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HomeMy WebLinkAboutMINUTES - 06081993 - IO.1 a TO: BOARD OF SUPERVISORS -- .. Contra FROM: INTERNAL OPERATIONS COMMITTEE Costa DATE: May 24, 1993 ``�' County coon SUBJECT: FUNDING AND OPERATION OF THE JOHN MUIR ADOLESCENT DRUG TREATMENT CENTER IN SAN RAMON SPECIFIC REQUEST(S)OR RECOMMENDATION(S)8 BACKGROUND AND JUSTIFICATION RECOMMENDATIONS: 1 . REQUEST the Health Services Director to report to the Internal Operations Committee on July 12, 1993 regarding how the Bay Area Poison Control Center is currently being funded. 2 . REQUEST the Health Services Director to report to the Internal Operations Committee on July 12, 1993 regarding what steps John Muir Medical Center has taken to meet the terms of its community obligation which was made a condition of its 20-year designation as a trauma center. 3 . ACKNOWLEDGE receipt of this report from our Committee, outlining the steps which have been taken to secure a new operator for the Adolescent Drug Treatment Center in San Ramon. BACKGROUND: As a part of our Committee' s on-going oversight of the subject of drug and alcohol programming in the County and the implementation of the Countywide Drug and Alcohol Action Plan, the Health Services Director brought to our attention the fact that John Muir Medical Center had located a new operator for its Adolescent Drug Treatment Center in San Ramon. CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD C MI E APPROVE OTHER SIGNATURE S: ACTION OF BOARD ON Junin in 2, 1993 APPROVED AS RECOMMENDED �� OTHER VOTE OF SUPERVISORS Y I HEREBY CERTIFY THAT THIS IS A TRUE -L�.UNANIMOUS(ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON T E DATE SHOWN. / Q ATTESTED / 9 / Contact: PHIL BATC OR.CLERK OF THE BOARD OF cc: See Page 3. SUPERVIS S AND COUNTY ADMINISTRATOR BY DEPUTY On May 24, 1993, our Committee met with Chuck Deutschman, Substance Abuse Program Coordinator for the Health Services Department; Beth Schecter, Executive Director of New Connections, a drug treatment program in the community and a drug program contractor with the County; Bob Weis and Patricia Goodday, members of the Board of Directors of New Connections; and Dave Stegman, Executive Director of the San Ramon Valley Community Services Group and a member of the Steering Committee for the Regional Coalition that sought a new operator for the Adolescent Drug Treatment Center in San Ramon. Mr. Stegman noted that members of the community were concerned once they learned last year that the former operator of the Adolescent Drug Treatment Center was pulling out because they felt they could no longer afford to keep the facility open. A community group was formed in an effort to identify another operator who might be willing to try to make a go of the treatment center financially. Mr. Stegman reported that an RFP was issued nationwide in an effort to see what interest there was in operating the program. Eleven applications were received in response to the RFP, including one from New Connections. Four applicants were interviewed and eventually the process selected a joint coalition of the Hazelden organization (of Minneapolis) , which will operate the inpatient facility, and New Bridges (of Berkeley) , which will operate the outpatient and aftercare program. John Muir Medical Center did not directly participate in the selection process . They simply asked the Regional Coalition to see whether they could find another operator for the program and, if so, to tell John Muir with whom they should contract. A reception is being held on June 8, 1993 to celebrate the continuation of the Adolescent Drug Treatment Center under its new operator. Ms ., Schecter noted that New Connections was not selected as the operator of the Adolescent Drug Treatment Center in San Ramon, but is still concerned about the need for low-cost drug treatment for youth in Contra Costa County. She shared with the Committee the .attadhed_=le.tte.P dated February 3, 1993, to Supervisor McPeak, suggesting the possibility that the Board of Supervisors would endorse New Connection' s interest in approaching John Muir Medical Center and suggesting that John Muir provide some financial support to New Connections as a part of John Muir's obligation to provide financial support to the community in exchange for receiving a 20- year designation as a trauma center. Mr. Weis noted that something had gone wrong with the selection process for the operator of the Adolescent Drug Treatment Center, because an in-county provider should have been given some preference. Mr. Stegman responded that being an in-county provider was not one of the criteria against which applications were measured because this Center is seen as a regional resource and whether the provider is from this county or not should not be of great importance. Mr. Deutschman noted that about 50% of the youth who have been treated at the Adolescent Drug Treatment Center were from Contra Costa County. Although no one present could be sure, New Connections believes that some alternative way has been established to fund the Bay Area Poison Control Center and that John Muir Medical Center has not had to provide any funding toward .the Poison Control Center, which is part of what they were originally asked to do by the Board of Supervisors . Mr. Deutschman referenced a letter dated March 15, 1993, from Mark Finucane to Supervisor McPeak in which Mr. Finucane attempted to correct the impression that John Muir had not made any payments to the Poison Control Center. Our Committee feels that we need to have an update as to exactly what contributions John Muir Medical Center has made to the community in connection with . the trauma center designation. In addition, we want to clarify exactly how the Bay Area Poison Control Center is currently being funded and whether any alternative mechanisms have been developed for this purpose. Our 2 Committee believes that in the future John Muir Medical Center should look to providing support for other drug and alcohol rehabilitation programs, although we are not necessarily suggesting that such support should be for New Connections in particular. What further actions we will recommend to the Board of Supervisors will depend on the nature of the reports we receive back from the Health Services Director in response to the above recommendations. cc: County Administrator Health Services Director Chuck Deutschman, Substance Abuse Program Coordinator Janiece Nolan, John Muir Medical Center Beth Schecter, New Connections . 3 this idea further with our board, we concluded that support for this idea should come from the Board of Supervisors before we raise • it with the administration at John Muir. To that end we have prepared the attached document for discussion with you and the other supervisors . We would appreciate it if you would review this and give us your thoughts on it, as well as procedural guidance on discussing it with the other supervisors. Again, thank you for your time and the long hours you dedicate to the problems of our county. We enjoyed meeting you and will call you next week to follow up on this request. Sincerely, NEW CONNECTIONS Bill McGrath Bob Weis Cushman & Wakefield CFO' s 2 Go Vice President, Treasurer, Board of Directors Board of Directors Copy to: New Connections Board of Directors Beth L. Schecter • • CONNEC "Working Toward a Drug-Free Future" Prevention •Counseling •Treatment February 3, 1993 BOARD OF DIRECTORS Marcie K.Miller,President Supervisor Sunne McPeak Principal,Olympic High School Board of Supervisors Bill McGrath,Vice President 2301 Stanwell Drive Broker,Cushman&Wakefield Bob Weis,Treasurer Concord, CA 94520 Owner,CFO's 2 Go Leslie A.Dalrymple,Secretary Chevron U.S.A. Dear Supervisor McPeak: Ang Bracco Detective,Concord Police Department Karen L.Brown Y ver We want to thank you much for taking time out Y Attorney,Chevron Corporation from your busy schedule to meet with us . The board Helen Fox Principal,The Fox Company and staff of New Connections are encouraged by your Patricia Goodday response to our thoughts on the role that our Principal,Concord High School agency can play in providing substance abuse Timothy J.McGarvey Vice President,Tosco Refining Company treatment services 'to addicted youth in our county. John W.Schlendorf,III Accountant,Armstrong,Gilmour&Assoc. Theresa A.Triplett Clearly, the closure of for-profit inpatient Financial Analyst,World Savings&Loan treatment facilities is a growing rend. For the uninsured the cost of such c�.V proved to be dwECUTIVEDIRECTOR prohibitive, and for people with coverage insurers N11111115eth L Schecter,M.P.H. have significantly restricted their policies on PROFESSIONAL ADVISORY BOARD what they will pay. With the closing of the Oak Barbara Cross,MS,Associate Director Grove and John Muir Adolescent Treatment Centers,. Center for Working Life our county' s youth and their families have no local Jon Dashner,Police Manager City ofOnnda treatment alternatives in an increasingly "at risk" Jana Emanuel,Tax Practitioner world. Emanuel&Associates ' Jon Frank.Superintendent John Swett Unified School District Carol Humphrey.MFCC In light of this crisis, New Connections, with its Counselor,Pacific Gas&Electric professional staff and proven adult treatment Employee Assistance Program Ron Lavinson,Ph.D. program, is uniquely qualified to make sure that Dean F.Kennedy ol Professional Psychology the youth of Contra Costa County have access to John F.Kennedy Universi Rod Prbhident& P effective, low cost, professionally delivered Vice President 8 Manager.Bank of America Employee Assistance Program treatment services . For New Connections to fill Derak Matthews,Attorney McCutchen,Doyle,Brown&Enersen this role, seed money is needed to finance the e .supervisor ChevronU.S.A. start-up costs . On-going funding will also be Richard L Patsay,Judge required to subsidize the cost of providing Contra Costa County Superior Court Richard Rainey.Former Sheriff services to those who cannot pay the full costs of Contra Costs County treatment. Richard A.Rawson,Ph.D. Executive Director,Matrix Center Myra Redick Assistant Superintendent MI.Diablo Unified School District As a possible source of funding, we would like to Gary EBourtof Appeals P g Presiding Justice C t st District Court of further explore the idea of having the John Muir George J.Straka.former Police Chief Medical Center redirect the money they have City of Concord HWhWlnlg,M.D. committed to paying the county' s obligation to the GaryYr,CPCWaInutCreek orney pita) regional poison control center. After discussing Gary Yarrry,District Attorney g ra Costa County 1 Zuckerman ucadonal Consultant The Keller House 1760 Clayton Road Concord, CA 94520 • (510) 676-1601 West Contra Costa County (510)222-1500 • Fax (510) 676-1350 A Non-Profit Tax Exempt Corporation Since 1972 NEW CONNECTIONS REQUEST FOR SUPPORT FROM THE CONTRA COSTA COUNTY BOARD OF SUPERVISORS OVERVIEW New Connections, a non-profit agency based in Concord, California, has been providing substance abuse prevention and intervention services for youth and families since 1972 . In 1990, the agency began offering adult chemical dependency treatment services and became licensed by the State of California in 1991 . The agency has been and is primarily funded by government monies, 67%, with the remaining 33% funded by the private sector. Faced with the realities of the current economic conditions and declining government budgets, New Connections has undertaken numerous efforts over the past two years to shift the funding of the agency to more private sector monies thus creating a more stable and better balanced agency. NEEDS AND OPPORTUNITY Recently, John Muir Medical Center, the Contra Costa County Trauma Center, announced its intention to close the John Muir Adolescent Treatment Center (ATC) based in San Ramon, Ca. in June, 1993. ATC is the only organization providing adolescent chemical dependency treatment services in the County. No other provider exists or has come forward at this time. New Connections is in the process of developing an outpatient adolescent chemical dependency treatment program modeled after our very successful adult 4krogram. Without sufficient funding of $100,000, we are unable to proceed eyond the developmental stage. This amount would allow us to complete program development and implement the program for one year, prior to fees being accumulated. Our goal is to provide a low cost program with sliding scale slots available. REQUEST FOR BOARD OF SUPERVISOR SUPPORT New Connections has learned that John Muir Medical Center, in return for being granted a 20 year term on their Trauma Center contract, agreed to meet the County's funding requirement for the Poison Control Hotline. It is our understanding that to date, no such funding has been requested by the Poison Control Center, nor has been paid by John Muir. New Connections would like the Board of Supervisors ' active support in discussing with John Muir the possibility of reallocating a portion of the monies promised by John Muir for the Poison Control Hotline to the adolescent treatment .program currently in the process of development. By doing so, the Board would be first, meeting a Board identified County need: adolescent chemical dependency treatment; actively helping to achieve a greater balance in the funding of the New Connections nonprofit agency; and, collaborating (a Board stated objective) with the private sector in reducing the reliance of the County indigent population on governmental assistance. Contra Costa County The Board of Supervisors HEALTH SERVICES DEPARTMENT OFFICE OF THE DIRECTOR Tom Powers, 1st District Nancy C. Fanden, 2nd District Mark Finucane, Director Robert I. Schroder, 3rd District t Sunne Wright McPeak, 4th District20 Allen Street'. ,, %.•' f Martinez, California 94553-3191 Tom Torlakson, 5th District (510) 370-5003 County Administrator (510) 370-5098 Fax Phil Batchelor `Sr•••---••.••�,v County Administrator DATE: March 15, 1993 TO: Supervisorsunne Wrigh cPeak FROM: Mark Fcane r' -- SUg3 inu Health Services Director STAN�E4 SUBJECT: Proposal from New Connections B(/SFADM'A J r Last month, you forwarded to me a copy of a proposal from New Connections to reallocate a portion of John Muir's payment for the Poison Control Hotline for an adolescent treatment program. I am very sympathetic to the need for an adolescent treatment program in Central County. It has been identified by the Advisory Board as a high priority. The New Connections model for substance abuse treatment has great potential for the adolescent population and would be an important addition to the limited option of services currently available. However, New Connections is incorrect that John Muir Medical Center has not provided funding for the Poison Control Center. For FY 92-93, Muir agreed to make a cash contribution of $31,200 plus conduct a direct mail fundraising campaign for the Poison Control Center with a guarantee of $30,000. I understand that a first installment representing half of the total $61,200 has been made to the Poison Control Center and the remaining amount is being paid in monthly installments as scheduled. Muir's obligation to provide Contra Costa County's share of funding for the Poison Control Center was a condition of granting Muir the trauma center designation last year. I would also like to point out that the $61,200 in cash and fundraising guarantee to the Poison Control Center is in addition to other fees and programs provided by Muir. The annual fee alone -- $75,000 -- is the highest in the state. Muir also agreed to pay $30,500 each year to fund a County injury prevention program. Not including the $30,000 fundraising guarantee for the Poison Control Center, Muir's cash payment requirements to be the designated trauma center total $135,000 -- nearly double the second highest designation fee charged by Sacramento County. Other counties' trauma fees range from zero to $41,560 a year with an average of $17,800 a year. Merrithew Memorial Hospital d Clinics Public Health Mental Health Substance Abuse Environmental Health Contra Costa Health Plan Emergency Medical Services Home Health Agency Geriatrics .u5 irai. _2_ R Although I applaud New Connections attempt to find a local private sponsor for its program,given the significant fees provided by John Muir, I think pursuing the funding from John Muir as a condition of its trauma designation would not be very productive. However, that notwithstanding, we will bring the subject up with representatives of John Muir outside of the trauma center process. Mr. Deutschman has been directed to broach the subject with Medical Center representatives.