HomeMy WebLinkAbout2022-23 Human Services Plan2022/2023 Franklin County Human Services Plan
Appendix A
Fiscal Year 2022-2023
COUNTY HUMAN SERVICES PLAN
ASSURANCE OF COMPLIANCE
A. The County assures that services will be managed and delivered in accordance with the
County Human Services Plan submitted herewith.
B. The County assures, in compliance with Act 153 of 2016, that the County Human Services
Plan submitted herewith has been developed based upon the County officials'
determination of County need, formulated after an opportunity for public comment in the
County.
C. The County assures that it and its providers will maintain the eligibility records and other
records necessary to support the expenditure reports submitted to the Department of
Human Services.
D. The County hereby expressly, and as a condition precedent to the receipt of state and
federal funds, assures that in compliance with Title VI of the Civil Rights Act of 1964;
Section 504 of the Federal Rehabilitation Act of 1973; the Age Discrimination Act of 1975;
and the Pennsylvania Human Relations Act of 1955, as amended; and 16 PA Code,
Chapter 49 (relating to contract compliance):
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1. The County does not and will not discriminate against any person because of race,
color, religious creed, ancestry, origin, age, sex, gender identity, sexual orientation,
or disability in providing services or employment; or in its relationship with other
providers; or in providing access to services and employment for individuals with
disabilities.
2. The County will comply with all regulations promulgated to enforce the statutory
provisions against discrimination.
COUNTY COMMISSIONERS/COUNTY EXECUTIVE
Signature(s) Please Print Name(s)
David S. Keller, Chairman Date: 8/17/2022
T. Flanne , Vice-Chair Date: 8/17/2022
Robert G. Ziobrowski, Secretary Date: 8/17/2022
2022/2023 Franklin County Human Services Plan
Appendix B
County Human Services Plan Template
The County Human Services Plan (Plan) is to be submitted using the template outlined below. It is to be
submitted in conjunction with Appendices A and C (C-1 or C-2, as applicable) to the Department of
Human Services (OHS) as instructed in the Bulletin 2021-01.
PART I: COUNTY PLANNING PROCESS (Limit of 3 pages)
Describe the county planning and leadership team and the process utilized to develop the Plan for the
expenditure of human services funds by answering each question below.
1. Please identify the critical stakeholder groups, including individuals and their families, consumer
groups, providers of human services, and partners from other systems involved in the county's
human services system.
Planning team members include human services providers and stakeholders as well as
participants and advocate family members. In addition, the team includes staff support from each
of the departments included in the block grant. Appendix D includes a comprehensive list of the
members of the planning team and their affiliations.
The leadership team is comprised of key fiscal and human services administration staff and
includes: the Human Services Administrator, Fiscal Specialist, Human Services Fiscal Manager,
MH/IDD/EI Administrator, Drug & Alcohol Administrator, Human and Health Services Planning and
Development Director, County Grants Management Director, Veterans Affairs Director, and the
Director of the Area Agency on Aging.
2. Please describe how these stakeholders were provided with an opportunity for participation in the
planning process, including information on outreach and engagement efforts.
We have a small but active Planning Team that deliberates on the larger Block Grant Plan,
monitors implementation, and recommends adjustments throughout the year. In addition to
participating in the Human Services Block Grant (HSBG) meetings, program participants and their
families are often asked for their input through surveys, evaluations, and informal feedback; this
feedback informs the operation of Block Grant funded programs. Block Grant hearings are
advertised in the newspaper, on the County website, and the County's Facebook page to
elicit stakeholder feedback.
3. Please list the advisory boards that participated in the planning process.
• The Franklin/Fulton Drug & Alcohol Advisory Board holds recurring meetings throughout the
fiscal year rotating between Franklin and Fulton County. The Advisory Board provides input
into the Block Grant plan, is informed of the Block Grant impact, and is made aware of
Drug/Alcohol requests for funding, projects, or service enhancements. The voting members of
the Advisory Board include the following sector representation: Criminal Justice;
Business/Industry; Labor; Education; Medicine; Psycho-Social; Student; Elderly; Client and
Community. Sector representation is also evenly split among genders and counties of
residence.
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2022/2023 Franklin County Human Services Plan
• The Franklin County Local Housing Options Team now known as A Way HOME (Housing and
Opportunities Meant for Everyone) consists of individuals who meet regularly on issues around
housing and homelessness. Representatives from the Franklin County Housing Authority, the
County emergency shelters, and the Homeless Assistance Program (HAP) attend regularly. In
addition to these individuals, there is an array of representatives that serve on the A Way
HOME group that also include Rapid Rehousing programs, Homeless Prevention programs,
Permanent Supportive Housing programs, the Domestic Violence Shelter, Veterans Housing
Program, Legal Services, Connect to Home staff, the Self-Determination Housing Project of
Pennsylvania, Inc. (SDHP), a Federally Qualified Health Center (FQHC), two Boroughs,
several religious organizations and Franklin County Grants Management. The group also
receives updates on Block Grant plans and funding requests and provides input, as
appropriate. During the past year, several virtual meetings have been held to keep landlords
up to date on housing programs and various items related to COVID 19 including moratoriums
and funding programs. Landlords have become more actively involved with the A Way
HOME group and it is the desire of the group to continue to offer opportunities and
information that will keep our local landlords interested and involved.
• The Franklin/Fulton County Mental Health/Intellectual and Developmental
Disabilities/Early Intervention (MH/IDD/EI) Advisory Board meets bi-monthly, with 13
members, including one Commissioner from Fulton County and one from Franklin County.
The committee requires representation from each county: four members from Fulton County
and nine members from Franklin County. At least two representatives appointed to the
Board are physicians (preferably, a psychiatrist and a pediatrician). Four individuals are
program participants or family members, of which half represent Intellectual and
Developmental Disabilities/Early Intervention. Additional representation comes from the
following areas of expertise: psychology, social work, nursing, education, religion, local
health and welfare planning organizations, local hospitals, businesses and other interested
community groups. The MH/IDD/EI Administrator provides HSBG updates as applicable
during the Board meetings. They have impact on decisions related to MH/IDD/EI funding,
which indirectly can impact the Human Services Block Grant.
4. Please describe how the county intends to use funds to provide services to its residents in the
least restrictive setting appropriate to their needs. The response must specifically address
providing services in the least restrictive setting.
• Franklin/Fulton Drug and Alcohol provides prevention/intervention, treatment, and
recovery services in the environment most appropriate for the individual receiving the
services. Prevention services are delivered to youth in a school-based or after-school-
based environment suited to their age and the selected evidence-based program.
Intervention services are provided to individuals that meet program/service eligibility
and occur through various contracted service providers. Treatment services are
delivered to individuals based on the state's use of the American Society of Addiction
Medicine (ASAM) criteria, the appropriate level of care indicated, and the utilization of
risk assessments. Services are delivered in the least restrictive manner appropriate for
the individual. The highest levels of care (withdrawal management and residential)
include 24/7 monitoring and supervision as treatment services are delivered within the
provider setting. Less restrictive levels of care (halfway housing, partial hospitalization,
intensive outpatient, outpatient, and early intervention) services are provided by the
provider of their choice in a community-based setting. Recovery support/housing
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services are offered to individuals based on their recovery needs, varying from
ancillary treatment needs to direct treatment care in a community-based setting. The
department assists individuals in discovering what recovery supports and services are
the best fit for their current stage.
• Franklin/Fulton Mental Health/Intellectual and Developmental Disabilities follows the
principle of providing the least restrictive services and promotes the offering of individualized
services which will best meet the participant's needs rather than putting an individual in a
program that will not elicit best outcomes for that person. Assessed need for services and
supports in the Intellectual and Developmental Disabilities Program is determined by a SIS
(Supports Intensity Scale) which is mandated by the Office of Developmental Programs.
People with IDD and their families are part of this process. Assessed need in the Intellectual
and Developmental Disabilities program is determined using the SIS as directed by the
Office of Developmental Programs.
5. Please describe any substantial programmatic and funding changes being made as a result of last
year's outcomes.
No substantial changes are planned; new programs may be added as part of the
reallocation process in 2022-2023.
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2022/2023 Franklin County Human Services Plan
PART II: PUBLIC HEARING NOTICE
Two (2) public hearings are required for counties participating in the Human Services Block Grant. One
(1) public hearing is needed for non-block grant counties.
1. Proof of publication;
a. Please attach a copy of the actual newspaper advertisement(s) for the public hearing(s). See
Appendix E
b. When was the ad published? 7/18/2022
c. When was the second ad published (if applicable)? NIA -Both Public Hearings were
advertised in the 7 /18/2022 ad.
2. Please submit a summary and/or sign-in sheet of each public hearing.
NOTE: The public hearing notice for counties participating in local collaborative arrangements (LCA)
should be made known to residents of all counties. Please ensure that the notice is publicized in each
county participating in the LCA.
Public Hearings were advertised in the Public Opinion Newspaper, on the Franklin County website, and on
the Franklin County Facebook page.
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See Appendix E
PART Ill: CROSS-COLLABORATION OF SERVICES
For each of the following, please explain how the county works collaboratively across the human services
programs; how the county intends to leverage funds to link residents to existing opportunities and/or to
generate new opportunities; and provide any updates to the county's collaborative efforts and any new
efforts planned for the coming year. (Limit of 4 pages)
Employment:
• Franklin/Fulton Transition Councils collaborate with the Office of Vocational Rehabilitation (OVR) in
identifying individuals who will benefit from Pre-employment Transition Services, Paid Work
Experiences and Job Shadowing within the school districts as well as students who need to connect
with adult services. The Franklin/Fulton IDD Program participates in the Transition Council, which
includes representative from OVR, School Districts and providers to promote and support the
Employment First Model.
• Franklin County's Information and Referral Specialist can refer individuals calling 211 to
employment programs such as Careerlink and United Way's Stepping Forward Works program.
• Franklin Together, Franklin County's Reentry Coalition, is actively pursuing local employers
engaging in the employment of returning citizens to the community after their incarceration. The
Committee has reached out to Parole Officers, Drug Court staff and the Judge presiding over Drug
Court to identify individuals in need of employment in this arena. The Outreach Committee has
identified transportation as one of the barriers to successful employment in rural Franklin County
and throughout the upcoming year the committee will continue to look for creative ideas to help
overcome this barrier.
Housing:
• The Franklin County A Way HOME group consists of individuals who meet regularly on issues
around housing and homelessness. Representatives from the Franklin County Housing Authority,
the County emergency shelters, as well as, the Homeless Assistance Program (HAP) attend
regularly. In addition to these individuals, there is an array of representatives from the A Way HOME
group which includes Rapid Rehousing programs, Homeless Prevention programs, Permanent
Supportive Housing Programs, the Domestic Violence Shelter, Veterans Housing Program, Legal
Services, Connect to Home staff, the Self Determination Housing Project of Pennsylvania, Inc.
(SDHP), a Federally Qualified Health Center (FQHC), two Boroughs, several religious organizations
and Franklin County Grants Management. The group receives updates on Block Grant plans and
funding requests. During the past year, we have continued to hold virtual meetings to keep landlords
up to date on housing programs and various items related to COVID 19 including moratoriums and
funding programs. Landlords have become more actively involved with the group and it is the desire
of the group to continue to offer opportunities that will keep landlords interested and involved.
• Franklin County's case management staff work through the Coordinated Entry process with the
assistance of multiple housing providers to help ensure a good match for individuals in need of
housing. Through funds from the Homeless Assistance Program (HAP), Projects for Assistance in
Transition from Homelessness (PATH), Housing and Urban Development (HUD), the Emergency
Solutions Grant (ESG), the Pennsylvania Housing Finance Agency (PHFA), Emergency Solutions
Grant -CARES (ESG-CV), Home 4 Good, The Pennsylvania Affordability and Rehabilitation
Enhancement Fund (PHARE), 8-1-1 Housing and the Emergency Rental Assistance Program
(ERAP) we provide an array of housing options, transitional housing, master lease, rental assistance,
rapid rehousing, and emergency housing supports, all of which are available to individuals/families
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meeting a range of specific criteria. Criteria are based on the completion of a Vulnerability Index
Service Prioritization Decision Assistance Tool (Vl-SPDAT) assessment. The Vl-SPDAT examines
factors of current vulnerability and future housing stability and assists to identify what supports and
housing interventions will be more beneficial. In 2022/2023 we will continue to work using the
Coordinated Entry process with the intent that this will result in continued collaboration,
streamlining of services, and increased leveraging of funding resources.
• The Intellectual and Developmental Disabilities Program partners with the County Housing Program
to support an Independent Living Apartment Program for people living in their own apartments who
need less than 30 hours of support a week. The County subsidizes the rent with base funds and
therefore, individuals are able to live in affordable and safer neighborhoods. There are currently 13
individuals in this program.
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2022/2023 Franklin County Human Services Plan
PART IV: HUMAN SERVICES NARRATIVE
MENTAL HEAL TH SERVICES
The discussion in this section should take into account supports and services funded (or to be
funded) with all available funding sources, including state allocations, county funds, federal grants,
HealthChoices, reinvestment funds, and other funding.
a) Program Highlights: (Limit of 6 pages)
Please highlight the achievements and other programmatic improvements that have enhanced the
behavioral health service system in FY21-22.
• During this time of transition from pandemic back to more social events, Franklin/Fulton
County Mental Health has relied on the strong relationship with Cumberland/Perry County
Mental Health that has been established over the years. Our offices have partnered
together in the past for several projects and training. This cross county support has proven
helpful in a variety of areas to include not only moral support but financial support as well.
The collaboration of working on projects and sharing costs has proven most helpful in this
time.
• While the behavioral health service system has taken a toll on many throughout the
pandemic, there has beeb a lot of out of the box thinking by staff and providers to assure
that individuals received the supports and services that they needed. Some individuals
even sought services as it was easier for them to access telehealth than for them to travel
to the provider's location.
• Mental Health was able to offer additional training opportunities to not only county staff but
to contracted providers and school personnel. Franklin/Fulton Mental Health purchased a
license for online training through PESI, Inc. for the following trainings: Certified Dialectical
Behavior Therapy Profesional (C-DBT) Training; Compassion Fatigue Certification
Training; and the New Era of Anxiety: Helping Clients Navigate Stress, Fear, Loss & Grief
During Turbulent Times. Two (2) out of the three (3) trainings offer continued education
credits and initial certification for free while one required a small payment. This annual
offering of PESI online trainings has been very well received by those who have
registered and completed the trainings.
b) Strengths and Needs by Populations: (Limit of 8 pages-items b) #1-11 below)
Please identify the strengths and needs of the county/joinder service system specific to each of
the following target populations served by the behavioral health system. When completing this
assessment, consider any health disparities impacting each population. Additional information
regarding health disparities is available at ;:..:.=.o;::;..:::..:.:...:...:...::...:...::....;:.::...:.==-=-:..:...:.==.:..;;;<=...:.:...:....:..:::=:.:....:_;==..:..::.:..;:::=·
1. Older Adults (ages 60 and above)
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• Strengths:
• Franklin County Older Adults Advocacy Team (FCOAAT) continues to have
monthly meetings and work together to coordinate services for older adults.
The team has representatives from mental health, aging, criminal justice,
community outreach, housing, and others as needed.
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• Of the referrals the co-responders receive from the police, 19% represented
individuals over the age of 60. Of that, 38% have self reported or have a
documented mental illness and 11 % have dementia. 80% of those older adults
have been connected to the human services field.
• The Mental Health Association provides Senior Reach. Seniors receive at least a
weekly phone call from a trained call specialist. This has proven to be a powerful
tool in the means of reducing stress and preventing loneliness and depression.
• The availability of having a Mobile Psychiatric Nurse who can meet with seniors
where they are and conduct a physical and mental health assessment and make
recommendations for potential services and supports.
• Needs:
• Due to a number of reasons, our community is struggling with waiting lists for
outpatient counseling. There is a lack of credentialed counselors for commercial
insurances and that has proven to be a hardship.
• More support is needed for those with dementia living in the community. It
appears that individuals are staying home longer and need in-home
support. 2· Adults (ages 18 to 59)
• Strengths:
• Critical Time Intervention (CTI) is an intensive nine (9) month case management
model designed to assist members of our community that have had multiple
interactions with crisis or with the police. CTl's goal is to focus on engagement
into the human services field and gradually introduce natural supports in
preparation for discharge from the program. There have been a total of 204
referrals, of those referrals, 142 actually engaged with the service and of those,
36 actually completed the nine (9) month program.
• The availability of having a Mobile Psychiatric Nurse who can meet with
individuals where they are and conduct a physical and mental health
assessment and make recommendations for potential services and supports,
discuss diet, medication, concerns, etc.
• Needs:
• Due to a number of reasons, our community is struggling with waiting lists for
outpatient counseling. There is a lack of credentialed counselors for commercial
insurances that has proven to be a hardship.
• There continues to be a need for mobile crisis response. County staff have
discussed the potential to look into crisis respite beds for adults to divert them
from inpatient hospitalization as well. However, funding is an ongoing issue. The
current Franklin County crisis provider is able to provide limited mobile response
due to not having adequate staff nor the funding to increase staffing. In addition
to not having adequate staff, this provider has been approved to be one of the
988 call centers making it a strong need for additional funding for the crisis
system.
3. Transition-age Youth (ages 18-26)-Counties are encouraged to include services and
supports assisting this population with independent living/housing, employment, and post-
secondary education/training.
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2022/2023 Franklin County Human Services Plan
• Strengths:
• Franklin/Fulton County has two (2) agencies (Mental Health Association and
TrueNorth Wellness Services) that provide youth and young adult Certified Peer
Specialist services.
• Needs:
• Due to a number of reasons, our community is struggling with waiting lists for
outpatient counseling. There is a lack of credentialed counselors for commercial
insurances which has proven to be a hardship.
• Supports and services for those in this transition age that do not have a serious
mental illness diagnosis.
• In order for many individuals transitioning into adulthood and independence there
is a need for supports in learning to live independently and how to care for a
home. These supports are not available.
• Housing supports and services are a need for those in the transition age
population in our community.
4. Children (under age 18)-Counties are encouraged to include services like Student
Assistance Program (SAP), respite services, and Child and Adolescent Service System
Program (CASSP) coordinator services and supports, System of Care (SOC) as well as the
development of community alternatives and diversion efforts to residential treatment facility
placements.
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11111 Strengths:
• Threat Assessment and Management Team is being formed in Franklin County.
The District Attorney's office is spearheading the team under the direction of the
FBI. This team will have representation from all local school districts, mental
health, crisis, emergency departments, local municipality police, and state police.
This team will be a supplement to the existing school threat assessment teams.
• Youth and Young Adult Peer Support Service availability for individuals ages 14-
17 provided by certified and trained peer specialists
• Student Assistance Program (SAP) is in all secondary public schools. SAP team
members are trained to identify problems, determine whether or not the
presenting problem lies within the responsibility of the school and to make
recommendations to assist the student and the parent. When the problem lies
beyond the scope of the school, the SAP team will assist the parent and student
so they may access services within the community.
• Elementary Student Assistance Program (ESAP) is provided in most schools in
the largest district (Chambersburg) and in several others: Waynesboro School
District, Tuscarora Area School District, Greencastle Area School District,
Fannett-Metal Area School District, Shippensburg Area School District, Central
Fulton School District, Forbes Road School District, and Southern Fulton School
District.
• School-based counseling services through managed care are available in most
public schools in both Franklin and Fulton counties.
• Child and Adolescent Service System Program (CASSP) services are available
to all children who are experiencing behavioral/mental health concerns. CASSP
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is able to get families and providers around the table to determine the best
services and supports for the child in need.
• Healthy Communities Partnership was able to provide the Strengthening Families
Program for adolescents ages 10-14 virtually. It was offered twice this past year
with 15 graduating families.
• Respite -Mental Health has partnered with Kidz Therapy Zone to provide
monthly respite programs in our community. This program occurs twice a month
for three (3) hours each. They provide one in Chambersburg and one in
Waynesboro. The Waynesboro site has only been open since January and has
been a collaborative effort with the school district, donating space for the respite
service.
Unduplicated Children
Chambersburg 40
Waynesboro 8
• Needs:
• This past year brought an increase in referrals for school aged children needing
mental health counseling. Due to a number of reasons, our community is
struggling with waiting lists for outpatient counseling. There is a lack of
credentialed counselors for commercial insurances that has proven a hardship.
Our SAP team is working on getting certified in evidence based programming
that is specific to groupwork to assist.
• The local school districts have begun discussing the need for partial
hospitalization. This will be explored in the coming year.
Please identify the strengths and needs of the county/joinder service system (including any
health disparities) specific to each of the following special or underserved populations. If the
county does not currently serve a particular population, please indicate and note any plans for
developing services for that population.
5. Individuals transitioning from state hospitals
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• Strengths:
• Service Access & Management (SAM) has an assigned case manager that
functions as the Danville State Hospital liaison. The liaison does a great job in
both monitoring the status of individuals at the state hospital and connecting
individuals to services in the community when they are ready for discharge. The
social workers at the state hospital are also very easy to work with and make
sure that the person has completed their Medicaid application, etc. prior to
discharge.
• Community based services that are available include outpatient, peer specialist,
and housing supports to mention a few.
• Franklin and Fulton Counties have active Community Support Programs (CSP).
The monthly meeting consists of an educational component as well as
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community news. The meetings continued virtually when the restrictions were put
in place around social distancing due to COVID-19.
• Needs:
• Securing available, appropriate housing can sometimes contribute to extended
inpatient stays at the state hospital. Generally speaking, the liasion is able to
secure the necessary appointments in a timely manner as establishing and
maintaining contact with family, while the person is at the state hospital can
sometimes be challenging for the social workers.
• Our county lost access to an extended acute care setting several years ago and
has not had any success in securing a contract with any providers to regain
access for our community residents. This level of care would prove helpful as
both a step down from the state hospital and from a diversionary perspective.
6. Individuals with co-occurring mental health/substance use disorder
• Strengths:
• Franklin County does have a drug court that now includes a representive from
Mental Health who assists with knowledge of local resources and support.
• Franklin/Fulton County residents have access to two (2) dually-diagnosised
licensed outpatient providers.
• Needs:
• Outpatient counseling for individuals living with a co-occurring disorder has
proven difficult. The need exists for more dual-licensed programs to help serve
this population.
• A clear understanding/education on the proper way to treat co-occurring
disorders. There have been many situations where a psychiatrist will note that
substance use needs to be addressed prior to an individual's mental health and
vice versa. This can often delay the supports and services that an individual
needs and/or prevent an individual from receiving immediate services.
7. Criminal justice-involved individuals -Counties are encouraged to collaboratively work
within the structure of County Criminal Justice Advisory Boards (CJABs) to implement
enhanced services for individuals involved with the criminal justice system including
diversionary services that prevent further involvement with the criminal justice system as well
as reentry services to support successful community reintegration.
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• Strengths:
• Mental health was able to reinstate the availability of psychological evaluation
services to individuals in the jail by use of telehealth during COVID 19.
• Weekly mental health meetings at the Franklin County Jail, which includes jail
personnel, Prime Care mental health staff, Franklin County Adult Probation and
Franklin/Fulton MH/IDD/EI, during which the current status and needs of inmates
•
•
•
•
•
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are discussed in a collaborative manner.
Criminal Justice Advisory Board (CJAB) remains active and has a progressive
strategic plan.
Franklin/Fulton Counties have strong and active collaboration among
community services.
Franklin/Fulton County Sequential Intercept Model (SIM) is revised yearly to
ensure that all services are captured and service gaps are identified.
Franklin County has an active Re-Entry Committee, Franklin Together, made up
of mental health providers, drug and alcohol providers, faith based organizations,
housing providers, individuals and their families with re-entry lived experience,
employment specialists, and probation and jail officers. Individuals involved in the
criminal justice system, along with their families, are encouraged to be a part of
the coalition and guide the work through their lived experiences. Franklin
Together is recognized on the state level as a leading coalition whose by-laws,
strategic plan, and membership documents have been used as models for other
coalitions to follow .
Forensic Blended Case Management (BCM) is available and works with
individuals involved with probation and preparing to be released from jail, and
assisting individuals accessing services and supports to foster their success
upon re-entry into the community.
• The Co-Responder Program continues to be embedded inside four (4) local
municipal police departments. This program has served as a go-to resource for
many other counties throughout Pennsylvania interested in implementing a
similar program. Franklin County has received grant funds to add a third Co-
Responder to the program this year.
• Mental health was awarded a grant through Pennyslvania Commission on
Crime and Delinquency (PCCD) to introduce a third Co-Responder to our
community. The data shows that 91 % of individuals engaging with a Co-
Responder do not have recontact with the police. • Needs:
• Local employment options.
• Affordable housing poses a barrier for individuals trying to re-establish
themselves in the community.
• Franklin County continues to explore the Stepping Up initiative and implementing
strategies within the jail, courts and mental health to identify gaps and needs to
reduce recidivism.
8. Veterans
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• Strengths:
• The Mental Health Association partnered with the Franklin County Veterans
Affairs to supply canvassing bags to over 300 veterans that included local
resources, education and handouts addressing mental wellness.
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• The Franklin County Veteran Affairs office maintains a relationship with the
community human service providers that fosters warm hand-offs for veterans
needing services and supports.
• Needs:
• Locally, a larger choice of counselors that are knowledgable and competent in
the military culture.
9. Lesbian/Gay/Bisexual/Transgender/Questioning/lntersex (LGBTQI)
• Strengths:
• The welcoming project has continued. Our community currently has 121 allies.
Allies are defined as a businesses, health care providers, faith community, or
organizations that have taken the pledge to commit to having a workplace and
community that is diverse and welcoming for all. These businesses are identified
by displaying a window decal. There were 113 decals distributed in 2021 when
the program was launched, and 168 so far in 2022.
• The Mental Health Association hosts a support group called THRIVE. This group is
set to meet on the 1st and 3rd Sunday of the month.
• Needs:
• Education and resources are needed for our community.
10. Racial/Ethnic/Linguistic Minorities (RELM) including individuals with Limited English
Proficiency (LEP)
• Strengths:
• A few of our mental health outpatient providers have been able to secure
bilingual staff that are able to provide clinical services to individuals speaking
Spanish.
• Wellspan and Keystone medical facilities have access to a system that connects
a live translantor on a computer screen to assist during appointments.
• Franklin County does have a Hispanic Center that is active and collaborates with
human services.
• Needs:
• Access to more bilingual professional staff is a need in our community.
• More providers with access to language line or assistance with interpretators
11. Other populations, not identified in #1-10 above (if any, specify) (including tribal groups,
people living with HIV/AIDS or other chronic diseases or impairments, acquired brain injury
(ABI), fetal alcohol spectrum disorders (FASO), or any other groups not listed)
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• Strengths:
• Keystone Health has an active HIV Program that offers a full range of services
aimed at promoting healthy individuals and a healthy community. They offer pop-
up sites in multiple locations, making access easier and more efficient for the
residents.
2022/2023 Franklin County Human Services Plan
• Brain Injury Association of Pennsylvania hosted a presentation during our forty
(40) hour training week of Crisis Intervention Team (CIT).
• Needs:
• Support for individuals and families affected by traumatic injury living in our
community.
• Additional resources and supports for Huntingdon's Disease.
c) Strengths and Needs by Service Type: (items-c) #1-7 below)
1. Describe telehealth services in your county (limit of one page):
a. How is telehealth being used to increase access to services?
o The Franklin County Jail and TrueNorth Wellness are using telehealth in order to
provide mental health evaluations to foster the jumpstart of service access upon
release.
o Even with the expanded options for psychiatric telehealth in 2020, this intervention
has not been successful in improving access for individuals because the network still
has a shortage of providers.
o Telehealth has been used for support groups which at times provides for greater
attendance. Many individuals feel more comfortable receiving supports and services
through the comfort of their own home.
o While telehealth certainly has many pros and cons; one of the cons noted is some
providers over-utilizing telehealth. Certain services and certain individuals
require face to face visits. Some providers are having a hard time adjusting back
to in-person sessions and prefer telehealth.
o Telehealth has allowed the availability to continue to complete intakes throughout
the pandemic and even now as some individuals still have concerns about going out
in public/in crowded areas.
o Virtual meetings have allowed staff to connect to many meetings that they may not
have in the past due to travel.
b. Is the county implementing innovative practices to increase access to telehealth for
individuals in the community? (For example, providing technology or designated spaces
in the county for telehealth appointment.) (limit of one page).
o The County Mental Health Department assisted many providers with purchasing the
needed equipment and supplies in order to provide telehealth services in our
community.
o Other providers reported using one-time funding through CARES dollars to purchase
HIPPA compliant platforms for service delivery in preparation for ongoing use of
telehealth and the need to have electronic verification.
2. Is the county seeking to have service providers embed trauma informed care initiatives
(TIC) into services provided?
~Yes D No
If yes, please describe how this is occurring. If no, indicate any plans to embed TIC in FY22-
23. (Limit of 1 page)
15
2022/2023 Franklin County Human Services Plan
o The behavioral health subcommittee of CJAB has a workplan with a goal of:
0
Increase levels of trauma-informed practices within the criminal justice system and
educate the community regarding trauma-informed care. The tasks
accomplishmented for this goal so far are as follows:
• The Franklin County webpage has added
a page on trauma-informed care. This page offers brief definitions regarding
trauma-informed, trauma-responsive, and trauma-specific as well as links to
other educational sites. From July 24, 2021 through July 24, 2022, the page
was viewed 1,255 times. Unique pageviews (users) was 1,063 during that
time period.
• Franklin/Fulton County Mental Health purchased a license through PESI for
several online learning sessions that were offered to our provider community.
The topics included Trauma Treatment, Compassion Fatigue, Anixety,
Dialectical Behavior Therapy, Essentials of Treating & Preventing Suicide,
and Youth Mental Health Specialist certification.
3. Is the county currently utilizing Cultural and Linguistic Competence (CLC) Training?
D Yes ~No
If yes, please describe the CLC training being used, including training content/topics covered,
frequency with which training is offered, and vendor utilized (if applicable). If no, counties may
include descriptions of plans to implement CLC trainings in FY22-23. (Limit of 1 page)
4. Are there any Diversity, Equity, and Inclusion (DEi) efforts that the county has
completed to address health inequities?
D Yes ~No
If yes, please describe the DEi efforts undertaken. If no, indicate any plans to implement DEi
efforts in FY22-23. (Limit of 1 page)
It appears that Franklin County has several work groups focused on diversity, equity
and inclusion, (DEi), however, each of them is for a specific group and issue. We will need to
look at something that is focused on DEi as a whole.
5. Does the county currently have any suicide prevention initiatives which addresses all
age groups?
~Yes D No
If yes, please describe the initiatives. If no, counties may describe plans to implement future
initiatives in the comin fiscal ear. Limit of 1 pa e --"-~~-'--~~____,__..___._...-~~~~~~~~~----.
Goal
Goal 1: Educate, train,
and provide resources
16
Objective 1 .1 : Provide
suicide prevention trainings
Measure
The coalition will hold at the
minimum three (3) QPR
2022/2023 Franklin County Human Services Plan
directed towards youth to for the local middle/high trainings a year to the local
help reduce the number schools for staff, students, middle/high schools.
of suicide deaths and and parents.
suicidal ideation.
Objective 1.2: Identify The coalition will attend at
teen/youth specific least two (2) events a year
informational material that that are specifically
can be handed out during targeted towards youth and
youth events. their families to hand out
information.
Objective 1.3: Identify and The coalition will be trained
attend events that are in and be able to offer More
specifically marketed for Then Sad to the local
youth and their families to schools.
hand out information.
Objective 1.4: Identify and
be trained in youth specific
suicide prevention trainings
so they may be offered to
the community.
Goal 2: Educate, train, Objective 2.1: Provide The coalition will conduct at
and provide resources to suicide prevention trainings least three (3) suicide
help reduce the number for the local colleges' prevention trainings for the
of suicide deaths in the students and staff. local colleges each year.
18-35 age category.
Objective 2.2: Work with The coalition will work with
local universities to local university staff to
distribute resources and distribute resources twice a
information regarding year.
suicide.
Objective 2.3: Provide The coalition will provide at
suicide prevention trainings least four (4) suicide
to different businesses that prevention trainings a year
employ 18-35-year-olds. to local businesses.
Goal 3: Reduce access to Objective 2.1: Identify The coalition will establish a
lethal means medication take back medication take back
programs that can be used program by year two (2).
by the community.
Objective 2.2: Partner with The coalition will distribute
local gun stores to provide at least 20-gun locks to
safety locks and offer community members.
information on limiting
17
2022/2023 Franklin County Human Services Plan
I access to lethal means.
6. Employment First:
The Employment First Act (Act 36 of 2018) requires county agencies to provide services to
support competitive integrated employment for individuals with disabilities who are eligible to
work under federal or state law. For further information on the Employment First Act, see the
a. Please provide the following information for your county employment point of contact
(POC).
• Name(s): Jim Gilbert
• Email address(es): jgilbert@franklincountypa.gov
b. Please indicate if your county follows the=.:...=:.....:=..:_:_====.=.:..::..:.==.;:.:..:..:...::=-=..:::..:.=::..:...:.:=
D Yes~ No
c. Please complete the following table for all county mental health office-funded supported-
employment services.
County MH Office Supported Employment Data
• Please complete all rows and columns below with FY 20-21 data.
• If no data available, list as N/A.
• If data is available, but no individuals were served within a category, list as zero (0).
Include additional information for each population served in the Notes section. (for example, 50% of the Asian
population served speaks English as a Second Language or number served for ages 14-21 includes juvenile
justice population).
Data Requested County Response Notes
i. Total Number Served 16
ii. #served ages 14 up to 21 7
iii. # served ages 21 up to 65 9
iv. # of male individuals served 13
v. # of females individuals served 3
vi. # of non-binary individuals served 0
vii. # of Non-Hispanic White served 15
viii. # of Hispanic and Latino served 0
ix. # of Black or African American served 0
x. Asian 0
xi. # of Native Americans and Alaska 0
Natives served
xii. # of Native Hawaiians and Pacific 0
Islanders served
xiii. #of multiracial (two or more races) 1
individuals served
xiv. # of individuals served who have more 16
than one disability
xv. # of individuals served working part-15
time (30 hrs. or less per wk.)
18
2022/2023 Franklin County Human Services Plan
xvi. #of individuals served working full-1
time over 30 hrs. per wk.
Data Requested County Response Notes
xvii.
1Xviii.
xix.
lowest hourly earned wage of $7.25
individuals served (ex: minimum
wage)
highest hourly earned wage of $14.00
individuals served
# of individuals served who are 1
receiving employer offered benefits;
(i.e., insurance, retirement, paid leave)
7. Supportive Housing:
a. Please provide the following information for the county housing specialist/point of
contact (POC).
• Name(s): Jennifer Heidler
• Email address(es):jcheidler@franklincountypa.gov
OHS' five-year housing strategy, is a
comprehensive plan to connect Pennsylvanians to affordable, integrated and supportive
housing.
This comprehensive strategy aligns with the Office of Mental Health and Substance Abuse
Services (OMHSAS) planning efforts, and OMHSAS is an integral partner in its
implementation.
Supportive housing is a successful, cost-effective combination of affordable housing with
services that helps people live more stable, productive lives. Supportive housing works well
for people who face the most complex challenges-individuals and families who have very low
incomes and serious, persistent issues that may include substance use, mental illness, and
HIV/AIDS; and may also be, or at risk of, experiencing homelessness.
19
b. SUPPORTIVE HOUSING ACTIVITY includes Community Hospital Integration Projects
Program funding (CHIPP), Reinvestment, County base-funded projects and others that
were planned, whether funded or not. Identify Project Name, Year of
Implementation, and Funding Source for all housing projects operationalized in
SFY 20-21 and 21-22. Next, enter amounts expended for the previous state fiscal
year (SFY 20-21), as well as projected amounts for SFY 22-23. If this data isn't
available because it's a new program being implemented in SFY 21-22, do not
enter any collected data. Please note: Data from projects initiated and reported
in the chart for SFY 21-22 will be collected in next year's planning documents.
2022/2023 Franklin County Human Services Plan
1. Capital Projects for Behavioral Health D Check if available in the county and complete the section.
Capital financing is used to create targeted permanent supportive housing units (apartments) for consumers, typically, for a 15-30-year period.
Integrated housing takes into consideration individuals with disabilities being in units (apartments) where people from the general population
also live (i.e., an apartment building or apartment complex).
1. Project Name 2. Year of 3. Funding 4. Total 5. Projected 6. Actual or 7. Projected 8. Number of 9. Term of
Implementation Sources by Amount for Amount for Estimated Number to be Targeted BH Targeted BH
Type SFY20-21 SFY22-23 Number Served in United Units (e.g., 30
(Including (only County (only County Served in SFY22-23 years)
grants, MH/ID MH/ID SFY20-21
federal, dedicated dedicated
state & local funds) funds)
sources)
Totals
Notes:
20
2022/2023 Franklin County Human Services Plan
2. Bridge Rental Subsidy Program for Behavioral D Check if available in the county and complete the section.
Health
Short-term tenant-based rental subsidies, intended to be a "bridge" to more permanent housing subsidy such as Housing Choice Vouchers.
1. Project Name 2. Year of 3. Funding 4. Total$ 5. Projected 6. Actual or 7. Projected 8. Number of 9. Average 10. Number
Implementation Sources by Amount for $Amount for Estimated Number to be Bridge Monthly of Individuals
Type (include SFY20-21 SFY22-23 Number Served in Subsidies in Subsidy Transitioned
grants, federal, Served in SFY22-23 SFY Amount in to another
state & local SFY20-21 SFY20-21 Subsidy in
sources) SFY20-21
Totals
Nt>tes:
21
2022/2023 Franklin County Human Services Plan
3. Master Leasing (ML) Program for Behavioral D Check if available in the county and complete the section.
Health
Leasing units from private owners and then subleasing and subsidizing these units to consumers.
1. Project Name 2. Year of 3. Funding 4. Total$ 5. Projected 6. Actual or 7. Projected 8. Number of 9. Number of 10. Average
Implementation Source by Amount for $Amount for Estimated Number to be Owners/ Units Subsidy
Type (include SFY20-21 SFY22-23 Number Served in Projects Assisted with Amount in
grants, federal, Served in SFY22-23 Currently Master SFY20-21
state & local SFY20-21 Leasing Leasing in
sources) SFY20-21
Totals
Notes:
22
2022/2023 Franklin County Human Services Plan
4. Housing Clearinghouse for Behavioral Health D Check if available in the county and complete the section.
An agency that coordinates and manages permanent supportive housing opportunities.
1. Project Name 2. Year of 3. Funding 4. Total$ 5. Projected$ 6. Actual or 7. Projected 8. Number of Staff
Implementation Source by Amount for Amount for Estimated ,, Number to be FTEs in
Type (include SFY20-21 SFY22-23 Number Served in Served in SFY20-21
grants, federal, SFY20-21 SFY22-23
state & local
sources)
Totals
Notes:
23
2022/2023 Franklin County Human Services Plan
5. Housing Support Services (HSS) for Behavioral D Check if available in the county and complete the section.
Health
HSS are used to assist consumers in transitions to supportive housing or services needed to assist individuals in sustaining their housing after
move-in.
1. Project Name 2. Year of 3. Funding 4. Total$ 5. Projected$ 6. Actual or 7. Projected 8. Number of
lmplementatio Sources by Amount for Amount for Estimated Number to be Staff FTEs in
n Type SFY20-21 SFY22-23 Number Served Served in SFY20-21
(include in SFY20-21 SFY22-23
grants,
federal, state
& local
sources)
PATH Grant 2005 Federal $39,855.00 $66,300.00 34 40-50 .5
State HSBG $13,285.00 (part time)
Totals $53, 140.00 $66,300.00
N()tes:
24
2022/2023 Franklin County Human Services Plan
6. Housing Contingency Funds for Behavioral Health D Check if available in the county and complete the section.
Flexible funds for one-time and emergency costs such as security deposits for apartment or utilities, utility hook-up fees, furnishings, and other
allowable costs.
1. Project Name 2. Year of 3. Funding 4. Total$ Amount 5. Projected$ 6. Actual or 7. Projected 8. Average
Implementation Sources by Type for SFY20-21 Amount for SFY22-Estimated Number to be Contingency
(include grants, 23 Number Served Served in Amount per
federal, state & in SFY20-21 SFY22-23 person
local sources)
'
Totals
Notes.:
25
2022/2023 Franklin County Human Services Plan
7. Other: Identify the Program for Behavioral Health D Check if available in the county and complete the section.
Project Based Operating Assistance (PBOA) is a partnership program with the Pennsylvania Housing Finance Agency in which the county provides
operating or rental assistance to specific units then leased to eligible persons; Fairweather Lodge (FWL) is an Evidenced-Based Practice where individuals
with serious mental illness choose to live together in the same home, work together and share responsibility for daily living and wellness; CRR Conversion
(as described in the CRR Conversion Protocol), other.
1. Project Name 2. Year of 3. Funding 4. Total$ Amount 5. Projected$ 6. Actual or 7. Projected Number to
(include type of Implementation Sources by Type for SFY20-21 Amount for SFY22-Estimated Number be Served in SFY22-23
project such as (include grants, 23 Served in SFY20-21
PBOA, FWL, CRR federal, state &
Conversion, etc.) local sources)
Housing 2006 Sate HSBG $12, 131.00 $26,000.00 4 .. 3
Expansion
County Match $337.00
Keystone 2005 State HSBG $392,886.00 $482,523.00 8 8
Service Systems
SCR Federal $21,000.00
County Match $10,000.00
True North 2005 State HSBG $693,239.00 $749,028.00 18 22
Wellness SLP
Federal $40,000.00
County Match $19,000.00
New Visions -2003 State HSBG $304,894.00 $392,947.00 14 15
CRR Full Circle
Federal $18,000.00
County Match $8,500.00
26
2022/2023 Franklin County Human Services Plan
Keystone 2019 State HSBG $99, 144.00 $0.00 0 0
Systems FSCR
County Match $14,000.00
FSCR-RFP 2022 State HSBG $0.00 $550,000.00 0 8
County Match $0.00
Totals $1,633, 131.00 $2,200,498.00
Notes: There is one agency in Franklin County which operates a lodge; however, it does not meet the criteria of being a
Fairweather Lodge. Historically, there has only been one CRR. Since this continues to be considered an important level of
residential placement in our continuum of care, there are no plans to enter into a CRR Conversion Protocol.
27
2022/2023 Franklin County Human Services Plan
c) Recovery-Oriented Systems Transformation: (Limit of 5 pages)
i. Provide a brief summary of the progress made on the priorities listed in the FY21-22 plan.
28
Narrative I Action Steps
a. Department of Human Upon the release (projected fall 2021) of the
Services are updating the updated crisis regulations, the county crisis
state regulations regarding s stem wil be reviewed for com liance
crisis intervention services Assist with start up and implementation of 988
and preparing for the '
Timeline
Fall 2021
July 2022
Progress Made
Still waiting for the crisis regulations; however,
our crisis intervention provider is a call center for
988. So mental health, crisis intervention, and
our emergency services department commenced
monthly meetings to begin planning for 988
initiation of the 988# r---------------------r---------i implementation.
a. Provide training
opportunities for the
providers in order to
strengthen our system
b. Increase community
awareness about
depression and
available resources
within the community
i. MH will purchase license agreement with PESI, I continual
for training and consider other trainings as they
become available
i.
ii.
ii. Provide training and support for local community to include:
business, neighbors, providers etc.
continual
i. The Mental Health Task Force will develop
a community awareness and education
action plan for informing the community
about depression and other mental
illnesses.
ii. Continue and expand existing community
campaigns that educate the public about effective
ways to manage depression (i.e., physical
activity, nutrition).
September I i.
2021
February
2022
11.
County offered training on
Compassion Fatigue, Era of Anxiety,
and DBT to our community providers.
DBT continued into FY 22-23 due to
providers not being able to complete
with all the added referrals.
Mental Health First Aid, QPR, and
verbal de-escalation skills are a few
trainings that have been made
available to the community for free.
Used different media forms to make
awareness of mental health available.
Yard signs, billboards, social media,
and word of mouth.
Have used several campaigns to educate
throughout community using social media,
print, and with interactive community
challenges.
29
a; Identify models.of
housing .programs
available
b. Identify models of
supportive services that
support individuals
experiencing an
immediate crisis need
a. Rejuvenate this
initiative to include all
county stakeholders
2022/2023 Franklin County Human Services Plan
iii. Develop a model for integrating behavioral
health services, training and resources into
Primary Care offices to include education for
special populations such as older adults, TBI,
fetal alcohol syndrome, and LGBTQI.
June 2022 I iii. Still in progress
L Gather information oo different housing
optioos aod explore the working structure.
iL Create. workgroup to develop
resideotial/bousing model for those needs.
December
2022
December
2022
Continue to gather information on different
housing. options.
Continue to work with staff in other.programs to
collaborate; participate in regular landlord
meetings and other housing.support meetings to
t---------------------+------+--id_e_o_tify_ sue_ports and res~urces.
i. Create a workgroup to include families that
would be able to utilize respite to research and
create a model of respite for our community.
ii. Research the models in which crisis beds can
be provided and create plan for implementation.
I. Researching the initiative and creating a
committee
December
2022
June 2023
Sept 2021
ii. Continue growth of CIT program to include I April 2022
fidelity to the Memphis model and apply for
program certification through CIT International
iii. Expansion of co responder program to include I June 2022
3r<1 co responder with a focus of the 60+
population. This co responder would take the lead
on inmates who are ready for release also.
Due to lack of staff inernally and in other
programs this program was put on hold.
Discussions with the Community Connections
housing staff have begun and will continue as an
added resource to MH housing supports.
Due to lack of staff internally and in other
programs this program was put on hold, though
discussions are being held to plan for this need.
Collaborations are still being formed and will
continue to move forward however, a formal
initiative has been put on hold at this time.
Working on developing the CIT program and
getting key practices into place in order to align
with CIT Internationals best practices guidelines.
We have secured the funding for this position and
are working on finding a provider to expand this
program.
2022/2023 Franklin County Human Services Plan
iv. Based on the strengths and needs reported in section (b ), please identify the top three to five priorities for recovery-oriented system
transformation efforts the county plans to address in FY22-23 at current funding levels.
For each transformation priority, please provide:
a. A brief narrative description of the priority including action steps for the current fiscal year.
b. A timeline to accomplish the transformation priority including approximate dates for progress steps and priority completion in the
upcoming fiscal year. Timelines which list only a fiscal or calendar year for completion are not acceptable and will be returned for
revision.
c. Information on the fiscal and other resources needed to implement the priority. How much the county plans to utilize from state
allocations, county funds, grants, Health Choices, reinvestment funds, other funding and any non-financial resources.
d. A plan mechanism for tracking implementation of the priorities.
Narrative I Action Steps Timeline I Resources Needed I Tracking Mechanism
30
a. Department of Human Upon the release (projected fall 2021) of the
Services are updating the updated crisis regulations, the county crisis
state regulations regarding s stem wil be reviewed for compliance
crisis intervention services Assist with start up and implementation of 988
and preparing for the '
initiation of the 988#
a. Provide training
opportunities for the
providers in order to
strengthen our system
i. MH will purchase license agreement with PESI, I continual
for training and consider other trainings as they
become available
This will be determined I This is monitored
as plan is created. through
$15,000
Franklin/Fulton
County MH/IDD/EI,
TMCA,DHS
This is monitored
through the
Franklin/Fulton
County MH/IDD/EI,
[
2022/2023 Franklin County Human Services Plan
ii. Provide training and support for local community I continual
to include: business, neighbors, providers etc. I $500
iii.
b. Increase community i. The Mental Health Task Force will develop $6,500 This is monitored
awareness about a community awareness and education through the MH
depression and action plan for informing the community task force and
available resources about depression and other mental Healthy Franklin
within the community illnesses. County.
ii. Continue and expand existing community $1,500 !This is monitored
campaigns that educate the public about effective rhrough Chambersburg
ways to manage depression (i.e., physical Cares, the MH task force
activity, nutrition). and Health Franklin
County.
iii. Develop a model for integrating behavioral $5,500 This is monitored
health services, training and resources into through
Primary Care offices to include education for Franklin/Fulton
special populations such as older adults, TBI, MH/IDD/EI, TMCA,
fetal alcohol syndrome, and LGBTQI. the MH task force
and Health Franklin
County.
a. Identify models of i. Gather information on different housing The needed funds This is monitored
housing programs options and explore the workiog structure. will be determined through Franklin/Fulton
available during action steps. MHllDD/EI
ii. Create workgroup to. develop The needed funds This is monitored
residential/housing model for those needs. will be determined through Franklin/Fulton
durina action.steps, MHllDD/EI
b. Identify models of Ii. Create a workgroup to include families that Approximately This is monitored
supportive services that would be able to utilize respite to research and $8,000 through Franklin/Fulton
support individuals create a model of respite for our community. MH/ID/EI and Human
experiencing an Services Block Grant
immediate crisis need Committee
31
32
2022/2023 Franklin County Human Services Plan
ii. Research the models in which crisis beds can
be provided and create plan for implementation.
Approximately $10,000 I This is monitored
through Franklin/Fulton
MH/IDD/EI and TMCA
1
2022/2023 Franklin County Human Services Plan
d) Existing County Mental Health Services
Please indicate all currently available services and the funding source(s) utilized.
Services By Category Currently Funding Source (Check all that
Offered apply)
Outpatient Mental Health ~ ~County ~ HC D Reinvestment
Psychiatric Inpatient Hospitalization ~ D County ~ HC D Reinvestment
Partial Hospitalization -Adult ~ D County ~ HC D Reinvestment
Partial Hospitalization -Child/Youth ~ D County ~ HC D Reinvestment
Family-Based Mental Health Services ~ ~County ~ HC D Reinvestment
Assertive Community Treatment (ACT) or D County D HC D Reinvestment
Community Treatment Team (CTT)
Children's Evidence-Based Practices ~ D County ~ HC D Reinvestment
Crisis Services ~ ~County ~ HC D Reinvestment
Telephone Crisis Services
Walk-in Crisis Services ~ D County D HC D Reinvestment
Mobile Crisis Services ~ D County D HC D Reinvestment
Crisis Residential Services D D County D HC D Reinvestment
Crisis In-Home Support Services D County D HC D Reinvestment
Emergency Services ~ ~County D HC D Reinvestment
Targeted Case Management ~ ~County ~ HC D Reinvestment
Administrative Management ~ ~County D HC D Reinvestment
Transitional and Community Integration Services D D County D HC D Reinvestment
Community Employment/Employment-Related Services ~ ~County D HC D Reinvestment
Community Residential Rehabilitation Services ~ ~County D HC D Reinvestment
Psychiatric Rehabilitation D D County D HC D Reinvestment
Children's Psychosocial Rehabilitation D County D HC D Reinvestment
Adult Developmental Training ~ ~County D HC D Reinvestment
Facility-Based Vocational Rehabilitation ~ ~County D HC D Reinvestment
Social Rehabilitation Services ~ ~County D HC D Reinvestment
Administrator's Office ~ ~County D HC D Reinvestment
Housing Support Services ~ ~County D HC D Reinvestment
Family Support Services ~ ~County D HC D Reinvestment
Peer Support Services ~ ~County ~ HC D Reinvestment
Consumer-Driven Services ~ ~County D HC D Reinvestment
Community Services ~ ~County D HC D Reinvestment
Mobile Mental Health Treatment ~ D County ~ HC D Reinvestment
Behavioral Health Rehabilitation Services for Children ~ D County ~ HC D Reinvestment
and Adolescents
Inpatient Drug & Alcohol (Detoxification and ~ ~County D HC D Reinvestment
Rehabilitation)
Outpatient Drug & Alcohol Services ~ ~County ~ HC D Reinvestment
Methadone Maintenance ~ ~County ~ HC D Reinvestment
Clozapine Support Services D D County D HC D Reinvestment
Additional Services (Specify-add rows as needed) D D County D HC D Reinvestment
Note: HC= HealthChoices
33
2022/2023 Franklin County Human Services Plan
e) Evidence-Based Practices (EBP) Survey*:
(Below: if answering Yes (Y) to #1. Service available, please answer questions #2-7)
Evidenced-Based 1. Is the 2. 3. What 4.Who 5.How 6. ls SAMHSA 7. Is staff 8. Additional
Practice service Current fidelity measures often is EBP Toolkit specifically Information
available number measure is fidelity? fidelity used as an trained to and
in the served in used? (agency, measured? implementation implement Comments
County/ the county, guide? (Y/N) the EBP?
Joinder? County/ MCO, or (Y/N)
(Y/N) Joinder state)
(Approx.)
Assertive No N/A N/A N/A N/A N/A N/A County would
Community like to have
Treatment service
Supportive Yes 49 N/A Agency/ y N y
Housing County
Supported Yes 120 N/A Agency/ y N y Include#
Employment County Employed
Integrated Yes N/A CodeCat Agency/ Annually N/A y
Treatment for Co-County I
occurring HC
Disorders (Mental
Health/SUD)
Illness No NA N/A N/A N/A N/A N/A
Management/
Recovery
Medication No N/A N/A N/A N/A N/A N/A
Management
(MedTEAM)
Therapeutic Yes N/A N/A N/A N/A N/A N/A Provided by
Foster Care C& Y services
Multisystemic Yes 4 TAM/SAM Agency Monthly No Yes
Therapy
Functional Family No N/A N/A N/A N/A N/A N/A
Therapy
Family Psycho-No N/A N/A N/A N/A N/A N/A Information
Education not tracked
*Please include both county and HealthChoices funded services.
To access SAMHSA's EBP toolkits visit:
34
2022/2023 Franklin County Human Services Plan
f) Additional EBP, Recovery-Oriented and Promising Practices Survey*:
(Below: if answering yes to #1. service provided, please answer questions #2 and 3)
1. 2. Current
Recovery-Oriented and Promising Practices Service Number 3. Additional Information and Comments Provided Served
(Yes/No) (Approximate)
Consumer/Family Satisfaction Team v ....... tJ/A
Compeer Nn n
Fairweather Lodge v ....... tJ/A tJn .... ...,,, ... + .. i .. nf
MA Funded Certified Peer Specialist (CPS)-Total** y,.,.£> N/A
CPS Services for Transition Age Youth (TAY) v ....... tJ/A
CPS Services for Older Adults (OAs) y,.,.£> N/A
Other Funded CPS-Total** v ....... tJ/A
CPS Services for TAY y,.,.£> N/A
CPS Services for OAs v ....... tJ/A
Dialectical Behavioral Therapy y,.,.£> N/A
Mobile Medication tJn n
Wellness Recovery Action Plan (WRAP) y,.,.£> N/A
___l:!!_gh Fidelity Wrap Around tJn n
Shared Decision Making Nn n
~ychiatric Rehabilitation Services (including clubhouse) tJn n
Self-Directed Care Nn n
Supported Education tJn n
Treatment of Depression in OAs Nn n
Consumer-Operated Services v ....... tJ/A Ml-I A
Parent Child Interaction Therapy y,.,.£> ~ 1 nrnvirlor
Sanctuary tJn n
Trauma-Focused Cognitive Behavioral Therapy y,.,.£> N/A £;; nrnvirlorc::
__E_ye Movement Desensitization and Reprocessing (EMDR) v ....... tJ/A
First Episode Psychosis Coordinated Specialty Care Nn n
Other (Specif~) Criteria) Time intervention (CTI) v ....... tJ/A 1 ----.:-'--
*Please include both county and HealthChoices funded services.
**Include CPS services provided to all age groups in total, including those in the age break outs for TAY and OAs.
Reference: Please see SAMHSA's National Registry of Evidenced-Based Practices and Programs for
more information on some of the practices. https://www.samhsa.gov/ebp-resource-center
35
2022/2023 Franklin County Human Services Plan
g) Certified Peer Specialist Employment Survey:
Certified Peer Specialist" (CPS) is defined as:
An individual with lived mental health recovery experience who has been trained by a
Pennsylvania Certification Board (PCB) approved training entity and is certified by the PCB.
In the table below, please include CPSs employed in any mental health service in the
county/joinder including, but not limited to:
• case management • HealthChoices peer support programs
• inpatient settings • consumer-run organizations
• psychiatric rehabilitation centers • residential settings
• intensive outpatient programs • ACT or Forensic ACT teams
• drop-in centers
Name and email of county CPS Point Jim Gilbert, jgilbert@franklincountypa.gov of Contact (POC)
Total Number of CPSs Employed 16
Average number of individuals 19 served (ex: 15 persons per peer)
Number of CPS working full-time (30 2 hours or more)
Number of CPS working part-time 13 (under 30 hours)
Hourly Wage (low and high) $12-$18.50
Benefits (Yes or No) Yes & No
36
2022/2023 Franklin County Human Services Plan
h) Involuntary Mental Health Treatment
1. During CY2021, did the County/Joinder offer Assisted Outpatient Treatment (AOT) Services
under PA Act 106 of 2018?
~ No, chose to opt-out for all of CY2021
D Yes, AOT services were provided from date: to date: after a
request was made to rescind the opt-out statement
D Yes, AOT services were available for all of CY2021
2. If the County/Joinder chose to provide AOT, list all outpatient services that were provided in
the County/Joinder for all or a portion of CY2021 (check all that apply):
D Community psychiatric supportive treatment
D ACT
D Medications
D Individual or group therapy
D Peer support services
D Financial services
D Housing or supervised living arrangements
D Alcohol or substance abuse treatment when the treatment is for a co-occurring condition for
a person with a primary diagnosis of mental illness
D Other, please specify: _________________ _
3. If the County/Joinder chose to opt-out of providing AOT services for all or a portion of CY2021:
a. Provide the number of written petitions for AOT services received during the opt-out
period. # __ o __ _
b. Provide the number of individuals the county identified who would have met the criteria
for AOT under Section 301 (c) of the Mental Health Procedures Act (MHPA) (50 P.S. §
7301 (c)). # N/A __
4. Please complete the following AOT/IOT chart as follows:
a. Rows I through IV fill in the number
i. AOT services column:
1) Available in your county, BUT if no one has been served in the year, enter 0.
2) Not available in your county, enter N/A.
ii. IOT services column: if no one has been served in the last year, enter 0. (Row
V) Administrative costs of AOT and IOT
I. Number of individuals subject to involuntary treatment in
CY2021
II. Number of inpatient hospitalizations following an
involuntary outpatient treatment for CY2021
Ill. Number of AOT modification hearings in CY2021
i.AOT
N/A
IV. Number of 180-day extended orders in CY2021 N/A
V. Total administrative costs (including but not limited to 0
court fees, costs associated with law enforcement,
staffing, etc.) for providing involuntary services in CY2021
37
343
ii. IOT
107
$16,642.96
(emergency
delegates)
2022/2023 Franklin County Human Services Plan
i) CCRI Data reporting
OHS requires the County/Joinder to submit a separate record, or "pseudo claim," each time an
individual has an encounter with a provider. An encounter is a service provided to a Member. This
would include, but not be limited to, a professional contact between an individual and a provider and
will result in more than one encounter if more than one service is rendered. For services provided by
County/Joinder contractors and subcontractors, it is the responsibility of the County/Joinder to take
appropriate action to provide the OHS with accurate and complete encounter data. OHS' point of
contact for encounter data will be the County/Joinder and no other Subcontractors or Providers. It is
the responsibility of the County/Joinder to take appropriate action to provide OHS with accurate and
complete data for payments made by County/Joinder to its subcontractors or providers. OHS will
validate the accuracy of data on the encounter.
Description Report .. -'"' 1111
Document Due Da.te
B311P
Reporting
Reports each time
consumer has an
encounter witil1
county/provider.
Format/data based on
HIPAA complliant 837P
fo11TI11at
ASCII files via
FTP
Due w·it11in 90
calendar days of the
countyljoinder
accepting payment
responsibility; or
'Within mo calendar
of t11e encounter
:HllPAA
implementation
guide and
adldendla_
PROMllSem
Comp;mion
Have all available claims paid by the county/joinder during CY 2021 been reported to the state as a
pseudo claim? DYes ~ No
j) Categorical State Funding-FY 21-22 (ONLY to be completed by counties not participating in
the Human Services Block Grant)
1. Does the county currently receive state funds for Respite services?
D Yes D No
If yes, please describe the services rendered with these funds, including an estimate of the
number of individuals served? If no, what services would be provided if funding was
available?
2. Does the county currently receive state funds for Consumer Drop-in Centers?
D Yes D No
If yes, please describe the services rendered with these funds, including an estimate of the
number of individuals served? If no, what services would be provided if funding was
available?
3. Does the county currently receive state funds to be used for the Direct Service Worker
Initiative?
38
D Yes D No
If yes, please describe the services rendered with these funds, including an estimate of the
number of individuals served? If no, what services would be provided if funding was
available?
2022/2023 Franklin County Human Services Plan
4. Does the county currently receive state funds to support the closure of Philadelphia
State Hospital closure?
D Yes D No
If yes, please describe the services rendered with these funds, including an estimate of the
number of individuals served? If no, what services would be provided if funding was
available?
5. Does the county currently receive state children's funds to support the closure of the
Eastern State School & Hospital?
D Yes D No
If yes, please describe the services rendered with these funds, including an estimate of the
number of individuals served? If no, what services would be provided if funding was
available?
6. Does the county currently receive state funding to support the closure of the Mayview
Children's Unit Closing?
D Yes D No
If yes, please describe the services rendered with these funds, including an estimate of the
number of individuals served? If no, what services would be provided if funding was
available?
7. State Categorical Funding Chart (ONLY to be completed by counties not participating in
the Human Services Block Grant)
State Categorical Funding
Please complete the following chart below for all funding received. Funding expended can be
estimated for fourth quarter expenditures of FY 21-22. If no funding received for a line, please
indicate with n/a. These numbers will be compared to the county Income and Expenditure Reports
when received to ensure accuracy.
Program Funding Received Funding Expended Balance of funds
FY 21-22 FY 21-22
Respite Services
Consumer Drop-in
Center
Direct Service
Worker initiative
Philadelphia State
Hospital Closure
Eastern State School
& Hospital
Mayview Children's
Unit Closing
Student Assistance
Program
39
2022/2023 Franklin County Human Services Plan
INTELLECTUAL DISABILITY SERVICES
The Office of Developmental Programs (ODP), in partnership with the county programs, is committed
to enabling individuals with an intellectual disability and autism to live rich and fulfilling lives in their
community. It is important to also afford the families and other stakeholders access to the information
and support needed to help be positive members of the individuals' teams.
This year, we are asking the county to focus more in depth on the areas of the Plan that will help us
achieve the goal of an Everyday Life for all individuals.
With that in mind, please describe the continuum of services to registered individuals with an
intellectual disability and autism within the county. In a narrative format, please include the strategies
that will be utilized for all individuals registered with the county, regardless of the funding stream. In
completing the chart below regarding estimated numbers of individuals, please include only
individuals for whom Base or HSBG funds have been or will be expended. Appendix C should reflect
only Base or HSBG funds except for the Administration category. Administrative expenditures should
be included for both base and HSBG and waiver administrative funds.
*Please note that under Person-Directed Supports (PDS), individuals served means the individual
used Vendor Fiscal/Employer Agent (VF/EA) or Agency with Choice (AWC) for at least one service
during the fiscal year. The percentage of total individuals served represents all funding streams. The
percentage might not add to 100 percent if individuals are receiving services in more than one
category.
The mission of Franklin/Fulton Mental Health/Intellectual & Developmental Disabilities/ Early
Intervention is to partner with the community to develop and assure the availability of quality
MH/IDD/EI services and supports for individuals and families. Through the use of a person-centered
planning approach and the utilization of Prioritization of Urgency of Need for Services (PUNS), the
IDD program assists individuals in accessing services and supports within their community regardless
of the funding stream. The PUNS gathers information from the person-centered planning
approach to identify current and anticipated needs. This information allows Franklin/Fulton
Intellectual & Developmental Disabilities program to budget and plan for the continuum of services
and to develop programs to meet the needs of the community. Programs support client engagement
and provide access to services for employment, training, housing and family support as appropriate.
In Fiscal Year 2021-2022, there were 536 people registered and supported in the Intellectual and
Developmental Disabilities program in Franklin County.
40
2022/2023 Franklin County Human Services Plan
Individuals Served
Estimated Percent of Projected Percent of Number of total Number of total Number Individuals Number of Individuals to of Individuals served in Individuals be Served in
FY 21-22 Served FY 22-23 Served
Supported Employment 21 0.04 25 0.05
Pre-Vocational 0 0 0 0
Community participation 6 0.01 5 0.01
Base-Funded Supports 65 0.12 65 0.12 Coordination
I Residential 0 0 0 0 I (6400)/unlicensed
Lifesharing 0 0 0 0 I (6500)/unlicensed
I PDS/AWC 14 0.03 14 0.03
t-'U::S/V r 0 0 0 0
Family Driven Family 71 1.13 75 0.14 Su~port Services
Supported Employment: "Employment First" is the policy of all commonwealth executive branch
agencies under the jurisdiction of the governor. ODP is strongly committed to competitive integrated
employment for all.
• Please describe the services that are currently available in the county such as discovery,
customized employment, and other services.
• Please identify changes in the county practices that are proposed for the current year that will
support growth in this area and ways that ODP may assist the county in establishing
employment growth activities.
• Please add specifics regarding the Employment Pilot if the county is a participant.
Employment First is a concept promoting competitive integrated employment. Franklin/Fulton IDD
program is supporting this concept in a variety of ways. Due to the COVID pandemic, individuals with
disabilities were either laid off, quit their jobs, were furloughed or were terminated just like those
without disabilities. As the pandemic continued, individuals with disabilities again, like those without
disabilities, continued to work, found new jobs or decided not to return to work. The pandemic has
affected our programs in many different ways.
The "Transition to Adult Life Success" program engages young adults with disabilities in discussions
and activities pertaining to areas of self-determination and career exploration. The "Transition to Adult
Life Success" program activities include presentations on employability, community resources and
post-secondary opportunities. One-to-one services include connecting with employers, job
shadowing, community-based work assessments, and work incentive counseling. There are currently
19 stufflents in the TALS program in Franklin County. The TALS program has a goal of placing eight
41
2022/2023 Franklin County Human Services Plan
(8) individuals into a competitive job. Two (2) individuals had been placed into a competitive job in
2021-2022.
Supported Employment Services include direct and indirect services provided in a variety of
community employment work sites with co-workers who do not have disabilities. Supported
Employment Services provide work opportunities and support individuals in competitive jobs of their
choice. Supported Employment Services enable individuals to receive paid employment at minimum
wage or higher from their employer. Providers of Supported Employment Services have outcomes of
"placing individuals with intellectual disabilities in a competitive job." Of the 21 people receiving base
funded supported employment, all 21 have competitive jobs.
Small Group Employment services consist of supporting participants in transitioning to competitive
integrated employment through work that occurs in a location other than a facility subject to 55 Pa.
Code Chapter 2380 or Chapter 2390 regulations.The goal of Small Group Employment services is
competitive integrated employment. Participants receiving this service must have a competitive
integrated employment outcome included in their service plan and it must be documented in the
service plan how and when the provision of this service is expected to lead to competitive integrated
employment. Work that participants perform during the provision of Small Group Employment
services must be paid at least minimum wage and the compensation must be similar to compensation
earned by workers without disabilities performing the same work. Small Group Employment service
options include mobile work force, work station in industry, affirmative industry, and enclave. While
there are no base funded individuals participating in Small Group Employment, there are seven (7)
individuals utilizing Small Group Employment Services via waiver funding.
Discovery is a targeted service for a participant who wishes to pursue comptetitive integrated
employment but due to the impact of their disability, their skills, preferences and/or potential
contributions cannot be best captured through traditional, standardized means, such as functional
task assessments, situational assessments and/or traditional normative assessments which
compare the participant to other or arbitrary standard of performance and/ or behavior. Discovery
involves a comprehensive analysis of the participant in relation to the following:
• Strongest interests toward one or more specific aspects of the labor market;
• Skills, strengths and other contributions likely to be valuable to employers or valuable to the
community if offered through self-employment; and
• Conditions necessary for successful employment or self-employment.
All employment providers use Discovery as part of their supported employment process. At this time,
no one in Franklin County uses Discovery as a discrete service.
Community Participation Support is defined as "providing opportunities and support for community
inclusion and building interest in and developing skills and potential for competitive integrated
employment." Services should result in active, valued participation in a broad range of integrated
activities that build on the participant's interests, preferences, gifts, and strengths while reflecting his
or her desired outcomes related to employment, community involvement and membership.
Community Participation Support is intended to flexibly wrap around or otherwise support community
life secondary to employment, as a primary goal. This service involves participation in integrated
community settings, in activities that involve persons without disabilities who are not paid or unpaid
caregivers. This service is expected to result in the participant developing and sustaining a range of
valued social roles and relationships, building natural supports, increasing independence, increasing
potential for employment, and experiencing meaningful community participation and inclusion." The
Franklin/Fulton IDD program will continue to support providers in providing Community Participation
Support. A total of six (6) individuals utilized base dollars to pay for Community Participation Support
during FY 21/22. During COVID, the facility that was providing base funded Community Participation
42
2022/2023 Franklin County Human Services Plan
Support was closed and then reopened March 1, 2021. As of June 30, 2022, five (5) individuals have
returned to the facility for face to face Community Participation Support in accordance with the
facilities reopening plan.
The IDD department is concentrating on Competitive Integrated Employment which includes
supported employment and small group employment for the Quality Management Goal (see Appendix
E). The outcome for the Quality Management Plan is "people who choose to work are employed in
the community." There were 87 individuals who were employed in compmetitive Integrated
Employment before the COVID-19 Pandemic. As with the rest of the state, some individuals were laid
off or furloughed or the business may have closed or the individual chose to leave their job, while
other individuals continued to work in essential businesses throughout the pandemic. The following
graph shows how employment has increased or decreased the last five (5) years and the effect of the
pandemic. There are 82 individuals who are currently employed in Competitive Integrated
Employment. As the pandemic is slowing down, this number will be considered the baseline for the
QM plan. Franklin/ Fulton IDD Employment Providers will continue to support people to continue to
work or to find new jobs.
90 Competitive Employment
70
Franklin/Fulton Transition Councils collaborate with the Office of Vocational Rehabilitation (OVR) in
dentifying individuals who will benefit from Pre-employment Transition Services, Paid Work
Experiences and Job Shadowing within the school districts. The Franklin/ Fulton IDD Program
participates in the Transition Council, which includes representative from OVR, School Districts and
providers to promote and support the Employment First Model. OVR and the Franklin/Fulton IDD
Program facilitate the STAR (Student Transition to Adult Review) meetings for students and their
parents to focus on their plan for transitioning from high school and adult supports/services.
Discussion centers on students' interests, goals and present levels in relations to employment and
independent living and supports needed. This also provides an opportunity to register with the IDD
Program and OVR if the person has not already done so. The Franklin/Fulton County Transition
Councils created virtual transition sites during the pandemic to provide useful resource documents,
presentations, etc. that school districts and families can access at anytime. In person Virtual
Transition Fairs hope to resume during school year 22/23 depending on school COVID protocols.
43
i-
2022/2023 Franklin County Human Services Plan
The IDD Program and the SCO collaborate and participate in trainings with OVR on implementation
of Workforce Innovation and Opportunity Act (WIOA). The IDD Program developed and uses an OVR
referral process to streamline, track and facilitate in accessing OVR services for Franklin County
individuals.
Supports Coordination:
• Please describe how the county will assist the supports coordination organization (SCO) to
engage individuals and families to explore the communities of practice/supporting families
model using the life course tools to link individuals to resources available in the community.
• Please describe how the county will assist supports coordinators to effectively engage and
plan for individuals on the waiting list.
• Please describe the collaborative efforts the county will utilize to assist SCOs with promoting
self-direction.
Base Funded Supports Coordination included home and community case management for individuals
in Nursing Facilities, Medical Assistance (MA) eligible individuals who are admitted for hospitalization,
individuals residing in Intermediary Care Facilities, and individuals who do not qualify for MA. These
services are only paid for individuals who have a denial of MA Coverage. There are 55 people who
have base funded Supports Coordination either because they are not eligible for MA or who lost their
MA for part of the year. There are seven (7) individuals who have the OBRA waiver and have base
funded Supports Coordination, and three (3) people who reside in an ICF/ID or State Center and
receive base funded Supports Coordination. Currently, no one is interested in leaving the State
Center system from Franklin County so transition services are not needed at this time. See
Community for All Section for more information.The IDD program has MA denials for individuals who
are receiving base services over $8000.
The IDD Program collaborates with the Supports Coordination Organization (SCO) by holding
monthly meetings with the SC Supervisors. During these, meetings, individuals who are deemed high
profile or have an Emergency PUNS are discussed regarding natural supports and what supports are
necessary for that person. Any individual can be added to the list. During these monthly meetings,
PUNS, ISPs, Levels of Care, incident management, provider risk assessments, IM4Q and other items
are part of the standing agenda discussed.
The SCO is also represented on the Transition Council and is encouraged to participate in State
Employment Leadership Network (SELN) trainings, Community of Practice employment calls, and
Secondary Transition Conferences, to promote community integrated employment. Franklin/ Fulton
County is part of one of the Regional Collaboratives for the Community of Practice. Franklin/ Fulton
has combined their stakeholder group with York/ Adams Counties and has become the South Central
Regional Collaborative. The Franklin/ Fulton part of the Regional Collaborative is working on creating
a one-page profile of the AE this year to be discussed at intake so that when the person is referred to
the SCO, they are already aware of the Lifecourse Tools. The SCO is part of the Stakeholder group
for the Regional Collaborative. The State Community of Practice has established the following goals:
Family Engagement, Employment, Front Door and Supports Coordination. Support Coordinators use
the life course principles and activities to help individuals and families plan for the future. The SCO
supports the initiatives of the Community of Practice. See more information about Regional
Collaboratives in Administrative Funding.
In addition to the Transition Council and Regional Collaborative, the SCO also sends representatives
for the Risk Management Committee and the Quality Improvement Council.
44
2022/2023 Franklin County Human Services Plan
Lifesharing and Supported Living:
• Please describe how the county will support the growth of Lifesharing and Supported Living as
an option.
• Please describe the barriers to the growth of Lifesharing and Supported Living in the county.
• Please describe the actions the county found to be successful in expanding Lifesharing and
Supported Living in the county despite the barriers.
• Please explain how ODP can be of assistance to the county in expanding and growing
Lifesharing and Supported Living as an option in the county.
According to 55 Pa. Code Chapter 6100 regulations: "Family Living Homes are somewhat different
than other licensed homes as these settings provide for life-sharing arrangements. Individuals live in
a host life-sharing home and are encouraged to become contributing members of the host life-sharing
unit. The host life-sharing arrangement is chosen by the individual, his or her family and team, and
with the life-sharing host and Family Living Provider Agency, in accordance with the individual's
needs. Licensed Family Living Homes are limited to homes in which one (1) or two (2) individuals with
an intellectual disability, who are not family members or relatives of the life-sharing host, reside."
Satisfaction surveys have shown that individuals in life-sharing living arrangements are more satisfied
with their life.
The Franklin/Fulton County IDD Program will support the growth of life-sharing in the following ways:
• The Administrative Entity (AE) and SCO will continue to work on providing information to
individuals and families on the values and benefits of Life-Sharing and correcting the "stigma" that
is "adult foster care." We will continue to help families understand that Life-Sharing is a
supportive, sharing, and mentoring environment that enhances the natural supports of the family.
• The AE has encourages local Life-Sharing providers to develop new licensed homes to be used
for periodic and emergency respite situations that can be available when needed. This has helped
to expedite emergency respite placements which, in turn, have developed into new life-sharing
connections. At this time homes are being added to maintain the current level of availability with
the desired goal of adding enough homes to meet the actual need.
• The AE will work with providers with the expansion of the Life-Sharing service definition to include
individuals living in their own home or the home of a relative and receiving agency managed life-
sharing services.
Life-sharing is the first residential option offered to any person who needs a residential placement.
This is documented in the Individual Support Plan. Currently, there are 35 people living in Life-
Sharing homes in Franklin County (Franklin/Fulton QM information). The funding that supports 34 of
these individuals in their life-sharing homes is waiver funding. The remaining person is private pay for
his life-sharing home.
Some of the barriers to growth in life-sharing in Franklin/Fulton County are the lack of families
interested in life-sharing. Another barrier is the complex needs of individuals that may be interested in
life-sharing. The final barrier is that caregivers that are life-sharers are aging. As they age, their own
needs increase and they cannot continue to provide the care required. While there are barriers to life-
sharing in Franklin/Fulton Counties, there are also successes. Many of the people in life-sharing have
lived in their life-sharing homes for 20+ years. One provider of life-sharing actively recruits life-sharing
families successfully. Finally, Franklin/Fulton has been successful in moving individuals from CRR
(Community Rehabilitation Residential) facilities and Children's Foster Care to life-sharing when they
age out of the children's system.
In July 2018, ODP expanded their waiver offerings by adding the Community Living Waiver (CLW);
this waiver has a funding capacity of $85,000 dollars. This is enough funding to support an individual
45
2022/2023 Franklin County Human Services Plan
that has a low SIS Needs Group in a Life-Sharing home as long as that individual is either working or
not attending a traditional day program.
During the COVID pandemic, the IDD Program checked in with Life-Sharing Providers, as well as
other residential providers to determine whether they had enough personal protective equipment
(PPE), number of COVID cases and to check on the health and safety of individuals in their program.
The meetings started out weekly and are still being held, but have changed to every 3-4 weeks.
These virtual meetings have helped the AE and the Provider stay in contact to discuss other issues
as well as COVID and will continue past the Pandemic.
Cross-Systems Communications and Training:
• Please describe how the county will use funding, whether it is HSBG or Base funding, to
increase the capacity of the county's community providers to more fully support individuals with
multiple needs, especially medical needs.
• Please describe how the county will support effective communication and collaboration with
local school districts in order to engage individuals and families at an early age and promote
the life course/supporting families paradigm.
• Please describe how the county will communicate and collaborate with local children and youth
agencies, the Area Agency on Aging, and the mental health system to enable individuals and
families to access community resources, as well as formalized services and supports through
ODP.
The IDD program collaborates with the following agencies to increase the support for individuals with
multiple needs. The IDD program staff attends Child and Adolescent Service System Program
(CASSP) meetings to discuss the supports needed for individuals to be supported in their community
and school. The IDD staff also has a working relationship with Home Health Aide providers to support
individuals with medical needs in their home and community. Lastly, the Managed Care Organization
Specialized Needs Unit is available for individuals under the age of 18 who meet their criteria. The
IDD program collaborates with the school districts by offering informational sessions to both parents
and teachers. These have been put on hold during the pandemic but plan to resume in 2022-2023.
The IDD staff attends IEPs when requested to help problem-solve and/or to provide intake
information. STAR meetings (student transition to adult review) meetings that is facilitated by OVR
Supervisor and IDD Program Specialist to discuss and plan for services/supports after graduation.
The IDD program has also worked with school districts and the PA Family Network to provide
information to families and hold workshops after Back to School Nights on different subjects. During
COVID, these sessions have not been held, or held virtually, due to the restrictions of ODP, Franklin
County and School Districts. The Administrative Entity (AE) also is a member of the Transition
Council and attends the Transition Fairs at all High Schools county-wide. The IDD program partners
with Children and Youth (C&Y) through CASSP. There are also individual cases where C&Y and the
IDD program are involved and the collaboration between the two agencies has resulted in the best
outcome for the child while protecting the individual's rights.
The Mental Health and IDD program has a long history of communication and collaboration. IDD
collaborated with the Copeland Center for Wellness and Recovery and Mental Health to pilot WRAP®
for People with Developmental Distinctions, which supports individuals with both a mental illness and
developmental disability. WRAP® is a recovery oriented evidence-based model that is accepted
internationally. Franklin/Fulton County and Philadelphia are the pilot areas. The first group was held
at Occupational Services, Inc. (OSI) in 2013. The County is also on the committee that wrote the
WRAP® for People with Developmental Distinctions curriculum in collaboration with The Copeland
46
2022/2023 Franklin County Human Services Plan
Center, OMHSAS, NASDDDS and ODP. This curriculum is the next step for WRAP® for People with
Developmental Distinction to become evidenced-based. The County has supported WRAP® efforts to
explain this new program at conferences and trainings. WRAP® groups were not held throughout the
year due to the COVID pandemic. Franklin County will continue to support WRAP® for People with
Developmental Distinctions and resume WRAP® for People with Developmental Distinctions groups
in 2022-2023.
The IDD program presents the module on Intellectual & Developmental Disabilities at the Crisis
Intervention Team (CIT) Curriculum. This curriculum helps police officers, Mental Health
professionals and first responders respond to someone with a disability in the course of their
professions. The IDD section has been revised to better suit the audience of police officers and first
responders for 2020-2021.The training was presented twice in 2021-2022 and is planned to be held
twice in 2022-2023. Many of the local first responder agencies or police departments have most of
their staff trained in CIT.
The IDD program continues to collaborate with Mental Health, CASSP, School Districts, Tuscarora
Managed Care Alliance and Perform Care to support people who have a dual diagnosis.
Emergency Supports:
• Please describe how individuals in an emergency situation will be supported in the community
(regardless of availability of county funding or waiver capacity).
• Please provide details on the county's emergency response plan including:
o Does the county reserve any base or HSBG funds to meet emergency needs?
o What is the county's emergency plan in the event an individual needs emergency services,
residential or otherwise, whether within or outside of normal working hours?
o Does the county provide mobile crisis services?
o If the county does provide mobile crisis services, have the staff been trained to work with
individuals who have an ID and/or autism diagnosis?
o Do staff who work as part of the mobile crisis team have a background in ID and/or autism?
o Is training available for staff who are part of the mobile crisis team?
o If the county does not have a mobile crisis team, what is the county's plan to create one
within the county's infrastructure?
• Please submit the county 24-hour emergency crisis plan as required under the Mental Health and
Intellectual Disabilities Act of 1966.
If waiver capacity is unavailable in an emergency situation, individuals will be supported out of funds
in the Block Grant. Base money can be provided for day programs and transportation to maintain
their residence at home and/ or to allow their parents to maintain their employment status. The
Franklin County IDD Department will increase the availability for combinations of Family Aide, Day
Programs, transportation, adaptive equipment, home modifications and respite care so that
individuals may continue to live at home instead of residential programs, which are more costly.
Franklin County reserves 28 days for Emergency Respite care in base funds.
The IDD Independent Apartment Program has 13 individuals living in their own apartments with less
than 30 hours of support per week. Base funds are used to subsidize the rent. This program is the
least restrictive housing option for individuals who wish to live independently.
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The AE has a Risk Management Committee that meets quarterly to discuss incident management, to
review restrictive procedures, discuss risk mitigation and any items that may lend to a future
emergency. Under the direction of ODP, the County is implementing Provider Risk Assessments as
a proactive means to determine if a provider has risk in their operations. The AE reviewed two (2)
residential providers who Franklin/ Fulton is the assigned AE and also provided information to other
Assigned AEs about their providers in 2021-2022.
Franklin County responds to emergencies outside of normal work hours in Procedure Statement
IDD505 Risk Mitigation. In this procedure statement, all Program Specialists are listed, as well as the
MH/IDD/EI Administrator, with their cell phone numbers. These contacts can be used after hours for
any emergency. All providers have been trained in the policy. Initial incidents are reviewed daily to
assure the health and safety of the individuals served; this includes weekends and holidays. Franklin
County reserves base respite funds to authorize respite services as needed in an emergency and
works with providers. Adult Protective Services, and the Supports Coordination Organization to set up
these services, whether during normal business hours or after business hours. These services may
end up being Life Sharing or 6400 Residential. This provides for the safety of the person and finds a
long-term solution.
The MH/IDD Department's mission of essential functions is those critical processes the department
must maintain during the response and recovery phases of an emergency, to continue to serve its
constituents. The department's mission-essential functions must be able to be executed within 12
hours of a major emergency and be sustainable for up to 30 days during the recovery phase of the
emergency.
The IDD Program utilizes the current contract with Keystone Behavioral Health for Crisis Services.
The Crisis Department is operated 24 hours per day, seven (7) days per week, 365 days per year.
One aspect of this contracted service is Mobile Crisis and is available in Franklin County. Any of the
Crisis workers can provide Mobile Crisis. Some of the Crisis workers do have a background in
working with individuals with autism and/or Intellectual & Developmental Disabilities and are trained;
Training is available for any staff as requested. As with the other Crisis services offered, when an
individual with an intellectual disability or autism utilizes Crisis services, the Crisis staff will notify
either the Supports Coordinator or the AE if the person is not registered with the IDD program. The
Co-Responder program is also a way to divert individuals with disabilities from being incarcerated and
seek the community resources help that they need. Please see Mental Health Section for details.
The Franklin/Fulton IDD Program supports CSG's Mobile MH/IDD Behavioral Intervention Services to
expand the Mobile Crisis service in Franklin/Fulton County. The service would be a "time limited
service designed to evaluate the current situation, develop treatment strategies, provide direct
interventions with the individual, deliver consultation, provide resources and develop skills so that
existing supports can continue to implement the treatment strategies developed by the team" for
individuals who have a dual diagnosis and are struggling to have an "everyday life." The program has
served five (5) individuals this past year.
Franklin/ Fulton County has had a recent increase in individuals being discharged from the jail/ prison
system. While some of the individuals are registered with the AE, others are not known to the IDD
system. This delays the provision of services and supports as many do not have the documentation
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necessary to determine eligibility Franklin County has also recently organized a Complex System
Triage Team Workgroup to discuss certain cases that may cross different departments, and to
develop policies and procedures to make it easier to support individuals in need.
The County 24-hour Emergency Response Plan, as required under the Mental Health and Intellectual
Disabilities Act of 1966, is on file and will be provided if requested, due to the personal phone
numbers published in it.
Administrative Funding: ODP has engaged the PA Family Network to provide support and training
in the community. The PA Family Network will be providing individuals who are person-centered
trainers.
• Please describe the county's interaction with PA Family Network to utilize the network trainers with
individuals, families, providers, and county staff.
• Please describe other strategies the county will utilize at the local level to provide discovery and
navigation services (information, education, skill building) and connecting and networking services
(peer support) for individuals and families.
• Please describe the kinds of support the county needs from ODP to accomplish the above.
• Please describe how the county will engage with the Health Care Quality Units (HCQUs) to
improve the quality of life for individuals in the county's program.
• Please describe how the county will use the data generated by the HCQU as part of the Quality
Management Plan process.
• Please describe how the county will engage the local Independent Monitoring for Quality (IM4Q)
Program to improve the quality of life for individuals and families.
• Please describe how the county will support local providers to increase their competency and
capacity to support individuals who present with higher levels of need related to aging, physical
health, behavioral health, communication, and other reasons.
• Please describe how ODP can assist the county's support efforts of local providers.
• Please describe what risk management approaches the county will utilize to ensure a high quality
of life for individuals and families.
• Please describe how the county will interact with individuals, families, providers, advocates and the
community at large in relation to risk management activities.
• Please describe how ODP can assist the county in interacting with stakeholders in relation to risk
management activities.
• Please describe how the county will utilize the county housing coordinator for people with autism
and intellectual disabilities.
• Please describe how the county will engage providers of service in the development of an
Emergency Preparedness Plan.
The IDD Program has hired a Community Mobile Nurse Position. The Community Mobile Nurse
will be primarily stationed in one (1) home but will be able visit IDD individuals who reside in
Franklin/Fulton counties when a referral has been made to the Administrative Entity through the
Support Coordination Organization or when an Incident Report is entered into the IDD state
system that a nurse should make a Health and Safety visit to that individual. This position was
established to aid in providing individuals living with family members with added nursing support
when needed. The Community Mobile Nurse has served 22 individuals/ families in 2021-2022.
Franklin/Fulton IDD program is a Regional Collaborative for the Community of Practice. As part of
the Community of Practice, the PA Family Network is part of our Stakeholder Group. Due to the
COVID-19 pandemic, all in-person trainings had been cancelled. The PA Family Network will
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continue to provide weekly Family Forums using a Zoom platform. The PA Family Advisor on the
Regional Collaborative continues to support families via internet/ phone during this time. The
Regional Collaborative will concentrate on the four (4) areas that ODP has initiated. They are
Employment, Family Engagement, Front Door and Supports Coordination. York/ Adams and
Franklin/ Fulton have merged into one Regional Collaboration and are now called the South
Central Regional Collaborative. Franklin/ Fulton is the process of taking the resource guide and
mapping it through the GIS department, making it searchable and printable. This will be an
electronic application that will be able to be used by human service professionals and individuals
and families. The next step is creating more Maps (Behavioral Health and Food Resources are
done). Due to the COVID pandemic, the Regional Collaborative Stakeholder Group had not been
meeting. Meetings started back up in 2021 with the meetings being virtual. There have been 2
virtual meetings where the goal is to create a Vision and Mission for our Collaborative. Then a
"Deeper Dive" training was held in May. The next meeting will be Fall 2022 and it is hopeful that it
will be hybrid model with both in-person and virtual together.
The IDD program uses the vast experience of the HCQU. Trainings by the HCQU are held
virtually which allows folks to partcipate in any scheduled training regardless of county you live in.
They also provide individualized training that is requested by providers and families. The AE
attends the Positive Practices Committee meetings as well as Regional HCQU meetings. The
HCQU is represented at our provider meetings and participates on both the Risk Management
Committee and the Quality Improvement Council. Medication Errors is one (1) of the outcomes
and objectives in the Quality Management Plan. The HCQU provides training to individuals,
provider homes, staff or individuals, depending on the trends found while analyzing the data. This
supports the outcome "people are healthy, and Franklin/Fulton Intellectual and Developmental
Disabilities Program will use the objective of reducing the number of medication errors by 10% by
June 30, 2022". The baseline data is 144 medication errors from July 2020-June 2021. As of
June 30, 2022, there are 170 medication errors in 2021-2022 QM year, demonstrating an 18%
increase in the number of medication errors. This outcome will remain in the QM plan.
Medication Errors
200
150
so
0
2015-16 2016-17 2017-18 2018-2019 2019-2020 2020-2021 2021-2022
As with the HCQU, a representative for the IM4Q local program sits on the QI Council. The QI
Council also reviews Employment IM4Q data to determine satisfaction with services. The QI
Council also looks for trends in IM4Q data where satisfaction of services is below the state
average. The greatest barrier to reviewing IM4Q data is that the reports are not current. As a
result, there is a lag in developing QM outcomes and objectives. Since the surveys were cancelled
due to the pandemic, IM4Q data will not be used for the next year outcomes as there will not be a
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report. When a new QM plan is developed, IM4Q data is reviewed for Franklin/Fulton County to
determine if and where the IDD program is falling behind the state average or if there is a
reoccurring issue for consideration.
The IDD program supports local providers by encouraging them to develop a relationship with the
HCQU for trainings needed for their staff to support individuals with higher levels of need. The
HCQU can also do biographical timelines, Consumer Data Collection (CDCs),
medication/pharmacy reviews and provide training. CDCs were being scheduled for all residential
homes on a routine basis. Providers have been utilizing the Health Risk Screening Tool to
improve the quality of life for individuals. The AE continues to support providers in developing
relationships with the local hospital. As previously mentioned, the MH/IDD Coordination meetings
help to support providers.
The Risk Management Committee holds quarterly meetings to assess incidents to establish a
higher quality of life for individuals. The Risk Management Committee realized that Individual to
Individual (1-2-1) abuse was an issue that needed addressed. The QM Plan addresses the 1-2-1
abuse issue. The outcome, "People are abuse free," is measured by the objective of reducing the
number of 1-2-1 abuse incidents by 5%. The number of incidents of 1-2-1 abuse will be measured
through quarterly analysis of the HCSIS Incident Data and the target trends to prevent future
incidents will be analyzed by the Risk Management Team. The baseline data is 33 incidents of 1-2-
1 abuse for 2021-2022. As of June 30, 2022, there were 54 incidents of 1-2-1 abuse. This was a
increase of 64 % in 1-2-1 abuse. The increase was due to provider home consolidation due to
staffing shortage and reporting at one specific home. The Risk Management Committee will
continue to monitor the data for trends.
121 Abuse
120
100
80
60
40
20
0
2013-2014 2015-2016 2017-2018 2019-2020 2021-2022
The IDD Program partners with the County Housing Program to support an Independent Living
Apartment Program for people living in their own apartments who need less than 30 hours of
support a week. The County subsidizes the rent with base funds and therefore, individuals are
able to live in affordable and safer neighborhoods. There are currently 13 individuals in this
program.
The County engages providers of service by ensuring that all ISPs have backup/emergency plans
included. All providers updated their Emergency Preparedness Plans during the COVID-19
pandemic. Providers will continue to update their Emergency Plans as needed and provided re-
entry plans to the AE during COVID. Franklin/ Fulton AE continues to follow up with providers
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during the COVID pandemic. Through the IM4Q considerations, Franklin/ Fulton Counties made
emergency folders with the local information from the Department of Emergency Services and
Ready.gov. These folders are in the process of being revised and a new program is being
developed. The stakeholder group developing these folders is consisted of individuals, families,
IDD program staff and first responders. This should be completed and piloted in 2022-2023.
Franklin/ Fulton IDD Program received American Rescue Plan Act (ARPA) funding from the Office
of Developmental Programs. These dedicated funds were used to fund a new Program Specialist
Position and for Respite and Family Drive Support Services (FOSS). The new Program Specialist
started in June 2022. Franklin/ Fulton County used a portion of the FOSS funds to provide
emergency respite to two (2) people in May. Franklin/ Fulton plans to provide more services using
these dedicated funds to individuals and families in the 2022-2023 year.
Participant Directed Services (PDS):
• Please describe how the county will promote PDS (AWC, VF/EA) including challenges and
solutions.
• Please describe how the county will support the provision of training to SCOs, individuals and
families on self-direction.
• Are there ways that ODP can assist the county in promoting or increasing self-direction?
Franklin/ Fulton Counties have no individuals or families using VF/EA. When the VF/EA is explained
to families, they choose Agency with Choice (AWC) if they wish to self-direct their services. Franklin
County has 14 families using AWC supports. All of their supports and services are paid with ODP
waiver funding. The County coordinates training for families through the Arc of Franklin/ Fulton
Counties (the AWC provider) and the HCQU.
The major challenges for AWC continue to be that families have trouble finding staff, especially in the
rural areas of the county. This is due to the low wage, lack of transportation and/ or locations far from
any services, as well as families have a lack of knowledge of the IDD system and the service
definition changes and the COVID-19 Pandemic. Additionally, families become frustrated with the
amount of documentation and training required. ODP assistance could be used to find creative ways
to address these issues and to provide training to families regarding AWC. However, due to the
COVID pandemic, more families are considering AWC services.
Community for All: ODP has provided the county with the data regarding the number of individuals
receiving services in congregate settings.
• Please describe how the county will enable individuals in congregate settings to return to the
community.
Franklin County has 10 individuals in congregate settings. Two (2) individuals reside at State Centers
and all have been given the choice to move into the community. Both individuals have stated that
they are happy where they currently reside and have no desire to move. One (1) person resides in a
private ICF/ID and continues to choose that placement. The remaining seven (7) individuals reside in
nursing homes. All but one (1) of these individuals are age-appropriate and/ or have a nursing home
level of care required, making the nursing home an appropriate placement. The one (1) exception is a
woman who is too young to be in the nursing home, but repeatedly refuses appropriate residential
options that are offered to her, though she does have a long-term level of care that was determined
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by ODP. The Supports Coordinator will continue to offer and encourage her to look at residential
options that are appropriate.
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HOMELESS ASSISTANCE PROGRAM SERVICES
Please describe the continuum of services to individuals and families within the county who are
experiencing homelessness or facing eviction. An individual or family is facing eviction if they have
received either written or verbal notification from the landlord that they will lose their housing unless
some type of payment is received.
Bridge Housing Services:
• Please describe the bridge housing services offered. Include achievements and improvements
in services to families at risk or experiencing homelessness, as well as unmet needs and gaps.
• How does the county evaluate the efficacy of bridge housing services? Please provide a brief
summary of bridge housing services results.
• Please describe any proposed changes to bridge housing services for FY 21-22.
• If bridge housing services are not offered, please provide an explanation of why services are
not offered.
Due to limited funding, Franklin County has not expanded into bridge housing support.
Case Management:
• Please describe the case management services offered. Include achievements and
improvements in services to families at risk or experiencing homelessness, as well as unmet
needs and gaps.
• How does the county evaluate the efficacy of case management services? Please provide a
brief summary of case management services results.
• Please describe any proposed changes to case management services for FY 21-22.
• If case management services are not offered, please provide an explanation of why services
are not offered.
Every Rental Assistance applicant will be part of Family Services (HAP) Case Management and
Service Navigation program for South Central Community Action Programs (SCCAP) A service
plan will be established and signed by each applicant that will include referrals to address factors
that led to the housing crisis in addition to other factors that may have contributed to the problem.
Specifically, case management will be available through referrals with regard to budgeting,
parenting, accessing resources, and life skills with a goal of working towards self-sufficiency.
Individuals that consistently do not participate in the service plan may transition out of the
program and become ineligible for HAP funds for a period of up to two years. In this event the
efforts will be made to refer the individual to other Family Services or external partner programs
for alternative shelter assistance.
The SCCAP HAP Family Services Specialist will be responsible for completing all intakes and
assessments for Franklin County Homeless Assistance Program. This process will include
assessment of other needs, especially those that brought the family to a housing crisis. Case
management services/activities offered by SCCAP, as defined by the HAP Guidelines, may
include but are not limited to the following:
54
o Intake and assessments (service plan) for individuals who are in need of supportive
services and who need assistance in accessing the service system.
2022/2023 Franklin County Human Services Plan
o Assistance in developing a future story and SMART goals designed to lead to long term
stability
o Assessing service needs and eligibility and discussion with the individual of available
and acceptable service options.
o Referring individuals to appropriate agencies for needed services.
o Providing referrals to direct services such as budgeting, life skill training, job
preparation, etc.
o Providing advocacy, when needed, to ensure the satisfactory delivery of requested
services.
o Protecting the individual's confidentiality.
The SCCAP HAP Family Services will refer the individual to appropriate agencies/resources as
needed for services such as linkages to income supports, parenting skills, life skills, budgeting,
food, making appointments, priority setting, maintaining records, literacy training, adult basic
education, etc. The case manager will establish linkages with the Housing Authority and other
local housing programs for low-income housing and the County Assistance Office. Specifically,
the HAP Family Services Specialist will assure that individuals who are eligible have accessed
Emergency Shelter Assistance (ESA) through the Title IV-A program at the CAO so long as the
ESA program exists. The SCCAP HAP Family Services Specialist will discuss with the individual
any service needs and options and any goals the family has identified.
Confidentiality of the individual will be protected, and all reasonable efforts will be made to
coordinate service delivery and to avoid duplication of services. Therefore, Releases of
Information will be required so that all other agencies offering housing services can be contacted
to cross reference whether the family is receiving services elsewhere and to ensure coordination
of services.
After the individual has been approved, the HAP Family Services Specialist will complete a
payment agreement between the individual, landlord and SCCAP and will work with the client to
complete a goal plan specific for the individual needs of the family and appropriate referrals will
be made.
Some notable successes for Case Management have been the intentional referral to Support
Circles for HAP clients. That has allowed both families from the shelter and families applying for
rental assistance to be enrolled in a long-term program that will support the family on their
journey out of poverty. While not a requirement, we have seen several families take advantage of
this opportunity and they are receiving ongoing appropriate support.
Another notable success is the creation of a housing landlord survey that is shared with families
that can meet the needs of high barrier families (those who have had an eviction in the past or
may have a non-violent criminal history).
As we have evaluated the results of this program and the recidivism of families returning for help,
we are also opening our case management opportunities to families after they receive help and
promoting that as an ongoing opportunity so families can come back to talk through options
before they are in another crisis.
Another addition to this component for SCCAP is Rapid Rehousing and Homeless Prevention
through HUD and ESG funding and ERAP rental and utility assistance. This allows us the
opportunity to identify the appropriate program for the individual. SCCAP can now work with
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families before they become homeless through HAP, ERAP, or ESG Homeless Prevention
dollars, if they are currently homeless through our Emergency Shelter to get them off the streets
and then through HAP, ERAP, or Rapid Rehousing to help them get into safe affordable housing.
Followed by ongoing services through Case Management or Support Circles. The addition of
these services along with the coordination of internal and external supports through family
services and social support navigation assistance provides a much better continuum of care for
families experiencing the trauma of homelessness or near homelessness.
Of notable success are two critical partnerships. HAP is currently working with individuals referred
through the Veterans program and the Franklin Together Reentry Coalition. Both of those county
collaborative groups have a host of supports which assist the individual in having a better
opportunity of long term success.
In assessing the barriers to services the most common reasons we are unable to help individuals
is due to individuals being over the income limit or not being a resident of Franklin County for six
months. We also receive many calls about people wanting us to help before they have an eviction
notice. Individuals are reaching out to receive help to prevent an eviction notice. If we are not able
to help, there are not many other organizations in the community that are able to provide support.
Many organizations have the same regulations; at times local churches can assist and we make
those referrals as appropriate.
Franklin County staff members complete an annual onsite monitoring visit to evaluate case
management services to ensure that all program requirements are being met. This process
includes an evaluation of fiscal and program requirements along with individual file chart reviews.
During the COVID 19 Pandemic we have been able to coordinate services with clients while
maintaining safety for the client and their families. We have been able to perform most of the
eligibility via the phone and sending documents via text or email. We anticipate managing the
program in a similar manner as long as needed to keep HAP clients and their families safe.
Individuals will be informed in writing by SCCAP, of the right to appeal if service is denied to them
as set forth per the HAP guidelines. The following will be provided in writing to any individual who
is denied or terminated from service:
o the action being taken;
o the reason for the action;
o the effective date of the action and
o the availability of an appeal process at the County and State level.
Written appeal may be made to the County of Franklin. The individual will be informed in writing
of the result of the appeal. Further appeals will follow the guidelines as set forth by HAP which
states that after exhausting the first level of appeal at the County, an individual may appeal to
OHS to the Office of Hearings and Appeals. All individuals will be informed of the appeal process
during their initial appointment. The appeal plan is explained at the first appointment and a copy
is signed by the individual.
Rental Assistance:
• Please describe the rental assistance services offered. Include achievements and
improvements in services to families experiencing or at risk for homelessness, as well as
unmet needs and gaps.
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• How does the county evaluate the efficacy of rental assistance services? Please provide a
brief summary of rental assistance services results.
• Please describe any proposed changes to rental assistance services for FY 21-22.
• If rental assistance services are not offered, please provide an explanation of why services are
not offered.
HAP's Rental Assistance program is used for rent and security deposits for eligible low-income
applicants who are homeless or near homeless as defined below:
Individuals or families are homeless if they:
• Are residing in a group shelter; domestic violence shelter; hotel or motel paid for with public
or charitable funds; a mental health; drug, or alcohol facility; jail; or hospital with no place to
reside; or living in a home, but due to domestic violence; needs a safe place to reside;
• Have received verification that they are facing foster care placement of their children solely
because of lack of adequate housing, or need housing to allow reunification with children
who are in foster care placement;
• Are living in a "doubled-up" arrangement for six months or less on a temporary basis;
• Are living in a condemned building;
• Are living in housing in which the physical plant presents life and /or health threatening
conditions; e.g. having dangerous structural defects or lacking plumbing, heat, or utilities; or
• Are living on the streets, in cars, doorways, etc.
Individuals and families are near homeless if they;
• Are facing eviction (having received either written or verbal notification from the landlord
that they will lose their housing unless some type of payment is received. Verbal notification
must be followed up with written documentation). Actual Eviction notice is required in the
file.
Individuals served by the HAP program must have been a resident of Franklin County for six
months prior to applying for assistance. Rental Assistance is only provided to Franklin County
applicants who can demonstrate that they will be able to become self-sustaining after help is
Individuals served by the HAP Rental Assistance Program will fall into one or more of the following
categories:
• Franklin County families with children who are homeless or near homeless and can show
that with assistance they can be stable in the future.
• Persons fleeing domestic violence.
• Individuals who have fallen on hard times who need rental assistance and can show that
with assistance they can be stable in the future.
To receive financial assistance, the individual or family must be below 200% of the Federal
Poverty Income Guidelines. Referrals to other agencies can provide needed services and will be
made available to those who do not meet the income or residency guidelines as appropriate.
Income requirements will be waived for persons fleeing domestic violence and for those who are
experiencing a housing crisis due to a disaster such as fire or flood (upon State approval by the
State HAP Manager as stated in the guidelines).
The amount of Rental Assistance allocated will be determined by the facts of the case and the
creation of a service plan for each household addressing the conditions which precipitated the
housing crisis and addressing the acquisition of permanent housing including the schedule for
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disbursement of rental assistance funds. The service plan is signed and placed within the
individual's file. The service plan will address other services needed and referrals made. In all
cases the goal for the family will be to acquire stability and permanent, affordable housing. The
household must demonstrate through the service plan and their actions that they have the ability
to become self-sufficient and a commitment to work toward that goal. All service plans will include
an agreement to cooperate with the HAP Family Development Specialist/Case Manager.
Individuals that consistently do not participate in the service plan may be transitioned out of the
program and ineligible for assistance for up to two years.
Applicants will be expected to contribute financially towards the housing plan as determined by
their individual service plan. The individual or family must have anticipated income sufficient to pay
the rent in the future. Whenever possible and practical, payment plans will be established whereby
the applicant retains part of the responsibility for current or back rent or utility payments. The
maximum assistance available in a 24-month period is $1,500 for families with children, and
$1,000 for adult only households. In most instances, households will not receive the maximum
amount of assistance, but only the amount determined appropriate as stated in their service plan.
Assistance given by Emergency Shelter Assistance (ESA) or Emergency Food and Shelter
Program (EFSP) will be included in the maximum allowed per household, as per OHS.
Applicants will be required to exhaust all other resources available through the County Assistance
Office (CAO) or other local resources before being considered for HAP Rental Assistance. This
includes but is not limited to Emergency Shelter Assistance (ESA), Low Income Home Energy
Assistance Program (LIHEAP), fuel assistance, utility assistance, etc. Applicants who may be 62
eligible for Title IV-A Emergency Shelter Assistance must apply at the County Assistance Office,
and receive a determination from the CAO before HAP can be considered. Families with a child
under 21 whose income is below 80% of poverty will be referred for ESA before Rental Assistance
is utilized. This requirement will end if the ESA program is discontinued.
Individuals or families must have an agreement with the landlord to rent to them before financial
assistance will be provided. Written agreements must be confirmed by the HAP Family
Development Specialist before funds can be released.
Franklin County staff members complete an annual onsite monitoring visit to evaluate case
management services to ensure that all program requirements are being met. This process
includes an evaluation of fiscal and program requirements along with individual file chart reviews.
Another addition to this component for SCCAP is Homeless Prevention and Rapid Rehousing
through HUD and ESG funding and ERAP rental and utility assistance. SCCAP's emergency
shelter had attempted rental assistance in the past with limited success. With the implementation
of the longer term supports of Rapid Rehousing, we have found we are better able to help families
find and maintain housing. While a relatively new program, this addition is strengthening our
continuity for families. This allows us the opportunity to identify the appropriate program for the
individual. SCCAP can now work with families before they become homeless through HAP and
ESG Homeless Prevention dollars, if they are currently homeless through our Emergency Shelter
to get them off the streets, and then through HAP or Rapid Rehousing to help them get into
safe affordable housing and then on an ongoing basis through Case Management or Support
Circles. We feel the addition of these services along with the coordination of internal and external
supports provides a much better continuum of care for families. We believe these supports will
help families stabilize and maintain long-term, safe, affordable housing!
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Emergency Shelter:
• Please describe the emergency shelter services offered. Include achievements and
improvements in services to families at risk or experiencing homelessness, as well as unmet
needs and gaps.
• How does the county evaluate the efficacy of emergency shelter services? Please provide a
brief summary of emergency shelter services results.
• Please describe any proposed changes to emergency shelter services for FY 21-22.
• If emergency shelter services are not offered, please provide an explanation of why services
are not offered.
Emergency Shelter is provided to families who are currently homeless. Basic needs (shelter and
food) are provided in conjunction with intensive case management and effective referrals. This
program is evaluated on a number of factors:
Did the individual increase their income?
Did the individual obtain needed supportive services (mental health, job training, physical
health needs, etc.)?
Did the individual achieve safe affordable housing?
The Franklin County Shelter for the Homeless is located in downtown Chambersburg, at 223
South Main Street. The Shelter provides nine bedrooms with the capacity to house up to 18
individuals at_one time. During the COVID 19 pandemic, SCCAP has kept its shelter capacity to a
level that allows for individuals to quarantine in place. We have worked with the local health
system for a process on testing and quarantining, should it be needed, in order to keep everyone
safe. Two of the rooms at the shelter are family rooms and seven others are designed for single
adults or couples. The Franklin County Shelter for the Homeless is the safety net for the residents
who may find themselves without a place to live. The Franklin County Shelter uses a Housing
First Model and staff work diligently to get individuals into housing quickly and then work to help
them stabilize and move forward. Our goal is to move homeless residents back into permanent
housing and toward self-sufficiency. In order to accomplish this, the Shelter staff provides case
management activities during and after their stay. We also coordinate with other agencies within
the County to direct residents to the available resources that will help them achieve their
established goals and long term success.
In order to receive services, the Franklin County Shelter for the Homeless, an individual/family
must be legally homeless. Families either come to the shelter, where we work with the
coordinated entry system to get them registered and evaluated for service, or we receive a
referral from the coordinated entry system and a family or individual comes to the shelter referred
through 211. Immediately we perform a housing barriers assessment to identify what will prevent
the family or individual from getting housed quickly and then begin the work of finding safe,
affordable, appropriate housing and stabilizing the family. Our work with the family continues
after the family is housed so we can provide the best opportunity for long term success.
Homeless Assistance Program funds are needed to support the daily operational costs of the
Franklin County Shelter for the Homeless and the extensive case management needed to help
families and individuals, many of whom are chronically homeless or have extensive housing
barriers, obtain and maintain long term housing.
Another addition to the Homeless Services Toolkit for SCCAP is Homeless Prevention and Rapid
Rehousing through HUD and ESG funding. SCCAP's emergency shelter had attempted
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2022/2023 Franklin County Human Services Plan
fragmented one time rental assistance in the past with limited success. With the implementation
of the longer term supports of Rapid Rehousing, we have found we are better able to help
families find and maintain housing. This addition is strengthening our continuity for families. This
allows us the opportunity to identify the appropriate program for the individual. SCCAP can now
work with families before they become homeless through HAP and Homeless Prevention dollars,
if they are currently homeless through our Emergency Shelter to get them off the streets, and then
through HAP or Rapid Rehousing to help them get into safe affordable housing, and then on an
ongoing basis through Case Management or Support Circles. We feel the addition of these
services along with the coordination of internal and external supports provides a much better
continuum of care for families. We believe these supports will help families stabilize and maintain
long-term, safe, affordable housing!
Franklin County staff members complete an annual onsite monitoring visit to evaluate case
management services to ensure that all program requirements are being met. This process
includes an evaluation of fiscal and program requirements along with individual file chart reviews.
Innovative Supportive Housing Services:
• Please describe the other housing supports services offered. Include achievements and
improvements in services to families experiencing or at risk for homelessness, as well as
unmet needs and gaps.
• How does the county evaluate the efficacy of other housing supports services? Please provide
a brief summary of other housing supports services results.
• Please describe any proposed changes to other housing supports services for FY 21-22.
• If other housing supports services are not offered, please provide an explanation of why
services are not offered.
Franklin County has not used Housing Assistance Program (HAP) funding for other housing support
services. Independent living and forensic apartments are available through other funding sources.
Homeless Management Information Systems:
• Please describe the current status of the county's implementation of the Homeless
Management Information System (HMIS). Does every Homeless Assistance provider enter
data into HMIS?
Franklin County has actively participated in the Homeless Management Information System
(HMIS) and has taken a lead role by providing an access center as a secondary option to the 211
system, for those who are seeking housing services. This process allows for individuals and
families to be triaged, prescreened and assessed through HMIS so that appropriate services can
assist in making individuals achieve permanent housing successfully.
In addition, this system works as a starting point to connect individuals and families with the
Emergency Solutions Grant, HUD Permanent Supportive Housing Programs, PATH and one
Shelter Plus Care Program. Individuals and families are connected by use of referrals and/or the
housing prioritization queue tools that are a part of HMIS. The goal is to have individuals entered
into HMIS immediately following enrollment in the housing programs. Multiple County employees
are familiar with entering data into HMIS as well as running reports.
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2022/2023 Franklin County Human Services Plan
SUBSTANCE USE DISORDER SERVICES (Limit of 10 pages for entire section)
This section should describe the entire substance use service system available to all county residents
regardless of funding sources.
Please provide the following information:
1. Waiting List Information:
Services
Withdrawal Manaqement
Medically-Manaqed Intensive Inpatient Services
~pioid Treatment Services (OTS)
Clinically-Managed, High-Intensity Residential
Services
Partial Hospitalization Proqram (PHP) Services
Outpatient Services
Other (specify)
#of Wait Time (days)**
Individuals*
1 1-2 day
2 1-2 weeks
2 1-2 days
2 1-2 days
1 1-7 days
6 2-3 days
1 7-14 days
*Average weekly number of individuals
**Average weekly wait time per person
• Withdrawal Management (WM) Services: In FY21/22, the average wait time for WM services in
or out of the county was 1-2 days from the time of the request, regardless of the individual's
current environment. The primary substances for WM placement were opioids (prescribed and
illicit) and alcohol.
• Medically-Managed Intensive Inpatient Services: In FY21/22, FFDA has funded treatment
for two medically managed/high-intensity residential services.
• Opioid Treatment Services: In FY21/22, FFDA contracted with one methadone
provider(closest in geographical proximity) as there aren't any methadone providers within
FranklinCounty. There are five (4) Buprenorphine prescribing providers within the county, and
only one contracts with the county SCA. There are four (4) prescribing practices of oral
naltrexone (Vivitrol) in the county with limited physician time -our SCAcontracts with two of
those. Same day/same week access hasn't been obtainable. This is extremely important for
individuals stepping down from a high level of care/secure environment (residential SUD,
incarceration, psychiatric placement, etc.) where they received MAT to engage in a
community-based delivered process. FFDA continues to partner with a mobileVivitrol provider,
Positive Recovery Solutions (PRS), to assist in reducing this barrier for individuals that have
started Vivitrol as their chosen MAT. In FY21/22, PRS provided mobileVivitrol services in one
location per month. In FY21/22, FFDA also provided funding for Buprenorphine, which allowed
FFDA to provide three primary forms of MAT for individuals with opioid use disorder.
• Clinically-Managed, High-Intensity Residential Services: In FY 21/22, the average wait for a
residential bed was one-two (1-2) days from the time of the request across all provider
networks (in/out of Franklin County). Wait times depended on bed accessibility, priority
population requests, unplanned discharges, and time of day (evening) for the request from
FFDA.
• Partial Hospitalization Services: In FY21/22, the average wait for Partial Hospitalization
Services was one-two (1-2) days from the time of the request across all provider networks
(in/out of Franklin County).
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2022/2023 Franklin County Human Services Plan
• Outpatient Services: In FY21/22, there was no significant wait to access this
lntensiveOutpatient Program (IOP) or Outpatient Program levels of care (whether the entry
was a step-down from a higher level of care or direct entry).
• Recovery Housing: In FY 21/22, FFDA contracted with three PARR-certified recovery
houses( one male home and two female homes). Wait time for this service is dependent on
availability. The typical wait period is 7-14 days.
2. Overdose Survivors' Data: Please describe below the SCA plan for offering overdose
survivors
# of Overdose # Referred to Referral #Refused
Survivors Treatment method(s) Treatment
82 Unknown/Data not Recovery Unknown/Data not
collected Liaison, ER collected
crisis workers
*Reported information is data from the Commonwealth of PA Overdose Information Network (ODIN) Naloxone Usage by County. This
survivor data is based upon law enforcement naloxone usage data inputted into ODIN for 7/1/20-5/31/21.
Franklin County has the grant to fund a provider to offer Recovery Liaison services throughout
Franklin County through various funding sources. These funds provide a Recovery Liaison on
call for any law enforcement to provide Warm Handoff services to overdose survivors and
other clients with substance use concerns to help the individual access treatment. The
Recovery Liaison works with the referred individual to identify barriers to success and assists
in linking individuals to services. The liaison position provides warm handoff services for
various clients (not just overdose survivors) and focuses on emergent care by connecting
clients to treatment; however, data tracking does not include separate searches specifically for
overdose survivors. Overall Warm Handoff data is reported above, and this tracking is
currently being reviewed to see if data collection could be enhanced to track overdose
survivors in FY22/23 more effectively. Law enforcement agencies have access to Recovery
Liaison services for overdose survivors, and EMS/BMS/ALS also have access to Leave Behind
Kits for survivors. Leave Behind Kits include the following: Pouch with OSAL branding and
contact information of SCA, non-latex gloves, mouth shields, Need Help Now hotline card,
Naloxone, and Naloxone instruction pamphlet.
3. Levels of Care (LOC): Please provide the following information for the county's contracted
providers.
LOC American #of Society of #of Providers #of Co-
Addiction Providers Located In-Occurring/Enhanced
Medicine County Programs
(ASAM) Criteria
4WM 2 0 0
4 2 0 2
3.?WM 20 1 0
3.7 2 0 2
3.5 31 1 15
3.1 5 0 0
2.5 2 0 2
2.1 5 4 2
1 5 4 2
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2022/2023 Franklin County Human Services Plan
4. Treatment Services Needed in County: Please provide a brief overview of the services
needed in the county to afford access to appropriate clinical treatment services. Include any
expansion or enhancement plans for existing providers and any use of HealthChoices
reinvestment funds to develop new services.
Tuscarora Managed Care Alliance (TMCA) oversees Franklin/Fulton County's Behavioral
Health HealthChoices Program. Reinvestment Plans that benefit Franklin County residents
include three approved and currently implemented programs for Recovery Bridge Housing
Subsidy, Certified Recovery Support Specialists, and Recovery Capital Mini-Grants. The
Recovery Bridge Housing plan focuses on providing a rent subsidy for individuals who are
Medicaid eligible/members to receive financial assistance for recovery housing rent. The
recovery house must be DDAP Licensed to receive a contract from TMCA for this plan.
TMCA's Certified Recovery Specialist plan provides the opportunity for the in-network local
outpatient drug/alcohol providers to employ a certified recovery specialist to provide peer
support to individuals transitioning from a high level of care (withdrawal
management/residential) to a lower, local level of care such as IOP or OP services. FFDA
partners with TMCA on this endeavor by providing funds to PA Counseling, Pyramid
HealthCare, and Gaudenzia. The primary goal is to provide individuals with needed yet
voluntary peer support while, in turn, reducing the rate of readmission to a higher level of care.
A current need in Franklin County is the lack of drug/alcohol-free pro-social activities for
individuals who struggle with substance use disorders and their families/natural supports.
OHMSAS recently approved the TMCA Recovery Capital Mini-Grants reinvestment plan. The
Recovery Capital Mini-Grants will be used, in part, for an effort to support pro-social events.
The success of this initiative could lead to the establishment of a group to eventually operate
and sustain a community-based recovery organization.
Another community-based treatment need is funding/financial assistance for individuals that
are under/uninsured to obtain assistance with medication-assisted treatment. FFDA will
continue to meet this need in FY22/23 by providing funding to provide financial assistance to
those that meet the funding and clinical eligibility criteria.
5. Access to and Use of Narcan in County: Please describe the entities that have access to
Narcan, any training or education done by the SCA and coordination with other agencies to
provide Narcan.
Intranasal naloxone is available to professionals and the general community in Franklin County
without a prescription due to the current standing order status in which the medication has
been made public.
FFDA provides overdose response/naloxone administration training, known as "Operation
Save A Life" (OSAL), to anyone that wishes to attend, free of charge. Residents of Franklin
County are eligible to receive a free dose of intra-nasal naloxone upon completion of the OSAL
training.
Training often occurs and was offered virtually/in-person this past fiscal year to continue
offering the training during the impacts of COVID-19. FFDA provides funding to contract with
Healthy Communities Partnership (HCP) and Fulton County Family Partnership (FCFP) to
deliver most community-based trainings.
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2022/2023 Franklin County Human Services Plan
The SCA completes OSAL training for professionals and County of Franklin employees.
Residents that wish to purchase the medication can do so at any Franklin County pharmacy,
as 100% of them are carrying/dispensing the medication. Naloxone is also available and used
by county first responders. Each of the six (6) law enforcement agencies in Franklin County is
also carrying/administering intra-nasal naloxone.
In FY17/18, FFDA began serving as the Centralized Coordinating Entity (CCE) through PCCD
and has continued this role throughout 2020-2021. The CCE's position is to provide free intra-
nasal naloxone to agencies/organizations that serve as first responders in the county, and
these definitions were broadened dramatically in 2020.
Current partners include agencies within the following categories: EMS/BLS/ALS, Fire &
Rescue, Treatment Providers, Prevention Providers, Recovery Houses, Wilson College, Penn
State Mont Alto, Mental Health Association, Children & Youth Services, Juvenile Probation
Office, Adult
Probation Office, Hotels/Motels, Public School Districts (Nurses), South Central Community
Action Council, Shippensburg University, and the Private K-12 School Sector.
FFDA has expanded to offer Leave Behind Kits for EMS/BLS/ALS units that wish to
participate. Leave Behind Kits include the following: Pouch with OSAL branding and contact
information of SCA, non-latex gloves, mouth shields, Need Help Now hotline card, Naloxone,
and Naloxone instruction pamphlet.
6. County Warm Handoff Process: Please provide a brief overview of the current warm handoff
protocols established by the county including challenges with the warm handoff process
implementation.
Warm Handoff Data:
#of Individuals 172 Contacted
#of Individuals who 52
Entered Treatment
#of individuals who Un known/Data
have Completed not collected
Treatment
*Reported numbers are representative of the number of clients served with Warm Hand Off services through the
contracted Recovery Liaison FY20/21 year to date (7/1/21-6/30/22)
Franklin County's Warm Handoff process is the primary model to address overdose survivors'
linkages to treatment. It is implemented in two emergency room departments (Chambersburg
Hospital and Waynesboro Hospital). In both hospitals, the crisis department can do an intake and
referral for clients after they are medically cleared by medical staff.
Additionally, the county contracts with a provider to offer Recovery Liaison services throughout
Franklin County through various funding sources. These funds provide a Recovery Liaison who is on
call for law enforcement and is called out to work with clients with substance use concerns to help the
individuals access treatment. The liaison position focuses on emergent care and connects clients to
treatment; however, tracking of completion of treatment does not occur under the current system.
This will be reviewed to see if data collection could be enhanced in future years.
64
2022/2023 Franklin County Human Services Plan
FFDA is studying enhancing the Warm Handoff Process throughout the community by examining
several models currently utilized in Pennsylvania that conform to specific funding limitations on using
such allocations.
Listed below are some of the Warm Hand Off process challenges and barriers for Franklin County:
1. The Warm Handoff process in Franklin County is currently a partner with a contracted agency
providing a Recovery Liaison who is on call for law enforcement needs surrounding substance use.
The local townships and jurisdictions call the Recovery Liaison to assist in helping clients to access
treatment and resources such as emergent care resources. This liaison helps refer clients to
treatment and can set up services. One challenge with this process is that some law enforcement
jurisdictions do not call the liaison and that EMS doesn't notify the liaison of an overdose if the client
refuses transport. Work will continue in 2022-2023 to increase partnerships and consistent utilization
of the Recovery Liaison and Warm Handoff process.
2. Additionally, referrals can be accepted from the emergency room departments for
assessments and case management. The Crisis department at the Chambersburg and
Waynesboro Emergency rooms can refer to substance use treatment services after the clients
are medically cleared; however, the clients often leave before completing their crisis intake.
65
2022/2023 Franklin County Human Services Plan
HUMAN SERVICES AND SUPPORTS/ HUMAN SERVICES DEVELOPMENT FUND (HSDF)
Please use the fields and dropdowns to describe how the county intends to utilize HSDF funds on
allowable expenditures for the following categories. (Please refer to the HSDF Instructions and
Requirements for more detail.)
Dropdown menu may be viewed by clicking on "Please choose an item." Under each service
category.
Copy and paste the template for each service offered under each categorical, ensuring each service
aligns with the service category when utilizing Adult, Aging, Children and Youth, or Generic Services.
Adult Services: Please provide the following:
Program Name:
Description of Services:
Service Category: Please choose an item.
No services are funded through the Block Grant
Aging Services: Please provide the following:
Program Name:
Description of Services:
Service Category: Please choose an item.
No services are funded through the Block Grant.
Children and Youth Services: Please provide the following:
Program Name:
Description of Services:
Service Category: Please choose an item.
No services are funded through the Block Grant
Generic Services: Please provide the following:
Program Name: Information and Referral Coordination
Description of Services: l&R provides a service that links individuals and the community through a
variety of communication channels, including in person presentations to local agencies to help
educate the community of the various services throughout Franklin County. The l&R department is
also the contact point for PA 211 coordination. In addition, l&R serve as the local Connect to Home
Coordinated Entry Systems Access Center as a secondary option to the 211 system for those who
are seeking housing services. This process allows individuals to be triaged, prescreened, and
assessed through HMIS so that appropriate services can assist in helping the individual achieve
permanent housing successfully.
Service Category: Information & Referral -The direct provision of information about social and other human services,
to all persons requesting it, before intake procedures are initiated. The term also includes referrals to other community
resources and follow-up.
Please indicate which client populations will be served (must select at least two):
r.; Adult 11;; Aging 11;; CYS r.; SUD 11.; MH r.; ID 11;; HAP
66
2022/2023 Franklin County Human Services Plan
Specialized Services: Please provide the following:
(Limit 1 paragraph per service description)
Program Name:
Description of Services:
No services are funded through the Block Grant
lnteragency Coordination: (Limit of 1 page)
If the county utilizes funds for lnteragency Coordination, please describe how the funding will be
utilized by the county for planning and management activities designed to improve the effectiveness
of categorical county human services. The narrative should explain both:
• how the funds will be spent (e.g., salaries, paying for needs assessments, and other allowable
costs).
• how the activities will impact and improve the human services delivery system.
Franklin County Human Services Training Days is a 1 day event, held in April of each year, as a
format to provide up-to-date training for those who serve in the human services profession. The
participants who attend are from a wide array of human services agencies, faith-based
organizations, not-for-profit, and medical programs and range from case managers, to support
staff, to directors and administrators. Our goal is to provide them with quality professional training
that will enhance their skills, increase their professional development, and ensure that they are
aware of the current trends in their profession. From the information they receive, agencies and
staff can use the new tools as a way to take their existing and new programs and strengthen the
delivery of the service.
The event is held at the Rhodes Grove Conference Center, which is located in Chambersburg,
Pennsylvania. The site is chosen because of the unique ability to provide space for 200 -250
individuals to attend. All training is provided at no cost to those who are a part of the human
services community.
The Franklin County Human Services Training Days format provides the opportunity for
individuals to learn from several different areas in the field of human services. The event is kicked
off by having a Keynote Speaker, who will present for an hour. Afterwards individuals will attend
one of the four 1.25 hour sessions/presentations that are occurring. A total of 12
sessions/presentations are held over the course of the one day. Individuals are given the
opportunity to register for the specific classes that they feel they will benefit most from. From this,
we can expect approximately 20-50 participants for each session, unless there is a request for a
limit due to the nature of the presentation. These sessions will cover areas of topics that relate to
Veterans/Military, the Aging Community, Mental Health, Early Intervention, Intellectual
Disabilities, Services to Children, as well as ways to take care of ourselves as the human service
professionals.
If funding becomes available, the expenses associated with this event will be for the facility's
fees, trainers and supplies.
Franklin County Intro to Human Services is a second training event that provides individuals the
ability to become educated directly on the specific services that the Franklin County Human
Services Administration departments offer to the residents of Franklin County. The event is open
67
2022/2023 Franklin County Human Services Plan
to a wide array of human service agencies, faith-based organization, not-for-profits, and medical
programs and range from case managers, to support staff, to directors and administrators
Individuals are given an overview of each of the departments and how their services are able to
benefit those in the Franklin County community. Departments include Veteran Affairs, Drug and
Alcohol, Children and Youth Services, Area Agency on Aging, Mental Health, Intellectual and
Developmental Disabilities, Early Intervention, Information and Referral, Housing and Grants
Management, The session is held twice a year and there is no cost associated with this training
for participants
Other HSDF Expenditures -Non-Block Grant Counties Only
If the county plans to utilize HSDF funds for Mental Health, Intellectual Disabilities, Homeless
Assistance, or Substance Use Disorder services please provide a brief description of the use and
complete the chart below.
Only HSDF-allowable cost centers are included in the dropdowns.
Cateqory Allowable Cost Center Utilized
Mental Health
Intellectual Disabilities
' nu111eless Assistance
Substance Use Disorder
Note: Please refer to Planned Expenditures directions at the top of Appendix C-2 for reporting
instructions (applicable to non-block grant counties only).
68
County:
MENTAL HEALTH SERVICES
ACT and CTI
Administrative Management
Administrator's Office
Adult Developmental Training
Children's Evidence-Based Practices
Children's Psychosocial Rehabilitation
Community Employment
Community Residential Services
Community Services
Consumer-Driven Services
Emergency Services
Facility Based Vocational Rehabilitation
Family Based Mental Health Services
Family Support Services
Housing Support Services
Mental Health Crisis Intervention
Other
Outpatient
Partial Hospitalization
Peer Support Services
Psychiatric Inpatient Hospitalization
Psychiatric Rehabilitation
Social Rehabilitation Services
Targeted Case Management
Transitional and Community Integration
APPENDIX C-1 : BLOCK GRANT co 2022/2023 Franklin County Human Services Plan
HUMAN SERVICES PROPOSED BUDGET AND INDIVIDUALS TO BE SERVED
1. 2. 3. 4. 5. 6.
ESTIMATED HSBG ALLOCATION HSBG PLANNED NON-BLOCK GRANT OTHER PLANNED
INDIVIDUALS SERVED (STATE & FEDERAL) EXPENDITURES
(STATE & FEDERAL) EXPENDITURES COUNTY MATCH EXPENDITURES
350 $ 274,000 $ 5,000
$ 500,000 $ 13,000
105 $ 225,000 $ 7,000
50 $ 2,080,683 $ 47,000
2,000 $ 839,000 $ 25,000
300 $ 42,200 $ 1,000
10 $ 55,000 $ 2,000
2 $ 13,500
45 $ 42,100
95 $ 142,650 $ 49,725 $ 3,000
3,000 $ 364,500 $ 4,958
8 $ 4,050
35 $ 43,100
90 $ 336,500 $ 8,000
200 $ 127,000 $ 5,000
!TOTAL MENTAL HEALTH SERVICES I 6,290 I $ 5,089,283 I $ 5,089,283 I $ 49,725 I $ 120,958 I $ I
INTELLECTUAL DISABILITIES SERVICES
Administrator's Office $ 283,369 $ 78,134 $ 7,863
Case Management 65 $ 77,353 $ 2,147
Community-Based Services 106 $ 335,411 $ 38,061 $ 33,060
Community Residential Services 13 $ 63,076 $ 1,930
Other
lrorA.'-11'-lrE'-'-Ecrl.JA.'-01sA.s1'-iT1Es sERv1cEs 1 is4 1 s 759,209 1 s 759,209 1 s ii6,i95 1 s 45,ooo 1 s 1
69
County:
HOMELESS ASSISTANCE SERVICES
Bridge Housing
Case Management
Rental Assistance
Emergency Shelter
Innovative Supportive Housing Services
Administration
APPENDIX C-1 : BLOCK GRANT co 2022/2023 Franklin County Human Services Plan
HUMAN SERVICES PROPOSED BUDGET AND INDIVIDUALS TO BE SERVED
1. 2. 3. 4. s. 6.
ESTIMATED HSBG ALLOCATION HSBG PLANNED NON-BLOCK GRANT OTHER PLANNED
INDIVIDUALS SERVED (STATE & FEDERAL) EXPENDITURES
(STATE & FEDERAL) EXPENDITURES COUNTY MATCH EXPENDITURES
200 $ 55,658
100 $ 20,000
25 $ 30,000
$ 8,000
HOMELESS ASSISTANCE SERVICES 325 113,658 113,658 $
SUBSTANCE USE DISORDER SERVICES
Case/Care Management
Inpatient Hospital
Inpatient Non-Hospital
Medication Assisted Therapy 20 $ 47,800
Other Intervention
Outpatient/Intensive Outpatient
Partial Hospitalization
Prevention 890 $ 41,000
Recovery Support Services 964 $ 210,625
Administration $ 52,800
ll'C:>T.A.I_ SUBSTANCE USE DISORDER SERVICES I i,874 I $ 352,225 I $ 352,225 I $ I $ I $ I
HUMAN SERVICES DEVELOPMENT FUND
Adult Services
Aging Services
Children and Youth Services
Generic Services 4,900 $ 71,371
Specialized Services 200 $ 15,000
lnteragency Coordination
Administration $ 9,597
!TOTAL HUMAN SERVICES DEVELOPMENT FUND I 5,100 I $ 95,968 I $ 95,968 I I $ I $ I
GRAND TOTAL 13,773 I $ 6,410,343 I $ 6,410,343 I $ 165,920 I $ 165,958 I $
70
2022/2023 Franklin County Human Services Plan
Appendix D:
Human Service Block Grant Committee Members:
Y James Fox (Aging Advocate Specialist)
Y Lorna Blanchard (Intellectual & Developmental Disabilities Advocate Specialist)
Y Zachary McCauley (Early Intervention/Family Advocate Specialist)
Y Michael Straley (Drug & Alcohol Advocate Specialist)
Y Erin Grant (Mental Health Advocate Specialist)
Y Greg Colbert (Homeless Assistance Advocate Specialist)
Y Sonja Payne (Member at Large Community Advocate)
Y Kim Crider (Health Planning Community Advocate)
Y Sherri Sullivan (Employment/Training/Education Community Advocate)
Y John Kratz (Faith Based Community Advocate)
Y Thomas Reardon (Housing/Homelessness Community Advocate)
Y Doug Wilburne (Criminal Justice Community Advocate)
Staff Members:
Y Julia Dovey (Fulton County)
Y Stacy Rowe* (Fiscal)
Y Ashley McCartney (Fiscal)
Y Stacie Horvath* (Human Services Administrator)
Y Payton House (Human Services)
Y Stacey Brookens* (Mental Health/Intellectual & Developmental Disabilities /Early Intervention)
Y Erin Nye* (Mental Health/Intellectual & Developmental Disabilities /Early Intervention)
Y Jane Cline (Intellectual & Developmental Disabilities)
Y Marion Rowe (Intellectual & Developmental Disabilities)
Y Lori Young (Intellectual & Developmental Disabilities)
Y Jim Gilbert (Mental Health)
Y Cori Seilhamer (Mental Health)
Y Glenda Helman* (Grants)
Y Minnie Goshorn * (Children & Youth Services)
Y Justin Slep* (Veterans Affairs)
Y Melissa Reisinger* (Tuscarora Managed Care Alliance)
Y James Eagler* (Drug & Alcohol)
Y Katelyn Becker (Drug & Alcohol)
Y Tawnya Hurley* (Aging)
Y Ashley McCullough* (Aging)
Y Bonnie Speaks (Fiscal)
Y Lillian Rodriguez (Information & Referral/LINK/PA 211)
*denotes Leadership Team Members
71
Appendix E
FRANKLIN/FULTON COD
425 FRANKLIN FARM LN
CHAMBERSBURG PA 17202--306
2022/2023 Franklin County Human Services Plan
CONFIRMATION
Account AD# Ordered BJl Tax Amount Total Amount PaJlment Method PaJlment Amount
1427832 0005339646
Ad Order Notes:
Sales Rep: jrohde
Product
YOR-CHA Public Opinion
YOR-publicopiniononline.com
Text of Ad: 07/14/2022
Franklin County Human
Services Block Grant
Meetings
2022/2023 FY Plan Review
and Approval
Public Hearing Date #1: August 9th,
2022 (Tuesday)
Time: 10:00am -11 :30am
Place: Human Services Administration
Building
@ 424 Franklin Farm Lane
Chambersburg, PA 17202
Virtual Meeting o~tion also: ~~t,g29gle.com/ajg-nwfw-ugr:!_
Joi.n. by_J:Jhone
(US) +1 260-277-0291 PIN: 956 497 332#
Public Hearing Date #2: August 17th,
2022 (Wednesday)
Time: 11:00am (Commissioners Meet-
ing)
Place: Franklin County Administration
Building
272 N Second Street
Chambersburg, PA 17201
Virtual Meeting option also:
meet.google.com/ejg-hmya-gvd
i.Qln_J:Jy_!lhOn~
(US) +1 541-702-7763 PIN: 341 905 293#
72
Sharyn Overcas $0.00 $76.95 Invoice $0.00
Order Taker: jrohde Order Created 07/14/2022
Placement Class #Ins Start Date End Date
YOR-Legals Public Notices 07/18/2022 07/18/2022
YORW-Legals Public Notices 07/18/2022 07/18/2022
Amount Due
$76.95
AppendixE
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CONFERENCE: HSBG Plan 2022/2023 Public Hearing #1 DATE: ___ _Aygy§.t--.9~, =20=2=2 ___ ,
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2022/2023 Franklin County Human Services Plan
Appendix E
Public Comment from First Public Hearing
From: Lorna
Date: Tue, Aug 9, 2022 at 1 :36 PM
Subject: Re: HSBG Proposed Plan Submission for FY 2022-2023
To: Stacie Horvath
Edits for Appendix A.
I am an old toot -so when I saw fourty --I loved it, but I do believe today they use forty -
-first line page 15. Also, on that page limit of 1 page is typed twice under plan band
above 2.
Page 42 in the 4th para, 3rd line through traditional needs a space.
Page 45 I believe it should be mentioned instead of, " ... encourage to develop new
homes ... " which is absolutely the truth but should be more specific. Thus, something
eluding to currently we are adding homes to maintain current levels with the desired
goal to add homes to meet the actual needs.
The last 20 pages, I skimmed, it was late ...
I liked the power point and Appendix A. I learned a lot about the services and more
about the Block Grant. Sadly, throughout Appendix A it is evident that wait lists and
lack of affordable/available housing impacts almost every program, moreover, they are
difficult and costly to solve. What this experience has taught me --stop complaining
about the County and recognize you do miracles with what you have and be a partner.
I plan to use the link you sent at an earlier date to go to the meeting next week -going
as support -not to open my mouth!
I hope you have a wonderful day.
Lorna
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Franklin County Human Services Block Grant Committee Meeting Minutes Date: August 9, 2022 Time: 10:00 AM – 12:00 PM Human Services Building
Attendance:
Acronyms:
C&Y = Children & Youth
D&A = Drug & Alcohol
DHS = Department of Human Services
EI – Early Intervention
ESG = Emergency Solutions Grant
FY = Fiscal Year
HCP = Healthy Communities Partnership
HS = Human Services
HSBG = Human Services Block Grant
HSDF = Human Services Development Fund
HUD = Housing and Urban Development
I&R = Information & Referral
MH/IDD/EI = Mental Health/Intellectual &
Developmental Disabilities/Early Intervention
SCCAP = South Central Community Action
Program
TMCA = Tuscarora Managed Care Alliance
Meeting Documents Sent Out:
1. Human Services Block Grant Meeting Agenda
2. Meeting Minutes from the last Block Grant Meeting (April 13, 2021)
3. Addendum to the April 13, 2021 Meeting
Voting members with lived experience
Voting Members Community Experience Reps.
Staff Staff Staff
Lorna Blanchard Kim Crider Stacie Horvath Missy Reisinger Julia Dovey
Zachary
McCauley
Sherri Sullivan Dan Brown John McPaul Lillian Rodriguez
Mike Straley Doug Wilburne Glenda Helman Julia Dovey Stacy Rowe
Rev. James Fox Sonja Payne Erin Nye Tawnya Hurley James Eagler
Erin Grant Rev. John Kratz Cori Seilhammer Misty Conner Jane Cline
John Thierwetcher Stacy Yurko
Ashley McCartney Maura Musselman
Alex Gallant Leslie Bowers
Appendix E
I. Welcome and Introductions
Stacie Horvath called the meeting to order at 10:04 AM and welcomed everyone to the meeting.
Each individual introduced themselves.
1.Voting Member, Greg Colbert, Homeless Assistance, was unable to be in attendance at
this meeting. Greg gave his proxy vote to Stacie Horvath. He stated that his vote would
be counted as a positive vote.
This meeting is the first, of the two (2) required Public Meetings, for the introduction of the
Human Services Block Grant Plan Review – 22/23 Fiscal Year.
The second Public Draft Plan Meeting will be Wednesday, August 17, 2022, at 11:00 a.m.
During the Board of Commissioners’ meeting located at 272 North Second Street,
Chambersburg, PA 17201. Also, this second meeting will be LIVE STREAM on Franklin
County’s YouTube channel and http://bit.ly/BOCC Live Stream.
This information can be accessed from the Commissioners page on the website and under the
Commissioners meeting agendas and minutes.
II.Review of Previous Meeting Minutes: Feb. 17, 2022.
The previous minutes were approved by consensus.
III.FY Human Services Block Grant Plan Submission PowerPoint Presentation and Plan
discussion.
•The Block Grant was established in FY 12-13 as a pilot program allowing 20
counties to participate. Franklin County was one of the original 20 counties. The
Block Grant is now open to all counties.
•During FY 17-18, the State removed Children & Youth special grants and
increased the allowable carry-over from 3% to 5%. The increase from 3% to 5%
removed the option for a waiver request.
•The block grant has reinvested $1,537,570 to date. An additional $253,000 is
projected for FY 21-22 which is within our 5% maximum allowable carryover.
•The final draft for the 2022-2023 Block Grant will be submitted to the
Commissioners for review and signature on Wednesday, August 17, 2022, and
then the Plan will be sent to the Commonwealth by August 19, 2022.
•Franklin County has reinvested $1,573,570 into Human Service Programs that
have benefited the County. Programs include:
o Drug and Alcohol Services 23%
o Supplemental Mental Health Services 20%
o Housing Services (includes Mental Health) 19%
o Data Warehouse Support 11%
o Supplemental Aging Services 10%
o Supplmental IDD Services 5%
o I&R/outreach 4%
o Professional Development 3%
o One-Time Expenses/Projects 3%
o Children’s Evidence-based Programs 2%
•After the State Budget was passed, the County discovered that there is flat
funding for the 22/23 fiscal year. The Total Human Service Block Grant funds for
2022-2023 are $6,410,343, and it is estimated that these funds will be able to
serve 13,773 individuals.
•Some of the Human Service highlights from the fiscal year 21/22 include:
o Children and Youth Services: Through the inception of the Family FirstInitiative, the ability to provide new and enhanced evidence-based programshas occurred. These are full federally-funded interventions that are meant toprevent out-of-home placements. CYS reports that 16 children had averted
out-of-home placements through the usage of the followingprograms: Parents as Teachers (PAT) provided through AlternativeBehavioral Consultants (ABC); the Triple P (Positive Parenting) programprovided through Justice Works.
o Tuscarora managed Care Association: Successfully implemented Multi-
Systemic Therapy (MST) in place of Service for children and families(Perform Care – Medical Assistance).
o In 2022, TMCA implemented a program to supply Community Navigators
with partner community-based organizations to focus on the social
determinant of health needs for individuals with behavioral health issues.
o In 2022, TMCA used Structured Reinvestment dollars to provide HousingSupport services to assist individuals with behavioral health needs to sustain and maintain permanent housing.
•The Continued Goals of Franklin County Human Services are:o Single County Authority (SCA) Franklin/Fulton’s Drug andAlcohol Department plans to increase the consistency of approachs and accessto data for the WarmHandoff (WHO) process through the Wellspan
Emergency Departments in Franklin County. Certified Recovery Specialists(CRS) utilization will be expanded within this process to assist individualswith enhanced access to treatment and community resources.
o Franklin/Fulton’s Drug and Alcohol Department will continue to provide Pro-
Social events with the utilization of recovery capital mini-grants. These aresubstance-free, family-friendly, fun socialization events that celebrateindividuals and their families positively. The ultimate goal is to establish apeer-led group that will independently operate and sustain its own recovery-
based events for the community.
o Franklin/Fulton’s Mental Health/Intellectual & Developmental Disabilities/Early Intervention (MH/IDD/EI) and Mental Health Housing plans to expand
the Community Co-Responder program with a third staff position which willassist in covering a greater geographic area within Franklin County. A Countygrant that was written was awarded and will be used for this initiative.
o Franklin County Mental Health will continue to provide expanded community
mobile nursing services through access to MH Community Nurses designed towork with individuals experiencing difficulties accessing mental or behavioralhealth services due to transportation needs and other barriers.
VOTE: To Approve the Proposed PowerPoint Presentation and HSBG Draft Plan moving forward
o Lorna Blanchard motioned to approve.o Doug Wilburne seconded the motion.
o Approvals
o “Yes” Votes= Eleven (11)
“NO” Votes= Zero (0)
“Abstained” = Zero(0)
IV.Fiscal Review and Update
For the 2022 Fiscal year, the County has spent about 5.5 million dollars on human services
programs, and the County is projected to spend around 6.2 million, which leaves the expected
carryover in 2021-2022 to be about $253,056. This amount is within the County’s 5%
carryover limit.
The County’s 2021-22 allocation includes funds that were carried over from the fiscal year
2020-21, totaling $231,669. The County will be carrying over around the same amount this
upcoming fiscal year. There is a County contribution match on all state dollars in the grant.
There is no requirement for Counties to match Federal dollars. The County contribution is
estimated at $160,740.
The retain revenue plan was to have all of the 2021 funds fully expended by June 30, 2022. To
fully expend these funds, the County used funds for a few mental health-related projects. One
of the most successful programs that was funded was the Veteran's Military SHARE Program.
This program has doubled in size, Serving 300 households throughout the County, and will be a
point of discussion at the next Block Grant Meeting.
The fiscal year 2022 budget was approved by the State, and the County is still awaiting final
allocations. The County was hopeful to see some increases in 2022-23 in Mental Health, but it
appears that there will be no increases. The final numbers are expected to be ready in
September.
The Mental Health Budget is currently operating in a deficit, which could potentially be up to
$100,000. The carryover from this fiscal year could be used to help keep Mental Health fully
funded. The cause of the deficit is increased staffing costs and provider services.
V. Human Service Program Review
Franklin/Fulton Drug and Alcohol currently has two openings within the department
Department. The Department has seen a decrease in referrals, but the referral rate is expected
to increase in the fall. DDAP should provide an update on the County’s State Opioid Response
(SOR) 3 allocation.
LINK Services is currently working on the Introduction to Human Services training for
September. This year, Introduction to Human Services will be two days to accommodate the
attendees’ schedules. They are working on updating the Spanish Return Guide.
Franklin/Fulton MH/IDD/EI is currently down two administrative positions. MH/IDD/EI
changed the positions, so one will focus on administrative tasks for MH and the other IDD/EI
duties. MH/IDD/EI recently hired an IDD Program Specialist. The main focus of Mental
Health is finding new ways to expand services and obtain providers. The 988 number went live,
and there has not been a significant increase in calls. There are four PSEI trainings this year to
cover mental health-related topics.
Franklin County Grants Management recently applied for the Emergency Solutions Grant.
Grants Management has not heard what the funding will look like for the next year. The funds
from this grant will go towards helping homeless individuals transition to stable housing.
Franklin County Area on Aging partnered with PDA and the Department of Banking Securities
in July. This will help educate the aging population on potential scams and how to avoid them.
Aging received a grant to help build a partnership with Keystone Health. This will be a two-
year project.
VI.Community Comments or Discussion
In response to a question raised by Lorna Blanchard regarding IDD lifesharing, Jane Cline reported
Lifeshare is actively trying to recruit individuals for the past year. One new family has been added, and
there is another family currently going through the process.
Missy Reisinger reported that in 2022, Franklin County’s Medicaid eligible individuals increased
8%, and the number of users went down. Medicaid funding has increased because of the number
of eligible services. The number of persons receiving services has decreased. The County and
providers are facing a staffing shortage that is affecting day-to-day operations.
Shippensburg Research Coalition Received a Youth Mental Health Grant through the
Department of Better Health. Starting this fall, the money will be used to pilot the Terrace
Metrics mental health screening tool.
VII.Adjournment
● Sherri motioned to adjourn.
●John Kratz seconded the motion.
● All approved.
The meeting was adjourned at 12:00 PM
VIII.Next Scheduled Meeting: County Commissioner’s Meeting: August 17th, 2022 –
11 am 2 and Public Hearing for Approval 2022-2023 HS Block Grant Plan
FRANKLIN COUNTY
CONFERENCE: FRANKLIN COUNTY COMMISSIONERS DATE: August 17, 2022
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NEWS REPORTERS
Individuals attending virtually: Erin Nye, Justin Slep, Zac McCauley, Jane Cline, Stacy Yurko, Lillian
Rodriguez, Lorna Blanchard, Sonya Payne, Misty Conner, Tawnya Hurley, Teresa Beckner.
Appendix E
8/17/2022 – Franklin County 2022/2023 HS Plan Public Hearing #2
There were no Public Comments presented at this scheduled Public Hearing. However, two of
the County Commissioners offered remarks after the work group’s presentation and
recommendation for approval of the 22/23 Human Service Plan.
Commissioner John Flannery noted that just under 9% of the County’s total population (154,954)
receives services provided through Human Services Block Grant funding.
Commissioner John Keller noted that Franklin County uses an integrated service model to serve
Franklin County residents. He also noted that the Human Service Block Grant allows the County
to provide integrated services more thoughtfully and with greater flexibility.
Appendix E