HomeMy WebLinkAboutMINUTES - 06261990 - 1.29 ®®29
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: BOARD OF SUPERVISORS ?�,...... o
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FROM:
Phil Batchelor, County Administrator
Costa
P° Count
DATE: June 19, 1990 Y
SUBJECT: LEGISLATION: SB 2669 (Presley & Bates)
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECONIlEENDATION
Indicate that the Board of Supervisors continues to SUPPORT SB
2669 by Senator Robert Presley and Assemblyman Tom Bates 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:
On May 15, 1990 the Board of Supervisors voted to support SB
2669. On May 22, 1990 the Board of Supervisors voted to continue
their support of SB 2669 as amended April 17 , 1990. On May 30 ,
1990 the bill was again amended.
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. SB 2669 is co-authored by
CONTINUED ON ATTACHMENT:Yes-YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
_ APPROVE OTHER
SIGNATURE(S):
ACTION OF BOARD ON June 26 , 1990 APPROVED AS RECOMMENDED 51 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.
JUN 2 6 1990
CC: ATTESTED
Please see Page 4. PHIL BATCHELOR,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
'0 hlaA!��e
M382 (10/88)
BY DEPUTY
Assemblyman Tom Bates and nine other members of the Legislature.
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:
* 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 counties establish protocols between
county health departments, welfare departments and all public and
private hospitals in the county, regarding the application and
use of an assessment of the needs of, and a referral for, a
substance exposed infant to a county welfare department or a
public health nurse.
The bill also requires that the plan provide for public health
nursing services and identifies 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 and the
county juvenile court.
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.
The bill requires the State Health and Welfare Agency to develop
guidelines to review, approve and fund county perinatal substance
abuse service plans, and collect and analyze county data and
. develop a statewide perinatal substance abuse services plan.
The Health and Welfare Agency is required, by July 1, 1991, to
develop and disseminate a model , needs assessment protocol for
pregnant and post partum women in conjunction with the
appropriate professional organizations in the areas of hospital
administration, substance abuse prevention and treatment, social
services, public health, and appropriate state agencies,
including the State Department of Social Services, the State
Department of Health Services, State Department of Developmental
Services and the State Department of Alcohol and Drug Programs.
This model is to be used by each participating county as a basis
for the development and utilization of the county' s needs
assessment.
The bill also requires the State Department of Health Services to
develop and implement a training program for public health nurses
in order to further their understanding of, and ability to
respond appropriately to, the problems posed by perinatal
substance abuse.
The bill also addresses the issue of potential child abuse where
there is a positive toxicology screen and the basis for a
referral and investigation of potential child abuse as a result
of such a screen.
The sum of $3 million is appropriated for allocation to local
agencies in order to reimburse agencies for the costs mandated by
this bill.
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 May 30, 1990.
SB 2669 passed the Senate Health and Human Services Committee on
April 4, 1990 by a vote of 7: 0. The bill passed the Senate
Appropriations Committee June 7, 1990 by a vote of 10:0. The
bill passed the full Senate June 12, 1990 and is now pending a
referral to a Committee in the Assembly.
cc: Senator Robert Presley
Assemblyman Tom Bates
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