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HomeMy WebLinkAboutMINUTES - 06242003 - C.101 FHS # 3 ; TO: BOARD OF SUPERVISORS �� - ° Contra .; FROM: FAMILY AND HUMAN SERVICES COMMITTEE y., t m � Costa DATE: JUNE 10, 2003 ------- `� SUBJECT: ANNUAL REPORT FROM JSPAC County SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION Recommendation: 1. ACCEPT the attached report from the Juvenile Systems Planning Advisory Committee (JSPAC) providing input to the County Administrator and Board of Supervisors on possible budget reductions to juvenile systems programs. 2. DIRECT the Employment and Human Services Department, Health Services Department, Probation department and JSPAC to form a working group to study the feasibility of implementing a transitional housing program combining Level 12 or above social service and probation youth, and a possible component of using SB163 funding. 3. DIRECT the Health Services, Employment and Human Services and Probation Departments to form a working group, with their fiscal staffs, to consider EPSDT funding, SB163 funding, Federal Victims of Crime (VOC)funding, and other revenues not currently being used. 4. DIRECT the Health Services and Probation Departments to form a working group to study the feasibility of a Sex Offender Program in Contra Costa County. 5. REQUEST the Contra Costa County Department of Education to participate in each of the three investigative working groups. 6. DIRECT the three working groups to report their progress to JPSAC and the Family and Human Services Committee in approximately six months. 7. DIRECT JSPAC to consider a means of alleviating the current increase in County-wide Juvenile Court cases in terms of impact on County personnel and clients and their families. Fiscal Impact: None Background: JSPAC formed a subcommittee on Continuum and Potential Closures, which made recommendations that were approved and presented to the County Administrator on April 6, 2003. A second report was compiled containing recommendations on initiatives to reduce costs, increase revenues,or improve services to juveniles, and was presented to the full Committee on May 21, 2003. The recommendations were approved, and are contained in the attached report. CONTINUED ON ATTACHMENT: YES SIGN URE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIGNATURE(S): FET)ERAL D. GLOVER Jpt--,!N GIOIA X J ACTION Or BOARD ON.IIIA 24� fltl_ APPROVE AS RECOMMENDED X OTHER VOTE OF SUPERVISORS X UNANIMOUS I HEREBY CERTIFY THAT THIS IS A TRUE (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. DISTRICT III SEAT VACANT ATTESTED JUM 24s 20C)3 JOHN SWEETEN,CLERK OF THE BOARD OF Contact Person: Dorothy Sansoe(5-1009) SUPERVISORS AND COUNTY ADMINISTRATOR CC: CAO HSD EHSD JSPAC £ Probation Office of Education f t y M0 f "� BY: � _ DEPUTY w . THE JUVENILE SYSTEMS PLANNING ADVISORY COMMITTEE .......... .... . s t.•., . a €1:............................................................................................................. June 2,2403 TO: Supervisor Federal Glover Supervisor John Gioia Family&Human Services Committee FROM: Florence McAuley, Chairman of JSPAC RE: Status Report from JSPAC RE COIVJIAIEND STI O NS: JSPAC snakes the recormnendations#1-4 based on the work of a subcommittee(Mark Morris, Chairman, Taalia Hasan, Carol Hatch, Sandy Marsh, Bill Grunert,Ray Merritt,Bianca Bloom,Dick Adler and Florence McAuley) constituted to implement the JSPAC goal of providing input to the County Administrator and Board of Supervisors on possible budget reductions to juvenile systems programs. They concern the following: • In-County Transitional Housing • Revenue Enhancement • East county juvenile court • In-county Sex Offender Program The recommendations are followed by the rationale for each initiative. 1, Direct Mental Health, Social Service,Probation and Education to create a working group to study the feasibility of implementing a transitional housing program which would combine Level 12 or above social service and probation youth and a possible component of using SB 163 funding, In 6 months,the working group would report back to JSPAC as to their progress. 2. Recommend that the Board of Supervisors direct the Social Service,Mental Health,Alcohol and Drugs and Probation Department Heads with their fiscal and program people to come together to look at: + EPSDT funding • Any revenues currently not used SB 163 funding • Federal Victims of Crime funds(VOC) 3. Direct Mental Health,Probation and Education to form a working group to study the feasibility of a Sex Offender Program in Contra.Costa County. 4. Direct JSPAC to consider a means of alleviating the current increase in East County Juvenile Court cases in terms of impact on both county personnel and clients and their families. 5. Continue to support the work of JSPAC, r ' RATIONALE EOR RECO -1 IONS: 1. Our research supports studying the feasibility of a transitional housing program for approximately 20 to 25 beds for youth who would either return home,be emancipated or transiton into independent living.The youth would be a combination of Social Service and Probation cases in one program. Representatives from each department involved(Employment and Human Services,Probation,Mental Health and Education)have indicated their support of combining funding streams for this joint venture to treat the youth locally. 'There are currently enough youth who would fit the Level 12 and above profile who are'being served in out of county group homes. The cost analysis is similar to the Chris Adams Center and would provide similar fiscal and programmatic advantages. The program could also be supplemented by creating additional resources to prepare minors for emancipation or for adulthood(such as specialized foster care supplemented with vocational preparation).The former Lion's Gate facility or other space might be usable as a site for the program. 2. There is reason to believe that the aforementioned revenue sources are being under utilized and with the current fiscal climate investigation of every avenue to enhance or leverage revenues to the County should be pursued. EPSDT training and a discussion of SB 163,VOC and other sources of revenue should take place to assure that these and other funding resources are fully utilized. JSPAC is aware of resources that could be tapped to facilitate this initiative. 3. There are currently placements in outside the county sex offender programs to warrant the establishment of a program in Contra Costa County. An in-county program could reduce the time in placement which in turn would reduce the cost to the county which is borne out by our experience with the Chris Adams Center program- It is recognized that there would be start up costs attached to this recommendation as it would require housing but the fiscal and service benefits would be significant. Options to mitigate the housing costs should be explored.(See#1) 4. The number of dependency cases in east county is increasing which impacts county personnel.The transportation to Martinez for social workers,probation staff and clients and their families is increasingly difficult as the highway 4 corridor becomes more congested.. We have discussed the possibility of the University of California, School of Public Policy doing a cost benefit study of alternatives to alleviate this situation. STATUS/ACCOMPLISHMENTS INCE NOVEMBER 2002 REPORT TO THE FAMILY AND HUl►rIAN SERVICES COMMITTEE; • Bylaws were adopted in December. • Supervisorial appointments are complete,two additional at-large members have been appointed. • A subcommittee was formed to recommend Mission and Goals for 2403 • The Mission and Goals were adopted in January [The mission ofJSPAC for 2003 is to improve outcomes for children, adolescents and families who are involeved in the juvenile justice system and to the extent possible, those who are at risk of becoming involved. To attain the mission, the first taskes ofJSPAC are: .....a subcommittee to update the continuum and to collect information in cooperation with the Probation Department on potential closures....] • The subcommittee on the Continuum and Potential Closures made recommendations that were approved and presented to the CAC?on April 6t`. F r • The subcommittee submitted its second report containing its recommendations on initiatives to either reduce casts, increase revenues or improve services to juveniles to the full Committee on May 21. The recommendations were approved and are contained herewith. • JSPAC has been approached by an Alameda County program on Teen Age Prostitution and will be hearing a presentation by Barbara Laza-Mwriera in June. • Nominated Lynette Martelle,an employee at OAYRF,for recognition by the Juvenile Justice Delinquency Prevention Commission for outstanding service. She was so recognized. • We are researching how to proceed with a review of the Continuum of Care. • The goals for 2003 will be reviewed at the June meeting. RECOMMENDATIONS OF THE JUVENILE SYSTEMS ADVISORY COMMITTEE April 6, 2003 PART I The following recommendations deal with three programs of the Probation Department: The Chris Adams Center, The:Edgar Transition Center and the Misdemeanor Domestic Violence Program. 1. The Chris Adams Center Recommendation: Retain The Chris Adams Center and consider ways to increase its fiscal effectiveness QSPAC is studying ways to increase the programs effectiveness, see Part II) Rationale: Fiscal The Chris Adams Girls Center saves Probation Placement dollars(see attachment 1)with the average savings per girl being about $20,000 (based upon Level 14 placement for 18 months vs. Chris Adams placement for 9 months). Chris Adams Center also generates revenue for the Health Services Department (that is, it operates under the SMA [standard maximum allowable] for Mental Health costs and helps support other Mental Health programs). System Impact— The County invested money in the Lions Gate building developing it into The Chris Adams Center to provide services and programs for girls after a system outcry to develop gender specific programs for girls. The need was such that three other gender specific programs for girls were developed regionally(Circle of Care day treatment programs). Two of those programs will no longer exist after 6/30/03 because of funding cuts and new State regulations. The elimination of these two programs increases the importance of retaining the Center. Effectiveness—Although Chris Adams is a young program, it has already demonstrated its effectiveness, Performance Outcomes in Functional Measures (CAFAS) completed in February 2003 (attachment 2.) show that problems in the schools, at home and in the community decrease* as well, emotional, relationship and substance abuse problems decrease. Testing shows that most girls increase their school level by 2 grades. Likewise, comparisons of delinquency referrals before and after leaving the program show that the girls' involvement in the justice system drops significantly after residence in the program. Because Chris Adams is local program, it allows for family participation and community transition., which contributes to the effectiveness of the program. It is a unique collaboration between Mental Health, :Probation, County Office of Education, Tony LaR.ussa's Animal Fescue Foundation and countless volunteers. 2. Edgar Transition Center: Recommendation: If budget restraints warrant,close The Edgar Transition Center with the caveat that the one aftercare position at the Orin Allen Rehabilitation Facility be reinstated passible on a half time basis (Fulltime position=approximately $62,000 with federal reimbursement) Rationale: Generally--This program assists youngsters in the transition back to their homes and into schools. By reducing the population at OAYRF, the Edgar Center also reduces the amount of time spent in Juvenile Hall, awaiting transfer to OAYRF. Hall and OAYRF populations are currently under control, so the most important immediate issue is transition to home and school by helping 1 kids get into school and thereby reducing their unsupervised out-of-school time (See attachment 3.) We do not see major immediate impacts on the Continuum of Care, since the transition oversight has been, and could continue to be, provided by OAYRF aftercare supervision staff. 3. Misdemeanor Domestic Violence: Recommendation. The various agencies of the County who are involved in this program should "come to the table" to discuss ways to salvage the program without the approximately $500,000 cost to the Probation Department. Rationale: Fiscal---Although we do not have data specific to the program in Contra Costa County, we believe that misdemeanor domestic violence programs to be cost effective. Research shows that Domestic Violence damages children and is generational but early intervention can decrease the damage and break the cycle of violence. We believe, therefore, that in the long run, the program could save the County money. System Impact—This program supports the Board of Supervisors' Domestic Violence agenda and is a collaboration with Probation, Police,Employment and Human Services and Prosecutors. Probation's rale is essential to the viability of the program. JSPAC has long been on record stating that prevention and early intervention programs are a high priority; as an intervention, which helps children, omen very young children, this program could be a key prevention strategy. Effectiveness—Although more information needs to be collected about this specific program, research consistently shows that early intervention programs forestall more expensive justice and social service interventions later, support communities, and increase the quality of life for families. PART Il JSPAC is in the process of investigating the following seven areaslprograrns for as ones which hold promise for either reducing casts, increasing revenues, or improving services----or some combination of these values. We recognize the severity of the current fiscal situation in the County and are advocating that our members be cooperative partners in the search for creative initiatives. 1. A day program including possibly school, mental health, resources, and supervision for kids and families involved with Probation and EHS. The program could be housed in the Edgar Center and could include youth returning home from OAYRF and from placement. 2. Enhancement of revenues at the Chris Adams Center 3. Collaboration possibilities between Probation and EHS are being explored to establish a more effective way of working together. 4. Expand Early intervention and Transition (and reduce reliance on residential congregate care). We are exploring the possibilities of expanding local Foster Gare, Kinship Care and day reporting programs to help minors and families stay in the least restrictive care, for the least amount of time and return home. Note: Mental Health, Probation, EHS and CoE are looking at collaborating in a Best Practice Specialized Foster Care Program, and have been given permission to pilot the program by the California.Institute of Mental Health and the Program's Proprietor(Pat Chamberlain). CM1H will 2 provide technical and evaluation assistance and Ms. Chamberlain's team will provide training at no cost to the County. This is a 2-year commitment and will require the continued support of the Departments to work together and pool resources in a time when everyone is trying to hang on to the dwindling sources. Specialized independent living and transitional faster care for older youth, for whom return home is not a realistic option, might be expanded. 5. An in county Juvenile Sex Offender residential program 'There are currently 30 minors in JSO out-of-county placements and another 3 to 5 waiting placement. An in-county program would decrease the length of stay and allow for family participation and community transition. If organized like the Summit or Chris Adams Centers, it would generate revenue. 6, Establish an East County Juvenile Court. A nearer court might well be cost effective and family friendly as there is considerable cost in transportation and time for Probation and EHS employees. 7. Explore ways to increase Medi+Cal revenues through Health Services collaboration with ether agencies(i.e., Juvenile Hall) and leveraging EPSDT dollars before it caps. 8. RFP for Chris Adams Center 9. Collaborations of the public sector with the private sector 3 Chris Adams Program vs. Level 14 placement �`y�• Probation Costs CA: $1,154,017 (counselors, supervisor, PO, temps, overtime, services & supplies) 210,000 (transfer from HSD) 3 210 (title IV-E revenue for IPO) $9074,807 (total) 904,807 i 20 = $45,240 X .75 (9 rhos.) - $33,930 ($3,770 mo) Awrage Probation cost per girl far the CA program = .$33,9301 Level 14: Average monthly $2,867 (average for federal and non federally eligible kid) DPO = $98,026 - $39,210 (title IV-E) = $58,816 / 12 mo. = $4,901 / 25 (caseload) = $196 mo per child $18 month travel cost (50 miles `r .36) $2,867 + $196 -f- $18 =_ $3,081 mo X 18 mo (average length of stay) $55,458 Awrage Probation cost per girl for a Leve114 program = ,$55,45$ $55,458 - $33,930 = $21,528 per child CONTRA COSTA COUNTY CHILDREN ' S MENTAL. HEALTH RESEARCH AND EVALUATION CHRIS .ADAM CEN 'T' ER. PERFORMANCE OUTCOMES .IN FUNCTIONAL MEASURES (CAFAS) 19 February 2003 Changes in Important areas of Life THE CHILD AND ADOLESCENT FUNCTIONAL ASSESSMENT SCALE OVERVIEW OF REPORT This report examines changes in important areas of functioning after approximately nine months of treatment at Chris Adams. The analytic strategy involves examining"paired samples" of scores on the Child and Adolescent Functional Assessment Scale (CAFAS) for each client. The change in scores on each of the measures of the CAFAS was analyzed for statistical significance(set at p<.05). There were a total of 81 CAFAS summary sheets from 60 different individuals analyzed . Forty- four of these were "one-time" assessments and were not used in the assessment of change after treatment.The remaining 16 individuals had at least two assessments completed. SPECIFIC CHANGES IN FUNCTIONING AFTER TREATMENT SCHOOL There was a statistically significant increase in reported academic functioning after trearment. The graph shows that problems iti school decreased after treatment. Changes in Reported School Functioning 30 Q 25 , U L 20 a Problems in 15 School 10 Functioning 5 d 0 Initial Follow-up Time j HOME There was a statistically decrease its problems at home after treatment at Chris Adams. ! Changes in Reported Home 3 Functioning <C 25 20 15 B Problems u7 10 at 15 Home 211 0 Initial Follow-up Time COMMUNITY There was a statistically decrease in reported community problems after treatment at Claris Adams. Changes In Reported Community Functioning 30 < 25LL ! d 20 o "' w Problems 15 within the 'u3 14 Community 5 Initial Follow-up Time 3 EMOTION'S There was a statistically decrease in emotion difficulties after treatment at Chris Adams. Changes in Reported Emotional Difficulties tr 2y f p'' 3^ f ii 15 .. U ' ©i=Mo#ional 15 0 Problems ¢ 0 Initial Follow-up Time RELATIONSHIPS There was a statistically decrease in interpersonal difficulties after treatment at Chris Adarns. Changes in Reported Relationship Problems 20 U. 15 + SII Problems with 10 Relationships ' 5 0 Initial Follow-up Time SUBSTANCE ABUSE There was a statistically decrease in substance use problems after treatment at Chris Adams. Changes In Reported Substance Use Problems 2 A 20 LL 15 is Problems with 10 Substance Use 5 . 0 Initial Follow-up Time OTHER SCALES There was not a statistically significant decrease in reported bizarre or psychotic thinking or in reported problems with ideas of self--harm. This lack of significant change, however, is likely caused by the fact that the scores for problems in these areas were already in the n-dnirnal range. Thus, there was a"floor"effect which limits our ability to interpret this as a lack of change. CONCLUSIONS The CAFAS measures practical and important aspects of behavior and life functioning. After treatment at Chris Adams, the clients showed clinically and statistically significant changes in the vast majority of scales on the CAFAS.These changes are likely evidence of the excellent services offered clients at Chris Adams. 5 Stats for Edgar Transition Center Three Years since opened 5100 Average Juvenile Hall Population 158 Average stay awaiting county institution 26 Number of minors awaiting county institution 1 Three Years prior to opening Average Juvenile Hall Population 167 Average stay awaiting county institution 55 Number of minors awaiting county institution 3' Figures show that while the Juvenile Hall population decreased by 5 the average stay waiting co institutions decreased by 47% and the number waiting decreased by 42%. The center has made an impact on J H population