Loading...
HomeMy WebLinkAboutMINUTES - 12161997 - C123 C'. /23 TO: BOARD OF SUPERVISORS Contra F&HS-04 FROM: x z Costa FAMILY AND HUMAN SERVICES COMMITTEE s County Py 4 DATE: ----""Ncr; cP•. December 8, 1997 `OA SUBJECT: STATUS REPORT ON THE INTEGRATION OF HEALTH SERVICES PROGRAMS AT VARIOUS SITES THROUGHOUT THE COUNTY SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATIONS: 1. ACCEPT the attached status report from the Assistant to the Health Services Director regarding the integration of health services programs at various sites throughout the County. 2. REQUEST-the Health Services Director to report to the 1998 Family and Human Services Committee in three months on the status of the integration of health services programs at various sites throughout the County. That report should include an estimate of the cost of providing the additional immunizations that are required as a result of welfare reform. 3. REMOVE this item as a referral to the 1997 Family and Human Services Committee and instead REFER it to the 1998 Family and Human Services Committee. BACKGROUND: On September 16, 1997, the Board of Supervisors approved a report from our Committee which included the following recommendations: 1. ACCEPT the attached report from the Health Services Department on the status of the integration of health services programs at various sites throughout the County. CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COM T APPROVE OTHER SIGNATURES ACTION OF BOARD ON December 16, 1997 APPROVED 4SdOMMENDED x OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE X 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. ATTESTED December 16, 1997 Contact: PHIL BATCHELOR,CLERK OF THE BOARD OF CC: SUPERVISORS AND COUNTY ADMINISTRATOR County Administrator Health Services Director Sara Hoffman, CAO BY DEPUTY ` C X23 F&HS-04 2. REQUEST the Health Services Director to make a further status report on this subject to the Family and Human Services Committee prior to the end of calendar year 1997. On December 8, 1997, our Committee met with the Health Services Director, Dr. William Walker; and his assistant, Mary Foran. Ms. Foran reviewed the attached report with our Committee is some detail. We are very pleased to see the progress which has been made as is indicated by the commitment of Chevron to provide their share of the funding for the Center for Health in North Richmond.: In addition, it sounds as though progress is being made in Bay Point to recruit and hire a Health Educator/Coordinator for the Community Wellness Center. Finally, we are pleased to see the progress which is being made in the Monument Corridor as is indicated by the plans to establish a "suitcase clinic" as soon as funding can be identified. New State law requires that the Social Service Department verify immunization of all non-school-age children of CalWORKS participants. Supervisor Gerber asked whether the Health Services Department was receiving any funding to cover the cost of the additional childhood immunizations which are required. Ms. Foran indicated that no additional funding had been received for this purpose. Supervisor Gerber asked that the Committee be advised of the cost of these additional immunizations. -2- sE._L Health Services Department OFFICE OF THE DIRECTOR Administrative Offices n; 20 Allen Street Martinez,California 94553-3191 Phone: (510)370-5010 Fax: (510)370-5098 G Osr`4`COiJPt� TO: Family &Human Services Committee Mark DeSaulnier, Chair Donna Gerber, Member FROM: Mary Foran, MPH Assistant to the Director DATE: December 3, 1997 SUBJECT: Integration of Health Services My report this month will-be more encouraging than the report to you in September. This report will describe progress we are making toward integrating health services in Bay Point, the Monument Corridor in Concord and in the four neighborhoods in west county of Iron Triangle, Parchester Village, North Richmond and the western part of San Pablo. West County We have three inter-related initiatives in our west county target area for integration. Partners for Health is a Health Improvement Initiative project, funded for four years by the California Wellness Foundation. During the past three months, we have begun the detailed planning to bring specific literacy and job preparation resources to our four neighborhoods. This work is being coordinated with the North Richmond SIT and other local employment programs, as well as other key existing resources. It will be designed to complement the Ca1WORKS services. The most gratifying event for our west county work happened in October when we received a letter from Chevron affirming their intention to provide$550,000 for building the Center for Health. The advocacy by the Board of Supervisors, the Center for Health Advisory Board, Richmond City Council members, and the residents in the target area were all essential to securing Chevron's commitment. We are looking forward to a ground-breaking ceremony for the Center early next year —four years after receiving the initial building funds from General Chemical. An enormous amount of staff time has been devoted to raising the capital funds for the Center. In addition to the work with Chevron, we have approached a number of foundations to support the furnishings and equipment budget for the Center. At this time, only the Cowell Foundation has expressed a possible interest in our proposal, if it is decided to relocate the North Richmond SIT to A-345A (4,92) Contra Costa County Family&Human Services Committee Mark DeSaulmer, Chair Donna Gerber, Member December 3, 1997 Page 2 the building to be constructed adjacent to the Center. Preliminary discussions with the Community Housing Development Corporation and the SIT have been encouraging and will be followed up during the next month. Co-locating the SIT and the Health Center would enhance substantially the opportunities for streamlined service delivery. Last year we began a discussion with the California Endowment, first to explore whether they might provide capital funds for the Center for Health, and when that approach failed, to support our program efforts in west county. I am pleased to report that after two proposals and many months of waiting,we had a site visit with the Endowment this week. Our proposal, for$320,000 a year for two years, would support the Healthy Neighborhoods Project and the Center for Health to design resident-responsive programs to be operated at the Center in the following subject areas: • HIV/AIDS Prevention • Nutrition Education • Dental Services • Health &Environmental Education Resource Center • School-linked Child Health Services These topics were selected for intensive planning by staff and residents working together because their designs must reflect the specific preferences,perceptions and realities of residents if they are to be well utilized and successful. We hope to hear about funding by the Endowment within the next several weeks. Bay Point Community Wellness Center Our priority for Bay Point during the past three months has been recruitment of a Health Educator/Coordinator who will work closely with the community to increase the visibility of the Center and to create more health education activities with teens and adults. We carried out an aggressive recruitment effort,have screened numerous candidates and are in the midst of conducting interviews with seven well-qualified bilingual candidates. We expect to have someone ready to work by the beginning of the new year. Our plan to conduct interviews with parents in order to understand what is working and not working for them at the Wellness Center was delayed by the loss of a bilingual student intern to carry out the interviews. However, we have brought on another student who will begin designing the interview tool and process this week. Family&Human Services Committee Mark DeSaulmer, Chair Donna Gerber,Member December 3, 1997 Page 3 Monument Corridor, Concord Our work with the Mt. Diablo School District's Healthy Start project in the Monument Corridor focused this quarter on designing an approach to health services provision and submitting a proposal for funding to the John Muir/Mt. Diablo Community Benefit Corporation. The long-term vision is to secure funds for a mobile medical clinic which can bring services to a number of schools and community sites. The first step is to operate"suitcase clinics" in the Monument Corridor schools, and, if funding is forthcoming, in five other schools just north of the Monument Corridor. A "suitcase clinic" brings staff to the school site to provide wellness exams, immunizations and health assessments and referrals for more in-depth services. Funding was requested to hire a Health Coordinator who will create the structures to hold regular "suitcase clinics," develop a corps of medical and dental volunteers to supplement services, link with other health and social support resources and put into place the long-term financial support for the program. A full time parent resource worker(a parent hired from the area to be served)will assist school staff and parents to gain access to specialized health or social services they need. The Mt.Diablo School District will provide space, office support and training/supervision for the parent resource worker. Public Health Clinic Services will provide the health care personnel,supplies and training/supervision for the direct health services. We are awaiting notification of funding. If funding is not forthcoming,we will continue looking for the necessary resources. In addition,we will be monitoring the design of California's Healthy Families Program in order to assess its impact on our plans. It may become an important source of financial support for school-linked health services. MF:mg cc: William B. Walker,M.D.