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HomeMy WebLinkAboutMINUTES - 04041995 - F-HS.01/ e BOARD OF SUPERVISORS F&HS-01 4i o: Contra FAMILY AND HUMAN SERVICES COMMITTEE /'� �+ FROM: a40 j Costa County March 27 , 1995 DATE: REPORT REGARDING THE PREPARATION OF A CHILDREN AND FAMILY SERVICES SUBJECT: PROGRAM BUDGET FOR THE 1995-96 FISCAL YEAR SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATIONS: 1 . DIRECT the County Administrator to update the excellent document which was assembled last summer on Children and Family Services, based on the Proposed 1995-96 County Budget. In undertaking this update, the programs should be organized by functional area, such as : Child Care and Parenting, Employment and Training, Food and Shelter, Health, Safety, Refugee Assistance, and General or Overhead. 2 . DIRECT the County Administrator to also update the listing of contracts which are in existence which provide direct services to children and families . This report should also be organized by functional areas so we can see what services are being provided by various agencies in the same general program area. 3 . DIRECT the County Administrator to include in these reports the number of clients who - are served by each program or contract and the dollar cost of the services . Where it is not possible to establish a discrete cost for services just to children and families as a part of a larger program, a proportionate allocation of dollars based on the number of persons served will be . acceptable. 4 . DIRECT the County Administrator to include in these reports, where available and appropriate, the type of evaluation mechanism which is in place which assists the Department determine whether the services that are being provided are effective. L CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIGNATURE(S): ACTION OF BOARD ON - Apr 7 1 4 19 9 5 APPROV D 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 Contact: PHIL BA CHELOR,CLERK OF THE BOARD OF cc: See Page 3SUP RVISORS AND COUNTY ADMINISTRATOR BY DEPUTY I F&HS-01 s 5 . DIRECT the County Administrator to make a status report to the Family and Human Services Committee on May 8, 1995 indicating in at least outline form what these reports will look like and what types of data will be included so we can insure that the final product will provide the Board with the information it needs to make policy decisions about the County Budget for the 1995-96 fiscal year. BACKGROUND: On February 28, 1995, the Board of Supervisors referred to our Committee the suggestion that staff be directed to prepare a Children and Family Services Program Budget for the 1995-96 fiscal year, similar to the one which was prepared for the 1994-95 fiscal year. On March 27, 1995 our Committee met with Sara Hoffman, Senior Deputy County Administrator. We reviewed the report which was prepared for the Board last summer, based on the 1994-95 County Budget and the report which was prepared for the Board last summer on the contracts which are in place which provide services to Children and Families . Copies of those documents are attached for the Board' s review. Ms . Hoffman also provided our Committee with a copy of a Children' s Services Budget document prepared by Alameda County. Our Committee is concerned that in considering the 1995-96 County Budget, the Board of Supervisors be able to determine the following: ❑ What services are being provided to children and families, either directly by County staff or through contract by community-based agencies? ❑ What is the source of funding for each type of service that is being provided? ' ❑ What discretion does the Board of Supervisors have in terms of: ✓ whether to provide a particular service ✓ how to provide a particular service ✓ how much of a particular service to provide ❑ What are the unmet children and family needs in the community and what is a particular program doing to meet that unmet need? ❑ How many individuals are being provided each kind of service and at what cost? ❑ How effective are the services that are being provided and which services are more effective than other, similar services? ❑ Are the various types of services that are being provided coordinated and integrated with each other so that the County is getting the most effective use possible of the dollars that are being expended? ❑ Are any services that are being provided duplicative of or overlapping with other services that are being provided? ❑ What impact will there be on children and families if one or more programs are reduced or eliminated? -2- F&HS-01 ❑ Where it appears that similar services are being provided by a variety of community-based agencies, is there any evidence to suggest that it would be more efficient and effective to combine services or provide them through fewer agencies? ❑ Is there any rationale for why some services are provided directly by County employees while others are provided through contracts with community-based agencies? The reports we have requested will certainly not provide answers to all of these questions . However, we believe that we need to be in a position to make some very difficult policy decisions on the Budget in June based on the best information we have available to US . Before we simply eliminate programs or services, we want to know that we have done as much as possible to insure that services are being delivered in the most cost-effective manner possible and that the services that are being delivered are, in fact, accomplishing what they were intended to accomplish. We note, for example, that on pages 88-92 of the program budget summary there are some 27 separate contracts with community-based .agencies to provide what are described generally as domestic violence, sexual abuse, child abuse or teen violence services . These contracts are with about 20 separate agencies and are apparently administered by at least three separate County Departments . These contracts total $3 .4 million. We wonder whether all of these services are being coordinated with each other, whether all of the services are equally effective and whether we have designed the best system for delivering these services . cc: County Administrator Health Services Director Acting Social Services Director Community Services Director Veterans Service Officer Executive Director, Private Industry Council Director of Building Inspection Community Development Director Acting Director, Cooperative Extension County Counsel County Librarian District Attorney County Probation Officer Sheriff-Coroner Public Defender Sara Hoffman, Senior Deputy County Administrator -3- Board Order/Resolution Distribution :hoard Action Date: 0/44/.*.S— F=: Clerk of the hoard The attached Board order/Resolutaon is forwarded to ;ou for distri- bution for the season as noted: -(ref: Administrative Bulletin i.6.) _ Distribution not noted on Board Order/Resolution. t1.6 VII A) Address not indicated for Agency outside of County cover went. (1.6 VII A, C) .jC. Distribution *meads six individuals/agencies/county departments. (1.6 VII D) _ Clerk of the board not provided with sufficient copies of the Contract for distribution to re=ed county departments. \\ (1.6 VII E, G) 01 0 J other s /� COUNTY OF CONTRA COSTA Children and Family Services - 1994-95 Budget Excerpts r - cou �'�``� Presented to the Board of Supervisors TOM POWERS Chairman Supervisor, District 1 JEFF SMITH GAYLE BISHOP Supervisor, District 2 Supervisor, District 3 MARK .DESA ULNIER TOM TORLAKSON Supervisor, District 4 Supervisor, District S By Phil Batchelor County Administrator Children and Family Services - 1994-95 Budget Excerpts TABLE OF CONTENTS Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i PART 1: COUNTY PROGRAMS SERVING CHILDREN. AND FAMILIES . . . . . . . . . . . . . iii Summary Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iii Summary Program Descriptions . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . .. . 1 1. General Government . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . 1 Building Inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . 1 Community Development . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . .. . . . . . . . . . . 2 Cooperative Extension . . . . . . . . . . . . . . .. . . . . . . . . I. . . . . . . . . . . . . . . . . . . . ... . . . 4 County Counsel . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 .Library . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . 7 II. Health and Welfare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . 9 Community Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Health Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Private Industry Council . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 Social Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 Veterans Services . . . . . . . . . . . . . .. . . . . . . . . . . . . 40 111111. Public Protection . . . . ... . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . 41 District Attorney . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 Probation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 Public Defender . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 Sheriff-Coroner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . 47 PART II: COUNTY CONTRACTS FOR DIRECT SERVICES TO CHILDREN AND FAMILIES . . . . . . . . . . . . . 52 Table 1: Contracts by Service Provided . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52 Table 2: Contract Services by Funding Source . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53 Table 3: Contracts by Department . . . . . . . . . . . . . . . . . . . . . . . 54 Table 4: County Contracts for Direct Services to Children & Families as of 6130/94: Summary Descriptions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 CHILDREN & FAMILY SERVICES: EXCERPTED FROM THE FY 94-95 BUDGET Contra Costa County offers a broad range of services to children and families. These programs, which include support with housing, food provision, child care/parenting, health, public safety, job training and education, are aimed at ensuring that families are able to meet their basic needs and maintain and/or achieve self-sufficiency. The programs supported by the.County include measures aimed at preventing disruptions in at-risk families, as well as targeted efforts to intervene in cases where difficulties have already emerged. Accordingly, the programs listed below include a mix of preventive, interventive and protective services.. Children and their families receive support not only from the County, but also from the efforts of many other organizations, including churches, non-profit organizations, local schools, city governments and citizens' groups. The efficacy of these efforts is further strengthened through collaboration and coordination. Included among the programs listed below, for example, is a cooperative effort among the County and eight community-based organizations aimed at preventing teen violence in West County. These collaborative efforts reflect a common belief that the welfare of our society depends on the welfare of our children. Various new programs are being undertaken by the County which reflect innovative approaches to providing children and their families with needed services. For example, the Service Integration Team (SIT) Project is a system redesign that will allow workers from all disciplines to work together under a common case management plan to serve families more effectively and, efficiently. The SIT Project is well under way; two multi-service, neighborhood-based family service centers -- one in North Richmond and one in Bay Point -- will open in the late summer/early fall of 1994. These centers will serve two of the communities in Contra Costa County with the highest concentrations of families receiving at least three services from County programs. This document is a first effort to identify children and family services. It briefly outlines the services available to children-and families by the County of Contra Costa. Many of the programs included below do not exclusively serve children and families. Consequently, it is not possible to equate each program budget with a "children and family" budget. Refugee assistance, for example, serves many individual adults as well as children and families. This list is also not all-inclusive of services to children and families; some programs that include children and families in their client base are not listed here. The programs included are those where the majority of the population served are either children or primary care-givers of children. i Part 1 of this.document provides excerpts of programs providing children and family services from the FYI 994-95 Recommended Budget. Each of the programs is classified under one or more of the following seven basic service categories: Child Care/Parenting, Community.Services (General), Employment/Training, Food and Shelter; Health Care, Refugee Assistance and Safety. The service category reflects the predominant type of service provided through the program:, The clients served by each program are also categorized as either solely children and families ("CAF") or as a broader group.which includes children and families ("All")-. , A summary description of each of the County programs serving children and families follows. Part 11 contains a draft list of 256 County contracts with community-based organizations for the provision of direct services to children and families. For ease of understanding, contract information is summarized in four tables: Table 1 divides the contracts into the.seven service categories listed above. Detailed sub-categories.further,delineate the contracts. • Table 2 summarizes the distribution of the over $21 million of Federal, State and County resources that fund the contracts. County funds represent 14 percent of this total, demonstrating the County's ability to leverage funds. • Table 3 provides the breakdown.of contract funds by department. Table 4 provides a detailed description of each of the individual contracts by service category.. Contract information was obtained from the contracts officers in the.Housing and Community Development, Community Services, Health Services, Private Industry Council; Probation, Social Services and Sheriff-Coroner Departments. 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N W L O C O - t N O O o cep c U) cep c cu V� U IL U LL U U Of m IL U (n (n U (n U) U) Ucu N cn Q � Co E c c p o L- C-) E 0) N w O O U CU >% a � L coi -) > -C U) c O (D c — E O s cu cu > Co (U � Q D o v o L Q cu L o U) y a rn CL 0 � � ca a) a) o cu QQcna >, m om D L aaC c U o a, E coi m m C9 UoU � �' � O � ccE cv v w p p — tn O v- L a) O a) V V "O QaQ ciUQo � W Q > >`, > n m a (n d U- cn a�. C: m p � .r E z c cu O V U o p H ami ` Z O E o c W o aD O. a Q (DO C: U _ o p U Q cu J U cu U Ln O LU > a 0 a n U) COUNTY PROGRAMS SERVING CHILDREN AND FAMILIES: SUMMARY PROGRAM.DESCRIPTIONS i. GENERAL GOVERNMENT BUILDING INSPECTION 1. Property Conservation Housing Services Description: 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: 5.5 Level of Discretion: Discretionary, but offset with federal revenues. Gross Expenditures: $363,409 Financing: 363,409 Net County Cost: . 0 Funding Sources: Federal 100% $363,409 1 COMMUNITY DEVELOPMENT 1. Keller Mitigation Programs Description: Administration of Community. Assistance Mitigation funds for youth recreation, family counseling and related projects in Bay Point and other nearby _ communities negatively impacted by the Keller Canyon landfill. Administration of Open. Space Mitigation funds for wetlands preservation. FTE: 0 Level of Discretion: Some discretion, a change would require an amendment to the Keller Landfill franchise and Land Use Permit. Gross Expenditures: $210,000 Financing: 210,000 Net County Cost: 0 Funding Sources: Community Assistance 76% $160,000 Mitigation Fees Open Space Mitigation 24% 50,000 Fee 2. Community Development Block Grant Description: Administration of federal funds for new housing, preservation of existing. housing, economic development, infrastructure improvements, and neighborhood facilities. FTE: 5 Level of Discretion: Discretionary Gross Expenditures: $4,924,598 Financing: 4,924,598 Net County Cost: 0 Funding Sources:. Federal 100% $4,924,598 3. Redevelopment Description: 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: 6.5 2 Level of Discretion: Discretionary Gross Expenditures: $668,822 Financing: 668,822 Net County Cost: 0 Funding Sources: Other 100% $668,822 3 COOPERATIVE EXTENSION 1. Youth Development Description: 4-H program; comprehensive life skills training forpregnant teens, "service learning", and science education for young teens. _ FTE: .8 Level of Discretion: Discretionary Gross Expenditures: $37,924 Financing: 0 Net County Cost: 37,924 Funding Sources: General Fund 100% $37,924 2. Family Education Description: Nutrition, food security and family resource management education aimed at low-income persons. FTE: .8 Level of Discretion: Discretionary Gross Expenditures: $37,924 Financing: 0 Net County Cost: 37,924 Funding Sources: General Fund 100% $37,924 4 COUNTY COUNSEL 1. Social Service - Probate Description: 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 § 318.5). Gross Expenditure: $685,832 Financing: 372,000 Net County Cost: 313,832 Funding Sources: Expenditure Transfers 51.3% $352,000 Public Administrator .2.9% 20,000 Estates General Fund 45.8% 313,832 2. Outside Clients/Other Description: Legal services provided to public clients and departments including Community Services, 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: $185,083 Financing: 181,000 Net County Cost: 4,083 Funding Sources: Expenditure Transfers 15.1% $28,000 Charges to non-County 82.7% 153,000 Agencies General Fund 2.2% 4.,083 3. Public Protection/Community Description: Legal services for programs designed to protect the general public and 5 enhance its environment: FTE: 7.2 Level of Discretion: Primarily discretionary programs. Gross Expenditure: $661,1.88 Financing: 656,000 Net County Cost: 5,188 Funding Sources: Expenditure Transfers, 53.2% $352,000 Fire & Misc. Special District, etc. Other 46.0% 304,000 General Fund .8% 5,188 6 LIBRARY The purpose of the County Library System is to provide comprehensive library services to County residents except residents in the City of Richmond, which has its own city operated library. The County library is funded primarily with property tax revenues that are restricted solely for the support of the library. Accordingly, the library budget is based on the estimated property tax revenue and certain other miscellaneous revenues such as state and federal grants, fines and donations. 1. Branch and Extension Services Description: 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: 59.8 Level of Discretion: The County Library is operated under a non-general fund budget unit using restricted revenues, as such the services are non-discretionary; however, the specific break-down of services provided by the library are discretionary. Gross Expenditures: $4,535,500 Financing: 4,535,500 Net County Cost: 0 Funding Sources: Library Taxes 82.8% $3,756,750 Fees 6.7% 302,000 State 2.8% 127,400 Intergovernmental 6.9% 314,750 Other .8% 34,600 2. Central Library Description: 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 21.5 Level of Discretion: The County Library is operated under a non-general fund budget unit using restricted revenues, as such the services are non-discretionary; however, the specific break-down of services provided by the library are discretionary. Gross Expenditures: $1,624,050 7 Financing: 1,624,050 Net County Cost: 0 Funding Sources: Library Taxes 93.1% $1,512,150 Fees 4.5% 73,000 State 1.9% 30,600. Other .5% 8,300 8 II. HEALTH AND WELFARE COMMUNITY SERVICES 1. Head Start Description: Child development services to 3-4 year old children and their families in designated low-income areas throughout the County FTE: 78 Level of Discretion: Very limited Gross Expenditure: $5,489,101 Financing: 5,407,972 Net County Cost: 81,129 Funding Sources: Federal Head Start 97.0% $ 5,325,853 Interdepartmental Transfers 1.5% 82,119 County General Fund 1.5% 81,129 2. Community Services Block Grant Description: To assist communities in mobilizing their resources to combat the . causes of poverty and improve self sufficiency. FTE: 7 .Level of Discretion: Some Discretion Gross Expenditure: $658,270 Financing: 658,270 Net County Cost: 0 Funding Source: ' 100% Community Service Block Grant (federal) 3. Child Development Description: Subsidized day care for low income children in the Richmond-San Pablo area. FTE: 128 9 Level of Discretion: Optional Gross Expenditure: $3,903,130 Financing: 3,903,130 Net County Cost: 0 Funding Source: 100% State Funds 4. Low Income Housing Energy Assistance Program Description: To provide weatherization and minor home repair services and utility bill assistance to low. income County residents under the State Department of Economic Opportunity guidelines. FTE: 8 Level of Discretion: Very limited Gross Expenditure: $655,128 Financing: 655,128 Net County Cost: 0 Funding Source: 100% State Funds 5. Department of Energy Program Description: To provide weatherization and minor home repair services to eligible low_ income County residents under the State Department of Energy guidelines. FTE: 2 Level of Discretion: Very Limited Gross Expenditure: $87,303 Financing: 87,303 Net County Cost: .0 Funding Source: 100% State Funds 6. Pre-School Grants Description: Subsidized day care programs. FTE: 4 Level of Discretion: Optional 10 Gross Expenditure: $932;567 Financing: 932,567 Net County Cost: 0 Funding Source: 100% State Funds 7. Stewart B. McKinney Homeless Program Description: To provide emergency food and shelter to homeless residents. FTE: 0 Level of Discretion: Very limited Gross Expenditure: $24,598 Financing: 24,598 Net County Cost: 0 Funding Source: 100% State Funds 11 HEALTH SERVICES 1. Hospital and Clinics (Enterprise Fund 1) Description: To fund the operations, of department-wide administration, centralized departmental.support services, and the operations of Merrithew Memorial Hospital and outpatient clinics. FTE: 1172.63 Level of Discretion: Very limited a. Hospital and Outpatient Clinics Description: 1. 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 44 family practice physicians and 79 specialty physician consultants. 2. 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: 1126.13 Level of Discretion: Very Limited Gross Expenditures: $136,262,479 Financing: 126,212,811 Net County Costs: 10,049,668 Funding Sources: Medi-Cal, Medicare, Private Pay, Insurance, HMO, grants, County General Fund. b. Emergency Medical Services 12 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: 6.0 Level of Discretion: Very Limited Gross Expenditures: $600,000 Financing: 600,000 Net County Cost: 0 Funding Sources: SB-12 and EMS grants. 2. Contra Costa Health Plan (Enterprise Fund II) Description: The Contra Costa Health Plan is a County-operated prepaid health plan available to recipients of Medi-Cal and Medicare, to employees of participating private and governmental employers and to individual members of the general public. FTE: 40 Level of Discretion: Some Discretion Gross Expenditures: $48,105,634 Financing: 32,700,530 Net County Costs: 15,405,104 Funding Sources: Medicare 5.3% $ 2,530,703 Medi-Cal 32.3% 15,536,434 Other 22.2% 10,701,845 Realignment 8.2% 3,931,548 County General Fund 32.0% 15,405,104 a. 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 13 Level of Discretion: Some Discretion Gross Expenditures: $12,413,084 Financing: 12,934,092 Net County Costs: < 521,008> Funding Sources: State Medi-Cal Premiums b. Other Medi-Cal (non-crossover) Members Description: This product line includes,alf,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 receives a CCHP card and 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 Level of Discretion: Some Discretion Gross Expenditures: $3,0961865 Financing: 2,0;371272 Net County Costs: 1,059,593 Funding Sources: State Medi-Cat, County General Fund c. Commercial Groups Description: 1) The "County Employees" plan enrolls employees of Contra Costa County and their eligible dependents. 2) The "Other Groups" plan consists of various medical programs directed at small and large businesses on a group basis. 3) The "Individual" plan directs medical coverage availability toward individuals and families. This coverage provides comprehensive health benefits from physical check-ups to major health problems. There is an array of benefits, premiums and co-payments depending on the plan chosen. Premiums are paid by the members or their employers. FTE: Not Applicable 14 Level of Discretion: Some Discretion Gross Expenditures: $8,139,397 Financing: 8,599,661 Net County Cost: <460,264> Funding Sources: Premiums 3. Mental Health Description: To assist people in dealing with various mental health problems. FTE: 134.27 Level of Discretion: Varies by program (see below) a. 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 Level of Discretion: Very Limited Gross Expenditures: $4,046,016 Financing: 0 Realignment/County Costs: 4,046,016 Funding Sources: Realignment and County General Fund b. 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: 1.1 Level of Discretion: Very Limited Gross Expenditures: $3,428,596 Financing: 1,863,509 ! Realignment/County Costs: 1,565,087 i Funding Sources: Medi-Cal, Medicare, HMO, Private Pay/insurance, 15 Realignment and County General Fund C. 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 Level of Discretion: Very Limited Gross. Expenditures: $8,192,738 Financing: 6,342,290 Realignment/County Costs: 1,850,448 Funding Sources: . . Medi-Cal, Medicare, HMO, Private Pay/Insurance,. Realignment and County General Fund A. Child and Adolescent Services Description: 1. 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. 2. 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. 3. 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." 4. Outpatient Clinic Treatment and Outreach Services: 16 Outpatient clinic, school-site and in-home services, including psychiatric diagnostic assessment,medication, therapy, collateral support and crisis intervention services for seriously .emotionally disturbed (SED) children and adolescents and their families. 5. 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 menta( 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: 47.6 Level of Discretion: Some Discretion Community Based Organization Contracts 1. CHD (Prevention) $ 39,190 . . 2. La Cheim School 918;000 3. Child & Family Therapy 40,373 4. Early Childhood 418,936 5. La Cheim Residential 175,200 Treatment Centers 6. We Care 363,978 7. Lynn Day/We Care (CCAReQ8,394 8. Victor Treatment Centers.J 84,104 9. Walnut Creek Hospital 50,000 10. Seneca Center 228,720 11. First Hospital Vallejo 50,000 12. YMCA 115,982 13. Families First 83,489 Gross Expenditures: $6,794,383 Financing: 2,500,179 RealignmentlCounty Costs: 4,294,204 Funding Sources: Medi-Cal, HMO, SAMHSA Grant Funds, Private Pay/Insurance, Realignment and County General Fund e. Special Client Services 17 Description: For special client populations or target groups of children,and adults with special needs. 1. 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. 2. Foreign Language and Hearing Impaired Interpretation: Foreign language interpreters and sign language interpreters to assist the County staff in providing crisis intervention, inpatient hospital and outpatient clinic treatment services. 3. Patients' Rights and Advocacy Services: Patients' rights advocacy and training services, including the provision, of information to voluntary and involuntary psychiatric patients who have been hospitalized. Includes representation and advocacy services at hearings for hospitalized adults and minors. 4. Crisis and Suicide Intervention Services: Crisis and grief counseling services county-wide, including a 24-hour telephone service and community education. FTE.: 7.47 Level of Discretion: Some Discretion Community Based Organization Contracts 1. Board & Care'Homes $ 401420 2. Life Support (various) 14,225 3. Many Hands 22,701 4. Rubicon 9,597 5. Phoenix Programs 74,216 6. Bi-Beit 72,268 7. MH Consumer Concerns 218,546 8. Center for New Americans 22,502 9. CC Suicide Prevention 76,750 10. Deaf Counseling Advocacy 1,000 11'. Desarrollo Family 228,286 12. Asian Community MH 20,366. Gross Expenditures: $1,343,906 Financing: 796,120 Realignment/Coun.y Cost: 547,786 18 a, Funding Sources: State Conditional Release Program contract, SAMHSA Grant Funds, Realignment and County General Fund • 4. Public Health Description: To promote, improve and protect the health „of the residents of Contra Costa County through the identification and control of diseases and. removal of the causes of the diseases. FTE: 349.4 Level of Discretion: varies by program (see below) a. 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, the isolation of infectious persons when necessaryto 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: 67.25 Level of Discretion: Very Limited Net Expenditures: $6,535,122 Financing: 3,888,123 Net County Cost: 2,646,999 Funding Sources: Federal and State Grants, client fees, Medicare, Medi-Cal and other third-party payors, billings for laboratory services and County General Fund b. 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, 19 and Employee Occupational_Health. FTE: 60.25 Level of Discretion: Very Limited Net.Expenditures: $3,623,502 Financing: 1,243,836 Net County Cost: 2,379,666 Funding Sources: State fees, Medi-Cal, charges to employers, private pay, patient co-pay and County .General Fund' C. 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 Medi-Cal insurance programs. FTE: 44.51 Level of Discretion: . Optional Net Expenditures: $3,118,027 Financing: 2,354,780, Net County Cost: 763,247 Funding Sources: Medicare, Medi-Cal, Contra-Costa Health Plan, Kaiser, other third-party payors and County General Fund d. 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: 108.51 Level of Discretion: Very Limited Net Expenditures: $7,5401;679 20 Financing: 5,988,375 Net County Cost: 1,552,304 Funding Sources: Federal and State grants, Inter-departmental charges to Social Service Department for Senior Nutrition, burialpermit fees, birth and death certificate fees, miscellaneous state subventions for 314(d), Public Health, Immigration Reform and Control Act and County General Fund e. 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: 52.5 Level of Discretion: Optional Net Expenditures: $2,086,068 , Financing: 1,992,775 Net County Cost: 93,293 Funding Sources: State Developmental Disabilities (through the Regional Center of the East Bay), leasing of space, therapy pool usage and County General Fund.. 5. Drug Abuse Services Description: To reduce the incidence and prevalence of drug abuse through prevention, intervention and treatment/recovery services. FTE: 43.2 Gross Expenditures: $7,215,990 Financing: 6,882,028 Net County Costs: 333,962 Funding Sources: Medi-Cal 9.3% $ 669,174 Drug Abuse Grants 83.2% 6,000,326 Fines and Fees 1.3% 97,442 Other 1.6% 115,086 County General Fund 4.6% 333,962 a. Prevention Description: Prevention programs provide group support and educational services to students, teachers, families and the general public. 21 FTE: 3.5 Discretion Level Some Discretion Community Based Organization Contractsr 1. Center,for Human Development$220,941 _ 2. New Connections 71,363 3. Pittsburg Boys Club 83,918 4. REACH 36,469 5. WCC Youth Services . 3,001 6. SRVD '16,396 Gross Expenditures: $784,523 Financing: 780,102 Net County Cost: 4,421 Funding Sources: Federal .Block Grants, State Allocation and .County General Fund b. 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: 12 ..Discretion Level: Some Discretion Community Based Organization Contracts 1. BAART $ 45,600 2. New Connections 1291360 3. Pittsburg Boys Club 77,577 4. REACH 110,794 5. SRVD 59,559 6. New Perspectives 62,442 Gross Expenditures: $960,533 Financing: 818,373 Net County Cost: 142,160 Funding Sources: FE feral Block Grants, Drug Medi-Cal, State Allocation, client fees and County General Fund. 22 c. 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 services, vocational training and other public community services. FTE: 7.7 Discretion Level:. Some Discretion Community Based Organization Contracts 1. Thunder Road $ 34,062 2. Sunrise House 186,021 3. Bi-Belt 79,488 :Gross Expenditures: $608,716 Financing: 569,774 Net County Cost: 38,942 Funding Sources: Federal Block Grants, client fees, State Allocation and County General Fund d. 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: Some Discretion Community Based Organization Contracts 1. BAART $599,400 2, Cal Detox 39,996 Gross Expenditures: $639,396 Financing: 599,400 Net County Cost: 39,996 Funding Sources: Drug Medi-Cal, State Allocation and County General Fund e. Special Programs 23 Description: The Department administers several time-limited federal and state special initiatives and projects including Options .for Recovery, the' Office of Treatment Improvement, CSAP Born Free.,.CSAP Drug Free Contra Costa, Waiting . Period Reduction, Perinatal Substance Abuse Treatment and BASN project. FTE: 13.5 Discretion Level: 3, Some Discretion Community Based Organization and Other Contracts 1. Tri-County Women $954,903 2.. East Bay Perinatal Council 200,751 , 3. Sunrise House 31,317 4. Bi-Belt Corp. 166,076 5. CHD 126,723 6.. Cal Research 34,921 7. San Ramon Valley Com. 28,888 8. Org. for Youth Services :21,658 - 9. United Way/Opportunity West 1:4 ,704 10. United Way/Delta 2000 1-13,876 11. Pittsburg Boys' Club 207,490 13. Neighborhood House 293,279 14. Family Stress 22,764 15. CC Child Care Council -17,600 16. East County Detox 110,392 17. Haight Ashbury 301000 Gross Expenditures: $3,460,752 Financing: '3,419,844 Net County Cost: 40,908 Funding Sources: Federal and State grant funds and County General Fund 6. Alcohol Abuse Services Description; To provide counseling services for individuals having problems with alcohol, their families, and for person_ s convicted of driving under the influence of alcohol. FTE: 33 Level of Discretion: Some discretion a. Alcohol Central .Service Description: Management of all alcohol funds and programs. Oversees county- 24 wide service delivery system including budgeting, program planning and evaluation, contract development and processing, drinking driver program and other mandated services. FTE: 2 Level. of Discretion: Optional Gross Expenditures: $291,705 Financing: 234,939 Net County Cost: 56,766 Funding Sources: Federal Block, State Allocation, Vehicle Code, driver fines and County General Fund b. Prevention Description: Prevention programs provide group support and educational services to students, teachers, families and the general public. FTE: 3 Level of Discretion: Some Discretion Community Based Organization Contracts 1. Alcoholism Council $124,422 2. CHD - Prevention 73,715 3. CHD - Neat 171,861 4. East County Detox 62,997 Gross Expenditures: $603,147 Financing: 507,049 Net County Cost: 96,098 Funding Sources: Federal Block, State Allocation, Vehicle Code fines and County General Fund c. Non-Residential Programs Description: Alcohol recovery services for.persons whose use of alcohol is compulsive and out ofcontrol, or for persons at risk.of addiction. Services include individual and group counseling and relapse prevention. FTE: 7 Level of Discretion: Some Discretion 25 Community Based Organization and Other Contracts 1. New Perspectives -$62,441 2: Dept. of Rehabilitation 23,434- Gross Expenditures: $513,464 Financing: 488,052 _ Net County Cost: 25,412 Funding Sources: Federal Block, Drug Medi-Cal, State Allocation, client fees and County General Fund d. 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 Level of Discretion: Some Discretion Community Based Organization Contracts 1. Bi-Belt $1,067,419 2. East County Detox 272,683 3. Neighborhood House 474,300 4. Sunrise House 171,821 5. Tri-County Women 189,549 6. Thunder Road 34,062 Gross Expenditures: $1,909,834 Financing: 1,193,422_ Net County Cost: 716,412 Funding Sources: Federal Block, driver fines, client fees, State Allocation and County General Fund e. Drinking Driver Program Description: Individual and group counseling to people convicted of driving under the influence of alcohol. FTE: 14.0 26 Level of Discretion: Some discretion' Gross Expenditures: $1,003,520 Financing: 1,003,520 Net County Cost: 0 Funding Sources: Client fees 7. California Children's Services Description: 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. FTE: 46.51 Level of Discretion: Very limited Gross Expenditures: $4,731,587 : Financing: 3,629,262 Net County Costs: 1,102,325 Funding Sources: Realignment 17.3% $819,700 Federal/State CCS Assistance 58.2% 2,751,157 Other 1.20% 58,405 County General Fund 23.3% 1,102,325 8. Emergency Services Description: The Emergency Medical Services fund is used to reimburse physicians and hospitals for a percentage of the losses they incur in providing emergency services. FTE: 0 Level of Discretion: Very limited .Gross Expenditures: $856,982 -Financing: 856,982 Net County Costs: 0 Funding Sources: Assessment on automobile moving violations. 27 PRIVATE INDUSTRY COUNCIL 1. Summer Youth Jobs Program Description: Utilizes dedicated donations from the private sector to operate a youth summer jobs program, in conjunction with the California Employment Development Department and the Focal chambers of commerce and cities. FTE: N/A Level of Discretion: Very limited Gross Expenditure: $35,695 Financing: 35,696 Net County Cost: 0 Funding.Source: Private Sector Donations 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, work experience and on-the-job training. b. Private Sector Youth Internships - prepares high school youths for entry into the labor force through "tryout employment" internship positions. C. Older Worker Program - Supports employment of individuals 55 years and older through job search and/or on-the-job training. d. State Education Coordination and Grants Program coordination of local educational agencies employment and training activities., 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 youth 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 28 Level of Discretion: No discretion Gross Expenditure: $6,562,840 Financing: 6,562,840 Net County Cost: 0 Funding Source: JTPA (federal & state 99.85% $6,463,080 funds) Interdepartmental Transfer .15% 99,760 3. GAIN Job Development/Placement Description: Provides job development and placement to GAIN participants as an integral part of the Social Services Department Job Club component; six month project. FTE: 0 Level of Discretion:. Optional Gross Expenditure: $89,911 Financing: 89,911 Net County Cost: 0 Funding Source: Interdepartmental Transfers 29 SOCIAL SERVICE 1. Administration And Services Description: To administer the public welfare and social service programs under the jurisdiction of the Board of Supervisors and County Welfare Director. FTE: 982 Level of Discretion: Varies by program Gross Expenditure: $72,705,391 Financing: 58,624,033 . Net County Cost: 14,081,358 Funding Sources: Federal funds 39.7% $28,893,547. State funds 36.3% 26,421,305 Federal/State A-87 Rev 4.3% 3,156,681 Fees .1% 92,500 Other .1% 60,000 County General Fund 19.4% 14,081,358 a. Child Welfare Services Description: This program consists of four sub-programs: 1) 'Emergency Response - Receive and assess child abuse reports and take immediate action to.protect children. 2) Family Maintenance -. Social work services under Juvenile Court supervision to prevent out-of-home placement. 3) Family Reunification - Social services ordered by Juvenile Court for children in out-of-home placement with the goal of reunifying the family. .4) Permanent Placement - Social services to children who cannot be returned home from placement with the goal of adoption or guardianship. FTE: 211 Level of Discretion: Some Discretion Gross Expenditures: $14,505,760 Financing: 12,194,483 30 Net County Cost: 2,311,278 Funding Sources: Federal, State and County General Funds. b. 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: N/A_(Contract Service) Level of Discretion: Optional Gross Expenditures: $1,000,000* Financing: 1,000;000* Net County Cost: 0 *budgeted in categorical aids - AFDC/Foster Care (See #2-b) Funding Sources: State funds (savings from state share of AFDC/Foster Care aid payments. C. 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 in the world. FTE: .8 Level of Discretion: Optional Gross Expenditures: $163,289 Financing: 158,632 Net County Cost: 4,657 Funding Sources: Federal and County General funds. d. Foster Home Licensing Description: This unit. processes applications for foster home licenses and 31 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 families to encourage placement of foster children in homes which-reflect their racial and cultural heritage. FTE: 8 Level of Discretion: Optional Gross Expenditures: $530,154 Financing: 398,801 Net County Cost: 131,353 Funding Sources: Federal, State and County General Funds. e. 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. FTE: 11 Level of Discretion: Optional Gross Expenditures: $721,133 Financing: 443,549 Net County Cost: 2.77,584 Funding Sources.: Federal, State and County General Funds f. 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: 273 Level of Discretion: Some Discretion 32 Gross Expenditures: $16,738,715 Financing: 14,730,403 Net County Cost: 2,008,312 Funding Sources: Federal, State and County General Funds. g. 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 Level of Discretion: Mandated Gross Expenditures: $7,118,680 Financing: 6,186,081 Net County Cost: 932,599 Funding Sources: Federal and County General Funds h. 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 Level of Discretion: Mandated Gross Expenditures: $7,873,364 Financing: 7,830,925 Net County.Cost: 42,439 Funding Sources: Federal, State and County General Funds i. Homeless Shelters Description: The shelter program provides food and shelter for the homeless at the three County-sponsored shelters (approximately 150 shelter beds). FTE: 0 Level of Discretion: Optional Gross Expenditures: $883,367 33 Financing: 0 Net County Cost: 883,367 Funding Sources: County General Funds J. 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 Level of Discretion: Mandated Gross Expenditures: $113,776 Financing: 111,362 Net County Cost: 2,414 Funding Sources: Federal, State and County General Funds k. . Greater Avenues for Independence (GAIN) 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 Level of Discretion: Very Limited Gross Expenditures: $5,796,298 Financing: 5,260,247 Net County Cost: 536,051 Funding Sources: Federal, State and County General Funds 34 I. Child Care Description: The child care program consists of 3 subprograms: a) State Department of Education 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. Level of Discretion: Very Limited 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. Level of Discretion: 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. Level of Discretion: Very Limited FTE: 3 Level of Discretion: Very Limited Gross Expenditures: $1,506,146 Financing: 1,449,965 Net County Cost: 56,181 Funding Sources: State and County General Funds M. Refugee Programs Description: This program consists of 2 subprograms: 1) Refugee Resettlement Program/Social Services - Routine social services (e.g., CWS or CSBG) provided to refugee clients. Services provided to refugees are federally funded. Level of Discretion: Mandated 2) 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. Level of Discretion: Some Discretion 35 FTE: 5 Level of Discretion: Varies by subprogram (see above) Gross Expenditures: $319,921 _ Financing: 319,921 Net County Cost: 0 Funding Sources: Federal funds n. Refugee Eligibility Programs Description: Includes eligibility determination and grant maintenance activities for time eligible refugees and legalized aliens. FTE: 5.5 Level of Discretion: Mandated Gross Expenditures: $368,175 Financing: 368,175 Net County Cost: 0 Funding Sources: Federal Funds o. 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 Level of Discretion: Some Discretion Gross Expenditures: $337,609 Financing: 337,609 Net County Cost: 0 Funding Sources: Federal funds P. State Office of Child Abuse Prevention Contracts Description: Various contracts to provide child abuse prevention services authorized under AB 1733. 36 FTE: 0 Level of Discretion: Optional Gross Expenditures: $228,531 Financing: 212,408 Net County Cost: 16,123 Funding Sources: Federal, State and County General Funds q. Adoption Assistance Program Description: Eligibility'determination for cash assistance to adoptive parents who adopt difficult-to-place children. FTE: .3 Level of Discretion: Mandated Gross Expenditures: $17,617 Financing: 13,807 Net County Cost: 3,810 2. Categorical Aids Description: To provide financial assistance to families, adults, children and refugees in accordance with welfare program guidelines and regulations. FTE: N/A a. Aid to Families with Dependent/Family Group and Unemployed Parent Description: Provides cash assistance to families with children who are needy. due to absence, incapacity, unemployment or death of one or both parents. Level of Discretion: Mandated Gross Expenditures: $101,436,715 Financing: 98,889,398 Net County Cost: 2,547,317 Funding Sources: Federal, State and County General Funds b. , Aid to Families with Dependent Children/Foster Care (Welfare Only) Description: Provides cash assistance to provide for the needs of children in foster care. 37 Level of Discretion: Mandated Gross Expenditures: $24,791,119• Financing: 17,174,428 - Net County Cost: 7,616,691 Funding Sources: federal, State, Realignment and County General Funds 'includes$3,742,633 appropriations and federal revenues to be transferred to Probation. Also,$1,000,000 is used to fund the Family Preservation Program(See#1-b) C. Foster Care/Severely Emotionally Disturbed Children (SED) 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. Level of Discretion: Mandated Gross Expenditures: $3,139,752 Financing: 1,255,901 Net County Cost: 1,883,851 Funding Sources: State, Realignment and County General Funds d. 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. Level of Discretion: Mandated Gross .Expenditures: $1,777,60 Financing: 1,562,288 Net County Cost: 215,321 Funding Sources: Federal, State, Realignment and County General Funds e. Refugee Assistance Description: Cash assistance provided by the federal government for refugees. 38 Level of Discretion: Mandated Gross Expenditures: $336,804 Financing: 336,804 Net County Cost: 0 Funding Sources: Federal Funds 39 VETERANS SERVICE OFFICE 1. Veterans Services Description: . To provide assistance to veterans, their. dependents and survivors in obtaining veterans' benefits. There are three components to Veterans Services: a. 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. b. Welfare Referral: Review of veteran welfare applicants referred by Social Service Department.for determination of veterans' benefits eligibility or receipt. C. 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: Optional Gross Expenditures: $262,145 Financing: 62,043 Net County Cost: 200,102 Funding Source: State Aid 24% $62,043 County General Fund 76% 200,102 40 III. PUBLIC PROTECTION DISTRICT ATTORNEY 1. D.A. Family Support Description: 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: 157 Level of Discretion: Non-discretionary, restricted revenue Gross Expenditures: $10,447,755 Financing: 10,447,755 Net County Cost: 0 Funding Sources: Expenditure Transfers 11.8% $1,234,606. State Aid Support Incentive . 30.0% 3,132,471 Federal Aid Family Support 58.2% 6,080,678 Contrib/Other Funds (SELF) .0% 0 41 PROBATION 1. Juvenile Hall Description: Correctional facility providing 160 beds for the mandated detention of minors before- and`after Court hearings. Approximately 2,700 juveniles are booked annually. ` FTE: 95.5 Level of Discretion: Very limited Gross Expenditures: $6,645,795 Financing: 1,991,223 Net County Cost: 4,654,572 Funding Sources: Federal 26.7% $1,772,454 State 3.2% 215,000 Other .1% 3,769 General Fund 70.0% 4,654,572 2. Byron Boy's Ranch Description: Correctional facility' providing 74 beds for seriously delinquent boys committed by the courts. Approximately 375 boys are committed annually for an average stay of four months. FTE: 24.8 Level of Discretion: Discretionary Gross Expenditures: $1,667,792 Financing: 1,297,430 Net County Cost: 370,362 Funding Sources: Federal 19.9% $332,200 State 57.9% 965,060 Other .0% 170 General Fund 22.2% 370,362 3. Juvenile Probation Services Description: Investigation and supervision of juveniles referred for. delinquency. Services are provided for both detained and.released minors. FTE: 83 42 Level of Discretion: Varies by sub-program Gross Expenditures: $5,243,083 Financing: 1,448,037 Net County Cost: 3,795;046 Funding Sources: Federal 22.9% $1,203,177 Fees 3.9% 202,000 State/Realignment .7% 38,860 Expenditure Transfers .1% 4,000 General Fund 72.4% 3,795,046 a. 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: No discretion b. 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: No discretion c. 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 delinquency. The average annual caseload is 1,700 juveniles. FTE: 18.0 Level of Discretion: Some discretion d. Placement/Placement Diversion Description: Formulation of alternative living plans for approximately 200 youth annually, who cannot remain at home or attend local schools because of serious 43 delinquent or behavior problems. FTE: 19.5 Level of Discretion: Very limited e. 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: Some discretion f. 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: Some discretion g. Juvenile Community Services (Weekend Work) Program Description: Community service work alternative to detention, serving approximately 1,000 youth annually. FTE: 3.0 Level of Discretion: Discretionary 4. Placement Board and Care Description: Federal, State, and County funding of the Board and Care costs of minors placed in out of home private residential care. FTE: .4 Level of Discretion: Very limited. Gross Expenditures: $6,426,833 Financing; 39742,633 Net County Cost: 2,684,200 Funding Sources: Federal 21.3% $1,370,045 State 36.9% 2,372,588 General Fund 41.8% 2,684,200 44 5. Special Services Description: Includes VictimNVitness Program, STC Training Program, , affirmative action, volunteer coordination and public information services. FTE: 7.5 Level of Discretion: Discretionary Gross Expenditures: $549,030 Financing: 300,000 Net County Cost: 2491030 Funding Sources: State 54.6% $300,000 General Fund 45.4% 249,030 45 PUBLIC DEFENDER/CONFLICT DEFENSE 1. Public-Defender a. Main Office Description: 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. b. Alternate Defender Office Description: 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: 17 Level of Discretion: Non-discretionary; however, there is some discretion in the organizational structure of the service provider. Gross Expenditures: $8,389,904 Financing: 42,125 Net County,Cost: 8,347,779 Funding Sources: General Fund 99.5% $8,347,779 Fees .5% 42,125 46 SHERIFF-CORONER 1. Field Enforcement Description: Supports the basic law enforcement functions of the Sheriffs department: patrol, investigations, criminalistics, communications, support services and administrative control. FTE: 468 a. 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 divided into County Patrol (118 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 Level of Discretion: Very Limited Discretion b. 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 47 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: 37 Level of Discretion: Limited Discretion C. Criminalistics Laboratory - The primary function of the Criminalistics Laboratory is the objective examination, evaluation,'comparison and interpretation of physical evidence related to the investigation of crimes. The Lab provides physical evidence examination to all government agencies in Contra Costa County. The General Criminalistics Bureau.is responsible for the analysis of diverse types of physical evidence and for the. examination of crime scenes for the collection and preservation of evidence in criminal cases. The Drug, Alcohol and Instrumentation Bureau has three major functions. The first is the analysis of controlled substances seized by police officers. The second is the analysis of blood, breath, and urine samples for alcohol. The third function is the analysis of physical evidence using highly sophisticated scientific equipment. The Property Bureau consists of two permanent employees but is responsible for the storage, disposition, and record keeping of all property and evidence turned over to them. The Cal I.D. Bureau is a modern, sophisticated computerized system for the identification of fingerprints. The CAL-ID Automated Fingerprint Identification System provides a computer-based, rapid search of fingerprints in data bases throughout California and eight western states for the purpose of criminal identification. The.Automated Latent Print System provides the same search capabilities for crime scene latent prints. FTE: 46 Level of Discretion: Limited Discretion 48 d. 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 four separate Bureaus: FTE: 137 1) 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 2) 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: 51 3) 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 4) Court Services Division - Reflects the consolidation of the marshal's office into the sheriffs department in 1988. Provides bailiffing and court security services for both the municipal and superior.courts. This bureau is responsible for all security in and around court buildings, and must provide officers for additional security at all court appearances of high risk inmates. FTE: 58 49 Level of Discretion: Very Limited Discretion eo Administration Division - Leadership and management of the department, including personnel matters, budgetary control,, enforcement of operational standards, crime prevention services, and the analysis of crime trends. This Division provides the central administrative support for the entire department. The Division includes the Sheriff and Assistant Sheriff; the Administrative Captain with responsibility for Training, Internal Affairs, Central Records, Crime Prevention, Crime Analysis and Intelligence; as well as Personnel and Budget. Several of these functional areas are described as follows: FTE: 22 1) Sheriffs central staff: Includes the Sheriff and Assistant Sheriffs, this staff is responsible for the day-to-day management of the department with respect to personnel, budget, payroll, and labor relations.. FTE: 8 2) Professional Standards: This bureau is responsible for coordination of state mandated police and corrections training, review and revision of the department manual, concealed weapons licensing, and all training records. There are also two personnel assigned to conduct internal investigations within the Sheriffs Department. In addition, the department's two information systems/computer personnel are assigned to this bureau. FTE: 7 3) Field Operations: This bureau provides crime analysis information to department units through the automated system, including crime trends and patterns, suspect and vehicle identifications,,and published crime information bulletins. The. bureau is also responsible for the collection and dissemination of information relative to organized crime, terrorist activity, and unusual illegal activity, as well as working with the Human Relations Commission.on the review of "hate" crimes in our county. FTE: 7 Two officers in this bureau are funded to teach D.A.R.E. programs in our county schools. Level of Discretion: Discretionary Gross Expenditures: $35,896,141 Financing: 30,366,9.22 Net County Cost: 5,529,219 50 Funding Sources: Expenditure Transfers .2% $ 75,745 Contract Law Enfor 22.7% 8,144,672 Other Charges/Services 6.9% 2,480,082 Intergovernmental Rev 52.9% 18,986,123 Licenses/Permits .9% 309,000 Fines/Forfeitures .7% 250,000 Misc Services .3% 121,300 General Fund 15.4% 5,529,219 51 PART 11: COUNTY CONTRACTS FOR DIRECT SERVICES TO CHILDREN AND FAMILIES AS OF 6130194 TABLE 1: CONTRACTS BY SERVICE PROVIDED GM ......................... ......... $ ,:::;;> ►fl ......... . ' -ADOPTION $25,000 -DAY CARE $3,250,491 -FOSTER CARE $932,694 -PARENTING SUPPORT $260,816 CRISIS/SUICIDE INTERVENTION $65,436 - INFORMATION &REFERRAL $63,357 -LEGAL SERVICES $90,000 - RECREATION $115,921 RELIGIOUS SUPPORT $30,000 ::EMP1;a3YI1AIwIt�T':..: :.ININ+G'CCS'F'A'>:'>»:><:: »::» ::::>_:<::,>_><>:>>::><;:>:>_:::::> =>>�>:<: ::<s�>;:»�:>:>. ��5�`fl�'1:�> :<=...... �............ -JOB CREATION $389,655 JOB TRAINING &SUPPORT $4,388,443 -SPECIAL EDUCATION $11,838 -TUTORING $64,880 tiG<< <........ . ala..........:. _.; :�:�:;;:. ..............................................................................:....................................:::::::: .::5.00::�.:.:.::................................. FOOD PROVISION $131,500 - HOMELESSNESS $866,206 -HOUSING REHABILITATION/FAIR HOUSING $381,500 . .. ..:.:.......:.....:....:... -AIDS/HIV $268,932 -MENTAL HEALTH $2,541,283 -PERINATAL CARE $1,108,507 - SUBSTANCE ABUSE $1,564,779 -TOBACCO EDUCATION $74,200 _:LI;.:�;;>;;;:�;:;:.::;:;�:;:;�::.: ::�;:;:.:�:�;:;.:;;�::>::;�;;;;::;;;;;: :::::::::.:::::...::..•102 234 .........:................................... TERACY/ESL $ , -REFUGEE EMPLOYMENT/JOB TRAINING $418,993 -REFUGEE INFORMATION & REFERRAL $29,070 -REFUGEE SOCIAL ADJUSTMENT $230,829 -TRANSLATION $228,475 ::.::;:;:.:::.:::::. -DOMESTIC VIOLENCE/SEXUAL& CHILD ABUSE $3,231,599 -TEEN VIOLENCE PREVENTION $177,850 0 52 s' O :1�� corGc - r :: - oc:ww ::�l►.;>::i:_:i;i:•:;:; eopp N o nrN b;:wil.►Y>: -iiiiC:O O D) :VM O N w O4tO On ..Irti::i;i:;:i::v Vr3 > 7 t0 0 :ti; : f) :M Q) f` N n O :N 0) O co i::b:::n4to 4 C14 U) NNM00aa 0 t0 0f 01 ti 0th; ': O NMt0�pN N " w On 69 9 fI9N N O) NNOD th: N tH N7Nd 6C69 0% 69 NN F;l: !. 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J Q' LL'iai:ihii CO F- b< ii LL Z _¢a<i;:;;f¢ d to H i�:i:?:?;:!J fL' D: 4' F- �f'i:`iiiiii D 1- �......... ~ TABLE 3: CONTRACTS BY DEPARTMENT (%) BUILDING INSPECTION $0 0% CLERK-RECORDER $0 0% COMMUNITY SERVICES $3,378,821 16.1% COOPERATIVE EXTENSION $0 0% COUNTY COUNSEL $0 0% DISTRICT ATTORNEY $0 0% HEALTH SERVICES $6,122,024 29.1% HOUSING &COMMUNITY DEVELOPMENT $915,521 4.4% LAW&JUSTICE SYSTEM DEVELOPMENT $0 0% LIBRARY $0 0% PRIVATE INDUSTRY COUNCIL $4,765,366 22.7% PROBATION $42,480 0.2% PUBLIC DEFENDER $0 0% SHERIFF-CORONER $85,000 0.4% SOCIAL SERVICES $5,710,276 27.2% VETERANS SERVICES $0 0% 0 54 M � u� O = U c o co LJ N v3 n U 0 LU N Q lz Z N= Go to Z y LL LL ca O = W c(7 N CV) (I� W W " L m coco w 1 cs► v, w J c m m Q c r vi �: m U m �: m �: m p 0) N o �3 o a M m o o w v E m v �° a w �° a a o LL G Cl. m c� o N "- u m ,� N _ o a o a v a co o rn �- rn m _ .. 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LU z Z �. w z z : Im U ;ui Z J Q — Z:..::::a w w Q O w w w 2 X --' w w 0o rno N N 0 N M CONTRA COSTA COUNTY OFFICE OF THE COUNTY ADMINISTRATOR 651 Pine Street, 10th Floor Martinez, California 94553 Telephone: 646-1390 DATE: August 8, 1994 TO: Supervisor Jeff Smith Supervisor Mark DeSaulnier Internal Operations Committee FROM: Sara Hoffman Senior Deputy Administrator SUBJECT: Updated Inventory of County Contracts Providing Services to Children and Families As requested at the Internal Operations Committee meeting on July 11, 1994, attached is an updated list of the County's 254 contracts with community-based organizations for the provision of direct services to children and families. Contract information is summarized in four tables: Table 1 divides the contracts into seven service categories as follows: Child Care/Parenting, Community Services (General), Employment/Training, Food and Shelter, Health Care, Refugee Assistance and Safety. Detailed sub-categories further delineate the contracts. • Table 2 summarizes the distribution of the almost $19 million of Federal, State, County and other resources that fund the contracts. County funds represent 19 percent of this total. • Table 3 provides the breakdown of contract funds by department. As indicated, Health Services accounts for one-third of all contract funds providing direct services to children and families -- the largest departmental share. • Table 4 provides a detailed description of each of the individual contracts by service category. Changes from the earlier draft reflect corrections, clarifications and/or additions made by various departments, each of which received a copy of the first draft and a request for comments. All of the departments were extremely helpful during this process. The over $2 million difference in the total contract expenditures on children and family services between this version and the previous version is largely attributable to a change in a contract that the Social Service Department has with Families First, Inc. (see Table 4, p. 40). The FY 1993-94 contract with Families First, Inc. was an 11- month contract for $2.2 million. The FY 1994-95 contract is a six-month contract for $355,848; this contract amount may be increased upon confirmation of State funding availability. In addition, as promised on July 11, this version cross-references those contracts that fall into more than one service category. CONTRA COSTA COUNTY CONTRACTS PROVIDING DIRECT SERVICES 'TO CHILDREN AND FAMILIES (CONTRACTS ACTIVE AS OF 711/94 TABLE 1: CONTRACTS BY SERVICE CATEGORY PROVIDED SERVICE CATEGORY M ........ . ....... ...... ...... ...... .. . . ........... ........* O' CAL.......OVA N . ....... . ..... .. ............ .................. ........ -ADOPTION $25,000 DAY CARE $3,261,541 FOSTER CARE $749,800 PARENTING SUPPORT $324,596 ... ............... ............... .. ............... .......... ........... . ..... . . ................... . . .. ... .......... fty's"'. .....OT-AL.' ... ............ ........ ............ ........ .. . . ..... ........ ..*A.............. ...... .... . .. ........ ...... .......... ................ .............. -CRISIS/SUICIDE INTERVENTION $142,186 - INFORMATION&REFERRAL $63,357 -LEGAL SERVICES $115,328 -RECREATION $90,921 -RELIGIOUS SUPPORT $61,320 T ? .. ..... . ... JOB CREATION $389,655 JOB TRAINING&SUPPORT $4,388,443 -,SPECIAL EDUCATION $11,838 TUTORING $64,880 . .. ... ... . ............. . .. . . .. .... ...... ..... ..................... ................. .4. FOOD PROVISION $42,000 HOMELESSNESS $866,206 HOUSING REHABILITATION/FAIR HOUSING $381,500 ... ........ 00,511. ........... .. .. .........11 ........... RE, -AIDS/HIV $238,032 -MENTAL HEALTH $3,002,159 -PERINATAL CARE $990,805 - SUBSTANCE ABUSE $1,680,089 -TOBACCO EDUCATION $98,700 ....... ... REFUGEE : E�'T 3.4A . ..... ........ .... -LITERACY/ESL $102,234 -REFUGEE EMPLOYMENT/JOB TRAINING $283,924 -REFUGEE INFORMATION&REFERRAL $29,070 -REFUGEE SOCIAL ADJUSTMENT $90,570 -TRANSLATION $228,475 . ......... . ............ ........ ...... .......... ................. ..... ..... ..... . ..... ..... .,,SAFTrmw­_ I...":.. ......... -DOMESTIC VIOLENCE/SEXUAL&CHILD ABUSE $848,415 -TEEN VIOLENCE PREVENTION $177,850 . .... ..::::>::::::: ::::: ................................ ► . ........... ......... .............. "t . M...... ...4 .................................................................................... .. 71 Inventory also includes five 10 112 month contracts that the Community Services Dept. has for Expanded State Pre-school. The contracts begin on 8/22194. PAGE 1 TABLE 2: CONTRACT SERVICES BY FUNDING SOURCE FUNDING SOURCE SERVICE CATEGORY FEDERAL STATE COUNTY OTHER(a) TOTAL CAREIPARENTtNQ TOTAL.. ..;:... ..:.. 3 22 .' _ - _ :'. ••::;;;;;:;;:;.:::;:;.;;•;::.:> ;:::;;;;;:::;;::: :.: Ia :.:::.........................................................................•.............................................................:.9°ln.:.:::::...:::.......9..:°/a.::....:...............6.+1<�t'�....................�.13 .......................'f{�.0:0°la.. •ADOPTION $0 $0 $25,000 $0 $25,000 -DAY CARE $2,735,707 $433,125 $92,709 $0 $3,261,541 FOSTER CARE $287,700 $425,320 $36,780 $0 . $749,800 -PARENTING SUPPORT $201,100 $0 $123,496 $0 $324,596 f� MNIUNII`.X:SERVICES..GEN:.L �TOTA1» � �..<.;. �.:,; ..::�: .. $4;tid�.rv.06 � ..::>.:: ��'.����.. .� 8278:::::;::;::>::> �3.�0� 28:>::»»::::::>::»> �1 •,t�t...: ........... :.......:..................:.........................................................................................:..:71a..........................�°la....................�itf't6:»::;:>:>::::»»:::::23:�>la:::»:<::<::<:;:>.>:.;:;::::;:::>'I!.�0�:°lo:: -CRISIS/SUICIDE INTERVENTION $60,149 $0 $82,037 $0 $142,186 -INFORMATION&REFERRAL $63,357 $0 $0 $0 $63,357 -LEGAL SERVICES $5,000 $0 $0 $110,328 $115,328 -RECREATION $16,000 $0 $74,921 $0 $90,921 -RELIGIOUS SUPPORT $10,000 $0 $51,320 $0 $61,320 MPLtYIVIN1Nt3.TQTAL.$ ;,':?$4 ....:........ .. ...:.....: .. ....:.:....................................:............3........3..MV...:..::::::::::,:.::%::::::::.:. ...:.....•..... .7. .........................r64{...............i. .. .4..R.. :i> :: ...... :G;:iiii'ri :...::..................:..........:...............::::•:.::::..::::.:...:...;::..:::...:.;..:............................. ..°I.:::::...:::....:::::.:..:. :lo..::.:::.....:.....::.Q 9'��► Q°�o..........:.....::....:11x.0"10:;. ..) .......................•........................................................................ ........: ... .............:............. .. ........... ... -JOB CREATION $389,655 $0 $0 $0 $389,655 JOB TRAINING&SUPPORT $4,388,443 $0 $0 $0 $4,388,443 -SPECIAL EDUCATION $26,560 $0 $38,320 $0 $64,880 -TUTORING $5,000 $0 $6,838 $0 $11,838 . lo.....:............ .... .............:.......::................:.....:::.................::...........:::.:.. :.............dla................:.:::::...{1.to:::::<:::>::>:<:>:<:>::>45$°.�a........................0�a.......................�if�..Q°1b:.: -FOOD PROVISION $42,000 $0 $0 $0 $42,000 -HOMELESSNESS $278,500 $0 $587,706 $0 $866,206 -HOUSING REHABILITATION/FAIR HOUSING $381,500 $0 $0 $0 $381,500 ___.... .::::... ....:...::. .::.... .�...::::.::::::..::..:::...:::::..:::::...::..:.. ._.. ..:....:.:.....� .. :..,.:_..............� . . �...�..�, ..........................$4...............$x,0 .......... -AIDS/HIV $208,032 $30,000 $0 $0 $238,032 -MENTAL HEALTH $1,098,409 $55,175 $1,848,575 $0 $3,002,159 -PERINATAL CARE $902,243 $68,563 $20,000 $0 $990,805 -SUBSTANCE ABUSE $1,173,346 $436,774 $69,969 $0 $1,680,089 TOBACCO EDUCATION . $o $98,700 $0 $0 $98,700 {.o..................::.........::.........:.......::...........:........................:.......... ...............::.....,.......:.........................................�......................v''..0°la...................�,0°10...........................4..... .... -LITERACY/ESL $102,234 $0 $0 $0 $102,234 -REFUGEE EMPLOYMENT/JOB TRAINING $283,924 $0 $0 $0 $283,924 REFUGEE INFORMATION&REFERRAL $29,070 $0 $0 $0 $29,070 -REFUGEE SOCIAL ADJUSTMENT $90,570 $0 $0 $0 $90,570 -TRANSLATION $191,680 $0 . $36,795 $0 $228,475 .«:::<;:<:::::>::>:::::::::<:`:.:::<:<;:::::>;";:::<:>:>;::::>::>::; ::::::::>;`:»:>;>::::>:.:::::::Ia ......... ...... .... ........ p: >>� ... 351. ....... • ........ 0.......... '€EF26 2fi ... -DOMESTIC VIOLENCE/SEXUAL&CHILD ABUSE $496,963 $0 $351,452 $0 $848,415 -TEEN VIOLENCE PREVENTION $177,850 $0 $0 $0 $177,850 TQTAL{$) S ,fi44,991 $1 847 657 $3 445y919 $111}328 $18 748 894 x : , i... i i i i%iii r61: .. i ......i ' :?:i: . 72f . NOTES: a) Inmate Welfare Fund. PAGE 2 TABLE 3: CONTRACTS BY DEPARTMENT DEPARTMENT C NII1AllNIT7.,i*,',..;SERVICES $3,37$,82 : °la HEALTH SERVICES $6,324,057 33.7% Ht L151NG &V:C:WI UNIT Y:: DEVELOP. ENT PRIVATE INDUSTRY COUNCIL $4,765,366 25.4% PRUBATiON42,4Q Q.2o SHERIFF-CORONER $110,328 0.6% SbC1ALSERVICE $3 22 $ ": »>> <: 7< o> .. ........ ,...................... TOTAL .....: .: . PAGE 3 f o Ski` is m j:jiL% a`r c y: 0 0 0 Cl) »> LO o irf::>is iii.:`sa3z' M O tt� co 0 :E:Q:S:::: bpi LL O i? :E:;it�1;:;:: T d) 0 0 oy d o U U U LL U G a s •a C M a C m L y d d O -0 d d d 'C 2) Z y m o 0 0 0 .o c d c E m v m o ,on > c a. 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O ' 6 . co cr 4 r t9f"Y � 3 0 0 x CL w CL 3 cD 'n to 0 3 C r► CD V N Ch N :a A A a V a r� S A A O ++ ,A.r N r+ Cc r► y i4 %RTt:i2''i R�0 .o. a ec A N v.r. .h. tD Y tlC-i: 'h4}ti; ..}::.h:}.:•. OM R2i '$.................i.;:;'•4i::;t`• i}}::::::<::% •+iii .. i0lEYi ii ::vs>:::<::: .:fir::.-•:.:} ``�> »t?r yin{j. .f • %i'��:`�ii�aiiifi:3i'.:}.:.:i :'•iii<i r. ::::ii;::'it;iiiii ;;Lai: ALAMEDA COUNTY DEPARTMENT SUMMARY CHILDREN'S SERVICES ALAMEDA COUNTY CHILDREN'S SERVICES f Financial Summary MISSION STATEMENT To assure that Alameda County's 1993-94 1994-95 % children experience a safe, healthy I ACTUAL BUDGET Change Change and nurturing family environment, the Appropriation 412,087,824 415,149,989 3,062,165 0.7%. County will work to protect and care Revenue 362642,688 363,697,233 664.345 0.2% for children who have been abused or Net County Cost 49,244,936 51,452,756 Z207,e20 4.5°k neglected; strengthen and preserve families whose children are in danger of abuse or neglect; find permanent C homes for children who cannot be returned to their families; support the work of foster parents and other substitute caregivers; and provide leadership in planning, collaborating and integrating culturally appropriate services for children and families. MAJOR SERVICES Social Services - Economic services CNWmn er,,.d, programs provided for children are E SocWSavweeaayeMy aratsas«Na AFDC-FG (Family Groups) and AFDC- CW W414M semen FDC-CNWWetlaresemen FC (Foster Care). These entitlement FamlyWftweeSeMces 670Famlies programs provide eligibility services to FadyRan19a5on 1'307C11fldfen families and cash grants and payments ` 'Pwonm zWalftfe1 for poor, disabled, indigent or dependent Famiy Preservacar SerNces soo avg.MamNy children under Federal and State „c,AdC-* 1.545 mandates. Chow in Foster care 3,5123,350 SwiadyEmdmmkEioxW 55 AFDC-Family Group, the largest f Bwrrw.yass"ceFosterCm 73-160 children's service program, will provide WNsft 1180 an estimated$256.9 million in grants with A'"C'r°S`""" 4050 a net county cost of $8.2 million in FY a°°o"" 1994-95 for the basic needs of children Hw*SWesCoVewd 10&F"es in Alameda County. Over 71,000 Home Stades Camgeled SO Famfies Post-dgeseMM „Fardel children in 38,000 families will receive aid AdWtms Asdmnoe Nymm 718CM&en under this program. 4W assistance Paymems Fwdiesserved 36.909 AFDC-Foster Care is the second largest ct""servad 09,118 hake(Fmia MaMtiy) aid program for children. The expendi- ture estimate for FY 1994-95 is $54.4 million in appropriations, with a net county cost of $4.8 million for 3,400 children in foster care. 89 ALAMEDA COUNTY DEPARTMENT SUMMARY CHILDREN'S SERVICES Child Welfare Services are provided to over 4,600 abused, neglected and exploited children by Children's Protective Services (emergei.cy j response, dependency investigation, shelter care, and family maintenance). The expenditure estimate for FY 1994-95 is $19.6 million, with a net county cost of $4.1 million. Children Units of Health Services - Health Care services Health Care Servlw.Ag.nryr serves S°^v'« for children consist of pediatric primary Overnight CommitowonInfant Mortaliry care including well child and sick child Perinatal Resource Centers 750 Visits care at the County and community Intensive Case Management 2151 Clients clinics, Highland and Fairmont Hospitals. Alameda County Medical Center ' Fairmrn,tHosi„taiCampus 4.202 Visits CampusOther services include Women, Infants & Highland Hospital 4,499 Visits Children (WIC) Supplemental Food Public Health Children's Medical Service• Program, public health nursing and spe- Child Health Disability Screening 8 Diagnosis 78.470 cialized programs targeting infant y Treatment miaChildmnsServicesTreatment 3,627 mortality, immunizations, pediatric AIDS, a lead screening and drug exposed infants. HIV Program Screening,Follow-Up 650 Outreach Pediatric trauma services are provided at Healthy Want Program 70Families Children's Hospital. The expenditure Women.IrdamsaChiarenProgram ,spoo Participants estimate for FY 1994-95 is $11.0 million, with a net county cost of $3.0 million. Children Units of Mental Health - Children's services He•'dr Cam Services Agency Served service provides acute hospital-based services; Behavioral Cam-Mental Health Services limited residential or group home State Hospitals 18 4.015 Days placements; intensive day treatment; Iieree"`y 106 733 Days school based services; outpatient treat- Residential Care 47 11'%2Wys ment for individuals, groups or families Day Care Services 463 33.714 Days ? Community Clinics 2218 31.714 Visits for severely emotionally disturbed or 18,237 Hours chronically mentally ill children. The Continuing Care 417 6.468 expenditure estimate for FY 1994-95 is Contracts Outreach/Advocacy/Rights n/a 2410Haurs $12.3 million, with a net county cost of $3.2 million. The Guidance Clinic provides placement ! assessments for the Juvenile Court and works with Juvenile Hall Health Services. l The Guidance Clinic also runs an inten- sive sexual offender treatment program and provides crisis services to Juvenile Hall. Clinic staff also provide consultation and support to targeted specialized foster homes. Children's 90 ALAMEDA COUNTY DEPARTMENT SUMMARY CHILDREN'S SERVICES Specialized Services provides severely emotionally disturbed (SED) assess- ments and placements; case management services to children in State hospitals, acute psychiatric hospital, residential care, day treatment and school based programs. Alcohol and Drug Abuse Program - Services include youth prevention and Children seed/ education programs, programs for Zitm Care Services Agency Units of Service pregnant, post-partum and parenting Behavioral Care.Alcohol&Drug Abu"Services women including Highland Hospital case Non-Residential Prevention/Education 17,484 management and day treatment for Pregnant,Post-Partum 8 Parenting Programs 276 women and children. The expenditure HIV Early Intervention 12 estimate for FY 1994-95 is $3.5 million, with a net county cost of $.4 million. Probation Services - Juvenile Probation staff conduct investigations, Children Served Units of prepare reports and recommendations for Probation Department $errice the Juvenile Court and provide Jwenlle Probation Services supervision of minors adjudged wards of ( Int*cMelem& 13.60 Referrals the court. The Family Preservation Unit's t Investigation Reports 2.668 Reports goal is to divert minors from foster care Supervision Cases 2 M GW in placement. Probation also operates the Placement Cases Supervised 604 Minors Status Offender Referrals 1,927 Minors Juvenile Hall, a Home Supervision Juvenile Hall program for minors awaiting court t Juveniles Detained 2% ADP disposition, and the Weekend Training (E Home supervkion 60 Average Daily Academy, a work experience and Weekend Training Academy 292 Average citizenship program for minors. Los MonthlyLosCoos Camp Cerros Camp, a 24-hour residential Juvenile Boys 100 ADP program, houses delinquent boys ranging Aftercare Supervision 85 Average Daity in age from 13 to 18 years. Crisis 1+ DayTreatmeru 45 Daly intervention services to minors and their families are provided by two crisis receiving homes and eleven youth service centers, a community-based network, in an effort to reduce the need for formal referral to Juvenile Court. The expenditure estimate for FY 1994-95 is $29.2 million, with a net county cost of i $23.1 million. b ` 91 ALAMEDA COUNTY DEPARTMENT SUMMARY CHILDREN'S SERVICES Chlklreo Served/ District Attorney Units of Service Juvenile Court Operations District Attorney - The District Cases Reviewed 4.&)8_ Attorney is responsible for the prosecu- , Felony Cases 2.298 tion of all juvenile delinquent matters in Misdemeanor Cases 1.134 300WSICodes 29 Juvenile Court. Juvenile referrals are Family Support Division evaluated and/or investigated for filing of Active Case Count 63228 a petition. The District Attorney also Cases with Accounts 30.074 operates the Family Support Division, Momhly Referrals ,.20o which locates absent parents, establishes Legal Actions Filed M paternity, obtains and enforces child 1993-94 Collections M678 support orders, and enforces child abduction laws. The expenditure estimate for FY 1994-95 is $2.0 million, with a net county cost of $1.5 million. Public Defender/ Children sere& Public Defender - The Public Defender Indigent Defense Units of Service serves as defense counsel on behalf of Juvenile Criminal Caseuchild Dependency Matters indigent children in juvenile matters and Juvenile Cases/PublicDefender 2,817 Representation on behalf of dependent children. When Juvenile Cases/Court-Appointed 1,033 Representations the Public Defender is unable to Dependency CaseslPubGcDefender 1.859 Representations Dependency Cases/Court-Appointed 2-374 Representations represent children in these matters due to a conflict of interest, court-appointed attorneys are provided under contract with the Alameda County Bar Association. The expenditure estimate for FY 1994-95 is $2.9 million, with a net county cost of $2.4 million. Sheriff - The Sheriff's Department Children Served, provides law enforcement to unincorpo- sheriffs Department Units of Service rated areas of the County. For children, t:h" "'`Se"'°°' the Sheriff provides school resource Drug Abuse Resistance 8 Education(DARE)Program 2.500 Castro Valley/SanLorenzoofficers, drug and alcohol prevention School ResouroesOfficer 15,951 Castro services and crime prevention and safety Valley/SanLorenzo information. The expenditure estimate Juvenile investigations 635 Cases for FY 1994-95 is $.5 million, with a net county cost of $.4 million. County Counsel - County Counsel provides legal representation and advice Children Served/ to County departments providing direct County Counsel Units of Service Children's Services services for children. The expenditure See Socia(services Agency estimate for FY 1994-95 is $.8 million; revenue is reflected in Social Services Agency. ALAMEDA COUNTY DEPARTMENT SUMMARY CHILDREN'S SERVICES cniiaa,s"Veei Juvenile Court Services - The Juvenile Superior-Cou" units ofServke Court provides direct services to children Jtrvmlk Court Services with three programs: Court Appointed Special Advocates (CASA) which JweNleTratflcCourt 17A25 matches trained volunteers to mentor Youth Sidlis Development Project(YSDP) and advocate for youth; Juvenile Justice Court Appointed SpecW Advocates(CASA) 158 Network Project provides special services JwenileJustice Network Project WNP) rJ8 for children whose families cannot afford them; Youth Skills Development offers job training and employment skills to wards of the court. INTERAGENCY COLLABORATION & COORDINATION Interagency coordination is one means of contributing to improved services to children and families. The continuing recession has contributed to the worsening plight of children and families. A number of efforts have been initiated in Alameda County to maximize limited resources, to identify families known to multi-agencies with the goal of illuminating system issues which require countywide policy changes and to increase coordination, communication, and integration of services. Ongoing efforts which include a case review process are: • Interagency Policy/Placement Committee: Reviews placements for most severely emotionally disturbed children. Participating agencies are Juvenile Probation, Juvenile Court, Court Schools, SELPA Directors, Social Services, Mental Health, Regional Center. • Representatives for Infant Services of Alameda County (RISA): Coordinates services for eligible high-risk 0-3 year olds and their families and to assure that the early intervention service system is family centered. Participating agencies include Health Care, Alcohol and Drug, Mental Health, Social Services, Office of Education, Perinatal Network, Regional Center, City of Berkeley, Children's Hospital, Perinatal Substance Abuse Coordinating Council, Child Abuse Council, Regional Center, Tri-Valley Parent Group, Agency for Infant Development and Ba- f� nanas. �i0 Child Abuse Council Multi-Disciplinary Team: Provides a forum for case review of child abuse and neglect cases to improve services to children and families in investigation, intervention and treatment of abused and neglected children. Participating agencies are District Attorney, Public Health, Social.Services, Mental Health, law enforcement, Children's Hospital, private therapists and medical repre- sentatives. • Perinatal Substance Abuse Coordinating Council: Develops the perinatal substance abuse plan and oversees pilot project implementation. Participating 93 ALAMEDA COUNTY DEPARTMENT SUMMARY CHILDREN'S SERVICES agencies include Alcohol and Drug administration and providers, Social Services, Highland Hospital, Health Care for the Homeless, RISA, Federal Healthy Start and the Criminal Just ce Oversight Committee. • Child Death Review-Alameda County: Reviews all child deaths referred to the Coroners Office to identify childhood injury prevention and public health issues, to identify cases of child abuse and siblings at risk, and to provide a mechanism for interagency coordination. Participating agencies include District Attorney,Coroner, Social Services, Child Abuse Council, Public Health, Children's Hospital, law en- { forcement and pathologists. l Fetal Infant Mortality Review: Reviews randomly selected cases of infant and fetal deaths to identify gaps in service and system issues which impede care to pregnant women and infants. Participating agencies include the Perinatal Network, Oversight Committee on Infant Mortality, private physicians, Public Health, Mental Health providers-and Social Services. • Oakland Homeless Families: Provides inter-agency case review and coordination to demonstrate effective strategies for serving multi-problem homeless families, and to stimulate long term solutions. Agencies include Oakland Housing Authority, Options for Recovery, Nurses in Action and Berkeley/Oakland Support Services. ALAMEDA COUNTY CHILDREN AND FAMILIES POLICY ACADEMY "The mission of the Policy Academy Team is to collaboratively design and implement countywide public and private systems that deliver effective, comprehensive and integrated services, and improve the quality of life for children, families and communities in Alameda County." The Policy Academy is an innovative and collaborative strategic planning process that is designed to increase local capacity to integrate policies and services targeting children and families. The Policy Academy is sponsored by the Foundation Consortium for School-Linked Services with support from State agencies,including the Governor's Office, Health and Welfare and the Department of Education. The purpose of the Policy Academy is to give County and school officials, along with other service providers, the opportunity to pursue, with the assistance of State and local experts, options for refinancing and reorganizing services for children and families, in order to make these services more effective. New legislation (AB 1741) will allow eligible counties to blend funding and reorganize services to improve outcomes for children. Alameda County finds itself in the position of having developed a unique organizational structure that is consistent with the principles of the Policy Academy. A restructuring process for children's services within Alameda County has been evolving during the past few years through the establishment of a number of advisory groups:the Children's Policy Board, an interagency council consisting of County department heads, Office of Education . eA V. 1 ALAMEDA COUNTY DEPARTMENT SUMMARY CHILDREN'S SERVICES and community members; Leadership Technical Team, a-two-year project involving County representatives and the Urban Strategies Council; Children and Families Action Network, a children and families advocacy organization. Alameda County is one of nine counties selected to p;�:rticipate in the California Policy Academy. There are two planning teams, commonly referred to as the"Away Team" and the "Home Team." The 15-member Away Team is primarily composed of individuals who can make or influence decisions about resource allocation, local public policy and/or communicate with diverse constituencies. Along with teams from the other eight counties, Alameda County's Away Team participates in work sessions sponsored by the California Policy Academy. The Home Team consists of the following Board of Supervisors approved structures: Children's Policy Board, Leadership Technical Team and the Children's Advisory Committee. A primary function of the Home Team has been to provide updates as well as receive feedback on Away Team activities. During FY 1993-94, activities of the Away and Home Teams are best described as "work in progress" with the expectation that an action plan will be developed for improving services to children, youth and families. This plan will be a collaborative effort, be outcome oriented and set the stage for institutional change. In May, 1994, the Policy Academy Team chose children at risk of out-of-home placement as a priority population to provide a focus for the Team's efforts to change the systems that serve children and families. At the core of this group are children and youth already in out-of-home placement, including those placed through Children's Protective Services, Mental Health and Probation. The Team will define measurable outcomes that they will hold themselves jointly accountable for achieving with other stakeholders. Facts about Children in Out-of-Home Placement: • There are approximately 5,000 children in out-of-home placement at any one time in Alameda County. More than half of these children and youth are Oakland residents. • The largest age group entering foster care through Children's Protective Services are aged 0-5. in 1993, 74% of the children were African American. African Americans are also over-represented among children in out-of-home placement placed by Mental Health and Juvenile Probation. • Of 3,600 children placed by Children's Protective Services in 1992, 42% were placed with a relative, 42% were placed in a licensed foster home and 15% in group homes or residential treatment. • About 80 children are in Mental Health placement at any one time. • Probation placed 980 youth in placement in 1993. In 1992, there were 7,023 Juvenile Hall bookings with an average stay of 18 days. 95 ALAMEDA COUNTY DEPARTMENT SUMMARY CHILDREN'S SERVICES The Children's Policy Academy Plans for FY 1994-95 include: 1) Consult with a wide array of stakeholders - including consumers, elected officials, community-based providers, line staff and mid-management, to get feedback on this choice and what public agencies should do to help improve the outcomes of these children and their families; >� 2) With stakeholders, specify outcomes that public agencies will hold themselves accountable for achieving with non-profit providers and communities; 3j Analyze causes of children being placed out of their homes and where these children's families are concentrated; and 4) Develop strategies, including those that involve partnerships with schools and communities. 5) Prepare and submit application for AB 1741 pilot project status. 96 ALAMEDA COUNTY DEPARTMENT SUMMARY CHILDREN'S SERVICES TOTAL FUNDING BY SOURCE Social Services Agency - Child Welfare Services 1993-94 1994-95 Major Funding Source Actual Percent Budget Percent State Child Welfare Services $9,527,078 42.2% $10,286,5791 43.4% Federal Title IV-E $6,916,384 30.6% $6,840,787 28.9% Federal Title IV-B $962,930 4.3% $990,057 4.2% Federal Title XIX $150,977 0.7% $175,471 0.7% National Center for Child $292,146 1.3% $292,146 1.2% , Abuse State General Fund $329,730 1.5% $329,730 1.4% State Department of Education $301,429 1.3% $301,429 1.3% Birth Certificate Fees $121,867 0.5% $121,867 0.5% In Kind $238,502 1.1% $238,502 1.0% Subtotal $18,841,043 83.5% $19,576,568 82.6% County-Funded $3,726,870 16.5% $4,129,630 17.4% Total $22,567,913 100.0%1 $23,706,198 100.0% 97 ALAMEDA COUNTY DEPARTMENT SUMMARY CHILDREN'S SERVICES Social Services Agency - Foster Care 1993-94 1994-95 Major Funding Source Actual Percent Budget Percent State Community Care $344,977 0.6% $326,546 0.6% Licensing State Foster Care $13,210,267 24.8% $12,501,354 23.0% State Child Welfare Services $305,897 0.6% $368,050 0.7% State AFDC Administration $845,272 1.6% $779,166 1.4% Independent Living Program $316,989 0.6% $430,428 0.8% Federal Title IV-A $490,920 0.9% $2,036,352 3.7% Federal Title IV-E $15,174,427 28.5% $16,212,209 29.8% Realignment $16,294,565 30.6% $15,939,035 29.3% State S.E.D. $960,881 1.8% $1,029,443 1.9% In-Kind $7,875 0.0% $20,827 0.0% Subtotal $47,952,070 90.0% $49,643,410 91.2% County-Funded $5,296,236 10.0% $4,785,596 8.8% Total $53,248,306 100.0%1 $54,429,006 100.00/6 Social Services Agency - Adoptions 1993-94 1 1994-95 Major Funding Source Actual Percent Budget Percent State Adoption Program $2,960,754 53.6% $3,138,353 57.4% Federal Title IV-E $1,555,691 28.2% $1,551,197 28.3% Realignment $434,276 7.9% $424,801 7.8% Adoption Fees $61,374 1.1% $80,000 1.5% Subtotal $5,012,095 90.8% $5,194,351 95.0% County-Funded $507,280 9.2% $277,486 5.0% Total $5,519,375 100.0%1 $5,471,8371 100.0% 98 ALAMEDA COUNTY DEPARTMENT SUMMARY CHILDREN'S SERVICES Social Services Agency - AFDC Assistance Payments 1993-94 1994-95 Major Funding Source Actual Percent Budget Percent State AFDC FG/U $121,573,020 47.3% $123,034,463 47.9% Federal Title IV-A $126,155,027 49.1% $125,671,808 48.9% Subtotal $247,728,047 96.4% $248,706,271 96.8% County-Funded $9,353,498 3.6% $8,178,551 3.2% Total $257,081,545 100.0% $256,884,822 100.0% Oversight Committee on Infant Mortality 1993-94 1994-95 Major Funding Source Actual Percent Budget Percent County-Funded $212,092 100.0% $264,217 100.0% Total $212,092 100.0% $264,217 100.0% Alameda County Medical Center - Children's Services 1993-94 1994-95 Major Funding Source Actual Percent Budget Percent Medi-Cal/Medicare $231,125 23.4% $338,420 23.9% Private Pay/Insurance $99,083 10.0% $115,625 8.2% CMSP/Realignment $28,474 2.9% $34,263 2.4% Subtotal $358,682 36.3% $488,308 34.5% County-Funded $627,814 63.7% $926,358 65.5% Total $986,496 100.0% $1,414,6661 100.0% 99 ALAMEDA COUNTY DEPARTMENT SUMMARY CHILDREN'S SERVICES Public Health Children's Medical Services 1993-94 1994-95 Major Funding Source Actual . Percent Budget Percent State Proposition 99 $145,854 1.7% $137,878 1.5% State General Fund $2,225,361 26.3% $2,290,421 24.8% State Realignment $784,009 9.3% $784,009 8.5% Federal Funds $948,413 11.2% $954,659 10.3% CCS Medi-Cal (Federal & $1,137,479 13.4% $1,675,679 18.1% State) - Federal WIC Funds $1,501,223 17.7% $1,561,027 16.9% Subtotal $6,742,339 79.6% $7,403,673 80.1% County-Funded $1,717,361 20.4% $1,846,688 19.9% Total $8,459,700 100.0% $9,250,361 100.0% Behavioral Care - Children's Mental Health Services 1993-94 1994-95 Major Funding Source Actual Percent Budget Percent Medi-CaVFFP $2,477,944 22.1% $2,120,784 17.2% Program/Client Payments $478,537 4.3% $151,383 1.2% CBO Collections $508,666 4.5% $588,608 4.8% Realignment/Other $5,390,681 48.1% $6,254,323 50.8% Subtotal $8,855,828 79.0% $9,115,098 74.0% County-Funded $2,357,371 21.0% $3,194,126 26.0% Total $11,213,1991 100.0% $12,309,224 100.0% 100 ALAMEDA COUNTY DEPARTMENT SUMMARY CHILDREN'S SERVICES Behavioral Care - Alcohol & Drug Abuse Services 1993-94 1994-95 Major Funding Source Actual Percent Budget Percent Federal Block Grants $2,707,527 72.7% $2,810,5,,4 79.8% Federal Drug-Free Schools $122,953 3.3% $68,750 2.0% Federal Waiting Reduction $363,342 9.8% $0 0.0% Grant State General Fund $212,343 5.7% $144,851 4.1% Motor Vehicle Fines $64,549 1.7% $120,372 3.4% Subtotal $3,470,714 93.2% $3,144,517 89.3% County-Funded $252,891 6.8% $375,391 10.7% Total $3,723,605 100.0% $3,519,908 100.0% Probation Department - Juvenile Probation Services 1993-94 1994-95 Major Funding Source Actual Percent Budget Percent Vehicle Licenses - Auto Theft $134,463 1.3% $115,292 1.0% Realignment $1,118,951 10.6% $1,293,434 11.0% Title IV-E Family Preservation $3,704,599 35.0% $2,523,349 21.4% Charges for Services $5,452 0.1% $12,746 0.1% Title IV-A Emergency $0 0.0% $876,379 7.4% Assistance OCJP Grant $31,803 0.3% $0 0.0% Miscellaneous/Other $12,421 0.1% $4,091 0.0% Subtotal $5,007,689 47.4% $4,825,291 40.9% County-Funded $5,586,447 52.6% $6,941,033 59.1% Total $10,594,136 100.0% $11,766,324 100.0% 101 l ALAMEDA COUNTY DEPARTMENT SUMMARY CHILDREN'S SERVICES Probation Department - Juvenile Hall 1993-94 1 1994-95 Major Funding Source Actual Percent Budget Percent Realignment $90,331 0.7% $88,040 0.7% Meal Subsidies $310,225 2.3% $313,619 2.4% Title IWA Emergency $747,796 5.6% $0 0.0% Assistance Charges for Services $103,775 0.8% $125,478 0.9% Other $9,640 0.1% $0 0.0% Subtotal $1,261,767 9.5% $527,137 4.0% County-Funded $12,135,698 90.5% $12,704,084 96.0% Total $13,397,465 100.0%1 $13,231,221 100.0% Probation Department - Los Cerros Camp 1993-94 1994-95 Major. Funding Source Actual Percent Budget Percent Realignment $290,944 8.1% $304,152 7.3% Meal Subsidies $81,072 2.3% $180,825 4.3% Title IWE Family Preservation $100,000 2.8% $100,000 2.4% Title IWA Emergency $668,431 18.6% $151,246 3.6% Assistance/AB 799 Charges for Services $44,037 1.2% $50,000 1.2% Other $23,685 0.7% $0 0.0% Subtotal $1,208,169 33.7% $786,223 18.8% County-Funded $2,383,651 66.3% $3,377,287 81.2% Total $3,591,820 100.0%1 $4,163,5101 100.0% 102 1 ALAMEDA COUNTY DEPARTMENT SUMMARY CHILDREN'S SERVICES 1 District Attorney - Juvenile Court Operations 1993-94 1994-95 Major Funding Source Ar.tual Percent Budget Percent Realignment $381,518 19.2% $381,518 19.2% O.C.J.P. Grants $145,000 7.3% $145,000 7.3% J Subtotal $526,518 26.5% $526,518 26.5% County-Funded $1,463,651 73.5% $1,463,651 73.5% Total $1,990,169 100.0% $1,990,1691 100.0% District Attorney - Family Support Division 1993-94 1994-95 Major Funding Source Actual Percent Budget Percent ` Interest on Investments $144,370 1.1% $125,000 1.0% Welfare Administration $8,444,723 65.7% $6,880,727 53.8% r Incentives/Recoveries of Cost $5,875,052 45.7% $5,764,345 45.0% Blood Test/Other Fees $25,940 0.2% $30,000 0.2% Subtotal $14,490,085 112.11% $12,800,072 100.0% County-Funded $(1,641,914) (12.7)% $0 0.0% Total 1 $12,848,1711 100.0%1 $12,800,0721 100.0% 103 I AL9MEDA COUNTY DEPARTMENT SUMMARY CHILDREN'S SERVICES Public Defender/Indigent Defense - Children's Services 1993-94 1994-95 Major Funding Source Actual Percent Budget Percent Realignment $280,131 10.2% $242,568 8.4% Recoupment/PD $151,454 5.5% $162,800 5.6% Recoupment (CARP) $30,297 1.1% $32,500 1.1% Subtotal $461,882 16.8% $437,868 15.1% County-Funded $2,291,950 83.2% $2,447,431 84.9% Total $2,753,832 100.0% $2,885,2991 100.0% Sheriff's Department - Children's Services 1993-94 1994-95 Major Funding Source Actual Percent Budget Percent School Districts $122,928 23.4% $122,928 23.4% Subtotal $122,928 23.4% $122,928 23.4% County-Funded $402,535 76.6% $402,535 76.600 Total $525,4631 100.0% $525,463 100.0% County Counsel - Children's Services 1993-94 1994-95 Major Funding Source Actual Percent Budget Percent Charges to Social Services $747,187 100.0% $759,262 100.0% Agency Subtotal $747,187 . 100.0% $759,262 100.0% County-Funded $0 0.0% $0 0.0% i Total 1 $747,1871 100.0% $759,2621 100.0% 104 ALAMEDA COUNTY DEPARTMENT SUMMARY CHILDREN'S SERVICES Superior Court - Juvenile Court Services 1993-94 1994-95 Major Funding Source Actual Percent Budget Percent Juvenile Traffic Fines Agency $9,237 0.4% $9,699 0.4% Juvenile Traffic School Admin. $18,423 0.7% $19,344 0.7% Fee Juvenile Traffic Transaction $2,989 0.1% $3,138 0.1% Fee Juvenile Projects $25,196 1.0% $45,425 1.7% Subtotal $55,845 2.2% $77,606 2.9% County-Funded $2,571,505 97.8% $2,586,123 97.1% Total $2,627,350 100.0% $2,663,729 100.0% I f 105