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HomeMy WebLinkAboutResolutions - 1986.05.22 - 10757REPORT May 22, 1986 BY: PERSONNEL COMMITTEE - John J. McDonald, Chairperson Miscellaneous Resolution #86126, IN RE: COMMUNITY MENTAL HEALTH - EXPANSION OF DEVELOPMENTALLY DISABLED, MENTALLY ILL ADULT. & ADMINISTRATIVE SERVICES TO THE OAKLAND COUNTY BOARD OF COMMISSTONERS Mr. Chairperson, Ladies and Gentlemen: The Personnel Committee, having reviewed Miscellaneous Resolution #24A14 reports with the recommendation that the resolution be adopted with the following change: To add an additional paragraph to read, BE IT FURTHER RESOLVED to take certain personnel actions . for the implementation of the program expansion as outlined below: 1. To create three (3) positions in the Adult Activities unit (Y24): 1 Program Specialist I-CMH 2 Training Leader 2. To create a new unit, Admission/Discharge Services, and seven (7) positions therein: 1 Sr. Psychologist 1 -Service Supervisor-CMH 3 Mental Health Clinician 1 Office Leader 1 Clerk III 3. To transfer nine (9) positions from the Continuing Treatment Services unit (Y37) to the new Admission/Discharge Services unit: 1 Casework Supervisor (#01779) 1 Social Worker 11 (#02149) 1 Clinical Psychologist I (#04650) 3 Mental Health Clinician (#04797, 05328, 05329) 1 Case Management Coordinator (#05335) 2 Typist I (#05331, 05332) and to take the following actions in the Administration unit (Y01): 4. To create one (1) new classification and one (1) position therein: I Shared Services Coordinator-CMH Base 1 Year 2 Year 3 Year 4 Year 5 Year 0/T Grade 12 24,627 26,120 27,614 29,108 30,602 32,095 No 5. To create one (1) position to be funded by redirection of funds within the current CMH budget: 1 Clerk III." Also, to add a paragraph to read, "BE IT FURTHER RESOLVED that the continued existence of these positions is contingent upon continuation of State funding at the same level." Mr. Chairperson, on behalf of the Personnel Committee I move the adoption of the foregoing report. PERSONNEL COMMITTEE MISCELLANEOUS RESOLUTION #86126 May 8, 1986 BY: HEALTH AND HUMAN SERVICES COMMITTEE, Nancy McConnell, Chairperson IN RE: COMMUNITY MENTAL HEALTH -- Expansion of Developmentally Disabled, Mentally Ill Adult and Administrative Services TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS: Mr. Chairperson, Ladies and Gentlemen: WHEREAS in recent years many developmentally disabled adults have reached the age (26) when they became no longer eligible for special education programs through the public schools in Oakland County, and have turned to the County Community Mental Health Division for the continued day programming they need in order to maintain and build on skills they have acquired; and WHEREAS the Michigan Department of Mental Health has awarded funding to Community Mental Health sufficient to add 47 such individuals to the day programs operated at the Oakland County Mental Retardation Center, and through existing contracts with New Horizons of Oakland County and with Jewish Vocational Service; and WHEREAS the Community Mental Health Division has also won State approval and funding for a major expansion of Oakland County services for chronically mentally ill adults, many of whom have no fixed residence or means of employment, and account for a disproportionately large share of total admissions and patient-days at Clinton Valley Center and other State hospitals, for which Oakland County is obligated to pay 10% of the net cost; and WHEREAS the Michigan Department of Mental Health has agreed to fund expanded Admission Screening services under the Community Mental Health Division at Clinton Valley Center to assure 24-hour, year-round control by the County of admissions of its citizens to the State hospital, so that Community Mental Health may divert admissions whenever appropriate to alternative forms of treatment; and WHEREAS the State has also provided expansion funding for the "SOLEC-South" and Jay Shop day programs, crisis intervention at Common Ground, family psychoeducational services through a proposed contract with Oakland Family Services, and respite care for older adults-- all to strengthen and broaden Oakland County Community Mental Health Services provided to mentally ill adults, primarily those with chronic illnesses; and -2- WHEREAS the Community Mental Health Division has also obtained State approval of funding for enhancement of its management capacity to administer the program of direct care services which has grown significantly in recent years without any increase in administrative staff: NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners approve and authorize program expansion for the Community Mental Health Division in areas of services to mentally ill adults, services to developmentally disabled persons, and program administration, in accordance with the attached narrative and budget; and BE IT FURTHER RESOLVED that matching funding in the amount of $100,699 be approved for the balance of fiscal year 1986 in support of these expanded programs. Mr. Chairperson, on behalf of the Health and Human Services Committee, I move the adoption of the foregoing resolution. 6Y APPROVE THE 4 FISCAL NOTE BY: FINANCE COMMITTEE, DR. G. WILLIAM CADDELL, CHAIRPERSON IN RE: COMMUNITY MENTAL HEALTH- EXPANSION OF DEVELOPMENTALLY_ DISABLED, MENTALLY ILL ADULT AND ADMINISTRATIVE SERVICES- MISCELLANEOUS RESOLUTION 486126 TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS Mr. Chairperson, Ladies and Gentlemen: Pursuant to Rule XI-G of this Board, the Finance Committee has reviewed Miscellaneous Resolution #86126 and finds: 1) The Community Mental Health Services Division has been awarded new funds by the Michigan Department of Mental Health in the amount of $756,721 for the balance of 1986 (June 1 through December 31, 1986) for a major expansion of programs for chronically mentally ill adults, 2) Part of the funds is earmarked to expand the Admission Screening unit at Clinton Valley Center to a 24- hour, year-round operation, 3) Further funding is awarded to create a day program in South Oakland County for chronically ill persons, and to add 15 slots in the Jay Shop vocational program in Pontiac, 4) The Department of Mental Health has also awarded categorical expansion funds for respite care for older mentally ill adults; 47 more slots for developmentally disabled persons in day programs; and services for mentally ill adults living with their natural families, 5) The above program expansions require a County match of $84,080 for the balance of 1986 (June 1 through December 31, 1986); and further require budget adjustments to the 1986 Community Mental Health _Division Budget as follows: Redirection 166-37-00-1001 Salaries $ (137,372) 2074 Fringes ( 45,333) 3752 Travel & Conf. 228) 3574 Mileage 455) 4898 Office Supplies ( 1,000) 6640 Equipment Rental 750) 6641 Convenience Copier ( 600) 6670 Stationery 200) 6672 Print Shop ( 3,350) 6750 Telephone Communications ( 1,000) 166-41-00-1001 Salaries 137,372 2074 Fringes 45,333 3752 Travel & Conf. 228 3574 mileage 455 4898 Office Supplies 1,000 6640 Equipment Rental 750 6641 Convenience Copier 600 6670 Stationery Stock 200 6672 Print Shop 3,350 ' 6750 Telephone Communications 1,000 -0- 166-68-00-3042 Client Services 166-01-00-1001 Salaries 2074 Fringes 5998 Capital Outlay 6640 Equipment Rental 6672 Print Shop Committee Vote: Motion carried unanimously on a roll call vote with Page absent. ( 16,333) 9,649 3,184 1,750 100 1,650 -0- Sources of Revenue Medicaid - Federal Required New State Match Required New County Match 909-01-00-9900 Contingency 166-01-00-3528 Miscellaneous Expansion 166-76-00-3042 3747 166-74-00-3042 3747 166-24-00-1001 2074 3042 3747 4896 5998 6310 6670 6672 6750 166-41-00-1001 1002 1013 2074 3042 3752 4898 5998 6640 6641 6670 6672 6750 166-93-00-3042 166-72-00-3042 166-50-00-3042 166-68-00-3042 166-36-00-3042 166-01-00-1001 2074 Total Client Services Trans. - Client Client Services Trans. - Client Salaries Fringes Client Services Trans. - Clients Therapy Supplies Capital Outlay Rent Stationery Print Shop Telephone Communications Salaries Overtime Shift Premium Fringes Client Services Travel & Conf. Office Supplies Capital Outlay Equipment Rental CoMenience Copier Stationery Print Shop Telephone Communications Client Services Client Services Client Services Client Services Client Services Salaries Fringes $ 117,998 68,425 27,052 14,088 30,570 10,088 1,225 9,683 1,108 875 4,375 555 175 263 93,718 1,750 1,724 30,927 48,129 175 350 4,200 1,458 583 700 525 2,042 199,578 61,717 29,167 49,257 5,833 29,656 11,517 859,486 $ 18,685 756,721 84,080 $ 859,486 $ (84,080) 84,080 -0- FINANCE COMMITTEE Administrative Annex / 1200 North Telegraph Pontiac, Michigan 48053 / (313)858-1210 ff 1HI Hi 1111 1111 nWHOI John E. MacVe Vice-Chairperson Larry P. Crake Secretary Jean N. Chamberlain James F. Defebeeoh Anne M. Hobart Fred D. Houghton Carlos Olivarez, Ph.D. Frederick J. Poole Hubert Price, Jr. Barbara J. Reader Robert Swanson James H. Graves, M.D. Director Joseph Minjoe Deputy Director 11 Ii Aleck Capsalts Chairperson April 22, 1986 Robert P. Locey, M.D. Acting Director Institutional and Human Services Dept. 1200 N. Telegraph Road Pontiac, Michigan 48053 Dear Dr. Locey: Oakland County Community Mental Health Services Division is prepared to embark on a major expansion of our programs for chronically mentally ill adults, with the help of new funds which have been awarded us by the Michigan Department of Mental Health. A part of the funds is earmarked for expansion of our Admission Screening unit at Clinton Valley Center to a 24-hour, year-round operation. Thus Community Mental Health would become the "gatekeeper" for the State hospital, and we believe that some potential admissions will be redirected as a result, to other treatment alternatives in the community. We have also been awarded funding in this package to create a day program in south Oakland for chroncially ill persons, on the model of the "SOLEC" program which has operated successfully for us in Ortonville; and to add 15 slots in the Jay Shop vocational program in Pontiac. Over and above the funding for improved services to chronically mentally ill adults, the Department of Mental Health has awarded categorical expansion funds for other areas of need. These in- clude respite care for older adults who are mentally ill; 47 more slots for developmentally disabled persons in Community Mental Health day programs; and Family Psychoeducational Services for mentally ill adults who are living with their natural families, to help them understand and deal with the disturbed family mem- ber's problems. Dr. Robert P. Locey April 22, 1986 Page Two We believe that the group of new/expanded programs which are detailed on the attached pages will constitute a powerful increase in the ability of the Community Mental Health Division to meet the growing needs of our County for direct care -- especially for our population of chronically mentally ill adults. We urge the Board of Commissioners to support this effort, and our opportunity to capture a large amount of State funding for the direct benefit of Oakland County residents. Sincerely, k r„, - James H. Graves, M.D. Director JHG/slz Enclosure 1987 Apr-Dec, 1986 Budget: A. PROPOSED EXPANSION SEPVICES FOR DEVELOPMENTALLY DISABLED PERSONS 1. New Horizons of Oakland Count New Horizons, with locations in Pontiac, Yadison Heiohts, Bloomfield Hills and Novi, provides habilitative day prora!-minn, now for 248 developmentally disabled adults through a contract with the CMH Board. These individuals have all exited public school special education classrooms at age 26, and Community Mental Health is the only source of funding for the continued care they need if they go on living with their natural. families. New Horizons offers vocational training in industrial and clerical skills, and acts as a long-term employer for many mentally retarded persons. Without this programming, the individuals will regress and lose the skills they gained over the years in public school programs, New Horizons is funded on a unit- cost basis. Clients to be served: 34 Staffing needed: none (contractual service) Apr-Dec, 1986 1987 Redirection Expansion TOTAL BUDGET: $ 239,686 Total Full Year Cost $ 239,686 $ 319,582 2. Jewish Vocational Service This day program in Oak Park provides services under contract with the Board similar to those of New Horizons, presently for 153 developmentally disabled adults. Again, the proposed expansion is to accommodate persons on the waiting list who have exited public school special education programs. Clients to be served: 7 Staffing needed: none (contractual service) Apr-Dec, 1986 1987 Redirection Expansion Total Full Year Cost TOTAL BUDGET: $ 52,894 52,894 $ 70,525 3. Adult Day Program SXT Classroom The Adult Day Program at the Mental Retardation Center currently includes one classroom for six Severely Multiply Impaired (SXT) adults, We propose to add a second group of six. These individuals have multiple physical, mental and sensory handicaps, and need the most intensive level of care and training. All of them are on our SXI waiting list, having left public school special education programs when they turned age 26. Clients to be served: 6 Staffing needed: 1 Program Specialist I; 2 Training Leaders Redirection Expansion Total Full Year Cost Personnel Operating Costs Equipment TOTAL $ 52,275 22,350 1,125 $ 75,750 $ 52,275 22,350 1,125 $ 75,750 $ 69,700 29,800 1,500 $ 101,000 1987 Total Full Year Cost. $ 228,089 $ 342,134 B. PROPOSED EXPANSION SERVICES FOR MENTALLY ILL ADULTS 1. Clinton Valley Center Admission Screening Unit Additional staff would be assigned to the CMH Admission Sercenin Unit now at Clinton. Valley Center under this proposal, to upgrade screening to a 24-hour, year-round operation. (Present CPU screening covers only weekdays and some evenings.) Thus Community Mental Health would become the gatekeeper for the State hospital, reviewing all potential admissions -- whether vountary or involuntary -- and when appropriate diverting them to alternative forms of treatment. The Screening Unit will ensure the County's financial interest in exploring ali possible alternatives before admitting an individual to Clinton Valley, and the mentally ill person's interest in receiving treatment in the least restrictive environment suited to his or her therapeutic needs. Staffing of the Unit would include a Ph.D. psychologist and Master's-level clinicians; needed psychiatric evaluations and consultations would be purchased at a unit rate from a private outpatient mental health clinic to be selected through competitive bidding. Clients to be served: 1,430 screenings per year .estimated Staffing needed: 1 Service Supervisor; 1 Senior Psychologist; 3 Mental Health Clinicians; 1 Office Leader; 1 Clerk ITT Budget: May-Dee, 19_86 1987 Redirection Expansion Total Full Year Cost Personnel $ 208,805 $ 142,452 Operating Costs 8,667 67,618 Equipment -- 4,800 TOTAL $ 217,472 $ 214,870 $ 351,257 76,285 4,800 $ 432,342 $ 526,886 114,427 7,200 $ 648,513 2. SOLEC-South The "SOLE= (Suburban Oakland Life Enrichment Center) program in Ortonville is one of the Community Mental Health Division's most successful efforts to meet the day programming needs of chronically mentally ill adults. The program is operated through a contract with Goodwill Industries, and with the cooperation of the local school district and other human service agencies. We propose to establish another SOLEC program on essentially the same model, for 50 individuals, to be located in south Oakland and operated also by Goodwill Industries. SOLDO-South will offer pre-vocational work evaluation and training, adult basic education, arts and crafts, recreation and socialization for its mentally ill members. Clients to be served: 98 per year estimated Staffing needed: none (contractual service) May-Dec, 1986 Redirection Expansion TOTAL BUDGET; $ 228,089 TOTAL BUDGET: $ 33,333 33,333 $ 50,000 • 5. Oakland ily Services Family Psychoeducational Team 3. Jay Shop Expansion Jay Shop in Pontiac is a vocational training and rehabilitation program for chronically mentoii ill adults, and also offers pre-vocational work activities for those at a lower functioning level. Work is subcontracted from local industry, and individuals in the program receive an adjusted wage. Jay Shop would add 15 slots under this proposal (for a total of 57), and would also gain a Job Placement Specialist to facilitate movement of persons through the program and into some form of competitive employment. Clients to be served: 30 per year estimated Staffing needed: none (contractual service) Mav-Dec, 1986 1987 Redirection Expansion Total Full Year Cost. TOTAL BUDGET: $ 70,533 $ 70,533 $ 105,800 4, Common Ground Crisis intervention on a 24-hour basis for all citizens of the County is one of the fundamental Community Mental Health services, and Common Ground of Birmingham provides the service under contract during evening and night hours, weekends and holidays when the OMB outpatient clinics are closed. Crisis intervention is available by phone and for walk-ins, Our contract. with Common Ground for emergency coverage begins on weekday evenings at 11 PM, but the agency has over the years used volunteer crisis counselors to cover the 6-11 PM hours after_our clinics close. Because of the increasing volume and complexity of crisis contacts during these hours, it is necessary to provide paid, professional clinical supervision at the agency. We propose to add 30 hours per week of supervisory time at Common Ground, plus funds for psychiatric backup and client transportation (e.g. to a hospital). Clients to be served: 6,000 contacts per year Staffing needed; none (contractual service) May-Dec, 1986 Redirection Expansion Total Full Year Cost 1987 The State has made funding available for a service based on successful models in Michigan and Pennsylvania: Family Psychoeducational Services for chronically mentally ill adults living with their natural families. The majoritV of persons in this category live in south Oakland,. and Community Mental Health would contract with Oakland Family Services to hire two Master's-level clinicians (plus clerical support) to provide case management for the mentally ill individuals, and psychoeducational services individually and in. groups for the families, to help them understand and deal with their family members illnesses, and to support the family unit. txpanslon Total Full Year Cost Red ectoic Clients to be served: 100 families per year Staffing needed: none (contractual service) Apr-Dec 1986 1987 TOTAL BUDGET: $ 63,330 $ 63,330 $ 84,440 6. Geriatric Respite Care Respite care as needed for mentally ±11 older adults would be coordinated through the CMH Geriatric Mental Health Service, similar to respite services already available to other populations such as developmentally disabled persons. Respite care using these expansion funds may be provided in the older person's home, by assignment of a trained peer counselor; or out of the home, through temporary placement in a vacant foster care bed, Care may be for a few hours or a few days, to allow other family members an opportunity to take care of personal business or enjoy a brief vacation. Clients to be served: 30 per year estimated Staffing needed: none (respite care is purchased contractually) Redirection Apr-Dec 1985. Expansion Total 1987 Full Year Cost TOTAL BUDGET: '$ 7,450 $ 7,450 $ 10,000 C. PROPOSED EXPANSION FOR EOARD ADMINISTRATION General Administrative Services Two additional staff positions have been funded by the State, in recognition of the greatly increased administrative burden of managing the CMH program with the added services and responsibilities authorized in this and previous fiscal years. The positions are: a Residential Development Coordinator, to be the CMH liaison and represent the County's interests working with residential development staff of State Facilities for mentally ill adults, mentally ill children and the developmentally disabled, and a Shared Services Coordinator to assist the Psychiatrist-Director and Administrative Director in joint planning efforts with other human service organizations, in preparing for national accreditation, and in community relations and other assignments. A clerical support position is proposed also, to be funded through redirection within the current budget. Staffing needed: 1 Residential Development Coordinator; 1 Shared Services Coord.; 1 Secretary I Budget: May-Dec, 1986 1987 Redirection Expansion Total Personnel $ 14,667 $ 45,078 $ 59,745 Operating Costs 2,000 -- 2,000 Equipment 2,000 -- 2,000 TOTAL $ 18,667 $ 45,078 $ 63,745 Full Year Cost $ 89,617 3,000 3,000 $ 95,617 OAKLAND COUNTY COMMUNITY MENTAL HEALTH SERVICES BOARD Summary of New Positions 1 Secretary 1 Shared Services Coordinator 1 Residential Development Coordinator 1 Service Supervisor 1 Senior Psychologist 3 Mental Health Clinicians 1 Program Specialist 1 2 Training Leaders 1 Office Leader 1 Clerk III 13 TOTAL POSITIONS BAM/pjv 4/22/85 $ 1,267,152 $ 1,827,611 $ 239,686 52,894 75,750 432,342 228,089 70,533 33,333 63,330 7,450 63,745 $ 319,582 70,525 101,000 648,513 342,134 105,800 50,000 84,440 10,000 95,617 OAKLAND COUNTY COMMUNITY MENTAL HEALTH SERVICES BOARD SUMMARY REDIRECTION AND EXPANSION REQUEST Redirection & Expansion Phase Full Year Cost New Horizons Jewish Vocational Services Adult Day Program CVC Admission Screening SOLEC - South Jay Shop Common Ground Oakland Family Services Geriatrics - Respite Care Administration - General TOTAL Sources of Revenue Redirection of Current State Match $ 212,525 $ 318,787 Redirection of Current County Match 23,614 35,421 Medicaid - Federal 24,024 32,032 Required New State Match 906,290 1,297,235 Required New County Match 100,699 144,136 TOTAL REVENUE $ 1,267,152 $ 1,827,611 POSITIO REDIRECTION EXPANSION TOTAL State Cost County Cost $290,075 32,230 BAM/slz 2/15/86 BAM/pjv revised 3/21/86 -0- OAKLAND COUNTY COMMUNITY MENTAL HEALTH SERVICES BOARD Admission/Screening/Discharge Planning and Court Liaison Casework Supervisor $ 38,091 $ $ 38,091 Social Worker II 36,187 36,187 Mental Health Clinician 23,097 23,097 Mental Health Clinician 23,097 23,097 Clinical Psychologist 31,077 31,077 Mental Health Clinician 27,478 27,478 Case Management Coordinator 22,671 22,671 Typist I 13,732 13,732 Typist 1 13,732 13,732 Chief of MI Adult Services (.075 FTE) 6,333 6,333 Service Supervisor 28,722 28,722 Senior Psychologist 36,131 36,131 Mental Health Clinician 21,760 21,760 Mental Health Clinician 21,760 21,760 Mental Health Clinician 21,760 21,760 Office Leader 16,048 16,048 Clerk III 14,479 14,479 Sub-Total Salaries $235,495 $160,660 $396,155 Total Positions (9.075) (7 ) (16.075) Fringe Benefits at 33% $ 77,713 $ 53,018 $130,731 Operating Client Transportation Equipment Shift Differential Overtime Contractual TOTAL $ 13,000 $326,208 $322,305 $ 23,000 3,000 7,200 2,920 3,000 82,507 $648,513 $ 10,000 3,000 7,200 2,920 3,000 82,507 ADMINISTRATIVE SERVICES OAKLAND COUNTY CMH SERVICES BOARD ORGANIZATIONAL CHART OAKLAND COUNTY COMMUNITY MENTAL HEALTH SERVICES BOARD OFFICE OF THE DIRECTOR J. Graves, M.D. Psychiatrist Director J. Minjoe Manager — CMH PROGRAM SERVICES TO MENTALLY ILL ADULTS PROGRAM SERVICES : PROGRAM SERVICES TO MENTALLY ILL TO DEVELOPMENTALLY CHILDREN 1 DISABLED PERSONS I REV. 10/01/85 GHTS ADMINISTRATIVE •1 ti ft RECIPIENT R P. Bickelmann Admin. Ass't. SHARED SERVICES M. Griffiths R. R. Officer OFFICE OF THE DIRECTOR Vacant Secretary J. Graves. M.D. Psychiatrist Director J. Minjoe Manager — CMH A. Rickfelder, Ph.D. Sr. Psychologist H. Yokley 1 Auditor & AEpc y Consult, • Mikola Fiscal Chief OFFICE MANAGEMENT A. Tashjian Office Supv. II L. Bertucci Clerk III Vacant MIS Technician Vacant Data Entry CIk. OAKLAND COUNTY CMH SERVICES BOARD ADMINISTRATIVE SERVICES ORGANIZATIONAL CHART OAKLAND COUNTY COMMUNITY MENTAL HEALTH SERVICES BOARD PLANNING AND EVALUATION SVCS. AUDITING AND PROPERTY MGMT. DATA COLLECTION - AND REPORTING M. McCoy Program Spec. II RESIDENTIAL, SERVICES V. Krigner Prog, Spec. Vacant Res, Dev. Coord. ' FISCAL SERVICES P. Verch Account Clerk II S. Zehnder Clerk Typist SECRETARIAL D. MacCleary Secretary I All Agency Clerical Staff Services to Mentally Ill Adult V.P. Veluswamy, M.D. Chief Hospital-Linked Services P, Bickelmann Supervisor i Oakland Family Svcs. Family rPsychoeducational Svcs. Common Ground Emergency Services Geriatric MH Services Mary Griffiths Supervisor Central Case Managementl Service Mario Chigi Su ervisor Jay Shop Sheltered Workshop South/West CMH Clinic Peter Hartman Supervisor Admission Screening/ Discharge Planning Vacant Supervisor SOLEC-North Rehabilitative Program Consumer-Run Pontiac Area Drop-in Center South/East Satellite Clinic OAKLAND COUNTY CMH SERVICES BOARD MENTALLY ILL ADULT SERVICES ORGANIZATION CHART Catholic Social Svcs. Foster Grandparent Program Pontiac General Hospital CMH Clinic Pontiac General Hosp. Alternative Treat. Program Pontiac General Hosp. Assertive Community Treatment Program 'Continuing Treat. Svcs, Mario Chigi Supervisor Dotted line denotes contractual relationship SERVICE SUPERVISOR CASEWORK SUPERVISOR SENIOR PSYCHOLOGIST* ADMISSION SCREENING DISCHARGE PLANNING COUNTY JAIL COURT SERVICES LIAISON r‘a a SOCIAL WORKER IT M. H. CLINICIAN . H. CLINICIAN CLIN. PSYCHOLOGIST M. H. CLINICIAN CASE MGT. COOED. 2 M. H. CLINICIANS M. H. CLINICIAN OFFICE LEADER CLERK III 2 TYPISTS *also assists admission screening Staff ADMISSION SCREENING/ DISCHARGE PLANNING/ COURT LIAISON SERVICE CASE MGT. SUPV. 3 CASE MGT. COORD. 3/4 PSYCHIATRIST CLERK III TYPIST NORTHWEST OFFICE ROYAL OAK OFFICE 4 CASE MGT. COORD. OFFICE LEADER CASE MGT. SUPV, 3 CASE MGT. COORD 1.5 PSYCHIATRIST 2 TYPISTS CLERK III TYPIST SOUTHWEST OFFICE CASE MGT. SUPV. 3 CASE MGT. COORD. 3/4 PSYCHIATRIST CENTRAL CASE MANAGEMENT SERVICE CLINIC SUPERVISOR PONTIAC OFFICE CASE MGT, SUPV, 7 CASE MGT. COORD. 1.5 PSYCHIATRIST OFFICE LEADER ACCOUNT CLERK II 2 TYPISTS r— Judson Center Home Visitation Program Child & Adolescent Clinic - Pontiac James Rosenfeld, Ph.D. Supervisor Respite Care Individual Placements Residential Treatment Individual Placements Child & Adolescent Clinic - Royal Oak Norbert Birnbaum Supervisor Children's Day Treatment Programs Helen Husid Supervisor OAKLAND COUNTY CMH SERVICES BOARD MENTALLY ILL CHILDREN'S SERVICES 1 ORGANIZATIONAL CHART Services to Mentally Ill Children Nydia Quiroga, M.D. Chief Dotted line denotes contractual relationship REV. 10/01/85 1 OAKLAND COUNTY CMH SERVICES SERVICES FOR THE DEVELOPMENTALLY DISABLED ORGANIZATION CHART Services to the Developmentally Disabled Richard Cooper Chief Home Trainer Program Professional Training for Natural Parents Counseling & Evaluation Ruby Fanroy Supervisor Community Living Center In Home Supervision h-- Residential Services CLF Home Supervision Adult Day Programming Phyllis Adams Susan Williams Supervisors - I nd i vidual l te Care Pl acem ents REV. 1A/411/P [ Parents Foundation In Home Supervision New Horizons Work Activities Program Jewish Vocational Serv. Work Activities Program — Dotted line denotes contractual relationship #86126 May 22, 1986 Calandra, R. Kuhn, Lanni, McDonald, May 198 6 Moved by McConnell supported by Rewold the report be accepted. A sufficient majority having voted therefor, the report was accepted. Moved by McConnell supported byMoffitt the resolution Fiscal Note attached) be adopted. with Moved by Caddell supported by Calandro the Fiscal amended to agree with the Personnel Committee Report. Discussion followed. Vote on amendment: AYES: Wilcox, Caddell, Moffitt, Nelson. (8) NAYS: Perinoff, Pernick, Price, Rewold, Rowland, Webb, Aaron, Doyon, Fortino, Gosling, Hassberger, Hobart, McConnell, McPherson, Olsen, Page. (18) Note be Skarritt, S. Kuhn, failed. A sufficient majority not having voted therefoc the amendment Ms. Hobart asked if the position is included in the resolution to be voted on. The Chairperson stated it was. Vote on resolution: AYES: Pernick, Price, Rewold, Rowland, Skarritt, Webb, Wilcox, Aaron, Caddell, Calandro, Doyon, Fortino, Gosling, Hassberger, Hobart, Richard Kuhn, Lanni, McConnell, McDonald, McPherson, Moffitt, Nelson, Olsen, Page, Perinoff. (25) NAYS: None. (0) A sufficient majority having voted therefor, the resolution (with Fiscal Note attached) was adopted. STATE_ OF McH1GAN1 couNTY: OF OAKLAND) I, Lynn D. Allen, Clerk of the County of Oakland and having a seal, do hereby certify that I have compared the annexed copy. of Miscellaneous Resolution # 86126adopted by the Oakland ..County Board of • Commissioners at their meeting held on May 22, 1986 with the original record thereof now remaining in my office, and that it is a true and correct transcript therefrom, and of the whole thereof. In Testimony Whereof, 1 have hereunto set my hand and affixed the seal of said County at Pontiac, Michigan this aand , day of Lynn/0, Allen, Cony Clerk/ RegYster of Deeds-