HomeMy WebLinkAboutResolutions - 1985.05.23 - 11116May 9, 1985
MISCELLANEOUS RESOLUTION #8 5 15 2
BY: HEALTH AND HUMAN RESOURCES COMMITTEE, Nancy McConnell, Chairperson
IN RE: COMMUNITY MENTAL HEALTH -- Residential Services Expansion for
Developmentally Disabled Clients
TO THE OAKLAND COUPTY ?,IRL, OF COMMISSIONERS:
Mr. Chairperson, Ladies and Gentlemen:
WHEREAS the Oakland County Ocy-,.,miy Mental Health Services Board has made
requests to the Michigan Department of Mental Health to transfer fiscal
responsibility for two foster care homes from Macomb-Oakland Regional Center,
along with day programming and other ancillary costs for developmentally
disabled residents of the homes as well as one Case Management Coordinator
position to oversee services provided by the homes; and
WHEREAS the Community Mental Health Services Board has also requested
expansion funding from the State to support a placement out-of-county of one
client who needs very specialized residential care not available in Oakland
County; and
WHEREAS Michigan law now requires that the County pay ten percent of the
cost of operation of the two foster care homes so long as they are administered
by the State, but the homes become a 100 percent State financial obligation
when they are transferred to County Community Mental Health Services Board
responsibility; and
WHEREAS the Michigan Department of Mental Health has approved the foregoing
requests in full, and has made sufficient funds available for their implementation
in the amount of $179,472 for 1985, which requires County matching funds of
$4,903; and
WHEREAS the two foster care homes proposed for transfer to the Community
Mental Health Services Board meet the satisfaction of the local units of
government in the areas where the homes are located.
NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners
approve the proposals of the Community Mental Health Services Board to assume
fiscal responsibility for two foster care homes and make one out-of-County
placement of a developmentally disabled client, as further described in the
appended narrative.
BE IT FURTHER RESOLVED that matching funds authorized for these
programs, in the amount of $4,903 for fiscal year 1985, and one additional
Case Management Coordinator position be approved for the Community Mental
Health Division to oversee the added residential services.
Mr. Chairperson, on behalf of the Health and Human Resources Committee,
I move the adoption of the foregoing resolution.
HEALTH AND HUMAN RESOURCES COMMITTEE
REPORT May 9, 1985
BY: PERSONNEL COMMITTEE-John J. McDonald, Chairperson
RE: Miscellaneous Resolution #85152, Community Mental
Health-Residential Services Expansion for
Developmentally Disabled Clients
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS
Mr. Chairperson, Ladies and Gentlemen:
The Personnel Committee, having reviewed
Miscellaneous Resolution #85152, reports with the
recommendation to add an additional paragraph to read,
"BE IT FURTHER RESOLVED that the Oakland County Board
of Commissioners creates one (1) Case Management
Coordinator position in the Counseling & Evaluation
unit of Community Mental Health."
Mr. Chairperson, on behalf of the Personnel
Committee, I move the acceptance of the foregoing
report.
PERSONNEL COMMITTEE
Agenda item No.
No. of Attachments I Total No. of Items _
7 ti"rif8:5
brasealessagals o
See Attachment A.
Case Manao.ement Coordinator
..IRTINENT
20,9
'4011 Y7,. 12 YR.
22,015123,1114 24
RIUNNG COUNTY EXEC. RECO.'AMNDATION FU.7CoAER BOi. ACC:
O No Recommendation
• Not Recommended
E Recommended as Requested
O Recommended with these Changes
O None Required
RI Full Board
VI Finance Committee
Li Committee
Committee
Committee
O Committee
[PORT
See Attachment B.
saslureassim
O Funds in Dept's Sal. Budget
O Funds in Dept's Overall Bud.
Transfer from Sal. Reserve
gI Transfer from Cent. Fund (10%)
O Allow Sal. Budget Overdraft
Ea Mich. Department of
o Mental Health (90°/)
UGGESTED CO:11t1 ITTEE
Oakland County Board of Cornmissionors
PERSONNEL COMMITTEE
AGEND.A
REQUESTING DEPARTMENT I COHMILYITY MENTAL HEALTH
REQUEST To create one (1) governmental Case Management Coordinator
position in the Counseling 8_, Evaluation unit of Community Mental
Health.
ei EASON
ATTACIMENT A
REASON
This request from the Community Mental Health division is for one new Case
Management Coordinator position to provide program monitoring services to
developmentally disabled clients at two group homes. CMH is proposing to
transfer fiscal responsibility for the homes from the Macomb-Oakland Regional
Center (MORC) along with responsibility for day programing and other ancil-
lary services. Fourteen clients would be served by the two homes, and a
new Coordinator would monitor their activities.
The Michigan Department of Mental Health has approved this request and would
provide funding for 90% of salary and fringe benefits of the new position.
The County match portion would be 10%. Continued existence of the position
would be contingent upon continued revenues from the State.
COST OF NEW POSITION
1 Case Management Coordinator
Salary @ 1 Year Step
Fringe Benefits
Annual Cost
Six-month Cost
$22,015
7,208
$29,223
$14,612
County Cost:
Annual $ 2,922
Six-month 1,461
OAKLAND COUNTY COMMUNITY MENTAL HEALTH SERVICES BOARD
i al S Reside vices ExPansi ilfn1.011222fILL11/2-isabi ed Clients
Community Mental Health is proposing a program amendment to 1) transfer
fiscal responsibility of two small group homes for developmentally dis-
abled persons from Macomb Oakland Regional Center (MORO) along with the
corresponding ancillary services including day programming, 2) add one
case manager to provide program monitoring for the two homes, and 3)
accept additional state funds to support an out-county placement of a
county resident requiring specialized care.
Focus Care Home
This 6-bed licensed small group home for community residents is operated
at 22170 Pontiac Trail in South Lyon. The home has been in operation since
the beginning of 1984 and was funded principally with private funds donated
by parents of the clients residing in the home. Due to the financial hard-
ship imposed on the parents, the Department of Mental Health, through MORC,
agreed to support the home with state funds on a temporary basis effective
November 15, 1984. Since this home is for community residents without prior
attachment to an institution, the Department encouraged our Board to assume
the responsibility and made the necessary funding available. Negotiations
took place with DMH to assure that funds transferred would be sufficient for
home operations and all necessary support services including day programming
and transportation. The CMH Board supported this transfer request based on
those negotiations. The net residential cost of this home is $34.54 per day
per client and provides 2,190 days of residential care.
Southfield II
This is an 8-bed licensed group home for developmentally disabled adults
located in St. Bede's Convent at 18310 West Twelve Mile Road in Southfield
and operated by Community Living Centers, Inc. This home has primarily
been utilized by MORC for more medically fragile clients who have had
linkage to a D.D. institution in the past. Both Community Living Centers
and CMH support the use of this home for community demand clients as beds
become available. Negotiations have taken place with MORC regarding this
matter and they support the transfer. As in the Focus Care Home, sufficient
funds would be transferred to CMH for ancillary and day program services in
addition to the home contract budget. The net residential cost of this home
is $56.00 per day per client and provides 2,920 days of residential care.
Case Management
Out County Placement
CMH has current j71 responsibilities for this client. However, IDE .
of the severity of 7ftipairment, the foster pare hts were not able to cc
providing care. Although there are currently no vacancies available i
land County capable of the client, a qualified home located
lanti has a vacancy and is ,fliing to accept the placement. The DMH srts -
this transfer and has made an additional $10,139 available to our Boa:- tc
cover the incremental increase required to place the client in a small group
home at the net cost of $37.69 per day. There is no County match required
for this request.
In order to monitor the activities of Focus Care and Southfield II, it is
necessary to provide adequate case management for the 14 clients who
be served by the two homes. We currently have four case managers plus a
supervisor to monitor 155 clients. This represents a ratio of approximately
35 clients to each worker. A ratio of 25 to 1 is considered acceptable for
this function. The addition of one case manager would enable us to serve
the additional 14 clients plus reduce the client to worker ratio to approxi-
mately 31 clients/worker. If this request is not supported, the CMH Board
cannot support the transfer of the two troup homes.
We hope to assume responsibility on July 1, 1985. The attached page reflects
the budgetary implications for the balance of 1985 as well as the 1986 full
year costs. As indicated by the budget summary, only the day programming,
transportation and case management functions require County match.
JM/lb
4-16-85
1985 1985
STATE COST COUNTY COST
1985
TOTAL
OAKLAND COUNTY COMMUNITY MENTAL HEALTH SERVICES BOARD
Residential Services Expansion for Developmentally Disabled Clients
Residential Services $125,683 $125,683 $
Medical/Clothing 9,662 9,662
Day Programming and
32,718 29,446 3,272 Transportation
Case Management 16,312 14,681 1,631
TOTAL $184,375 $179,472 $ 4,903
1986 FULL YEAR COST $368,750 $358,944 $ 9,806
BAM/pjv
4/16/85
FISCAL NOTE
BY: FINANCE COMMITTEE, DR. G. WILLIAM CADDELL, CHAIRPERSON
IN RE: COMMUNITY MENTAL HEALTH - RESIDENTIAL SERVICES EXPANSION FOR DEVELOP-
MENTALLY DISABLED CLIENTS - MISCELLANEOUS RESOLUTION #85152
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS
Mr. Chairperson, Ladies and Gentlemen:
Pursuant to Rule XI-C of this Board, the Finance Committee has reviewed
Miscellaneous Resolution #85152 and finds:
1) The Oakland County Community Mental Health Services Board has requested
the Michigan Dept. of Mental Health transfer, to the County, fiscal re-
sponsibility for two foster care homes from the Macomb-Oakland Regional
Center along with day programming and other auxillary costs for develop-
mentally disabled residents,
2) One Case Management Coordinator position is requested to oversee services
provided by the homes,
3) Presently, under the State's administration, the County is required to
pay 10% of the cost of operation of the two foster care homes, however,
under the County Community Mental Health Services Board, responsibility
for the cost of operation is 100% State obligation,
4) This program change will increase the 1985 Budget by $179,472 (see
attached Schedule I) requiring the following transactions:
Appropriation
Community Mental Health:
4-22200-166-26-00-1001 Salaries 11,008
-2074 Fringe Benefits 3,604
-3412 Insurance 100
-3574 Personal Mileage 500
-5994 Furniture and Fixtures 550
-6310 Bldg. Space Cost 375
-6640 Equipment Rental 75
-6750 Telephone Communications 100
Sub-Total 16,312
4-22200-166-27-00-3042 Client Services 144,144
74-00-3042 Client Services 13,964
76-00-3042 Client Services 9,955
Total Mental Health 184,375
Non-Departmental Appropriation (4,903)
Revenue 179,472
100% State 135,345
State Match 44,127
County Match 4,903
Non-Departmental '. (4,903)
179,472
FINANCE COMMITTEE
Schedule I
Community Mental Health - Residential Services Expansion for Developmentally
Disabled Clients
Jan.-Dec. July-Dec.
12 Months 6 Months
Salaries 22,015 11,008
Fringe Benefits 7,208 3,604
Client Services 336,126 168,063
Insurance 200 100
Personal Mileage 1,000 500
Furniture and Fixtures 1,101 550
Building Space Cost 750 375
Equipment Rental 150 75
Telephone Communications 200 100
Total 368,750 184,375
#85152 May 23, 1985
day of 19 85
Couniy Clerk/Register of Deeds
ALLEN
Moved by McConnell supported by Webb the Personnel Committee report be
accepted.
A sufficient majority having voted therefor, the report was accepted.
Moved by McConnell supported by Aaron the resolution, with Fiscal Note
attached, be adopted.
Moved by McConnell supported by Webb the amendment recommended by the
Personnel Committee be adopted. (Add additional paragraph to read "BE IT FURTHER
RESOLVED that the Oakland County Board of Commissioners creates one (1) Case
Management Coordinator position in the CoUnseling and Evaluation unit of com-
munity Mental Health.")
A sufficient majority having voted therefor, the amendment carried.
Vote on resolution as amended:
AYES: Pernick, Price, Rewold, Skarritt, Wilcox, Aaron, Caddell, Doyon,
Fortino, Gosling,- Hassberger, Hobart, R. Kuhn, S. Kuhn, Law, McConnell, McDonald,
Moffitt, Moore, Nelson, Olsen. (20
NAYS: Webb, Calandro, Lanni. (3).
A sufficient majority having voted therefor, the resolution, as amended,
was adopted.
STATE OF MICHIGAN)
)
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 adopted by the Oakland County Board of Commissioners at
their meeting held on May 23, 1985
with the orginial 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
this 23rd