HomeMy WebLinkAboutResolutions - 1986.09.11 - 10877August 21, 1986
Miscellaneous Resolution # 86993
BY: HEALTH & HUMAN SERVICES COMMITTEE - Nancy McConnell, Chairperson
IN RE: COMMUNITY MENTAL HEALTH DIVISION - CENTRAL CASE MANAGEMENT PROGRAM
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS
Mr. Chairperson, Ladies and Gentlemen:
WHEREAS the cost of inpatient care in State hospitals for mentally ill adult
citizens of the County is considerable, yet the alternative of maintaining such
individuals in the community when appropriate requires a substantial investment
in Community Mental Health staff to follow these patients; and
WHEREAS at the urging of the Oakland County Community Mental Health Services
Board, the Michigan Department of Mental Health has made funding available for
expansion and reorganization of case management services for chronically mentally
ill adults; and
WHEREAS under the Community Mental Health proposal such care would include
crisis intervention; psychiatric supervision of medications; and case management
to assess the patient's total needs for mental health and other human and sustenance
services, link the individual to those services according to a written plan, and
monitor progress; and
WHEREAS the State of Michigan has awarded $354,978 for the balance of 1986
to allow the CMH program to establish a Countywide Case Management System; and
WHEREAS the Community Mental Health Division is prepared to redirect 6 clinical
and support positions from existing adult services into the new Central Case
Management program; and
WHEREAS other redirected funds in the Community Mental Health budget, together
with the expansion funds awarded by the State, are sufficient to provide for 34.5
more clinical and support staff to bring the program to a full complement sufficient
to care for the approximately 1,300 chronically mentally ill adults in the County
who will be the program's responsibility; and
WHEREAS the Board of Commissioners would be required to appropriate an
additional $39,442 in matching funds for the balance of 1986 toward a total
annualized Case Management Program of $1,892,079; and
WHEREAS the Community Mental Health Board, County Administration, and Board
of Commissioners will jointly study the case management concept so as to structure
a program that has an opportunity to reach optimum success; and
° APPROVE THE FORE'70ING RESOWL,
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WHEREAS this study will help to determine the types of personnel required to
operate the program successfully and the types of services that may be contracted
for; and
WHEREAS this study will be completed by December 1, 1986 at which time
necessary adjustments to the program will take place within the requested budget
and within the rules of the Board of Commissioners.
NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners
support a Countywide Case Management System for chronically mentally ill adult
persons, under the direction of the Oakland County Community Mental Health Services
Board.
Mr. Chairperson, on behalf of the Health and Human Services Committee, I
move the adoption of the foregoing resolution.
HEALTH AND HUMAN SERVICES COMMITTEE
REPORT
BY: PERSONNEL COMMITTEE - John J. McDonald, Chairperson
IN RE: COMMUNITY MENTAL HEALTH DIVISION - CENTRAL CASE MANAGEMENT PROGRAM,
MISCELLANEOUS RESOLUTION #86253
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS
Mr. Chairperson, Ladies and Gentlemen:
The Personnel Committee, have reviewed Miscellaneous Resolution
#86253, reports with the recommendation that the resolution by 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 as
outlined below:
1. To create a new unit, Case Management Services, within Mental Illness
Adult Services Division.
2. To transfer six (6) positions from the Continuing Treatment Services
unit (37) to the new unit as follows:
1 Mental Health Clinic Supervisor (position 01661)
4 Case Management Coordinators (positions 00815, 03055, 05333,
and 05334)
1 Office Leader (position 01227)
and to delete the Continuing Treatment Services unit.
3. To create 35 new governmental positions in the new unit as follows:
5 Staff Psychiatrists (4 full time, 1 .5 funded part-time eligible
4 Casework Supervisors
10 Mental Health Clinicians
6 Case Managment Coordinators
1 Office Leader
1 Account Clerk II
2 Clerk III
6 Typist I
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
FISCAL NOTE September 11, 1986
BY: FINANCE COMMITTEE, DR. G. WILLIAM CADDELL, CHAIRPERSON
IN RE: COMMUNITY MENTAL HEALTH DIVISION - CENTRAL CASE MANAGEMENT PROGRAM-
MISCELLANEOUS RESOLUTION #86253
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 #86253 and finds:
1) The Michigan Department of Mental Health has awarded the Community
Mental Health Division $354,978 for the balance of 1986 (September
1 through December 31, 1986) to allow the CMH program to establish
a county-wide Case Management System that will expand and
reorganize case management services for Chronically mentally ill
adults,
2) The Community Mental Health Division is prepared to redirect six
(6) clinical and support positions from existing adult services
into the new Central Case Management program,
3) The State expansion funds plus Community Mental Health Division
redirected funds are sufficient to provide for 34.5 more clinical
and support staff to bring the program to a full complement
sufficient to care for the approximately 1,300 chronically
mentally ill adults in the County who will be the program's
responsibility,
4) Total annualized cost of the Case Management Program is estimated
to be $1,892,078 for 1987,
5) The program expansion requires a County match of $39,442 for the
balance of 1986 (September 1 through December 31, 1986); and
further requires budget adjustments to the 1986 Community Mental
Health Division Budget as follows:
Redirection
166-37-00-1001 Salaries $(56,092)
2074 Fringe Benefits (18,510)
3574 Mileage (3,000)
3658 Rent (2,000)
4828 Drugs (1,400)
6640 Equipment Rental (700)
6750 Telephone Communications (942)
166-35-00-1001 Salaries 56,092
2074 Fringe Benefits 18,510
3574 Mileage 3,000
3658 Rent 2,000
4828 Drugs 1,400
6640 Equipment Rental 700
6750 Telephone Communications 942
$ -0-
Expansion
166-35-00-1001 Salaries $306,125
2074 Fringe Benefits 101,021
3041 Clinical Services 700
3296 Custodial Services 1,700
3390 Heat, Lights, Gas, Water 3,300
3412 Insurance 1.300
3514 Memberships, Dues & Publications 200
3574 Mileage 13,000
3658 Rent 29,300
3735 Testing Services - Prof. 3,300
3747 Trans. - Client 1,700
3752 Travel & Conference 500
4828 Drugs 58,976
4892 Medical Supplies 300
4898 Office Supplies 1,300
6311 Maint. Dept. Charges 1,000
6313 Lands & Grounds Maint. 300
6331 Central Stores - Housekeeping 300
6640 Equipment Rental 300
6641 Convenience Copier 1,000
6670 Stationery 1,700
6672 Print Shop 728
6750 Telephone Communications 8,000
5998 Miscellaneous Capital Outlay 12,000
TOTAL $548,050
Sources of Revenue
Medicaid - Federal $ 6,335
Required New State Match 354,978
Required New County Match 39,442
Redirection of Oakland Family Service Allocation 147,295
TOTAL $548,050
909-01-00-9900 Contingency $(39,442)
166-01-00-3528 Miscellaneous 39,442
$ -0-
FINANCE COMMITTEE
#86253 September 11, 1986
Moved by McConnell supported by Gosling the report be accepted.
A sufficient majority having voted therefor, the report was accepted.
Moved by McConnell supported by Hassberger the resolution be adopted.
AYES: Perinoff, Pernick, Price, Rowland, Skarritt, Webb, Wilcox,
Aaron, Caddell, Calandro, Doyon, Fortino, Gosling, Hassberger, Hobart, Richard Kuhn
Susan Kuhn, Lanni, Law, McConnell, McDonald, McPherson, Moffitt, Nelson, Olsen. (25)
NAYS: None. (0)
A sufficient majority having voted therefor, the resolution was adopted.
5TATE OF MCHJGAN)_
COUNTY OF OAKLAND)
1, 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 adopted by the Oakland County Board of Commissioners
at their meeting held on September 11, 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, I have hereunto set my hand and affixed
the seal of said County at Pontiac, Michigan
1986 11th day of Sptmhr
ftl
L7n7171Y: Allen, Coy Clerk/
RegYs•er of Deeds
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