HomeMy WebLinkAboutMINUTES - 05251993 - 1.39 -
TO: BOARD OF SUPERVISORS I'o
� 39
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FROM: Mark Finucane, Health Services Director" v�`r�
By: Elizabeth A. Spooner, Contracts Administrator Costa
DATE: May 11 , 1993 County
SUBJECT: Approval of Grant Application #29-479 to be submitted to the
State Department of Mental Health for AB 3015 Grant Funding
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
Approve and authorize the Chair, Board of Supervisors to execute, on
behalf of the County, Grant Application #29-479 (based on the attached
concept paper outlining the Grant Project) for submission to the State
Department of Mental Health for AB 3015 Grant Funds, for creation of
a Children's Mental Health System of Care to provide mental health
services to severely emotionally disturbed (SED) minors who are wards,
dependents, AB 3632-eligibles, or other youth in psychiatric crisis.
II. FINANCIAL IMPACT:
The State has $3 .8 million available to award to the counties for this
Program. Funding is authorized under the Children's Mental Health
Services Act, Chapter 1229, Statutes of 1992 (AB 3015) and is Federal
SAMHSA funding which will be passed through the State to the counties
during the three-year period from July 1, 1993 through June 30, 1996.
No County match is required.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
The AB 3015 Grant funding, which is being offered to the counties by
the State Department of Mental Health, will provide coordinated and
integrated services across several County Departments (i.e. , Health
Services, Social Service, Probation, and Education) whose clients
include SED minors.
The essence of the Grant is based on the Ventura model of children's
mental health services which is child-centered, family-focused,
community-based treatment in the least restrictive setting.
Demonstration grants in four counties have demonstrated very
significant cost savings by avoidance of group home placement and
State hospitalization. Cost savings in these counties more than
offset the grant allocations.
CONTINUED ON ATTACHMENT: _ YES SIGNATUR5
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMM DAT ON OF BOARD WOMMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON (h APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
UNANIMOUS (ABSENT ) I 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/�N THE DATE SHOWN.
Contact: Lorna Bastian (313-6411) �' I ��/y j
C C: Health Services (Contracts) ATTESTED f G14
Auditor-Controller (Claims) Phil Batchelo , Clerk of the Board of
State Department of Mental Health $� BfY1SQf� G4ltli �
M382/7-83 BY _ �! DEPUTY
Grant Application #29-479
Board Order
Page 2
The State has given the counties an extremely tight timeframe in which
to complete the Grant application, which is complex because of the
required coordination with, and approval of, the various county
agencies which will be involved with the Program if Contra Costa
County is successful in its effort to obtain AB 3015 funding.
However, if the County does receive a Grant Award from the State, it
will allow the County to provide innovative integrated and
coordinated, cost-effective services for its SED children and
adolescents.
Therefore, the Department is requesting approval for the Board Chair
to sign the application document (as required by the State) , based on
the attached concept paper, at the same time County staff is working
to complete the application document.
ATTACHMENT I
STATE OF CALIFORNIA
DEPARTMENT OF MENTAL HEALTH
BID FORM
NUMBER: CMU 93-08
DUE: June 4, 1993
CHILDREN'S MENTAL HEALTH SERVICES ACT (AB 3015)
The undersigned bidder hereby proposes to provide the services specified in the program
statement of this request for proposal.
Pursuant to the attached provisions of this project, our request for SAMHSA federal block
grant is:
$ for the first project year (line 49 of Federal Grant Detail Provider Budget);
$ for the second project year (line 49 of Federal Grant Detail Provider Budget);
$ for the third project year (line 49 of Federal Grant Detail Provider Budget).
Awards made pursuant to this RFP will be for a three-year period contingent upon the Legislature
appropriating sufficient funds in the Budget Acts for the second and third years and upon satisfactory
completion of the terms and conditions specified in the awardee's proposal during the first project year.
JQrna BaG i n, Men al Health Dire for 5/20/93
Countv Mental Health Department Printed Name, Title and Date
595 Center Avenue #200, Martinez, CA 94553
Address
510/313-6411 ID# 94-6000509-ACJ
Telephone, Federal Tax ID Number
CERTIFICATION OF REVIEW:
�l�rr � 'Urf's Tan Torlakson, Chair 5/25/93
County Board of Supervisors Printed Name, Title and Date
Dennis Lepak, Chair 5/27/93
Mental Health Commission Printed Name, Title and Date
Collaborating Local Agencies: (Required per Welfare 5 Institutions Code Section 5857(b))
Ronald Stewart, Superintendent of Education 5/27/93
Special Education Printed Name, Title and Date
lois Haight, Superior Court Judge 5/27/93
Juvenile Court Division Printed Name, Title and Date
Perfecto Villarreal, Director Social Service 5/27/93
Child Protective Services Printed Name, Title and Date
Je= Buck, Chief Probation Officer 5/27/93
Juvenile Probation Services Printed Name, Title and Date
For co-' So Tl fflv`\�
spas��3
'NiORANDUM OF!U
BETWEEN
THE MENTAL IIE<R DE'AR'S
MENTA
THE DVAOMENT OF C Di "S 3.V'CE
,t
• $is Gored int*bY the I'M J ngeies county tai
•ibis metnarand�°��3w en`s�for the pub
luatt'h Department � p=#ag�am�C 'ldren faze of Los Angeles
'ssaialemeut��aF� � .
bounty.
Los�gcies C:onnty,with the halg of a hrr�adoals��Primo:
� has de+nd the��lsxS
# t,c�dreawha are re+��` P � wm4ts in
O the WS are s od�tt8 ad not i�or `
thea'h+c�
rer aw I grab ewe%a v xt# e
1
• with scboot%publk and Private
a ° e��far ttheir ch�d�
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dwg on ident�ed
��}q of#�a�by
v - Tod almd��a�� .
4 famtlg
fa a of family ws are identified was
a To g�Re that the ' taoa and ese'�
POSM to Prevent
is Problem fault p3roble-wf-
pTocess W
�v'sces wither tl3e
-rc;iawAve the co> a ' in We��6 building- ae.�t service PrV"
a ns SGzvi of
SU•t ' f� - ethnk aM demograithic needs•
o*e
tern resavrcts over
the long term(for
ey e:
d To dem'
the need fat j.Me,nG ijjdud 13il tg
preventing te �vis redng p
by p ' ` le and delin�nt minars�in
and� their o�� w
ho ,�i�t s�ceess
g 8�attar>.
111: iY-='4-199=x; 12:-77 FROM 1 CC.0 HDATAL HLTH RDH I N T;=! :-
v
MEN MOU
Page 2
o To break patterns of risk for mWtigenerado:tal families with recurrent needs
for ct— -orieawd intensive sen ices.
MF AI.HEALTH DF-PARITAFNT RF.SPONSISI InES:
The Meatal Health Dapartraet agrees to participate in the Family Prascmdon Program
as an=ended team member to help coordinate the planning activities of the Program,
assess the ongoing needs of chUdren and their fanulie&map omental health related
resources avwRaW in the wmmunl%and develop a collaborative system of.wmice
delivery.
To help accomplish the goals of the Fancily Preservation Program,the Meaud Health
Mparumnt agz'ees to provide the following resources and services:
cr A,management levet staff member to partici w with DGS in couat*de
Fan ay Preservation planning efforts;
a liaison to ICS district offices aad to immunity aeftwim to interpret MH
poUcy:orkastaff regarding local resources and target populadon issues W
resolve problems;
o Mental heardh scrviocs iacludiag outpatimt day Umment i godew
treatment for the moaw RWIth Department mrget population to ft extent
that vds*resources will allow;
o Collaboration of treatment staff vwith the DCS Chadmds Socha worker and
the community network for those children and fam ies who are accepted as
patients;
o Cooperate as nooessm with the state Md county ev"tors for the Family
Presemdon Prosraw;
v Partidpato when appropriate In the Multidisciplinary Case Phoning
Committee;
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--------------------------------
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-24-1993 12:37 FROM CCC MENTAL HLTH ADMIN
96461353 P.04
MEN MOO
Page 3
o Agree to support the objectives of AB 546 (Atmd=cnt 2);
o Accept and ase Family Preservation f wdiug from 1'.K:'S for the procurement
QIIt31 health SCIViCCS.
Amend contra=with mental health service pr<mders who reo&e Fanuly
Preservation funding to make the Family Presesvadon funding a part of the
existing Natal heAth budget and adding Federal Fizzy dq Particigarion
a Insure that the Mental with contracted service providers who also We"—
Family
Family hatmvation funding:
Provide the supeWkion W the medical direction with**ffi)g MR
funded resoatee%
Request pa=tal eonseW to share U atment planning and prtgess
iruvrmnt with DCS aad the ca�unity mtwerk
Callaboratt with the CSW and the Community network regarding
those children and families accepted as patients front the networks;
Use Faamily Preservation resources to provide services only to Family
Pr"ery dw chl&emc;
Track the Fawily Preesctvatian services separately for clu'ldrea who
am Sewed oa the Family Ptesemtioa budget from these who are
staved on the ei isstin budget;
o Provide Qu4ty Assmnce oversight for mental health services provided to
children in.the Family Preservation Program;
o Provide available data such as age, ethnicity,services provuied,diagwsis,
global level of functioning at admission,to support Family Presemfioa
evaluation efforts;
a Adhere to all caafidentiarky lain
--------------------- h
PLAY-24-1993 12:3v -----------------------
FROM CCC MENTAL HLTH ADMIN --------
TO 96461-57F,.0=� -- ----
MEN MOu
Page d
DEPARTMENT OF CHB.DREN S SERVICES RZ SPONSIBUM S
DCS has established an Office of Services Support whkh provides technical assistance to
the community and$crves as administrative liaison with the Meatal.Health Department
and other county departments to discuss and resotve program and policy issues. DCS will
provide Children's Services AdmiuLtrators for liaiwu for spodi3ic client mse issues(See
Attv.hment 3 for DCS Raison). In addition,ICS Wces to do the following activities:
o Commit fuadiq to comm.mity agencies to pmvide family presesvauoa
services; .
a Commit fundh%to the Meatal Health.Department for mental health seMces
to DCS ideWiffed Family urian dies;
a Participate in and coordinate aU activities of Family Pm ervation Networks
and Multidmiplinary (ase PUAaM C. mnuttrt;s;
o Coordinate au activities with the state and Dainty FatniIy mon
program evaluators;
o Monhor oamract ageneses for 06atrad compliance;
o Assure that services identified in the case plan are provided;
o Collaborate with t6s Meatal Tlealtb Department to imnplemcra Family
Prmet wUm services by July 1943 for AR 3M children who meet specified
criteria and will be placed out of home or could reteru home earlier in order
to decrease the escalation of out of haare placement of these children;
a Interface with the State Depw=at of 5ocW Seiviem"
a Adhere to all confidentiality laws-
---------------------------------------
aws-
------------------- _______
PIRY-24-1993 12:35 FROM CCS
MENTAL HLTH ADMIN --------------------------------------
964E135; p,ME,
MEN MOLL
Page S
YdpSTEP ppOGRAM
HWth
'Txtis l�fietr�orandura of Ejgderstandut$bet�veeu
Lo, gibes�a'aaSy Meth nsibiliries of
ent and the LM�partu11 sn of C iidsen's Services also includes the respa
drh marts for ft kidStep ProVam as foilows:
ettt agrees to provide matcb RMTme up to slow for
Tae Metiml Health rimed kidSt p a$e 'I fOr
each kidStep.Mc& elapVe child psi in ag app
meatal haaZtb.services.
A� aunt of dret�'S Sentices agrees to fug S iQQO in costs of eac}�"UT
-fb p approved l c0l"Mct agen''•
approved dAld gisced in a"dStcp
shaIl be effective upva the Si Mature dam i •
'Ibis Wmmtzran�m of Uade such modificads sbah
Edi tg rcga. modif "on,
S .d this Mem �by��� shawabelow.
be added by nmtW W
This b4cm0randum of tfuderst
ba t m nand ay either tzars}by i& 4otice
which includes the remu far
Peter Vic.I�irecta�
hetsrov�il.D=Srrct�
Mpartument of(�dren'S
I«Iettital Health T�epa=cnt
services
f3 'I'E
AuWQ
-----------------------------------------------------------------------------------------------------
'IRY-24-1999 12:3' FPiJI1 CCC PIEIJTAL HLTN ADMIN TO '6461^5 P.07
s
ATrAC�
L B 96 F I F^_ ATION
17 7 PROGRAMS
GOAJLS
MA`r'-24-199: 12:79 FROM C:CC. MENTAL HLTH AI;MIN TO 96461353 F.Cl_;
ATTAC:f-iMEI~ rr I
AS 5"FAMILY PUSERVATION PRQ'GRAMS Goi"
AB 546 Family Preservation lgislatian spacifks that a program wiil only be deemed
successful if it meets the foilowatg standards:
At least 75 percent of the 4hitdren receiving scrvices remain is their awn homes
for six months after termination of servicm
During the E=year after services are terminated:
At least 60 percent of the ehildren receiving seMces rema€n at hom on$year
after seMci s are terminated.
The average length of stay ba out-af hoaw care of children reviving sesvi=who
have already bein removad from their hogs is$0nt less Haan the average
length of stay in out-of-home care off childrea who not rw.ve program
satvi.ceS.
Two years after the termination of fasaily preservation seMces:
At least 60 percent of the children who were retuned home remain at howe,
The average'tst h of out-of hame cue,is 50 perceat less dr=the averW
length of staff►m out-of hors care for children in out-of-horm,care who do not
receive services.
------ ----------------
MAY-24-1593 12:40 FROM CCC MENTAL HLTH ADMIN TO 56401353 P.09
You vi.11 find Attachment II
net included because it contaifUa IiSt Of prOviders
and t.ejeghone niers (apprax_ 15 paLges) to txe used
A'TTACHMEN'T III
DCS LUISONS
PROGRAM At D POLICY ISSUES
Johnny D.Hampton
Division Chief
Cffjicc of Services Support
425 Shatto Place
Los Angeles.CA 90020
(213)351-5670
CLIENT CASA iSSM
Regiot: Region rl
C hatles Tadlock Ray L.Wotte,CSS,.
C.hildren'a Services Administrator Chr'idres s Services Administrator
840 S.Banwca 2444&AWne&Avenue
Caving,CA 91723 Los Angeles,CA 90458
(818)858-1600 (213)W-2000
Regon M R4on Int
Madeline Oleg Rex WWre
Children's Services Administrwot Chiildrees Services Administrator
5427 E-Whittier Blvd. 14355 Sluslter Dr.State H
Las Angeles,CA 90022 Santa Fe Springs,CA 90470
(213)727-415.2 (223)903.5101
Region V Region.V1
Gladys Cabrera Gerhard Molaud
C dren%Services Admia*trator Cliitdren's Service; Administrator
SISS Van Nuys Blvd,7th Floor, 2965 S. Vermont Avenue
Panorama City,CA 91402 Los Angeles, CA 90033
(818)374-5000 (213)730-3442
A fck vo ew+
CONTRA COSTA COUNTY SUMMARY GRANT NARRATIVE TO IMPLEMENT
SYSTEM OF CARE FOR SERIOUSLY EMOTIONAL DISTURBED
CHILDREN AND ADOLESCENTS AND THEIR FAMILIES
PURSUANT TO AB3015 (Former AB377 - Ventura Model)
INTRODUCTION
o Contra Costa County Social Services, Probation, Special Education, Health, Mental Health
and Substance Abuse Programs all report a staggering increase in referrals with inadequate
ability to respond.
o Out-of-home group placements have risen dramatically with concomitant sky rocketing costs.
o The Youth Services (YSB) has established the precedent of a strong commitment to a family-
focused, child-centered, interagency, integrated model in addressing the needs of children,
youth and families in Contra Costa County.
o Basic mechanisms for integration of service elements are in place (Youth Services Board,
Operations Committee, etc) and will be augmented by "mini"-policy and case management
councils for each System of Care program component.
o Target population includes children and adolescents (17 years or younger and their families)
who are seriously emotionally disturbed (SED) and are one or more of the following:
1. A ward or dependent of the court
2. A special education student receiving AB 3632 services
3. Separated or at risk of separation from their family (often receiving crisis, day
treatment or psychiatric inpatient services).
o It is estimated that when fully operational 539 children, youth and their families will be
served annually in the following programs:
PROGRAM COMPONENTS
PROBATION/MENTAL HEALTH/EDUCATION PROGRAMS
Juvenile Hall Based Day Treatment Program
o Description: 20-student intensive day treatment program in a locked setting offering multi-
disciplinary assessment, individual, group and family therapy, a milieu program level system,
and parent support group
o Service capacity: 60 adolescents per year
o Target population: 100% court wards (Probation)
o Goal: Intensive treatment in a contained setting in order to make it possible for adolescents
to return to or remain in less restrictive living situations in the community
o Implementation date: Fall 1993
Byron Boy's Ranch Special Day Class
o Description: 20 student special day class at Byron Boy's Ranch for dual diagnosed
(SED/Substance Abuse) adapting Adult Deuce Educational component to juveniles with
mental health and substance abuse support, linking and aftercare
o Service capacity: 80 adolescent boys/year
o Target population: 100% court wards (Probation)
o Goal: Education and treatment of dual diagnosed adolescents aimed at reducing substance
abuse, increasing level of functioning and reducing use of restrictive placements
o Implementation date: Winter 1994
See System-wide Integrated Service Components below for additional Probation Programs
SOCIAL SERVICE/MENTAL HEALTH PROGRAMS
Mental Health Screening and Consultation
o Description: Increased mental health screening, consultation and linkage to specialized
System of Care services for children identified by their caseworkers as seriously troubled or
presenting complex problems related to placement
o Service capacity: 136 children and families/year
o Target population: 100% court dependents (Social Service)
o Goal: To identify SED dependents so they may be effectively linked to needed services
o Implementation date: Winter 1994
See System-wide Integrated Service Components below for additional Social Service Programs
SYSTEM-WIDE INTEGRATED SERVICE COMPONENTS
Intermittent Intensive Intervention Program I3P)
o Description: Long-term, periodic in-home support, crisis resolution and case management
services
o Service capacity: 90-100 families with an SED child or adolescent per year
o Target population: Families with limited coping skills who experience cycles of chronic
instability escalating to crisis
50% families of court dependents (Social Services)
30% families of special education students (AB 3632)
10% families of court wards (Probation)
10% families of "un-owned" youngsters (other Mental Health)
o Goal: Support parents to enable them to maintain their child/ adolescent at home
o Implementation date: Winter 1994
Community Based Adolescent Day Treatment Program
o Description: 20-student intensive day treatment program offering individual, group and
family therapy, a milieu program level system and parent support group
o Service capacity: 30 adolescents per year
o Target population: SED adolescents ages 12-17 who, primarily, are not special education
eligible
60% court dependents (Social Services)
30% "un-owned" youngsters (other Mental Health)
10% court wards or AB 3632 (Probation and Special Education)
o Goals: Improve academic functioning, school attendance; allow students to remain in family
homes (with parents, relatives, or foster parents)
o Implementation date: Summer 1994
90-Day Assessment/Stabilization Residential Program
o Description: 6-bed RCL-14 group home providing short-term multi-disciplinary, ecologically
oriented assessment and brief intensive treatment
o Capacity: 25 SED children/adolescents, ages 8-17, per year
o Target population: Minors in psychiatric crisis and at-risk either of hospitalization or of
losing their current living situation
50% court dependents (Social Services)
50% court wards, special education, and "un-owned" minors
(Probation, AB 3632, Mental Health)
o Goal: Stabilization of youngster and return to family home or other least restrictive living
situation
o Implementation date: Summer 1995
System-Wide Aftercare
O Description: Follow-up clinical services for SED children/ adolescents
O Target population: SED children/adolescents discharged from the proposed new service
programs: intermittent intensive intervention, community based day treatment, 90-day
residential, juvenile hall intensive day treatment, and substance abuse "deuce" program
o Capacity: 60 SED children/adolescents per year
o Goal: Provide continuity of care so that minors may remain stabilized in their living
situations following discontinuation of an intensive service
0 Implementation Date: Winter 1994
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PRELIMINARY BUDGET
YEAR 1 YEAR 2 YEAR 3
TOTAL PROGRAM* $795, 263 $1 , 705, 927 $1, 900,566
ADMINISTRATION OVERHEAD $ 63 ,621 $ 136,474 $ 152,045
START-UP $ 39, 400 $ 34,400 $ 4 , 000
GRANT TOTAL: . $898 ,284 $1 ,876,801 $2 , 056 , 611
*Total Program costs will be significantly reduced by blending funding
and maximizing Medi-Cal Federal Financial Participation (FFP) .
Therefore, net Budget grant costs will be less and are being
developed.
Significant In-Kind Contributions by Education, Probation, and Health
Services (Substance Abuse and Public Health) strengthen the grant
application.