HomeMy WebLinkAboutMINUTES - 12081998 - C46-C50 TO: BOARD O SUPERVISORS
Contra
John Cullen, Director
FROM: Social Service Department .; Costa
November 25, 1998 .,,
DATE: �r�r{l"'�
County
SUBJECT: ACCEPT Adaption Opportunities Program Funds,
APPROVE and AUTHORIZE Contract with Independent Adoptions Center '
SPECIFIC REOUEST(S)OR AECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
REC!2MMENDATION
1. APPROVE and AUTHORIZE the Social Service Director, or designee, to ACCEPT a
three-year grant under the Adoption. Opportunities Program.
2. APPROVE and AUTHORIZE the Social Service Director,or designee, to execute a contract
with Independent Adoptions Center in the amount of$150,000.00 to increase permanency
placement for children in the foster care system for the terra January 1, 1999 through September
30, 1999( under Award Authority 42 USC 5113, et seq., Department of Health and Human
Services Financial Assistance Award No. 90000859/01),
FINANCIAL IMPACT
No county funds are required, The amount of the grant is$150,000 each year for three years,
federally funded through the State of California. The program will be administered by the
Contra Costa County Social Service Department. Ten percent required matching funds are to be
provided by the contractor.
CHILDREN'S IMPACT SIATEMENT
The purpose of the grant is to develop, implement and promote an innovative recruitment and
retention:program that identifies,recruits, educates, supports and retains potential adoptive
parents participating in concurrent planning programs designed to increase permanency
placement for children who are now in the foster care system.
This grant is directly applicable to four of the five Board-identified community outcomes: 1)
Children Ready for and Succeeding in School; 2)Children and Youth Healthy and Preparing for
Productive Adulthood; 3)Families that are Safe, Stable and Nurturing; and 4) Communities that
are Safe and Provide a High Quality of Life for Children and Families.
(continued on back side) ', '^-.
CONTINUED ON ATTACHMENT: YES S#€;YIATUR£:
. RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURES;
ACTION OF BOARD ON APPROVED AS RECOMMENDED ANPHeW
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS(ABSENT =i+• ) AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS THE DATE SHOWN.
ATTESTED
Contact: Danny Fabella, 3-1583 PHIL BATCHELOR,CLERK OF THE.BOARD OF
cc: SOCIAL SERVICE (CONTRACT UNIT) SUPERVISORS AND COUNTY ADMINISTRATOR
COUNTY ADMINISTRATOR
AUDITOR-CONTROLLER
CONTRACTOR BY DEPUTY
4.5
BACKCzR-0-UND
Contra Costa County was selected as a targeted location for the project and awarded this grant
through the federal competitive bid process. The County has one of the most developed
concurrent planning programs in California having piloted such programs for the State of
California in recent years. Of the population of children in need of permanent placement, there is
a large number of ethnically-diverse and special needs children currently in the foster care
system, it is expected that this program will move more children into permanent placement.
To: BOARD OF SUPERVISORS C-317
William Walker, M.D. , Health Services Director
FROM: By: Ginger Marieiro, Contracts Administrator >.a►: Contra
Costa
DATE: November 23, 1998 County
SUBJECT: Approval of Agreement (Amendment) ##28-528-14 with the
County of Alameda
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDgD ACTIC}N
Approve and authorize the Health Services Director, or his designee
(Wendel Brunner, M.D. ) , to execute on behalf of the County, Agreement
(Amendment) ##28-528-14 with the County of Alameda, effective July 1,
1998, to increase the payment limit by $71, 231, from $969, 756 to
$1, 040, 987, for the period from July 1, 1998 through February 28, 1999,'
for continuation of coordination of essential services to Contra Costa
County residents with HIV Disease and their families .
FISCAL IMPACT:
This agreement will increase the amount of funding by $71, 231, from
$969, 756 t $1, 040, 987, from the County of Alameda, as the Grantee of
federal funds under the Ryan White CARE Act, Title I, through February
28, 1999. No County match is required.
BACKGRQt'fM/REASON(S) FOR RECOMMENDATION(S)
On June 2 , 1998 the Board of Supervisors approved Agreement ##28-528-13
with the County of Alameda, as fiscal agent for Ryan White CARE Act,
Title I funds, for coordination of services to Contra. Costa residents<
with HIV disease and their families, for the period from July 1, 1998'
through February 28, 1999 .
Approval of this Agreement (Amendment) will provide additional funding',
for these servicesthrough February 28 , 1999.
Four certified/sealed copies of this Board order should be returned to
the Contracts and Grants Unit for submission to the County of Alameda.
y
COhMNUED
a ;A U .
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE „_,_„OTHER
ACTION OF BOARD APPROVED AS RECOMMENDED *Peet'
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ASSENT .�_,) 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.
i ,,fi�tt
ATTESTEb T
PHIL BATCHELOR,CLERK OF E BOARD OF
COtlfBstPgl'SCPII: Wendel Brunner, M.D. {313-6712} �
SUPERVISORS AND COUNTY ADMINISTRATOR
CC: Health Services Dept (Contracts)
Contract-or BY ,DEPUTY
TO: BOARD OF SUPERVISORS
William Walker, M.D. , Health services Director
FROM. By: Ginger Marieiro, Contracts Administrator Contra
DATE.
November 23, 1998 Costa
County
SUBJECT: Approval of Agreement (Amendment) #28-594-2 with the
County of Alameda
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDED ACTIO :
Approve and authorize the Health Services Director, or his designee
(Wendel Brunner, M.D. ) , to execute on behalf of the County, Agreement
(Amendment) #28-594-2 with the County of Alameda, effective July 1,'
1998, to increase the payment limit by $4, 611, from $123 , 718 to
$128, 329, for the period. from July 1, 1998 through March 31, 1999, for
the HIV Consortium.
FISCAL IMPACT:
This agreement will increase the amount of funding by $4 ,611, from
$123 , 718 to $128,329, from the County of Alameda, as the Grantee of',
federal funds under the Ryan White CARE Act, Title II through March'
31, 1999 . No County match is required.
BACKGROUND/REASON(S) FOR RECQP_D `l' ATIQN(S)
On June 2, 1998, the Board of supervisors approved Contract #28-594-1
with. the County of Alameda, as fiscal agent for Ryan White CARE Act,
Title II funds, for the County' s local HIV CARE Consortium, to improve
the quality, availability and organization of health care and support'
services for individuals with HIV Disease and their families, through
March 31, 1999.
Approval of this Agreement (Amendment) will provide additional funding'
for these services through March 31, 1999 .
Four certified/sealed copies of this Board order should be returned to
the Contracts and Grants Unit for submission to the County of Alameda.
O S SIGNATURE F
y RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
il2zl
ACTION OF lit)Altb ON � yr ���- ��/' APPROVED AS RECt)tsl€MENi3EG1eipi trip
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
_,,,K UNANIMOUS
(ASSENT
_j 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.
ATTESTEC►
P 1L BATCHELOR,CLERK OF Yi4E BOARD OF
Contact Person:
Wendel Brunner, M.D. {313-6 712} SUPERVISORS AND COUNTY ADMINISTRATOR
CC: Health ,Services Dept (Contracts)
Contractor BY ,DEPUTY
TO, BOARD OF SUPERVISORS vt_�
William Walker, M.D. , Health Services Director
FROM: By: Ginger Marieiro, Contracts Administrator Contra
Costa
DATE: November 23, 1998 County
SUBJECT: Approve Standard Agreement (Amendment) #29-388-30 to the Master Grant Agreement
with the State Department of Health Services for the County's AIDS Program
SPECIFIC REQUEST(S)OR'RECOMMENDATtON(S)&BACKGROUND AND JUSTIFICATION
REC9tNm9EHH'A TION(S:)t S:) :
Approve and authorize the Health Services Director, or his designee (Wendel Brunner,
M.D.) to execute on behalf of the County, Standard Agreement (Amendment) #29-388-30
(State ##9B-1471:8 A-2) with the State .Department of Health Services, to increase the FY
1998-99 contract payment limit by $93,365 from $1,043,041 to a new total of $1,136,406.
FISCAL IWACT:
This Amendment increases the maximum reimbursable amount of State funding for FY 1998-99
by $93,365 from $1,043,041 to a new total of $1,136,406, for the County's AIDS Program.
No County funds are required.
EtAc Qt2t3cf / ASC734(s) oft R75COMt cNDAT I ON(s) :
On November 3, 1998, the Board of Supervisors approved Standard Agreement #29.388-29
(State ##98-14718 A-1) with the State Department of Health Services, :for the period from
July 1, 1998 through June 30, 1999, for the County's AIDS Program.
The Master Grant Agreement incorporates a Memorandum of Understanding (MOU) for each
service component of the AIDS Program. The MOU's define the services to be provided and
the budget for each component and are negotiated by the staff of the State office of
AIDS and County AIDS Program representatives. The State requires only the signatures
of the State office of AIDS Chief and the County Health Officer on the MOU's and any
amendments to the MOU's. This streamlines and expedites the contracting procedure for
the State and County AIDS Programs because only neer Master Grant Agreements and formal
amendments affecting the total payment limit of the Master Grant Agreement. require
County Board of Supervisors and. State Department of Finance approval
This Amendment #29-388-30 increases the total contract payment limit for FY 1998--99, to
provide additional funds to the Department's Neighborhood intervention High-Risk Testing
Outreach Program, to establish early intervention services for HIV positive women in.
Contra Costa County.
Three certified and sealed copies of this Board Carder should be returned to the
Contracts and Grants Unit for submission to the State.
CONIINUED ON AIT-h&HMENT: Xfd §IGNATUEE
RECC9MME3#I7ATlt3t1 OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
Ll_�, Z/
ZZ
SIGNATUREfM
ACTION OF BOARD ON APPROVED A5 RECOMMENDED
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS Is A TRUE
UNANIMOUS {ABSENT,,,�_ I AND CORRECT COPY OF AN ACTION TAKEN
AYES: NODS: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
ATTESTED
PHIL BATCHELOR,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Wendel Brunner, M.D, (313-6712)
CC: Health Services (Contracts)
State Dept. of Health Services BY DEPUTY
To: BOARD OF SUPERVISORS ,
FROM: William Walker, M.D. , Health Services Director
By: Ginger Marieiro, Contracts Administrator - 1 Contra
sta
DATE: November 23 Ct3Ut1, 1998 County
SUBJECT: Approval of Intercounty Services Contract 129-543 with
the County of Napa
SPECIFIC REQUESTtS)OR RECOMMENDATIONS)A BACKGROUND AND JUSTIFICATION
RLCOMM�Nt:►J4TIC! t 8� �
Approve and authorize the Chair, Board of Supervisors to execute on
behalf of the County, Intercounty Services Contract #29-543 with the.
County of Napa, for the period from. March lb, 1998 through July 9,
1998, to pay Contra Costa County for treatment services at County's
Dual-Diagnosis Program for one seriously emotionally disturbed
minor.,
Approval of this Agreement will result in a total payment to this
County of $11,400. No County match is required.
B C SO FFR RZCPM t Zfl 8
On February 3, 1998, the Board. of Supervisors approved Contract
#24-524 with Fred Finch youth Center for the period from December 1,
1997 through June 34, 1998 and on July 14, 1998, the Board of
Supervisors approved Contract #24w920--1 for the period from July 1,
1998 through June 30, 1999 for the ,provision of an intensive day
treatment program and medication support services for seriously
emotionally disturbed children at Fred Finch "Youth Center
Residential/Day Treatment Programs-.
Approval of Intercounty Services Contract #29-503 will allow County
to be reimbursed by the County of Napa, for 11.4 days of Day
Treatment and Mental Heath Services at. the Fred Finch Youth Center
for one seriously emotionally disturbed youth.
The Board Chair should sign Four (4) copies of the contract, three
(3) of which should be returned to the Contract and: Grants Unit for
submission to the County of Napa.
CONTINUED ON ATTACHMENT—— SI NA U'
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE ��{1THER
Sig REQ��
ACTION OF BOARD ON ,� ��'��-� orf% ��'e�'��""� APPROVED As RECOMMENDED
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT /1! } 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 .je w ✓ !`?`'
PHIL BATCHELOR,CLERK(IF THE BOARD OF
Contact Persona Donna Wigand, L.C.S.W. (313-5411) SUPERVISORS AND COUNTY ADMINISTRATOR
GC.
Health Services (Contracts)
Napa County BY r- -• DEPUTY
_ Ly: 5`t3
29 - 503
Contra Costa County #
County #_
INTERCOUNTY SERVICES CONTRACT
Pa«ove Coy TmaWw t Swvw.,s for DuMy DWWO ad gkWoprw ufy Ota Aad" +-hr CJlsd DOO Ada—ft]
1. PARTIES. The following named Counties, for their respective Agencies and Departnients
specified below, mutually agree and promise as follows:
County Providing Services: Contra Costa County (for its Health Services
Department/Mental Health Division
County Receiving Services: Napa County (for its Health and Human
Services Agency
2. TERM. The effective date of this Contract is March 16, 1998 and it terminates
July 9,, 1 ; uniess terminated sooner as provided herein.
3. OBLIGATIONS OF COUNTY PROVIDING SERVICES. Contra Costa County shall provide
for Napa County, during the term of this Contract, access to the mental health
treatment services as set forth in the attached program Description and Performance
Re m rements (Exhibit A), which is incorporated herein by reference.
4• OBLIGATIONS
BLIGATIYS VFCOUNTY
RECEIVING
GRVI MSANDWAYUENTLIMIT. Napa
Counly shall pay Contra Costa County-, $11,400 db an alt inclusive amount for the
guaranteed access and service avallabitity as speafied in the attached Exhibit A which is
Incorporated herein by reference.
5. GENERAL PROVISIONS. This Contract Is subject to the attached General Provisions which
are incorporated herein by reference.
6. SIGNATURES. These signatures attest the parties' agreement hereto:
CON SRA COSTA COUNTY
i tmebv ou*urfjord pa ay**tofto"ore at r#,.eow d at$UWiwm wm tiuyr au ortnd w*uw,"Itis dOcum t on bid of ttr
oau+ty ar Contra Coaat by a me cy'raa of m.Bard a� aaa art.aW ho bem a*mW b*a fndda t m pmAded by +wt
0*d.8 wton 2srtoa.
ATTST: COUNTY OF NAPA, CALIFORNIA
f
�.MW4By
e6l'tman of the Board of Supervisors
By
Chapm of EN d of Supervisors ATTEST:
APPROVED AS TO FORM: y
Deputy County Counsel Cl"of the Abard of Supervftors
r �
Contra Costa County #
County #_ q n
GENERAL PROVISIONS
K
1. Independent Contractor Status. This. Contract is by and between two independent
contractors and is not Intended to and shall not be construed to create the relationship of agent,
servant, employee, partnership,joint venture, or association.
2. Amendments. This Contract may be modified or amended by a writtendocument executed
by each County's Board of Supervisors, or after Board approval, by their'designees.
3. Indemnification. Each County and Its respective employees, agents, and officers shall be
indemnified and held harrnless by the other County against any and all claims, demands, or
causes of action arising out of any act or omission of any officer, agent,;or employee of the
other County while performing services under this Contract, or resulting from the condition of
any Property owned or controlled by the other County. Each County shall maintain a self-
Insurance program ptWor other insurance, which maintains the following minimum coverage
levels.
A. Workers Compensation: Statutory requirements
B. General and Automobile Uability: $3,000,000 per occurrence combined single limit
bodily Injury and property damage. Deductible of$5,000 or less per occurrence.
C. Professional i lability: $3,000,000 per claim. deductible of$5,000 or less per claim.
Additionally,Contra'Costa County shall require its subcontractor to name as additional Insured
Me County Receiving Services and to maintain the above referenced coverage levels.
4. Termination. This Contract may be terminated by either party, at their sate discretion, upon
sixty-day advance written notice thereof to the other, and may be canceled immediately by
written mutual consent of each County's Mental Health Director.
5. Notices. All notices provided for by this Contract shall be in writing and may be delivered by
deposit In the United States mail, postage prepaid. Notices shall be addressed as follows:
i
Contra Costa Cciunty Director, Contra Costa County Mental Health
595 Center Avenue, Suite 200, Martinez, CA 94553
NAPA COUNTY tarry Mowinckel, Contracts Specialist, Napa County HHSA
2251 Elm Street, Napa, CA 94559-3721
6. Entire Agreement. ;This Contract contains all the terms and conditions agreed upon by the
Parties. Except as OWWsly provided herein, no other understanding, oral or otherwise,
regarding the subject matter of this Contract shall be deemed to exist or to bind any of the
parties hereto,
EXHIBIT A Page 1
PROGRAM DESCRIPTION AND PERFORMANCE REQUIREMENTS
Contrrattor. Contra Costa County -
Service Prodder: Fred Finch Youth Center,Dual Diagnosis Prom for Developmentally
Disabled and Emotionally Disturbed Adolescents
P,
1. Contracted Services: Day Treatment Intensive, Medication Support Services, Mental
Health Services outside of day treatment hours as necessary.
2. Program Name: Fred Finch Youth Center, Dual Diagnosis Program
3800 Coolidge Avenue
Oakland, CA 94602
3. Program Objectives.-
A-
bjectives.A. To provide dually diagnosed youth with behavior stabilization than will limit Psychiatric
hospitalization and allow youth the maximum amount of independence and the least
restrictive environment in the shortest time possible.
B. To ameliorate acute or persistent symptoms that interfere with the emotional,social,and
educational growth of program youth and that impede their ability to be maintained in
a lesser restrictive environment.
C. To provide a range of integrated and culturally sensitive therapeutic and day treatment
services that incorporate the values of psychiatric rehabilitation and professional
intervention with a child and family centered, individualized treatment approach.
D. To provide a safe,stable and highly structured envi onment through combining intensive
staffing with a milieu culture that utilizes behavior modification and peer monitoring-
E. To provide medication support services based on an accurate and thorough clinical
Messment and as an adjunct to help a child maximize his response to treatment.
4. Program Description and Requirements.-
4A.
equirements:4A. Members of the Board of Directors: See Attachment#!.
4B. Executive Director: John F. Steinfust,, LC SW, President & CEO
4C. .Medical Director: Jonothon Gross, M.D., Psychiatrist
EXHIBIT A
4D. program Director. Mar Smith, MS's+'
4E. Contract Fiscal Officer. Jeff Sellwood, MA, Associate Director of Operations &
Finances
4F. Program Descriptions:
Intensive Day Treatment: Fully certified intensive full-clay treatment services will be
offered to program youth. These services will be integrated with the Dual Diagnosis
residential and educational program components. The day ;program will focus on
enhancing youths' mental and physical health, independence, problem solving skids,
coping skills,academic development, self-esteem, respect for others,family involvement,
vocational skills, and community integration. The day treatment program will be the
support and resource agent which will serve as the key link to the residential and
educational programs. Day treatment staff will work from berth the school and the
residence to provide a variety of intensive mental health Interventions including:
individual, group, and family therapy; expressive arts, case management and collateral
services; comprehensive assessments and on-going evaluation; and educational and
program support. The mental health services provided will be modified to meet the
needs of those with cognitive/developmental disabilities. Depending on the needs of
specific clients, interventions will be more direct and reciprocal. Length and frequency
of sessions will also be varied according to individual client need. There will be a
therapeutic playroom and other expressive tools such as art supplies available.
Innovative techniques such as role model interacting and drama therapy will be utilized
according to individual.capacity. The overriding emphasis at all times will be on assisting
the youth to develop those skills essential to more successful and adaptive functioning.
Medication Suggort Services: Medication support services being provided include.
assessing and evaluating the need for, and on-going monitoring of clients' needs for
psychotropic medication, evaluation of clinical effectiveness and side effects of
medication; obtaining informed consent, medication education; prescribing, dispensing
and administering psychiatric medications, and regularly scheduled medication review.
Twice a month,.the program psychiatrist monitors each resident's medication status
(whether currently on medication or not) in a consult format that includes all pertinent
treatment staff and a face-to-face with the resident. Medication support services are
viewed through the lens of needing to have thorough and accurate clinical assessments
and diagnosis to prescribe correctly and one that sees medications as an adjunct to help
residents' maximize their response to treatment.
Me9tai Health Services: Clients may receive mental health services outside of day
treatment hours, on an as-needed basis. These include: crises intervention, individual,
group,and family therapy,collateral contacts;assessments;and supportive rehabilitative
services. These services will be delivered by Mental Health professionals and will be
directed towards individual client goals. Emphasis will be on interventions that restore
or maintain more adaptive functioning.
Description of SeMcesff"erforcnance Roquir+ nts--Exhibit A--Page 2
v
�_ ej
EXHIBIT A
Hospitalization Services: The goal of the Dual Diagnosis Program is to severely curtail
the use of and reduce the need for psychiatric hospitalizations. The programs'enriched
staffing ratio and highly structured milieu are designed to provide containment.as a
means of preventing emergency psychiatric hospitalizations. In addition there are full--
time flexible staff available at all times to be called in for one-to-one and emergency
support. it is program policy to contain at-risk behaviors within the program structure
at all times. In the event of an extreme emergency,when all attempts at contA'Inment
have failed, a 5150 evaluation and assessment may need to be initiated. This must go
through administrative staff or the on-call clinician after hours. If a psychiatric
hospitalization is deemed necessary, then the referring county is responsible for
hospitalization costs.
4G. Program Coals:
Intensive Day Treatment. The overall emphasis of the day treatment program is to
ameliorate acute or persistent symptoms that interfere with the educational,social, and
emotional growth of the youth and that impede their ability to be maintained in a lesser
restrictive setting. The focus of services is to provide developmentally disabled youth
with mental disabilities with behavior stabilization that will limit psychiatric
hospitalization and allow youth the maximum amount of independence and the least
restrictive environment in the shortest time possible. Specific goals are as follows:
1. To provide opportunities for program youth to express and resolve,
dysphoria, anger, and resentment related to realistic cognitive limitations
and to experiences of social stigmatization and rejection.
2. To enhance self-esteem and personal competence of program participants.
3. To help youth increase their capacity to recognize, process and resolve
internalized conflict in an adaptive and prosocial manner.
4. To encourage youth to assume greater personal independence. .
5. To strengthen contact and resolve conflict between program youth and their
families.
6. To foster improved social skills and competencies.
Medication gnport Services.-
1.
ervices.1. .Alleviate symptoms of mental illness.
2. Help residentsmaximize their responses to treatment.
Description of Services/Perfonmanee Requirements-- Exhibit A-- Page 3
EXHIBIT A
Mental Health Services: The overall emphasis of mental health services is to ameliorate
acute or persistent s mptorns that interfere with the social and emotional growth of
prdgnam youth and that impede their ability to be maintained in a lesser restrictive
setting at times other than when day treatment is in affect. Specific goals are the same
as those during day treatment hours.
Hospitalization--
1.
ospitalization:1. Reduce need for psychiatric hospitalizations.
2. Limit use of psychiatric hospitalizations.
4H. Performance Objectives:
1. To provide approximately 279 days per month of Intensive Day Treatment
Services (based on 3350 days in a full fiscal year at 85%v',attendance).
2. To provide approximately 216 minutes per week of Medication Support Services
(based on 11,232 minutes in a full fiscal year at 20 minutes per week per
resident).
3. To provide approximately 18 Mental Health Service hours per week outside of
day treatment hours(based on 955 hours in a full fiscal year at 85% attendance).
4. Specific behavioral and mental health performance objectives will be established,
individually, for each program youth. Tools such as E cies inventory will be
utilized.
41. Discharge Criteria and Planning:
Discharge planning is considered an integral part of residents' treatment and begins at
intake. There is a section devoted to discharge issues/concerns on each resident's
treatment plan and it is reviewed on an on-going basis. Like the treatment plan, the
discharge component is developed collaboratively with input from the resident, family,
Program staff,county and regional center ease managers,and community provider staff.
In order to assess additional treatment and aftercare options for youth and families,
Fred Finch will also explore with the placing county the possibility of developing
therapeutic faster family homes in that area through our existing FFA and/or providing
wrap-around-family based services. It is the intent of the program to discharge clients
to their host county/regional center of origin.
The programwill make every effort to avoid precipitous discharges. If a resident is at
rusk for this the county and/or regional center case manager will be contacted and
consulted with immediately and may be invited to participate in a special staffing to
address the resident's risk/needs. In the event of an emergency;discharge(i.e. removal
of resident by self or family, serious illness, accident, etc.) the county and/or regional
center liaison will be contacted immediately and involved in the planning/decision
Description of Se vicees Per€onnanc e,Requirc nts--Exhibit A--Pap 4
EXHIBIT A
making process.
Residents will be discharged under the following conditions:
1. The adolescent no longer displays behavioral challenges/mental health issues
which warrant RCL 14 placement/intensive day treatment.
2. The adolescent displays behaviors which meet the exclusionary criteria. '
3. The adolescent is permanently removed from the facility by the court, law
enforcement, or Child Protective Services.
41. Case Management:
Program social workers will be responsible for collaborating with referring case
managers/county and regional center liaisons on treatment. They will facilitate quarterly
treatment reviews of all members of the interdisciplinary team (including referring
worker and other involved parties) and be responsible for quarterly progress reportsas
well. Treatment staff will make referrals based on resident's or families needs for special
services over the course of treatment, resident's needs at discharge,' and by resident's
request.
Discharge summaries and ether appropriate reports will be provided to other agencies,,,
clinics,schools,etc.upon receipt of a written consent and in accordance with State laws.
4K. Limitations of Service:
While Fred Finch is committed to accepting referrals made by county placing agencies,
DD program staff will give close attention to the existing age,gender, and presenting
problem characteristics of the youth already residing in the facility before accepting a
new placement. Program residents must meet the requirements for Medical Necessity
and Service Necessity. Youth meeting W&I 5150 criteria will be excluded, as will
persistent,high-risk firesetters and/or weapon users,those with backgrounds of excessive
and serious violence, children with predatory sexual behavior or these youth who are
primarily chemically dependent. The program will not be designed to serve youth who
could be appropriately served in a less restrictive setting.
4L. Patient Record Requirement:
The contractor shall maintain patient records in a safe place in locked files, retain,
dispose, and transfer records according to applicable County, State, and Federal laws
and regulations and maintain confidentiality of records. The records will be in sufficient
detail to make an evaluation of contract services passible. The Contractor shall permit
authorized personnel designated by the Local Mental Health Director to make periodic
inspections and to furnish those designated personnel such information and patient
records as they may require to monitor, review and evaluate fiscal and clinical
Description of ServicesMerformance Requirements--Ekbibit A--Page 5
EXHIBIT A
-effectiveness, appropriateness, and timeliness of the services being rendered under this
contract.
The Contractor shall indicate the methodology for complying with the aforementioned
requirements.
4M. Quality Assurance:
The Dual Diagnosis program will comply with and follow the guidelines,regulations,and
policies of the Coordinated Services system of care under Contra Costa County Mental
Health Agency and its Quality Assurance Plan.
4N. Minimum Staffing Qualifications:
See attached job descriptions. The program's staffing qualifications meet State Licensing
and Certification requirements.
4M. Organizational Chart:
See attachment #3.
Hours/Days of Operation:
The residential component of the Dual Diagnosis program is in operation 24hours a day, 365
days a fir. Day Treatment Intensive will operate 7 days per week,365 days per year from 9:00
am-3:30pm. Medication Support services will be provided during day treatment hours. Mental
Health services will be provided on an as needed basis outside of Intensive Day Treatment
hours.
6. Reporting Requirements:
Contractor will be monitored by the County on the progress toward achievement of program
goals and objectives. Monitoring will be on-going with periodic and annual reviews of program
achievements.
7. Evaluation Requirements:
Contractor shall submit to periodic and/or annual reviews of program delivery and fiscal
reporting as required by County, State and Federal funding sources.
8. Certification/Licensure:
See attachment #4.
9. Target Population:
The program will serve male and female youth ages twelve through eighteen at intake; with
Description of Serhoes/Performanoe Requirements--Exhibit A--Page 6
EXHIBIT A
authorization services may extend to age 22;however,after a resident ages out of the Children's
Foster Care System the referring county assumes responsibility for costs. "Youth placed in the
program will have been diagnosed with both cognitive/developmental disability and significant
mental health challenges. Cognitive/developmental delay may vary from mild to moderate and
may include specific syndromes such as Fragile Y, Prader Will! Syndrome, and Fetal Alcohol.
Comorbid mental health problems in this population are likely to include schizophrenia,,
pervasive developmental delay, affective and anxiety disorders, attentiondeficit hyperactivity
disorder, eating disorders and, oppositional defiance. Youth placed in this program are likely
to exhibit a wide range of acting-out behaviors including: aggression, property destruction,
running away, sexual acting out, defiance and self-injurious behaviors. Youth may have
significant medical problems, including non-ambulatory status.
10. Service Area:
All Northern California counties, and,when appropriate, other California counties.
11. Service Delivery Sites:
Fred Finch Youth Center
38M Coolidge Avenue
Oakland, CA 94602
12. Service Criteria:
The Dual Diagnosis Program of.Fred Finch Youth Center provides services to children and
their families without discrimination because of race,sex,ethnic background,status or residency.
To be eligible for admission, a resident must be;
A- Male or female/ 12 -17.5 at intake.
B. Dually Diagnosed.
C. Regional Center Client and approved for placement by the Regional Center of the Bast
Bay.
D. Have a 5 Axis Diagnosis including an Axis I Diagnosis of a Mental Health Condition
and be a client of the county mental health system.
E. Meet the requirements for Medical Necessity and Service Necessity under MediCal
regulations for Intensive Day Treatment Services.
F. Be approved for RCT. 14 placement.
G. Have a current TBP that indicates NPS in a residential, small ;or highly structured
environment, or therapeutic milieu.
Intake hours shall be from 8:30am to 5:00pm Monday through Friday.
Description of Ser ioeslPerformanee Requirements-- Exhibit A-- Page 7
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