HomeMy WebLinkAboutMINUTES - 05221990 - 1.37 1-03'7
TO: , BOARD OF SUPERVISORS S---L
Contra
FROM: f Costa
Phil Batchelor, County Administrator � : ...
DATE: May 11 1990 ���°a County
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SUBJECT: LEGISLATION: SB 2669 (Presley)
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOPPEWDATION
Indicate that the Board of Supervisors continues to SUPPORT SB
2669 by Senator Robert Presley which would enact the Perinatal
Substance Abuse Services Act, permitting a County to develop a
comprehensive plan for the delivery of services to women, their
infants and families where substance abuse is involved.
BACKGROUND-
Existing law establishes various substance abuse programs, many
of which are administered by the counties and the State
Department of Alcohol and Drug Programs. Existing law also
establishes various programs which provide services to pregnant
women and infants, many of which are administered by each county
and the State Department of Health Services.
Senator Presley has introduced SB 2669 in an effort to encourage
the development of a comprehensive service delivery system to
pregnant women who are abusing drugs and alcohol, their infant
children and their families.
The bill makes findings and declarations concerning problems
related to substance abuse among pregnant women, and the need for
services to these women, their infant children and their
families. Specifically, SB 2669 indicates that the intent of the
Legislature in enacting this bill is to:
CONTINUED ON ATTACHMENTfe_YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE ` •
APPROVE OTHER
SIGNATURES:
ACTION OF BOARD ON— May 22, 1990 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.
ATTESTED MAY 2 2 1990
PHIL BATCHELOR,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Please see Page 3 .
M382 (70/88)
BY DEPUTY
* Encourage the development of policies that recognize and
respond to the problem of substance exposed infants and the
underlying problem of maternal substance abuse.
* Encourage the development of a comprehensive delivery system
of services to the mother, child and family.
* Protect the child from abuse or neglect and promote,
maintain and support healthy family systems.
* Develop policies which recognize that the incidence of
substance exposed infants and maternal substance abuse is
fundamentally a health problem which is driven by: addictive
behavior and that a substantially expanded substance abuse
treatment, health care and social services support system is
required to deal with the problem effectively.
* Develop and provide for a comprehensive continuum of
substance abuse treatment, health care and social services
at the local level which includes preventive :and early
intervention services that support the family unit and
maximize the healthy development of mother, child and
family, thus minimizing the long-term need for public
resources to support substance impaired children throughout
their lives.
* Identify gaps in services to the target population.
* Provide case management services to children and families
with multiple needs.
* Allow for flexibility of expenditures in public funds by
emphasizing local decision making and providing for greater
flexibility to. local government in designing policies and
delivery systems.
SB 2669 authorizes each county or consortium of counties wishing
to participate in this program to develop a single comprehensive
plan and system of services for the prevention, early
intervention and treatment of perinatal substance abuse and
substance exposed infants and their families which includes, but
is not limited to, the services specified in this bill.
The bill specifies the elements which must be included in the
comprehensive plan. The bill also requires the development and
utilization of a needs assessment both prenatally, as a
prevention and early intervention tool, and postnatally,
immediately following the birth of a substance exposed newborn
before the infant is released from the hospital. The bill
defines the purpose of the needs assessment.
SB 2669 indicates that the comprehensive plan is also to include
the development of a substance abuse treatment system to provide
appropriate treatment, upon demand, to the extent practicable and
feasible. This treatment system is to provide outreach,
prevention and early intervention services. Priorities for
services under this provision are included in the bill.
The bill also requires that public health nursing services be
provided and provides the reasons for such a requirement. The
bill also requires that the plan be developed through a
cooperative process including such agencies as child welfare,
county health services, county mental health services, public
health nursing, county substance abuse services, hospitals, local
educational agencies, regional centers, for-profit and nonprofit
substance abuse, health care and mental health providers.
An annual report to the state is required to identify the extent
to which the target population is being served.
Counties may request waivers of existing state regulations
pertaining to single agency operations and auditing and
accounting requirements which hinder coordination of . perinatal
substance abuse services.
An unspecified amount of money is appropriated for allocation to
counties in order to provide drug and alcohol treatment services
and public health nursing services under this provisions of the
bill.
The April 17, 1990 amendments to SB 2667 revise the findings and
declarations, revises the definition of the target population,
includes a definition of "health practitioner" for purposes of
the bill, makes minor changes in the elements which are required
in the comprehensive plan, revises the priorities for services
under the provisions of the bill, revises the process for
requesting waivers from regulations, specifies that the model
needs assessment be developed by July 1, 1991 and requires that a
positive toxicology screen lead to an assessment of the needs of
the mother and child and may be used to make a referral to the
county public health nurse.
SB 2669 appears to be entirely consistent with many elements of
the Board of Supervisors ' Drug and Alcohol Action Plan in regard
to the need for additional comprehensive services to mothers who
are abusing alcohol and other drugs and their infants and
families. It is therefore recommended that the Board of
Supervisors indicate its continued support for SB 2669 , as
amended April 17 , 1990 .
cc: Senator Robert Presley
County Administrator
Health Services Director
Public Health Director
Drug Program Administrator
Alcohol Program Administrator
Social Services Director
Mental Health Director
Chair, Maternal, Child and Adolescent Health Advisory Board
Chair, Drug Abuse Advisory Board
Chair, Alcohol Advisory Board
Les Spahnn, SRJ. Jackson, Barish & Associates