Loading...
HomeMy WebLinkAboutMINUTES - 06221993 - IO.7 JO: BOARD OF SUPERVISORS I .O.-7 .c•. Contra INTERNAL OPERATIONS COMMITTEE FROM: Costa � County DATE: June 14, 1993 rsT = a cuu:it' SUBJECT: REPORT ON SERVICE INTEGRATION AND IMPLEMENTATION OF THE PROPOSED "HEALTHY FAMILIES 2000" PROGRAM SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATIONS: 1 . ACCEPT the ;attached status report on the Service Integration Project. 2 . REQUEST the County Administrator and affected department heads to report to our Committee on October 25, 1993 on implementation of the Service Integration - "Healthy Families 2000" Project. BACKGROUND: On May 4 , 1993, the Board of Supervisors approved our last report on this subject and directed that the County Administrator and affected department heads provide a further status report to' our Committee on June 14 , 1993, specifically regarding the federal and state waivers which would be required in order to co-mingle funds to the extend required to make the Service Integration Project fully operational . On June 14, 1993, our Committee met with Jerry Buck, 'County Probation Officer; Yvonne Bullock, Assistant Social Services Director; Bill Weidinger, representing the . Community Services Department, and Sara Hoffman, Senior Deputy County Administrator. Sara Hoffman summarized the attached report, including the possibility of using SB 786 or AB 1741 as pilot programs to test a single integrated delivery system. In addition, she noted that both the Mt. Diablo and Richmond Unified. School Districts are heavily involved in the planning for the implementation of the service integration model . CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD WF APPROVE OTHER, c• ��"� _ - SUNNE WRIGHT McPEAK JH SIGNATURE(S): ACTION OF BOARD ON June-22, 199-99 3 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— f Contact: PHIL BATCH OR CLERK OF THE BOARD OF cc: See Page 2 SUPERVISORS AND COUNTY ADMINISTRATOR i BY DEPUTY I .O.-7 Funds have been requested from several sources for the coordinator position which will be absolutely critical in order to make the Service Integration Project work property. We have encouraged staff to work closely with the Zellerbach Foundation in particular, since it appears that they may be able to provide some consultation on ways to package waiver requests they will have the greatest possibility of success . It appears likely that internal training will take place in August and that external integration should be ready to be implemented in September. We are, therefore, asking that the County Administrator and the affected departments make a further status report to us on October 25, 1993, which will, hopefully, indicate that the Service Integration Project has been successfully implemented. cc: County Administrator Social Services Director Health Services Director Community Services Director County Probation Officer Sara Hoffman, Senior Deputy County Administrator Kathy Armstrong, Consultant to the County Administrator 0 -2- CONTRA COSTA COUNTY OFFICE OF THE COUNTY ADMINISTRATOR 651 Pine Street, 10th Floor Martinez, California 94553 Telephone: 646-1390 DATE: June 9, 1993 TO: Supervisor Jeff Smith Supervisor Sunne McPeak Internal Operations Committee FROM: Sara Hoffman Senior Deputy Administrator SUBJECT: Status Report on Service Integration Recommendation Recommend that the Board of Supervisors accept the status report on Service Integration. Background/Reasons for Recommendation On April 26, 1993, the Internal Operations Committee reviewed the action plan for Service Integration. In doing so, the Committee recommended, and the Board approved, that the County Administrator report back to the Committee on three issues: • Identification of federal and/or state waivers necessary to implement Service Integration. • potential for using a school site for service delivery as well as integrating the schools into the service integration model. • potential funding from the Zellerbach Foundation and others to support the transition to Service Integration. Waivers Each of the departments participating in Service Integration has a unique set of rules and regulations which govern their activity. Generally, the Departments will need waivers for consolidation of funding sources, sharing of information and integration of applications and other forms. It is difficult to specifically define a preferred configuration on all these issues until Service Integration teams are in place. One of the first tasks of the new teams will be identification of an optimum integrated process and its relation to the current segregated departmental regulatory requirements. i Staff has been investigating different approaches to the waiver issue and believes that AB 1741 and SB 786 (Chapter 994, Statutes of 1991) may circumvent the timely and complex departmental regulatory waiver process. These alternatives are particularly attractive due to the historic resistance of the State to regulatory waivers (For example, the waiver on the yearly AFDC reinvestigation requirement). • AB 1741 (Bates) establishes 5 year pilot programs to allow counties to combine a variety of funding streams to fund a single integrated delivery system. The Board of Supervisors, on May 6, 1993, adopted a position of support of AB 1741. According to Bates' office, the bill needs bipartisan support, which is currently not forthcoming. Consequently, the Director of the County Social Service Department prepared a letter for Assemblyman Rainey regarding our belief in the efficacy of this bill to Contra Costa County's service integration effort. A follow up meeting is being scheduled. • SB 786 (Chapter 994, Statutes of 1991) "authorizes counties to request authorization to enter into a negotiated contract with the department which enables the repositioning and reallocation of existing resources to facilitate integrated cash management and coordination among participating agencies." Waivers are to be submitted to the Secretary of the Health and Welfare Agency, the Superintendent of Public Instruction, the Attorney General, Secretary of the Youth and Adult Correctional Agency, the Secretary of Child Development and the Department of Finance. SB 786 is particularly helpful in that it elevates the waiver request to upper management as well as requires a response to the waiver request within 60 days. If waivers are not available, it would be possible to share confidential information among departments if clients give written, voluntary consent. The release would need to be specific to what information would be released, purpose of the release, to whom it would be released and be time limited. Staff would need to ensure that clients understand what they are being asked to sign. Procedures for obtaining client consent and sharing confidential information would need to be established among participating agencies, to ensure compliance with federal and state requirements. The handling of situations where the client does not authorize release of information to any or all participating agencies would need to be addressed. Obviously, the individual waiver would be time—consuming and cumbersome. Consequently, this option would be pursued only as a last resort. School Participation in Service Integration Currently, schools are intimately involved in the service integration model. Both the Mt. Diablo School District and the Richmond School District have been very involved in meetings and discussions on implementation of Service Integration. In North Richmond, the Verde Elementary School has been selected as the site for the Service Integration team. Verde School will be making two rooms available to the team. In West Pittsburg, the Mt. Diablo Unified School District (MDUSD) has made a commitment to obtain space for the Service Integration Team at the schools. Currently, 2 the District's staff person acts as the Healthy Start Coordinator. However, as discussed below, new funding will need to be identified to support this continued function. Foundation Funding Service Integration teams were predicated on the support of coordinators in North Richmond and West Pittsburg; however, neither Healthy Start operation grant was funded (although, the next service integration target area, Pittsburg, has received a planning grant). The operation grant in North Richmond would have funded a parent participation program and other specific programs as well as a coordinator. Despite the loss, there have been recent actions which help backfill this loss. The North Richmond MAC has received a grant from Zellerbach for a mentoring program, a little league program and other activities. In addition, the City of Richmond has received additional funding for its recreation programs, which includes North Richmond. Also, the San Francisco Foundation has been approached concerning expansion of the COMER model of parent participation to the North Richmond area. The decision on funding should be available sometime this fall. With these new and potential sources of program support, the only major missing piece is the coordinator. The coordinator position is very important since it is the position that will pull together resources from the community to provide ancillary support to families. One potential source of support for the coordinator position is the pending $75-100,000 grant for community development from the State Office of Child Abuse Prevention. The MAC has expressed some concerns about using these revenues for a coordinator; however, this is the only alternative known at this time. In West Pittsburg, the MDUSD Healthy Start coordinator, has been assigned to this effort. He is currently developing grant proposals for continued staff support for the coordinator function and for parent participation and other community programs. Recently, West Pittsburg received a $10,000 grant to develop a grandparent support program. Overall Status of Service Integration Overall, each of the departments is proceeding on schedule to implement Service Integration. The Health Services Department is holding individual meetings with staff to identify personnel for the new service teams. The Probation Department is doing the same. The Social Service Department has developed job opportunity announcements which will be circulated department—wide, to be followed up with a "bidders' conference" for interested employees. All departments expect to finalize their selection process by the end of July. An important caveat to the staffing issue is the timing and magnitude of layoffs due to the State elimination of funding for local government. Staffing adjustments may be necessary if layoffs result in bumping. This could affect the current plan to begin training and reorganization of caseloads in August. cc: Youth Services Board Expanded Youth Services Board 3