HomeMy WebLinkAboutMINUTES - 05182004 - C58 FHS # 14 ..,.-z �, Contra
TO: BOARD OF SUPERVISORS • '__ '' ;
, ; . Costa
FROM: FAMILY AND HUMAN.SERVICES COMMITTEECounty
DATE: MAY 18, 2004
SUBJECT. CCFUTURE INVESTMENT STRATEGY
SPECIFIC REQUEST(S)OR RECOMMENDATIONS)&BACKGROUND AND JUSTIFICATION
Recommendation-
ACCEPT the attached report and recommendations on the accomplishments of Contra Costa
Future (CCFuture) Investment Strategy, as recommended by the Family and Human Services
Committee.
Fiscal Impact:
None
Background:
CCFuture created a new framework for identifying, implementing and financing services which
improve the well-being of children and families. With foundation support, the research-based, client-
focused programs Welcome Home Baby and Spirit of Carina have tested the application of the
CCFuture children's prevention strategy investment tools.
The CCFuture Investment Strategy has demonstrated the efficacy of collaborative results-based,
family-oriented early intervention/prevention services in improving family functioning and reducing
the high cost of dependency.
The report includes status of the Welcome Home Baby and Spirit of Caring programs, including their
results in improving client functioning, satisfying client needs and reducing out-of-home placement
together with data on estimated cost savings to the County.
f
CONTINUED ON ATTACHMENT: YES SIGNATAJf E: -
RECOMMENDATION OF COUNTY ADMINISTRATOR _� ` RECOMMENDATION OF BOARD COMMITTEE
_ir✓ APPROVE _ OTHER
SIGNATURE(S): '
MARK DeSAU N R JOHN 1'gOIA
ACTION OF BOARD O #f i t, <f AP
ON PROVE AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
! I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ASSENT f,«' '{_.... _) AND CORRECT COPY OF AN ACTION TAKEN
AND ENTERED ON THE MINUTES OF THE BOARD
AYES: NOES: OF SUPERVISORS ON THE MATE SHOWN,
ABSENT ABSTAIN:--
AT I ESTED
BSTAIN: ATIESTED a it`f Gam. R.
JOHN SWEEP N,CLeRK OF THE BOAJkD OF
SUPERVISO AND COUNTY ADMINISTRATOR
Contact Person: Dorothy Sansoe(5-1009)
CC: CAO
HHD
EHSD
BY: {$ w DEPUTY
County of Contra Costa
OFFICE OF THE COUNTY ADMINISTRATOR
i MEMORANDUM
.I
DATE: April 26, 2004
TO: Family&; Human Services Committee
Supervisor Mark DeSaulnier, Chair
Supervisor John Gioia, 'Member
FROM; Sara Hoffman
Assistant County Administrator
SUBJECT: CCFUTURE—REFERRAL#14
Recommendations:
1. ACCEPT the report on the accomplishments of Contra Costa Future's (CCFuture)
Investment Strategy, which has demonstrated the efficacy of collaborative results-
based, family-oriented early intervention/prevention services in improving family
functioning and reducing the high cost of dependency.
2. CLOSE out CCFuture as a referral to the Family& Human Services Committee.
Backgroundaeasons for Recommendations:
Contra Costa County has a longstanding commitment to improving the well-being of
children and families. In the early 1990s, the Board of Supervisors adopted Healthy
Families 2000, which articulated the need for expanded early intervention/programs that
revolved around the needs of children and families. The publication of the County's first
Children's Report Card in 1997 infused results-based accountability into the County's
approach with the adoption of community outcomes and measurable indicators of the
well-being of children and families.
Contra Costa Future{CCFuture}investment Strategy brought these concepts together in a
comprehensive systems approach characterized by:
3> Continuums of Care
Community and family focused services
Integrated and collaborative services
Results accountability
Data driven service delivery planning and design
Funding that is maximized, leveraged and aligned
This new approach recognized the County's fiscal and regulatory constraints:
Rigid,fragmented crisis services- State and federal funds are primarily directed
at crisis, not prevention., early intervention or remediation. With little discretion
over eligibility, services or service parameters, the County has little discretion on
how to best meet client needs.
Family needs not paramount- Unfortunately, most families in county systems
face multiple barriers to independence. Consequently, they need services tailored
to meet their individual family needs.
Limited County resources- Since most County revenues are used to meet state
and federal mandates, very little is left for local priorities. Consequently,
allocations must be strategic.
CCFuture created a new framework for identifying, implementing and financing services.
With foundation support, two research-based, client-focused programs have tested the
application the CCFuture children's prevention strategy investment tools. These pilots
are
Welcome Rouge Baby -In-home visitation to all first-time parents. Program
goals. increased well baby care; higher immunization rates; enrollment in a
primary health home; improved parenting skills; and reduced abuse and neglect,
thereby reducing out-of-home placement.
,Spirit o,f Caring—Wraparound services for children and adolescents with serious
emotional and behavioral difficulties. Program goals: improved ability of youth
to function in society, succeed in school and remain at home, thereby reducing the
need for/length of stay in out-of-home placement.
Each of the pilots has aligned its program with the CCFuture parameters. Each installed
program performance software to monitor, document and guide program activities and
successes. Each program also focused their efforts on leveraging discretionary County
dollars to maximize all eligible, categorical funds from the state and federal government.
As a result, Welcome Horne Baby is now able to access targeted case management
federal Binding through the Health Services Department, The Spirit of Caring is
currently in the process of applying for a state SB 163 Child Welfare Waiver, which will
allow it to draw down state and federal dollars normally available only to the Child
Welfare System.
Welcome Home Baby and Spirit of Caring will be reporting on the status of their
programs, including their results in improving client functioning, satisfying client needs
2
and reducing out-of-home placements together with data on estimated cost savings to the
County. Those reports are attached as Power Point presentations.
Program performance software utilized by Welcome Home Baby and Spirit of Caring
have helped them identify specific service gaps and needs for their client base. On a
larger scale, the Data Archive will guide new service development/expansion within
communities. Using real client data from various human service programs which is then
stripped of all identity and made anonymous, the Data Archive will be able to help
identify targeted interventions that align services within individual community needs.
Currently, the Data Archive contains Children's Mental Health data from 1995 to 2004,
Probation and CaIWORKs data through 2001 and Mt. Diablo and West Contra Costa
School Districts data through 2000. Over the past year, the Data Archive was"moved"
to Children's Mental Health for oversight and management. Carryover funds from the
Stuart Grant are being used to support development of the data refreshing function and
for a more user-friendly configuration.
Over the past four years, CCFuture has been financially supported with grants from the S.
H. Cowell Foundation, East Bay Community Foundation and Stuart Foundation. On
March 31, 2004, the County submitted its final report for grant funding. We were very
pleased to report success in development of CCFuture, demonstrating the value of
results-based early intervention and prevention programs in improving the lives of
children and families and reducing County costs for crisis/safety net services. With the
conclusion of these grants, it would be an appropriate time to close out this referral to the
Family and Human Services Committee.
3
;.:
Wel
C.C.C. FamOy and H
.sem=
April 2
Welcome Home Baby -
A STRONG PUBLIC NON-PROFIT
PARTNERSHIP
Target populatlaw Contra Costa County families and
their first babies
Parents voluntarily register for VVHI.I on hospital
wards during birth recovery
CCI.'.`M 99%acceptance rata
Visits can last for up to three years
i Approximately Z families are served countywide
each year
All Spanish speaking families are served in their own
language
Welcome Home Baby
A STRONG PLSLICtNON•PRO IT
PARTNERSHIP
e Sponsored by C.C.C. EIIND-Children
and Family Services
-office space and admhdstrative support
• :ceded by First 5 Contra Costa and
Medicaid/Targeted Case Management
' s Distal Agent: Moss Beach domes Inc.,a
non-profit agency
1
WHB Services
want.stable staff who Hve in the communities
provide routine home visits.
'they ensure that babies have health insurance,a
primary care provider and up-to-date
immuniaations
• babies are routinely checked for physical and
menial development
-they help parents to access transportation,
employment opportunities,contraception services,
housing,food,childcare,dental/medical services,
ESI,classes and the library.
'r
B
Why does
Welcome Home Baby
work?
-Family Support Specialists get to
know the parents as people and build
on theta-strengths
•lamy of the clients am afraid of the
system and don't trust it
-Welcome Hoare Baby:s trusted by
non-documented residents
-1 -to-read,wtinerable people are
better served in their home
Z
-Welcome Home Baby parems report
that:
-They ate confident and bonded to their babies
(IW e)
-They are reading to their babies 3 xtnh k99°1o)
-They are taMag stops to avoid SIDS OW%)
-They regularly ase the ctlalssltnndtcaf care(IWA)
-The parent*anderstand child developmoat(3 W16)
-Habian are not abased or neglected("%)
-Fa*dhes are not using the emergency roem for
routine medical care(Iw/.)
-Cars sod boom are tree of tobacco smoke{99°96}
Are Welcome Horne Baby families
pleased with the service?
a
E
92%of VVIiB families give
the program the highest
rating in satisfaction.
Welcome Home Baby saves money
-Staffed by trained,stable
pamprofesslonals supported by a small
group of prefessionat4evel staff tUnded
by First 5 Contra Costa.
-Mrfl °s tendm budget is 34%of a
E
comparable sized professional-level
home Visiting agency in C.C.0 health
Services
i
Welcome Home Baby Services by
Supervisor Districts
District S. 36°/a(86%Pltisll#.P./Ant)
P
District 4: 34%(62%Mon.Carr.)
District 1: 17%(600/6 Richmond)
District 2: 'Tota(711/s Martinez)
District 3: 6%(50%Brentwood)
2003 Estimated Rates of Abuse and Neglect
Contra Costa County f l fdren 0-5 Years Old
Caunty Rata 35911DRats Cases Ave Med
1.Concord 94520 11.811,000 W M 611,000 2
2.F3Y.Mtts.94565 13.511,000 WHE 3/1.040 4
3,Richmond Mill 13.8/2,040 WHE 911,044 1
s
4.Richmond 94844 21.511,000 WHB 011,060 1
5.San Pablo 94806 24,6!1,,,000- --MM 4/1.000 1
Total Avoided Cages of Child Abuse and Neglect 9
Costs of C.C.C.Children In Out of Rome Placement
ff 2402-03: 383 C.C.C.children 0-5 were in out of home
placement
92%ofthem were in placement for a median of 433 days
Welcome Rome Baby avoided five eases of out of home
placement
i
C.C.C.Costs of a Single Child Entering Out
of Home Placement for 433 hays
i. E.HSD Staff Costs(ER staff,Coati workem
social case work specialists) W,930
2. Court Costs 1� dge,bailiff;court clerk,court
repo ter,ninor's atto ey,parent's attorney)
$19,117
3. Placement Casts(reimhursernonts to
fc&A-ijkin car=- r433 hays)
TOTAL $93,519
Welcome Home Baby saved FIVE children from
out of home placement
One child costs: $93,519
Five children cost: $467,595
Reinvesting$467,595 into Welcome Dome Baby
would increase the program by 28%which would
have a multiplier effect in savings,
1 L
WELCOME ROME BABY
ACCOUNTABILITY IS STRONGER WITH
CONTROL OF THE DATA MANAGEMENT
SYSTEM
Welcome Home Baby costs less as it
matures,
a
Reinvestment provides better yields
because services are more
comprehensive with TCM
documentation and less expensive.
c
iscal Year 2000-2001 2003-2002 2002-2003
Home 9 23 23
S � YfSftffCS
Families 2$2 1,2(12
serves
Hofrae��?sits 1,484 -7,115 9,49$
c Number of ' 5.3 6.5 7.9
i Visits Fafr�ity _
° E C $364 $193 $372
17fsft
Targeted Case?umgement funding:
• nsures that services are not
duplicated with health services
9 *Encourages staff to provide
resources which will outlast the visits
-Mandates that staff focus on
assessment and case management--
visits are more productive
1
b
First S Funding-
-Ensures that Welcome Home Baby
produces monthly outcome reports
-Provides the Consult and Response
Teamm for complicated cases
-Mandates that WBB be part of a
larger home visiting system.
EIISD Sponsorship:
Provides a strong partner with
Health Services in releasing TCM,
funding
-Gives Welcome Home Baby
department access to Children and -�--�-
Family Services case managers.
Moss Beach Homes Inc.Fiscal Stewardship:
-Ensures that fiscal accounting is clean
-Human resource ad_-mindstration is
conservative
•IBH is able to front county demand
reimbursements for several months
One Welcome Home Baby father
said it well,
"This is the best thing my tax
dollars have ever been spent on."
Another Father wrote:
"Your support and services are
helping parents in the most
important role of being a human
being. raising kids, the future of
our world."
8
r�
�w
A oomprehenslve and Integrated service delivery
system for children and adolescents with serious
emotional and behav#oral difficuitles util€ Ing a
WRAPAROUND model Consistent with care
f
a � { System of Cara values:
Individualized
Family driven
Culturally competent
Least restrictive
Community-based_
r
c?G>.xarc�
Spirit of Caring targets children and
adolescents at high risk of residential
s i placement that are referred by Probation.,
<'
Employment and Human Services, Children's
!Mental Health or the schools.The overall goais
are to improve the ability of youth! functian in
society,to succeed in school and to remain at
home, thereby reducing the need for/tength of,
stay in cut-of-horne placement.
Pa;niiy Partners
Parniiy Support Counselors
Mentoring
:. '. Respite
'r Moblie Response Teams
• TSS
Clay Treatment
• Parent Project
• Therapy(irdlvidual,Group,Pamlly)
• Flex Fund
�fC��rrx1
f"7
Gender
Age C
<r �
• Race/Ethnicity
. SPS
° Referral Source
Psychiatric Hospitalization
Residential Treatment
r r Substance Abuse
i` • Sexual Abuse
Physical Abuse
• Run Away
• Arrests/Detention
• Speciai Education
P
(* Caregiver Strain Questionnaire
'Education Questionnaire
S:y
t -amliy Satisfaction Questionnaire
• Delinquency Survey
• Youth Satisfaction QUestiont,alre
WON
A variety of strategles has been Implemented to
€rnpect both the r;a s toes of residential placements
and the length of stay:
ridge i Barrs
'.{
Mount Diablo Uni€?ed School District WRAP
• Crossover Case Management
System of Care Punning and Polley Council
• Provider Contract Changes
........ ..
• RWuction in length of Stay
}
Placerrert Avoidance
Declining trend in A83632 Placement