HomeMy WebLinkAboutResolutions - 2021.12.09 - 35120tOAKLANDFr _
C O U N T Y MICHIGAN
BOARD OF COMMISSIONERS
December 4, 2021
MISCELLANEOUS RESOLTITION #21-506
Sponsored By: Penny Luebs
IN RE: Executive's Office - Resolution Creating the School Mental Health Fund Initiative under The
Oakland Together Mental Health and Wellbeing School Partnerships Grant Program
Chairperson and Members of the Board:
WHEREAS the United States Treasury allocated Oakland County $244.270.949 of Local Fiscal Recovery Funds
(LFRF) established under the American Rescue Plan Act (ARPA) of 2021; and
WHEREAS under the initial guidance of the Interim Final Rule, the County may use these funds at their discretion to
support eligible investments in public health expenditures, address negative economic impacts caused by the public
health emergency; replace lost public sector revenue; provide premium pay for essential workers; and invest in
water, sewer, and broadband infrastructure; and
WHEREAS the Board of Commissioners adopted MR #21284 on June 30, 2021, authorizing targeted investments to
address immediate community needs utilizing American Rescue Act Plan Local Fiscal Recovery Funds; and
WHEREAS the County Executive Administration first targeted those acute community problems that were
exacerbated by the COVID-19 pandemic. A broad range of mental health concerns were identified by the COVID-19
Economic Recovery Task Force; and
WHEREAS MR #21284 included an assignment of $2,000,000 of American Rescue Plan Act- Local Fiscal Recovery
Funds to establish the Oakland Together Mental Health and Wellbeing School Partnerships Grant Program to
increase the availability of mental/behavioral health services in Oakland County schools; and
WHEREAS the Board of Commissioners approved the appropriation of $50,000 from the Mental Health and
Wellbeing School Partnerships Grant Program in MR# 21316 to authorize the implementation of the Youth
Assistance Grant Initiative.
WHEREAS the County Executive's Administration is recommending that the Board of Commissioners creates the School
Mental Health Fund Initiative under the Oakland Together Mental Health and Wellbeing School Partnerships Grant
Program in the amount of $1,450,000; and
WHEREAS the Initiative will be administered by the Oakland Community Health Network (OCHN). OCHN will work
directly with public, private and charter school professionals and families throughout Oakland County to increase access
to culturally diverse, social, emotional, behavioral, and mental health services and support for qualified students; and
WHEREAS the School Mental Health Fund Initiative is created to provide additional support for existing mental health
resources and services for students in schools; and
WHEREAS the School Mental Health Fund Initiative will act as a direct link to OCHN Access for public mental health
services and/or connections to private resources; and
WHEREAS OCHN will establish an outreach plan along with a separate phone number for the School Mental Health Fund
Initiative. Services provided by OCHN will require the guardian's consent; and
WHEREAS the School Mental Health Fund Initiative will pay for deductibles, co -pays and costs related to any Oakland
County student receiving treatment.
NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners authorizes creation of the School
Mental Health Fund Initiative under the Oakland Together Mental Health and Wellbeing School Partnerships Grant
Program.
BE IT FURTHER RESOLVED that the Oakland County Board of Commissioners authorizes an appropriation from the
American Rescue Plan Act — Local Fiscal Recovery Funds of $448,385.43 for staffing and further reaffirms the assignment
of $1,001,617.57 for deductibles, co -pays and costs of direct services for underinsured and uninsured students.
BE IT FURTHER RESOLVED that the Director of the Department of Health and Human Services shall act as contract
administrator for the School Mental Health Navigator Initiative and shall be authorized to enter into a contract for
services for program administration with the Oakland Community Health Network (OCHN), subject to review by the
Purchasing Division and Corporation Counsel.
BE IT FURTHER RESOLVED the Department of Health and Human Services shall present a resolution to the Public Health
and Safety Committee, by no later than January 31, 2022, for the appropriation of $1,001,617.57, further detailing the
proposed School Mental Health Fund Initiative plan.
BE IT FURTHER RESOLVED that the FY 2022 budget shall be amended as follows:
ARP LOCAL FISCAL RECOVERY FUND (#21285)
PCBU: GRANT Project: 100000003607
ARP —MENTAL HEALTH SCHOOL MENTAL HEALTH NAVIGATORS
Bud Ref: 2022
Revenue_
9010101-133095-610313 Federal Operating Grants
Total Revenue
Expenditures
1060201-133095-731598 Regranting Program
Total Expenditures
FY 2022
5448.385.43
$448,385.43
5448.385.43
Chairperson, the following Connnissioners are sponsoring the foregoing Resolution: Penny Luebs.
�2,d Date: December 09, 2021
David Woodward, Commissioner
Date: December 16, 2021
Hilarie Chambers, Deputy County Executive II
Date: December 17, 2021
Lisa Brown, County Clerk I Register of Deeds
COMMITTEE TRACKING
2021-12-09 Public Health &: Safety - recommend to Board
2021-12-09 Full Board
VOTF. T$ACKTNG
Motioned by Commissioner William Miller III seconded by Commissioner Robert Hoffman to adopt the
attached Resolution: Creating the School Mental Health Fund Initiative under The Oakland Together Mental
Health and Wellbeing School Partnerships Grant Program.
Yes- David Woodward, Michael Gingell, Michael Spisz, Karen Joliat, Kristen Nelson, Eileen Kowall.
Christine Long, Philip Weipert, Gwen Markham, Angela Powell, Thomas Kuhn, Chuck Moss, Marcia
Gershenson, William Miller III, Yolanda Smith Charles, Charles Cavell, Penny Luebs, Janet Jackson, Gary
McGillivray, Robert Hoffman, Adam Kochenderfer (21)
No: None (0)
Abstain: None (0)
Absent: (0)
The Motion Passed.
ATTACHMENTS
UPDATED School Mental Health Program Proposal 1124 21
STATE OF MICHIGAN)
COUNTY OF OAKLAND)
I, Lisa Brown, 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 December 9, 2021,
with the original record thereof now remaining in my ogee.
In Testimony Whereof, I have hereunto set my hand and affixed the seal of the Circuit Court at Pontiac.
Michigan on Thursday, December 9, 2021.
Gii'YPC�/
Lisa Brown, Oakland County Clerk/Register ofDeeds
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Background / COVID-19 Community Impact
The COVID-19 pandemic, subsequent lockdowns, and related societal shifts have resulted in increased mental health
and substance use -related crises across Oakland County, the state, and the nation. The American Rescue Plan and
Secondary School Emergency Relief Fund, authorized under the American Rescue Plan Act of 2021, provided substantial
funding ($122 billion) to schools nationwide so they can safely open and operate while meeting the academic, social,
emotional, and mental health needs of students. This is necessary as, according to Wayne State University; "the
coronavirus is exacerbating some of the biggest risk factors for child abuse and neglect: domestic violence, financial
stress, and social isolation."
• According to the Wayne State University School of Social Work Assistant Professor Kristina Nikolova, "the
closure of schools and other child -friendly public places removes children from contact with teachers, coaches,
and others who can catch initial concerns about families under stress and refer them for help. Added to the
extended amount of time children and caregivers are in constant contact with each other in a limited amount of
space and conflicts can arise."
According to the "Kids, Families and COVID 19: Pandemic Pain Points and a Roadmap for Recovery" report,
thirty-four percent (34%) of those in Michigan households with children have said they felt nervous, anxious, or
on edge for more than half of the days or nearly every day of the past seven (7) days, and twenty-two percent
(22%) reported feeling down, depressed, or hopeless.
To support students and families across Oakland County, OCHN is proposing a partnership with Oakland County that
emphasizes collaborating with local schools to connect students with complex mental health needs and their families to
culturally competent, specialized mental health services and supports within their communities.
Proposal Description
OCHN proposes a partnership with Oakland County to deploy School Mental Health Navigators ('Navigators') across the
county to work with public, private, and charter schools to increase access to culturally diverse, social, emotional, and
mental health services and supports for students. The community, including school faculty, students, and families, will
connect with Navigators and the School Mental Health Resource and Referral Specialists ('Referral Specialist') through a
designated phone line that is available to the public. School staff, including school social workers, counselors,
psychologists and other faculty will collaborate with the Navigators to link students in need of specialized mental health
supports and services to highly trained service providers. The Resource Specialist will support the Navigator by
developing and maintaining a directory of resources and serving as an alternative point of contact for school staff,
students, and families.
The School Mental Health Navigator model will serve as the 'safety net' for students whose mental health needs require
specialized interventions beyond what schools can provide. The coordination of these supports and services by the
School Mental Health Navigator will further the overarching goal of creating a strong foundation for students' academic
success.
Kev Functions of School Mental Health Navigators:
• Receives referrals from school social workers, counselors, psychologists, other faculty, students, families, and
other community members to provide information, resources, and referrals;
• Engages referred student and/or student's natural supports as needed;
• Conducts brief screening;
• Refers to appropriate supports and services:
o Crisis services;
o In -school supports;
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• Evaluates eligibility for OCHN public mental health services;
o Links student and/or student's natural supports to OCHN Access & Eligibility Team;
• Provides other resources;
• Conducts follow-up to ensure successful and timely access to supports, services, and/or resources;
• Evaluates overall efficacy of School Mental Health Program services and engages in continuous quality
improvement activities (CQI).
Kev Functions of School Mental Health Resource and Referral Specialist:
• Serves as an additional point of contract for School Mental Health Program;
o Assists Navigator in triaging referrals;
• Provides support to Navigator:
o Provides resources and referrals to Navigator, school personnel, and families;
o Compiles and maintains a current database of available resources;
o Coordinates communication between schools, families, OCHN, and providers;
• Assists Navigator in compiling and tracking data for program monitoring and CQI activities.
Proposed Clinical Pathwav for School Mental Health Program:
1. Referral made to OCHN School Mental Health Referral Specialist and/or Navigator ('Navigator')
2. Navigator completes screening and identifies presenting challenge(s) and, when indicated, takes one or more of
the following steps:
o Refer to crisis services, if indicated and notify student's emergency contacts:
• Evaluates severity of crisis with student and other available supports;
• Determines necessary interventions to resolve the crisis which may include:
➢ Brief counseling support provided by Navigator;
➢ Crisis planning in coordination with school supports, other professional supports, and/or
natural supports;
7 Linking to already -established services;
➢ Referral to outpatient services and other supports;
➢ Referral to emergency department;
➢ Coordination of crisis stabilization services provided at crisis stabilization unit or by
community -based crisis intervention team;
➢ Post -acute crisis follow-up to re -screen and determine if additional supports and
services are indicated.
o Connect students to in -school mental health services in coordination with appropriate school supports
(e.g., school social worker, school counselor, other school -based supports identified in the Individualized
Education Program (IEP);
When the student's needs indicate ongoing and intensive in -school supports may be needed,
the Navigator explores available supports and services with Oakland Schools' Director of Student
Services — Special Populations, and coordinates referral to Student Services with local school
district faculty, student, and family.
o Provide student and family with referral to community-based/private sector service provider;
coordinates care with in -school supports and identified service provider(s) as needed;
This may include referral and linkage to:
➢ Outpatient providers;
➢ Michigan School of Psychology (outpatient services, psychological testing, assessment,
Applied Behavioral Analysis);
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v Other medical services as appropriate (e.g., pediatric care, neurology).
Evaluate potential eligibility for OCHN-funded Medicaid services and, if student/family appear to be
eligible for Medicaid -funded services, links student and family to OCHN Access Information & Referral
Specialist to coordinate an OCHN Access Eligibility Screening; provide information regarding CMH
services for which the youth may be eligible:
If a student/family has private/commercial insurance and student may be eligible for Serious
Emotional Disturbances Waiver (SEDW) or Children's Waiver Program (CWP), Navigator links
student and family to OCHN Access Information & Referral Specialist to coordinate eligibility
screening for SEDW or CWP and provides information about waiver eligibility and services;
If student/family has limited ability to pay, Referral Specialist and/or Navigator coordinates with
family and provider to access grant funding to assist with treatment/service-related costs
including co -pay and deductible payments.
3. Upon completing referrals and linking student and/or family to supports and services, Navigator schedules
follow-up appointment to ensure timely access to supports and services and to determine if additional referrals,
linking, and/or care coordination are necessary.
Goals
Increase awareness of and access to culturally diverse mental health services and supports for school -aged
youth by deploying the School Mental Health Navigator(s) throughout the county:
a. Fund and staff the School Mental Health Navigator position(s) and School Mental Health Resource
Specialist ('Resource Specialist') position(s); staff occupying these roles will also understand cultural
diversity, have strong communication, problem solving and conflict resolution skills as well as strong
knowledge of Oakland County resources;
b. Establish an internal reporting structure to provide supervision and managerial support to the
Navigator(s) and other staff hired and assigned to this project;
c. Identify other current OCHN staff who can contribute to the development of the project plan and
provide ongoing support to the Navigator(s) and Resource Specialist(s).
2. Establish a workgroup that includes the relevant stakeholders including Oakland schools and OCHN providers to
identify available services and opportunities for enhancements or additional supports and services as needs are
identified and further disseminate existing services.
Measures
• Successful hiring of staff to fulfill Navigator and Resource Specialist roles;
• Establish effective partnerships with key staff at Oakland Schools/Intermediate School District (ISD) and
schools across the county;
• Assessment of available resources within the ISD and schools in Oakland County;
• Assessment of available resources in the community and the OCHN system;
• Identifying Key Performance Indicators and establishing procedures for monitoring and using data for
process improvement;
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• Development of sustainablllty plan.
Implementation
The OCHN School Mental Health Navigator position is foundational in creating a safety net for at -risk students
across Oakland County and their families. As such, it is recommended that identifying and hiring the staff
person(s) be prioritized. Additionally, it will be necessary to identify other staffing resources that are needed to
support the individual(s) working in the Navigator and Resource Specialist roles. Proposed phased
implementation plan:
• Phase 1: within 30 days of funding notification:
• Develop job descriptions for the Navigator and Resource Specialist, and additional positions necessary; hire
for these positions;
• Establish lines of reporting for all staff;
• Identify key partnerships within OCHN to support this program:
o Access Team
o Clinical Best Practice Team
o Training Team
o Provider Network Team
o Communications and Community Outreach
o Customer Services
o Justice Initiatives Team
• Identify and begin development of key partnerships required for subsequent phases of implementation:
o Oakland Schools/Intermediate School District
• Student Services Division
o Easterseals School Mental Health Services
• Co -located in 11 schools in 7 districts within Oakland County
o Michigan School of Psychology Clinic
26811 Orchard Lake Rd.
Farmington Hills, MI 48334
• Psychotherapy (individual, family, couple, group)
• Psychological testing and assessment
s Low-cost/sliding scale based on individual need
• Applied Behavioral Analysis
Some insurance plans accepted
o OCHN Contracted Providers:
MORC
15600 Nineteen Mile Rd.
Clinton Twp, MI 48038
Community Living Services, Inc.
24200 Woodward Ave.
Pleasant Ridge, MI 48069
Easterseals Michigan
E. 2399 Walton Blvd.
Auburn Hills, MI 48326
Oakland Family Services
114 Orchard Lake Rd.
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Oakland Schools/Oakland Intermediate School District
Wraparound Program
2805 Pontiac Lake Rd.
Waterford, MI 48328
Develop processes and procedures for billing ARP funds for costs of services and distributing payments to
providers
Phase 2: One to three months after the hire of the position(s):
o Deploy Navigator(s) and Resource Specialist(s):
® Identify specific key persons from the OCHN, Oakland Schools/Intermediate School District
('ISD'), local schools, and OCHN Contracted Providers and begin linking to specialty supports and
services
• Assess currently available services:
Collaborate with schools, ISD, community stakeholders, and providers to assess
availability of community -based supports and services
Navigator and Resource Specialist(s) identify:
• Underserved populations
• Underserved geographic regions
• Gaps in services
• Establish protocols and procedures
• Phase 3: Three months through end of funded time frame:
o Develop directory of available mental health resources
o Report barriers and refine protocols and procedures
Develop work plan to increase access to mental health services for underserved populations and
underserved geographic regions
• Phase 4: Six months through end of funded time frame:
o Continue implementation of work plan to reduce gaps in service accessibility
o Maintain and make publicly available directory of available mental health resources
o Evaluate program effectiveness
o Develop and implement sustainability plan for schools to continue practices and collaborations when
American Rescue Plan funding is no longer available
Support Requested
• Identify Oakland Schools/ISD leadership to establish an understanding of the available funding and how funds
will be accessed to support the Navigator position, additional staffing resources, and other resources (e.g.,
training and related materials);
• Partner with key staff at the Oakland Schools/ISD who will work with OCHN staff assigned to this project to
further establish the scope of the project and collaborate in strategic planning efforts;
• Support from Human Resources to develop job description(s) and hire Navigator(s) and Resource Specialist(s);
• Evaluate current staffing resources:
o Establish a reporting structure for staff hired and assigned to this project;
Identify other current OCHN staff who can contribute to the development of the project plan and
provide ongoing support to the program;
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increase awareness of the Navigator(s) and Referral Specialists.
Cost analysis
Description yearly Costs
School Mental Health (Per Navigator)
Navigator(s)
Salary ($59,275.72)
Fringe Benefits ($24,895.89)
*Recommend 4 Navigators
Responsibilities
• Coordinates with key staff from Oakland County, ISD,
schools, and mental health service providers to
support students and families in accessing needed
mental health services
• Establishes a robust and diverse database of
available resources within school district and
community at large including private sector mental
health services and CMH services
• Act as liaison between schools and OCHN
providers/private sector providers
• Possesses a strong understanding of and ability to
support diversity, equity and inclusion
School Mental Health Salary ($49,955.41) • Provides support to Navigator:
Resource and Referral Fringe Benefits ($20,981.27) o Provides resources and referrals to Navigator,
Specialist school personnel, and families
*Recommend 1 Resource o Compiles and maintains a current database of
Specialist available resources
o Coordinates communication between schools,
families, OCHN, and providers
Administration and Overhead All other administrative costs • Staff supervision and support
— limited to 10% • Supplies
($40,762.31) • Billing specialist
• IT support
Treatment/Service-Related Payments to service providers • Funds to cover direct services including copays,
Costs ($1,051,614.57) deductible payments, and services for the un/under-
insured
Total $407,623.12 (OCHN staff) +
$40,762.31 (administration)
_ $448,385.43 +
$$1,001,614.57 (remaining
budget to fund direct
services)
_ $1,450,00,00
• Staffing costs include 4 Navigators and 1 Resource
Specialist
Next Steps
• Connect with Oakland County to develop understanding of available funding and other resources
• Identify key stakeholders who may contribute to project planning
• Begin project planning
7 1