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HomeMy WebLinkAboutResolutions - 1987.10.22 - 18088September 17, 1987 Miscellaneous Resolution No. 87239 BY: HEALTH AND HUMAN SERVICES COMMITTEE, Susan G. Kuhn, Chairperson RE:: COMMUNITY MENTAL HEALTH - TRANSFER OF CHILDREN'S RESIDENTIAL TREATMENT PROGRAM TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS: Mr. Chairperson, Ladies and Gentlemen: 'WHEREAS the Oakland County Community Mental Health Services Board continually seeks to broaden the continuum of services available for mentally ill children and all residents of the County, and to unify and coordinate all public mental health care for Oakland citizens; and WHEREAS in accordance with this principle, Community Mental Health has developed a proposal to transfer complete administrative and clinical responsibility and all associated funding for the Oakland County portion of the Community Placement Program of Fairlawn Center, including all community foster care and residential treatment facility beds currently funded by Fairlawn Center; and WHEREAS placement and continued case management of children in these beds would be the responsibility of the Community Mental Health Child and Adolescent •6_ Clinics, which would utilize these contracted homes and facilities as alternatives to hospitalization, or as part of the post-hospitalization service plan for youngsters; and - WHEREAS the Community Mental Health proposal calls for transfer of responsibility and funding of 84 beds in child caring institutions and 6 foster care beds, along with funding for six case management positions and five support staff to oversee the program, plus necessary medical and other support services for the children placed through the program; and WHEREAS total annual cost of the program would be $3,996,653, requiring County matching funds amounting to $66,933, and transfer of the program from Fairlawn Center would result in a net annual savings for the County of $236,571 under the provisions of Michigan P.A. 423 of 1980: NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners endorse the proposed transfer of the Oakland portion of the , . Community Placement Program of —Czirlawn Center to the Community Mental Health Division.; with-all asSOCiated --funding and 11 FTE staff positions to be added tb Community Mental Health to oversee thepro.gram. Mr. Chairperson, on behalf of the 'Health and Human Servies'4Committee, move the adoption of the forego rig resolution, HEALTH AND HUMAN SERVICES COMMITTEE Y APPROVE THE ECEIEGCNNG RESOLUTION - ,/ , MurpW Couhiy Exec4e- REPORT TO THE HEALTH AND HUMAN SERVICES COMMITTEE, PERSONNEL COMMITTL,E BY: FINANCE COMMITTEE, DR. G. WILLIAM CADDELL, CHAIRPERSON IN RE: COMMUNITY MENTAL HENLTH - TRANSFER OF CHILDREN'S RESIDENTIAL TREATMENT PROGRAM APPLICATION In accordance with Miscellaneous Resolution #86186, revised Federal and State grant application and reimbursement contract procedures, the Finance Committee has reviewed the proposed transfer of children's residential treatment program and finds: 1) This program would transfer complete administrative and clinical responsibility and all associated funding for the Oakland County portion of the Community Placement Program of Fairlawn Center r, which wuuld result in a net annual savings for the County of $236,531. Total annual costs of the program are estimated to be 83,996,653 requiring County matching funds in the amount of $66,933. 3) Included in the costs is $316,128 for additional personnel to oversee the program. 4) Transfer of the program is targeted far Oanuary 1, 1988. 5) Application or acceptance of the funds does not obligate the County to any future commitment. Mr. Chairperson, on behalf of the Finance Committee, 2 move the acceptance of the foregoing rep.irt. $3,034,643 x .10 - 303,464 - (66,933)-- • Financial Analysis Children's Residential Treatment Transfer Program Application Full Year Cost Residential (90 beds) $3,301,725 Medical and Clothing 126,000 Psychiatric Consultation 64,800 Psychological Consultation 28,800 Occupational and Physical Therapy 72,000 Salaries and Fringes 316,128 Operating 71,100 Furniture 16,100 Total Cost $3,996,653 *Sources of Funding State Match - 100% $3,034,643 State Match - 90% 602,399 County Match - 10% 66,933 Fees 200,000 Medicaid - Federal Share 92,678 Total Revenue $3,996,653 * Calculations for State and County Revenue Portions: State Match - 100% Residential Cost $3,301,725 Less; Fees for Residential (200,000) Less: Medicaid Reimbursement for Residential (67,082) State Match - 100% $3,034,643 State Match - 90% Total Cost of Program $3,996,653 Less: Residential Cost (3,301,725) Less: Medicaid Reimbursement for Ancillary Costs (25,596) Subtotal $ 669,332 .90 State Match - 90% $ 6027399 County Match - 10% Total Cost of Program $3,996,653 Less: Residential Cost (3,301,725) -less: Medicaid Reimbursement for Ancillary Costs - (25,596) Subtotal $ 669,332 .10 State Match - 10% $ 66,933 Calculation for net annual savings for County: State Residential Costs County's share under current program- Less :County's share under proposed transfer Net annual savings Prepared by:,: Budge-t.Division August -16, 1987 #87239 October 22, 1987 Moved by Susan Kuhn supported by Crake the Personnel Committee Report, Health and Human Services Committee Report and the Finance Committe Report be accepted. A sufficient majority having voted therefor, the reports were accepted. Moved by Susan Kuhn supported by Crake the resolution be adopted. AYES: McDonald, Moffitt, Page, Price, Rewold, Rowland, Skarritt, Wilcox, Caddell, Crake, Gosling, Hobart, Richard Kuhn, Susan Kuhn, Lanni, Law, Luxon. (17) NAYS: Angus McPherson, Ruel McPherson, Aaron, Calandro, Doyon, McConnell. (6) 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 this Miscellaneous Resolution adopted by the Oakland County Board of Commissioners at their meeting held on October 22, 1987 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 22nd day o Ail' Octsb- litiaj111111111111111111. I. ALLEN 1987 Counfry Clerk/Register of Deeds this