HomeMy WebLinkAboutResolutions - 1993.08.26 - 21999MISCELLANEOUS RESOLUTION #93159 August 26, 1993
BY: GENERAL GOVERNMENT COMMITTEE, DONALD W. JENSEN, CHAIRPERSON
IN RE: DEPARTMENT OF INSTITUTIONAL AND HUMAN sERvicEs/commuNITy
MENTAL HEALTH - 1992/1993 PROGRAM ENHANCEMENTS
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS
Chairperson, Ladies and Gentlemen:
WHEREAS at the request of the Michigan Department of Mental
Health (MDMH), the Community Mental Health Board applied to MDMH
for thirteen (13) specific program enhancements, as detailed on
Attachment A, for the 1992/1993 contract year; and
WHEREAS the MDMH has awarded the Oakland County Community
Mental Health Board full funding for two (2) requests, Geriatric
Mental Health Services expansion and a new Shared Parenting
Program, and partial funding for two (2) more programs, a new
Residential Alternatives Program for persons with developmental
disabilities, and expansion of services of the El Centro Program as
described in Attachment A; and
WHEREAS the Community Mental Health Board has approved of this
program expansion; and
WHEREAS the annual state allocation for these program
enhancements, in the amount of $399,308, will be added to the full
management contract base; and
WHEREAS funding for the County match is in the 1993 Community
Mental Health budget, no additional appropriation is required.
NOW THEREFORE BE IT RESOLVED that the Oakland County Board of
Commissioners approves of the program enhancement funding offered
by the Michigan Department of Mental Health and approved by the
Oakland County Community Mental Health Board.
Chairperson, on behalf of the General Government Committee, I
move adoption of the foregoing resolution.
GENERAL GOVERNMENT COMMITTEE
Program Proposed Persons Served Annual Cost
5
2
100 families
FOJDED
$217,900:
State $183,746
County 20,416
Reimb. 13,738
Attachment A
FY 1992-93 PROGRAM REVISION REQUESTS
RESIDENTIAL SERVICES FOR COMMUNITY-BASED DD CLIENTS
Residential alternatives to address the
current DD waiting list. Proposal is
to provide a range of supports which
will allow clients to live in homes and
apartments they can afford from their
SSI income. Funding would be provided
to clients in a voucher system so they
can choose what supports they need.
(Note: DMH has given a very low priori-
ty to expansion of group homes.)
These funds would also be used to de-
velop placements for DD adolescents who
are "ageing-out" (turning 18 or 19) in
DSS-funded foster care homes.
Program Would be contracted-out and
require 2 professional and 1 clerical
staff; plus 1/2 account elerk for CMH
Services for the Developmentally Dis-
abled.
Match to capture additional Federal
Medicaid CSLA (Community Supported
Living Arrangements) waiver funding, to
serve five more clients in this new,
innovative program.
30 $604,000:
pvf\JVI) Pc1-
20), Soo
ONLY
boo 1--
4767 go)
$126,710:
State $55,955
County -0-
Reimb. 70,755
State
County
Reimh.
PERSONS WITH CRITICAL NEEDS (MI Adults, Children, DD)
FOR MENTALLY ILL ADULTS:
African-American Family Center (resub-
mission of earlier PRR): an ethnic-
sensitive outpatient clinic for Pontiac
operated by the North Oakland Medical
Center CMH Clinic, in cooperation with
Pontiac Child and Adolescent Clinic.
Staffing: 3 clinicians, 1 clerical plus
contractual psychiatric time.
44 families
fuNDE-D AT
13o/ooa oNLy
$ 59,913:
State
County 4,657
Reimb. 13,340
520 screened;
275 for treat-
ment
NoT
f-MPEP
State $94,860
County 10,540
Reimb. -0-
$105,400:
50 (assuming
no turnover of
cases in first
year)
NOT-
rVrnJ DED
$5 0 7,500:
State $357,243
County 39,694
Reimb. 110,563
50 clients per
team = 100
total (assumes
no turnover of
cases in first
year)
$646,000 per
team'=
$1,292,000:
State $936,648
County 104,072
Reimb. 251,280
Pvi\JDE-D
111 $ 59,913:
PIPPYVE.1) State $50,592
County 5,621
Reimb. 3,700
'Oae additional mental health clinician
for El Centro 'La Familia' to work with
children and families, to avoid unneces-
sary institutionalizations and help
maintain family units.
Enhancement of the CMH clinical team in
the Oakland County Jail, which is cur-
rently severely understaffed. Proposal
is to add one mental health clinician,
one typist and 8 hours contractual psy-
chiatrist time
A replication of the Assertive Commu-
nity Treatment (A.C.T.) Program, for
south Oakland County, to provide more
intensive case management to consumers
who are high users of psychiatric hos-
pitalization. Program could be con-
tracted-out, or operated within Central
Case Management. Staffing: 1 casework
supervisor, 1 psychiatric nurse, 4 case
managers, 2 clerical staff, 1 account
clerk and 10 hours contractual psychi-
atric time (client ratio of 1:10)
Two A.C.T. teams (one for north and one
for south Oakland) specifically focus-
ing on intensive support and counseling
for persons with serious mental illness
who are also substance abusers, who
have had multiple psychiatric hospitali-
zations in which substance abuse was a
factor. Programs could be contracted-
out, or operated within Central Case
Management agencies. Staffing for each
team includes 1 casework supervisor,
1 certified substance abuse counselor,
2 psychiatric nurses, 5 case managers,
2 clerical staff, 1 account clerk and
10 hours contractual psychiatric time
(client ratio of 1:6)
One additional mental health clinician
for Geriatric Mental Health Service, to
improve services to nursing homes and
prevent unnecessary psychiatric hospi-
talizations.
$189,000:
State $118,465
County 13,163
Reimb. 57,372
$312,800:
State $204,120
County 22,680
Reimb. 86,000
$397,665*:
State $236,782
County 26,309
Reimb. 134,574
30 families
NOT
fur\JDED
50
NOT
FUNDE-D
100
NoT
F--uNDD
25 $ 12,600 (rent
.subsidy for 5
SIP apartments
only):
State
County
Reimb.
$12,600
-0-
-0-
FOR EMOTIONALLY IMPAIRED CHILDREN:
Family-Centered / Home-Based Services:
a restoration of the In-Home Family
Treatment program which was a victim of
budget cuts several years ago, based on
new DMH guidelines. The program pro-
vides in-home treatment, training and
support to multi-need families in an
effort to prevent the need for out-of-
home placements. Program could be
contracted-out, or operated within one
of the Child and Adolescent Clinics.
Staffing: 3 mental health clinicians,
one clerical staff (would require a
supervisor and psychiatric time in
addition, if program is contracted).
An Assertive Community Treatment (ACT)
program to provide intensive support,
including in-home treatment, for ado-
lescents who have a history of multiple
placements in juvenile justice facili-
ties or psychiatric hospitals. This
program could be contracted-out, or
operated within a Child & Adolescent
Clinic. Staffing would be 1 casework
supervisor, 1 psychiatric nurse, 2
mental health clinicians, 1 clerical
plus 10 hours contractual psychiatric
time (,client ratio 1:7).
A "Bridge" program for adolescents aged
16-18 who are in the process of ageing-
out (turning 18/19) in DSS-funded fos-
ter care placements, training schools,
Children's Village, etc. Mentoring
will assist in preparing them for
independent living as adults, find
room-and-board situations for these
individuals and provide ongoing train-
ing and support in the transition to
community living. Service would be
contracted-out, including 1 casework
supervisor, 3 clinical staff, 0.5
psychiatrist and clerical support.
The second phase of this PRR is to
provide a combination of SIP apart-
ments, Adult Foster Care beds and
room-and-board placements for 25
adolescents in DSS residential place-
ments who are ageing-out within the
next year and will need an appropriate
place to live in their transition to
fully independent living in the com-
munity. These clients would also be
supported by the Bridge Program.
*corrected
figure
12
APPRovED
$117,000:
State $105,300
County 11,700
Reimb. -0-
20-25 families $200,700:
NOT State $159,522
County 17,725 fUNTYE-D Reimb. 23,453
tEVELOPMENTALLY DISABLED CITIZENS:
Funds to retain -- and expand -- the
Shared Parenting program currently run
by The ARC of Oakland County, when the
program's Skillman Foundation grant
runs out this year. This program
trains and pays surrogate parents to
provide temporary respite care to
natural families.
Resurrection of the highly successful
Parent Trainer program which was a vic-
tim of budget cuts in 1990. The pro-
gram supports parents with DD children
living at home, to maintain the family
unit. Staffing: 1 mental health clini-
cian, 1/2 account clerk, 1 clerical
staff and contract psychiatric time
(Board-operated). Budget also includes
the cost of contracted parent trainers.
TOTAL: $4,203,101:
State $3,074,349
County 333,977
Reimb. 794,775
FISCAL NOTE (Misc. 93159) August 26, 1993
BY: FINANCE COMMITTEE, JOHN P. McCULLOCH, CHAIRPERSON
IN RE: DEPARTMENT OF INSTITUTIONAL AND HUMAN SERvicES/COMMUtliTy
MENTAL HEALTH - 1992/1993 PROGRAM ENHANCEMENT _
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS
Chairperson, Ladies and Gentlemen:
Pursuant to Rule XI-G of this Board, the Finance Committee has
reviewed Miscellaneous Resolution #93159 and finds:
1. The Oakland County Community Mental Health Board applied
to the Michigan Department of Mental Health (MDMH) for
thirteen (13) specific program enhancements for the
1992/1993 contract year.
2. Total amount of the expansion request equals $4,203,101,
of which $3,074,349 is state funding, $794,775 is other
reimbursements and $333,977 is County match.
3. MDMH has awarded funding to Oakland County Community
Mental Health Board in the annual amount of $460,715, of
which $399,308 is state funding, $17,040 is other
reimbursements and $44,367 is County match.
4. Anticipated expenditures for the balance of calendar year
1993 equals $152,036, of which $131,772 is state funding,
$5,623 is other reimbursement and $14,641 is County
match.
5. The annual state allocation of $399,308 will be added to
the full management contract base of $82,492,131,
rendering a new base of $82,891,439.
6. Funding for the 1993 County match is in the 1993
Community Mental Health budget, no additional
appropriation is required.
FINANCE COMMITTEE
Oakland County Community Mental Health
1992/1993 Program Expansion
Program
Annual . Balance 1993
State Other. County Total State Other County Total
Residential Services . .
for DD Clients $201,500 $0 $22,389 $223,889 $66,495 $0 $7,388 $73,883
El Centro Expansion 41,916 13,340 4,657 59,913 13,832 4,402 1,537 19,771
0
Geriatric Services 50,592 3,700 5,621 59,913 16,695 1,221 1,855 19,771
Shared Parenting 105,300 0 11,700 117,000 34,749 0 3,861 38,610
Total $399,308 $17,040 $44,367 $460,715 $131,772 $5,623 $14,641 $152,036
Prepared by:
Budget Division/TS 03-Aug-93
Misc. 93159
August 26, 1993
Moved by Jensen supported by Taub the resolution be adopted.
Moved by Taub supported by Jensen the resolution be amended by adding a
final BE IT FURTHER RESOLVED paragraph to read:
"BE IT FURTHER RESOLVED that the future level of county funding for any
of these programs is contingent upon the level of State funding provided for
these programs."
A sufficient majority having voted therefor, the amendment carried.
Moved by Jensen supported by Taub the Fiscal Note be amended to
coincide with the Resolution.
A sufficient majority having voted therefor, the amendment carried.
Vote on resolution as amended:
AYES: Huntoon, Jensen, Johnson, Kaozmar, Kingzett, Law, McCulloch,
McPherson, Miltner, Moffitt, Obrecht, Palmer, Pernick, Powers, Schmid, Taub,
Wolf, Crake, Dingeldey, Douglas, Garfield, Gosling. (22)
NAYS: None. (0)
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, do hereby certify that the
foregoing resolution is a true and accurate copy of a resolution adopted by the
Oakland County Board of Commissioners on August 26th., 1993 with the original
record thereof now remaining in my office.
In Testimony Whereof, I have hereunto set my hand and affixed the seal of the
County of Oakland at Pontiac, Michigan this 26th. day of August 1993.
Lyi U. Allen, County Clerk