HomeMy WebLinkAboutMINUTES - 03121985 - 2.1 TO: BOARD OF SUPERVISORS
FROM: R. E. JORNLIN, DIRECTOR
tra
Social Service Department Costa
DATE: March 6, 1985
County
SUBJECT: APPROVAL OF LINKAGE PROPOSAL
(RE: NO. 29-029)
1
SPECIFIC REQUEST(S) OR RECOMMENDATIONS) & BACKGROUND AND JUSTIFICATION
I . RECOMMENDED ACTION
Authorize Director, Social Service Department, to submit a proposal
for $350,0001in State funds to the State Department of Aging to
provide Linkage service for persons who are frail and elderly; or
disabled over the age 18 and in danger of institutionalization and
who are not eligible for services from mental health or vocational
rehabilitation with such services to be provided during the period
May 15, 1985 to June 30, 1986. This proposal is in response to a
Request for Proposal issued by the State Department of Aging.
II . FINANCIAL IMPACT
It is proposed to request State funds of $350,000 and supplement
these funds with $167,000 in Title III Older Americans Act funds
and $50,000 in County Social Service Department budgeted funds.
If the proposal is approved at the State and County levels, the
Social Service Department will budget the $50,000 in its FY 1935-86
budget.
III . REASONS FOR RECOMMENDATION
The Board of Supervisors authorized a Long Term Care Pilot Project
on September 27, 1983 to serve frail elderly Seniors in Contra Costa
County who are "at risk" of institutionalization. The Pilot Project's
Public-Private Consortium have made a commitment to continue the
project through mid 1986, after which the County will continue to
have responsibility for its frail elderly Seniors whether or not
additional funds are available for this population. The State
Department of Aging through its Request for Proposal has made $350,000
available for serving frail elderly persons; or disabled persor..s over
the age 18. If the County's proposal in response to State -Department
of Agirg R.F.P. is granted, it will afford Contra Costa County the
opportunity to continue serving the frail elderly after the Long Term
Care Pilot Project ends.
CONTINUED ON ATTACHMENT:X YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BGARD COMMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON r/ jf-.5 APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
UNANIMOUS (ABSENT ) 1 HEREBY CERTIFY THAT THIS IS A TRUE
AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN
ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD
OF SUPERVISORS ON THE DATE SHOWN.
ORIG: Social Service Dept. (Contracts Unit)
CC: County Administrator ATTESTED
Auditor-Controller J.R. OLSSON, COUNTY CLERK
County Office on Aging AND EX OFFICIO CLERK OF THE BOARD
State Dept. of Aging
M382/7•83 BY DEPUTY
i
-2-
IV. BACKGROUND (AND PROPOSAL SERVICE SUMMARY)
Contra Costa County began a local long term care planning and
program development effort in September 1981, initiated in
responseito the development of the California Long Term Care
Plan in 1981 and AB 2860, the Torres-Filando Long Term Care
Reform Act, in September 1982.
I
Throughout 1982-63 eight public and private agencies began to
meet regularly to develop a local long term care plan for Contra
Costa County which became the foundation for the Lonq Term Care
Pilot Project. This Project currently provides case management
centered, community—based long term care services to 100 frail
elders.
The Linkages proposal would build upon the experience gained in
Long Term Care Pilot Project. The establishment of a Linkages
Site in Contra Costa would not only assure the continued develop-
ment of community-based long term care services within the County,
it would also expand the progress made by the pilot project in
providing case management services to the elderly to include this
same service provision to the functionally impaired adult between
the ages of 18-65. Methodology would be to establish a separate
long term care unit as a Linkages Site under administration of the
Social Service Department and pull together a number of the key
providers of adult services within the County system. The Linkage
site would work closely with the other County adult services programs
for future integration. A provider council made up of current
members of the Long Term Pilot Project Management Team would be
formed to oversee and encourage coordination with private agencies
in the County. The Linkages Site would also undertake an extensive
outreach effort to alert the community to the formation of the
Linkages Site as the primary point of entry for qualified adults
needing long term care services. A primary goal is to have a more
accessible, client-oriented system of community-based long term
care services.
V. CONSEQUENCES OF NEGATIVE ACTION
Currently, the Social Service Department is one of eight agencies
participating in the Contra Costa Long Term Care Pilot Project,
providing Case Management service to 100 frail elderly "at risk"
of institutionalization clients. The project' s Public-Private
Consortium are committed to the project only through mid 1986.
At that time the Board will be faced with determining the future
of longterm care in Contra Costa County. This proposal offers the
opportunity of securing $350,000 of State funding to continue the
effortsjinitiated by the Long Term Care Pilot Project.
REJ/SJ/do
i
I
I