HomeMy WebLinkAboutMINUTES - 01051993 - IO.7 TO: BOARD OF SUPERVISORS 1 .0.-7
Contra
Costa
FROM: INTERNAL OPERATIONS COMMITTEE
December 14, 1992 , ;;•�, County
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DATE:
STATUS REPORT ON EFFORTS TO RESTRUCTURE THE HUMAN SERVI DELIVERY
SUBJECT: SYSTEM IN THE COUNTY
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATIONS:
1 . Remove this item as a referral to the 1992 Internal Operations
Committee and instead refer it to.the 1993 Internal Operations
Committee.
BACKGROUND:
On October 6, 1992, the Board of Supervisors authorized the Chair
of the Board of Supervisors and the County Administrator to convene
a series of workshops on the human services delivery system in the
County in an effort to consult with advisory committee members,
community members and County staff regarding what changes are
needed and advisable in order to allow the human services system in
the County to perform in . the most effective and efficient manner
possible. A report was to be made to the Internal Operations
Committee on December 14, 1992 .
Simultaneously, an effort has been underway involving the County
Administrator' s Office and the County Departments which provide
human services in,.an effort to determine the most effective service
integration strategy. The attached report was made to the Board of
Supervisors on this subject on December 15, 1992 . While this
report was initially referred to Supervisors McPeak and Powers for
purposes of following up with the affected departments, employee
organizations and;; others, it had been hoped that the 1993 Internal
Operations Committee would be provided the opportunity to provide
this liaison and oversight.
It is, therefore, ! appropriate that the attached report be referred
to the 1993 Internal Operations Committee for the purposes
indicated.
CONTINUED ON ATTACHMENT: X YES SIGNATURE:
RECOMMENDATIONXOFCOUNTATOR RECOMMENDATION OF BOARD COM ITTEE
APPROVERODER SUNNE- WRIGHT McPEAK
SIGNATURE(S):
15 19 11 _5i'
ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS(ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. G
ATTESTED
Contact: PHIL BATC LOR.CLERKCbT
"HE BOARD OF
cc: See Page 2 . SUPERVISORS AND COUNTY ADMINISTRATOR
BY L- ,DEPUTY
I .O.-7
County Administrator
Social Services Director
Health Services Director
Community Services Director
Executive Director, Private Industry Council
Kathy Armstrong, Consultant, CAO' s Office
-2-
TO: BOARD OF SUPERVISORS
. / ` • Contra
FROM: Phil Batchelor, County Administrator �,;;, _ CAcGta
Mark Finucane, Health Services Director ,
Perfecto Villarreal, Social Service Director County
Gerald S. Buck, County Probation Officer °°srq couKt'{
DATE: December 15, 1992
SUBJECT: Integration of Family Services
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
RECOMMENDATION(S):
1. ACKNOWLEDGE the growing inability of Contra Costa County to continue to provide current services
to the County's most needy citizens as evidenced in multi-million dollar cuts to the Health Services
Department, Social Service Department and Probation Department in the 1992-93 budget and with the
expectation of additional cuts in the FY 93-94 budget.
2. ACKNOWLEDGE the need to increase the effectiveness of the current service delivery system in
reversing the trend of healthy families moving to risk and at-risk families moving to crisis.
3. DECLARE Contra Costa County's commitment to improving its service delivery system to better serve
the needs of its clients and to recognize the need to be more cost effective.
4. DIRECT the Health Services Department,Social Service Department and Probation Department to initiate
service integration in January 1993 in specified neighborhoods in Pittsburg, West Pittsburg, San Pablo,
North Richmond and Concord.
5. APPOINT a Supervisor to work with the Health Services Department, Social Service Department and
Probation Department in discussing with employee organizations the ramification of service integration
and the establishment of pilot teams.
CONTINUED ON ATTACHMENT: _YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR_RECOMMENDATION OF BOARD OMMITTEE
APPROVE OTHER
SIGNATURE(S):
ACTION OF BOARD ON APPROVED AS RECOMMENDED_OTHER
I
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A
_UNANIMOUS(ABSENT ) TRUE AND CORRECT COPY OF AND
AYES: NOES: ACTION TAKEN AND ENTERED
ABSENT: ABSTAIN: ON MINUTES OF THE BOARD OF
SUPERVISORS ON THE DATE SHOWN.
Contact: Sara Hoffman,646-1390
ATTESTED
PHIL BATCHELOR,CLERK OF THE
BOARD OF SUPERVISORS AND
COUNTY ADMINISTRATOR
cc: CAD
Youth Services Board
Affected Employee Organizations. BY DEPUTY
h27:pbsv6nt.bos
BACKGROUND/REASON(S) FOR RECOMMENDATIONS:
As Contra Costa County's fiscal resources become more and more strained, it is becoming obvious that
we will never have enough people or enough resources to meet the needs of children and families as long
as we continue to segment services and, consequently, people's lives. There are neighborhoods in
Contra Costa County where households receive up to nine services per household; services which are
provided by three separate departments.
Fragmentation of our delivery system also affects our staff. Individual staff members are specialized in
income maintenance or child welfare services or mental health or probation, to name just a few. Each
of our specialists is doing his or her best to help the family. But, because of State and Federal
categorical grant aid and/or regulatory limitations on their efforts, they are not able to help the entire
family or to focus on developing the capacity of communities to assist and help the families who reside
in the high risk neighborhoods.
Our workers need to be empowered with the ability to truly affect the lives of these families through
increased communication and coordination; by mobilizing resources other than just their own; and by
approaching the problem of families in crisis or families at-risk from a new perspective. A holistic
approach with families will build upon the individual strengths of families, increasing the ability of these
families to solve their own problems.
A New Framework for Action
This new perspective provides a framework for action, based on the following precepts:
• The family is the basic building block of society and more attention and priority must be
given to supporting the family.
• Programs and projects should seek to help families become more self sufficient and able
to care for themselves.
• Government is only one of the resources for children and families in crisis or at-risk of
reaching crisis. Churches, community groups, neighborhood groups, service clubs,
community agencies, schools, individuals - - - - all should be given opportunities and
responsibilities for improving the quality of life for children.
• Families in crisis or at-risk should be carefully consulted to determine what services would
most help them become productive and self supporting.
Geographically Based Centers of Service
Where are the concentrations of families and children most in need of services in Contra Costa County?
Where are multiple departments now providing services to the same families? These are the questions
that were asked by the Youth Services Board earlier this year. This board, composed of the County
Administrator, Health Services Director, Social Service Director, Probation Officer, Community Services
Director, Juvc;file Court Judge and Superintendent of the County Office of Education, directed a study
to address these issues. The study included a data match and household surveys.
The Data Match Project consisted of matching the data files from Probation, Social Service and Health
Services by address. The match identified ten census tracts that house the highest number of
households that receive services from all three departments. The high concentration of households within
these small geographical areas suggests that, if County agencies could re-configure their services to a
neighborhood-based, integrated delivery system within these census tracts, then efforts would become
more focused; duplication eliminated; and the effectiveness of the services increased. An integrated
County staff approach could also maximize the resources of the community in supporting and promoting
family self-sufficiency.
To better understand the needs of families within these neighborhoods, surveys were conducted within
two of the census tracts. People were asked what services they needed and wanted; what were their
priorities and preferences. The survey found that families wanted a means to help themselves,
opportunities for good education,training job preparation,job placement, a decent wage. Parents wanted
their children to have access to fun, constructive, helpful activities within safe neighborhoods. The study
also found tremendous resources within these neighborhoods which could be tapped to support children
and families.
2
Three neighborhoods, Pittsburg (census tracts 3100 and 3132.01),West Pittsburg(census tract 3141.01),
and North Richmond (census tract 3650.02), have been identified as among the highest ranking
neighborhoods with households using services from all three departments and which have efforts
underway which could be leveraged as part of an effort to integrate services:
• Pittsburg-supported by the federally-funded PATHS project(administered by Community
Services), planning efforts are underway to prevent homelessness in families. Pittsburg
also has a strong coalition of churches and community groups within its boundaries.
• West Pittsburg-community-school partnership program is currently underway with strong
participation by the Mt. Diablo Unified School District, community residents and the
Municipal Advisory Council.
• North Richmond - currently has the Neighborhood Services Mall project and strong
community groups including the school/community partnership at the Verde School and
the newly formed North Richmond Municipal Advisory Council
Two other neighborhoods have been identified which have attributes which indicate that they could be
good candidates for pilot service integration efforts. They are Meadow Acres in Concord (census tract
3362 ) and San Pablo (census tract 3660). These census tracts appear to have functioning community
groups/committees. Other neighborhoods with high degrees of service demand include: census tracts
3680, 3760, 3770, 3790, 387.0 and 3820.
Overview of Service Integration
Service integration has been successfully piloted in other jurisdictions including Fresno and San Diego.
Basically, it is a geographically-based team approach. The number and types of team members
depends upon the profile of the individual neighborhood. The team's responsibilities would be
meeting regulatory service requirements
identifying obstacles and waiver requirements to service integration.
- coordinating community resources to stimulate/sponsor activities and programs that
strengthen the family.
Each team member would work with individual family members, with schools, community leaders and
community agencies. Relationships would thus be established within teams, between teams and within
communities. In essence, each community would have a core team of service providers, who would
facilitate the involvement of extended teams from more specialized services, including Community
Services, the Housing Authority, PIC, schools, community-based agencies and individuals.
Next Steps
The next steps to piloting service integration include:
1 Working with employee organizations to assure that proper provisions are made for work
environment and work condition needs.
2. Evaluation of the exact service need requirements within each neighborhood to determine
the appropriate number and classification of staff within the core teams.
3. Creation of teams, including identification of teams' roles and responsibilities and cross
training needs.
4. Identification of team service sites in neighborhoods and relocation of teams.
5. Analysis of the funding impact, if any, of service integration on categorical/program
funding.
6. Identification and receipt of appropriate waivers to implement the team approach.
3
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