate
and have CCL certify the Foster Home and County Mental Health will support the home and
train the Foster Parents in providing therapeutic intervention for the minor. This phase of CCR
will be rolled in beginning in November since we are still waiting for guidelines from State DHCS
for the implementation, regulations, and standards for TFC homes.
72
Emergency Foster Care
With the implementation of Katie A. almost four years ago it was necessary to draft the three
Emergency Foster Care staff into service as Intensive Care Coordinator’s These staff assumed
those duties and have functioned as ICC staff holding Child and Family Team meetings and
serving all children needing an ICC and Family Team. With the implementation of AB
403(CCR) we will be able to reconstitute this mandated service as part of the Continuum of
Care, the first contact in many instances, for Contra Costa Children entering the County
Children’s System of care by way of Child and Family Services.
TAY Residential at Oakgrove
In partnership with Adult Services, Children’s Mental Health will participate in the development
of a Transitional Youth residential program at the Oakgrove location. An RFI is being released
and extensive exploration is occurring related to this program. The program is conceptualized
as a RTC that will provide three levels of care from Residence, to supported outpatient
aftercare. The program will provide mental health care, vocational services and life skills training
in a safe and supported environment.
Summary
Significant changes in the regulations for the care of Children have been passed by the
legislature and are now in the implementation phase in counties across the state. Contra Costa
is working diligently to enact the new regulations and partner with our Child caring agencies in
Social Services and Juvenile Probation. Each of these initiatives is planned for in the
Behavioral Health Fiscal year 2017-2018 budget, it is a time of rapid demand and change which
will test the capacity and flexibility of the child caring agencies.
73