HomeMy WebLinkAboutResolutions - 1983.08.18 - 11428Miscellaneous Resolution 83149 June 9, 1983
BY: . HEALTH AND HUMAN RESOURCES COMMITTEE-Marilynn E. C•sling, Chairperson
IN RE: TRANSFER OF STATE FUNDING TO COMMUNITY MENTAL HEALTH DIVISION FOR
SELECTED COMMUNITY PLACEMENT FACILITIES
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS
Mr. Chairperson, Ladies and Gentlemen:
WHEREAS in Oakland County there are twenty (20) community placement
facilities for developmentally disabled children and adults which are funded by the
Michigan Department of Mental Health through its Macomb/Oakland Regional Center but
which have historically been supervised and monitored by the County Community Mental
Health Services Division; and
WHEREAS the Community Mental Health Services Board, with the full support
of the Department of Mental Health and Macomb/Oakland Regional Center, has requested
that the funding for these twenty (20) facilities be transferred to the Community
Mental Health budget together with funds for ancillary and day program services for
the residents of the facilities; and
WHEREAS consolidation of funding for the homes and supervision of the homes
under the single authority of Community Mental Health would eliminate duplication
of services and the need for so-called "paper admissions" of handicapped persons to
Macomb/Oakland Regional Center in order for them to be placed in the twenty (20)
foster care facilities; and
WHEREAS consolidation of funding and supervision of the facilities would
give County Community Mental Health staff complete authority over selection of
residents for the facilities and over their in-home training and would give the
foster home operators a single line of authority to follow; and
WHEREAS transfer of funding for the twenty (20) facilities conforms with the
goal set forth in Michigan's Mental Health Code to allow county Community Mental
Health programs to assume responsibility for a greater share of public mental
health services.
NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners
authorize the Community Mental Health Division to accept the transfer of full
responsibility and associated State funds for the twenty(20) community placement
facilities which are now supervised by Community Mental Health.
Mr. Chairperson, on behalf of the Health and Human Resources Committee, I
move the adoption of the foregoing resolution,
June 23, 1983
REPORT
By:
In re: Miscellaneous Resolution #83149
Transfer of State Funding to Community Mental Health
Division for Selected Community Placement Facilites
To the Oakland County Board of Commissioners;
Mr. Chairperson, Ladies and Gentlemen:
The Finance Committee, having reviewed Misc. Res. #83149,
Transfer of State Funding to Community Mental Health Division for Selected
Community Placement Facilities, reports with the recommendation that
resolution be adopted with the following amendment:
That local government approval must be
received by Oakland County for the twenty
(20) community placement facilities which
are now supervised by Community Mental
Health.
Mr. Chairperson, on behalf of the Finance Committee,
I move acceptance of the foregoing report.
FINANCE COMMITTEE
Finance Committee - Dr. G. Willia m Caddell, Chairperson
OAKLAND COUNTY COMMUNITY MENTAL HEALTH SERVICES BOARD
.TRANSFER OF RESPONSIBILITY FOR SELECTED COMMUNITY PLACEMENT FACILITIES
Proposal
The Community Mental Health Services Board is requesting transfer of funding
to its budget for direct and ancillary costs of operation for twenty community
placement facilities which have been supervised by Community Mental Health
for many years; but are funded by the Macomb/Oakland Regional Center of the
State Department of Mental Health. This transfer of full responsibility and
funding is consistent with State law, Department of Mental Health policy, and the
best interests of the present and future residents of the community placement
facilities; the transfer is specifically endorsed by the Macomb/Oakland
Regional Center. Residents of the homes are all developmentally disabled.
Background -
• _
In the early 1970's, Lapeer State Home and Training School began a joint
project with Oakland County Community Mental Health to develop some community
placement homes around the County for Oakland patients who had been living
in the institution for years. Later, when the Macomb/Oakland Regional Center
was established and our County was assigned to this State facility, the homes
already opened were transferred to Macomb/Oakland Regional Center funding.
Since then many other community placement homes have been developed by the
State facility, totalling more than 190 in Oakland County alone.
However, the earliest homes, opened by Lapeer and Community Mental Health,
are a distinct group because historically they have been supervised by
Community Mental Health Services rather than by the State institution. In
fact, Community Mental Health staff provide all case management, supervision
and oversight required for these 20 homes, and the State institution simply.
channels the funds to the home operators, day programs and so forth, based
on the authorization of the Community Mental Health personnel.
Rationale
The fact that the 20 community placement homes are supervised by .Community
Mental Health, but receive their funding from the State institution, creates
dual lines of responsibility for the home operators and confusion as to who
is in charge. Also, this divided responsibility often necessitates duplication
of efforts by CMH and institution staff. Consolidation of the operating funds
for the homes with the supervising agency will give Oakland County total control
over these community placement facilities, including selection of residents •
for the homes. We will be able to do away with the need to obtain a "paper -
admission" to Macomb/Oakland Regional Center in order to place a develop-
mentally disabled person from the community into one of the 20 homes when,
as an example, the natural parents are no longer capable of taking care of
their handicapped child.
This transfer of full.responsibility is in conformance, with the Michigan
Mental Health Code and Department of Mental Health policy. The Code (Sec. 116)
requires the Department to shift primary responsibility for services to the
County CMH program 'whenever such-County shall have demonstrated a willingness
and capacity to provide an adequate and appropriate system of mental health
services to the citizens of such County."
Specific Information
The 20 community placement homes to be transferred are listed on the attached
pages, with addresses, number of residents, and per-diem rates. There are
16 "Family Foster Care" facilities with a total of 48 beds, and 4 "Small Group"
facilities with a total of 24 beds. All are "contract" homes because they
receive mental health funds through contract, for in-home training of the
residents, over and above the standard $14.86 per day paid by SSI (Federal
funds) for room, board and basic supervision. The variation in rates paid
to individual homes is due to the greater or lesser amounts of in-home
programming which must be provided, depending on the needs of each develop-
mentally disabled resident.
The budget sheet which is also attached shows the cumulative Cost of these
72 beds for the final quarter of 1983, and for full-year 1984. The transfer
of funding is proposed for October 1, 1983, the beginning of the State
fiscal year.
Ancillary and medical costs associated with the 72 developmentally disabled
residents and the 20 homes, but not included in the homes' per-diem operating
rates, would include medical and dental care for the residents as needed,
when there is no other source of funding to cover these services. Also
included are costs of wheelchairs and other specialized equipment needed by
some of the residents; part-time Home Training Staff Aides who are assigned -
occasionally to work one-on-one with some residents whohave especially
demanding problems; medications not covered by other sources; and trans-
portation of some residents to the day programs they attend. All these costs,
plus the operating costs of the community placement homes themselves, would
be a 100% State expense under the terms of Public Act 423 of 1981. The per-
diem rates are fixed by contract with the home operators for the year, but
ancillary costs are an estimate based on past history. If these costs exceed
what has been budgeted to the Community Mental Health Board by the Department
of Mental Health, the Board would secure a supplemental allocation from the
Department to cover the remainder of the fiscal year.
Fifteen of the 72 residents of the facilities attend New Horizons and Jewish
Vocational Services day programs now, and the cost of this programming is
included in the transfer proposal. This is the only cost which would recpAre
County match, $9,135 on a Full-year basis at present rates. The other
residents are either under age 26 and attend public school programs, or are
enrolled in our own Mental Retardation Center Adult Day Program.
$207,867
404,293
$612,160
Day Programming
(for 15 residents, at New Horizons and
Jewish Vocational Service) S 23,728
GRAND TOTAL $211,268
$ 94,913
$845,073
$209,014
2,254
$835,938
9,135
OAKLAND COUNTY COMMUNITY MENTAL HEALTH SERVICES BOARD
TRANSFER OF RESPONSIBILITY FOR SELECTED COMMUNITY PLACEMENT FACILITIES
Proposed for October 1, 1983
FOR PERIOD 1984
10/01/83-12/30/83 FULL YEAR COST
Per Diem In-Home Operating Costs
(excluding SSI payments)
Family Foster Care Homes (16, with 48 beds) $ 51,967
Small Group Homes (4,-with 24 beds) 101,073
TOTAL - $153,040
Ancillary and Medical Costs
(estimated -- includes medical/dental care,
special equipment, medications, Home Training
Staff Aides, transportation to day programs) $ 34,500 $138,000
SOURCES OF REVENUE
State
County (match for day programming only)
BAM/pb
Per Diem*
$24.76
$24.76
$24.76
$24.76(2), $30.76(1) 4
$35.76(1)
$24.76
• $24.76
$24.76
$24.76
• $24.76
1
3
2
3
3
$27.76(1), $30.76(1) 2
$24.76
$24.76
$24.76(1), $35.76(2) 3
$24.76
$24.76
$36.33
Beds
3
4
3
3
4
4
FAMILY FOSTER CARE HOMES
Bridges, Otha and Whiters, Lucy
338 W. Huron; Pontiac, MI 48053
Carr, Mack and Dotty
12320 N. Holly Road, Holly, MI 48442
Carr, Shelby and Janet
11017 Dixie Highway, Holly, MI 48442
Crichton, Douglas and Ethel .
4790 Ramsey Road, Oxford, MI 48051 --
Eubanks, Everett andDelores
5879 Seymour Lake Road, Oxford; MI 48051
Cola, Joseph and Margaret
28350 Liberty, Faimington, NI 48024
Hassett, Jack and Marie
130 St. Lawrence, Pontiac, MI 48055
Hassett, Russell and Marguerite
689 Lochaven, Union Lake, MI 48085
Shurter, Richard and Doris
282 Jewel, Ferndale, MI 48220
Smith, Lawrence and Corinne
26950 Taft Road, Novi, MI 48050
Stark, Andrew and Violet
28038 Shiawassee, Farmington, MI 48024
Todd, William
918 Delphine Drive, Holly, MI 48442
Tomblin, Virginia
29952 Eldred, Farmington, MI 48024
Wing, Ira and Gisele
21521 Waldron, Farmington, MI 48024
Witkop, Richard and Martha
P. O. Box 51, Highland, MI 48031
Yerke, William and June (AFR home)
2940 Steeple Hill, Milford, MI 48042
Zoninc, Classification
Commercial Office-
.
R (Residential)
Agricultural Rural
RE (Rural Estate)
Rl —B (Residential,
100x200 lot)
RA-4 (Single Residentia:
8500 sq. ft. lot)
R-3 (Multiple Family
Dwelling)
Suburban Farm
Rl—B (Single Family
. Residential)
Light Industrial
RA-4 (Single Residentia:
8500 sq. ft. lot)
Rl—C (Residential)
RA-4 (Single Residentia
8500 sq. ft. lot)
RA-4 (Single Residenti -::C
8500 sq. ft. lot)
R1—A (Single Family Res.
Estate/ 80,000 sq
Rl—D (Residential,
1000 sq. ft. houst
minimum)
7 Commercial Office $59.77
R-2 (Single Family
Residential)
$60.56
6 RI (Single Family
Residential)
$53.50
6 (Two -Family Res.
Dwelling)
$70.35
SMALL GROUP FOSTER CARE HOMES
Per Diem* Beds Zoning Classification
Franklin Blvd. Group Home
Winnifred Evans, Administrator
22 Franklin Blvd., Pontiac, MI 48053
Haverim-Kingshire Group Home (JARC)
Joyce Keller, Exec. Director
25219 Kingshire, Southfield, MI 48075
Haverim-Roy Court Group Home (JARC)
Joyce Keller, Exec. Director
25020 Roy Court, Huntington Woods, MI 48070
University Place (CLC)
- Mary Wagner, Director
820 University Drive, Pontaic, PEI 48058
*includes $14.86 SSI personal care rat
FISCAL NOTE
BY: FINANCE COMMITTEE, DR. G. WILLIAM CADDELL, CHAIRPERSON
IN RE: MISCELLANEOUS RESOLUTION 1183149-TRANSFER OF STATE FUNDING TO COMMUNITY
MENTAL HEALTH DIVISION FOR SELECTED COMMUNITY PLACEMENT FACILITIES
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 583149 and finds the following:
1) The Oakland County Community Mental Health Division has requested the
Michigan Department of Mental Health to transfer funds for twenty (20)
community placement facilities, including funds for auxiliary and day
program services, to their budget,
2) The Community mental Health Division staff has historically supervised
and monitored these twenty (20) facilities in Oakland County which the
Michigan Department of Mental Health has funded through the Macomb/
Oakland Regional Center,-
3) The consolidation of funding and supervision under the Community Mental
-
Health Division has been agreed upon by the Michigan Department of Mental
Health and the Macomb/Oakland Regional Center,
4) The consolidation of funding and supervision under the Community Mental
Health Division would eliminate duplication of services and provide one
authority for the twenty (20) facilities,
5) The State has in the past considered funds transferred to the Community
Mental Health Division as revenues returned to local units of government
to meet the 41.6% Headlee requirement,
6) The proposed implementation date is October 1, 1983 with the State funding
$209,014 and the County match being $2,254 for the three month period-
October 1 through December 31, 1983 (per attached Schedule A),
7) Said County Match of $2,254 would be transferred from Contingency to the
Community Mental Health Division as detailed below:
From Contingency
10100-990-02-00-9990
To Community Mental Health
10100-166-01-00-3528
(2,254)
2,254
-0-
FINANCE COMMITTEE
Committee Vote:
Motion carried on a roll call vote with Fortino
passing and Page and Perinoff absent.
.....
.....
TOTAL $153,040 $612,160
S 94,915 S 23,728
• GRAND TOTAL $211,268 $845,073
$209,014
2,254 1)
$835,958
9,135 2)
SCHEDULE A
, OAKLAND COUNTY COMMUNITY MENTAL HEALTH SERVICES BOARD
TRANSFER OF RESPONSIBILITY FOR SELECTED COMMUNITY PLACEMENT FACILITIES
Proposed for October 1, 1985
FOR PERIOD- 1984
10/01/83-12/30/83 FULL YEAR COST
Per Diem In-Home Operating Costs
(excluding SSI payments)
Family Foster Care Homes (16, with 48 beds) $ 51,967
Small Group Homes (4, with 24 beds) 101,073
$207,867
404,293
Ancillary and Medical Costs
(estimated -- includes medical/dental care,
_special equipment, medications, Home Training
Staff Aides, transportation to day programs) $ 34,500 SI38,000
Day Programming
(for 15 residents, at New Horizons and
Jewish Vocational Service)
SOURCES OF REVENUE
State
County (match for day programming only)
1) 9.5% of $23,728
2) 9.625% of $94,913
..... BAM/pb
Nelson.
Pernick.
#8 31 49 June 23, 1983
Moved by Gosling supported by Fortino the resolution be adopted.
Moved by Gosling supported by Lanni the reports be accepted.
A sufficient majority having voted therefor, the motion carried.
Moved by Gosling supported by Moffitt the resolution be amended as follows:
"That local government approval must be received by Oakland County for the
twenty (20) community placement facilities which are now supervised by Community Mental
Health."
Discussion followed.
Moved by Hobart supported by Price the resolution be laid on the table.
-AYES: Price, Wilcox, Hobart, R. Kuhn, McPherson, Moore, Nelson. (7)
NAYS: Pernick, Aaron, Caddell, Calandro, Doyon, Fortino, Goslipg, Jackson,
Lanni, Moffitt, Olsen. (11)
A sufficient majority not having voted therefor, the motion failed.
Vote on amendment:
AYES: Wilcox, Caddell, Calandro, Gosling, Jackson, R. Kuhn, Lanni, Moffitt,
NAYS: Price, Aaron, Doyon, Fortino, Hobart, McPherson, Moore, Olsen, Perinoff,
(10)
A sufficient majority not having voted therefor, the amendment failed.
Moved by Price supported by Hobart the resolution be laid on the table.
AYES: Wil'tox, Aaron, Doyon, Fortino, Gosling, Hobart, R. Kthr, McPherson,
Moffitt, Moore, Nelson, Perinoff, Pernick, Price. (14)
NAYS: Caddell, Calandro, Jackson, Lanni, Olsen. (5)
• A sufficient majority having voted therefor, the motion Carried and the
resolution was laid on the table.
#83149 August 18, 1983
this 18th day of August 198 3
LYNN DiALLEN, County Clerk/Register of De
Moved by Hobart supported by Pernick that resolution #83149 be taken
from the Table.
AYES: McPherson, Moffitt, Moore, Nelson, Olsen, Page, Perinoff, Pernick,
Price, Rewold, Wilcox, Caddell, Doyon, Fortino, Gosling, Hobart, Jackson, R. Kuhn,
S. Kuhn, Law, McConnell, McDonald. (22)
NAYS: Calandro. (1)
PASS: Foley. (1)
A sufficient majority having voted therefor, the motion carried.
Moved by Hobart supported by Pernick the resolution be adopted.
AYES: Moffitt, Moore, Nelson, Perinoff, Pernick, Price, Rewold, Aaron,
Caddell, Doyon, Foley, Fortino, Gosling, Hobart, Jackson, R. Kuhn, S. Kuhn, McDonald,
McPherson. (19)
NAYS: Olsen, Page, Wilcox, Calandro. (4)
PASS: McConnell. (1)
A sufficient majority having voted therefor, the resolutiOn was adopted.
STATE OF MICHIGAN)
COUNTY OF OAKLAND)
I, Lynn D. Allen, Clerk oT the County of Oakland and having a seal,
do hereby certify that I have compared the annexed copy of
Miscellaneous Resolution # 83149 adopted by the Oakland County Board of Commissioners
at their meeting held on August 18, 1983
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 saidCounty at Pontiac, Michigan