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HomeMy WebLinkAboutMINUTES - 04251995 - FHS1 TO: 3 BOARD OF SUPERVISORS F&HS-01 5... Contra FAMILY AND HUMAN SERVICES COMMITTEE �- '� Costa FROM: .• c•, i< �A�_...�..... ,� County April 10, 1995 DATE: SUBJECT: STATUS REPORT ON SERVICE INTEGRATION, THE POLICY ACADEMY AND FAMILY MAINTENANCE ORGANIZATION SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATIONS: 1 . ACCEPT the attached reports : ✓ from the Program Coordinator for the Service Integration Team on Service Integration, Of from the Senior Deputy County Administrator on the Policy Academy, ✓ from the Director, Office for Service Integration, on the Family Maintenance Organization, and ✓ from the Community Services Director on the Child Development Division of the Community Development Department. 2 . DIRECT the County Administrator, at the time the Board of Supervisors considers the budgets for the "human services" departments, to make recommendations to the Board funding options for . staff support for the Policy Academy in the approximate amount of $28,000 per fiscal year. 3 . REQUEST that the County Administrator, Health Services Director, Acting Social Services Director, County Probation Officer and Community Services Director, at the time the Board of Supervisors considers their budgets for the 1995-96 fiscal year, make recommendations to the Board of Supervisors on how CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMI APPROVE OTHER SIGNATURE (S): sNiTH �������'•�/'" ACTION OF BOARD ON April 95., 199 APP O AS RECOMMENDED OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS(ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED APP 2 5 1995 Contact: PHIL BATCHELOR,CLERK OF THE BOARD OF CC: See Page 4 SUPERVISORS AND COUNTY ADMINISTRATOR c BY DEPUTY F&HS-01 funding can be provided for the education and training needs of the Service Integration Teams . INDICATE that it is the Board's intention to make the necessary funds available from savings achieved by making other budget reductions in the area of family and human services . 4 . REQUEST the Service Integration Teams to identify one or two families who would be willing to have themselves identified to members of the Family and Human Services Committee so the Committee members could talk to the family members and see first hand the resources and services which are capable of being brought to bear to assist a family in solving its own problems . 5 . ADOPT as a Board of Supervisors ' policy a goal of having a health clinic located at each school site in the County as a mechanism for providing care and services for children. DIRECT the Health Services Director to work with the County Superintendent of Schools and individual district superintendents to get school staff involved and work toward the goal of locating a health clinic at each school site in the County. 6 . DIRECT the County Administrator to organize a brief presentation to the Contra Costa Mayors ' Conference, utilizing the "Supervisors" time on the Mayors ' Conference agenda, for an upcoming meeting to alert the Mayors to what the County is doing in terms of Service Integration, the Policy Academy and the Family Maintenance Organization. 7 . DIRECT the County Administrator to organize a brief presentation to the school district superintendents for an upcoming meeting to alert the superintendents to what the County is doing in terms of Service Integration, the Policy Academy and the Family Maintenance Organization. 8 . AGREE to meet on June 12, 1995 at the Richmond Service Integration site and REQUEST the Service Integration Program Coordinator to make the necessary arrangements for a meeting room and tour of the site. 9 . DIRECT the County Administrator, Health Services Director, Acting Social Services Director, County Probation Officer and Community Services Director to report to the Family and Human Services Committee on June 12 , 1995 at 9 :00 A.M. on the status of Service Integration, the Policy Academy and Family Maintenance Organization, as well as each of the assignments made above. 10 . DIRECT the County Administrator to invite each Mayor in the County, the members of each of the city councils in West County, members of the boards of trustees of each of the school districts serving West County and the members of the municipal advisory councils in West County to meet with the Family and Human Services Committee in Richmond on June 12, 1995 . BACKGROUND: On February 28, 1995, the Board of Supervisors approved a report from our Committee on the status of our Service Integration efforts, the Policy Academy and the Family Maintenance Organization and asked that staff make several reports back to our Committee at the Ambrose Park and Recreation District Community Center on April 10, 1995 so we could see the Service Integration Team at work and see their facilities. 2 F&HS-01 On April 10, 1995 our Committee did meet in Bay Point with a number of County staff, including members of the Service Integration Team and members of the Policy Academy. Bill Weidinger, Program Coordinator for the Service Integration Team, reviewed the attached report with our Committee. Mr. Weidinger particularly noted the need for additional training resources for the Team members . Applications are being made to various Foundations, including the Cowell Foundation. Mr. Weidinger also noted how pleased the members of the teams were that our Committee was able to meet with them in Bay Point so we could see the functioning of the teams in person. We expressed interest in actually meeting with one or two families who are working with the Service Integration Team to see what resources are available and what services are being provided to families . We have asked staff to attempt to identify such families and schedule time when we can meet with them individually. Sara Hoffman, from the County Administrator' s Office, reviewed with our Committee the attached report on the Policy Academy. On behalf of the Policy Academy, Ms . Hoffman outlined the need for regular staff resources for the Policy Academy. She also recommended that this request be reviewed as part of the budget hearings . It is believed that the necessary staff services could be obtained for about $28,000 a year. Our Committee agrees that it is essential for the Policy Academy to have this level of staff support. We intend to pursue this in more detail as the Board of Supervisors begins to review the budgets for the various departments for the 1995-96 fiscal year. Mary Foran, Director of the Office for Service Integration in the Health Services Department, presented the attached report to our Committee and reviewed it with us . We are particularly impressed with the emphasis on prevention in the Family Maintenance Organization and the specific outcomes which have been developed. Wilda Davisson and Joan Sparks presented the attached review of the Child Development Division of the Community Services Department and reviewed it with our Committee. Our Committee is impressed with the progress which has been made over the past several years . The Service Integration Teams are addressing the needs of at-risk families who are in need of multiple services . The Family Maintenance Organization is addressing the importance of prevention in the health care field. The Policy Academy is attempting to bring together those issues under a comprehensive strategy. Our Committee is concerned that we provide as much support as possible to these efforts, particularly in doing whatever is possible to make the job of the actual service providers as trouble-free as possible. Regarding barriers at the State level in terms of "process" requirements which actually hinder the provision of services, we need to be made aware of those problems so we can try to modify or eliminate them. It is also important to our Committee that at some point we stop the academic study of what we are doing and simply get on with providing services to people in need. We noted that it might be helpful for our Committee to sponsor a "town hall" meeting in a few months and invite our State and Federal legislators to meet with us in order to hear directly from some of the families that are involved in Service Integration regarding what benefits they have received and what barriers there are to obtaining services . Joan Sparks suggested that our Committee meet at the Service Integration site in Richmond to balance the visit we have made today to the site in Bay Point. In discussing this possibility, we agreed that we should meet in Richmond in June. We are also inviting other elected officials from the West County area to join us for this meeting. 3 j F&HS-01 We are particularly interested in the Health Services Department's plans to locate some health facilities at schools in order to better meet the needs of the community and provide accessible services . We would like to see this done countywide and believe that the Board should set as a goal the locating of health clinic facilities at every school site in the County. We believe that these programs are well enough developed at this time that we should make a concerted effort to bring them to the attention of other elected officials in the County, particularly the mayors, city council members and school board trustees . It is also important to alert members of our municipal advisory councils so they can also have a first-hand exposure to what we are doing in these areas of the County. We plan to meet in Richmond in June to view the service integration site there first-hand. In the meantime, we are making the above recommendations for the Board' s consideration. cc: Health Services Director Public Health Director Mental Health Director Substance Abuse Program Director Acting Social Service Director County Probation Officer Community Services Director Sara Hoffman, Senior Deputy County Administrator Mary Foran, Director, Office for Service Integration, HSD Bill Weidinger, Coordinator, Service Integration Team 4 CONTRA COSTA COUNTY OFFICE OF THE COUNTY ADMINISTRATOR 651 Pine Street, 10th Floor Martinez, California 941��53 Telephone: 646-1390 DATE: April-4,1995 TO: Supervisor Mark DeSaulnier Supervisor Jeff Smith Family and Human Services Committee FROM: Bill Weidinger6 V, Program Coordinator Services Integration Team StMJECT: Progress Report on Service Integration Since the February 9, 1995 report, progress has been made in the following areas: Client Enrollment and Services The Bay Point team continues to serve approximately 970 families: 800 income eligible families receiving AFDC, Medi-Cal, and Food Stamps; 50 families receiving Juvenile Probation services; 50 families receiving Public Health Nursing services; 24 families receiving Child Welfare services; 45 families receiving CAIN services and approximately 40 of the families served by the team are also receiving services from Mental Health and Alcohol./Drug Recovery. The forth Richmond team is currently serving approximately 405 families: 270 income eligible families; 25 families receiving services from Juvenile Probation; 50 families receiving services from Public Health Nursing; 60 families receiving services from GAIN and approximately 25 of the families served by the team are also receiving services from Alcohol/Drug Recovery. The Grandparent Support Group has had two meetings in . North Richmond and the Substance Abuse Recovery Group in Ambrose continues with their weekly meetings. Two team members from Ambrose continue to volunteer their time to supervise the Ambrose Teen Center at night. The presence of the Family Resource Specialists from the Healthy Start Grant at the Ambrose site is adding a very important dimension to the work of this team. Our collaborative efforts with the schools in Bay Point is increasing communication, leading to joint trainings and a better understanding', of our different roles. We believe we are providing more thoughtful and comprehensive services to the families we are serving. i Staffing Issues The teams have identified the need for more Mental Health services and to this end sta4f from Mental Health, Healthy Start and the SIT met with a Field work consultant from the University of California at Berkeley to discuss the possibility of developing an ongoing field work placement training site for Social Work and 'Mental Health graduate students. This first discussion was promiei�ng and the dialogue will continue. A new team facilitator was selected for the. North Richmond team and she started on March 8, 1995. The original team facilitator at Ambrose was re-elected by the Ambrose team and she will be serving another six months in this position. There may be some transition with the Probation staff as permanent positions elsewhere in their Department will be available in the near future. Currently the SIT Probation positions are temporary positions. The Social Service Department is seeking to backfill the vacant Child Welfare position in worth Richmond and it is expected that a bid for this position will be issued shortly. The Health Department management staff is meeting in mid-April to review staffing considerations, evaluate how they can be best involved in the program and discuss future funding responsibilities. Training On March 20, 1995 thirty-six persons involved with the SIT team members, employee organization representatives, school personnel, CAO's office, and a representative from the North Richmond. MAC - met to discuss, catalogue and prioritize the issues that the teams and program have been dealing with for the past seven months;. Both the successes and issues were listed. The major issues raised were the need 'for more and intensive training and professional facilitation as relates to. Team Building and Case Management. In addition those present felt that the relationship with the "Functional Departments" needs to be strengthened. On March 22, 1995 representatives from the. SIT met with the Cowell Foundation and discussed the major issues that arose from the March 20 meeting. The Cowell Foundation asked' us to put together a detailed proposal outlining our training needs to address the issues we presented to them. The Cowell Foundation was very positive about the work and the model we are using in the SIT and believes that the training plan we design has the potential; to be replicated in other sites that use multi-disciplinary teams. They asked us to include as one of the issues the need to work with the community. They felt that the community needed to be included as a strong partner in our efforts to enhance self sufficiency. The Cowell Foundation also offered us the services of the Executive Director of the Bay Area Networking Association to help us formulate our proposal. Our- plan is to submit a proposal `to the Foundat'on in May and it will be reviewed by their Board of Directors in June or July. In the meantime, there will be work done immediately on developing an interim training outline that addresses a number of case management issues. A facilitator will assist us in developing this training plan and we will begin training staff on the case management process. Working with the fa<<i.lies to have the families develop their goals and work plans are central to what the SIT wants to accomplish. By beginning this work as soon as possible, we can harness the momentum that was developed at our March 20 meeting and continue our efforts to realize the goals of the SIT. Employee Organizations On March 23, 1995 the employee organizations and manafgement personnel met to discuss a number of issues that the SIT program has raised. We have agreed to continue meeting monthly, in oder to keep our communication channels open and to continue in our problem solving mode. our next meeting is scheduled for April 24, 1:995 . 1741 Status In early February 19955 we submitted our waiver requests to the State Department of Social Services. These requests wore to eliminate paperwork associated with the CA-7s for AFDC, Medidal and Food Stamps; elimination of yearly redetermination of eligibI lity; development of time study categories to allow elaimir4g for intervention/early intervention work; redefintion of the target population that can be served by GAIN; and allowances for interdisciplinary claiming of activities. On March 9, 1995 the five 1741 counties met with State Officials in Sacramento to further discuss next steps. A number of sub committees were formed to address specific concerns - funding, evaluation, Management Information Systems, confidentiality, technical assistance and waivers. On March 31, 1995 Grantland Johnson, Regional Director, RegionlX, U.S. Department of Health and Human Sex-vices convened a "Forum on Systems Change. AB 1.741" . Approximately 150 persons from the Federal, State and County levels were present. Both Mr. Johnson and Assemblyman Tom Bates talked about their vision of AB 1741 0d how this is presenting us with an opportunity to change systems'. Good contacts were made with a number of Federal representatives and we will continue to meet with them. The Service Integration Management Team (SIMT) continues to meet monthly and our April meeting is devoted to outlining and planning i • I our next steps in achieving our waivers. Additional Notable Items Ventur,, County has asked us to send two representatives fxom the SIT to their March Conference on Working with Muli-Disciplinary Teams. Ventura is paying the costs for our presenters. wk Mr. Batchelor and several of the Department Directors wk1l be visiting the SST sites in April. Mr. Batchelor wants the SIT staff to know of his support and appreciation for the work the teams are doing. i TOTAL P.05 CONTRA COSTA COUNTY OFFICE OF THE COUNTY ADMINISTRATOR 651 Pine Street, 10th Floor Martinez, CiJifomia 94553 Telephone: 646-1390 DATE: April 5, 1995 TO: Supervisor Mark DeSaulnier Supervisor Jeff Smith Family and Human Services Committee FROM: Policy Academy6 V 1 By: Sara Hoffman Senior Deputy Administrator SUBJECT: FY 95-96 Preliminary Budget Proposal The Family and Human Services Committee (FHS) of the Board of Supervisors requested the Policy Academy to submit a proposed budget for FY 95-96. The Policy Academy believes that funding support is needed in four areas: 1. Communication/community involvement 2. Training 3. Evaluation of strategies 4. Policy Academy staff support. Budgetary requirements for the first three areas will depend upon the work plans. Detailed budgets will be developed following finalization of each of the work plans and subsequently be presented to the FHS. The Policy Academy requires three types of staff support: meeting facilitation, clerical and professional. Meeting facilitation The meeting facilitation needs of the Policy Academy have been provided through the generous contribution by the Chevron Corporation of$4,200. Periodically, there will also be a need for charting assistance, in an amount not to exceed $2,000. Clerical support Currently, Supervisor DeSaulnier's office is preparing Policy Academy minutes and agendas. The County Administrator's Office handles material distribution. The CAO's office is willing to continue the distribution function. The professional support, report production and meeting schedules should be handled by the new staff. Professional staff The committee outlined proposed responsibility for the new professional staff. These include: 1. Produce minutes of Policy Academy actions. 2. Coordinate development of Policy Academy agendas. 3. Support the three committees, including —work plans/budget —coordinate meetings —follow-up research —write reports 4. Draft monthly FHS reports. 5. Maintain membership (recruitment, orientation, etc.). 6. Support work in the development of grant proposals and/or preparation of proposals. The estimated budget for this position would be $26,000 per year, including expenses. This budget is based on the following assumptions: • Meeting support-two Policy Academy meetings a month, three committee meetings per month. Staff time for the meetings would equal two hours' prep and miscellaneous; a two-hour meeting, two-hour meeting follow-up; one hour travel which equals seven hours/meeting. Five meetings per month times seven hours/meeting equals 35 hours/month plus contingency of five hours/month equals 40 hours/month. • Research/grant writing - The needs for research and grant development depend upon committees and Policy Academy activities are. This could vary considerably; however, at this time, we are estimating 40 hours per month on average. • Wage rate - In discussing the wage rate appropriate to this position, the committee looked at the rate being paid in Health Services for a commission support position. We recommend a rate of $25.00 per hour for a contract position, which would equal $24,000/year. An additional $2,000/year is recommended for travel and other reimbursable expenses. Preliminary Budget Request • Charting Assistance $ 2,000 • Professional Staff 26.000 TOTAL $28,000 CONTRA COSTA COUNTY HEALTH SERVICES DEPARTMENT Office for Service Integration 597 Center Avenue, Suite 365 Martinez, CA 94553 (510)313-6254 (510)313-6708 Fax INTEROFFICE MEMORANDUM To: Supervisor Mark DeSaulnier Supervisor Jeff Smith Family and Human Services Committee From: Mary Foran Director, Office for Service Integration Date: April 5, 1995 Subject: PROGRESS REPORT ON PLANNING THE FAMILY MAINTENANCE ORGANIZATION Since our last report to you, FMO planning staff have been involved in intensive work. Through work sessions and discussions with Health Services staff and Policy, Program and Parent Advisors, we have revised and gained agreement on the proposed outcomes and have matched to the outcomes program and service models which could be adopted to achieve each one. These outcomes and corresponding indicators are attached for your review in the document entitled "Matrix of Outcomes, Potential Indicators and Programs." Additionally, I have included one sample of the work in progress entitled "Review of Program Strategies for Achieving FMO Outcomes," which identifies specific programs and strategies under consideration for the FMO. Currently, staff are narrowing down the scope of the FMO into a few plausible scenarios or options. In order to develop these scenarios, we have identified the criteria we will use to prioritize needs, we are gathering baseline data to quantify the health concerns and we are assessing what other HMOs and County health systems are doing in the area of family support programs. The criteria for evaluating needs and developing options include: Progress Report on Planning the Family Maintenance Organization Page 2 April 5, 1995 ♦ Magnitude of the health problem: • Number of individuals/families affected • Cost to the system • Potential for cost savings with new intervention or prevention ♦ Organizational considerations: • Supports the values and other strategies identified by the Policy Academy • Promotes continuity of care/CQI efforts • Contributes to setting our health system apart from others ♦ Funding opportunities: • Ability to restructure/reallocate existing funding streams • Opportunities for collaborations with foundations • Availability of funding for new programs and services Once the limited number of options are defined, they will be reviewed by the work groups and advisors to discuss the merits and tradeoffs of each option and agree on which options are most appropriate for in-depth financial analysis. 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CD a, @ CD 3lu =r 5n M m N U) <Im < (D 0. 0 5p -1 Z 3 CD CD FD' W0 "'Co (D A) — -1 OL 0 CL 0 =r (D cn 0 - o > CL "U 0) (D Deport to Family and Human Services Committee Commur$ity Services Department Child Development Division April 10,1995 The Child Development Division of Community Services Department is intimately involved,at the commurdty level,in providing services for families to maintain or move toward self-sufficiency. Our two largest efforts are General Child Care and State Preschool, Using no revenuo from the County's General Fund, this Division provides approximately 1151,150 days of subsidized child care and$4,900 day of State Preschool to low-income families each year, This program brings$4.5 milHoo per year into the County tlorn State and)Federal contracts. It provides 125 jobs for County employees working in our low-income communities, This year the Division has raised an additional $720,000 to purchase two children's centers and to make repairs and upgrade safety and access features at eight sites. The Child Development Division is a vital farce in the provision of quality developmental programs for children and child care for parents who work or are enrolled in job training activities.Through its multiple contracts the Division serves 1050 children from 975 families each day, STATE PRESCHOOL State Preschool is a half-day,vino month program,that articulates with the public schools to provide developmentally appropriate education activities for the three and four year old children of income eligible families. The program was designed to function,in part,through the efforts of parent volunteers.Parents help to meet the daily staffing requirements and participate in other tasks as planned by the parent Support Group and the Professional Staff, The goal is to"hook"the parents on taking inorcased responsibility by supporting their children's schooling. It socks to make than active partners in the process starting when their children first enter the formal school setting. Research has shown that parent involvement is a critical indicator of child's academic success. State Preschool is differentiated froom other children's programs by its emphasis upon helping children and parents learn the habits and skills that provided the platform for a life long commitment to educational success. Community Services Department,Child Development Division operates fifteen State Preschool classes. Six of these classes are opemd directly by the County and nine are operated by five community agencies under sub-contracts. Five classes are located in West County, five in Central County and five in East County. At eight of the State Preschool sites,General Child Care services are also offered,providing parents with a choice of program type to meet a particular family's need, . GENERAL CHILD CARE The Child Development Division opontes eight child development centers in the Richmond area. Centers are open eleven hours per day,five days per week for two hundred fifty-one days each year to support the needs of working families. Eligible families receive subsidized child care,based on a State designed sliding scale adjusted for income and family size. The parent must be income and"need"eligible to receive a State subsidy. A qualifying need must be documented by employment verification,enrollment in a recognized job training program or referral from a professional child abuselneglcct prevention agent. oil IU5 REPORT To FAWLY AV WN SERVteES COOMEB alifY as ppproxinnAtely seventy-five percent of tate parents re Withou the benefit of subsidized child idlZod ecarcxthese the"working poor'. They are our"at-risk familics families would be unable to work and would be forced onto public assistance Many would became homeless, parents who are attending job training classes would be unable to complete their training without reliable cbild care. Twenty percent of our families are in job trainingprograms• Approximately five percent of our centers' clio.nft are Children's Protective Service referrals. BY providing fhso doily cWld care for Nmilics In crisis,the parents are able to maintain their children in the home rather than the County having to provide out-of-home placements for the children. Services such as these are critical during family reunification and for drug rehabilitation programs. There is no work or training requirement for a parent with a CPS referral. Their children are our highest priority and have first access to our centers ivbcn opening become available. In addition our programs may provide daily child care for homeless families, Referrals are takcn from Homeless Shelters, Currently we are not serving any homeless children. The child development programs in our eight centers must meet the quality standard set by the State Department of Education_ This means that the centers must provide educational enrichment actives for the children in a planned daily program and provide opportunities fbr parent training,program involvement and advocacy, The teaching and management staff must have training in addition to the minimum requirements for licensing by the California Department of Social Services. To enlianoc the quality of it programs and provide access to a broad range of family services,the Child Development Division collaborates with other County Department,i.e.Health Services and Social Services. We also collaborate with the County Office of Education,the Community Colleges,various school districts,and multiple non-profit agencies that provide services to child and families. Our Child Development programs support independence for"at risk"families and provide a bridge for "crisis"families to move toward self-sufficiency. COMMUNITY OUTREACH Staff from our Child Development Division serve on., • Policy Academy • County Child Care Task Force • State Preschool Advisory Committee Community College Child Development Advisory Board * Contra Costa School District Child Development Advisory Committce • Richmond Community Housing and Human Services Committee • Contra Costa Child Care director's Association(a local administrators'association) • Association for the Education of Young Children • Child Welfare League of America • CA Child Development Administrators Association(a state wide association) • Child Development Policy Institute(a state levet advocacy group) w United State of America Child Care(a national providers'association) 2