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Home My WebLink AboutBOARD STANDING COMMITTEES - 04282023 - FHS Cte Agenda Pkt FAMILY & HUMAN SERVICES COMMITTEE April 28, 2023 10:00 A.M. Join in person: 1025 Escobar St, Room 110A Martinez, CA 94553 Join from PC, Mac, Linux, iOS or Android: https://cccounty-us.zoom.us/j/83663561190?pwd=d2FvTjdXbXlySjQ4Yklyc0J0Qk9zQT09 Join by telephone, dial: USA 214-765-0478 USA 888-278-0254 (US Toll Free) Conference code: 382517 Supervisor Candace Andersen, Chair Supervisor Ken Carlson, 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. RECEIVE and APPROVE the Record of Action for the March 23, 2023 Family and Human Services Committee (FHS) meeting. (Danielle Fokkema, FHS Staff) 4. CONSIDER recommending to the Board of Supervisors the appointment of Marilyn Fowler to the City of Concord Local seat on the Contra Costa Advisory Council on Aging (ACOA) with a term expiring on September 30, 2023 and Mike Awadalla to the At-Large #7 seat, George Lee to the At-Large #8 seat, and Ramapriya Raju to the At-Large #13 seat on the Contra Costa Advisory Council on Aging (ACOA) with a terms expiring on September 30, 2024, as recommended by the Employment and Human Services Department. (Ana Bagtas, ACOA Staff) 5. CONSIDER accepting the report from the Behavioral Health Division addressing various mental health service updates and directing staff to FORWARD the report to the Board of Supervisors for their information, as recommended by the Health Services Director. (Dr. Suzanne Tavano, Behavioral Health Director) 6. CONSIDER accepting the Employment and Human Services Department's Technology Update and directing staff to FORWARD the report to the Board of Supervisors for their information, as recommended by the Employment and Human Services Department. (Emilia Gabriele, Chief Deputy Director and Tracy Murray, Aging and Adult Services Director) 7. CONSIDER accepting an update on the oversight and activities of the Community Services Bureau (Non-Head Start programs) and directing staff to FORWARD the report to the Board of Supervisors for their information, as recommended by the Employment and Human Services Department. (Nicholas Bryant, Bureau Director) 8.The next meeting is currently scheduled for May 22, 2023. 9.Adjourn The Family & Human Services Committee will provide reasonable accommodations for persons with disabilities planning to attend Family & Human Services Committee meetings. Contact the staff person listed below at least 72 hours before the meeting. Any disclosable public records related to an open session item on a regular meeting agenda and distributed by the County to a majority of members of the Family & Human Services Committee less than 96 hours prior to that meeting are available for public inspection at 1025 Escobar St., 4th Floor, Martinez, 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: Danielle Fokkema, Committee Staff Phone (925) 655-2047, Fax (925) 655-2066 Danielle.Fokkema@cao.cccounty.us FAMILY AND HUMAN SERVICES COMMITTEE - SPECIAL MEETING 3. Meeting Date:04/28/2023 Subject:Record of Action for the March 23, 2023 Meeting Submitted For: FAMILY & HUMAN SERVICES COMMITTEE, Department:County Administrator Referral No.: N/A Referral Name: N/A Presenter: Danielle Fokkema, Sr. Deputy County Administrator Contact: Danielle Fokkema, (925) 655-2047 Referral History: County Ordinance requires that each County body keep a record of its meetings. Though the record need not be verbatim, it must accurately reflect the agenda and the decisions made in the meeting. Referral Update: Attached is the record of action for the March 23, 2023 Family and Human Services Committee meeting. Recommendation(s)/Next Step(s): RECEIVE and APPROVE the Record of Action for the March 23, 2023 Family and Human Services Committee meeting. Fiscal Impact (if any): There is no fiscal impact. Attachments 3-23-23 Draft Record of Action D R A F T FAMILY AND HUMAN SERVICES COMMITTEE RECORD OF ACTION FOR March 23, 2023 Supervisor Candace Andersen, Chair Supervisor Ken Carlson, Vice Chair Present: Candace Andersen, Chair Ken Carlson, Vice Chair 1. Introductions Chair Andersen called the meeting to order at 10:30 a.m. 2. Public comment on any item under the jurisdiction of the Committee and not on this agenda (speakers may be limited to three minutes). No one requested to speak during the general public comment period. 3. RECEIVE and APPROVE the Record of Action for the February 27, 2023 Family and Human Services Committee meeting. The Committee approved the Record of Action for the February 27, 2023 meeting as presented. AYE: Chair Candace Andersen Vice Chair Ken Carlson 4. RECOMMEND to the Board of Supervisors the appointment of Delphine Smith to the Low Income Seat #1 with a term expiring on June 30, 2023 and the appointments of Pamela Henderson to the Alternate Private/Non Profit Seat #1 and Timothy Barrow to the Alternate Private/Non Profit Seat #2 with terms expiring on June 30, 2024 on the Contra Costa Economic Opportunity Council (EOC). The Committee approved the appointments for Board of Supervisor approval as recommended. AYE: Chair Candace Andersen Vice Chair Ken Carlson 5. RECOMMEND to the Board of Supervisors the appointment of Benu Chhabra to the Childcare Provider 2 - Central/South County seat on the Local Planning and Advisory Council for Early Care and Education with a term expiring April 30, 2025. The Committee approved the appointment for Board of Supervisor approval as recommended. AYE: Chair Candace Andersen Vice Chair Ken Carlson 6. APPROVE recommendations for FY 2023/24 Community Development Block Grant (CDBG) Public Service (PS) projects as recommended by staff and/or as amended by the Committee; 1. APPROVE recommendations for FY 2023/24 Emergency Solutions Grant (ESG) projects as recommended by staff and/or as amended by the Committee; and 2. DIRECT Department of Conservation and Development staff to prepare a staff report that includes the Committee’s recommendations, and submit it with the funding recommendations report for all other CDBG categories, for the review and approval of the Board of Supervisors as a consent calendar item at their May 9, 2023 meeting. 3. Public comment was received by two callers. The Committee accepted the report and approved staff forwarding it to the Board of Supervisors for their information. AYE: Chair Candace Andersen Vice Chair Ken Carlson 7. APPROVE the revised 2023 Family and Human Services Committee meeting schedule or provide direction to staff regarding any changes thereto. The Committee approved the revised 2023 Family and Human Services Committee meeting schedule, referral workplan, and meeting format with one modification. The Committee cancelled the August 2023 meeting date. AYE: Chair Candace Andersen Vice Chair Ken Carlson 8. The next meeting is currently scheduled for Friday, April 28, 2023. 9. Adjourn The meeting adjourned at 10:48 a.m. For Additional Information Contact: Danielle Fokkema, Committee Staff Phone (925) 655-2047, Fax (925) 655-2066 Danielle.Fokkema@cao.cccounty.us FAMILY AND HUMAN SERVICES COMMITTEE - SPECIAL MEETING 4. Meeting Date:04/28/2023 Subject:Appointments to the Advisory Council on Aging Submitted For: FAMILY & HUMAN SERVICES COMMITTEE, Department:County Administrator Referral No.: N/A Referral Name: Appointments to Advisory Bodies Presenter: N/A Contact: Ana Bagtas, 925-655-0771 Referral History: On January 7, 2020, the Board of Supervisors adopted Resolution No. 2020/1 adopting policy amendments 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 a Board of Supervisors committee. The Advisory Council on Aging (ACOA) provides a means for county-wide planning, cooperation and coordination for individuals and groups interested in improving and developing services and opportunities for the older residents of this County. The Council provides leadership and advocacy on behalf of older persons and serves as a channel of communication and information on aging. The Advisory Council on Aging consists of 40 members serving 2 year staggered terms, each ending on September 30. The Council consists of representatives of the target population and the general public, including older low-income and military persons; at least one-half of the membership must be made up of actual consumers of services under the Area Plan. The Council includes: 19 representatives recommended from each Local Committee on Aging, 1 representative from the Nutrition Project Council, 1 Retired Senior Volunteer Program, and 19 Members at-Large. Pursuant to the ACOA Bylaws, the ACOA may recommend for appointment up to four (4) alternate Member-at-Large (MAL) members, who shall serve and vote in place of members (City or MAL) who are absent from, or who are disqualifying themselves from participating in a meeting of the ACOA. The Area Agency on Aging, the ACOA and the Clerk of the Board, using Contra Costa TV (CCTV), assisted with recruitment. Area Agency on Aging staff has encouraged interested individuals including minorities to apply through announcements provided at the Senior Coalition meetings and at the regular monthly meetings of the ACOA. The Contra Costa County Employment and Human Services Department (EHSD) website contains dedicated web content where interested members of the public are encouraged to apply. The website provides access to the Board of Supervisors' official application with instructions on whom to contact for ACOA related inquiries, including application procedures. Referral Update: The Contra Costa Area Agency on Aging (AAA) recommends the following individual for appointment to the Contra Costa Advisory Council on Aging (ACOA) with a term expiring on September 30, 2023: City of Concord Local - Marilyn Fowler Marilyn Fowler submitted an application for ACOA membership on January 20, 2023. The City of Concord recommended Marilyn Fowler to serve as the ACOA’s City of Concord representative on January 24, 2023. The Contra Costa Area Agency on Aging (AAA) recommends the following individual for appointment to the Contra Costa Advisory Council on Aging (ACOA) with a term expiring on September 30, 2024: At-Large #7 - Mike Awadalla Mike Awadalla submitted an application for ACOA membership on April 20, 2021 and he was appointed to fill the Alternate #1 seat. The Membership Committee nominated Mike Awadalla to vacate the Alternate #1 seat and fill the At-Large #7 seat. On December 7, 2022, the Executive Committee approved the nomination. On December 21, 2022, the ACOA members voted unanimously to approve Mike Awadalla’s appointment. At-Large #8 - George Lee George Lee submitted an application for ACOA membership on August 16, 2021 and appointed to fill the Alternate #2 seat on the ACOA on March 22, 2022. The Membership Committee nominated George Lee to vacate the Alternate #2 seat to fill the At-Large #8 seat. On December 7, 2022, the Executive Committee approved the nomination. On December 21, 2022, members of the ACOA voted unanimously to approve George Lee’s appointment. At-Large #13 - Ramapriya Raju Raju Ramapriya submitted an application for ACOA membership on March 3, 2022 and appointed to fill Alternate #3 seat on the ACOA on July 26, 2022. The Membership Committee nominated Ramapriya Raju to vacate the Alternate #3 seat and fill the MAL #13 seat. On December 7, 2022, the Executive Committee approved the nomination. On December 21, 2022, the ACOA members voted unanimously to approve Ramapriya Raju's appointment. Recommendation(s)/Next Step(s): RECOMMEND to the Board of Supervisors the appointment of the following individual to the Contra Costa Advisory Council on Aging (ACOA) with a term expiring on September 30, 2023: City of Concord Local - Marilyn Fowler RECOMMEND to the Board of Supervisors the appointment of the following individuals to the Contra Costa Advisory Council on Aging (ACOA) with a term expiring on September 30, 2024: At-Large #7 - Mike Awadalla At-Large #8 - George Lee At-Large #13 - Ramapriya Raju Fiscal Impact (if any): There is no fiscal impact for this action. Attachments ACOA Roster Application M. Fowler Application M. Awadalla Application G. Lee Application R. Ramapriya Advisory Board Seat Title Term Expiration Date Current Incumbent Advisory Council on Aging Nutrition Project Council Vacant Advisory Council on Aging At-Large 1 Vacant Advisory Council on Aging At-Large 2 9/30/2024 Krohn, Shirley Advisory Council on Aging At-Large 3 Vacant Advisory Council on Aging At-Large 4 9/30/2024 Shafiabady, Sara Advisory Council on Aging At-Large 5 9/30/2024 Card, Deborah Advisory Council on Aging At-Large 6 9/30/2024 Lipson, Steve Advisory Council on Aging At-Large 7 Pending Awadalla, Mike Advisory Council on Aging At-Large 8 Pending Lee, George Advisory Council on Aging At-Large 9 Vacant Advisory Council on Aging At-Large 10 9/30/2024 Tobey, Terri Advisory Council on Aging At-Large 11 9/30/2023 Bhambra, Jagjit Advisory Council on Aging At-Large 12 9/30/2024 Neemuchwalla, Nuru Advisory Council on Aging At-Large 13 Pending Raju, Ramapriya Advisory Council on Aging At-Large 14 9/30/2023 Yee, Dennis Advisory Council on Aging At-Large 15 9/30/2024 Bruns, Mary Advisory Council on Aging At-Large 16 9/30/2023 O'Toole, Brian Advisory Council on Aging At-Large 17 9/30/2024 Donovan, Kevin D. Advisory Council on Aging At-Large 18 9/30/2024 Wener, Michael Advisory Council on Aging At-Large 19 9/30/2023 Kleiner, Jill Advisory Council on Aging At-Large 20 9/30/2024 Sakai-Miller, Sharon Advisory Council on Aging Local Committee Antioch 9/30/2024 Fernandez, Rudy Advisory Council on Aging Local Committee Brentwood Vacant Advisory Council on Aging Local Committee Clayton 9/30/2023 Berman, Michelle Advisory Council on Aging Local Committee Concord Pending Fowler, Marilyn Advisory Council on Aging Local Committee Danville 9/30/2023 Donnelly, James Advisory Council on Aging Local Committee El Cerrito 9/30/2024 Kehoe, Carol Advisory Council on Aging Local Committee Hercules 9/30/2024 Doran, Jennifer Advisory Council on Aging Local Committee Lafayette 9/30/2023 Partridge, Erin Advisory Council on Aging Local Committee Martinez 9/30/2023 Iorns, Jody Advisory Council on Aging Local Committee Moraga 9/30/2023 Aufhauser, Martin Advisory Council on Aging Local Committee Oakley 9/30/2023 Rigsby, Michael Advisory Council on Aging Local Committee Orinda 9/30/2023 Evans, Candace Advisory Council on Aging Local Committee Pinole Vacant Advisory Board Seat Title Term Expiration Date Current Incumbent Advisory Council on Aging Local Committee Pittsburg 9/30/2023 Carterelliott, Kacey Advisory Council on Aging Local Committee Pleasant Hill 9/30/2023 Van Ackeren, Lorna Advisory Council on Aging Local Committee Richmond 9/30/2024 Burkhart, Cate Advisory Council on Aging Local Committee San Pablo Vacant Advisory Council on Aging Local Committee San Ramon 9/30/2023 Bajpai, Swamini Advisory Council on Aging Local Committee Walnut Creek 9/30/2023 Freitag, Eric Advisory Council on Aging Alternate Member 1 Vacant Advisory Council on Aging Alternate Member 2 Vacant Advisory Council on Aging Alternate Member 3 Vacant Advisory Council on Aging Alternate Member 4 9/30/2023 Lang, Thomas Term length: 24 months Pending FHS/BOS Approval Vacant Contra Costa County For Office Use Only Date Received: For Reviewers Use Only: Accepted Rejected BO ARDS, COMMITTEES, AND COMMISSIONS APPLICATION MAIL OR DELIVER TO: Contra Costa Coonty a.ERK OF THE BOARD 651 Pine Street, Rm. 1 06 Martinez, California 94553-1292 P�TYPEORP�N INK {Each Position Req.Jires a Separate Applcation) BOARD, COMMITTEE OR COMMISSION NAME AND SEAT TITLE YOU ARE APPLYING FOR: Advisor y Council on Aging Representativ e for the City of Concord PRINT EXACT NAME OF BOARD, COMMITTEE, OR COMMISSION PRINT EXACT SEAT NAME (if applicable) Print Form 1. Name: __ F_ow _le_r ____________ M_a _ri_ly_n ____________ M_il _le_r _____ _(First Name) (Middle Name) (Last Name) 2.Address: XXXX-------------------------------------(Street) (Apt.) (State) (Zip Code) (No.) 3.Phones: XXXXXXX (Home No.) n/a (Work No.) 4.Email Address: (925)451-4290 (Cell No.) 5. EDUCATION: Check appropriate box if you possess one of the following: High School Diploma I!) G.E.D. Certificate □ Califor nia High School Pro ficiency Certificate □ Giv e Highest Grade or Educational Level Achieved_M_A_-_A_p_p _l i _ed _P_s _yc_h _o _lo_g _y ___________ _ Names of colleges / universities . Degree Degree Date Course of Study / Major Units Completed Degree attended Awarded Type Awarded Semester Quarter A)Russell Sage College Soc. Sci./EI. Ed. Yes No x -BS 1969 B)Golden Gate University Applied Psychology Yes No �-MA 1996 C) Yes No -� D)Other schools / trajning Course Studied Hours Completed Certificate Awarded: completed:Conflict Resolution Yes No I!]□Golden Gate University THIS FORM IS A PUBLIC DOCUMENT 7.How did you learn about this vacancy? Occc Homepage □Walk-In □Newspaper Advertisement □District Supervisor �Other Cone. Commission on Aqin� 8.Do you have a Familial or Financial Relationship with a member of the Board of Supervisors? (Please see Board Resolution no. 2011/55, attached): No� Yes_Q_ If Yes, please identify the nature of the relationship: ___________________ _ I CERTIFY that the statements made by me in this application are true, complete, and correct to the best of my knowledge and belief, and are made in good faith. I acknowledge and understand that all information in this application is publically accessible. I understand and agree that misstatements I omissions of material fact may cause forfeiture of my rights to serve on a Board, Committee, or Commission in Contra Costa County. Sign Name: -�--------Date: Jan uary 20, 2023 Important lnfonnation 1.This application is a public document and is subject to the Califcmia Public Records Ad (CA Gov. Code §625 0-6270). 2.Send the completed paper appication to the Office of the Clerk of the Board at 651 Pine Street, Room 106, Martinez, CA 94553. 3.A resume or other relevant infoonation may be submitted with this application. 4.All members are required to take the follO\Ning training: 1) The Br0Vv11 Act, 2) The Better Government Ordinance, and 3) Ethics Training. 5.Members of boards, commissions, and committees may be required to: 1) file a Statement of Economic Interest Form also known as a Form 700, and 2) complete the State Ethics Training Course as required by AB 1234. 6.Advisory body meetings may be held in various locations and some bcations may not be accessible by pubic transportation. 7.Meeting dates and times are subject to change and may occur up to two days per month. 8.Some boards, committees, or commissions may assign members to subcommittees er work groups which may require an additional commitment of time. THIS FORM IS A PUBLIC DOCUMENT Are you currently or have you ever been appointed to a Corm. CQSta COunty advisory board? Please ci'lecic one: ii Yes □ No Ust any volunteer and community experien�, including any boards on whlth you have served. I am a member of SMACi Senk>r Mobility Action Council, The ACOA husirig group, the Health working group and Fall prevention working group. Do you have a familia l relationship with a member of the Board of Supervisors? {Please refer to thQ ,e tatlonshlps listed below or Resolution no. 2011/55) Please check one: □ YM ii No If Yes, ple�se identify the nature of the relation$hip: Oo you have any financiaf relationships with the county, wc:h as grants, contr.w:ts, or other aconomlc relationshlP5? Please check one: D Ve$ ii No If Yes, please identify the nature of the relationship: I CERTIFY that the statements made by me in this application are true, complete, and correct to the best of my knowledge and belief, and are made in good faith. I �knowledge ar'ld undetstand that all Information In this application is publicly acressiblc. I understand and agree that misstatements and/or cm missions of material fact may cause forfeiture of my rights to serve ort a boatd, commlttac, or commission in Contra Cost, County. Signed: Date: 01/06/2023 SUbmit this appfication to: c.te,kofrheBoard@cob.cccounty.us OR Oerk of tlle Board of Supervisors 1025 Escobar Street, 1st Floor Martinez, CA 94SS3 Q�tions ot>out this application? Conroct the Cleric of r/,e Board at (925) 655-2000 or by email at CJerkojTheBoord@cob. cccounty. us lmp0rtant lnfonnatJon 1. This application and any attachments vou rKOYide to it is a publi(; ctowment and i$ $l.lbjl!cl lo the Csli.fomla Public Records Act fCA GOYEmmentCode §6250•6270). 2.1\11 members of appointed bodies are required to take the advrsory body tr.,ining p� by contra c:Mta COUtlty. 3. Members of certain boards, commissions, and committees ,my be requi� ti:>: 1 I file it �tenient or Ec.ooomit Interest Form also known as aFonn 700, ,1nd 2) aimple!te the State tthie$. Training COutSe as teqdred by AB 1234. 4. MeetftlCS may be held In various locations and some locations may not be accessible bv public �tit>n- 5, M«ting d�� .ind time$ are Stabject to r.ha,nge 3M m31 ow.r up to two (11 days per mooth.6-Some boatds, comnjttees, or cornmts.s,ons may as.sign members to subcommittees or wort< l!l"OOPli which mtfY �uiri-an addiliooalcommitment of time. 7. As Indicated in Board Resolution 2011/SS, ., pcl"$0n wiD not be eligible ror appointme:i'lt if he/she IS related to a Board of Supervisors member ioany of the following relMiO�ps;:: mot het, fatn.er, son, d.lught«, brother, sister. grandmother, g_randfather, grandson, griintlti.Ji,-ghte-", areargrandfalher. gre.at-grandrnother, aunt, oode, nephew, niece, ive.1t.grandson, src.wt-gr.in dd:11.ighter, first•�in, hlM,llnd, Wife, father-fn-bw.mother-i!Haw, daughtcr-in•law, stepson, stepdilvghtc,r, si�er-in-law, btothet-ln-law. spouse's grandmo!Mr , spouse's grandfather, SDOU$C'sgranddalJShtet, and spouses' grandson,. r� domestic partntr, relat� of;, rc�<:�d dom�ic p.·dlneet as liSte.d abcWe. 8. A pc:!'$00 wt:! not be eligible to serw i the person shares a flnancl<ll klterest as defined in Government Code §87103 with a �rd of Super,n.'kll'SMember. TM1S FORM IS A PUBLIC OOCUUENT FAMILY AND HUMAN SERVICES COMMITTEE - SPECIAL MEETING 5. Meeting Date:04/28/2023 Subject:County Mental Health System of Care Submitted For: Anna Roth, Health Services Director Department:Health Services Referral No.: 115/116 Referral Name: Child and Adolescent Mental Health Services / Public Mental Health System of Care Presenter: Dr. Suzanne Tavano, Behavioral Health Director Contact: Enid Mendoza, (925) 655-2051 Referral History: On April 26, 2016, the Board of Supervisors (BOS) referred to the Family and Human Services Committee (FHS) the topic of child and teen psychiatric services and the utilization planning of the Contra Costa Regional Medical Center's 4-D Unit. This became FHS Referral No. 115, Child and Teen Psychiatric Services. On September 13, 2016, the BOS referred to the FHS the issues brought forward by the Mental Health Commission (MHC) on the County’s public mental health care system and the clarifications provided by the Behavioral Health Division of the Health Services Department. This became FHS Referral No. 116, Mental Health Care System. On June 13, 2017, the BOS received Civil Grand Jury Report No. 1703, entitled "Mental Health Services for At-Risk Children in Contra Costa County”, and forwarded the report to the County Administrator for response with input from the FHS. On July 31, 2017, the FHS received a draft response to this grand jury report, made revisions, and requested that staff add final revisions to include patient to therapist ratios, clinical staff workload distribution data, processes for verifying network providers' and community based organizations' therapist availability, contractual requirements of network providers and community based organizations to update their availability for appointments, and data regarding mental health treatment wait times. On August 15, 2017, the BOS approved the revised response to the grand jury report at their meeting and referred any necessary follow up actions to the FHS. On August 28, 2017 and October 30, 2017, the FHS received updates from the Behavioral Health Division of the Health Services Department on the pending actions, as responded to in the grand jury report, as well as an update on the timeline of the of the new West County mental health services building options. At these meetings, all topics were combined into one report due to the overlap of pending issues and questions stemming from the Mental Health Commission's White Paper and Behavioral Health's clarifications, the topic of child and teen psychiatric services and the utilization planning of the 4-D Unit, and the pending updates related to the response to Civil Grand Jury Report No. 1703, entitled "Mental Health Services for At-Risk Children in Contra Costa County". On November 23, 2020 and July 26, 2021, the FHS received a report from the Behavioral Health Division on Referral No. 116 Mental Health Care System and Referral No. 115 Child and Adolescent Mental Health Services, respectively. Referral Update: Please see the attached report from the Health Services Department Behavioral Health Division for updates on both Referral No. 115 Child and Adolescent Mental Health Services and Referral No. 116 Mental Health Care System. Recommendation(s)/Next Step(s): ACCEPT the Health Services Department Behavioral Health Division report addressing various mental health ACCEPT the Health Services Department Behavioral Health Division report addressing various mental health service updates and DIRECT staff to forward the report, as presented or with amendments as recommended by the Committee, to the Board of Supervisors for their information. Fiscal Impact (if any): There is no fiscal impact; the report is informational only. Attachments Behavioral Health Staff Reports to FHS Behavioral Health Presentation 1 Staff Report from Behavioral Health Services to Update the FHS Committee on Referrals Nos. 115 and 116 This report of Contra Costa Behavioral Health Services (CCBHS) provides an update on identified areas of opportunity to provide improved and expanded behavioral health services in Contra Costa County (CCC). Background Since the Grand Jury Report 1703 issued in 2017 and the Mental Health Commission (MHC) White Paper published in 2017, the public behavioral health system has been undergoing structural change and expansion pursuant to the statewide initiative titled “California Advancing and Innovating Medi-Cal (CalAIM).” Essential components of CalAIM include reduction in barriers to care, more timely access to services, and promotion of a client-centered whole person approach with increased coordination between physical health and behavioral health providers. CalAIM goals are to maximize health outcomes and improve the quality of life of Medi-Cal beneficiaries. System Improvements Since the last Updates to the FHS Committee Regarding Referral Nos. 115 and 116 Upgrading the Current West County Childrens Clinic The West County Children's clinic located on 303 41st Street in Richmond has been vacated. The clinic was re- located in 2019 to a new building on 13585 San Pablo Avenue First Floor, San Pablo. See Attachment A- West County Children’s Clinic Acquiring a New Location for First Hope The First Hope program was re-located in 2018 to new premises on 391 Taylor Boulevard, Suite 100, Pleasant Hill. The new clinic was designed to support the multitude of services provided to program participants and their caregivers. See Attachment B- First Hope Addressing the Shortage of Psychiatrists The shortage in psychiatrists to serve youth and adults in the public behavioral health system was exacerbated by COVID. However, BHS has addressed the need by filling vacancies with county and contracted psychiatrists, providing loan repayment assistance as a hiring incentive, and reducing administrative burden to support increased client care capacity. In addition to securing required number of psychiatrists, BHS has added seven Psychiatric- Mental Health Nurse Practitioner’s (MHNPs) Filling Vacant Position of Medical Director Dr. Stephen Field was hired on August 1, 2021, to serve as the Medical Director for Behavioral Health Services Relief to Impacted Psychiatric Emergency Services (PES): PES Internal Adjustments The census on PES has been declining since 2019:10,300; 2020: 8558; 2021: 8148; 2022: 7421. BHS continues to staff a Substance Use Disorder (SUD) Counselor in PES to better support persons experiencing use disorders, and two Community Support Workers to assist clients with transition back to the community. Provisions of a new law, AB 2275, have been implemented in PES to further protect patient rights and ensure fair hearing for continued detainment in PES. The opening of the new youth CSU further will reduce census in PES. Contra Costa Regional Medical Center (CCRMC) currently is evaluating the need for physical structural changes in PES to better support clients. This planning is just commencing. 2 Addressing the Relief to Impacted Psychiatric Emergency Services (PES): Addressing Children’s Needs for the Facility BHS Applied for and was granted a California Health Facilities Financing Authority (CHFFA) capital improvements grant to establish a free-standing CSU for youth under the age 18. The new site is at 25 Allen Street in Martinez, adjacent to the Miller Wellness Center. The grand opening is scheduled for July 2023. The program will have capacity to serve 8-9 youth at any given time. See Attachment C- Youth Crisis Stabilization Unit (CSU) Addressing the Relief to Impacted Psychiatric Emergency Services (PES): Expanded Mobile Relief Services Starting in 2020, CCHS conducted an extensive community planning process to design a more comprehensive community-based crisis response system. The A3: Anyone, Anywhere, Anytime model emerged and now is being implemented. The A3 Miles Hall Campus Call Center and Mobile Response Teams now operate seven days a week from 8:00 am to 12:30 am, daily. The crisis line phone number is 844-844-5544. Clinicians responding to calls provide screening, telephonic support, referrals to outpatient resources, triage for mobile crisis responses, and dispatch mobile teams. Contra Costa residents can call this line for assistance with adults and youth in crisis, but currently care-givers also can call Seneca’s youth crisis line 24/7. The goal is to integrate the Seneca Crisis line and dispatch of Mobile Teams with A3 during Fiscal Year 23-24. See Attachment D- A3 Design See Attachment E- A3 and Seneca Crisis Call and Mobile Response Data See Attachment F- Oak Grove Campus Unclear Staffing Needs of the Children’s Division BHS continues to meet Network Adequacy standards for all levels of care but continues efforts at recruitment and retention of staff to expand service capacity. Nationwide shortage of behavioral health professionals was exacerbated during COVID and rebound is slow. A recent staff survey identified the need for increased salaries to be competitive with the private sector and with other public service delivery systems. Also identified was the need for better work-life balance. BHS just implemented a plot project supporting one work from home day or a flexed 9-80 schedule for clinicians providing the required level of direct client services. Determination of Wait Times for County and Contracted Providers CCBHP met timeliness standards for first visit to a provider (non-psychiatrist) within ten business days 82.8% to 100% of the time. CCBHP met timeliness standards for first visit with a psychiatrist within fifteen business days 57.1% to 100% of the time. The above utilizes data reported to DHCS for Fiscal Quarter 4 of FY 2021-2022 See Attachment G- Timeliness Report FY 2021-22 Fiscal Quarter 4 Continued Need for Children’s Resident Treatment Center CCBHP has contracted with seven residential treatment centers for youth within Contra Costa County. The total bed capacity is 28-30. 3 Housing CCBHP has increased funding for housing to the current total of nineteen million dollars. This includes Master Leasing, rent subsidies, large Board and Care facilities, small local Board and Care homes, and Recovery Residences. See Attachment H- Housing Summary West Contra Costa County Children’s Mental Health Attachment A First Hope Attachment B Crisis Stabilization Unit (CSU) Floor Plan Attachment C A3 Mobile Crisis Model: Anyone, Anywhere, Anytime Attachment D A3: Anyone, Anywhere, Anytime A3 is composed of county- operated services for adults in need of mobile crisis services and contracted services for children in need of mobile crisis response 15 Adult teams in operation; 11 youth teams in operation Current Miles Hall Crisis Call Center and Mobile Crisis Services are operating from 8:00am to 12:30 am 7 days/week. Planned 24/7 by July 1, 2023. New Medi-Cal benefit starts July 1 to more robustly support mobile crisis services FY21-22: Calls: Adult Mobile Response – 3097/ Child –1060 Dispatches: Adult Mobile Response –854/ Child –278 City Total # Calls Concord 647 Antioch 380 Richmond 375 Walnut Creek 240 Pittsburg 162 Pleasant Hill 161 Martinez 153 San Pablo 97 San Ramon 89 Oakley 70 Attachment E Oak Grove Campus Attachment F Attachment G Attachment H Suzanne Tavano, PHN, PhD Contra Costa Health Services Behavioral Health Director April 28, 2023 Family and Human Services Committee Public Behavioral Health Services Contra Costa Behavioral Health Plan (CCBHP): Managed Care Services Managed Care Access Line Quality Management ContractingAuthorizations Utilization Review Contra Costa Behavioral Health Plan: Mental Health Services Contra Costa BHP: Mental Health (14,750) FY 21-22 County Adult/Child Outpatient (14,750)CBO Adult/Child Outpatient (4,417) Network Providers (3,674) Vocational Services (350) Housing (master lease, FSP, MHSA) (161) Adult/Youth Residential (297) Mobile Crisis (847 Adults; 278 Children)) Crisis Stabilization (PES/CSU) (4,821) Hospitals (CCRMC & Contract) (634 @ CCRMC) MH Subacute Facilities (IMD, B&C, Transitional) (423) Prevention & Early Intervention (30k+) Contra Costa Behavioral Health Plan: Substance Use Disorder Services Contra Costa BHP: Substance Use Services (5405) FY 21-22 Basic Outpatient (773) Intensive Outpatient (670) Low Intensity Residential (1164) Residential Withdrawal Management (748) Population Specific High Intensity Residential (7) High Intensity Residential (19) Medication Assisted Treatment (MAT) (1932) Recovery Support (92) West County Children’s Mental Health New Building – Opened 2019 First Hope Psychiatry Services We continue to meet Network Adequacy, in all age groups. BHS Medical Director -hired 7/30/21 Current Licensed Psychiatrists by FTE: 37.23 Increased from last month by 0.65 and expected to increase by 1-3 FTE in the next 2 months (actively hiring) Current Licensed NPs with Psych training/certification by FTE: 6.79 Increased from last month by 1.0 and expected to increase by 2-4 FTE in the next 2 months (actively hiring) Psychiatry Timeliness New Crisis Stabilization Unit (CSU) Location: Opening July, 2023 A3 Mobile Crisis Model: Anyone, Anywhere, Anytime A3: Anyone, Anywhere, Anytime A3 is composed of county- operated services for adults in need of mobile crisis services and contracted services for children in need of mobile crisis response 15 Adult teams in operation; 11 youth teams in operation Current Miles Hall Crisis Call Center and Mobile Crisis Services are operating from 8:00am to 12:30 am 7 days/week. Planned 24/7 by July 1, 2023. New Medi-Cal benefit starts July 1 to more robustly support mobile crisis services FY21-22: Calls: Adult Mobile Response – 3097/ Child –1060 Dispatches: Adult Mobile Response –854/ Child –278 Phone: 844-844-5544 City Total # Calls Concord 647 Antioch 380 Richmond 375 Walnut Creek 240 Pittsburg 162 Pleasant Hill 161 Martinez 153 San Pablo 97 San Ramon 89 Oakley 70 Oak Grove Campus CalAIM -California Advancing and Innovating Medi-Cal GOAL: Transform and strengthen Medi-Cal, offer the people we serve a more equitable, coordinated, and person-centeredapproachtoBehavioral Health care.The goal of CalAIM is tomaximizehealth outcomes and improve the quality of life of Medi-Cal beneficiaries THREE MAJOR AREAS OF CHANGE: Reducing barriers to care and improving timely access to services Coordination of care through improved data exchange Payment Reform Reducing barriers to care and improving timely access to services Beneficiaries can receive timely services without delay regardless of where they seek care. There is no wrong door. Practitioners can provide and claim for clinically appropriate treatment without prohibition of “correct” delivery system (MHP vs MCP) Complex conditions (co- occurring mental health and substance use conditions) can be addressed where the client seeks care Clients can receive mental health services from both the MCP and the MHP if treatment is coordinated and non-duplicative Clients concurrently can receive mental health and substance use disorder treatment services CalAIM Implementation Schedule Payment Reform •Payment reform will transition counties from cost- based reimbursement funded via Certified Public Expenditures (CPEs) to fee-for-service reimbursement funded via Intergovernmental Transfers (IGTs), eliminating the need for reconciliation to actual costs. •Specialty mental health and SUD services will transition from existing Healthcare Common Procedure Coding System (HCPCS) Level II coding to Level I coding, known as Current Procedural Terminology (CPT) coding, when possible. •DHCS sets the rates for services rendered by each county. Each county has a different set of rates. •Rates depend on provider type and service type Behavioral Health System: Psycho-social Rehabilitation Model that Addresses SDOH Social Determinants Contribute to 70% of Health Outcomes: Healthy People 2030, U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. https://health.gov/healthypeople/objectives-and-data/social-determinants-health Enhanced Care Management –Whole-person Care Approach •Target populations include: •High utilizers --frequent hospital or emergency room visits/admissions; •Individuals at risk for institutionalization with SMI, children with SED, or SUD with co-occurring chronic health conditions; •Individuals transitioning from incarceration; and •Individuals experiencing chronic homelessness or at risk of becoming homeless. THANK YOU FAMILY AND HUMAN SERVICES COMMITTEE - SPECIAL MEETING 6. Meeting Date:04/28/2023 Subject:EHSD Technology Update Submitted For: FAMILY & HUMAN SERVICES COMMITTEE, Department:County Administrator Referral No.: 114 Referral Name: EHSD Technology Presenter: Emilia Gabriele Contact: Emilia Gabriele, (925) 608-4810 Referral History: On June 7, 2016, the Board of Supervisors referred to the Family and Human Services (FHS) Committee oversight of the impacts of technology on access to public benefits, due to EHSD’s reworking of its business processes and development of technologies to make remote access of public benefits more common for its clients. EHSD reported to the FHS Committee on October 22, 2018 regarding some of the technological advancements EHSD has made, including: video conferencing for American Sign Language customers, redesigning the website, expanding video conferencing in lieu of in-person or over the phone for increased efficiency and effectiveness, using electronic signatures on certain forms, getting mobile devices to more in-home supportive services staff, and encouraging clients to use My Benefits in CalWIN for case updates. The FHS Committee forwarded this information to the BOS on December 4, 2018 Referral Update: Attached is a presentation on EHSD's use of technology to serve their clients. Recommendation(s)/Next Step(s): ACCEPT the Employment and Human Services Department's Technology Update and DIRECT staff to forward the report to the Board of Supervisors for the their information. Fiscal Impact (if any): There is no fiscal impact; the report is informational only. Attachments EHSD Technology Update Emilia Gabriele, Chief Deputy Director Tracy Murray, Aging and Adult Service Director and Workforce Services Interim Director info@ehsd.cccounty.us | 925-608-4800 EHSD Technology April 28, 2023 1 Outline •Overview •CalSAWS Transition •EHSD Technology 2 Overview 3 Technology In All That We Do 4 EHSD uses technology for everything we do to serve our customers: •Deliver services •Administer programs and manage cases •Monitor and manage performance CalSAWS Transition 5 CalSAWS Background 6 CalSAWS Data Points Migrated from CalWIN –642,465 active cases migrated –1,067,707 active individual data migrated –42 million documents –2,145 instructor-led trainings –1,073 EHSD users –108 users from Other County Departments and Community Partners Applications & Imaging –9,958 program applications received in March 2023 –24,309 documents imaged into the CalSAWS system in March 2023 7 BenefitsCal Customers can learn more at: https://info.benefitscal.com 8 EHSD Technology 9 Serving the Public Through Technology CalSAWS Business Systems and Applications Infrastructure and Support State Systems Drive Business Operations 10 Serving the Public Through Technology Business Systems and Applications (10 FTEs) •Overall systems development life cycle of a system and application from planning to maintenance for 17 applications. •Liaisons between EHSD and the State, vendors, and other departments and agencies. •Provide technical and business support to the various users of the State, County systems and in-house applications within EHSD. •Respond to user and agency inquiries related to the systems, including troubleshooting systems, writing systems instructions, administrating systems, and developing reports. •Implement systems and enhancements to the systems and applications. •Manage data transmission for cross system impacts in compliance with State and County policies. IT Infrastructure and Support (36 FTEs) •25 in-house software applications, including development, modification, testing, and implementation. •Deploy/maintain over 125 off the shelf software applications. •Helpdesk service for over 23K tickets annually. •Support call center. •Support over 20,000 deployed assets in 39 locations throughout the county and handle over 2,500 help desk tickets per month. •Procure software, hardware and personal devices. •Manage inventory. •Partner with DoIT •Administer network of over 250+ servers, 3,000 Desktops and 60+ applications. •Manage EHSD.ORG website. •Deploy, manage and optimize over 200 databases CalSAWs (18 FTEs) •California Statewide Automated Welfare System. •Business process re-engineering, organizational change, management, training, and implementation and conversion support. 11 EHSD Technology Vision •Remote work technology •Productivity enhancements •Pursuing innovation for internal and external customer services •Customer facing technology •Customer support technology 12 Emilia Gabriele, Chief Deputy Director Tracy Murray, Aging and Adult Service Director and Workforce Services Interim Director info@ehsd.cccounty.us | 925-608-4800 Discussion EHSD Technology Presentation, April 28, 2023 13 FAMILY AND HUMAN SERVICES COMMITTEE - SPECIAL MEETING 7. Meeting Date:04/28/2023 Subject:Community Services Bureau Update (Non-Head Start programs) Department:County Administrator Referral No.: 78 Referral Name: Community Services Bureau Presenter: Nicholas Bryant Contact: Nicholas Bryant, (925) 681-6301 Referral History: Oversight of the Community Services Bureau and Head Start programs was originally referred to the Family and Human Services Committee (FHS) on March 1, 2005. Since that time the program has provided the Committee with annual updates on the programs and services provided. The last annual report was received by the FHS on September 26, 2022. As a result of a Quality Improvement Plan for Head Start, the Employment and Human Services Department began making monthly Head Start reports to the full Board of Supervisors on October 18, 2022. This report provides an update of the Community Services Bureau excluding Head Start programs. Referral Update: Please see the attached presentation providing an update on the Community Services Bureau (Non-Head Start programs). Recommendation(s)/Next Step(s): CONSIDER accepting an update on the oversight and activities of the Community Services Bureau (Non-Head Start programs) and directing staff to FORWARD the report to the Board of Supervisors for their information. Fiscal Impact (if any): There is no fiscal impact. Attachments CSB Report Nic Bryant Community Services Bureau Director info@ehsd.cccounty.us | 925-608-4800 Community Services Bureau April 28, 2023 1 Table of Contents •Child Care Centers •Child Care Assistance •Community Action •Energy, Water & Weatherization Assistance 2 Contra Costa Children Population 3 64,333 Number of Age <5 Individuals in Contra Costa County, per 2020 Census estimates Source: Census 5-Year Estimates Table S0101 215,162 Number of unduplicated age <14 Contra Costa county, per 2020 Census estimates 3 -1.3% -4.0% 2.9% 0.1% 11.8% 29.5% 22.4% 2.7% -20%-10%0%10%20%30%40% Preschool Age (0-4) School Age (5-17) College Age (18-24) Working Age (25-64) Young Retirees (65-74) Mature Retirees (75-84) Seniors (85+) All Ages California 2022-2027 Population Growth Rate by Age Group Community Services 4 Community Services Bureau Child Care Centers Community Action Child Care Payments Energy Assistance 4 Child Care Centers 5 Child Care Centers 6 Nutrition Prepared and delivered meals (breakfast, snacks, and lunch) Education Intellectually, socially, and emotionally Health Immunizations, dental, medical, and mental health Social Community Services Resources to needs expressed by families 6 Child Care Centers Committee 7 7 Child Care Centers At A Glance 8 47 Number of centers in Fiscal Year (FY) 2021-22 318,647 Meals served in FY 2021-22 147 Number of classrooms in FY 2021-22 4,982 Number of children on the waiting list for our Child Care Centers 1,859 Number of children enrolled Fiscal Year (FY) 2021-22 364 Children transitioned to Kindergarten in 2022 8 Source: CLOUDS Child Care Centers on the Map 9 9 Child Care Assistance 10 Child Care Assistance At A Glance 11 5,660 Number of payments made in Fiscal Year (FY) 2021-22 $9,829,113 Amount paid in Fiscal Year (FY) 2021-22 296 Number of providers paid in FY 2021-22 0 No Waitlist for CalWORKs Stage 2 eligible families. For the Alternative Payment Program, uses same waitlist as our child care centers 1,362 Number of children receiving funding Fiscal Year (FY) 2021-22 $1,690 Average Childcare Payment per month in Fiscal Year (FY) 2021-2022 Sources: CalWIN & CLOUDS 11 Child Care Assistance Trend 12 Source: CLOUDS 12 MonthsNumber of Children FY 21-22 Child Care Payments Map 13 13 Source: CalWIN Stage 2 and CAPP District 3 Community Action 14 Community Action Committee 15 15 Community Action At A Glance 16 13 Number of Subcontractors 12,181 Number of individuals assisted in FY 2021-22 $396,393 In CARES Act Funding in FY 22 Sources: 2022 CSBG Annual Reports EHSD Contract Agreements 16 Partnerships and Accomplishments 17 Partner Goal and Result Bay Area Community Resources, Inc. (BACR) Goal: Provide a violence prevention program for seven (7) youth, aged 14- 17, who are at risk of engagement in violence and crime. Provide weekly case management, paid internships for 60 hours, 40 hours of workshops, academic engagement activities, and career coaching. Results: Achieved. Bay Area Legal Aid (BALA)Goal: Provide legal assistance to 45 low income residents that are facing eviction, hold four outreach events, and provide housing law clinic assistance. Results: Achieved. Greater Richmond Interfaith Program (GRIP) Goal: Operate a 90 bed emergency shelter, provide 20 individuals with employment skills training monthly, provide 20 youth/families with wellness and case management monthly, and provide over 5,000 meals monthly. Results: Achieved. STAND! For Families Free of Violence Goal: Provide emergency shelter and residential services to 20 clients affected by domestic violence. Provide 18-24 months of transitional housing for 5 clients. Provide hotel vouchers to 6 clients, job readiness skills to two clients, and ensure that 35 clients obtain emergency food assistance. Results: Achieved. White Pony Express (WPE)Goal: Provide fresh high quality food daily to 70 nonprofit and service organizations by reclaiming food at no cost from farmers, restaurants, stores, and residential gardens. Results: Achieved. 17 Sources:EHSD Contract Agreements CSBG 2022 Monitoring Reports Partnerships and Accomplishments 18 Partner Goal and Result Contra Costa Interfaith Transitional housing, Inc. Dba Hope Solutions Goal: Provide case management and eviction prevention services to at least 60 unduplicated households, ensuring that they maintain safe and affordable housing, and access basic needs such as food, health care, and transportation. Result: Achieved. The Contra Costa Clubhouse, Inc. Goal: Provide peer and vocational training such that at lease 40 participants are recently employed and at least 75 participants are continuously employed 90 days or more. Provide at least 200 nutritious meals daily and provide rental assistance, mental health, and food assistance. Result: Achieved. Lao Family Community Development, Inc. Goal: Operate a food pantry and serve 9310 meals daily at each of their four dining rooms and 20,000 meals to Trinity Center and Opportunity Junction. Provide daily groceries during pandemic. Result: Achieved. Loaves and Fishes of Contra Costa Goal: Operate a food pantry and serve 9310 meals daily at each of their four dining rooms and 20,000 meals to Trinity Center and Opportunity Junction. Provide daily groceries during pandemic. Result: Achieved. Rising Sun Center for Opportunity Goal: Operate the Opportunity Build apprentice readiness training program to at least 8 low income residents across two cohorts, including one all-women cohort. Provide them with case management, career planning, job placement, test preparation support, and interview skills. Result: Achieved. 18 Sources:EHSD Contract Agreements CSBG 2022 Monitoring Reports Partnerships and Accomplishments 19 Partner Goal and Result Monument Crisis Center Goal: Provide 80-100 families with nutrition food three (3) times a week and one Saturday a month. Provide basic support services to assist clients with applications, appointments, and unemployment application assistance. Provide rental assistance and housing referrals. Provide internships, wellness resources, adult education workshops and education presentations for youth. Provide water debt relief and rental assistance. Results: Achieved. Opportunity Junction, Inc.Goal: Provide job training and placement for 54 low income residents, including case management, therapeutic services, computer skills, business English, business math, and life skills training. Ensure that 33 clients attain at least one Microsoft Office certification. Results: Achieved. District Council of Contra Costa County, Society of St. Vincent de Paul Goal: Operate a transitional employment and training program to 25 eligible residents that includes 2-3 pre employment sessions, 24-26 weeks of work experience, weekly case management, mentors, and referrals to additional services as necessary. Results: Achieved. 19 Sources:EHSD Contract Agreements CSBG 2022 Monitoring Reports Energy,Water &Weatherization Assistance 20 Energy, Water & Weatherization Assistance At A Glance 21 4,561 Number of clients served In Energy Assistance Fiscal Year (FY) 2021-22 171 Number of clients served In Weatherization Fiscal Year (FY) 2021-22 6 Number of clients served in Water Assistance Fiscal Year (FY) 2021-22 5,364 Total Number of Applications Received in Fiscal Year (FY) 2021-2022 $4,745,489 Amount paid in Fiscal Year (FY) 2021-22 $991 Average Bill Amount for Energy Fiscal Year (FY) 2021-2022 Sources: ServTraq 21 FY 21-22 Energy Assistance Payment Map 22 22 Nic Bryant Community Services Bureau Director info@ehsd.cccounty.us | 925-608-4800 Thank You 23