HomeMy WebLinkAboutBOARD STANDING COMMITTEES - 07312017 - FHS Cte Agenda Pkt
FAMILY & HUMAN SERVICES
COMMITTEE
July 31, 2017
10:30 A.M.
651 Pine Street, Room 101, 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. APPOINT Tracy Cascio to the Veteran Administration Representative seat on the
Council on Homelessness with a term expiring December 31, 2017 and DIRECT staff to
forward the recommendation to the Board of Supervisors for their approval.
4. CONSIDER accepting the draft responses to Civil Grand Jury Report No. 1703, entitled
"Mental Health Services for At-Risk Children in Contra Costa County" and directing
staff to forward the response to the Board of Supervisors for their approval. (Cynthia
Belon, Behavioral Health Director)
5. CONSIDER accepting the reports from the Employment and Human Services
Department on youth services and directing staff to forward the report to the Board of
Supervisors for their information. (Kathy Gallagher, Employment and Human Services
Director)
6. CONSIDER accepting the report from the Health Services Department on Health Care
for the Homeless and directing staff to forward the report to the Board of Supervisors for
their information. (Dr. Joseph Mega, Health Services Department)
7. CONSIDER accepting the report on the Local Planning and Advisory Council for Early
Care and Education activities and countywide plan for early care and education and
directing staff to forward the report to the Board of Supervisors for their information, as
recommended by the County Office of Education. (Ruth Fernández, LPC
Coordinator/Manager, Educational Services)
8.The next meeting is currently scheduled for August 28, 2017.
9.Adjourn
F&HS Agenda Page 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
F&HS Agenda Page 2
FAMILY AND HUMAN SERVICES COMMITTEE -
Special Meeting 3.
Meeting Date:07/31/2017
Subject:Appointment 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: N/A 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.
The Contra Costa Council on Homelessness is appointed by the Contra Costa County Board of
Supervisors to assist and provide guidance in the development and implementation of long range
planning and policy formulation that addresses homeless issues in Contra Costa County.
The Council on Homelessness provides a forum for communication and coordination of the
County’s Strategic Plan to End Homelessness; educate the community on homeless issues,
allocate federal HUD Homeless Assistance funding to providers, and advocate on federal, state
and local policy issues affecting people who are homeless or at-risk of homelessness. Council on
Homelessness members are appointed and serve two year terms.
Referral Update:
Please see the attached memo from the Council on Homelessness, which details their request to
appoint Tracy Cascio due to an administrative error. The total council membership consists of 18
seats, of which 15 are currently filled. The three vacancies are in the Philanthropy, Veteran
Administration, and Consumer/Consumer Advocate - Alternate seats. If the requested action is
approved by the Family and Human Services Committee, only the Philanthropy and
Consumer/Consumer Advocate - Alternate seats will remain vacant.
Recommendation(s)/Next Step(s):
APPOINT Tracy Cascio to the Veteran Administration Representative seat on the Council on
F&HS Agenda Page 3
APPOINT Tracy Cascio to the Veteran Administration Representative seat on the Council on
Homelessness with a term expiring December 31, 2017, and DIRECT staff to forward the
recommendation to the Board of Supervisors for their approval.
Attachments
Memo to F&HS from CoH
T. Cascio Application
CoH Roster with Attendance
F&HS Agenda Page 4
F&HS Agenda Page 5
F&HS Agenda Page 6
F&HS Agenda Page 7
F&HS Agenda Page 8
F&HS Agenda Page 9
WILLIAM B. WALKER, M.D.
HEALTH SERVICES DIRECTOR
LAVONNA MARTIN, MPH, MPA
HEALTH, HOUSING AND HOMLESS SERVICES
DIRECTOR
CONTRA COSTA
HEALTH, HOUSING AND
HOMELESS SERVICES
ADMINISTRATION
1340 Arnold Drive, Ste. 200
Martinez, California
94553-4675
PH (925) 957-5201
FAX (925) 957-5156
Contra Costa Behavorial Health • Contra Costa Emergency Medical Services • Contra Costa Environmental Health • Contra Costa Health Plan • Contra Costa Hazardous Materials •
Contra Costa Public Health • Contra Costa Regional Medical Center • Contra Costa Health Centers • Health, Housing and Homeless Services
Council on Homelessness Attendance Roster 2017
Seat Name Appointee Affiliation Jan Feb Mar Apr May June July
1. Behavioral Health Representative Miguel Hidalgo-Barnes,
PsyD Program Manger, Hume Center - - - √ √ √ √
2. CoC/ESG Program Grantee John Eckstrom Chief Executive Officer, SHELTER, Inc.
- - - √ X √ √
3. Community Member Seat #1 Teri House CDBG Consultant, City of Antioch √ √ √ √ √ √ √
4. Community Member Seat #2 Gary Kingsbury New Life Dream Center √ √ X √ √ √ √
5. Community Member Seat #3 Cecelia McCloy Business person - - - √ √ √ √
6. Consumer/Consumer Advocate Stephanie Batchelor Former Consumer - - - X √ √ X
7. Education and Vocational Services
Representative Alejandra Chamberlain Contra Costa County Office of Education √ √ √ √ X √ √
8. Emergency Solutions Grants Representative Gabriel Lemus CDBG Program Planner,
Contra Costa County
√ √ √ √ √ √ √
9. Faith Community Representative Doug Leich Multi-Faith ACTION Coalition - - - √ √ √ √
10. Government Seat #1 Anne Struthers Homeless Manager, Contra Costa Employment and
Human Services
- - - √ √ √ √
11. Government Seat #2 Brenda Kain Community Services Program Manager, City of
Concord
- - - √ √ √ X
12. Health Care Representative John Barclay, RN Director of Community Based Services, Contra Costa
Health Plan
- - - √ √ √ X
13. Homeless Housing Provider Dan Sawislak Executive Director,
Resources for Community Development
X X √ X √ √ X
14. Philanthropy Representative VACANT - - - - - - - -
15. Public Housing Authority Joseph Villarreal Executive Director, Housing Authority of Contra Costa
County
- - - X X √ √
16. Public Safety Representative Diane Aguinaga Captain, Police Department, City of Antioch √ √ √ X √ √ X
17. Veteran Administration Representative VACANT - X X - - - - -
18. Consumer/Consumer Advocate - Alternate ** VACANT - - - - - - - -
√: Present X: Absent - : Seat Not Filled
F&HS Agenda Page 10
FAMILY AND HUMAN SERVICES COMMITTEE -
Special Meeting 4.
Meeting Date:07/31/2017
Subject:Draft Response to Civil Grand Jury Report No. 1703, "Mental Health
Services for At-Risk Children in Contra Costa County"
Submitted For: FAMILY & HUMAN SERVICES COMMITTEE,
Department:County Administrator
Referral No.: N/A
Referral Name: N/A
Presenter: Cynthia Belon, Behavioral Health
Director
Contact: Enid Mendoza, (925)
335-1039
Referral History:
On May 11, 2017, the 2016/17 Civil Grand Jury filed the above referenced report. On June 13,
2017, the Board of Supervisors received this report and forwarded it to the County
Administrator's Office for response. This action directed the appropriate staff to review the report
and provide the Board of Supervisors with an appropriate response so that the Clerk of the Board
can forward that response to the Superior Court no later than August 9, 2017 (90 days).
Referral Update:
Since the June 13, 2017 Board meeting, the County Administrator's Office has worked closely
with Health Services Behavioral Health staff to prepare responses to this civil grand jury report.
At their July 11, 2017 meeting, the Mental Health Commission received a brief report from the
County Administrator's Office clarifying County processes for responding to civil grand jury
reports. At this meeting the Commission voted to provide feedback to the Behavioral Health
Division of Health Services for consideration in the Department's responses.
Recommendation(s)/Next Step(s):
ACCEPT the draft response to Civil Grand Jury Report No. 1703, entitled "Mental Health
Services for At-Risk Children in Contra Costa County" and DIRECT staff to forward the response
to the Board of Supervisors for approval at their August 8, 2017 meeting.
Attachments
Grand Jury Report No. 1703 Draft BOS Response for F&HS
Grand Jury Report No. 1703
F&HS Agenda Page 11
Page 1 of 3
CONTRA COSTA COUNTY CIVIL GRAND JURY REPORT NO. 1703
"Mental Health Services for At-Risk Children in Contra Costa County”
BOARD OF SUPERVISORS’ RESPONSE
FINDINGS – California Penal Code Section 933.05(a) requires a response to the designated findings
of the Grand Jury.
F1. The County provides timely and consistent mental health services to detained youth
in Juvenile Hall, CSEC victims, and children in domestic violence and sexual abuse
situations.
Response: The respondent agrees with the finding. The County’s Probation and Health
Services departments work collaboratively to provide a high level of Mental Health services to
the youth in the Juvenile Justice system including Juvenile Hall and the Orin Allen Youth
Facility.
F2. Under the terms of the Katie A. requirements, upper and middle management levels
of CFS and BHS have started to coordinate their efforts.
Response: The respondent disagrees wholly with the finding. Since about 1996, the
Behavioral Health Division and Child and Family Services Bureau have collaborated on
children’s mental health services in a comprehensive way. Katie A. and the implementation of
Continuum of Care Reform have contributed to a more coordinated relationship since Health
Services and Employment and Human Services department staff meet on a weekly basis and
often meet more than once a week.
F3. Many at-risk children are not receiving mental health treatment for several weeks
to several months after the County assesses their mental-health needs.
Response: The respondent disagrees partially with the finding. Children presenting at the
Regional Clinics are seen within eight to thirteen days for their first appointment with a Mental
Health Clinical Specialist that provides comprehensive assessment and treatment. The County
recognizes challenges with the availability of child psychiatrists and delays may occur with the
medical treatment and medication support of the child.
F4. Children’s Mental Health Services estimates that the County needs an additional six
psychiatrists for its three clinics.
F&HS Agenda Page 12
Page 2 of 3
Response: The respondent disagrees wholly with the finding. Further analysis is required
before Children’s Mental Health Services can provide a current estimate of the number of
additional psychiatrists needed for its three clinics.
F5. County salaries for psychiatrists are not competitive with private practice.
Response: The respondent agrees with the finding. In general, private sector practices offer
more competitive salaries than public agencies.
F6. The shortage of psychiatrists causes delays in the diagnosis and treatment of
medium to severely mentally ill children.
Response: The respondent disagrees partially with the finding. Shortage of psychiatrists may
delay the medical treatment and medication support of the child. However, children are
assessed and diagnosed to be seen for outpatient therapy by a Mental Health Clinical Specialist
within eight to thirteen days.
F7. West County clinic, which has the most medium to severe patients, also has the
highest patient to therapist ratio.
Response: The respondent disagrees wholly with the finding. Caseloads are balanced across
the clinics. West County has a large number of contractors with open cases. These are cases
that are not assigned to clinic staff.
F8. The 85 County Clinical Staff, who treat medium to severely mentally ill children,
are not equitably distributed among the three clinics based on workload.
Response: The respondent disagrees wholly with the finding. Assignment of therapists across
the County’s regions is balanced. The numbers cited in the report are in error. Central County
is listed as having more than forty clinicians on staff. The Central County Children’s Clinic has
13 FTE therapists on staff.
F9. Twenty percent of the CBOs and 68% of the individual private therapists are not
available for appointments.
Response: The respondent disagrees wholly with the finding. Only CBOs and Network
Providers that are available for appointments are referred.
F10. BHS liaisons are not provided with current information about the availability of
CBOs and private therapists for appointments.
Response: The respondent disagrees wholly with the finding. Liaisons operate with the most
recent information available, as provided by surveys to private therapists and the expectation
that CBOs notify liaisons of any availability changes. Behavioral Health liaisons follow the same
protocol as Mental Health Access by providing three potential clinician referrals to each
beneficiary. The County is not aware of issues with CBO’s and private therapist’s lack of
availability and this is a process that is reviewed annually by the state.
F&HS Agenda Page 13
Page 3 of 3
RECOMMENDATIONS - California Penal Code Section 933.05(b) requires a response to the
designated recommendations of the Grand Jury.
R1. The Board of Supervisors should consider identifying funds to add six
psychiatrists at the three regional mental health clinics.
Response: The recommendation will not be implemented because it is not warranted. The
Board of Supervisors reviews staffing levels and budget recommendations annually through
budget processes. Throughout the year, County departments re-evaluate staffing and funding
levels to determine whether additional positions are needed. At this time, the County has not
identified a need to add six additional psychiatrist positions. However, there are currently four
psychiatrist vacancies that the County is working to fill.
R2. The Board of Supervisors should consider directing Human Resources to review
the compensation packages for County psychiatrists to ensure their compensation
packages are competitive compared to the private market.
Response: The recommendation will not be implemented because it is not reasonable. The
County’s psychiatrist compensation packages can be compared with other county psychiatrists;
however, the County cannot compete with the private market. Therefore, using private market
compensation packages will not provide reasonable benchmarks. The County is currently in
negotiations with Physicians’ and Dentists’ Organization of Contra Costa, which includes a
review of benefits and wages for all represented classifications, including psychiatrists.
R3. The Board of Supervisors should consider directing BHS to redeploy therapists with
a view to a more equitable ratio of children per therapist among the County’s three
mental health clinics.
Response: The recommendation has been implemented. Clinical staff are fairly and evenly
distributed across the regional clinics with equitable ratios of children per therapist.
R4. The Board of Supervisors should consider identifying funds to enable BHS to review
and improve systems related to the real time availability of CBOs and individual private
therapists for mental health service appointments.
Response: The recommendation will not be implemented because it is not reasonable. The
County is not aware of the existence of a real time tool to support the recommended effort.
However, the County has processes in place to maintain current information on the availability
of CBOs and individual private therapists.
R5. The Board of Supervisors should consider directing BHS to monitor and report on
the wait times for mental health treatment for at-risk children.
Response: The recommendation has been implemented. The Behavioral Health Division is
required by the State Department of Health Care Services to monitor and report on the
timeliness of mental health treatment for at-risk children.
F&HS Agenda Page 14
F&HS Agenda Page 15
Contra Costa County 2016-2017 Grand Jury Report 1703 Page 1
Grand Jury Reports are posted at http://www.cc-courts.org/grandjury
Contact: Jim Mellander
Foreperson
925-608-2621
Contra Costa County Grand Jury Report 1703
Mental Health Services for At-Risk Children in Contra
Costa County
TO: County Board of Supervisors, Behavioral Health Services
SUMMARY
The Grand Jury conducted a detailed investigation concerning the County’s delivery of
mental health services to at-risk children (“At-Risk Children”), which is defined as foster
children or those in danger of becoming foster children, Commercial Sexually Exploited
Children victims (CSEC), youth detained in Juvenile Hall, and children in domestic
violence or sexual abuse situations. Over the course of a seven-month investigation, the
Grand Jury found that at-risk children are not receiving timely access to mental health
treatment. Several factors were preventing timely access, all of which are within the
control of Behavioral Health Services and its subdivision Children’s Mental Health
Services. The Board of Supervisors should consider identifying funds to provide timely
treatment for children.
METHODOLOGY
The Grand Jury researched the statutes, agreements and regulations on mental health
services for children that pertain to the County. It also researched official reports from
State and County agencies, and conducted numerous interviews with County personnel
who are involved in the delivery of mental health services.
BACKGROUND
This Grand Jury conducted a detailed investigation of mental health services for at-risk
children in Contra Costa County. For purposes of this investigation, the Grand Jury
defined at-risk children as:
• Foster children or those in danger of becoming foster children
• Commercial Sexual Exploitation of Children (CSEC) victims
• Youth detained in Juvenile Hall
• Children who have experienced domestic violence and sexual abuse.
F&HS Agenda Page 16
Contra Costa County 2016-2017 Grand Jury Report 1703 Page 2
Grand Jury Reports are posted at http://www.cc-courts.org/grandjury
The Mental Health Commission White Paper
The Mental Health Commission (MHC), an advisory body appointed by the Board of
Supervisors to serve as the watchdog group in the County for mental health services,
issued a white paper in April 2016 “to encourage discussion around the current crisis in
the county public mental health care system and deficits in the county mental health
budget process that contribute to this crisis.”
While the white paper was issued by MHC, Behavioral Health Services (BHS) assisted
MHC with the data and the contents of the paper. The paper describes key points that
are pertinent to at-risk children:
“The wake-up call of the crisis at Psychiatric Emergency Services (PES) that points to
an impacted system that is unable to provide the right treatment at the right moment in
time and is therefore struggling to truly meet the needs of people with a serious mental
illness,”
“The compromised ability of Child/Adolescent Clinics to meet the needs of patients
due to understaffing as evidenced by three to four months wait times and a migration of
patients to PES for intervention that is not meant to be a stand-in for treatment,”
“The underlying theme of inadequate staffing levels due to the inability of treatment
facilities to attract and keep high quality psychiatrists and nurses because of
uncompetitive compensation and such practices as closing of lists,”
“The underlying theme of dedicated, quality staff struggling to offer excellent care but
undercut by budgets that are generated by a formulaic, top down process rather than a
process that builds up a budget from program needs.”
The Katie A. Requirements
In delivering mental health services, the County must comply with the terms of the Katie
A. requirements. Katie A. was the lead plaintiff in a multiple-plaintiff lawsuit filed against
Los Angeles County and the State of California in 2002. The lawsuit alleged that
significant gaps existed in mental health services provided to children in the foster care
system. By the age of 14, Katie A. had been shuffled through 37 foster homes and had
endured 19 confinements in psychiatric hospitals.
Los Angeles County settled with the plaintiffs in 2003. The State of California agreed to
the following Katie A. child definition and mental health service requirements in 2011:
Children who are in or at risk of entering foster care will be identified as the “Katie A.
subclass.” A child will be part of the subclass if wraparound or specialized services are
being considered for the child, or the child has been hospitalized three times in the past
24 months for behavioral reasons or is currently hospitalized for a behavioral issue.
F&HS Agenda Page 17
Contra Costa County 2016-2017 Grand Jury Report 1703 Page 3
Grand Jury Reports are posted at http://www.cc-courts.org/grandjury
Pursuant to this agreement, California counties must adhere to a protocol, called a “core
practice model,” for screening and treating foster children. In accordance with this
protocol, children may be eligible for the following services:
• Intensive Care Coordination (ICC)
• Intensive Home-Based Services (IHBS)
• Therapeutic Foster Care in specially-trained foster homes.
The County hired several coordinators and appointed a Katie A. specialist manager to
handle the new protocol.
DISCUSSION
The Grand Jury used the new Katie A. requirements and the MHC white paper as
starting points to investigate Contra Costa County’s delivery of mental health services to
at-risk children.
Youth confined in Juvenile Hall receive a consistent and well-regulated package of
children’s mental health services from the County since these children are in a
controlled confinement. Of the 110 youth currently at the Hall (some of whom are CSEC
victims), 30% have been identified as having mental health problems. BHS has
assigned three County clinicians and a program manager to work exclusively at the Hall
to provide treatment, which involves medication and therapy. All three therapists are
grant-funded, and the grants require regular data reports on the outcome of the
treatments.
CSEC victims and children in domestic violence and sexual abuse situations are
sometimes discovered by police responding to a complaint. The police refer the children
to the Victim Advocates in the District Attorney’s Office. After securing the child in a safe
environment, the advocate arranges for the child to receive therapy so that the child can
better assist in the legal prosecution of their abusers. BHS is not usually involved in this
process. Rather, the Victim Advocate arranges for the victim to receive treatment from a
private therapist or psychiatrist. This treatment is funded by the State Victim
Compensation Fund and continues for the months or years that the victim needs to
recover. Despite receiving mental-health treatment, some CSEC victims are reluctant to
testify against their pimp abusers.
An estimated 85-90% of foster children need some form of mental health services.
Given this statistic, it is not surprising that a significant component of the estimated
7,000-plus children in the County who are serviced for mental health annually are foster
children, estimated at over 1,700, or those who are in danger of becoming foster
children. Only 300 of these children currently belong to the “Katie A. subclass.” The
County’s compliance in the Katie A. requirements is a work in progress. Satisfactory
F&HS Agenda Page 18
Contra Costa County 2016-2017 Grand Jury Report 1703 Page 4
Grand Jury Reports are posted at http://www.cc-courts.org/grandjury
compliance depends upon skilled coordination between the social workers in Children
and Family Services (CFS) and the clinicians at BHS.
Children who may need mental health services are generally assessed and evaluated
within 7-10 days. However, children wait much longer, weeks or months, to receive
treatment.
After assessment and evaluation, the social workers at CFS arrange for treatment for
the child client through the BHS liaisons. The liaisons provide the social workers and
child guardians with three referrals of available psychiatrists or therapists from their
database. The social workers or guardians call these mental health professionals to
schedule treatment. Oftentimes, the social workers or guardians find that the three
referrals they have been given by the BHS liaisons are not available. Then they must
go back to the liaisons to arrange for another set of three referrals. This is the cause of
many delays. The CFS social workers state that the child has an average waiting time
for treatment of three months and the BHS liaisons state that the average is only 4 to 6
weeks. These two sets of County workers are working from different perspectives and
from different calendar counts. The BHS liaisons also state that they do not have an
updated list of unavailable psychiatrists or therapists.
After the screening and evaluation phase, each of the 7,000-plus children are classified
into two groups:
1. Medium to severe
2. Mild to medium
The mild to medium cases are scheduled for appointments with psychiatrists and
therapists in non-profit community-based organizations (CBOs) and private therapists
contracted by BHS. The medium to severe cases are scheduled for appointments with
the psychiatrists and therapists in the County’s three regional mental health clinics.
There are several factors that prevent children from accessing mental health services in
a timely manner. These factors differ depending on whether the child is classified as
medium to severe, or mild to medium.
Medium to Severe Cases
The three mental health clinics are understaffed in terms of psychiatrists, the doctors
who diagnose the children and prescribe medication for them when appropriate.
Children’s Mental Health Services estimates it needs to hire six more psychiatrists to
handle the workload and resolve the inequitable distribution among the regional clinics.
The County pays $30-50,000 less than what psychiatrists can earn in private practice.
Table 1 shows the distribution of the medium to severe cases assigned to the three
clinics and the corresponding distribution of psychiatrists in those three clinics.
F&HS Agenda Page 19
Contra Costa County 2016-2017 Grand Jury Report 1703 Page 5
Grand Jury Reports are posted at http://www.cc-courts.org/grandjury
TABLE 1
Antioch Concord West County TOTAL
Children 630 740 800 2170
Psychiatrists* 2.2 3.5 1.3 7
Ratio 286.4 211.4 615.4 310
Note: * Full time equivalent
As shown on Table 2, the distribution of 85 County therapists across the three clinics is
inequitable relative to the distribution of medium to severe mental cases.
TABLE 2
Antioch Concord West County TOTAL
Children 630 740 800 2170
Therapists 22 47 16 85
Ratio 28.6 15.7 50 25.5
The normal management response to such uneven distribution is to reallocate some
therapists from Concord, to Antioch and to West County. The Grand Jury found no
evidence that any such plan is being considered.
Mild to Medium Cases
BHS contracts with 34 non-profit Community Based Organizations (CBOs) to treat the
estimated 5,000 children considered mild to medium cases. Twenty percent of these 34
CBOs were at capacity as of February 2017, meaning that seven of the CBOs had no
appointment availability. The BHS liaisons, who provide the appointment referrals for
the guardians/patients, do not have current data on the clinicians’ availability. Thus,
social workers or guardians call to CBOs that have no availability, causing delays in the
children’s treatment.
In addition to providing mental health treatment through CBOs, BHS can assign the
5,000 children who are diagnosed as mild to medium cases to the over 200 individual
private therapists that it contracts with. Like CBOs, these private therapists have limited
availability. Table 3 shows the availability of those private therapists in February 2017
and their distribution in the three regions.
TABLE 3
East County Central West County TOTAL
Private Therapist 60 100 47 207
Available 13 33 21 67
Not available 47 (78%) 67 (67%) 26 (55%) 140 (68%)
F&HS Agenda Page 20
Contra Costa County 2016-2017 Grand Jury Report 1703 Page 6
Grand Jury Reports are posted at http://www.cc-courts.org/grandjury
Overall, 68% of the private therapists were not available for appointments. Thus,
children must wait longer for mental health services.
While no-shows for appointments also contribute to longer wait times, this factor is not
under the control of BHS. The tables show what is within the control of BHS and its
subdivision that manages treatment delays for at-risk children.
FINDINGS
F1. The County provides timely and consistent mental health services to detained
youth in Juvenile Hall, CSEC victims, and children in domestic violence and sexual
abuse situations.
F2. Under the terms of the Katie A. requirements, upper and middle management
levels of CFS and BHS have started to coordinate their efforts.
F3. Many at-risk children are not receiving mental health treatment for several weeks
to several months after the County assesses their mental-health needs.
F4. Children’s Mental Health Services estimates that the County needs an additional
six psychiatrists for its three clinics.
F5. County salaries for psychiatrists are not competitive with private practice.
F6. The shortage of psychiatrists causes delays in the diagnosis and treatment of
medium to severe mentally ill children.
F7. West County clinic, which has the most medium to severe patients, also has the
highest patient to therapist ratio.
F8. The 85 County therapists, who treat medium to severely mentally ill children, are
not equitably distributed among the three clinics based on workload.
F9. Twenty percent of the CBOs and 68% of the individual private therapists are not
available for appointments.
F10. BHS liaisons are not provided with current information about the availability of
CBOs and private therapists for appointments.
RECOMMENDATIONS
R1. The Board of Supervisors should consider identifying funds to add six psychiatrists
at the three regional mental health clinics.
R2. The Board of Supervisors should consider directing Human Resources to review
the compensation packages for County psychiatrists to ensure their compensation
packages are competitive compared with the private market.
F&HS Agenda Page 21
Contra Costa County 2016-2017 Grand Jury Report 1703 Page 7
Grand Jury Reports are posted at http://www.cc-courts.org/grandjury
R3. The Board of Supervisors should consider directing BHS to redeploy therapists
with a view to a more equitable ratio of children per therapist among the County’s
three mental health clinics.
R4. The Board of Supervisors should consider identifying funds to enable BHS to
review and improve systems related to the real time availability of CBOs and
individual private therapists for mental health service appointments.
R5. The Board of Supervisors should consider directing BHS to monitor and report on
the wait times for mental health treatment for at-risk children.
REQUIRED RESPONSES
Findings Recommendations
Contra Costa County Board of Supervisors F1 to F10 R1 to R5
These responses must be provided in the format and by the date set forth in the cover
letter that accompanies this report. An electronic copy of these responses in the form of
a Word document should be sent by e-mail to ctadmin@contracosta.courts.ca.gov and
a hard (paper) copy should be sent to:
Civil Grand Jury – Foreperson
725 Court Street
P.O. Box 431
Martinez, CA 94553-0091
F&HS Agenda Page 22
FAMILY AND HUMAN SERVICES COMMITTEE -
Special Meeting 5.
Meeting Date:07/31/2017
Subject:Youth Services Report Update - ILSP and WDB Programs
Submitted For: FAMILY & HUMAN SERVICES COMMITTEE,
Department:County Administrator
Referral No.: 93
Referral Name: Youth Services Report
Presenter: Kathy Gallagher, EHSD Director Contact: Enid Mendoza, (925)
335-1039
Referral History:
An annual update of the Independent Living Schools Program administered by the Employment
and Human Services Department (EHSD) was first referred to the Family and Human Services
Committee by the Board of Supervisors on October 17, 2006.
On June 7, 2016, EHSD requested, and the Board approved, expanding Referral #93 –
Independent Living Skills Program to include additional youth services updates and retitling the
referral to “Youth Services Report”, so that the department can include reports on all youth
services offered in the community through EHSD, including Workforce Investment and
Opportunity Act (WIOA) and CalWorks youth services.
The last annual report on this referral was approved by the Board at their November 8, 2016
meeting.
Referral Update:
Please see the attached reports from the Employment and Human Services Department, which
includes Independent Living Skills Program and Workforce Development Board Youth Services
updates.
Recommendation(s)/Next Step(s):
ACCEPT the reports from the Employment and Human Services Department on youth services,
which includes updates on the Independent Living Skills Program, and DIRECT staff to forward
the reports to the Board of Supervisors for their information.
Fiscal Impact (if any):
This is an informational report; there is no fiscal impact.
F&HS Agenda Page 23
Attachments
Youth Services Report - Independent Living Skills Program
Youth Services Report - WDB Programs
Youth Services Presentation
F&HS Agenda Page 24
1
EMPLOYMENT AND HUMAN SERVICES
CONTRA COSTA COUNTY
TO: Family and Human Services’ Committee Members DATE: July 31, 2017
David Twa, Contra Costa County Administrator
FR: Kathy Gallagher, Director, Employment and Human Services Department
Kathy Marsh, Interim Director, Children and Family Services Bureau
SUBJECT: Independent Living Skills Program (ILSP)
RECOMMENDATION
Accept this report from the Employment and Human Services Department; and continue to
support the Children and Family Services Bureau and its efforts to serve foster youth in the ILSP
program.
BACKGROUND
The Omnibus Budget Reconciliation Act of 1993 permanently authorized the Independent Living
Program (ILP) which offers training, services and programs to assist current and former foster
youth achieve self-sufficiency prior to and after leaving the foster care system. The Chafee
Foster Care Independence Program (CFCIP) Act of 1999 (Public Law 106-169), amended Section
477 of the Social Security Act providing more flexibility in the use of ILP funding (see 42 USC
677).
In California, County Welfare Departments have the flexibility to design services to meet a wide
range of individual needs and circumstances for current and former foster youth. Every
California County operates an ILP. Youth participation is voluntary. Overwhelming evidence
supports the fact that youth leaving foster care are in need of greater support as they transition
into adulthood. Foster youth nationwide are found to have an increased likelihood of early
parenting, instability in relationships, not graduating from high school, lower school
performance, increased health and mental health concerns, homelessness, incarceration,
substance abuse, and a higher rate of unemployment.
In September 2010, Governor Schwarzenegger signed into law Assembly Bill 12, the California
Fostering Connections to Success Act. AB12 took effect on January 1, 2012 and allows young
adults to be provided transitional support to age 21 and ensure that they are given the
necessary skills to survive on their own. A young adult must be in a high school or a GED
program, enrolled in a college or vocational program, employed at least 80 hours per month,
participating in a program designed to remove barriers to employment, or unable to
work/attend school because of a medical condition. The young adult must also live in an
approved placement and sign a mutual agreement with their case worker, Supervised
F&HS Agenda Page 25
2
Independent Living Placement (SILP). With this legislation, young adults will receive the
support of the foster care system to age 21, extending the time to work with young adults in
foster care with more parity in assistance provided to children from intact families.
PROGRESS TO DATE:
For the past twenty nine years, the Children and Family Services Bureau of the Employment and
Human Services Department has provided services through the Independent Living Skills
Program (ILSP). This program educates and supports youth in a wide variety of areas designed
to inspire a successful transition to adulthood, and empowers foster youth to become
responsible adults. Staff working in the program are Contra Costa County employees. Under
the direction of a Program Coordinator and an Assistant Coordinator, the five program
specialists continue to provide services to Contra Costa County foster youth, out of county
youth and probation youth, while embracing the CCC CFS ILSP Vision statement:
“Our vision is to move every youth from stagnation to motivation, from limit ations to
possibilities; from dependency to self-sufficiency; from the past to the future.”
As a result of their successful approach and accomplishments, the Contra Costa County CFS
Independent Living Skills Program has received recognition throughout the State of California
and nation for its performance and youth services. The program continues to emphasize and
promote positive youth development to support young people in developing a sense of
competence, usefulness, belonging and empowerment. ILSP is funded by the federal Title IV-E
and state dollars.
ILSP offers a variety of skill building trainings and youth engagement activities to promote self-
sufficiency in foster youth. Development activities and programs include, but are not limited
to, employment preparation, vocational training support, education resources, financial literacy
and housing assistance. ILSP spotlights four core areas called the Four Pillars when providing
hands-on, experiential learning experiences. The Four Pillars consist of Education, Employment,
Housing and Well Being. Workshops and events are provided in the East, West, and Central
parts of the county to attract more youth participation and to provide a shorter travel distance
for care providers and youth attending weekly workshops and events.
This past fiscal year, six hundred and ten (610) current and former foster youth were served
both individually and in group settings (i.e. workshops, classes, etc.) One hundred forty seven
(147) of these youth are deemed “Non-Minor Dependents,” and have chosen to remain in
foster care under Assembly Bill 12.
ILSP PILLAR - HOUSING
Transitional housing for foster youth and emancipated young adults continues to be delivered
in Contra Costa County. Under the Transitional Housing Placement Program (THPP), two
providers serve the in-care foster youth age 16-18. Under the Transitional Housing Program
F&HS Agenda Page 26
3
Plus (THP+), three providers serve emancipated youth, aged 18-24. The emergence of
Assembly Bill 12 produced an additional transitional housing opportunity called Transitional
Housing Program Plus Foster Care (THP+ FC), which has 5 providers. This program serves young
adults, ages 18-21 that have opted to remain in foster care as Non Minor Dependents under
AB12. Housing continues to be a significant challenge for young adults as they emancipate.
The Housing Continuum that Children and Family Services created has improved the numbers
of young adults being served, but now that AB 12 has been implemented, some of the existing
providers are opting to serve the Non Minor Dependent population exclusively, creating an
increased need for housing to serve those young adults opting to emancipate from foster care
at age 18 or 19.
ILSP maintains its efforts to develop housing options in the community through collaborations
with community based organizations, faith based organizations and individual citizens whom
are willing to offer support (i.e. room for rent). The constant goal in this area is to develop
more permanent housing options for foster youth. For example, ILSP has established
connections with the Housing Authority and receive Section 8 lists when they become available
so that ILSP participants can apply. Our ILSP staff assist youth in applying for these
opportunities. Additionally, the contracted providers, such as the County’s Homeless Programs
and First Place for Youth, work diligently to develop more permanent housing options and
advocate for improved housing options for foster youth. This past fiscal year we began to refer
youth to Safe Time who provides host homes to potential applicants.
ILSP PILLAR- EMPLOYMENT
ILSP has been partnering with the Workforce Development Board of Contra Cost a County to
deliver employment services to eligible foster youth through the Workforce Innovation and
Opportunity Act. ILSP refers youth to participate in the Earn and Learn Summer Employment
Program. ILSP continues to cultivate working relationships with the three contracted agencies
providing services through the Workforce Investment Opportunity Act (WIOA). Our work
includes referring 20% of the foster care population to both the “In School and Out of School”
programs throughout the school year. The case managers for the contracted agencies present
at ILSP staff meetings and ILSP workshops in order to recruit youth and disseminate information
for services available to them. This collaboration has proven to be beneficial to our program
and program participants and the number of foster youth served with WIOA have been steadily
increasing because of our partnership.
The East County Youth in Transition Committee comprised of Uplift Family Services, The Contra
Costa County Office of Education Foster Youth Services and The Contra Costa County Children
and Family Services' Independent Living Skills Program has been partnering with the Los
Medanos Community Healthcare District since 2011 to provide summer internships for youth
transitioning out of the foster care system. The Internship is designed to provide valuable
employment skills to the youth participants. Youth work in groups and learn public speaking
skills and they conduct research on health care issues identified by the Los Medanos
F&HS Agenda Page 27
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Community Healthcare District. This summer will be the seventh year of this award winning
internship.
Los Medanos Community Healthcare District’s Summer Intern Program projects include:
2011 - Healthy Eating Habits and Fitness: Pittsburg Seafood Festival
2012 - Under Age Smoking: Curbing teenage smoking
2013 - A Battle for Breathing: Air Pollution, Lung Cancer, and Asthma in the Community
2014 - The Heritage Project: Bridging the Age Gap between youth and senior citizens
2015 - Healthy Youth Council: Impacting Our Community to Stop Diabetes
2016 - Youth Empowerment Group: The Trends of E-cigarettes and Cigarettes usage
LMCHD’s Summer Intern Program achieved the following awards and recognitions:
2013 – Exceptional Public Outreach & Advocacy Award from California Special Districts
Association
2013 - Certificate of Recognition for Public Outreach & Advocacy from Assemblyman Jim
Frazier
2013 - Letter of Recognition for Public Outreach & Advocacy from Assemblywoman Susan
Bonilla
2013 - Letter of Recognition for Public Outreach & Advocacy from Local Agency Formation
Commission (LAFCO)
2014 - Innovative Program of the Year Award from California Special Districts Association
2015 - Exceptional Public Outreach & Advocacy award for small districts
ILSP PILLAR- EDUCATION
It is well documented that foster youth are under-educated, lack basic educational skills and
often drop out of high school. ILSP supports and encourages foster youth to stay in school
through curriculum that motivates youth to strive towards graduation, pursue a higher
education and embrace learning as a lifelong process. Our collaboration with the County Office
of Education and Mt. Diablo Foster Youth Services allows us to partner in order to get resources
and support to youth in need. This past year, one hundred and seven participants graduated
from high school and eleven graduated from college. All of the graduates were honored at the
29th Annual ILSP Recognition Event where fifty-three scholarships totaling over seventy
thousand dollars, were awarded.
ILSP provides the following trainings and events to foster youth with a concentration on Senior
Youth, to better prepare them for post-secondary education:
Scholarship Workshop
Financial Aid Workshop
Preparing Personal Statements
F&HS Agenda Page 28
5
Navigating the Community College System
College Campus Tours
Understanding the FAFSA, Chafee Grant and Board of Governor’s Fee Waiver
Senior Night Workshop
College Luncheon
Understanding the UC and the CSU system
ILSP has established specialized relationships and collaborations with the following agencies
and colleges to provide a seamless transition upon emancipation from foster care:
Los Medanos Community College:
A “Student Connection Team” was developed to provide youth with a direct contact
person within each department on campus, giving them a person to connect with while
navigating the community college system. ILSP East County Life Skills trainings are held
on campus once per week, exposing youth to the college environment. Tours and
information about the various programs and areas of study at Los Medanos Community
College are included as a part of the Life Skills Curriculum. Presentations from
departments are held as often as possible.
Job Corps – Treasure Island:
ILSP continues to maintain a relationship with Job Corps, one of the largest career
technical training and education programs in the nation for students ages 16 through
24. Job Corps provides hands on training in careers such as the Culinary Arts,
Construction, Healthcare, Security and Protective Services. Housing, meals and basic
medical care are afforded to our youth through the course of the program. ILSP is
offered site visits for youth who are interested in enrolling at Job Corps and priority
opportunities have also been made available to ILSP youth. Under AB12, this is an
approved Supervised Independent Living Placement (SILP) for our young adults.
Sierra College:
The Sierra College provides foster youth various programs, inclusive of an on-campus
housing option. Programs such as the TRiO program, Umoja, Puente, First Year
Experience, EOPS and CARE have proven to benefit ILSP youth. Our continued
relationship has nurtured a priority enrollment and registration into these programs.
Several times per year, ILSP takes appropriate youth to the campus for tours,
assessments and introductions of the services available to them. College Counselors are
on site during these presentations and financial relationships are in place to assist our
youth with securing housing/dorm deposits should they choose to attend Sierra College.
Under AB12, this is also an approved Supervised Independent Living Placement (SILP) for
our youth.
ILSP has developed relationships with the following agencies and organizations to better serve
our foster youth and to support programs and events:
F&HS Agenda Page 29
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The Assistance League of Diablo Valley:
ILSP has collaborated with the Assistance League of Diablo Valley to develop a Senior
Sponsorship Program as well as various scholarships for our youth.
The Senior Sponsorship Program is designed to financially assist graduating seniors with
the expenses for typical events during their Senior Year in High School. The program
funds such things as senior pictures, yearbooks, prom tickets, cap/gown expenses,
graduation announcements, as well as laptop/tablet purchases. This past year, 25 ILSP
participants were sponsored $400.00 each totaling $10,000.00. In addition, the
Assistance League provides each emancipating youth with an “On Your Way” Duffle bag
filled with various household products and basic necessities to assist them as they
progress into adulthood.
Volunteer Emergency Services Team In Action, Inc. (VESTIA):
VESTIA has served as a fiduciary agent for ILSP donations. In addition, this past year, the
VESTIA Board sponsored a part of the expenses for the 29th Annual Recognition Event
held to honor graduating seniors. The VESTIA scholarship committee awarded eleven
(11) scholarships totaling $11,000.00 that evening. We receive items for our onsite Food
Pantry, donated clothing for our onsite clothes closet and school supplies for our youth
as often as needed.
The Orinda Woman’s Club:
The Orinda Woman’s Club has provided scholarships annually to our graduating seniors.
This past year, 8 youth benefited from a total of $8,000.00 in scholarships towards their
college education.
Honorable Judge Lois Haight Foster Youth Foundation:
In 2001, Honorable Judge Lois Haight established a foundation specifically to serve our
population of youth and has since provided hundreds of scholarships to our youth in
excess of $440,000.00. This past June, she presented twenty (25) scholarships totaling
$25,000.00 to seniors of the class of 2017.
The Wilhelmina Johnson ILSP Youth Award:
Wilhelmina Johnson was an avid youth advocate, social worker and program analyst
who dedicated 24 years to Contra Costa County youth and was instrumental in the
establishment of Contra Costa County’s Independent Living Skills Program. She believed
that every youth deserved a chance regardless of their background. ILSP honors youth
who have demonstrated the ability to overcome significant barriers and achieved
personal growth with this scholarship each year.
Foster A Dream:
ILSP collaborates with Foster A Dream to host the annual Holiday Network Event as part
of the Well-Being Pillar. In addition, Foster a Dream has provided our youth with
F&HS Agenda Page 30
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backpacks containing school supplies during our Fall Retreat Kick-off Event. Foster A
Dream also provides scholarships to graduating seniors each year.
Free Senior Portraits by Suzy Todd Photography:
Suzy Todd approached ILSP and offered her professional services to ILSP seniors. She
wanted to give back and does so by providing seniors with free senior portrait packages
valued at $300 each.
The Secret Elves:
During the Holiday season, ILSP hosts a Holiday Social event for our youth to provide
them with donated gifts from the Secret Elves. The Secret Elves have provided gifts that
teens are able to enjoy during the holiday season. This past year, The Secret Elves
provided each youth a ukulele and lessons on how to play one. In addition, youth were
given gift cards to purchase a personal item of their choice.
Friends of ILSP:
“Friends of ILSP” is an informal group of ten members of the Philanthropic and
Educational Organization that will provide scholarships and financial assistance to ILSP
graduates. This organization is providing scholarship monies to upcoming or former
graduates of the Independent Living Skills Program that wish to or are pursuing higher
education or certification from a trade school. Applications are accepted throughout the
school year and contact by this organization is ongoing. They provide birthday an d
holiday cards and frequent contact throughout the year to let our young adults know
that they are cared for.
ILSP WELL-BEING
Youth in foster care often do not experience childhood in the way most children who live with
their families of origin do. They have suffered child abuse and neglect, been removed from
their families and many older youth spend the remainder of their childhood moving from home
to home. The foster care system is designed to fund board and care and basic needs, but not
necessarily extra-curricular activities such as participating in sports, arts, birthday parties,
spending the night at friend’s homes, and the like. They are in turn expos ed to the sub-culture
of foster care. They learn the survival skills needed to cope with placement changes, rejection
from resource parents, and the grief of not being with their families. Instead of developing
positive social skills, for instance, some are learning to cope with living in a group setting with
other foster youth who are struggling with their own issues. ILSP provides activities and
supportive services to help encourage positive social development and exposure to typical child
hood activities. Through a variety of excursions such as outings to baseball and football games,
field trips to beaches, bike riding, ski trips and water rafting, foster youth are able to experience
fun activities that a typical teenager might, but are also mentored in developing positive social
skills and are further engaged in the ILS program. The State of California Department of Social
Services has emphasized the importance of supporting the well-being of foster care and ILSP is
the perfect mechanism to provide this intervention. The ILSP staff is trained in an approach
F&HS Agenda Page 31
8
called Positive Youth Development. This approach enables them to engage youth and motivate
them to strive to improve their lives and grow into happy and healthy adults.
ILSP - AFTERCARE
Each year, 100-150 foster youth are eligible to age out of foster care at age 18 or 19 years old.
If they choose to emancipate out of foster care, then at that point, they are on their own to
support themselves. Some foster youth are fortunate to remain with their resource parents or
relatives; other youth are able to participate in a Transitional Housing Program, but most of
them will struggle once they leave the system. The funds provide supportive services to
emancipated foster youth up to age 21 years old. The needs of emancipated youth are severe.
They often call in crisis, homeless and in need of basic necessities such as transportation, food
and shelter. The Aftercare program provides emancipated foster youth as well as Non Minor
Dependent young adults living under AB12 regulations supportive housing, employment,
educational, and crisis services.
LEADERSHIP DEVELOPMENT
ILSP promotes the development of leadership in foster youth. Whenever possible,
emancipated foster youth are invited to share their experiences with ILSP youth and to
facilitate workshops or trainings. In addition, ILSP promotes participation and support of the
Contra Costa County California Youth Connection (CYC) chapter. CYC is a statewide advocacy
organization specifically geared towards developing leadership in and advocacy skills to engage
foster youth with policy makers to improve the foster care system. CYC is mainly responsible
for all of the positive legislative changes impacting the child welfare system. Additionally, each
year ILSP prepares foster youth to participate in a leadership group called the Speaker’s Bureau.
These youth are trained in public speaking and work with ILSP to speak to community groups,
advocate for legislation at the State Capitol and be the Youth voice in the child welfare system.
This past year, our local chapter of CYC received the Local Issue Award for bringing healthy
eating awareness to our local group homes and for hosting the Iron Chef Challenge, which
paired our participants with care providers who together, prepared a nutritious meal.
SUMMARY/CONCLUSION
Youth who emancipate from foster care are expected to become self-sufficient at age 18 or 19
years old. This entails the ability to maintain stable housing, maintain employment, and
maintain one’s physical health. Research on the outcomes of emancipated foster youth
indicates that this task is difficult for this population. Rates of homelessness for emancipated
foster youth have been found to be as high as 42% and housing moves are generally related to
poverty and lack of stable family relationships. Foster youth also have high rates of
incarceration, especially when they have experienced multiple placements and time in the
foster care system.
F&HS Agenda Page 32
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ILS programs have been implemented by Child Welfare programs in order to help prevent these
negative outcomes. The Contra Costa County CFS ILSP has upwards of 800 eligible youth each
year and endeavors to provide resources in collaboration with the foster care system. Much of
the work of the ILSP Coordinators and staff is spent cultivating collaborative partnerships with
community based organizations and other foster youth serving groups. Their expertise in
engaging youth and motivating them to stay in school, graduate, and obtain life sustaining
employment is critical. This work was acknowledged by the 2014-2015 Contra Costa County
Grand Jury, in report 1509, entitled, “The Benefits of the California Connections to Success Act
in Contra Costa County.” With the Board’s continuing support and commitment to the ILS
program, foster youth will continue to benefit from quality skill building workshops, events and
one on one support. They will continue to acquire better social skill development and improve
transitions into adulthood.
F&HS Agenda Page 33
Workforce Development Board Family & Human Services Presentation May 2017
WIOA Youth Programs
On July 22, 2014 the Workforce Innovation and Opportunity Act (WIOA) was signed into law. WIOA was
implemented on July 1, 2015, replacing the Workforce Investment Act (WIA) of 1998. Key changes under
WIOA for serving youth include increasing the minimum percentage of funds to be spent on out-of-
school youth from 30% to at least 75%, increased focus on work-based learning and career pathways,
extending the out-of-school age limit from 21 to 24 years and streamlining the eligibility process. These
changes are consistent with DOL’s commitment to delivering high-quality services for disconnected youth
and young adults beginning with career exploration and guidance, continuing support for educational
attainment, opportunities for skills training in high-demand industries/occupations and culminating with
a high quality job along a career pathway or enrollment in post-secondary education.
The Department of Labor (DOL) estimates that nearly 14 percent of 16-24 year olds in this country are
not employed or not in school. In many cases, they face additional challenges, including being low-
income, homeless, young parents, in foster care or involved in the justice system. These disconnected
youth and young adults are twice as likely to live in poverty, three times as likely to not have a high
school diploma or its equivalent and three times as likely to be disabled. Disconnected girls and young
women are more than three times as likely to have a child as their connected counterparts. Strategies to
reach and engage these vulnerable young people are a priority for the Workforce Development Board.
The Workforce Development Board of Contra Costa (WDB) and its Youth Committee issue a Request for
Proposals (RFP) every three years. By partnering with Community Based Organizations other Public
Agencies and School Districts, the WDB maximizes impact in the communities most in need by leveraging
match funding. For instance, WIOA funding in contracts with current service providers Contra Costa
County Office of Education/RYSE, Bay Area Community Resources/Opportunity Junction, and Mount
Diablo Unified School District is matched dollar for dollar. WIOA funds allocated to youth service
providers are used for the following program design areas:
Outreach, Recruitment, Orientation
Intake, Eligibility, Registration
Objective Assessment and Referral
Individual Service Strategy
Case Management
Access to a Range of Services.
It is the intent of the WDB’s youth program to connect more young people in Contra Costa County with
broader work opportunities, increase work readiness and competitiveness in future employment and
build career planning capacity and skills development through various means including post-secondary
education. Funded youth providers program designs must include the following 14 required elements:
DONNA VAN WERT
INTERIM EXECUTIVE DIRECTOR
Executive Director
F&HS Agenda Page 34
Tutoring, study skills training
Alternative secondary school offerings
Meaningful work experience opportunities
Occupational skills training
Education offered concurrently with workforce preparation
Leadership development opportunities
Supportive services
Adult mentoring
Follow-up services for a minimum 12-month period
Comprehensive guidance and counseling
Financial Literacy education
Entrepreneurial skills training
The WDB’s service provider’s delivered intensive wrap-around services to 400 youth and young adults in
FY 2017/18. For example, 107 of those youth have a disability, 42 are connected to the justice system,
227 are basic skills deficient, 72 are in, or aged out of, Foster Care, 77 are homeless youth and 66 youth
who are pregnant or parenting.
The WDB strives to be diversified in our funding for youth programs and has positioned itself to receive
financial support from the California Department of Education Career Pathways Trust grants. With that
funding, the WDB launched Earn & Learn East Bay, an engagement and recruitment campaign bringing
partners throughout Contra Costa County and the East Bay together to expose youth and young adults to
local careers and hands-on work experiences. Earn & Learn recognizes the value of collaboration to
support our region’s economic vitality. This innovative initiative maximizes success for both businesses
and youth and has successfully connected thousands of youth to Work-based learning experiences in the
community.
WIOA funding has seen a steady decrease over the past 3 program years. For fiscal year 2017-18,
significant decreases in funding are expected to impact the WDB’s ability to serve the most vulnerable
youth in Contra Costa County. The graphic below demonstrates the severe funding reductions that the
WDB has already seen in just the youth program, which has resulted in an almost 50% reduction in
contracted services. These contracted services are the heart of our youth program.
F&HS Agenda Page 35
F&HS Agenda Page 36
Moving the agency in a positive direction with regards to helping families become stronger so they can care for their children, helping family be able to care for children when their parents cannot, and to create and maintain a workforce committed to excellence.2016/2017PROGRAM REPORTFAMILY AND HUMAN SERVICES’ COMMITTEEJuly 31, 20171F&HS Agenda Page 37
The Forward Movement of Children & Family ServicesService Delivery to strengthen families in the community• Prioritizing Staffing• Ombudsman specific for CFS & Adult Protective Services Work• Caregiver Liaison• Safety Organized Practice (SOP)• Children’s Leadership Team (CLT)• The Court Unit Workgroup• The County Culture Workgroup• Intensive Family Services (IFS)• Structured Decision Making (SDM)• Resource Family Approval (RFA)• Approve Relative Caregiver Funding Option (ARCFO)• Continuum of Care Reform (CCR)• Continuous Quality Improvement (CQI)2F&HS Agenda Page 38
•Programming to support foster youth age 16 to 21 years old to become self-sufficient through skill building, supportive services and positive youth development.•Funding and services expanded to State and Federal government via the John H. Chafee Foster Care Independence Act in 1999.•Assembly Bill 12, the California Fostering Connections to Success Act allows young adults to be provided transitional support to age 21 to ensure the necessary skills to survive on their own.3F&HS Agenda Page 39
The IndependentLiving Skills Program“Our vision is to move every youthfrom stagnation to motivation,from limitations to possibilities;from dependency to self-sufficiency; from the past to the FUTURE.”4F&HS Agenda Page 40
•Children who have been removed from their family’s custody due to neglect and abuse.•Children who have not reunified with their family nor have they found a permanent home (i.e. adoption)•Children who may have grown up in foster care or just entered as adolescents.•Youth who have a Placement Order through the Juvenile Probation Department at the age of 16.5F&HS Agenda Page 41
Children who emancipate from the foster care systemface higher rates of:• Unemployment• Lower Educational Attainment• Incarceration• Dependence on public assistance• Substance abuse• Early parenting• Homelessness• Increased Health and Mental Health problems• Other high-risk behaviors6F&HS Agenda Page 42
•Staff consists of an ILSP Coordinator, Assistant Coordinator and 5 Program Specialists•Serves all foster youth from Contra Costa County, including youth from other counties placed in Contra Costa County •ILSP Youth Center opened in 2001•Collaborative Partners include:CCC Office of EducationThe Assistance League of Diablo ValleyCCC Community College DistrictThe Orinda Woman’s ClubWellness City ChallengeBay Area Community ResourcesJob Corps – Treasure IslandThe Secret ElvesSuzy Todd Photography Friends of ILSP OrganizationThe Los Medanos Community Healthcare DistrictHonorable Judge Lois Haight Foster Youth FoundationCCC Workforce Development Board Youth Council – WIOAVolunteer Emergency Services Team In Action (VESTIA)Foster A DreamARM of Care, Inc7F&HS Agenda Page 43
•ILSP spotlights four core areas called “The Four Pillars” when providing hands-on, experiential learning experiences for participants. The Four Pillars consist of Education, Employment, Housing and Well-Being. Workshops are offered in all three regions of the county (East, Central & West) to increase participation. •Aftercare program for emancipated youth/AB12 youth•Leadership Development through California Youth Connection (CYC)8F&HS Agenda Page 44
•This past fiscal year, 610 current and former foster youth were served both individually and in group settings (i.e. workshops, classes, etc.)•147 of these youth were Non-Minor Dependents•THP+ has the capacity for 12 emancipated youth and THPP has the capacity for 24 in care youth•THP+FC is expanding as new providers are becoming certified to offer housing services to our Non Minor Dependent Population. We currently work with six licensed agencies.•106 ILSP youth graduated High School in 2017•11 graduated college9F&HS Agenda Page 45
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Summer Network Event – WaterWorld12F&HS Agenda Page 48
13F&HS Agenda Page 49
Los Medanos Community CollegeFoster Youth Education Summit14F&HS Agenda Page 50
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Iron ChefYouth Challenge Event18F&HS Agenda Page 54
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College Luncheon Event22F&HS Agenda Page 58
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Bear Valley Overnight Ski Trip25F&HS Agenda Page 61
ILSP Senior Kick Off Event26F&HS Agenda Page 62
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•In the current economic climate, ILSP plays an even greater role in the lives of foster youth.•For some emancipated youth, ILSP is the only support they have in times of crisis.•For youth opting to remain in foster care under AB12, ILSP will continue to provide support, direct services and resources.•ILSP addresses the social and well-being aspects of foster youth.32F&HS Agenda Page 68
FAMILY AND HUMAN SERVICES COMMITTEE -
Special Meeting 6.
Meeting Date:07/31/2017
Subject:Health Care for the Homeless
Submitted For: FAMILY & HUMAN SERVICES COMMITTEE,
Department:County Administrator
Referral No.: 5
Referral Name: Continuum of Care Plan for the Homeless / Healthcare for the Homeless
Presenter: Joseph Mega, MD MPH, Health Services
Department
Contact: Enid Mendoza, (925)
335-1039
Referral History:
This referral to the Family and Human Service Committee was originally made by the Board of
Supervisors on December 3, 1996. Since that time, the Health Services Department regularly
updates the Committee on the services provided to the homeless.
Referral Update:
On June 26, 2017, the Family and Human Services Committee received a report from the Health
Services Department on the first topic of this referral, Continuum of Care Plan for the Homeless.
Please see the attached report for an update on Health Care for the Homeless services topic of this
referral.
Recommendation(s)/Next Step(s):
ACCEPT the report provided by the Health Services Department on Health Care for the Homeless
services and DIRECT staff to forward the report to the Board of Supervisors for their information.
Fiscal Impact (if any):
The is an informational report; there is no fiscal impact.
Attachments
Health Care for the Homeless Report
Health Care for the Homeless Presentation
F&HS Agenda Page 69
1
CONTRA COSTA HEALTH SERVICES DEPARTMENT
CONTRA COSTA COUNTY
TO: Family and Human Services DATE: July 31, 2017
Committee Members
Board of Supervisors
FROM: Joseph Mega, MPH, MD
Medical Director, Health Care for the Homeless
SUBJECT: Health Care for the Homeless Annual Update
Recommendations
1. Accept this report from the Health Services Department; and
2. Forward this report to the Board of Supervisors for acceptance; and
3. Direct staff to continue to report on an annual basis to the FHS Committee
regarding health status of the homeless population in Contra Costa County by
the Health Care for the Homeless Program.
Background
Since 1990, the Health Care for the Homeless (HCH) Program has provided
health care services to the homeless population in Contra Costa County through
mobile clinics, stationary health centers and the Concord Medical Respite facility.
Health care services provided by the HCH team include routine physical
assessments, basic treatment of primary health problems such as minor wounds
and skin conditions, respiratory problems, TB screening, acute communicable
disease screening, coordination and referrals for follow up treatment of identified
health care needs, dental services, health education, behavioral health services,
medication assisted treatment and outreach and enrollment services. A
significant portion of the homeless patients seen by the HCH team have chronic
diseases, including asthma, hypertension, diabetes, and mental health/substance
abuse issues. They also have disproportionately more dental, substance abuse
and mental health needs than the general population.
The clinical team is comprised of a Medical Director, Family Nurse Practitioners,
Registered Nurses, Community Health Workers, Dentist, Registered Dental
Assistance, Mental Health Specialist, Substance Abuse Counselor, Health
Educator and Eligibility Workers.
Homeless patients who receive care on one of the mobile clinics are referred into
one of the CCHS ambulatory care health centers for primary and specialty care,
F&HS Agenda Page 70
2
into County mental health and substance abuse services, and to Contra Costa
Regional Medical Center for emergency, inpatient hospital, outpatient surgeries,
laboratory and radiology. There are four ambulatory care clinics, located in
Antioch, San Pablo, Martinez and Concord, designated specifically for homeless
patients to help them transition from the mobile clinic setting into the ambulatory
care system. HCH staff members are present at each of these clinics.
Updates
The HCH Program now includes a Medication Assisted Treatment (MAT)
team, which provides Nurse and Behaviorist Care Management services to
patients seeking recovery from opiate addiction. This program works in
collaboration with the CCHS ambulatory health center system and the CCHS
Alcohol and Other Drugs division of Behavioral Health. MAT patients are
prescribed Buprenorphine, a drug used to treat opioid addiction, enrolled in
regular group classes to support their recovery, and assigned a nurse care
manager to support this process and ensure medication and appointment
compliance. The MAT program has seen significant growth in the last year
through referrals for patients needing these services.
The HCH program also continues to expand our Behavioral Health services as
funding and collaborative opportunities become available. We’ve recently
collaborated with the Behavioral Health division to add a half-time Psychiatrist to
our mobile team. Dr Emily Watters provides psychiatric support to patients with
our Medical Outreach team and at County-run homeless shelters. In addition, we
are currently interviewing to add a Mental Health Case Manager to our team to
provide ongoing support to patients who transition out of an emergency shelter
environment.
The attached report highlights the increasing needs of the aging homeless
population, and the disproportionate behavioral and social needs of our
homeless population.
F&HS Agenda Page 71
HEALTH CARE
FOR THE HOMELESS (HCH)
CONTRA COSTA HEALTH SERVICES
JULY 31, 2017
PRESENTATION TO THE
FAMILY & HUMAN SERVICES COMMITTEE
CONTRA COSTA COUNTY BOARD OF SUPERVISORS
Joseph Mega, MD MPH
Medical Director Healthcare for the Homeless
F&HS Agenda Page 72
FUNDING FOR HCH SERVICES
•Section 330(h) Public Health
Services Act Health Care for the
Homeless grant from the Federal
Government (BPHC/HRSA) –
approx. $3.1M per year.
F&HS Agenda Page 73
NEW FUNDING
Dental Service Expansion – Mobile dental
vans providing onsite d ental services coming
in the fall
Medication Assisted Treatment –
-expansion of staffing and services
- expansion of overdose prevention
- increased advanced training for staff
F&HS Agenda Page 74
WHAT WE DO?
Primary Care
Mental Health
Substance Abuse
Dental Care
Respite Care
Case Management
Eligibility Assistance
Patient Education
Linkages to larger CCHS systems of care
F&HS Agenda Page 75
STRATEGIC PLANNING GOALS
•GOAL 1: Improve Communication within and
between Homeless Providers in Contra Costa
County.
•GOAL 2: Expand BH integration within the HCH
Program
•GOAL 3: Increase preventative services
compliance
•GOAL 4: Improve HCH visibility, service alignment
and integration within CCHS system
•GOAL 5: Reduce barriers to care and provide
comprehensive services to all Homeless clients in
County
F&HS Agenda Page 76
PATIENT DEMOGRAPHICS 2016
•54% Female (2016)
•46% Male (2016)
•7% Uninsured (2016)
•76% Medi-Cal (2016)
•25% Best served in language other
than English (2016)
F&HS Agenda Page 77
F&HS Agenda Page 78
F&HS Agenda Page 79
WHERE ARE PATIENTS BEING SERVED?
Region 2016
West County 38%
Central County 36%
East County 26%
F&HS Agenda Page 80
Chronic Conditions of HCH Patients and CCHS Medi-cal Patients
F&HS Agenda Page 81
F&HS Agenda Page 82
IMPORTANT HIGHLIGHTS OF OUR
HOMELESS POPULATION IN 2016
• Disproportionate involvement with Criminal Justice
system
• 37% of HCH Medi-cal patients
• 5% AB 109
• Disproportionate burden of Mental Illness/SUD
• 44% positive for depression
• 51 % positive for depression AND AOD
• Poor access to services:
• 20% with active MH services
• 17% AOD
• Older, Sicker Homeless Patients
F&HS Agenda Page 83
CASE STUDY
OLDER, SICKER HOMELESS PATIENTS
F&HS Agenda Page 84
TAKE HOME POINTS
• The homeless of Contra Costa County are disproportionately
interacting with the criminal justice system.
• Additional coordinated re-entry health services are needed
• Homeless population disproportionally suffers from mental illness and
substance use disorders and has unique difficulties accessing services.
• Improved behavioral health integration and flexibility of services are
desperately needed
• Increase in older, sicker homeless patients with greater needs
• Shelter and medical respite services are often inadequate leading
to increased long term hospitalizations and street homelessness
• Additional housing/custodial care options are necessary to
adequately care for this population
F&HS Agenda Page 85
HCH UPDATES
•Increased Behavioral Health integration
•HCH psychiatrist hired in 1/2017
•Currently seeking additional MH clinical specialist
•Weekly street outreach
•Point-of-care services including diagnostic imaging
•Collaboration with CORE outreach teams
•Behavioral health outreach with HCH psychiatrist
•Expanded MAT programs
•Mobile Dental Services in Fall
•Improved collaboration with TCN programs and
Detention health
F&HS Agenda Page 86
FAMILY AND HUMAN SERVICES COMMITTEE -
Special Meeting 7.
Meeting Date:07/31/2017
Subject:Local Planning and Advisory Council for Early Care and Education Activities
and Countywide Child Care Plan
Submitted For: FAMILY & HUMAN SERVICES COMMITTEE,
Department:County Administrator
Referral No.: 81 & 92
Referral Name: Local Child Care & Development Planning Council Activities / Local Planning
Council - Countywide Child Care Plan
Presenter: Ruth Fernández, LPC Coordinator/Manager,
Educational Services
Contact: Enid Mendoza, (925)
335-1039
Referral History:
The Board of Supervisors referred updates on the activities of the Local Planning and Advisory
Council for Early Care and Education (LPC) (formerly known as the Local Planning Council for
Child Care and Development) to the Family and Human Services Committee (F&HS) on January
17, 2006.
On October 17, 2006, the Board of Supervisors referred updates on the Countywide Child Care
Plan to the Family and Human Services Committee and the Local Planning and Advisory Council
for Early Care and Education has provided annual reports.
These reports are typically brought to the Family and Human Services Committee separately, but
this year the County Office of Education is prepared to present on both referrals at the same time.
Referral Update:
Please see the attached report on the Local Planning and Advisory Council for Early Care and
Education's countywide Child Care Plan and activities update.
Recommendation(s)/Next Step(s):
ACCEPT the report on the Local Planning and Advisory Council for Early Care and Education
activities and countywide plan for early care and education, as recommended by the County
Office of Education.
Fiscal Impact (if any):
This is an informational report; there is no fiscal impact.
F&HS Agenda Page 87
Attachments
LPC Report to F&HS
LPC Childrens Forum - Save the Date Flyer
F&HS Agenda Page 88
Page 1 of 7
M E M O R A N D U M
DATE: July 31, 2017
TO: Supervisor Candace Andersen, District II, Vice Chair
Supervisor John Gioia, District I, Chair
FROM: Ruth Fernández, LPC Coordinator/Manager, Educational Services
SUBJECT: Local Planning and Advisory Council for Early Care and Education (LPC)
Council Activities-Referral #92
CC: Karen Sakata, Contra Costa County Superintendent of Schools
Dr. Pamela Comfort, Deputy Superintendent of Schools
LPC Chair and Vice Chairs
RECOMMENDATION(S):
1) ACCEPT the activities report and key accomplishments during fiscal year 2016-2017 for the LPC as they
relate to Education Code - Section 8499.3 – 8499.7 and the implementation of the multi-year Comprehensive
Countywide Plan for Early Care and Education 2014 through 2017.
REASON/S FOR RECOMMENDATION:
California Education Code (EC) Section 8231 requires that Local Planning Councils prepare a comprehensive
countywide child care plan designed to mobilize public and private resources to address identified needs.
Projects and activities of the Contra Costa LPC align with legislative intent for Local Planning Councils to
serve as a forum to address the child care needs of all families and all child care programs, both subsidized and non-subsidized
in Contra Costa County (Ed code Sections 8499.3 and 8499.5).
BACKGROUND:
The Contra Costa County Local Planning and Advisory Council for Early Care and Education (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.
F&HS Agenda Page 89
Page 2 of 7
I. SUMMARY OF ACTIVITIES
a. Hosted the 13th Annual Young Children’s Issues Forum – Speak Out for Children: Educate and
Advocate on Saturday, March 18, 2017. Over 265 teachers, school administrators, college faculty,
community advocates, local government officials, parents, business leaders, and state legislators
attended the Forum held at the Pleasant Hill Community Center, in Pleasant Hill, CA. The topic of
focus for this year’s forum is Together As One Community For All Children which strived to
highlight the importance of active engagement of all of members of the community – parents, families,
caregivers, teachers, business owners, organizations of faith, policy makers, community leaders and
more – to identify what is needed for children, what needs to be changed in order to meet their needs,
what we cannot lose, and what we must gain to insure equity of opportunities for all of our children.
This event continues to be a catalyst to ongoing and active community engagement and advocacy in
the early care and education community. Forum attendees received an “advocacy toolkit” which
included local, regional and state resources for families, “how-to” tip sheets and guidelines to
encourage civic engagement and general information about the state legislative cycle.
b. Initiated the 2017 - 2020 Countywide Child Care Needs Assessment and Child Care Facility
Development Study for Contra Costa County.
The LPC is currently coordinating their 2017 Needs Assessment and Child Care Facility Study.
The child care needs assessment is conducted every five years and aims to determine the child care needs
as mandated by California Education Code for all LPCs across the State. Based on recommendations
made by the LPC’s Ad Hoc Child Care Facilities Committee the LPC commissioned a comprehensive
countywide needs assessment study for child care for children ages 0 to 12 that includes current
conditions of existing facilities, interest in expansion from current providers, potential financing
models, and roles for various stakeholders.
The study will be conducted by Brion Economics, Inc. and will be modelled after the study
being conducted in San Mateo County by Brion Economics, Inc. (BEI) with Davis Consultant
Network, Nilsson Consulting, and other sub-consultants. The study will be conducted in phases,
partly due to funding constraints, but also due to the nature of the work that builds on each phase.
Brion Economics, Inc. will update the prior Needs Assessment for 2017, and will provide key
analysis and data on an implementation effort to increase the supply of child care facilities in the
County. The overall study proposal is divided in five phases overall. However, the current project will
only address Phases 1 and 2. Financial sponsorship for the study is provided by the Contra Costa
County Office of Education and the LPC; First 5 Contra Costa and the Contra Costa County
Department of Conservation and Development (DCD).
• Phase 1: Countywide Child Care Needs Assessment - 2017 (NA) by City and community area and
countywide, as of 2017 and 2027.
• Phase 2: Online Surveys & Analysis of Existing Child Care Providers and Stakeholders in County
• Phase 3: Prepare Child Care Capital Improvement Plan
• Phase 4: Identify 10 possible ELF sites and conduct site assessments
• Phase 5: Child Care CIP Financing Strategy for ELF site development
F&HS Agenda Page 90
Page 3 of 7
The lack of child care facilities in an ongoing issue in our county and budgets require we address
the issue in the most efficient and focused manner. Currently, our county is unprepared for the
expansion of state preschool slots due, in great part, to the absence of adequate facilities. The LPC
envisions this study as an effort to operationalize the goal of increasing the supply of child care
facilities and program expansion in areas of need. Thus, this study presents an opportunity to further
partner with DCD and First 5 Contra Costa for long-term systemic efficiencies and expansion of child
care services in our community. The LPC acknowledges the essential role of our local partners and
co-sponsors of this study in the local system working to ensure Contra Costa County residents have
access to healthy and safe living and working environments.
c. Coordinated and Facilitated Quarterly State Funded Program Administrators Network
(SFPAN) meetings held at the CCCOE and facilitated by the LPC Coordinator. The State
Funded Administrators Network (SFPAN) convenes 14 agencies that contract with the California
Department of Education to provide General Child Care Services for children ages 0-12 and State
Preschool services for high need families and children throughout Contra Costa. The SFPAN
includes the county’s Head Start and Early Head Start providers and the CalWorks child care voucher
program known as the Alternative Payment Program which includes stage 1, stage 2 and stage 3
families.
d. Support and Fiscal Consultation/Coaching Services for Administrators of State Funded
Programs - Title 5 contractors with the California Department of Education, Early Education and
Support Division (CDE-EESD) continue to struggle to fully earn their contract allocation due to low
state reimbursement rates, unrealistic family income eligibility guidelines and staff turn-over. Providers
cannot cover their operational costs, and therefore, are unable to utilize their full allocation of state
and federal child care and child development funds. Over the past four years, the amount of unearned
state child care and development funds in Contra Costa County has steadily increased. The LPC also
gathered local data from state-funded program administrators that indicated a need for additional
training, coaching and technical assistance (TA) for Program Administrators and Directors.
During 2016 – 2017, the LPC decided to allocate AB 212 funds to “pilot” consultations
services to administrators with the goal of improving efficient contract management for full earning of
allocation. Over the past two years, three Title 5 programs experienced changes in administration and
leadership which impacted the stability of the programs greatly. Other local challenges among Title 5
contractors include: lack of available child care facilities and low enrollment.
e. LPC Coordinator is CCCOE’s administrator for the California State Preschool Program QRIS
Block Grant and Infant and Toddler QRIS Block Grant contracts for Contra Costa County.
The LPC is actively involved in the local planning, coordination and implementation of quality
improvement services, professional development and growth activities and incentives, and countywide
efforts to increase public awareness of “quality indicators” through the Contra Costa Quality Matters
program.
F&HS Agenda Page 91
Page 4 of 7
II. ACCOMPLISHMENTS
Nurture and Retain a Qualified Early Care and Education Workforce
As in previous years, the LPC has offered multiple professional growth and development services and
incentives in Contra Costa County. The LPC was approved by the California Department of
Education (CDE) in 2016 -2017 to support teaching staff and the leadership (Site Supervisors and
Directors) at state-funded Early Care and Education (ECE) programs by providing stipends for
participation at various levels and through multiple commitments to participation paid with AB212
funds. Total stipends issued from AB212 of $76,173.79 were paid to 81 AB212 eligible staff. The LPC
chose to implement the following activities under the sponsorship of AB212 funding:
• Professional Development Program (PDP) Services and Incentives: During fiscal year (FY)
2016-2017, the Contra Costa LPC continued the partnership with First 5 Contra Costa for
Professional Development Program funding. During the application period, 112 applications were
received from AB212 educators. After completing approved PDP activities, a total of 76 AB212
staff received incentives in one or more components or incentive categories.
• Site Supervisor and Director Professional Learning Communities (PLC) Project- The LPC
received eight applications from participants to the 2016-2017 with one applicant withdrawing
before initiating any activities in the PLC. During the project, the leaders participated in activities
with seven Site Supervisor/Directors completing all activities in the Professional Learning
Community (PLC) and were deemed eligible to receive stipends of $1000 each for a total of $7000.
• Foreign Transcript Evaluation Services continued to be funded and provided through
AB212 allocations and were offered in PDP - Two evaluations were completed for PDP
participants by an evaluation service to assist AB212 individuals with education from outside the
United States with applying for or advancing on the Child Development Permit or degree
completion - $650.
• Community Hot Topics Seminar: 13th Annual Young Children’s Issues Forum 2016 Speak Out
for Children– On Saturday, March 18, 2017, over 265 teachers, school administrators, college
faculty, community advocates, local government officials, parents, business leaders, and state
legislators attended the 13th Annual Young Children’s Issues Forum “Speak Out For Children:
Educate and Advocate” held at the Pleasant Hill Community Center, in Pleasant Hill, CA.
Certificates of Professional Growth Hours were issued – AB212 funds partially supported the
implementation of the Forum.
• Additional AB212 Support Services: 112 applications were received from AB212 educators for
participation in the Professional Development Program by advisors at each of the three colleges in
the Contra Costa Community College District or by AB212 Staff. The college advisors provided
Information Sessions, education advising towards degrees, regular individual advising sessions, and
documentation acceptance from July 2016 through January 2017. AB212 staff continued to
provide the same services at state-funded employment sites, through advising appointments, Child
Development Permit application processing and related professional growth advising sessions, and
F&HS Agenda Page 92
Page 5 of 7
training, as needed, for understanding of renewal requirements for the Child Development Permit
and for successful participation in PDP. PDP stipend details follow in Table 1- the number of
participants completing each type of professional development and the stipend amounts by
category is represented in the next page.
• Permit Applications: AB212 staff continued to assist early childhood educators to apply for new,
renewal and upgrade Child Development Permit applications. A total of 157 permit applications
were processed to date with 11 from AB212 Professional Development Program (PDP)
participants who submitted Permit applications. In the past several years, AB212 staff have seen an
increase in online renewals by Contra Costa County early childhood professionals. There seems to
be a better understanding of the process for online renewals and many have become more aware
of the services which can be provided online. Recent history has shown that fewer individuals are
needing assistance with accessing their Permit information online and may contact AB212 staff for
guidance in making payment, submitting the application for renewal, or editing personal
information due to marital status, address changes, or incorrect information. Professional Growth
Advising and the development of awareness of that may have also increased this online
engagement with the Commission on Teacher Credentialing (CTC).
2016-2017 Professional Development Program (PDP)
Incentive Summary - Table 1
Stipend Type and amount
Number per
Stipend
Type
Total per
Stipend Type
Course Completion Stipend = $400 for 6 units completed 59 $23,600
Professional Training Hours = $150 (for completion of 12 hours or $300
for completion of 24 hours 11 $3,150
Professional Training Receipts Based on receipts submitted = MAX $100 4 $273.79
Coursework Bonus for completing additional units after first 6 units.
$100 per unit with MAX $800 44 $22,100
Reflective Practice Seminar = $300 required concurrent enrollment in
one three-unit course. 26 $7,800
Education Milestone
M1 - completion of 24 ECE/CD and 16 GE for Teacher Permit = $500,
M2 - completion of AA/AS degree = $500
M3 -completion of BA/BS =$500
17
M1 = 8
M2 = 6
M3 = 3
M1 = $4,000
M2 = $3,000
M3 =$1,500
Lost Wages - Completion of lab or community-based supervised field
experience which required absence from employment, based on hours
completed
3 $3,750
PLC - Site Supervisor and Director Professional Learning Community =
$1000 7 $7,000
Total stipend types paid to 76 approved and eligible participants 171 $76,173.79
F&HS Agenda Page 93
Page 6 of 7
Permit Applications Processed During 2016 - 2017 for State-Funded Programs
Permit Level by Job Title
Job Title
No
Permit
Yet Assistant
Associate
Teacher Teacher
Master
Teacher
Site
Supervisor
Program
Director Total
TAT or
Assistant 8 1 3 - - - - 12
Associate
Teacher - - 19 3 1 2 - 25
Teacher 2 - 3 9 2 2 - 18
Master/Lead
Teacher - - 1 2 3 5 1 12
Site
Supervisor - - - - - 6 2 8
Program
Director - - - - - - 1 1
Total 10 1 26 14 6 15 4 76
Retention by Job Title
Job Title and Years of Employment
Years of Employment Totals
Job Titles Not provided < 3 years 3-5 years 5-10 years
More than
10 years
Assistant 1 8 3 - 1 13
Associate Teacher 2 9 1 7 5 24
Teacher 2 6 2 3 6 19
Master Teacher - 2 2 - 7 11
Site Supervisor - - 1 1 6 8
Program Director 1 - - - - 1
Total - Central 6 25 9 11 25 76
F&HS Agenda Page 94
Page 7 of 7
III. PROPOSED WORK PLAN/OBJECTIVES FOR 2017 - 2018
The LPC will continue to oversee the design and implementation of the following projects and priority
activities:
• Plan, Coordinate and Host the 14th Annual Young Children’s Issues Forum – Speak Out for
Children: Educate and Advocate scheduled for Saturday, March 17th, 2018 (See Save the Date Flyer
Attached).
• Complete the new Countywide Child Care Needs Assessment and Facility Development
Study 2017-2020
The Early Learning Facilities Needs Assessment would update the prior Child Care Needs Assessment
for 2017 (a statutory mandate for the LPC), and would provide key analysis and data on an
implementation effort to increase the supply of child care facilities in the County. The study is
expected to be completed by April 2018.
• Convene Annual LPC Member Retreat on December 1, 2017 to begin strategic planning process for
Contra Costa County Comprehensive Countywide Early Care and Education Plan 2017-2020.
• Participate, support and align funding goals to support countywide efforts to improve the quality
of all Early Care and Education programs through the Quality Matters (QRIS) Project.
• Co-sponsor teacher incentives and professional development services offered through Contra
Costa County PDP utilizing AB212 funding and in partnership with First 5 Contra Costa.
• Continue implementation of the California Transitional Kindergarten Stipend Project (CTKS) by
continuing to build and maintain relationships with TK Coordinators, State Preschool (CSPP)
Administrators and TK/CSPP teachers in Contra Costa County.
F&HS Agenda Page 95
SAVE THE DATE—
14th Annual Young Children’s Issues Forum 2018
“Speak Out for All Children: Educate and Advocate”
Join your local state legislators, local elected officials, business leaders, early childhood educators,
families, and the community in a dialogue about the current movement to elevate the quality of Early
Care and Education services for all children and promote increased compensation.
When: Saturday, March 17, 2018, 9:00 AM – 2:00 PM
Registration and resource fair begins at 8:30 AM
Where: Pleasant Hill Community Center
320 Civic Drive, Pleasant Hill, CA 94523
Cost: $15 - Space is limited
Resources, continental breakfast and light lunch provided.
Watch for registration information on our website:
www.plan4kids.org
Limited child care available for children 2 years and up.
For more information, please call Ruth Fernández at 925-942-3413
Coordinated by the Contra Costa County Office of Education
F&HS Agenda Page 96