HomeMy WebLinkAboutResolutions - 1988.03.23 - 17543MISCELLANEOUS RESOLUTION NO 88055 March 24, 1988
BY: HEALTH AND HUMAN SERVICES COMMITTEE - SUSAN KUHN, CHAIRPERSON
IN RE: COMMUNITY MENTAL HEALTH - 1987-88 GRANT APPLICATION REQUESTS
COUNTY -OPERATED/CONTRACTUAL
(MATCH R EQUIRED)
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS:
Mr. Chairperson, Ladies and Gentlemen:
Whereas the Michigan Department of Mental Health, in conformance
with State law, required the Community Mental Health Services Board
to submit an annual assessment of unmet mental health needs of Oakland
County citizens, with grant application proposals addressing the most
significant of these needs; and
Whereas the Community Mental Health Services Board has submitted
the attached proposals for State funding consideration for fiscal
year 1987 -88 in response to identified needs of Oakland residents;
and
Whereas these proposals are for expansion of both directly opera-
ted and contractual services of the Community Mental Health Division,
and would require County matching funds; and
Whereas it is likely that, because of budget constraints at the
State level, only a few, if any, of the proposals submitted will be
funded, but the Community Mental Health Services Board believes that
it is important to document unmet needs and take all possible steps
to secure the resources required in Oakland County; and -
Whereas Commissioners Resolution no 86186 requires that all grant
applications receive Board of Commissioners approval:
NOW THEREFORE BE IT RESOLVED that the Oakland County Board of
Commissioners approve the Community Mental Health 1987-88 Grant
Application Requests as recommended by the Community Mental Health
Services Board, for submission to the Michigan Department of Mental
Health.
BE IT FURTHER RESOLVED that the Chairperson of the Oakland County
Board of Commissioners be and is hereby authorized to sign said application
for and on behalf of the County of Oakland.
Mr Chairperson,, on behalf of the Health & Human Services Committee.i
I move the adoption of the foregoing resolution.
y WRV APPROVE THE FOREGOING RESOLUTidgiALTH & HUMA N SERVICES COMMITTEE 4RPF /
• REPORT TO THE HEALTH AND HUMAN SERVICES commEE
BY: FINANCE COMMIE, DR. G. WILLIAM CADDELL, CHAIRPERSON
IN RE: COMMUNITY MENTAL HEALTH - 1987 7 1988 PROGRAM APPLICATION
REQUESTS, COUNTY - OPERATED/CONTRACTUAL
In accordance with Miscellaneous Resolution #86186, revised Federal
and State grant application and reimbursement contract procedures, the
Finance Cmmittee has reviewed the comprehensive application for new or
enhanced Community Mental Health Programs and finds:
1) The application consists of 78 program components of Which 42 are
for new or enhanced County-operated programs and 36 are for
contracted programs. These programs are targeted to serve 11,314
Oakland County citizens and would require 105 additional
full-time equivalent County personnel.
2) Total annual costs for the programs are estimated to be
$18,588,584 of which $1,322,080 would be provided by the County.
3) A schedule of anticipated revenues and expenditures is attached.
4) Application or acceptance of the Funds does not obligate the
County to any future commitment.
Mr. Chairperson, on behalf of the Finance Committee I move the acceptance
of the foregoing report.
FINANCE COMITTEE
850
citizens
served
294,279
4. A.T.P. Expansion: 32,300
6-
citizens
served
210,481
7
OAKLAND COUNTY COMMUNITY MENTAL HEALTH SERVICES
1988 - 89 GRANT APPLICATION REQUESTS
MI - ADULT SERVICES
ANNUAL SERVICE
PRIORITY PROGRAM BUDGET OUTPUT
1. Drop-In Centers - South Oakland: $ 49,889 150
citizens
develop three consumer-run served
drop-in activity centers for
chronically mentally ill adults
in south Oakland, with clinical
support from present Community
Mental Health Staff.
2. Fountain House Planning and
Implementation:
plan and implement first phase
of a Fountain-House model
support program in the Pontiac
area for chronically mentally
ill adults.
56,472
3. Admission Screening
Psychiatric Support:
combined on-duty and on-call
psychiatric backup 24 hours a
day for the Admission Screening
Unit operated by Community
Mental Health at Clinton Valley
Center.
16
citizens
add 1 clinician to increase the served
:capacity of the program .which
offers intensive case management .
support as an. alternative to
hospitalization
5. Geriatric CLF Home:
one Level III, licensed .group
home specialized for care of
older adults with major mental
illness or degenerative
dementia.
PRIORITY PROGRAM
ANNUAL SERVICE
BUDGET OUTPUT
7. SOLEC - South Expansion:
add staffing to create 10 more
slots in this psychosocial day
program.
73,849 17
citizens
served
add staffing to create 25 more
slots in this psychosocial day
program.
SOLEC - North Expansion: 137,565 42
citizens
served
- 2 -
5.
con't
CLF Home for Private Hospitals:
one 6-bed, licensed small group
home under contract with
Community Mental Health to
provide structured placement for
citizens exiting Madison
Community Hospital and other
hospitals which come under
contract for public care.
$ 260,457 36
citizens
served
6. S.I.P. Expansion: 338,991 18
citizens
add 18 Supported Independence served
apartment beds as an intermediate
level of residential care.
SOLEC - South T.E.P.: 96,320 20
citizens
temporary, part-time supported served
employment opportunities in
actual job sites to aid
transition to permanent supported
or competitive employment.
• SOLEC - North T.E.p.: 68,000
•
temporary, part-time supported
employment opportunities in
actual job sites to aid -
transition to permanent supported
or competitive employment.
32
citizens
served
157,905 • Quality
of
care
12. PGH Psychiatric Consultant Hours
Increase:
-3 -
ANNUAL SERVICE
PRIORITY PROGRAM BUDGET OUTPUT
8. Vocational Center - Chronically $ 448,000 90
Impaired: citizens
served
high-level vocational training
and job placement for chronically
mentally ill with backgroud and
abilities to do more
sophisticated work.
9. CCM Community Resource 44,293 Quality
Development Specialist: ofcare -12
citizens
one position for Central Case served
Management Program to develop
community housing, transportation
and job resources for citizens
served.
10. Geriatric Services Expansion 230,013 120
citizens
2 Clinicians, 1 Staff served
Psychiatrist and operating costs
to expand services to homebound
older adults and nursing homes.
11. PGH Life Enrichment Center: 116,560 200
citizens
expand the Activity Program at served
McCarroll School for chronically
mentally ill adults in the
Pontiac area and open it to the
community at large.
increase available psychiatric
consultant time in Main' Clinic
and Case Management unit to the
1:300 -ratio enjoyed by
Board-operated programs.
250
citizens
served
264,766
162,475 6 Dynamic Alternatives Respite
Care:
2,000
citizens
served
- 4 -
ANNUAL SERVICE
PRIORITY PROGRAM BUDGET OUTPUT
12. PGH Psychiatric Consultant Rate $ 53,766 Quality
Increase: of
care
funds to allow increase in
Pontiac General Community Mental
Health Clinic's hourly rate paid
to $55 (County pays $60 in
Board-operated programs).
13. Admission
Substitutes:
Screening 17,326 Quality
of
care
funds to pay hourly substitutes
to be called in when needed to
fill in for regular screening
staff who are sick or on
vacation.
14. Southeast CMH Clinic Enhancement
and Relocation:
add 2 Clinicians, 1 Staff
Psychiatrist and support/rent
costs, to expand services, reduce
present waiting list and relocate
clinic to a more suitable
facility.
15. Day Hospital Treatment: 985,000 60
citizens
purchase day hospital treatment served
from area hospitals as needed,
for citizens who need this type
of care, often to shorten their
period of inpatient treatment.
out-of-home day and overnite
respite residential care, a
summer respite camp and small
group outings for mentally ill
adults living with natural
families.
75
citizens
served
511.,550
Quality
of
care
99,093
900
. citizens
served'
169,282
ANNUAL SERVICE
BUDGET OUTPUT PRIORITY PROGRAM
17. Type A and Interim AFC Contracts
Transfer:
$ 387,570 40
citizens
served
assume responsibility and related
funding from the State for
special-need citizens in contract
foster care homes; and interim
funding for placement in general
Adult Foster Care.
18. Supported Employment Program: 196,200 20
citizens
on-the-job vocational training served
using a job coach to assist with
work adjustment and production.
Coaches phase out as citizens
become able to work
independently.
19. A.C.T. - South:
replication of the Assertive
Community Treatment Program -
intensive case management support
for chronically mentally ill
adults.
20. Jail Services Enhancement:
Staff Psychaitrist plus 2
clerical support for the CMH
clinical team stationed in the
Oakland County Jail to work with
mentally ill inmates.
21. Arab American/Chaldean Family
Services: -
specialized, ethnic-sensitive
outpatient services for the
Arab-American and Chaldean
community in Oakland County-
- 6 --
ANNUAL SERVICE
PRIORITY PROGRAM BUDGET OUTPUT
22. Admission Screening - Mobile $ 116,178 125
Crisis Team: citizens
served
add one clinician on the evening
shift and one on the midnight
shift to respond to police and
other requests, and go to the
scene of psychiatric emergencies
which may require
hospitalization.
23. POE Medication and Lab Services: 14,200 Quality
of
funds to pay for laboratory tests care
and prescribed psychiatric
medications at the Pontiac
General Community Mental Health
Clinic, for indigent citizens who
are not eligible for Medicaid.
24. MI-A Agencies Clerical 157,946 Quality
Enhancement: of
care
5 clerical support positions for
Central Case Management,
Geriatric Mental Health Services
and the Southwest Community
Mental Health Clinic to help with
increasing paperwork requirements.
25. Geriatric Services - Botsford 107,910 600
Hospital Liaison: citizens
served
2 clinicians to screen admissions
of public patients to the new
gero-psychiatric unit at Botsford
• Hospital, and to •handle
pre-discharge planning and•
aftercare.
- 7 -
ANNUAL SERVICE
PRIORITY PROGRAM BUDGET OUTPUT
26. Laboratory and Neurological $ 8,000 Quality
Services: of
care
funds to pay for lab testing and
neurological examinations for
indigent citizens seen in
Board-operated clinics and
Central Case Management.
27. PGH Administrative Support: 23,097 Quality
of
Data Entry Clerk and a half-time care
co-op student to help the Pontiac
General Community Mental Health
clinic with the Community Mental
Health and Hospital management
information systems.
ANNUAL
BUDGET
992,862
SERVICE
OUTPUT
1280
children
served
2. Discharge Planning:
5 clinicians plus psychiatric and
clerical support to assume
responsibility for post-hospital
service planning for children and
adolescents exiting Fairlawn
Center.
3. Day Treatment Summer Program:
Permanent funding for summer
(continuity) programs as part of
recently established contractual
day treatment programs, and
psychological services for same.
4. Alternate Residential Assessment
and Crisis Center:
a community- based crisis
assessment and interim residential
service for children and
adolescents determined by the
S.E.A. screening as needing 24-hour
assessment and intervention as an
alternative to hospitalization.
5. Clerical Support Enhancement:
clinical program enhancements over.
300
children
served
60
children
served
144
children
served
21,900
145,672
331,487 350
children
served
118,912 Quality
of
Care
OAKLAND COUNTY COMMUNITY MENTAL HEALTH SERVICES
1988 - 89 GRANT APPLICATION REQUESTS
SERVICES FOR MI CHILDREN
PRIORITY
1.
PROGRAli
Crisis Intervention:
12 clinicians, 2 Staff
Psychiatrists and 9 support staff
to enhance Child and Adolescent
Clinics to provide intensive crisis
intervention services, expand
outreach operations, and diversify
treatment modalities.
past years
disproportion
workload; this
enhance the
staffing level
clinics.
have ' created a
in the clerical
proposal .seeks to
current clerical
in Board-operated
233,235 24 children
served
7. Inpatient Services for MI
Substance Abuse Children:
- 2 -
ANINUAL
BUDGET
SERVICE
OUTPUT
12 families
served
PRIORITY PROGRAM
6. Judson Center In-Home Treatment 87,109
Expansion:
expansion of in-home treatment and
training services to children when
there is a multiplicity of
emotional problems, but the
opportunity to maintain the child
in the home.
Inpatient services
St. Joseph Mercy
dual-diagnosed
illness/substance
adolescents.
purchased from
Hospital for
(mental
abusing)
8. Kingswood Hospital
Contract:
Inpatient 819,408 120 children
served
short term,
care in the
alternative
which has
list.
intensive inpatient
private sector as an
to Fairlawn Center,
a continuous waiting
PRIORITY PROGRAM
ANNUAL SERVICE
BUDGET OUTPUT
180
citizens
served
$ 438,584
29,025 Quality
of
care
119,000 50
families
served
OAKLAND COUNTY COMMUNITY MENTAL HEALTH SERVICES
1988 - 89 GRANT APPLICATION REQUESTS
SERVICES FOR DEVELOPMENTALLY DISABLED
1. Social Services Expansion:
6 Mental Health Clinician to
provide outpatient services to a
current waiting list of 293
families.
Nursing Service: 69,777
and direct health ca
1.5 RN s ide consultation
ices
to residents in contrac
and ap.E.Lugl...."-Tr57-c'es plans
edicaid waivers and
Medicaid reimbursement.
Quail
of
care
3. Dually Diagnosed:
1.5 additional direct care staff
for University Place, a
treatment program for
aggressive, assultative MI-DD
(dually diagnosed) residents.
4. Home Trainer Services:
Funding to provide contractual
in-home training to fifty
families desiring to keep their
severely disabled children at
home.
5. Day _Program Consultant:
to thoroughly review the Mental
Retardation Center 'Adult Day
Program and recommend needed
improvements.
7,000 Quality
of
care
PRIORITY PROGRAM
ANNUAL SERVICE
BUDGET OUTPUT
300 families
served
774,127
160 citizens
served
58,205
52 families
served
255,698
10 citizens
served
14,506
6. Citizen Transportation: $ 57,400 15 citizens
served
contracted transportation for 15 citizens
in order for them to fill existing
vacancies in the Mental Retardation Center
Adult Day Program.
7. Respite Recreation Increase:
an array of contractual staff to provide
weekly respite based on a recreational
model at six sites for 300 families.
8. Psychology Services:
Ph.D. psychologist to supervise three
present M.A. level
psychologists to help serve those
currently awaiting services. Will allow
for an additional 160 citizens per year to
be seen.
9. Mobile Crisis Team:
immediate response to the scene of any
behavioral emergency involving DD
citizens, with short-term residential care
as indicated.
10. Specialized Helpers:
to provide one-on-one help to control
behavior of MI-DD citizens and to assist
with those experiencing medical problems
(e.g. hip replacement,
cataract surgery or heart bypass).
30
families
served
Quality
of
care
- 3 -
ANNUAL SERVICE
PRIORITY PROGRAM BUDGET OUTPUT
11. Home Helper Services:
$ 176,394 25
families
to assist families to care for served
large, heavy offspring, to
forestall premature requests for
long-term placement out of the
home.
12. Day Care for DD Persons: 239,082 30
families
supervision for DD children after served
school hours (or during vacation)
to allow parent(s) to continue
working (latch-key program).
13. Complex Medical Problems: 357,971 10
families
1 clinician to complete necessary served
paperwork for Medicaid waivers
and State Department of Mental
Health funding to provide needed
services prior to Medicaid
funding authorization.
14. Residential Care. 4,121,177 100
citizens
100 licensed, contracted foster served
care and Supported Independence
beds of varying treatment levels,
to serve DD citizens currently
residing with elderly, infirm
parents who can no longer care
for them.
15. Shared Parenting Program:
to allow two families to share in
needed supervision and care for a
severly disabled child, in lieu
of more costly long-term
residential care in a licensed
home.
2 additional staff for the
current SXI (severely multiply
impaired) program at the Mental
Retardation Center to assist in
personal care matters (e.g.,
toiletry, physical therapy,
etc.).
16. SXI Services Enhancement:
256,986
46,991
4
115
citizens
served
798,420
20
children
served
11,520
-Quality
of .
care
49,000
ANNUAL SERVICE
PRIORITY PROGRAM BUDGET OUTPUT
17. MSW Aide: $ 7,081 Quality
of
to assist current MSW in care
arranging respite care for over
200 families: will serve
families who are well known to
the system and requesting only
routine service.
18. Special Education Graduates -
Adult Day Program:
82 slots to serve existing
waiting list of special
education graduates awaiting
placement at New Horizons and
Jewish Vocational Service.
19. Supported Employment Program: 697,272 100
citizens
74 contractual slots to serve a served
total of 100 citizens in S.E.P.
placement in competitive
employment locations, with
assistance of job coaches.
20. Respite Care Home for Children: 245.474 100
families
a 6 bed licensed foster care served
home for disabled children,
providing short-term care to
give temporary relief for
parents.
21. Child Psychiatric Consultant:
16 hours monthly of psychiatric
evaluation and medication
supervision for DD children.
22. Physical Conditioning
Consultation:-
to provide :therapeutic
recreation services to 140
citizens now .served at the
Mental Retardation Center Adult
Day Program.
Quality
of
care
15,000
- 5 -
ANNUAL SERVICE
PRIORITY PROGRAM - BUDGET OUTPUT
23. Custodial Services: $ 19,947 Quality
of
to provide daytime custodial care
services at the Mental
Retardation Center.
24. Satellite Office: 10,500 Quality
of
outreach office staffed by care
existing personnel in southern
Oakland County, to be more
accessible to families residing
in that part of the County.
25. DD Geriatric Services:
58,500 6
citizens
specialized day programming for served
6 developmentally disabled older
adults at Jewish Vocational
Service.
26. Material Handling:
truck transportation and
material handling for industrial
sub-contracted work to be
performed at the Mental
Retardation Center Adult Day
Program.
PRIORITY PROGRAM
ANNUAL SERVICE
BUDGET OUTPUT
1. Prevention Coordinator: $ 50,268
130
families
served
88,178
1,120
children
served
117,665
OAKLAND COUNTY COMMUNITY MENTAL HEALTH SERVICES
1988 - 89 GRANT APPLICATION REQUESTS
PREVENTION SERVICES
administrative position to plan
and supervise prevention
activities of all Community
Mental Health Staff, directed
to at-risk groups.
2. Infant Mental Health Team:
2 clinicians plus support
costs, to work with schools and
teenage mothers, to improve
parenting skills and child
development.
3. Natural Helpers Program:
2 clinicians with operating
costs, to help adolescents at
risk of substance abuse, who
are experiencing serious
school-related problems.
4. School Absenteeism Prevention: 88,178 600
children
2 clinicians plus support served
costs, to work with middle
schools and junior highs to
develop joint programming to
combat student absenteeism.
5. Human Sexuality Intervention: 42,525
clinician for Services to the
DevelopMentally Disabled, to
train Staff and families, And
intervene with police in sexual
abuse cases involving DD
persons.
- 2 -
ANNUAL SERVICE
PRIORITY PROGRAM BUDGET OUTPUT
6. Stress Management Training: 54,000 192
citizens
Pontiac General Community Mental served
Health Clinic team to work with
young, low-income women at risk
of clinical depressive illnesses.
OAKLAND COUNTY COMMUNITY MENTAL HEALTH SERVICES
1988 - 89 GRANT APPLICATION REQUESTS
ADMINISTRATION
ANNUAL
BUDGET
$ 118,665
PRIORITY PROGRAM
Clerical Support Enhancement and
Mental Health Information
Specialist:
a public information specialist,
and 3 Typists to provide clerical
support for the entire
administrative staff.
2. Psychiatric Education and Staff
Development:
a psychiatric education
coordinator plus funds to
purchase highly skilled, outside
professional training for all
Community Mental Health clinical
staff.
1.
273,599
3. Psychiatric
Adjustment:
Salaries Equity 91,442
increase salary
Community Mental
Psychiatrists to
comparable State
level.
4. Volunteer Program:
range for
Health Staff
coincide with
psychiatrists
29,800
a Coordinator paid on a stipend
basis, plus operating expenses,
to recruit, train and supervise
other volunteers to be used in
Community Mental Health programs.
10,000 5. . Minority Services Consultant:
funds to retain a temporary
consultant from an area
university to advise Community
Mental Health on providing
services to various ethnic
minority populations.
- 2 -
ANNUAL
PRIORITY PROGRAM BUDGET
6. Un/employment Specialist: $ 38,885
one administrative position, an
expert in mental health needs of
the unemployed, and employment
programming for mentally ill and
developmentally disabled
citizens.
7. Program Measurement and 80,201
Evaluation:
one position to assist in
development of scales and
measures for treatment outcome,
functioning levels, citizen
satisfaction and other tools for
evaluation of all Community
Mental Health programs.
OAKLAND COUNTY COMMUNITY MENTAL HEALTH SERVICES BOARD
1988-89 GRANT APPLICATION REQUESTS
MENTALLY ILL MENTALLY ILL DEVELOPMENTALLY
ADMINISTRATION ADULT CHILDREN DISABLED TOTAL
Administration $ 642,592 $ 642,592
Outpatient $ 1,272,046 $ 1,588,933 $ 1,497,641 4,358,620
Partial Day 2,277,831 21,900 2,582,460 4,882,191
Residential 1,152,587 87,109 4,327,583 5,567,279
Case Management 1,187,269 457,176 1,644,445
Inpatient 1,052,643 1,052,643
Prevention 50,268 54,000 294,021 42,525 440,814
$ 692,860 $ 5,943,733 $ 3,044,606 $ 8,907,385 $18,588,584
SOURCES OF REVENUE
Fees $ 75,000 $ 499,100 $ 160,000 $ 210,145 $ 944,245
Medicaid - Federal 42,360 67,737 109,019 485,687 704,803
Medicaid - State 42,360 52,147 84,002 374,240 552,749
SSI 157,680 476,386 634,066
State Match 475,590 4,720,515 2,414,027 6,820,509 14,430,641
County Match 57,550 446,554 277,558 540,418 1,322,080
$ 692,860 $ 5,943,733 $ 3,044,606 $ 8,907,385 $18,588,584
BAM/slz
RESOLUTION #, 88065 March 24, 1988
24th day of March 19 88
ALLEN
County Clerk/Register of Deeds
Moved by Susan Kuhn supported by Crake the Finance Committee report
be accepted.
A sufficient majority having voted therefor, the report was accepted.
Moved by Susan Kuhn supported by Oaks the resolution be adopted.
AYES: Jensen, R. Kuhn, S. Kuhn, Lanni, McDonald, A. McPherson, R. McPherson,
Moffitt, Oaks, Price, Rewold, Skarritt, Wilcox, Bishop, Caddell, Calandro, Crake,
Hobart. (18)
NAYS: None. (0)
A sufficient majority having voted therefor, the resolution 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
the attached resolution adopted by the Board of Commissioners at their regular
meeting held on Marcb 24, 1988 .
with the oreinial 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