The URL can be used to link to this page

Home My WebLink About102714_ra01Public Hea Regular A enda 615 Sheridan Streef Port Townsend, WA 98368 www.JeffersonCountyPublicHealth.org October 21, 2014 JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST TO: Board of County Commissioners Philip Morley, County Administrator FROM: Jean Baldwin, Director Anna McEnery, Developmental Disability Coordinator DATE: October 27, 2014 SUBJECT: Jefferson County Public Health Allocation Request for Mental Health and Chemical Dependency Treatment Funding for 2015; Jefferson County Hargrove Funds; $567,126. STATEMENT OF ISSUE: Jefferson County Public Health requests Board approval of budget recommendations for fiscal year 2015; Jefferson County Hargrove Funds. January 1, 2015 — December 31, 2015; $567,126. ANALYSIS /STRATEGIC GOALS /PRO'S and CON'S: Jefferson County Mental Health / substance Abuse Advisory Committee proposes a decrease in 2014 funding levels for its Fiscal Year 2015 Budget. This is a one year allocation, rather than two, reflective of changes due to ACA. The budget recommendation reflects changes to Jefferson Metal Health schools contract; merging and redistribution of underspent funds in the four courts to streamline coordination and case management; decreases funding for administrative management expenses. FISCAL IMPACT /COST BENEFIT ANALYSIS: Request is for allocation of $567,126 of funds collected from the Hargrove Tax to fund Mental Health and Substance Abuse in fiscal year 2015. RECOMMENDATION: JCPH management requests approval of 2015 Budget recommendations; Jefferson County Hargrove Funds; January 1, 2015 — December 31, 2015; $567,126. REYIWQ B Philip Morley) my Admini tra Community Health Developmental Disabilities 360 -385 -9400 360 -385 -9401 (f) Date Always working for a safer and healthier community Environmental Health Water Quality 360 -385 -9444 (f) 360- 379 -4487 JEFFERSON COUNTY PUBLIC HEALTH Nyj� Q(J 615 Sheridan Street • Port Townsend • Washington • 98368 www.jeffersoncountypublichealth.org Date: October 21, 2014 From: Jean Baldwin & Anna Mc Enery To: BOCC Consent Agenda Re: Adoption of recommendations of the Jefferson County Mental Health /Substance Abuse Advisory Committee. The Jefferson County Mental Health /Substance Abuse Advisory Committee has put forward a budget for 2015, which proposes funding at the 2014 level, but with a reduction of an average of 8 %. Included also are other recommendations for the BOCC to discuss and adopt. Those recommendations are as follows: Report from Committee on Budget /Contracts 1. That the contract for this fund in 2015 be allocated for one year only due to the changes within the Affordable Care Act. Two year applications were submitted. 2. Jefferson Mental Health schools contract would be altered so the vendor will allocate 85% of staff hours to clinical time. The 2014 allocation decrease may change hours of treatment in the schools. This decrease may change hours of treatment in other schools. 3. Allocations to Topside, Mental Health, Family Therapeutic & Drug Courts were reviewed. The request of the Committee was to merge funding for all four Courts, in order for the Courts to redistribute underspent funds, streamline their coordination of services and case management. 4. The contractors are required to implement comprehensive County -wide services available to all citizens; without discrimination or income barriers. 5. Mental Health/ Substance Abuse County funds are the payer of last resort; agencies need to serve clients with other funds first. The County Administrator may ask for proof of billing denials in reviews or fiscal audits. 6. This fund creates a collaborative plan to supplement state funds with local funds and is building a significant service network for Jefferson County citizens. 7. There is not enough funding to fully fund prevention and treatment services throughout the County. DEVELOPMENTALDSABILITIES PUBLIC HEALTH ENVIRONMENTAL URALRESOURCES MAIN: 360-385-9400 H(. A°SvF RK.NG FOR 14 SAFER AND MAIN: 360-385-9444 FAX: 360- 385 -9401 HEALTHIER COMMUNITY FAX: 360- 385 -9401 JEFFERSON COUNTY PUBLIC HEALTH h 615 Sheridan Street •Port Townsend •Washington • 98368 www.jeffersoncountypublicheafth.org 8. Consistent funding must exist for the management of the fund: 6% yearly is required for fiscal management of the fund, and vendor billing. Additional staff time with vendors, contracts management /monitoring, committee members, meetings, and reviewing reports is estimated to be 2.5% of the fund. This 2.5% increase has not been in the fund before the 2015 budget cycle because Public Health was covering the costs. 9. Evaluation provides ongoing review of programs, services and community needs. Average costs for this has been 5 %. 10. The Hargrove advisory committee is a professional, skilled and knowledgeable working group, which provides great service to the community and to the County Commissioners. Once again this year, their work is greatly appreciated. Past and future contract goals are to provide access to programs, based on the following priorities of the Board of County Commissioners: • Treatment for individuals with co- occurring MH /CD disorders • Therapeutic court: coordinate Alcohol /Drug & Mental Health therapeutic dependency courts and juvenile court services. • Substance abuse and mental health assessment, counseling, referral in the jail • Community based treatment for families, children coping with mental illness or substance abuse in a spouse, parent, child, or themselves • Mental health treatment to students on school campuses • Early intervention to pregnant families with mental health or substance abuse in the family, and providing treatment services • Expanded Mental Health /Substance Abuse treatment for populations not served by other public funds DEEVELOPMENTALDSABILITIES r iU,BLIC HEALTH ENVIRONMENTAL NATU ALRESOURCES MAIN: 360-385-9400 4 °`' S.;w" KNG'u-'AS- HRAND MAIN: 360-385-9444 FAX: 360- 385 -9401 HEALTHIER COMMUNITY FAX: 360- 385 -9401 Mental Health / Substance Abuse (131) Budgets and % Changes, 2015 Requested/ Proposed October 21 2014 - -- — — - 2015 2015 Assessment Billing and Admin Contracts Management Admin subttl Safe Harbor - - - - -- — —— -- Jefferson Mental Health Jefferson Mental Health - Schools Requested Awarded 19,775.00 14,357.00 23,730.00 21,614.00 9,887.00 9,887.00 53,392.00 45,858.00 107,272.00 98,585.00 — - 116,548.00 88,685.00 75,313.00 59,736.00 JMH subttl 191,861.00 148,421.00 Nurse Family Partnership 34,343.00 29,170.00 Jumping Mouse Children Center 34,000.00 27,570.00 Jail Substance Abuse Treatment Nurse Topside Family The Court Mental Health Court Drug Court 36,838.00 30,328.00 17,345.00 27,800.00 39 130.00 12,866.00 5,514.00 12,866.00 25,045.00 12,866.00 Therapeutic Crt subttl 109,320.00 44,112.00 Miscellaneous Expenditures 100.00 7, ITT JMH Total' ;.. U .. TOTAL 567,126.00 424,044.00 Beginning Fund Balance 68,189 68,189 Expected Revenue 395,49 395,497 1 subttl revenues 463,686 463,686 Reserve 39,550 39,5501 Amount for Al{ocation� 424,136 424,136 - EXPENSES OVER (UNDER) AVAILABLE REV 142,990.0c 92.00 G: \131 Fund \131 Actual- Budget'll- '12-'13-'14 for 2015 Proposed-Jean