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HomeMy WebLinkAboutMINUTES - 06211994 - IO.3 TO: BOARD OF SUPERVISORS 1 .0.-3 SE L Contra FROM: INTERNAL OPERATIONS COMMITTEE �, �� � Costa s. County June 13, 1994 T DATE: SUBJECT: REPORT ON THE STATUS OF THE SERVICES INTEGRATION PROJECT AND RELATED REFERRALS SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATIONS: 1 . ACKNOWLEDGE ,and express the Board's appreciation to staff for the attached inventory of County programs serving children and families . 2 . ACKNOWLEDGE the , attached survey form for the inventory of programs serving children and families and ENCOURAGE all affected department heads to cooperate fully in completing the inventory for each of the children and family programs which are administered by the County. 3 . DIRECT the County Administrator to provide our Committee on July 11, 1994 with a listing of all contracts which are currently in force with private non-profit agencies whereby the County purchases services which might reasonably be classified as children and family services, along with the payment limit and time period covered by the contract and a brief statement of the type of service which is covered by the contract. 4 . DIRECT the County Administrator to include as an appendix to the County Budget for the 1994-95 fiscal year a section which consolidates all children and family services in one place, regardless of which Department provides the service or administers the contract for service. CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNqTHEF T ATOR MENDATION OF BOARD COMMITTEE APPROVE JEFF SMARK DeSAULNIER SIGNATURE(S): ACTION OF BOARD ON Jun@) 91 ,, 1994 APPROVED AS RECOMMENDED ,)!S 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 Contact: PV BATCHELOR,CLERK OF THE BOARD OF cc. See Page 3 SUPERVISORS AND COUNTY ADMINISTRATOR BY y DEPUTY I .O.-3 5 . DIRECT the County Administrator to begin to outline a mechanism by which the Board of Supervisors can measure the success of each program which is either operated directly by County staff or is provided through a contract with another agency. The objective here should be to eventually allow the Board of Supervisors to evaluate the relative success of each program and adjust the allocation of resources to provide the most effective means of addressing a given problem -or situation. 6 . DIRECT the County Administrator and affected Department Heads to report to our Committee again on July 11, 1994 on the status of the following: o Services Integration o Policy Academy o Family Maintenance Organization o Contracted Services BACKGROUND: On May 17, 1994 , the Board of Supervisors approved a report from our Committee, including the following recommendations : • REQUEST the County Administrator to coordinate the preparation and presentation of monthly reports to our Committee covering all significant activities on Services Integration, the Policy Academy and Family Maintenance Organization so that our Committee is able to monitor these programs and oversee the County' s efforts to integrate and coordinate these services and programs with each other. • REQUEST the County Administrator to coordinate the preparation and presentation of a report to our Committee on June 13, 1994 which includes a thorough inventory (at the Program Budget level) of all family and children's services administered by or contracted through the Social Services, Health Services, Probation, and Community Services Departments . • REQUEST the County Administrator to coordinate the preparation and presentation of a report to our Committee as soon as possible after June 13, 1994 of all individual programs and contract services administered by or contracted through the Social Services, Health Services, Probation, and Community Services Departments, at as detailed a level as possible. On June 13, 1994 , we met with Sara Hoffman from the County Administrator' s Office, Rich Heyne from the Personnel Department and Nina Goldman, graduate intern working in the County Administrator' s Office. Mr. Heyne reviewed the attached memo with us regarding the status of negotiations with employee organizations relative to Services Integration. Ms . Hoffman added that staff selection is well underway in all departments . A site visit will be conducted on June 17, 1994 with the staff that has been selected. Ms . Hoffman also noted that client selection is underway, although confidentiality issues are slowing down the process of comparing information among programs regarding which clients are being served by each program. She also noted that a family assessment form is in draft. This form will ask what the family wants and will define the case management plan for the family. A series of training sessions for the Services Integration staff will begin June 22, 1994 with an orientation session. Ms . Hoffman also noted that the County is hoping to take advantage of a workshop in Sacramento on "Family Focus - Family Strengths" which teaches staff to focus on the strengths that a family has rather than on the weaknesses and problems which are displayed by a family. 2 I .O.-3 Ms . Hoffman then presented us with the attached inventory and description of children and family services which are administered by County Departments . We greatly appreciate this inventory, which we believe is responsive to the Board's .May 17, 1994 referral . Ms . Hoffman also distributed the attached "Inventory of Contra Costa County Programs Serving Children and Families" which will be used to obtain additional details regarding the programs which are included in the attached inventory. Ms . Hoffman noted that the Policy Academy is struggling with membership issues, trying to balance racial and ethnic considerations in its membership and is reviewing the best mix of members given the broadened focus the Policy Academy may be moving toward. Our Committee is pleased that such positive movement has been made during the past month. We want to continue to meet with staff to get monthly briefings on the status of each element of this expanded referral . We want to move forward by asking for an inventory of contract programs . We also want to see an evaluation program put in place which will eventually allow the Board of Supervisors to determine the most cost effective way to provide a given service and achieve a given objective. We want to begin to address this issue as a part of our monthly reports on the subject of children and families . cc: County Administrator Social Services Director County Probation Officer Health Services Director Community Services Director Mental Health Director Sara Hoffman, Senior Deputy County Administrator 3 ACOntra '� °� Personnel Department ,�� _ Costa J o ��e _,,.: .'s Administration Bldg. x :• � .oe 651 Pine Street �• Martinez, California 94553-1292 County ��,s C. DATE: ,June 9, 1994 TO: Internal Operations Committee FROM: Richard Heyne, Employee Relations Manager SUBJECT: Report on Service Integration Negotiations --------------------------------------------------------------- --------------------------------------------------------------- Since the last update to your Committee on May 9, 1994, the County and Union bargaining teams have (1 ) conducted a May 13, 1994 visit to both SIT pilot sites at North Richmond and Ambrose Center and toured the Sacramento County service integration project, and (2) met and conferred on issues relative to security and staffing on May 19, 1994. MAY 13 SITE VISIT A full day tour was attended by members of the County Administrator's Office, Personnel, Social Service, Health Service, Probation and Local One. An evaluation of both physical sites was made at the old Work Furlough Center (North Richmond) and Ambrose Community Center (Bay Point). Of particular interest was the suitability at each site for installation of metal detectors which have been requested by the employees for security purposes. In the afternoon, the group met with staff members of the New Helvetia/River Oaks Service Center in Sacramento and discussed on a provider-to-provider basis the development of that integrated service delivery program since its inception approximately three years ago. The program is located within a large housing project and draws the majority of clients from among the project's residents. The staff members were uniformly enthusiastic about the opportunity to work on a very close level with clients and shared much information about how the integration of the separate programs is being accomplished. MAY 19 MEET AND CONFER - This session addressed the following major topics: The parties agree that recommendations from the SIT team members will be considered when final meet and confer decisions are reached on security issues. The parties agree to conduct additional inquiry regarding a more direct involvement of the local police departments and the Sheriff s department in site security. The County received and wilIcons ider concerns expressed by the employee organizations regarding the type and amount of supervision over day-to-day program matters which may be exercised by the Social Service Division Manager position being filled. The unions requested that the position be configured in the organization as a "Project Coordinator". The parties agreed to further discussion on the nature and amount of clerical supervision to be exercised by the Eligibility Work Supervisors attached to the project. The next meet and confer session is scheduled for June 23, 1994. cc: Eileen Bitten, Acting Director of Personnel Sara Hoffman, Senior Deputy County Administrator Lee Finney, IEDA ' COUNTY PROGRAMS SERVING CHILDREN AND FAMILIES* DEPARTMENT PROGRAM GENERAL GOVERNMENT: Building Inspection Property Conservation Housing Services Community Development Recreation Community Development Block Grant Redevelopment Cooperative Extension Youth Development Family Education County Counsel Social Service -- Probate Outside Clients/Other Public Protection/Community Library Branch and Extension Services Central Library (Project Second Chance) HEALTH AND WELFARE: Community Services Community Services Block Grant Child Development Department of Energy Program Head Start Low-income Housing Energy Assistance Program Pre-school Grants Stewart B. McKinney Homeless Program Health Services Hospitals and Clinics (Enterprise Fund 1) - Hospital and Outpatient Clinics - Emergency Medical Services Contra Costa Health Plan (Enterprise Fund 11) - AFDC - Other Medi-Cal Members - Medicare and Crossovers - Basic Adult Care (BAC) Program Mental Health - Outpatient Mental Health Crisis/Emergency Service - Institute for Mental Disease Care * NOTE: Some program categories include progams that serve more expansive categories than children and families. DEPARTMENT PROGRAM - State Mental Hospital Care Local Hospital Inpatient Services - Adult Services - Child and Adolescent Services - Geriatric Services - Special Client Services - Mentally Disordered Offenders - Services for the Hispanic Community in West County - Foreign Language and Hearing Impaired Interpretation - Patients' Rights and Advocacy Services - Crisis and Suicide Intervention Services Public Health - Conservatorship/Guardianship - Public Health Grants - George Miller Centers - Communicable Disease Control Public Health Clinical Services - Home Health Agency Drug Abuse Services - Prevention.and Intervention - Non-Residential Programs - Residential Services Program - Methadone Maintenance Program - Options for Recovery Program - Office of Treatment Improvement - OSAP Born Free - OSAP Drug Free Contra Costa - Waiting Period Reduction - Perinatal Substance Abuse Treatment - BASN Project Alcohol Abuse Services - Prevention and Intervention - Non-Residential Programs -.Residential Services Program - Drinking Driver Program Environmental Health Detention Facility Programs California Children's Services Private Industry Council Chevron Summer Youth Program DEPARTMENT PROGRAM JTPA Employment and Training Small Business Development Social Services Department Administration and Services - Child Welfare Services - Family Preservation Program - Independent Living Skills - Foster Home Licensing - Adoptions - Adult Programs - Area Agency on Aging - AFDC - Foodstamps - Medi-Cal - State Adult Aid - Homeless Shelters (families) - Food Stamp Employment and Training - GAIN - Child Care - Refugee Programs - Refugee Targeted Assistance - State Office of Child Abuse Prevention Contracts - Adoption Assistance Program Categorical Aid - AFDC/Family Group and Unemployed Parent - AFDC/Foster Care - Foster Care/Severely Emotionally Disturbed Children - Adoption Assistance Program - Refugee Assistance = In-home Supportive Services/Personal Care Services Program Veterans Service Office PUBLIC PROTECTION: Clerk-Recorder County Clerk -- Juvenile Support Services District Attorney D.A. Family Support D.A. Revenue Narcotics D.A. Revenue SEIF Domestic Violence Victim Assistance DEPARTMENT PROGRAM Law and Justice System Development Court Operations Court Probation Officer Program Collections/Compliance Program Interpreter Services Probation Juvenile Hall Byron Boys' Ranch Juvenile Probation Services Adult Probation Services Special Services Public Defender/Conflict Defense Conflict Defense Public Defender Sheriff-Coroner Department Detention Field Enforcement EXCERPTS FROM FY 1993-94 PROPOSED BUDGET FOR CONTRA COSTA COUNTY: PROGRAMS SERVING CHILDREN AND FAMILIES BUILDING INSPECTION C. PROPERTY CONSERVATION HOUSING SERVICES Purpose: Respond to code compliance complaints, perform on-site investigations of potential violations, abate hazardous structures, and provide financial assistance to low and moderate income families performing housing rehabilitation in order to ensure building and zoning code compliance of existing structures, mobile homes and new construction. FTE: 6 Level of Discretion: Code compliance services have very limited discretion because the activities are performed to uphold state regulations. The Housing Rehabilitation component is discretionary, but offset with federal revenues. Gross Expenditures: $243,975 Financing: $243,975 Net County Cost: $ 0 Funding Sources: Federal 100% $243,975 1 COMMUNITY DEVELOPMENT F. RECREATION Purpose: Administration of Community Assistance Mitigation funds for youth recreation, family counseling and related projects in West Pittsburg and other nearby communities negatively impacted by the Keller Canyon landfill. FTE: 0 Level of Discretion: Program is discretionary. Gross Expenditures: $160,000 Financing: $ 0 Net County Cost: $160,000 Funding Sources: General Fund 100% $160,000 G. COMMUNITY DEVELOPMENT BLOCK GRANT Purpose: Administration of federal funds for new housing, preservation of existing housing, economic development, infrastructure improvements, and neighborhood facilities. FTE: 4 Level of Discretion: Program is discretionary. Gross Expenditures: $3,904,000 Financing: $3,904,000 Net County Cost: $ 0 Funding Sources: Federal (HUD) 100% $3,904,000 2 COMMUNITY DEVELOPMENT H. REDEVELOPMENT Purpose: The design and implementation of plans for rehabilitating blighted areas within the County with the goal of improving the physical, environmental and economic viability of those areas. FTE: 6 Level of Discretion: Program is discretionary. Gross Expenditures: $1,117,600 Financing: $1,117,600 Net County Cost: $ 0 Funding Sources: Other 100% $1,117,600 3 COOPERATIVE EXTENSION 1993-94 NET PROPOSED COUNTY DISCRETION PROGRAM BUDGET COSTS POSITIONS LEVEL Youth Development $28,328 $28,328 .54 4 Family Education 28,328 28,328 .54 4 Urban Horticulture 24,132 24,132 .46 4 Agriculture 18,885 18,885 .36 4 TOTAL $99,673 $99,673 1.9 A. YOUTH DEVELOPMENT Purpose: 4-H volunteer program; comprehensive life skills training for pregnant teen and "service learning" for young teens. FTE: .54 Level of Discretion: Discretionary Gross Expenditures: $28,328 Financing: $ 0 Net County Cost: $28,328 Funding Source: General Fund 100% $28,328 B. FAMILY EDUCATION Purpose: Nutrition, food security and family resource management education aimed at low-income persons. FTE: .54 Level of Discretion: Discretionary. Gross Expenditures: $28,328 Financing: $ 0 Net County Cost: $28,328 Funding Sources: General Fund 100% $28,328 4 COUNTY COUNSEL B. SOCIAL SERVICE - PROBATE Purpose: Legal services for Social Service Department activities (adoptions, dependent Children, assistance, etc.) and to the District Attorney Public Administrator. FTE: 6.5 Level of Discretion: Varies with service. County Counsel has very limited discretion over dependent children legal services performed for the Social Service .department (Welfare and Institutions S318.5). Gross Expenditures: $625,099 Financing: $306,870 Net County Cost: $318,229 Funding Sources: Expenditure Transfers 45.9% $286,870 Public Administrator Estates 3.2% $20,000 General Fund 50.9% $318,229 Social Service - Probate program provides legal services for the following departments and County programs: 1. Administrative 2. General Assistance 3. Dependent Children 4. Public Administrator D. OUTSIDE CLIENTS/OTHER Purpose: Legal services provided to public clients and departments including Community Services, County Service Areas, Housing Authority, Community Access Television, Miscellaneous Districts, Local Agency Formation Commission, Library, Private Industry Council, Schools, and Water Districts. FTE: 1.9 Level of Discretion: Primarily discretionary programs. Gross Expenditures: $170,447 Financing: $142,000 Net County Cost: $ 28,447 Funding Sources: Expenditure Transfers 15.8% $27,000 Charges to non-County Agencies 67.5% $115,000 General Fund 16.7% $28,447 5 Outside Clients/Other program provides legal services to the following agencies. 1. Community Services and Private Industry Council 2. Library 3. CAN 4. Contra Costa Housing Authority 5. Delta Diablo Sanitary District 6. Contra Costa County Schools 7. LAFCO E. PUBLIC PROTECTIONICOMMUNITY Purpose: Legal services for programs designed to protect the general public and enhance its environment. FTE: 6.2 Level of Discretion: Primarily discretionary programs. Gross Expenditures: $573,008 Financing: $565,500 Net County Cost: $ 7,508 Funding Sources: Expenditure Transfers 39.8% $228,000 Special District Augmentation Fund 19.5% $112,000 Other 39.4% $225,500 General Fund 1.3% $7,508 Public Protection/Community program provides legal services to the following departments and agencies: 1 Public Works Department 2 Flood Control District 3. Building Inspection Department 4. Community Development Department 5. Agriculture, Animal Control, Office of Emergency Services 6. Redevelopment Agency 7. Solid Waste, AB939 8. Fire and Miscellaneous Special Districts, and County Service Areas 9. Contra Costa County Water Agency 6 . LIBRARY B. BRANCH AND EXTENSION SERVICES Purpose: To provide library services in the various communities of the county and in the detention facilities. Services provided are tailored for each community, depending on the service population needs. FTE: 90 Level of Discretion: See Footnote. Gross Expenditures: $5,684,919 Financing: $5,684,919 Net County Cost: $ 0 Funding Sources: Library Taxes 89.9% $ 5,110,742 Fees 4.5% $256,577 State 2.8% $160,700 Intergovernmental 2.1% $120,000 Other .7% $36,900 C. CENTRAL LIBRARY Purpose: To provide services to the local community of Pleasant Hill, to serve as a reference center for the general public of Contra Costa County and to serve as a reference resource for the branch libraries. To administer the library's adult literacy program (Project Second Chance). FTE: 28 Level of Discretion-: See Footnote. Gross Expenditures: $2,006,442 Financing: $2,006,442 Net County Cost: $ 0 Funding Sources: Library Taxes 94.1% $1,888,019 State 3.4% $69,000 Fees 2.2% $43,423 Other .3% $6,000 COMMUNITY SERVICES DEPARTMENT 1993-94 NET PROPOSED COUNTY DISCRETION PROGRAM BUDGET COSTS POSITIONS LEVEL Community Services Block Grant $664,580 $0 6 3 Child Development $3,358,504 $0 121 4 Department of Energy . (Weatherization) $74,478 $0 2 2 Head Start $3,986,310 $81,129 79 2 Low Income Housing Energy Assistance Program (LIHEAP) $527,799 $0 7 2 Pre-School Grants $958,294 , $0 1 4 Stewart B. McKinney Homeless Program $64,036 $0 0 2 TOTAL $9,634,001 $81,129 216 A. COMMUNITY SERVICES BLOCK GRANT Description: To assist communities in mobilizing their resources to combat the causes of poverty and improve self-sufficiency. FTE: 6 Level of Discretion: 3, Some Discretion Gross Expenditures: $664,580 Financing: $664,580 Net County Cost: $ 0 Funding Source: CSBG (federal) B. CHILD DEVELOPMENT Description: Subsidized day care for low income children in the Richmond-San Pablo area. FTE: 121 Level of Discretion: 4, Opt-,onal . 8 Gross Expenditures: $3,358,504 Financing: $3,358,504 Net County Cost: $ 0 Funding Source: State funds C. DEPARTMENT OF ENERGY PROGRAM Description: Weather ization and minor home repair services to eligible low-income County residents. FTE: 2 Level of Discretion: 2, Very limited Gross Expenditures: $74,478 Financing: $74,478 Net County Cost: $ 0 Funding Source: State funds D. HEAD START Description: Child development services to 3-4 year old children and their families in designated low-income areas throughout the County. FTE: 79 Level of Discretion: 2, Very limited Gross Expenditures: $3,986,310 Financing: $3,905,181 Net County Cost: $ 81,129 Funding Sources: Federal Head Start funds 96% $3,825,556 Expenditure transfers 2% $ 79,625 County General Fund 2% $ 81,129 E. LOW INCOME HOUSING ENERGY ASSISTANCE PROGRAM Description: Weatherization and minor home repair services to eligible low-income County residents. FTE: 7 Level of Discretion: 2, Very limited 9 Gross Expenditures: $527,799 Financing: $527,799 Net County Cost: $ 0 Funding Source: State funds F. PRE-SCHOOL GRANTS Description: Subsidized day care programs FTE: 1 Level of Discretion: 4, Optional Gross Expenditures: $958,294 Financing: $958,294 Net County Cost: $ 0 Funding Source: State funds G. STEWART B. MCKINNEY HOMELESS PROGRAM Description: Emergency food and shelter to homeless residents. FTE: 0 Level of Discretion: 2, Very limited Gross Expenditures: $24,598 Financing: $24,598 Net County Cost: $ 0 Funding Source: State funds 10 HEALTH SERVICES DEPARTMENT A. HOSPITAL AND CLINICS (ENTERPRISE FUND 1) I Purpose: Department-wide administration, centralized departmental support services, operations of Merrithew Memorial Hospital and outpatient clinics and overall coordination of the County's Emergency Medical System. FTE: 1,358 Gross Expenditures: $126,422,196 Financing: $111,880,190 Net County Costs: $ 14,542,006 Funding Sources: Medi-Care 8.1% $10,283,167 Medi-Cal 10.2% $24,278,099 Private Pay/Insurance 2.4% $2,995,932 Other HS Divisions 35.5% $44,835,570 Other 23.3% $29,487,422 County General Fund 11.5% $14,542,006 1. Hospital and Outpatient Clinics Description: a. 'Hospital - Inpatient care is provided at Merrithew Memorial Hospital, a 174-bed general acute care facility. Merrithew provides a full range of diagnostic and therapeutic services including medical, surgical, intensive care, emergency, prenatal/obstetrical, rehabilitation and geriatric services. Ancillary services include pharmacy, laboratory, radiology, occupational therapy, physical therapy, EEG and EKG. The medical staff is composed of 50 family practice physicians and 70 specialty physician consultants. b. Outpatient Clinics - Outpatient medical care is provided in Martinez, Pittsburg, Richmond and Concord. Programs include family practice, urgent care-, pre- and post-natal, pediatrics and Well Baby, obstetrics and gynecology, optometry, dental, orthopedics, plastic surgery, arthritis and low back, neurology, urology, dermatology, ENT, geriatric and AIDS services. FTE: 1307.2 Discretion Level: 2, Very limited Gross Expenditures: $119,922,196 Financing: $111,280,190 Net County Costs: $ 8,642,006 Funding Sources: Medi-Cal, Medicare, Private Pay, Insurance, HMO< grants 1ounty General Fund. 2. Emerqency Medical Services Description: This program provides overall coordination of Contra Costa's Emergency Medical System. It regulates emergency ambulance services and the County's trauma system, establishes prehospital treatment protocols and certifies prehospital personnel, approves and monitors paramedic programs and first-responder defibrillation programs, provides planning and coordination of medical disaster response, and reviews interfacility patient transfers. FTE: 9.5 Discretion Level: 2, Very limited Gross Expenses: $600,000 Financing: $600,000 Net County Cost: $ 0 Funding Sources: SB-12 and EMS grants. 12 B. CONTRA COSTA HEALTH PLAN (ENTERPRISE FUND 111 Purpose: The Contra Costa Health Plan is a County-operated prepaid health plan available to Medi-Cal and Medi-Care recipients, employees of participating private and governmental employers and individual members of the general public. FTE: 37 Gross Expenditures: $42,828,643 Financing: $28,403,828 Net County Costs: $14,424,815 Funding Sources: Medi-Care 6.0% $2,553,483 Medi-Cal 29.9% $12,824,787 Other 22.4% $9,603,485 Realignment .8.0% $3,422,073 County General Fund 33.7% $14,424,815 1. Aid to Families with Dependent Children Members Description: The Aid to Families with Dependent Children (AFDC) Product' Line serves Contra Costa residents who qualify for Medi-Cal through the Public Assistance and Medically Needy Only categories of the Aid to Families with Dependent Children program. Instead of Medi-Cal cards and stickers, the member receives a CCHP card and CCHP provides and arranges for all his or her health needs. 90% of all Medi-Cal enrollees are included in this product line. FTE: Not Applicable. Discretion Level: 3, Some Discretion Gross Expenditures: $10,572,193 Financing: $10,433,732 Net County Costs: $ 138,461 Funding Sources: State Medi-Cal, County General Fund 2. Other Medi-Cal (non-crossover) Members Description: This product line includes all Contra Costa Medi-Cal eligibles, other than AFDC, who choose CCHP as their medical provider instead of using the Medi-Cal fee-for-service provider network. ' Medi-Cal categories include OAS (persons aged 65 and over), Aid to the Totally Disabled, and Aid to the Blind. The member re:,eives a CCHP card and 13 CCHP provides or arranges for all his or her health service needs. This segment represents less than 8% of total Medi-Cal enrollees. FTE: Not Applicable Discretion Level: 3, Some Discretion Gross Expenditures: $2,278,558 Financing: $1,638,241 Net County Costs: $ 640,317 Funding Sources: State Medi-Cal, County General Fund 3. Medicare and Crossovers Description: This product line serves Contra Costa senior residents who are covered under Medicare and who choose CCHP as their medical insurer. In addition to the basic Medicare coverage under this program, there are various Senior Health Plans_to reduce the member's medical expenses for those services not covered by Medicare, particularly prescription drugs. This category also includes crossovers; i.e., members who are eligible for both Medicare and Medi-Cal programs. FTE: Not Applicable Discretion Level: 3, Some Discretion Gross Expenditures: $3,785,815 Financing: $4,360,774 Net County Costs: ($ 574,959) Funding Sources: Medicare Cost Reimbursement Reports, Senior Health Premiums, and an array of Medi-Cal capitation rates for crossovers. 5. Basic Adult Care (BAC) Program Description: This program is designed to provide needed medical care to the formerly State-sponsored Medically Indigent Adult residents of Contra Costa County. It offers limited health benefits compared to other groups. Services are primarily provided at Merrithew Memorial Hospital and County-operated medical and mental health clinics, although patients are referred to outside providers when necessary. FTE: Not Applicable Discretion Level: 2, Very limited Gross Expenditures: $18,222,949 Financing: $ 3,608,107 Net County Cost: $14,614,842 14 Fiindina Sources: Realignment Sales Tax, County General Fund MENTAL HEALTH 2. Outpatient Mental Health Crisis/Emergency Service Description: Outpatient clinic crisis intervention, psychiatric diagnostic assessment, medication, emergency treatment, screening for hospitalization, and intake, disposition planning, and placement/referral services. FTE: 1.4. Discretion Level: 2, Very limited Gross Expenditures: $3,446,841 Financing: $1,349,383 Net County Costs: $2,097,458 Funding Sources: Medi-Cal, Medicare, HMO_ Private Pay/insurance and County General Fund 3. Institute for Mental Disease (IMD) Care Description: Skilled Nursing Facility (SNF) care providing moderate to long-term psychiatric treatment In a locked ("L" facility) setting for clients who have been discharged from acute hospital care. Includes, for some clients, augmented services to teach living skills needed to make the transition from institutional care to more independent (and less costly) settings. FTE: 0 Discretion Level: 2, Very limited. 15 Community Based Organization Contracts: 1. Crestwood Hospitals 2. Westwood, 3. Harbor Hills Gross Expenditures: $3,265,479 Financing: $ 538,144 Net County Costs: $2,727,335 Funding Sources: SSI/SSP, Patient Share of Cost and County General Fund 4. State Mental Hospital Care Description: Long-term, psychiatric inpatient care at Napa, Patton, and Camarillo State Hospitals for adults, adolescents, and children who require structured treatment and are too severely mentally disabled to be handled in a less restrictive setting. FTE: 0 Discretion Level: 2, Very limited Gross Expdriditures: $6,863,460 Financing: $ 0 Net County Costs: $6,863,460 Funding Source: County General Fund 5. Local Hospital Inpatient Services - I and J Wards Description: Acute inpatient psychiatric care at Merrithew Memorial Hospital, including geriatric care, involuntary evaluation and short-term treatment for. seriously and persistently mentally ill clients who may be a danger to themselves or others. FTE: 0 Discretion Level: 2, Very limited Gross Expenditures: $8,225,145 Financing: $5,155,382 Net County Costs: $3,069,763 Funding Sources: Medi-Cal, Medicare, HMO, Private Pay/Insurance and County General Fund. 16 6. Adult Services Description: a. Psychiatric Inpatient Care for Jail Inmates - Acute inpatient care in Alameda County facility for inmates who are too ill to be cared for in Contra Costa County facilities. b. Crisis/Transitional/Supervised Residential Care - Short-term, crisis residential treatment for clients who can be managed in an unlocked, therapeutic, group living setting and who need 24-hour supervision and structural treatment for up to 30 days to recover from an acute psychotic episode; this service can be used as a short-term hospital diversion program to reduce the length of hospital stays. This category also includes 24-hour supervised residential care and semi- supervised independent living services to increase each client's ability to learn independent living skills and to transition ("graduate") from more restrictive levels of residential supervision to less restrictive (i.e., more independent) living arrangements, including Board and Care facilities. C. Outpatient Clinic Treatment and Outreach Services - Scheduled outpatient clinic . services, including psychiatric diagnostic assessment, medication, short-term individual and group therapy, and ' collateral support services for seriously and. persistently mentally ill (SPMl) clients and their families with acute and/or severe mental disorders. Also includes community outreach services not related to a registered clinic patient. d. Case Management Services - Case managers provide screening, assessment, evaluation, advocacy, placement and linkage services. Also included are system support services that are unrelated to any particular client. e. Habilitative/Intensive Day Treatment& SocializationNocational Services Programs - Organized therapeutic treatment and activity programs (less than 8 hours per day) for adults who are recovering from a psychotic episode and who need training in socialization and independent-living skills. f. Outreach/Advocacy Services - Drop-in Centers assist the homeless mentally disabled to secure information, counseling, transportation, clothing, financial benefits, and housing; Case Management is also provided at the centers. The Vocational Outreach/Administration Service develops vocational contracts and provides administrative services to support pre-vocational training for mentally disabled adults in West County. The Consumer Self- Help Network provides development, promotion, and financial 17 support for former and current users (consumers) of mental health system services through self-help groups, peer support groups, advocacy, and a newsletter. FTE: 55.6 Discretion Level: 3, Some Discretion Community Based Organization and Other Contracts 1. MH Consumer Concerns 2. Residential Care 3. 24-571 Phoenix Programs 4. Housing for Independent People 5. Many Hands 6. Rubicon 7. Alameda County Gross Expenditures: $8,330,254 Financing: $3,331,874 Net County Costs: $4,998,380 Funding Sources: Medi-Cal, Medicare, HMO, Private Pay/Insurance and County General Fund 7. Child and Adolescent Services Description: a. Local Institutional/Hospital Care. Acute psychiatric inpatient treatment for children and adolescents is provided in private institutions in order to avoid placing minors in the same psychiatric wards as adults at Merrithew Memorial Hospital. In the County's Juvenile Justice Facilities, a multi-disciplinary team of Mental Health Division staff provides crisis intervention, assessment, testing consultation and brief treatment. b. Out-of-Home Residential. Care/Treatment Service Programs. Structured residential therapeutic treatment service programs for seriously emotionally disturbed (SED) children and adolescents, providing individual, group and family therapy. C. Intensive Day Treatment Services. Therapeutic treatment, educational and activity programs (less than 8 hrs/day) for children/adolescents who have behavioral/emotional disorders or are seriously emotionally disturbed (SED), psychosocially delayed or"at high risk". 18 d. Outpatient Clinic Treatment and Outreach Services. Outpatient clinic, school-site and in-home services, including psychiatric diagnostic assessment, medication, therapy, collateral support and crisis intervention services for seriously emotional disturbed (SED) children and adolescents and their families. e.. Child/Adolescent Case Management Services. Case managers provide screening, assessment, evaluation, advocacy, placement and linkage services to assist children and adolescents in obtaining continuity of care within the mental health, health care and social service systems. Community and school-based prevention and advocacy programs provide community education, resource development, parent training, workshops and development of ongoing support/advocacy/action groups. FTE: 50.1 Discretion Level: 3, Some Discretion Community Based Organization Contracts 1 CHD (Prevention) 2. La Cheim School 3. Child & Family Therapy 4. 24-309 Early Childhood 5. La Cheim Residential Treatment Centers 6. Richmond School District 7. Antioch School District 8. Byron School District 9. Oakley School District 10. We Care 11. Lynn Day/We Care (CCARC) 12. New Pittsburg School District 13. Walnut Creek Hospital 14. Seneca Center 15. New Napa County Human Services 16. New First Hospital Vallejo 17. YMCA Gross Expenditures: $5,674,586 Financing: $2,068,870 Net County Costs: $3,605,716 Funding Sources: Medi-Cal, HMO, Private Pay/insurance and County General Fund 19 8. Geriatric Services Description: a. Community Client Outreach Services-Community-based services for older adults: including in-home assessments; crisis intervention; resource ' coordination; supportive counseling and therapy; development of support groups for older men, older women, caregivers and family members; and information, referral, advocacy, and placement services. b. Skilled Nursing Facility Care - For older adults who require intensive psychiatric rehabilitation and treatment in,a locked facility following acute psychiatric hospitalization. FTE: 4.8 ­—Discretion Level: 3, Some Discretion Community Based Or_qanization Contract Telecare (302F) Gross Expenditures: $2,047,043 Financing: $1,124,922 Net County Costs: $ 922,121 Funding Sources: Medicare, Medi-Cal, Private Pay/Insurance, SAMHSA grant funds and County General Funds. 9. Special Client Services Description: For special client populations or target groups of children and adults with special needs. a. Mentally Disordered Offenders State-funded "Conditional Release" Program providing mental health services to criminal justice offenders who are on parole. b. Services for the Hispanic Community in West County - Community Outpatient Clinic and Outreach Services primarily for Latino, Hispanic, and other Spanish-speaking adults, children and families. C. Foreign Language and Hearing Impaired Interpretation. Foreign language interpreters and sign lango,age interpreters to assist the County staff in providing crisis intervention, inpatient hospital and outpatient clinic treatment services. 20 d. Patients' Rights and Advocacy Services Patients' rights advocacy and training services, including the provision of information to voluntary and involuntary psychiatric patients who ha ve been hospitalized. Includes representation and advocacy services at hearings for hospitalized adults and minors. e. Crisis and Suicide Intervention Services - Crisis and grief counseling services county-wide, including a 24-hour telephone service and community education. FTE: 6.9 Discretion Level: 3, Some Discretion Community Based Organization Contracts 1 Board & Care Homes 2. Life Support (various) 3. Many Hands 4. Rubicon 5. Phoenix Programs 6. BI-Bett 7. MH Consumer Concerns 8. Center for New Americans 9. CC Suicide Prevention 10. Deaf Counselling Advocacy 11. Desarrollo Family 12. Asian Community MH Gross Expenditures: $1,186,594 Financing: $ 810,486 Net County Cost: $ 376,108 Funding Sources: State Conditional Release Program contract, and Substance Abuse, Alcohol, Mental Health Services Administration (SAMHSA) funds and County General Funds. 21 D. PUBLIC HEALTH DIVISION 1. Conservatorship/Guardianship, Description: The program has responsibility for controlling the financial affairs and daily support coordination of clients who are mentally ill, frail elderly or otherwise deemed to be incapable of caring for themselves in these areas. The Public Conservator is mandated by State Law and the Public Guardian is responsible to the Board of Supervisors in the performance of these duties. Fees for some of the services can be charged to estates and individuals or awarded by the courts to partially offset the costs of providing services. Additionally, the program collects court-ordered conservatorship-related fees on behalf of other county departments. FTE: 20.4 Discretion Level: 2, Very Limited Net Expenditures: $1,285,984 Financing: $ 175,389 Net County Cost: $1,110,595 Funding Sources: Court-ordered Conservatorship Fees, Probate Code bond fees, Welfare and Institutions Code Section 8009 interest, Forensic Mental Health, State Hospital patient liability, Institute for Mental Disease liability, Money Management Project, court-ordered County Counsel fees, Probation Department fees (Probate investigator) and County General Fund. 2. Public Health Grants Description: The programs within this section include Vital Registrations, Senior Nutrition, Tobacco Control, Prevention Program, Violence Prevention, Maternal, Child & Adolescent Health (MCAH), School Dental Program, Child Health and Disability Prevention (CHDP), Early & Periodic Screening, Diagnosis, and Treatment (EPSDT), Black Infant. Health, High Risk Infant and the Women, Infants and Children (WIC) supplemental feeding program. FTE: 114.1 Discretion Level: 2, Very Limited 22 Net Expenditures: $6,488,329 Financing,: $5,010,409 Net County Cost: $1,477,920 Funding Sources: Federal and State grants, Inter-departmental charges to Social Service Department for Senior Nutrition, Burial Permit fees, Birth and Death Certificate fees, Miscellaneous State subventions for 314 (d), Public Health, Immigration Reform and Control Act and County General Fund. 3. George Miller Centers Description: The centers provide services to developmentally disabled citizens of Contra Costa County at sites in West and Central County. Clients range from infants, in both nursery and in-home settings, to seniors. FTE: 43.3 ,Discretion Level: 4, Optional Net Expenditures: $2,006,050 Financing: $1,927,328 Net County Cost: $ 78,722 Funding Sources: State Developmental Disabilities (through the Regional Center of the East Bay), leasing of space, therapy pool usage and County General Fund. 4. Communicable Disease Control Description: This program works to prevent and control the spread of communicable diseases through health education, epidemiological surveillance and investigation, laboratory examinations, and the isolation of infectious persons when necessary to protect the public, and referring contacts for prophylactic treatment. These functions are carried out by the Acute Communicable Disease (ACD) section and the Public Health Laboratory. Consultation is provided to physicians on the prevention and control of communicable diseases, and attempts are made to terminate and prevent further outbreaks as well as to reduce the incidence of all communicable disease. The AIDS Program, in response to the epidemic in Contra Costa County, provides administration and program support services, prevention and education programs, epidemiology and testing services and client services for people with AIDS or ARC. FTE: 78.9 Discretion Level: 2, Very Limited 23 Net Expenditures: $5,289,146 Financing: $2,842,999 Net County Cost: $2,446,147 Funding Sources: Federal and State Grants, Client fees, Medicare, Medi-Cal. and other third-party payors, billings for laboratory services and County General Fund. 5. Public Health Clinical Services Description: This section provides staffing, administration and management for all clinical services provided under the Public Health Division. These clinics include Child Health Screening (CHDP/EPSDT), Family Planning, Teenage Clinics, Tuberculosis (TB), Sexually Transmitted Diseases (STD), Immunizations, and Employee Occupational Health. FTE: 49.5 Discretion Level: 2, Very Limited Net Expenditures: $3,470,212 Financing: $ 911,674 Net County Cost: $2,558,538 Funding Sources: State fees, Medi-Cal, charges to employers, private pay, patient co-pay and County General Fund. & Home Health Agency Description: The Agency-provides physician-prescribed services in the home to essentially home-bound patients. Services are provided to both short term, acutely ill, and long term, more chronically ill, patients. Services include restoration, health maintenance and health promotion for individuals accepted for care who must meet financial and medical eligibility guidelines for the Medicare and State Me&Cal insurance programs. FTE: 54.5 Discretion Level: 4, Optional Net Expenditures: $3,662,024 Financing: $2,244,690 Net County Cost: $1,417,334 Funding Sources: Medicare, Medi-Cal, Contra Costa Health Plan, Kaiser, other third-party payors and County General Fu,id. 24 E. DRUG ABUSE SERVICES 2. Prevention and Intervention Description: Prevention programs provide group support and educational services to students, teachers, families and the general public. Intervention services consist of individual and group counseling and relapse prevention for persons completing the program. FTE: 3.3 Discretion Level: 3, Some Discretion Community Based Organization Contracts 1. BAART 2. Center for Human Development 3. New Connections 4. Pittsburg Boys Club 5. REACH 6. WCC Youth Services 7. SRVD 8. Family Stress 9. New Perspectives Gross Expenditures: $929,941 Financing: $833,177 Net County Cost: $ 96,764 Funding Sources: Federal Block Grant, State Allocation and County General Fund. 3. Non-Residential Programs Description: Drug recovery services for persons whose use of drugs is compulsive and out of control, or for persons at risk of addiction. Services include individual and group counseling and relapse prevention. FTE: 14.5 Discretion Level: 3, Some Discretion Community Based Organization Contracts 1. MART 2. New Connections 3. Pittsburg Boys Club 4. REACH 5. SRVD Gross Expenditures: $1,052,076 Financing: $1,03 ?96 Net County Cost: $ 16,280 Funding Sources: Federal Block, Federal HIV, Drug Meal-uai, JldlC Allocation, Client Fees and County General Fund. 4. Residential Services Program Description: 90-day detoxification and recovery services for men, women and adolescents. Services include individual and group counseling, social and recreational activities, and assistance in obtaining health, social sei vices, vocauonai training and other public community services. FTE: 10 Discretion Level: 3, Some Discretion Community Based Organization Contracts 1. Thunder Road 2. Sunrise House 3. Bi-Bett Gross Expenditures: $752,674 Financing: $667,452 Net County Cost: $ 85,222 Funding Sources: Federal Block, Federal HIV, Client Fees, State Allocation and County General Fund. 5. Methadone Maintenance Program Description: Outpatient methadone maintenance of opiate dependent adults, especially persons at risk of contracting or spreading HIV infection through IV drug use. Includes services for pregnant addicts. FTE: 0 Discretion Level: 3, Some Discretion Community Based Organization Contracts 1. BAART 2. Cal Detox Gross Expenditures: $639,396 Financing: $599,400 Net County Cost: $ 39,996 Funding Sources: Drug Medi-Cal and County General Fund. 6. Special Programs Description: The Department administers several time-limited Federal and State special initiatives and projects including Options for. Recovery, the Office of Treatment Improvement, OSAP Born Free, OSAP`Drug Free Contra Costa, Waiting Period Reduction, Perinatal Substance Abuse Treatment and BASN project. FTE: 9.5 26 Community Based Organization and Other Contracts 1. Tri-County Women 2. East Bay Perinatal Council 3. Sunrise House 4. Bi-Beit Corp. 5. CHD 6. Cal Research 7. San Ramon Valley Com. 8. Org. for Youth Services 9. United Way/Opportunity West 10. City of Concord 11. United Way/Delta 2000 12. National Black Alcoholism 13. Pittsburg Boys' Club 14. CAL Research 15. Neighborhood House 16. Family Stress 17. CC Child Care Council 18. East County Detox 19. BAART Gross Expenditures: $3,417,083 Financing: $3,376,175 Net County Cost: $ 40,908 Funding Sources: Federal and State grant funds and County General Fund. 27 F. ALCOHOL ABUSE SERVICES 2. Prevention and Intervention Description: Prevention programs provide group support and educational services to students, teachers, families and the general public. Intervention services consist of individual and group counseling and relapse prevention for persons completing this program. FTE: 2.7 Discretion Level: 3, Some Discretion Community Based Organization Contracts 1. Alcoholism Council 2. Bi-Belt 3. CHD - Prevention 4. CHD - Neat 5. East County Detox Gross Expenditures: $549,961 Financing: $549,961 Net County Cost: $ 0 Funding Sources: Federal Block, State Allocation, Vehicle Code Fines and County General Fund. 3. Non-Residential Programs Description: Alcohol recovery services for persons whose use of alcohol is compulsive and out of control, or for persons at risk of addiction. Services include individual and group counseling and relapse prevention. 28 FTE: 8.1 Discretion Level: 3, Some Discretion Community Based Organization and Other Contracts 1. Napa County 2. Solano County 3. New Perspectives 4. Dept. of Rehabilitation Gross Expenditures: $555,051 Financing: $538,858 Net County Cost: $ 16,193 Funding Sources: Federal Block, Drug Medi-Cal, State Allocation, Client Fees and County General Fund. 4. Residential Services Program Description: Detoxification and recovery services for men, women and adolescents. Services include individual and group counseling, social and recreational activities and assistance in obtaining health, social services, vocational training and other public community services. FTE: 0 Discretion Level: 3, Some Discretion Community Based Organization Contracts 1. Bi-Bett 2. East County Detox 3. Neighborhood House 4. Sunrise House 5. Tri-County Women 6. Thunder Road Gross Expenditures: $2,201,366 Financing: $1,341,670 Net County Cost: $ 859,759 Funding Sources: Federal Block, Driver Fines, Client Fees, State Allocation and County General Fund. 29 5. Drinking Driver Program Description: Individual and group counseling to people convicted of driving under the influence of alcohol. FTE: 23.5 Discretion Level: 3, Some Discretion Gross Expenditures: . $1,010,738 Financing: $1,010,738 Net County Cost: $ 0 Funding .Sources: Client Fees and County General Fund G. ENVIRONMENTAL HEALTH DIVISION Purpose: To minimize or eliminate disease transmission and to preserve the environmental quality of Contra Costa County; clean-up of toxic waste spills and identification of the responsible parties. Gross Expenditures: $5,482,801' Financing: $5,394,270 Net County Costs: $ 88,531 Funding Sources: Expenditure Transfers 0.06% $3,2002 Inspection Fees and 98.33% $5,391,070 Other EH County General Fund 1.61% $88,531 'Includes $3,220 in transferred expenditures not assigned to programs below. 2Not assigned to programs below. 30 H. DETENTION FACILITY PROGRAMS' Purpose: To provide medical and mental health services to inmates of the County adult detention facilities. Net Expenditures: $5,065,216 Financing: $ 68,222 Net County Costs: $4,996,994 Funding Sources: Realignment 1.3% $68,222 County General Fund 98.7% $4,996,994 1. Detention Facility Mental Health Services Program Description: Provides assistance to the Sheriffs Department in the . identification and management of the mentally ill in the County's main detention facility. Services include behavior management, crisis counseling, and brief therapy for the more severely disordered inmates. Program staff are also available to Sheriffs staff for consultation and training. FTE: 10.8 Discretion Level: 3, Some Discretion Gross Expenditures: $667,879 Financing: (Realignment) $ 68,222 Net County Cost: $599,657 Funding Sources: Realignment and County General Fund. 2. Detention Facility Medical Services Program Description: Provides all primary care medical services for inmates in the County's detention facilities, including diagnostic testing, treatment, nursing care, obstetrical, dental and other services. Surgery is provided Merrithew Memorial Hospital. FTE: 42.5 Discretion Level: 3, Some Discretion Gross Expenditures: $4,397,337 Financing: $ 0 Net County Cost: $4,397,337 Funding Source: County 3Ceneral Fund I. CALIFORNIA CHILDREN'S SERVICES Purpose: To provide medical rehabilitation services to eligible children with serious illness and/or physical disabilities, when their parents cannot afford the entire cost of care. Gross Expenditures: $4,443,164 Financing: $3,247,452 Net County Costs: $1,195,712 Funding Sources: Realignment 16.7% $743,085 Federal/State CCS Assistance 55.7% $2,473,283 Other 0.7% $31,084 County General Fund 26.9% $1,195,712 Description: This program provides for the habilitation or rehabilitation of children with specific handicapping conditions, in need of specialist care and whose families are unable, wholly or partially, to pay for the required care. The program currently serves over 1,600 qualified handicapped . children. Approximately 40% of these children are covered by the Medi-Cal program and receive case management services from CCS staff. The case management ,. functions that CCS staff provide help insure that appropriate medical care and equipment are provided to the clients. Children with neuromuscular handicaps are assigned to clinic teams in one of the Medical Therapy Units (MTU). These teams consist of physicians, physical and occupational therapists as well as appropriate school staff. .FTE: 32:8 Discretion Level: 2, Very Limited Funding Sources: State CCS Program, State CCS for Medi-Cal Administration, State realignment, contracts with parents for share of cost (when possible) and County General Fund. 32 PRIVATE INDUSTRY COUNCIL 1993-94 NET PROPOSED COUNTY DISCRETION PROGRAM BUDGET COSTS POSITIONS LEVEL Chevron Summer Youth $25,000 $0 ill 2 ' JTPA Employment/ Training $5,163,580 $0 11 1 Small Business Development $55,320 $0 12 2 Women's Advisory Committee $5,436 $5,436 .05 4 TOTAL $5,249,336 $5,436 23.05 'Limited Term 2 Permanent Intermittent A. PRIVATE INDUSTRY COUNCIL Purpose: To administer the Job Training Partnership Act (JTPA) of 1982 by providing job training or re-training programs to disadvantaged and unemployed youths and adults of Contra Costa County, excepting the City of Richmond which administers its own JTPA program. To provide private sector employers with job- ready and qualified individuals under the direction of the Private Industry Council and the Contra Costa Board of Supervisors. FTE: 11 Level of Discretion: Varies by program (all programs except the Women's Advisory Committee are,fully funded by federal and State revenues) Gross Expenditures: $5,249,336 Financing: $5,243,900 Net County Cost: $ 5,436 Funding Sources: Expenditure Transfers .2% $10,000 Chevron Donation . 5% $25,000 CDBG 1.0% $55,320 JTPA (Federal) 96.5% 5,057,580 JTPA (State) 1.8% 96,000 1. Chevron Summer Youth Program Description: Utilizes a dedicated donation from Chevron Corporation to operate a youth summer jobs program, in conjunction with the California 33 Employment Development Department and.the local chambers of commerce and cities. FTE: 11 limited term (not counted in Proposed Budget FTE) Discretion Level: 2, Very limited Gross Expenditures: $25,000 Financing: $25,000 Net County Cost: $ 0 Funding Source: Chevron Donation 2. JTPA Employment & Training Description: This program contains six elements. a. Adult/Out of School Youth Program - assists participants in developing and obtaining employment through vocational assessment, counseling, training, job search and placement and on-the-job training. b. Tryout Employment for Youth - prepares high school youths for entry into the labor force through "tryout employment" periods. C. Older Worker Program - assists participants 55 years and older for employment through job search and/or on-the-job training. d. State Education Coordination and Grants Program - coordination of local educational agencies. e. Summer Youth Employment and Training Program (SYETP) - provides work experience, basic education, skills training, labor market information, vocational assessment, supportive services and job development and placement to economically disadvantaged youths ages 14-21 during the summer months. f. Worker's Assistance Center - provides training and employment assistance services to participants who have been terminated, laid off, or have received notice of either and are unlikely to return to their previous occupation or industry. FTE: 11 Discretion Level: 1, No discretion Gross Expenditures: $5,163,580 Financing: $5,163,580 Net County Cost: $ 0 34 Funding Sources: JTPA (federal and State) funds and expenditure transfers 3. Small Business Development Description: Provides technical assistance to start-up and existing small businesses, providing economic development and stimulating entry level job growth and self-employment activities. FTE: 1 permanent intermittent (not counted in Proposed Budget FTE) Discretion Level: 2, Very limited Gross Expenditures: $55,320 Financing: $55,320 Net County Cost: $ 0 Funding Source: Community Development Block Grant (federal) 35 SOCIAL SERVICE DEPARTMENT 1. Child Welfare Services Description: This program consists of four sub-programs: a. Emergency Response - receive and assess child abuse reports and take immediate action to protect children. b. Family Maintenance - social work services under Juvenile Court supervision to prevent out-of-home placement. c. Family Reunification - Social services ordered by Juvenile Court for children in out-of-home placement with the goal of reunifying the family. d. Permanent Placement - Social services to children who cannot be returned home from placement with the goal of adoption or guardianship. FTE: 211 Discretion Level: 3, Some Discretion Gross Expenditures $15,236,804 Financing: $11,986,060 Net County Cost: $ 3,250,744 Funding Sources: Federal, State and County General Funds 2. Family Preservation Program Description: The Family Preservation Program of Contra Costa County provides intensive social work services to children and their families when the child is at risk of out-of-h6me placement. ment. This program has had an excellent success rate in preventing children's entry into the labor intensive and expensive out-of-home placement system. Overall, the program reduces County costs for foster care. FTE: 0 Discretion Level: 4, Optional Gross Expenditures: $1,000,000 Financing: $1,000,000 Net County Cost: $ 0 36 Ftindinn Sotirce- State funds 1. Child Welfare Services Description: This program consists of four sub-programs: a. Emergency Response - receive and assess child abuse reports and take immediate action to protect children. b. Family Maintenance - social work services under Juvenile Court supervision to prevent out-of-home placement. C. Family Reunification - Social services ordered by Juvenile Court for children in out-of-home placement with the goal of reunifying the family. d. Permanent Placement - Social services to children who cannot be returned home from placement with. the goal of adoption or guardianship. FTE: 211 Discretion Level: 3, Some Discretion I . Gross Expenditures $15,236,804 Financing": $11,986,060 Net County Cost: $ 3,250,744 Funding Sources: Federal, State and County General Funds 2. Family Preservation Program Description: The Family Preservation Program of Contra Costa County provides intensive social work services to children and their families when the child is at risk of out-of-home placement. This program has had an excellent success rate in preventing children's entry into the labor intensive and expensive out-of-home placement system. Overall, the program reduces County costs for foster care. FTE: 0 Discretion Level: 4, Optional Gross Expenditures: $1,000,000 Financing: $1,000,000 Net County Cost: $ 0 Funding Source: State funds 37 3. Independent Living Skills Description: This program provides support and practical skill building for juveniles eligible for federal foster care funds who will soon be too old to participate in the foster care system. The program is focused on assisting children to function as adults. FTE: .8 Discretion Level: 4, Optional Gross Expenditures: $200,479 Financing: $200,479 Net County Cost: .$ 0 Funding Source: Federal funds A. -Foster Home Licensing Description: This unit processes applications for foster home licenses and provides support services to licensed foster care parents. The County administers the licensing of foster homes under a Memorandum of Understanding with the California Department of Social Services. In addition to the regular licensing unit, the County has established the "Options for Recovery Heritage Project" which is 100% grant funded. This program recruits and trains foster parents or relatives to care for drug and alcohol exposed infants and arranges respite care for minority families to encourage placement of foster children in homes which reflect their racial and cultural heritage. FTE: 7 Discretion Level: 4, Optional Gross Expenditures: $470,841 Financing: $398,749 Net County Cost: $ 72,092 Funding Sources: Federal, State and County General Funds 5. Adoptions Description: This program provides adoption services to children who are free for adoption under the Civil Code and Welfare & Institutions Code and processes step-parent adoptions on a fee-for-service basis. County adoption agencies operate under license from the state. Adoption services help reduce foster care costs. 38 FTE: 11 Discretion Level 4, Optional Gross Expenditures: . $742,883 Financing: $4691623 Net County Cost: $273,260 Funding Sources: Federal, State ,and County General Funds 6. Adult Programs Description: , This program consists of 6 subprograms: a. Information and Referral - This is a telephone service maintained during . daytime working hours to direct the inquiring public to appropriate service agencies in the community. FTE: .5 Discretion Level 3, Some Discretion( service mandated, but service level not defined) b. Volunteer Services - Provides supplemental services and financial support to needy individuals and families known to the Social Service Department. Funds raised by the program through individual and business donations go directly to serve the needs of clients. In 1992, Volunteer Services served over 1,000 families, providing them with food, new toys and new clothes. Another 3,000 AFDC families were served by community agencies working with the program. Over 400 children were sent to week-long summer residential camps. Discretion- Level 4, Optional c. In-Home Supportive Services/Personal Care Services Program Administration of the In-home Supportive Services Program (IHSS) and Personal Care Services Program which provides funds to aged, blind and disabled recipients to hire service providers which will allow them to safely remain in their own homes and to avoid institutionalization. Discretion Level 3, Some Discretion. d. Adult Protective Services - Provides social worker response and investigation to reports that a dependent adult is exploited, neglected or physically abused. Discretion Level 3, Some Discretion. ( program mandated by federal and state law, but service level not defined) e. Conservatorship Intake - Provision of necessary facts and recommendations to enable the Probate Court to make proper judgements for individuals suffering from mental illness and alcoholism. Lanterman-Petris-Short Conservatorship is mandated by the Welfare and Institutions Code. Currently, conservatorshio intake is handled by 39 the Social Service Department while ongoing conservatorship services are handled by the Health Services Department. Discretion Level 2, Very Limited. The law defines the characteristics of individuals who require this service and the department has very little discretion in screening referrals which originate in psychiatric wards of local hospitals. f. Out-of-Home Care for Adults - Provision of a list of licensed out-of- home care facilities to the public upon request. There are no staff exclusively dedicated to this program. Discretion Level 1, Mandated. FTE: 46 Discretion Level: varies by sub-program (see above) Gross Expenditures: $3,242,226 Financing: $1,902,235 Net County Cost: $1,339,991 Funding Sources: Federal, State and County General Funds 7. Area Amy on Aging Description: This program consists of 4 subprograms: a. Title III Grants for State and Community Programs on Aging -Area Agency on Aging (AAA) planning and advocacy services are provided on behalf of 120,000 persons age 60 or more in the County. Title III grants provide supportive social services, congregate meals, home delivered meals, in-home services and elder abuse prevention services to an annual total of approximately 14,950 seniors. Discretion Level 3, Some Discretion.. (program mandated with minimum $67,515 in local match requirement. County has discretion on whether it provides the services.) b. "Project Care" Title IV Older Americans Act Discretionary Grant Program - Elder care coalition performs planning and advocacy activities on behalf of all low-income frail seniors in West County. Direct in-home service assistance being provided to 50 frail persons over the age of 60. Discretion Level 4, Optional c. Title V Community Service Employment for Older Americans - Twenty-five part-time job slots provided to low-income persons age 55 or over. 40 Discretion Level 3, Some Discretion d. Health Insurance Counseling and Advocacy Program (HICAP) - Health insurance counseling. and community education services provided to 5,075 persons. Discretion Level 3, Some Discretion FTE: 11 Discretion Level: varies by sub-program (see above) Gross Expenditures: $2,934,594 Financing: $2,846,699 Net County Cost: $ 87,895 Funding Sources: Federal Funds and County General Funds 8. Aid to Families with Dependent Children (AFDC) Description: Administration of the AFDC program which provides cash assistance to families with children who are needy because of the absence, incapacity, unemployment or death of one or both parents. FTE: 271 Discretion Level: 3, Some Discretion Gross Expenditures: $17,453,977 Financing: $14,861,742 Net County Cost: $2,592,235 Funding Sources: Federal, State and County General Funds 9. Food Stamps Description: This program is designed to raise the level of nutrition among low-income households by increasing their food purchasing power. FTE: 100 Discretion Level: 1, Mandated Gross Expenditures: $7,035,703 Financing: $5,980,347 Net County Cost: $1,055,356 .Funding Sources: Federal and County General Funds 41 10. Medi-Cal Description: Eligibility determination for Medi-Cal programs. This is a group of eight major medical care programs which provide comprehensive medical services to children and adults in low-income families. FTE: 139 Discretion Level: 1, Mandated Gross Expenditures: $8,915,274 Financing: $8,872,835 Net County Cost: $ 42,439 Funding Sources: Federal, State and County General Funds 11. State Adult Aid Description: Verification of eligibility for special circumstances payments in the SSI/SSP program. FTE: .8 Discretion Level: 1, Mandated Gross Expenditures: $56,116 Financing: $52,653 Net County Cost: $ 3,463 Funding Source: State funds 12. Homeless Shelters Description: The shelter program provides food and shelter to homeless adults at the two County-sponsored shelters (approximately 150 shelter beds). FTE: 0 Discretion Level: 4, Optional Gross Expenditures: $499,656 Financing: $ 0 Net County Cost: $499,656 Funding Source: County General Funds 42 18. Food Stamp Employment and Training (FSET) Description: Contra Costa's FSET program is set up in conjunction with the General Assistance Work Program to meet federal and state regulations that require each Food Stamp recipient to participate in an employment program, unless that individual qualifies for an exemption. FTE: 1 Discretion Level: 1, Mandated Gross Expenditures: $120,041 Financing: $112,511 Net County Cost: $ 7,530 Funding Sources: Federal, State and.County General Funds 19. Greater Avenues for Independence (GAIN) i Description: GAIN is a statewide comprehensive mandatory program which enrolls able-bodied AFDC recipients in local education, training and job services programs which support self sufficiency. The goal of the GAIN program is to promote independence and strengthen the employability potential of participants. GAIN components include: orientation and appraisal; self-initiated training programs; job club/search; pre-employment preparation; on the job training; and supportive .services (child care, transportation and ancillary expenses). FTE: 50 Discretion Level: 2, Very limited Gross Expenditures: $4,368,116 Financing: $3,789,557 Net County Cost: $ 578,559 Funding Sources: Federal, State and County General Funds 20. Child Care Description: The child care program consists of 3 subprograms: a. SDE Alternative Payment Child Care - Child care payments for children in the Child Welfare Services system. Funded by state Department of Education funds with a required county maintenance of effort. Discretion Level: 2, Very limited 43 b. Title IV-A Child Care - This is the "working poor" child care program for those parents who are employed but at risk of going on AFDC without child care help. Funded by state and federal funds with a required County maintenance of effort. Discretion Level: 2, Very limited c. Block Grant Child Care - This is the child care program for Teen Parents, special needs children and former Child Welfare Services clients. Funded by state and federal funds with a required County maintenance of effort. Discretion Level: 2, Very limited FTE: 3 Discretion Level: varies by subprogram (see above) Gross Expenditures: $921,333 Financing: $865,152 Net County Cost: $ 56,181 Funding Sources: State and County General Funds 21. Refuclee Programs Description: This program consists of 2 subprograms.- a. Refugee Resettlement Program/Social Services - Routine social services (e.g., CWS or CSBG) provided to refugee clients. Services provided to refugees are federally funded. Discretion Level: 1, Mandated b. Refugee Employment Social Services - Under contract with the state, the'County contracts to provide employment services as delineated in the County Plan. Current programs provided are Refugee Education, English-as-a-Second-Language, and Social Adjustment. Discretion Level: 3, Some Discretion FTE: 5 Discretion Level: varies by subprogram (see above) Gross Expenditures: $319,921 Finan c"ing: $319,921 Net County Cost: $ - 0 Funding Source: Federal funds 44 22. Refugee Targeted Assistance Description: Under contract with the state, the County provides services to Refugees as delineated in the County Plan. Current programs provided are Youth Employment Program, Home Health Care Training, and Vocational English-as-a' -Second-Language. FTE: .8 Discretion Level: 3, Some Discretion Gross Expenditures: $337,609 Financing: $337,609 Net County Cost: $ 0 Funding Source: Federal funds 25. State Office of Child Abuse Prevention Contracts Description:. Various contracts to provide child abuse prevention services authorized under AB 1733. FTE: 0 Discretion Level: 4, Optional Gross Expenditures: $238,808 Financing: $212,408 Net County Cost: $ 26,400 Funding Sources: State and County General Funds 26. Adoption Assistance Program Description: Eligibility determination for cash assistance to adoptive parents who adopt difficult-to-place children. FTE: .3 Discretion Level: 1, Mandated Gross Expenditures: $18,102 Financing: $13,577 Net County Cost: $ 4,526 45 B. CATEGORICAL AIDS Purp-)se: To provide financial assistance to families, adults, children and refugees in accordance with welfare program guidelines and regulations. FTE: Not Applicable Level of Discretion: 1, Mandated Gross Expenditures: $156,281,000 Financing: $148,699,951 Net County Cost: $ 7,581,049 Funding Sources: Federal funds 41% $63,554,704 State funds 45% $70,988,247 Realignment 9% $14,157,000' County General Funds 5% $ 7,581,049 'Not assigned to programs below. 1. . Aid to Families with Dependent Children/Family Group and Unemployed Parent Description:. Provides cash assistance to families with children who are needy due to the absence, incapacity, unemployment or death of one or both parents. Discretion Level:. 1, Mandated Gross Expenditures: $103,478,747 Financing: $100,881,430 Net County Cost: $ 2,597,317 Funding Sources: Federal, State and County General Funds 2. Aid to Families with Dependent Children/Foster Care Description: Provides cash assistance to provide for the needs of children in foster care. Discretion Level: 1, Mandated Gross Expenditures: $28,349,998 Financing: $17,174,428 Net County Cost: $11,175,570 Funding Sources: Federal, State, Realignment and County General Funds 46 3. Foster Care/Severely Emotionally Disturbed Children Description: Provides cash assistance to provide for the needs of children who are placed into foster care through the Severely Emotionally Disturbed program. This is a multi-disciplinary program to identify and provide services to children who are not able to benefit from their education due to their severe emotional disturbance. Discretion Level: 1, Mandated Gross Expenditures: $3,139,752 Financing: $1,255,901 Net County Cost: $1,883,851 Funding Sources: State, Realignment and County General Funds 4. Adoption Assistance Program Description: . Cash assistance to adoptive parents who adopt difficult-to- place children. Without this assistance, the parents would not be able to afford to adopt the children and the children would remain in more restrictive, and costly, foster care settings. Discretion Level: 1, Mandated Gross Expenditures: $1,777,609 Financing: $1,562,288 Net County Cost: $ 215,321 Funding Sources: Federal, State, Realignment and County General Funds 47 5. Refugee Assistance Description: Cash assistance provided by the federal government for refugees. Discretion Level: 1, Mandated Gross Expenditures: $336,804 Financing: $336,804 Net County Cost: $ 0 Funding Source: Federal Funds 6. In-Home Supportive Services/Personal Care Services Program Description: This program pays for the cost of the service providers who provide in-home supportive services that allow eligible aged, blind and disabled recipients to remain in their own homes safely and avoid institutionalization. Discretion Level: 1, Mandated Gross Expenditures: $19,198,090' Financing: $13,332,100 Net County Cost: $ 5,865,990 Funding Sources: Federal, State, Realignment and County General Funds Only the County cost is included in the budget system. State issues payroll and bills County for County share. 48 VETERANS SERVICE OFFICE 1993-94 NET PROPOSED COUNTY DISCRETION PROGRAM BUDGET COSTS POSITIONS . LEVEL Veterans Services $275,097 $202,278 5 4 TOTAL $275,097 $202,278 .5 A. VETERANS SERVICES Purpose: To provide assistance to veterans, their dependents and survivors in obtaining veterans' benefits. Description: There are three components to Veterans Services: 1) Application Assistance: Provides information, referral and assistance to veterans and their families in obtaining compensation, pension, insurance, education,. medical benefits, home loans, vocational rehabilitation and burial benefits. Services include comprehensive benefit counseling, claim preparation and submission, claim follow-up, initiation and development of appeals and networking with federal, state and local agencies. 2) Welfare Referral: Review of veteran welfare applicants referred by Social Service Department for determination of veterans' benefits eligibility or receipt. 3) Medi-Cal Cost Avoidance: Review of veteran Medi-Cal applicants to determine those who may be eligible for veterans' benefits, including health care. FTE: 5 Level of Discretion: 4, Optional Gross Expenditures: $275,097 Financing: $ 72,819 Net County Cost: $202,278 Funding Sources: State and County General Fund 49 CLERK-RECORDER 1993-94 NET PROPOSED COUNTY DISCRETION PROGRAM BUDGET COSTS POSITIONS LEVEL County Clerk $4,349,099 $1,830,709 84 2 Clerk Records Automation 102,979 0 0 1 Recorder 1,354,990 -896,875 26 2 Recorder Micro/Modern 2,243,605 0 12 1 Elections 2,075,182 1,290,182 17 1 TOTAL $10,125,855 $2,224,016 139 A. COUNTY CLERK Purpose: To serve as ex-officio Clerk of the Superior Court; to perform the mandated function of providing support services to the Superior Court, attorneys, litigants and the general public involving civil, probate, criminal and juvenile support services; to provide document processing required by state and federal law. FTE: 84 Level of Discretion: Very limited. Gross Expenditures: $4,349,099 Financing: $2,518,390 Net County Cost: $1,830,709 Funding Sources: Expenditure Transfers 0% $4,000 Fees 57.8% $2,514,390 General Fund 42.2% $1,830,709 50 DISTRICT ATTORNEY B. D.A. FAMILY SUPPORT (Budget Unit 0245) Purpose: Obligates parents to meet their support responsibilities to their families based on their ability to pay, allowing the family to live independent of the welfare system by locating absent parents, adjudicating paternity, establishing and enforcing support orders; investigates and prosecutes perpetrators of welfare fraud to the extent of recovering illegally obtained welfare monies. FTE: 153 Level of Discretion: Non-discretionary, restricted revenue. Gross Expenditures: $9,805,589 Financing: $9,805,589 Net County Cost: $ 0 Funding Sources: Expenditure Transfers 11.2% $1,102,318 State Aid Support Incentive 30.2% $2,959,112 Federal Aid Family Support 58.6% $5,744,159 Contrib/Other Funds (SEIF) .0% 0 C. D.A. REVENUE NARCOTICS (Budget Unit 0244) Purpose.: Federal and State law require that the District Attorney's Office's portion of distributed forfeited narcotics assets be used for enhancement of prosecution. Supplantation of existing County support is prohibited by law. FTE: 1 Level of Discretion: Non-discretionary, restricted revenue. Gross Expenditures: $138,008 Financing: $138,008 Net County Cost: $ 0 Funding Source: Seizures 100% $138,008 D. D.A. REVENUE SEIF (Budget Unit 0250) Purpose: State law requires that excess Support Enforcement Incentive Fund revenue (SEIF) be used for D.A. Family Support purposes only. This fund allows for support of D.A. Family Support operations that go beyond that division's revenue generating capability in any one year. FTE: 0 51 Level of Discretion: Non-discretionary, restricted revenue. Gross Expenditures: $ 0 Financing: $ 0 Net County Cost: $ 0 Funding Source: Fund Balance 100% 0 E. DOMESTIC VIOLENCE VICTIM ASSISTANCE (Budget Unit 0585) Description: Disburses special marriage license fee revenues to the Battered Women's Alternatives group for provision of domestic violence victim assistance. FTE: 0 Level of Discretion: Non-discretionary, restricted revenue. Gross Expenditures: $80,750 Financing: $80,750 Net County Cost: $ 0 Funding Source: Other Lic/Permits 100% $80,750 52 LAW AND JUSTICE SYSTEM DEVELOPMENT A. COURT OPERATIONS Purpose: To provide mandated services to the public in felony, misdemeanor and infraction cases (including local ordinances), moving traffic offenses, parking violations, and in all civil cases where the amount claimed is $25,000 or less and small claims cases in amounts of $5,000 or less. FTE: 190 Level of Discretion: Very limited discretion. Gross Expenditures: $2,005,575 Financing: $12,005,575 Net County Cost: $ 0 Financing: State 65% $7,803,625 Fines/Forfeitures 10% $1,200,560 Fees 25% $3,001,390 B. COURT PROBATION OFFICER PROGRAM Purpose: To interview defendants, make sentencing recommendations, monitor participation in treatment programs,determine restitution amounts and gather collections information, screen defendants for diversion programs and perform other court-related duties. FTE: 0 (4 positions reside in the Probation Department) Level of Discretion: Very limited discretion. Gross Expenditures: $245,280 Financing: $245,280 Net County Cost: $ 0 Financing: Fees 100% $245,800 C. COLLECTIONS/COMPLIANCE PROGRAM Purpose: Monitor compliance with all conditions of probation including payment of fines, fees and restitution. FTE: 5 Level of Discretion: Some discretion. Gross Expenditures: $207,100 Financing: $207,100 Net County Cost: $ 0 Financing: Fees 5.8% $12,000 State 94.2% $195,100 53 E. INTERPRETER SERVICES Purpose: Interpreter. services for defendants in criminal trials. FTE: 1 plus contracted per diem staff. Level of Discretion: No discretion. Gross Expenditures: $143,900 Financing: $ 0 Net County Cost: $143,900 Financing: General Fund 100% $143,900 54 PROBATION 1993-94 NET PROPOSED COUNTY DISCRETION PROGRAM BUDGET COSTS POSITIONS LEVEL Juvenile Hall $5,943,060 $5,644,390 88.8 2 Byron Boys' Ranch 1,730,200 1,307,970 23.1 4 Juvenile Probation Svcs 4,746,605 3,305,435 75.7 1,3 Adult Probation Svcs 3,942,265 3,752,855 68.0 3 Special Services 454,030 159,030 7.5 4 Administration 540,570 540,470 7.0 3 TOTAL $17,356,730 $14,710,150 270.1 A. JUVENILE HALL Purpose: Correctional facility providing 140 beds for the mandated detention of minor before and after Court hearings. Approximately 2,700 juveniles are booked annually. FTE: 88.8 Level of Discretion: Very Limited. Gross Expenditures: $5,943,060 Financing: $ 298,670 Net County Cost: $5,644,390 Funding Sources: State 5% $ 295,000 Other 0% $ 3,670 General Fund 95% $5,644,390 B. BYRON BOYS' RANCH Purpose: Correctional facility providing 74 beds for seriously delinquent boys committed by the courts. Approximately 375 boys are committed annually for an average tay of four months. FTE: 23.1 Level of Discretion: Discretionary. Gross Expenditures: $1,730,200 Financing: $ 422,230 Net County Cost: $1,307,970 55 Funding Sources: State 24.4% $ 422,060 Other 0% $ 170 General Fund 75.6% $1,307,970 C. JUVENILE PROBATION SERVICES Purpose: Investigation and supervision of juveniles referred for delinquency. Services are provided for both detained and released minors. FTE: 75.7 Level of Discretion: Varies by sub-program. Gross Expenditures: $4,746,605 Financing: $1,441,170 Net County Cost: $3,305,435 Funding Sources: State 1.4% $ 67,290 Federal 20.3% $ . 962,560 Fees 8.2% $ 391,320 Expenditure Transfers 9.4% $ 20,000 General Fund 69.7% $3,305,435 1. Intake/Investigation Description: Initial investigation into alleged offenses, including recommendations regarding the continuing disposition of the minor offender. The department performs over 10,000 investigations annually. FTE: 26.3 Level of Discretion: 1, No discretion. 2. Court Probation Officers Description: Provides information on probation cases to the judge to assist in arriving at the appropriate disposition. FTE: 4.5 Level of Discretion: 1, No discretion. 3. Supervision Description: Supervision of a minor placed on probation or made a ward of the Court. The probation officer has the responsibility to help the minor and his/her family recognize the problems which contributed to the delinquent behavior and to make the necessary adjustments to prevent further delinquAncy. The average annual caseload is 1,700 juveniles. 56 FTE: 18 Level of Discretion: 3, Some discretion 4. Placement Description: Formulation of alternative living plans for approximately 200 youth annually, who cannot remain at home or attend local schools because of serious delinquent or behavior problems. FTE: 12.2 Level of Discretion: 2, Very limited discretion. 5. Probate/Civil Description: Investigation and review of approximately 1,000 cases annually for the Probate Division of the Superior Court of the need for conservatorship and guardianship for elderly and developmentally disabled persons. FTE: 7.2 Level of Discretion: 3, Some discretion. 6. Home Supervision Description: Intensive surveillance of approximately 300 minors annually who are ordered on Home Supervision status in lieu of Juvenile Hall detention, which include daily contacts with a counselor. FTE: 4.5 Level of Discretion: 3, Some discretion 7. Juvenile Community Services (Weekend Work) Program am Description: Community service work alternative to detention, serving approximately 1,000 youth annually. FTE: 3 Level of Discretion: 4, Discretionary D. ADULT PROBATION SERVICES Purpose: Investigation and supervision of criminal offenders referred by the courts. Investigation, evaluation and recommendations are also provided for probate m,-itters. 57 FTE: 68 Level of Discretion: Varies by sub-program. Gross Expenditures: $3,942,265 Financing: $ 189,410 Net County Cost: $3,752,855 Funding Sources: Federal 2.3% $ 91,410 Fees 2.5% $ 98,000 General Fund 95.2% $3,752,855 1. Investigations Description: Investigation and assessment of approximately 6,000 cases annually for the Superior Court including recommendations regarding the appropriate disposition of the case. The resulting written reports are utilized by the court, district attorney, defense counsel, government institutions, the parole system, treatment programs, hospitals and clinics. FTE: 31.4 Level of Discretion: 1, No discretion 2. Court Probation Officers Description: Provides information on probation cases to the judge to assist in arriving at the appropriate disposition. FTE: 6 Level of Discretion: 3, Some discretion. 3. Supervision Description: Supervision of an average of 1,200 convicted or diverted offenders, serving to implement and monitor the specific and general conditions of probation. FTE: 19.6 Level of Discretion: 3, Some discretion. 4. Special Supervision Description: Computer-assisted supervision of approximately 2,200 felons on probation annually; placement and supervision of probationers in residential treatment programs for substance abuse and mental disorders. FTE: 7 58 Level of Discretion: 3, Some discretion. 5. Drug Grant Description: Intensive monitoring of drug usage for 200 offenders annually. FTE: 4 Level of Discretion: 4, Discretionary (State-Funded). E. SPECIAL SERVICES Purpose: Includes Victim/Witness Program, STC Training Program, affirmative action, volunteer coordination and public information services. FTE: 7.5 Level of Discretion: Discretionary. Gross Expenditures: $454,030 Financing: $295,000 Net County Cost: $159,030 Funding Sources: State 65% $295,000 General Fund 35% $159,030 59 PUBLIC DEFENDER/CONFLICT DEFENSE 1993-94 NET PROPOSED COUNTY DISCRETION PROGRAM BUDGET COSTS POSITIONS LEVEL Conflict Defense $2,068,000 $2,068,000 0 1 Public Defender 8,365,904 8,323,779 95 1 TOTAL $10,433,904 10,391,779 95 A. CONFLICT DEFENSE Purpose: Provide legal representation of indigents in conflict cases provided by appointed private attorneys. In addition, selected cases require the appointed of counsel directly by the judges which also represent a mandated. County cost. FTE: 0 Level of Discretion: Non-discretionary; however, there is some discretion in the organizational structure of the service provider. Gross Expenditures: $2,068,000 Financing: $ 0 Net County Cost: $2,068,000 Funding Source: General Fund 100% $2,068,000 B. PUBLIC DEFENDER 1. Main Office Purpose: Provides counsel, advice, and investigative work as needed in mandated legal representation of indigent adult defendants in criminal proceedings; of juveniles in Superior Court upon appointment by the Court or request of the juvenile; and of persons involved in mental illness proceedings and probate guardianships. FTE: 81 Level of Discretion: Non-discretionary; however, there is some discretion in the organizational structure of the service provider. Gross Expenditures: $7,090,904 Financing: $42,125 Net County Cost: $7,048,779 60 Funding Sources: State.Aid Realignment .5% $34,500 Fees .1% $7,625 General Fund 99.4% $7,048,779 2. Alternate Defender Office Purpose: Provides counsel, advice, and investigative work as needed in mandated legal representation of indigent adult defendants in criminal proceedings; of juveniles in Superior Court upon appointment by the Court or request of the juvenile; and of persons involved in mental illness proceedings and probate guardianships. FTE: 14 Level of Discretion: Non-discretionary; however, there is some discretion in the organizational structure of the service provider. Gross Expenditures: $1,275,000 Financing: $ 0 Net County Cost: $1,275,000 Funding Source: General Fund 100% $1,275,000 61 SHERIFF-CORONER DEPARTMENT C. Detention (Budget Unit 0300) Purpose: The Detention Divisions primary function is the care and custody of sentenced and unsentenced inmates who are incarcerated in the Division's three facilities. This function includes the intake process and transportation to designated courts and other jurisdictions. The Detention Division is the largest division in the department and its budget represents almost exactly 50% of the Net County Cost of the Sheriffs Department. The three holding facilities and alternatives to detention are as follows: 1. Main Detention Facility (MDF) - A maximum security institution, located in Martinez, that houses many of the County's unsentenced inmates while they are awaiting trial. It also serves as the booking and intake center for all law enforcement agencies within the County. It currently holds about 700 inmates. FTE: 178; 2. West County Detention Facility (WCDF) The WCDF is an ultra-modern, program-oriented facility for medium security prisoners, located in Richmond. It houses about 500 pre-sentenced inmates. Inmates who present behavioral problems.are returned to the MDF in Martinez. FTE: 112; 1 Marsh Creek Detention Facility (MCDF) Located in -Clayton, this facility is primarily responsible for the care, custody, and control of sentenced male inmates, but unsentenced inmates may also be held at this facility. There are currently about 300 inmates housed at this facility. FTE: 35; 4. Alternatives to Correction Bureau - Diverts persons .who would be incarcerated into programs such as Work Alternative Program. Work Alternative is operated for those inmates sentenced to jail for 30 days or less. Inmates accepted into the program provide public service labor at no cost to the County, while relieving housing costs associated with incarceration. Home Detention, and Sheriffs Parole are also included in this bureau. This program is 100% revenue supported, and prevents detention costs form further escalating. FTE: 22. FTE: 347 62 D. Field Enforcement (Budget Unit 0255) Purpose: Supp I orts the basic law enforcement functions of the Sheriffs department: patrol, investigations, criminalistics, communications,support services and administrative control. 1. Patrol Division - The Patrol Division's primary function is to provide 24 hour per day law enforcement services to the unincorporated area of the county. In addition, contract police services are provided to the cities of Danville, San Ramon, Lafayette, and Orinda, and contract services are also provided to special police districts throughout the county, AC Transit, and the Housing Authority. These services are paid for by those agencies. Officers on patrol respond to emergency calls for service through the 911 dispatch function, as well as provide law enforcement services through self-initiated activity. The Division is broken into County Patrol (132 FTE) and Cities/Districts/Grants/Contracts (94 FTE). In the unincorporated area, law enforcement services are coordinated through 4 station houses in the county (Oakley, Martinez, Alamo, and Richmond) which provide a community based policing model. Each station house is commanded by a Lieutenant, and the Lieutenants report to the Division Commander (Captain). In addition to officers patrolling established areas, or "beats", the Division staffs a special enforcement "J" team (12 officers) which is able to provide a mobile, flexible response to increasing crime patterns or special enforcement needs throughout the county. The Marine, Patrol Bureau with two officers, remains responsible for patrol of the navigable waterways within the county, and enforcement of all applicable laws. FTE: 226 63 Level of Discretion: Very Limited Discretion. 2. Investigations Division - The responsibility of the Investigation Division is to conduct follow-up investigation of all, reported felony offenses and certain misdemeanor offenses which occur in the unincorporated area of Contra Costa County, as well as in the cities and districts that contract for investigative services. The objectives of such investigations are the identification and prosecution of criminals responsible and the recovery of stolen property. The Criminal Investigation Bureau is the largest bureau in the division and is responsible for the investigation and preparation of evidence for the prosecution of offenders involved in both felony crimes and cases involving juveniles. The Juvenile Assault/Sexual Assault Bureau is responsible for follow-up investigations of child abuse cases and all sexual abuse cases. The Narcotics Bureau is responsible for follow-up investigations of patrol-initiated narcotics investigations.The Bureau coordinates a narcotics investigation program which aids smaller police agencies in their investigations. FTE: 35 Level of Discretion: Limited Discretion. 64 4. Support Services Division - Responds to citizens' requests for police, ambulance, and other emergency services. Such calls for service are dispatched to patrol units, ambulance companies, and other services providers. Indexing, storage, and retrieval of all department records, processing permits required by County Ordinance or state law, and keeping crime statistics and warrants of arrest are all included in this Division. This division is broken into three separate Bureaus: a) Civil Bureau - Carries out the legal mandates of the Government Code and Code of Civil Procedure to serve all process of the courts which are delivered to the Sheriff. The Sheriff is legally obligated to exercise reasonable diligence in attempting to effect service of process and may face severe liability with regard to this function. The clerical staffing level in the Civil Bureau was reduced by 50% in the FY 1992-93 budget and it has become extremely difficult for the Sheriff to fulfill even the minimum level of service required by the. law. FTE.- 12 FTE; b) Communications Bureau: Represents the basic means for the public to contact and request public safety services. The Dispatch Bureau provides the essential communications link to the operational units of the department, including dispatching on numerous radio channels and handling computer information requests. The personnel also dispatch for other agencies, such as emergency medical and Animal Control, as well as several police departments through contracts. FTE: 48; c) Records Bureau: Responsible for receiving all police reports, filing, and maintaining statistics regarding crimes for local, state, and federal reports. Records is also responsible for maintaining booking records, compiling criminal histories, and issuing permits and licenses in accordance with County Ordinance. The Division is also responsible for receiving warrants of arrest from the courts, maintaining files and responding to inquiries from law enforcement agencies, and updating various automated data bases at local, state, and federal levels. The warrant function operates 7 days per week, 24 hours per day. FTE: 16. FTE: 76 65 INVENTORY OF CONTRA COSTA COUNTY PROGRAMS SERVING CHILDREN AND FAMILIES Program Name: Department: Contact person.- Phone: erson:Phone: PROGRAM LOCATION AND SERVICE AREA Address.- Telephone ddress:Telephone Number (Main Office or Service Number): Fax Number: Computer Network (please check applicable box): Wide area network ❑ yes ❑ no Local area network ❑ yes ❑ no Geographic area(s) served (please check box designating the broadest applicable category): ❑ COUNTY-WIDE ❑ East County ❑ West County ❑ Central County ❑ UNINCORPORATED COMMUNITIES ❑ Alamo ❑ North Richmond ❑ Alhambra Valley ❑ Oakley ❑ Bethel Island ❑ Pacheco ❑ Byron ❑ Pleasant Hill BART ❑ Canyon ❑ Port Costa ❑ Clyde ❑ Reliez Valley ❑ Crockett ❑ Rodeo ❑ Discovery Bay ❑ Rollingwood ❑ East Richmond ❑ Sandhill ❑ EI Sobrante 11 Saranap ❑ Kensington ❑ Springbrook ❑ Knightsen ❑ Vine Hill ❑ Montalvin Manor/Tara Hills ❑ West Pittsburg ❑ Mountain View ❑ CITIES ❑ Antioch ❑ Orinda ❑ Brentwood ❑ Pinole ❑ Concord ❑ Pittsburg ❑ Danville ❑ Pleasant Hill ❑ EI Cerrito ❑ Richmond ❑ Hercules ❑ San Pablo ❑ Lafayette ❑ San Ramon ❑ Martinez ❑ Walnut Creek ❑ Moraga SERVICES PROVIDED Please describe in detail the services your program provides? Service classification: ❑ Prevention ❑ Intervention ❑ Protection ❑ Other (please specify) POPULATION SERVED What populations are served by your programs? Please provide the following specific characteristics of the targeted population: Age group(s) served: Predominant ethnic groups served: Total number of clients in your program: Number of clients served per week: (per data collection) CLIENT PROCESS Eligibility Requirements. Please indicate eligibility requirements based on age, income, military status, insurance coverage, geographic area, etc. (e.g., ages 18 and over, resident of area served, Medi-Cal only, priority given to Richmond residents, low- income families, physician referral required): Days and Hours of Operation. Please indicate the days and hours your program can be contacted for services and/or information by phone. If the office hours are different, use a parenthetical note to show this. Please use a.m. or p.m. designation. (e.g., 24 hours daily (Hotline), Monday - Friday, 8 a.m. - 5 p.m. (Office), Monday - Friday, 5 p.m. - 8 p.m. (Answering service), 24-hour answering machine): Application procedure. If an application is necessary to receive services, please indicate the procedure (Check all that apply): ❑ None ❑ Walk in ❑ Apply by phone ❑ Referral necessary for application (please specify) ❑ Legal documents/certificates necessary for application (please specify) ❑ Other (please specify) Client Fees (Check all that apply): ❑ None ❑ Varies according to income (sliding fee scale) -- Range: ❑ Varies according to service: Range -- $ - $ ❑ No one denied service because of inability to pay. Form of Payment Accepted (Check all that apply): ❑ Medi-Cal ❑ Voucher (specify): ❑ Medicare ❑ Vendor (specify): ❑ Military Insurance ❑ Cash ❑ Private Insurance ❑ Credit Card ❑ Other (specify): Waiting List: How long must a person wait before actually receiving service (e.g., no wait, 2-3 weeks, varies, etc.)? Foreign Language Assistance: Are there any language services available for non- English speaking clients? ❑ YES ❑ NO, client should arrange for his/her own translator If yes: Which languages? When available? Transportation: Do you provide any transportation services to your facility for clients? If so, please specify type and schedule: Please provide the name of the specific public transit system that stops near the location. List the number and name of the transit (e.g., County Connection - 108, AC Transit - 72, BART - Richmond Station): Accessibility for People with Disabilities (check all that apply): ❑ Wheelchair accessible ❑ Special parking ❑ Elevator ❑ Ramp ❑ Restroom ❑ TDD for the deaf. TDD number: ❑ Information on tape or in braille available for the blind ❑ Interpreter for the deaf available. When available? ❑ Other (specify): INTER-AGENCY/PROGRAM LINKAGES From which County programs/departments and community-based organizations are your clients commonly referred? To which County programs/departments and community-based organizations do you commonly refer your clients? What other types of formal and informal coordination or collaboration do you or your program/department have with other County programs/departments and community- based organizations (e.g., informational exchanges, workshops, etc.)? What types of linkages do you currently not have which could enhance the scope, quality or efficiency of the services provided to your clients? What other health or social services not provided by your program do the majority of your clients currently receive or often require? GAPS/DUPLICATIONS What service gaps do you perceive in your program area (e.g., Which at-risk populations are not being served? Which needs are not being provided?) What duplications of services do you perceive in your program area? BUDGET/FUNDING What is your budget unit? What are your organizational numbers? What was your program budget in FY 1993-94? Please list individual funding sources below: Source Amount in FY 1993-94 ❑ County $ ❑ State $ o Grants $ ❑ Entitlements $ ❑ Federal $ ❑ Grants. $ ❑ Entitlements $ ❑ Fees $ ❑ Other $ What governs how these dollars are spent? In particular, how much flexibility does your program have in terms of funding decisions? (Feel free to describe the amount of discretion your program has by funding source or program area):