HomeMy WebLinkAbout2014-2015 Plan - Block Grant1
Franklin County Human Services Plan
Fiscal Year 2014/2015
Submitted: June 30, 2014
PART I: COUNTY PLANNING PROCESS
Describe the county planning and leadership team and the process utilized to develop
the plan for the expenditure of human services funds. Counties should clearly identify:
1. Critical stakeholder groups including individuals who receive services, families of
service recipients, consumer groups, providers, and partners from other systems;
Planning team members include human services providers and stakeholders as well as
consumers 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 service administration staff
and includes: Human Services Administrator, Fiscal Specialist, Human Services Fiscal
Director, MH/ID/EI Administrator, Grants Director, and the Assistant County
Administrator.
2. How these stakeholders were provided with an opportunity for participation in the
planning process, including information on outreach and engagement;
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
consumers 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.
In addition, most of our categoricals have their own advisory boards which inform the
direction of each department and Block Grant-funded programs:
The Franklin/Fulton Drug and Alcohol Advisory Board holds six meetings a year,
three in Franklin County, three in Fulton County. The seven members include
two commissioners (one from each county), representatives from a church, a
Federally-Qualified Health Center (FQHC), and Fulton County Probation Office,
as well as a member who is in recovery and another who has a family member
affected by substance abuse. They provide input into the Block Grant Plan, are
informed of Block Grant impact, and are made aware of any D&A requests for
new funding.
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The Franklin County Housing Task Force consists of about 25 people who meet
bi-monthly on issues around housing and homelessness. Representatives from
both County shelters and the HAP program attend regularly, along with Housing
Authority staff, staff from the domestic violence shelter, Salvation Army, an
FQHC, two Boroughs, and several religious organizations. They also receive
updates on Block Grant plans and funding requests. Starting in June 2014, the
Task Force will combine their meetings with those of the Program Coordinating
Committee hosted by the County Housing Authority, a change which will engage
additional community members and offer opportunities for presentations on local
housing resources.
The Franklin/ Fulton County Mental Health/ Intellectual Disabilities/ Early
Intervention Advisory Board meets bi-monthly, with 13 members, including one
Commissioner from Fulton and one from Franklin. The committee requires
representation from each county: four members from Fulton County; nine
members from Franklin County. At least two representatives appointed to the
Board are physicians (preferably, a psychiatrist and a pediatrician). Four
participants are consumers or family members, of which half represent
Intellectual 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/ID/EI Administrator provides HSBG updates as applicable
during the Board meetings. They have impact on decisions related to MH/ID/EI
funding and decisions, which indirectly can impact the HSBG.
The Children & Youth Advisory Board meets five times each year. Members
come from various sectors, including the County Commissioners, law
enforcement, academia, school districts, providers, and staff. They receive
updates on the two programs funded by the Block Grant.
3. How the county intends to use funds to provide services to its residents in the least
restrictive setting appropriate to their needs. For those counties participating in
the County Human Services Block Grant, funding can be shifted between
categorical areas based on the determination of local need and within the
parameters established for the Block Grant;
Details of the services to be funded are provided under each categorical area. In
general, funding allocations have remained similar to last year, as we currently feel that
we have achieved a balance that provides for the basic needs in each categorical.
4. Substantial programmatic and/or funding changes being made as a result of last
year’s outcomes.
This year, in order to maximize the flexibility provided by the Block Grant, we opened up
a mini-grants process for local nonprofits and human services agencies. While this
process spawned some innovative new initiatives meeting community-level needs, it
also highlighted the need for an assessment initiative aimed at enhancing data available
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regarding local needs, services delivery, and consumer outcomes. During this process,
County Planning Team members acknowledged that the existing data lacks the breadth
and depth to make critical decisions regarding comprehensive human services that are
responsive to local needs and the current service delivery environment. Through its
newly-formed Priority Needs Assessment Committee, the County Planning Team is
working to establish an objective decision- making framework that incorporates needs,
outcomes and values when developing future human services plans. We anticipate that
this process may take several years, but feel it is a critical component in future funding
and program decisions.
The data available this year is improved compared to what was available last year; staff
was able to provide process data, or outputs, this year. The processes for establishing
both meaningful outcomes (as opposed to outputs) and for prioritizing our needs will
take much time and planning, as outcomes and needs prioritization are intimately
related. We have started by determining the current program outputs and outcomes. We
will use those outcomes as part of the process to determine our priorities and needs,
with the outcomes data serving as a foundation for determining needs. We have not
settled on a model to objectively assess needs, but we know that the model must
include valid and reliable data, quality community dialogue, and strategic thinking as we
plan for the future. With a solid foundation, we can forecast desired future outcomes
and goals that will be meaningful to the Block Grant programs and ultimately the
community as a whole.
The collaborative nature of the Block Grant Plan process remains extremely beneficial
to the county, especially the inclusion of consumer and family perspectives. The
Planning Team is better able to take a holistic approach because they better understand
each department’s mission and services. The process also yields more empathy
among planners. The County Planning Team still wrestles with the weighty question of,
“How can we be expected to pick certain human services over others when there is
such great need throughout all of the programs?” But, with the collaborative nature of
Franklin County stakeholders, and the forward movement of integrating objective data
into the decision-making process, this task is no longer as daunting as County Planning
Team members perceived in the past.
PART II: PUBLIC HEARING NOTICE
The Board of Commissioners approved the County’s Human Services Plan, as
illustrated by their signatures found in Appendix A – Assurance of Compliance.
Pursuant to the Sunshine Act, 65 Pa.C.S. 701-716, the County conducted two public
hearings to receive input on the Human Services Plan detailed in this document. A draft
of the Block Grant Plan was posted on the County’s website on June 10, 2014 for public
review and comments. Public hearings were held at 2:00 PM on June 10, 2014, as part
of the Block Grant Planning Committee, and 9:30 AM on June 24, 2014, as part of the
Board of County Commissioners meeting. Appendix B contains the proof of publication
and summaries of the public hearings.
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PART III: WAIVER REQUEST
The County is not requesting a waiver at this time.
PART IV: HUMAN SERVICES NARRATIVE
Created through a collaborative process utilizing local needs data and involving a cross-
section of community stakeholders, the goal of this plan is to provide a comprehensive
continuum of human services for residents in the least restrictive setting appropriate to
their needs. Franklin County collaborates as a joinder with Fulton County in four of the
seven funds included in the Block Grant. Both counties have longstanding Human
Services Administrative models. Both counties are participating in the Block Grant and
submit separate plans.
Franklin County’s Human Services Block Grant Planning Committee has established as
its mission: To assist in identifying need-based program priorities for promoting the
health, well-being, and self-sufficiency for all people in Franklin County by and through
maximizing resources. The services described in this plan are an outflow of this mission
statement, and are measured against this guiding standard.
MENTAL HEALTH SERVICES
The discussions 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, etc.
a) Program Highlights:
Highlight the achievements and other programmatic improvements that have enhanced
the behavioral health service system.
The Franklin/ Fulton County Mental Health Program provides services to Franklin/
Fulton County adults with severe and persistent mental illness and children who
have a mental health diagnosis or who are at risk of developing a mental illness.
Through contracted case management, our agency provides intake, assessment, and
coordination of the following services: outpatient psychotherapy, psychiatric and
psychological evaluation, medication monitoring, residential programs, vocational and
social rehabilitation, short-term inpatient, partial hospitalization and 24- hour
emergency services.
The following list describes program achievements and improvements:
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Crisis Intervention Team (CIT) – This program is a local initiative aimed at
improving the community and law enforcement response to individuals experiencing
mental health crisis situations. It relies upon extensive collaboration between first
responders, law enforcement, mental health provider agencies, and individuals and
families affected by mental illness.
In April of 2013, Franklin County Police Chiefs and Mental Health committed
to a partnership by sending a team of seven to become trainers for the
Memphis Model of CIT. The team representing our county includes: three law
enforcement officers, one dispatcher, one advocate, one crisis worker, and
one mental health professional. We are creating a roll out plan in our
community. We offered the first 40 hour course locally in February 2014. Our
target audience includes police officers, emergency responders, probation
officers, jail staff, crisis staff, and sheriff deputies.
Outcomes: We tracked the number of personnel trained. In the future, we plan
to track the number of CIT-related calls that these personnel respond to, as
well as the final disposition of these calls (hospital, arrest, etc.).
o We held the first CIT training in February 2014 where 14 graduated after
the 40 hour week. To date we have twenty-two members on our CIT,
with twelve of them representing law enforcement:
o According to the pre/post test data, knowledge of each core topic was
increased a point or a point and half after the CIT training:
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o We have talked with surrounding counties about a regionalized
partnership in order to share training resources and ideas.
o Data collection regarding calls and responses is targeted to begin in late
2014. The data collection tool is in draft form and the committee is
planning the pilot roll out.
o Next scheduled training is Sept 29 – Oct 2, 2014.
Mental Health First Aid – Mental Health First Aid is an interactive 8 hour public
education program that teaches individuals to identify, understand, and respond to
signs of mental illnesses and substance use disorders. The course provides an
overview of mental illness and substance use disorders in the U.S. and introduces
participants to risk factors and warning signs of mental health crises. Participants learn
a five-step action plan to respond and connect individuals with appropriate resources.
Mental Health sponsored six sessions this past year in Franklin County. Training
was offered to several populations in the communities, including education
providers, mental health providers, criminal justice system stakeholders,
healthcare systems staff, and churches.
Supportive Employment
Participated in Senator Alloway’s job fair to continue educating our
community employers on employees’ mental health needs and stress
management. We also offered education regarding the evidence-based
supported employment philosophy.
Continued working with our supported employment providers on the
evidence-based philosophy and increased business interest in hiring
individuals with a mental illness.
Outcomes: We tracked the number of employees engaged in Supportive
Employment and the percent change compared to last year.
Employment
FY 12-13 FY 13-14 % Change
AHEDD 46 65
OSI 20 18
Total 66 83 +25.8%
*FY 13-14 current as of May 14
WRAP®: In Franklin County, WRAP Education in 2013-14 has been very successful:
42 people have participated in WRAP groups, 20 have asked for additional information
on specific recovery topics, and many more have participated in WRAP webinars.
Please refer to the collaboration section of the intellectual disabilities narrative for more
information.
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In a review of system service needs, MH/ID/EI recognized that historically, our system
has required improvements in data collection related to quality of care. In response,
MH/ID/EI partnered with other entities in our community to identify which areas should
be analyzed for our system. We created workgroups and assigned them to priority
areas for system indicators analysis. The following topics arose as needing
improvement; we detail what has been done since last year to improve these areas.
Readmission rates
We have had a high readmission rate for individuals experiencing a serious
mental illness. In response, we organized a workgroup comprised of outpatient
providers, behavioral health unit, advocates, crisis, case management,
HealthChoices, managed care, and the county. The group is focused on
identifying any commonalities and discrepancies in our services compared to
neighboring communities. The information will be combined with results of a
survey from individuals that have experienced multiple admissions with the
goal of creating an action plan.
Outcomes: We tracked the annual readmission rates and the percent change
compared to previous years. From 2012 to 2013, there was a significant
decrease across the board in admissions, readmissions, and bed days.
Franklin Hospital Data
2011 2012 2013 2014 % Change
(2012 to 2013)
Admissions 279 313 174 57 -44.4%
Unduplicated 160 165 98 43 -40.6%
Readmissions 119 148 76 14 -48.6%
Bed Days 4927 4563 2480 644 -45.6%
*2014 current through April
*Only includes community hospital stays
Medication co-pays:
Co-pays for mental health medication may be a barrier for some individuals.
We are examining solutions to address this need and identify funding.
As a result of surveys and conversations last year, this seems to be a
need primarily for individuals being released from jail; we are assisting
on an individual basis with the supports available in the community such
as the Patient Assistance Program. The Patient Assistance Program
(PAP) is available through designated Pharmaceutical Companies. The
Companies will provide coverage for those that qualify through the
application process. Franklin-Fulton MH/ID/EI, in collaboration with local
case management, forensics representatives, local pharmacies, and
local human service providers, developed policy and procedures to
provide coverage through PAP and Franklin-Fulton MH/ID funding.
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b) Strengths and Unmet Needs:
Provide an overview of the strengths and unmet needs for the following target
populations served by the behavioral health system:
Older Adults (ages 60 and above)
Strengths:
o Mental Health participated in a pilot project, Healthy ABC’s, with the
Pennsylvania Behavioral Health and Aging Coalition. It is a health literacy
program designed to provide education to older adults about mental health
and local services. There are three trainers now available in
Franklin/Fulton Counties to offer this 90 minute training.
Needs:
o To provide outreach services in peoples’ homes whereby a team
composed of aging and mental health (and potentially nursing) staff would
provide assessment and resource-sharing services to older adults to
address quality of life issues.
o Education surrounding dementia and behaviors. There have been a lot of
inquiries about involuntary commitments due to increased self-injurious
behaviors.
Adults (ages 18 and above)
Strengths:
o Continuing to offer the leadership academy for individuals interested in
gaining skills that assist them when holding a position on an advisory
board or board of directors. The academy meets for two hours a week for
eight weeks featuring professionals from the community.
Needs:
o Public transportation continues to be voiced as a need. For the past few
years, MH/ID has had a contractual agreement with Franklin County
Integrated Transportation to provide funding for transportation to mental
health-related appointments for individuals who are not Medicaid eligible.
Transition-age Youth (ages 18-26)
Strengths:
o The focus is on employment opportunities and skills training for the
transition-age youth. We are offering education sessions to the families
and support system so they are also aware of what is available in our
community.
o There are currently three transition-age youth living in our housing
program. There are none on a waiting list.
Needs:
o Employment options are needed in our community for transition-age
youth.
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Children (under 18). Counties are encouraged to also include services like Student Assistance
Program (SAP), Respite, and CASSP Coordinator Services and Supports in the discussion.
Community events:
o Kick-off Your Drug Free Summer: Despite rain during both of our outdoor
Kick-off Summer events, attendance was overwhelming positive.
Chambersburg hosted 250 and Waynesboro hosted 200 youth and family
members. The Chambersburg event was relocated inside and
Waynesboro attendees were able to fit under a pavilion.
o Mental Health also participated in Summit Health’s Wellness Days. We
hosted a station titled Positive Identify where we saw 1,677 third grade
students from Franklin County. We teach them the importance of good
character traits through positive self-esteem and the impact of bullying.
Respite: We tracked the number of requests for emergency and hourly respite
and compared the figures to last year. With one month left to collect data, it
appears that respite service use has remained consistent for the past two years.
Overnight respite has been in higher demand the last two quarters of FY 13-14
than previously. The children/ adolescents being served are duplicated; however,
it keeps them from going to a higher level of care including inpatient
hospitalization.
Year Totals 12-13 Year Totals 13-14
Overnight Hourly
New
Referrals Overnight Hourly
New
Referrals
*Children
Served 10 5 10 10 6 3
Hours of
Respite 480 39 432 37
Cost $3,540.20 $773.76 $3,186.18 $734.08
*13-14 is completed through quarter 3
Children and Adolescent Service System Program (CASSP): We tracked the
number of families and schools accessing service and supports:
Franklin CASSP Calendar year
2014 2013 2012
Meetings Held 87 220 155
New Referrals 9 58 40
Higher level of care 8 18 14
*2014 is current through May
Strengths:
o The provision of school-based mental health services to all secondary
schools in Franklin County.
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o The provision of the Student Assistance Program (SAP) in all of the
secondary schools in Franklin and Fulton Counties. In Franklin County, in
the 2013-14 school year, there were 11 total groups (2 tech addiction, 3
girls circle, 1 boys council, 1 grief/loss, 2 communication/ conflict/ anger, 2
study/ lifeskills); 103 students served in the 11 groups, with 67 total
sessions.
SAP Screening info
# students screened % MH % D&A % CO
2013-14 (through 4/30) 294 82% 3% 15%
2012-2013 284 76% 3% 21%
2011-2012 285 73% 7% 20%
Needs:
o Funding to provide SAP within the elementary schools in both counties.
Identify the strengths and unmet needs for the following special/underserved
populations. If the county does not serve a particular population, please indicate.
Individuals transitioning out of state hospitals
Strengths:
o During a person’s treatment stay in a state hospital, a Community Support
Plan (CSP) is created with input from the individual, their treatment team
and family/friends. Prior to discharge this plan is reviewed again by the
same group and follows the person into the community.
o Access to extended acute care level of care allows individuals to receive
psychiatric inpatient treatment closer to their home communities and has
reduced the utilization of state hospital beds
Needs:
o There is a committee currently working to identify needs and make
recommendations to decrease the number of hospitalizations.
Co-occurring Mental Health/Substance Abuse
Strengths:
o Franklin County Mental Health/Intellectual Disability serves individuals
with co-occurring diagnoses through a collaborative housing program.
o The Implementation committee created a co-occurring credentialing
process for providers. It is mirrored from the OMHSAS bulletin that was
created. The credentialing tool was still piloted by three providers, 1
mental health, 1 drug & alcohol, and 1 dually licensed facility. The results
will be made available in late June after the committee reviews and makes
recommendations for any revisions to the tool.
o Training related to adolescents having a co-occurring illness was offered
free to our providers.
Needs:
o Financial support is needed to afford clinicians the time to prepare for and
complete the Certified Co-Occurring Disorders Professional (CCDP)
credential.
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Justice-involved individuals
Strengths:
o Franklin County serves these individuals through implementation of the
CIT program, which emphasizes effective communication techniques for
first responders and law enforcement in order to deescalate crisis
situations. The goals of CIT are to reduce the number of emergency
responses resulting in arrests and to increase the safety of those in crisis
as well as officers.
o The Forensic Housing program addresses the needs of those individuals
returning to the community after incarceration, many of whom receive MH
services. Currently two individuals who were inmates are now living in
county-funded housing. We anticipate an increase next year as we begin
a Recovery House program for former inmates with D&A issues, many of
whom will have co-occurring MH issues.
Needs:
o Early identification and assessment of individuals with MH issues who
become involved in the criminal justice system.
o Need for seamless transitions for prisoners needing MH treatment or
medication at release, as individuals leaving the jail have difficulties
obtaining insurance coverage. Franklin Fulton MH/ID/EI has established
and participates in a regular meeting with the Franklin County Jail and the
County Assistance Office to examine the process and possible system
changes to help enroll individuals who qualify for medical assistance.
o Current perception is that individuals with serious mental illness have a
high incidence of recidivism. Franklin-Fulton MH/ID/EI, TMCA
HealthChoices, and the Franklin County Jail are examining patterns and
trends to determine if this perception is accurate and develop strategies
accordingly.
Veterans:
Strengths:
o Law enforcement is being educated about experiences of Veterans
returning home after combat from Veterans during the 40 week of CIT
training.
o Participating in a Veteran’s Conference being held locally to share the
services available and access information.
Needs:
o A method of better engagement is needed. Stigma also seems to play a
role in lack of access.
Lesbian/Gay/Bisexual/Transgender/Questioning/Intersex (LGBTQI) consumers
Strengths:
o During our mental health month, Keystone Pride Recovery Initiative
offered “Welcoming and Affirming Practice: Lesbian, Gay, Bisexual,
Transgender, Questioning, and Intersex (LGBTQI) and cultural
competence training”. In this five-hour seminar they explored the effects
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of language, culture, and power dynamics on the developing personhood
of those who carry the labels represented in the initials above. Participants
also examined their own attitudes, values and thinking, conditioned by
upbringing, acculturation, and knowledge. We are focused on ways to
become more truly welcoming and affirming to all persons who differ from
us and to learn from them how to be helpful as part of a healing
community of support.
o Through CIT, Law Enforcement is being educated about experiences of
persons identifying as belonging to the transgender culture.
Needs:
o List of local MH providers trained to understand the needs of LGBTQI
consumers
Racial/Ethnic/Linguistic minorities
Strengths:
o MH/ID/EI does have a contractual agreement with an agency which
provides translation and interpretation services
Needs: None identified.
Other, if any (please specify)
None identified.
c) Recovery-Oriented Systems Transformation:
Describe the recovery-oriented systems transformation efforts the county plans to
initiate in the current year to address concerns and unmet needs.
For each Transformation Priority provide:
A brief narrative description of the priority
A time line to accomplish the transformation priorities
Information on the fiscal and other resources needed to implement the priorities
(how much the county plans to utilize from state allocations, county funds, grants,
HealthChoices, reinvestment funds, etc., and any non-financial resources).
A plan/mechanism for tracking implementation of priorities.
TRANFORMATION PRIORITY
1 Comprehensive, Continuous, Integrated System of Care Model implementation
(CCISC) to develop a service system that is co-occurring capable.
2 Transition age and forensic population housing option to assist entry into the adult
system and re-entry to the community from incarceration. It will offer supports for
successful transition to independent living.
3 Public Awareness Campaign to assist the community in understanding mental health
and substance use disorder and how to access services.
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4 Increase integration between mental health and the aging population.
5 Data collection to increase knowledge of quality of services in order to assist in
making better decisions for service delivery.
1. Comprehensive, Continuous, Integrated System of Care Model implementation
(CCISC) to develop a service system that is co-occurring capable.
i. Implementation team is working on a credentialing process to recognize
local providers that have completed the criteria to be co-occurring capable.
1. The certification program committee has just completed the pilot of
its credentialing tool. The tool was used in credentialing three
providers (1 mental health, 1 D&A, and 1 dual licensed). Results
and recommendations will be presented to the committee in early
June with the expectation that it will be ready by July 1.
ii. Change Agents are being trained in the manual so they can begin to
educate their peers.
1. Training held in February and March 2014
iii. Change Agent Committee has been created and meets on a quarterly basis.
Every member received a change agent manual that contains information to
be used during supervisions, such as: stage matched treatment, case
review templates, treatment plan templates, local resources, etc.
2. Transition age and forensic population housing option to assist entry into the
adult system and re-entry to the community from incarceration. It will offer
supports for successful transition to independent living.
i. Currently have 2 apartments available for transition age.
ii. Continuing to look at model programs and grants available to help start up.
iii. The Criminal Justice Advisory Board (CJAB) recently received a grant to
focus on housing. As a result of the RFP process, they have contracted with
New Hope Shelter to start a Recovery House to serve 6 or more individuals
without home plans who have D&A issues. We do anticipate that many will
have co-occurring MH issues as well. MH staff have been part of the
committee overseeing this project, selecting the vendor, and overseeing the
start-up of the project, slated to open in late June.
3. Public Awareness Campaign to assist the community in understanding mental
health and substance use disorder and how to access services.
i. I Am the Evidence awareness campaign through the PA Mental Health
Association
ii. Health Fairs, Job Fairs
iii. Email blasts
iv. Chamber of Commerce
v. Community Events
1. February 2014 – CIT training
2. March 2014 – Greencastle School District transition fair
4. Increase integration between mental health and the aging population.
i. Mental Health education with home health care
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ii. Meeting with State Police, ER, Crisis, Aging, & Mental Health to discuss
health situations in the elderly population and what options are available.
5. Data collection to increase knowledge of quality of services in order to assist in
making better decisions for service delivery.
i. Continue to track number of inpatient stays and recidivism for that level of
care.
ii. Number of service units provided by level of care
iii. Number of persons served/county
1. Currently, working with our computer program vendor to create
reports based on data related to the block grant
INTELLECTUAL DISABILITY SERVICES
Describe the continuum of services to enrolled individuals with an intellectual disability
within the county. For the narrative portion, please include the strategies that will be
utilized for all individuals registered with the county, regardless of the funding stream.
For the chart below, regarding estimated numbers of individuals, please include only
those individuals for whom base or block grant funds have or will be expended.
Appendix C should reflect only base or block grant funds except for the Administration
category. Administrative expenditure should be included for both base/block grant and
waiver administrative funds.
It is the mission of Franklin/Fulton Mental Health/Intellectual Disabilities/ Early
Intervention to partner with the community to develop and arrange for the availability of
quality 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 ID 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 Mental Health/Intellectual Disabilities/Early
Intervention 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.
As of March 31, 2014, there were 494 people registered in the Intellectual Disabilities
program in Franklin County, of which 33 were participants in the Lifesharing program.
The following goals and desired outcomes are detailed in the Quality Management plan
(Appendix E) for Franklin/Fulton MH/ID Developmental Disabilities Program as required
by the Administrative Entity. Additional goals and outcomes are found in the sections
below. The full QM Plan can be found in Appendix E.
To meet the goal of security and safety in home and community for participants,
we will monitor the number of restraint incidents quarterly through analysis of the
HCSIS Incident Data: As of May 1, 2014, there have been no restraints in
Franklin County.
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To measure the goal of participants in MH/ID who want to vote acquiring the
proper identification cards to vote, ISPs will be cross-referenced with the
registered voter list, and registered voters will be given voter identification
information: This will be changed for 2014-2015 as the law has changed and it is
no longer legal to do what QM Council has been doing. The QI Council will be
meeting to discuss this goal in July.
To measure the goal of reducing the number of 1-2-1 abuse incidents by 10%,
the number of incidents of 1-2-1 abuse will be measured through quarterly
analysis of the HCSIS Incident Data, the target trends to prevent future incidents
will be analyzed by the Risk Management Team, and quarterly reports will be
provided by the Quality Management Council: For 2014-2015, ODP has
redefined I-2-I abuse, to make sure the definition is consistent across the state.
As a result, the state expects to see I-2-I abuse sharply increase in the next 3-6
months, followed by a plateau which we will use as baseline data.
To measure the goal of increasing the number of non-verbally communicative
individuals who have an effective means of communicating their needs and
choices by nine people by June 30, 2015, data will be gathered on nine
individuals selected for an assessment and staff training program. The number
of these nine individuals who have an effective means of communication by the
end of the objective period will be measured: As of May 1, 2014, 6 of the 9
people selected have an effective means of communication. The QI Council is in
the process of developing baseline data as to how many people do not have an
effective means of communication.
Estimated/Actual Individuals
served in FY 13-14
Projected Individuals to be
served in FY 14-15
Supported Employment 24 28*
Sheltered Workshop 7 11 *
Adult Training Facility 2 2*
Base Funded Supports
Coordination
57 57
Residential (6400) 2 2
Life sharing (6500) 0 0
PDS/AWC 27 30
PDS/VF 0 0
Family Driven Family
Support Services
0 0
*This number may increase depending on the number of Graduate Initiative slots we are
given from the state. There are 14 graduates.
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Supported Employment: Describe the services provided, changes proposed for the
current year, and identify a proposal for supporting growth of this option. Please add
specifics regarding the Employment Pilot if your County is a participant.
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.
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.
Transitional Work Services support individuals transitioning to integrated, competitive
employment through work that occurs at a location other than a facility subject to 55 Pa.
Code Chapter 2380 or Chapter 2390 regulations. Transitional work service options
include mobile work force, work station in industry, affirmative industry, and enclave.
Pre-vocational service assists individuals in developing skills necessary for placement
into competitive employment. Prevocational Services focus on the development of
competitive worker traits, using work as the primary training method.
The ID department is concentrating on Community Employment for the Quality
Management Goal. As of May 1, 2014, there were 62 Franklin County residents
receiving Community Employment services. Franklin County’s goal is to increase by ten
percent the number of people receiving Intellectual Disability services who are
competitively employed in the community. Franklin County expects to participate in the
state initiative to double the number of individuals with intellectual disabilities that are
employed over the next five years. Franklin County QM Council is collecting data on
people who have not only have paid community employment, but also those who have
an employment goal and those who volunteer in the community. The baseline data as
of May 1, 2014 is 204 people with some type of employment goal, and 29 people
volunteering.
During the summer of 2014, the ID Program will also fund a summer youth work
program through Occupational Services, Inc. to provide paid work experience
opportunities to 16 students who have learning disabilities or intellectual disabilities.
The program will target students in Franklin County school districts who do not have the
opportunity for extended school year, transition activities or paid work during the
summer months.
17
Base Funded Supports Coordination: Describe the services provided, changes
proposed for the current year, and how transition services from the ICF/ID and other
facility based programs will be supported.
Base Funded Supports Coordination includes home and community based case
management for individuals in nursing facilities and in community residential settings.
These services are only paid for individuals who have had a denial of Medical
Assistance Coverage. There are 40 people who have base funded Supports
Coordination. There are 12 people who have the OBRA Waiver and have base funded
Supports Coordination. There are 5 people who reside in an ICF/ID and receive base
funded Supports Coordination. Currently no one is leaving a State Hospital system
from Franklin or Fulton Counties, so transition services are not needed at this time. We
have MA denials for 6 people who are receiving base services over $8000.
Life sharing Options: Describe the services provided and identify how you propose to
support growth of this option.
According to 55 Pa. Code Chapter 6500: “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 or two individuals with an intellectual disability
who are not family members or relatives of the life sharing host reside.”
Lifesharing 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 33
people living in Lifesharing Homes in Franklin County. All 33 people have waiver
funding to support the services they need in the lifesharing home. Almost one-third
(31%) of people who are living in a residential placement have chosen lifesharing. The
Intellectual Disability Program’s Quality Management Goal is to maintain the number of
people in Lifesharing.
Cross Systems Communications and Training: Describe your current efforts and
changes proposed for the current year. Explain how collaboration incorporates risk
management and avoidance of State Center and/or State Hospital admissions.
ID collaborated with the Copeland Center for Wellness and Recovery and Mental Health
to pilot WRAP® for People with Developmental Distinctions. WRAP® is a recovery
oriented evidence-based model that is accepted internationally. Franklin/ Fulton County
and Philadelphia are the pilot areas. The Wellness Recovery Action Plan Facilitators’
training was held and 14 WRAP facilitators were trained to provide WRAP services in
Franklin and Fulton Counties. Franklin/Fulton Counties piloted the new WRAP® for
People with Developmental Distinctions which supports people with both a mental
illness and Developmental Disability. The first group was held at OSI from March
18
through May with 8 participants who all completed the program. The County is planning
on sponsoring a WRAP® for People with Developmental Distinctions Group in the Fall
also. The County is also on the committee to write the WRAP® for People with
Developmental Distinctions curriculum in collaboration with The Copeland Center,
OMHSAS, NASDDDS and ODP.
Emergency Supports: Describe how individuals will be supported in the community if
no waiver capacity is available within the County capacity commitment. Provide details
on your County’s emergency response plan including: how your County meets
emergency needs of individuals outside of normal work hours; does your County
“reserve” any base dollars to meet emergency needs; what is your County’s emergency
plan in the event an individual needs emergency services, residential or otherwise,
whether identified during normal work hour or outside of normal work hours.
If waiver capacity is unavailable, individuals will be supported out of funds in the block
grant. Base money will be provided to graduates for day programs and transportation to
maintain their residence at home, and so their parents can maintain their employment
status. The ID Apartment Program has 3 people living in their own apartment with less
than 30 hours of support per week. There are plans to increase this program by adding
another apartment. Base funds are used to subsidize the rent. The Franklin County ID
department will increase the availability for combinations of Family Aide, Day Programs,
Transportation, and Respite so that individuals can continue to live at home instead of
residential programs which are more costly.
Per the ODP, waiver slots will be given to new graduates (14 in June 2014) and aging
caregivers again in the 2014-2015 fiscal year. We are waiting to hear about waiver
slots for this fiscal year.
Franklin County responds to emergencies outside of normal work hours in Procedure
Statement ID-2014-505 Incident Management. In this procedure statement, all Program
Specialists are listed as well as the MH/ID/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. The Incident Management Program Specialist checks
the HCSIS database on a daily basis to assure that the all incidents provide for 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 and the Supports Coordination Organization to
set up these services whether during normal business hours or after.
Administrative Funding: Describe the maintenance of effort to support the base or
block grant funded services, as well as the functions of the Administrative Entity
Operating Agreement.
The administrative funding supports three program specialist positions. Two Program
Specialists support all base contract functions. The third position collects and analyzes
data for the Intellectual Disabilities portion of the Block Grant and monitors base
19
providers. For FY 14-15, the program specialists will also use base admin monies to
implement and maintain the new apartment program.
Waiver Admin monies primarily support the three program specialist positions. Each
program specialist has specific duties in the AE Operating Agreement for which they are
responsible. Program Specialist #1 is primarily responsible for waiver capacity. This
program specialist makes sure all clients served have the correct waiver to meet their
needs. She is also responsible for Waiver Capacity Commitment, Residential Vacancy
Management, Unanticipated Emergencies, Waiver Enrollment and Pre-surveys for
IM4Q which are all in the AE Operating Agreement. IM4Q data is analyzed and used to
measure objectives in the Quality Management Plan (Appendix E, Attached).
Program Specialist #2 is primarily responsible for Incident Management/ Risk
Management. She is responsible for making sure incidents are entered, investigated
and finalized in a timely manner. She also approves all incident reports at the county
level. She is responsible for assuring for the safety and well-being of all individuals
involved in an incident. She reviews all incidents within 24 hours of occurrence. She
also takes all incident data and other associated data to facilitate the Risk Management
Committee. She is responsible for the delegated functions in the AE operating
agreement. She is also responsible for the level of care determinations and re-
determinations. These duties are also part of the AE Operating Agreement. Two
goals in the QM plan that are part of incident management are Restraint Reduction and
Individual to Individual Abuse reduction.
Program Specialist #1 and #2 also are responsible for Intakes for eligibility, offering free
choice of willing and qualified providers, approval and authorization of Individual
Support Plans, Provider Recruitment and notice of Fair Hearing and Appeals. These
duties are included in the AE Operating Agreement.
Program Specialist #3 is primarily responsible for Quality Management. She is to make
sure the PUNS are done and completed in a timely manner. She also assures Provider
Qualifications, Provider Monitoring, the AE Oversight Monitoring and any Corrective
Actions Plans from the monitoring is completed in a timely manner. She is also
responsible for the writing, implementation, data collection and analysis of the data for
the Quality Management Plan. She is the facilitator of the Quality Improvement Council
and acts as the Closing the Loop Point Person for IM4Q. These duties are indicated in
the AE Operating Agreement. She also acts as the community liaison for the ID
program at community events.
HOMELESS ASSISTANCE SERVICES
Describe the continuum of services to homeless and near homeless individuals and
families within the county. Include achievements and improvements in services to
families experiencing or at risk for homelessness, as well as unmet needs and gaps.
20
Homeless and near homeless assistance is provided through the County’s Information
and Referral Coordinator, PATH, ESG and HAP. There are two main shelters within the
County, the Franklin County Shelter and the Waynesboro New Hope Shelter. South
Central Community Action Program (SCCAP) runs the Franklin County Shelter for the
Homeless and is contracted to administer the County’s HAP funds. Because of the
flexibility of the block grant, we were able to provide additional support for HAP and the
Franklin County Shelter for the Homeless for FY 2013-2014.
Franklin County is currently contracted with Waynesboro New Hope Shelter to
administer the 2012 ESG which includes financial and short-term rental assistance.
SCCAP and Waynesboro are also contracted with the County to oversee the 2013 ESG
which includes shelter support, rapid rehousing and homelessness prevention. Franklin
County also provides permanent supportive housing through the Mental Health Program
and offers an independent living program through the Intellectuals with Disabilities
funding.
Franklin County’s Housing Task Force includes networking with the Landlord
Association, partnering with the County’s Housing Authority to develop training/funding
opportunities, organizing homeless outreach events and establishing community
collaboration for donations to the local homeless shelters.
The Housing Program Specialist works closely with a provider to ensure that adequate
housing assistance and supports are in place for PATH individuals. Case management
is included as part of supportive services offered in two supportive housing programs
within Franklin County. Twenty individuals are able to participate in the programs
consecutively. Case management is made available to the participants while they are
enrolled in the housing programs. Franklin County’s Housing Program Specialist is able
to support these enrolled individuals with case management services and also works
collaboratively with the individual’s case manager through the agency contracted to
provide mental health case management services.
Estimated/Actual Individuals
served in FY 13-14
Projected Individuals to
be served in FY 14-15
Bridge Housing 0 0
Case Management 341 278
Rental Assistance 341 278
Emergency Shelter 130 70
Other Housing Supports 0 0
Bridge Housing: (describe the services provided, how the county evaluates the
efficacy of those services, and changes proposed for the current year, or an explanation
of why this service is not provided)
Due to the limited funds available Franklin County has not expanded into bridge housing
support.
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Case Management: (describe the services provided, how the county evaluates the
efficacy of those services, and changes proposed for the current year, or an explanation
of why this service is not provided)
Case Management services activities offered by SCCAP, as defined by the HAP
Guidelines, may include but are not limited to the following:
Intake and assessments (service plans) for individuals who are in need of
supportive services and who need assistance in accessing the service system.
Assessing service needs and eligibility as well as discussion with the client of
available and acceptable service options.
Referring clients to appropriate agencies for needed services.
Providing referrals to direct services such as budgeting, life skill training, job
preparation, etc.
Providing advocacy, when needed, to ensure the satisfactory delivery of request
services.
Protecting the client’s confidentiality.
Follow-up to assure compliance with the continuity, appropriateness, and
effectiveness of service.
Case Management services are contracted out to South Central Community Action
Program (SCCAP). Every rental assistance applicant will be part of HAP case
management. Specifically, case management provides referrals with regard to
budgeting, parenting, hygiene, sanitary housekeeping, accessing resources, life skills,
and becoming more self-sufficient. A service plan is established and signed by each
applicant that includes referrals to address factors that led to the housing crisis in
addition to other factors that may have contributed to the problem.
SCCAP’s HAP Program Coordinator is responsible for completing all intakes and
assessments for the Homeless Assistance Program. This process includes
assessment of other needs, especially those contributing to the housing crisis.
Each year, the fiscal specialist for HAP conducts an evaluation and monitoring visit at
SCCAP to ensure that all program requirements are being met, and that client charts
are complete, signed and accurate.
Rental Assistance: (describe the services provided, how the county evaluates the
efficacy of those services, and changes proposed for the current year, or an explanation
of why this service is not provided)
HAP’s Rental Assistance Program provides funding 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;
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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).
Individuals served by the HAP program must have been a resident of Franklin County
for six (6) months prior to applying for assistance.
Priority for Rental Assistance will be given to Franklin County applicants who can
demonstrate that they will be able to become self-sufficient within three (3) months with
regard to housing. Applicants are required to cooperate with case management
services and clients will be required to sign a service plan showing areas of
responsibility between the case manager and the client.
Clients 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.
Persons fleeing domestic violence.
Individuals who have fallen on hard times who need temporary assistance to get
back on their feet.
Homeless families with children who are candidates for Transitional Housing.
To receive financial assistance, the individual or family much be at or below 150%
poverty. As appropriate, those who do not meet the income guidelines will be
referred to other agencies that may be able to provide needed services. 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. A service plan is created for each household. The plan addresses the
conditions precipitating the housing crisis. It also addresses the acquisition of
permanent housing, including the schedule for disbursement of rental assistance
funds.
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As part of the same site visit that evaluates case management and emergency shelter,
the fiscal specialist for HAP conducts an evaluation and monitoring visit at SCCAP to
ensure that all program requirements are being met.
Emergency Shelter: (describe the services provided, how the county evaluates the
efficacy of those services, and changes proposed for the current year, or an explanation
of why this service is not provided)
The Franklin County Shelter for the Homeless is located centrally at 223 South Main
Street in Chambersburg, PA. The Shelter provides 10 bedrooms, two of which are
family rooms, with the capacity to house up to 24 individuals at one time. The Franklin
County Shelter for the Homeless is the last safety net for the residents who may find
themselves without a place to live. One of its major goals 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, setting goals
with the residents to be accomplished during and after their stay, and cooperates with
other agencies within the County to direct residents to the available resources that will
help them achieve their established goals. Clients are also required to participate in a
basic life skills program.
In order to become a client at the Franklin County Shelter for the Homeless, an
individual/family must be legally homeless. If legally homeless, the potential client
completes a Common Application for Assistance and Assessment package, which
includes a self-declaration of homelessness. A potential client will only be considered a
client once he/she has completed the intake forms. Upon completion of the form, the
client/family works with the staff to identify his/her/their particular causes for
homelessness. Once the causes have been identified, the client/family, in coordination
with the staff, develops a plan of action including specific goals to be achieved during
their stay at the Shelter. Long term goals that lead to the attainment of stable housing
are also set. The caseworker assesses the client’s work history, medical history, and
educational background. This information becomes a permanent part of the client’s file.
The staff identifies the client’s family needs such as nutritional education, parenting
classes, and drug/alcohol treatment services. Using this information, staff, under the
supervision from the Program Coordinator, acquires the necessary information or
services to address that particular client/family’s needs.
In 2013, the Shelter provided temporary shelter to 133 homeless individuals
representing a total of 4,450 nights of shelter. From January through March 30, 2014,
the shelter has served a total of 38 individuals representing a total of 940 nights of
shelter. The emergency shelter projection is lower for 14/15 because we do not allocate
additional funding out to them until the end of the fiscal year, if money is available.
Homeless Assistance Program funds are needed to support the daily operational costs
of the Franklin County Shelter for the Homeless as it tries to adapt to the steady
increase in homeless needs and extensive supportive services. The shelter staff is
24
finding that an increasing number of homeless individuals need more than 30 days of
emergency shelter due to the lack of employment opportunities.
We assess program efficacy through monitoring visits at SCCAP, tracking the number
of homeless using PIT counts, and through the numbers served or on waiting lists to be
served.
Other Housing Supports: (describe the services provided, how the county evaluates
the efficacy of those services, and changes proposed for the current year, or an
explanation of why this service is not provided)
Describe the current status of the county’s HMIS implementation.
Franklin County has not used HAP funding for other housing support services.
Transitional housing, independent living and forensic apartments are available through
other funding sources.
Homeless outreach events and activities are held multiple times throughout the year in
Franklin County. PATH collaborates with the Franklin County LINK program and the
community to make these events possible. Previous events include “Help for the
Hungry and Homeless” and “Help for Heat and Housing”. The events are advertised to
target the literal homeless community. Events are held in recognition of National
Hunger and Homeless Awareness week in November. At outreach events, human
service agencies are present in one location as a “one stop shop” to assist those
experiencing homelessness. For example, individuals can have a volunteer assist in
completing applications for services such as transportation, case management services,
medical assistance, PATH, etc. Additionally, individuals are provided with information
on where free community meals are held, and are provided with a hot meal at the event,
as well as safety and emergency supplies. Participants are encouraged to complete a
brief satisfaction survey upon entrance to the events as well as at the conclusion of the
events.
Street outreach is conducted on a regular basis between Point In Time counts and
structured outreach events. Homeless outreach is completed in partnership with
housing agencies, human service providers, formerly homeless volunteers, and PATH
staff. Former homeless volunteers are encouraged to participate in outreach activities
and street outreach.
In order to evaluate the efficacy of the program, we use the Point-In-Time (PIT) counts,
and compare them to previous years, to measure homelessness in our county. We
track the numbers served and the waiting lists for local housing providers. In addition,
we track the number of providers attending the county’s Local Housing Options Team,
and document identified needs and potential solutions for individuals and families
experiencing a housing crisis.
25
Franklin County has actively participated in HMIS for approximately four years, entering
data from existing programs. Two Supportive Housing Programs and one Shelter Plus
Care Program through Franklin County are currently entering data into the PA-HMIS
system and have been doing so for over four years. The PATH program began entering
data into PA-HMIS at the beginning of fiscal year 2013-2014. Intake forms for the
Supportive Housing Programs, Shelter Plus Care, and PATH have been revised to
capture the information that needs to be entered into the PA-HMIS system. The goal is
to have individuals entered in to PA-HMIS immediately following enrollment in the
housing programs. Multiple staff members are familiar with entering data in to the
system as well as running reports.
The Housing Program Specialist has participated in the PA-HMIS Procurement Advisory
Committee for transitioning from the PA-HMIS system to another HMIS system during
the 2013-2014 fiscal year. Looking forward to fiscal year 2014-2015, the Housing
Program Specialist will be participating on the committee responsible for the HMIS
Governance Charter for the PA Eastern Continuum of Care.
CHILDREN and YOUTH SERVICES
Briefly describe the successes and challenges of the county’s child welfare system and
how allocated funds for Child Welfare in the Human Services Block Grant will be utilized
in conjunction with other available funding (including those from the Needs Based
Budget) to provide an array of services to improve the permanency, safety and well-
being of children and youth in the county.
The Franklin County Children and Youth Service (FCCYS) is the local public child
welfare agency responsible for ensuring that the children of Franklin County are safe
and receiving the essentials of life. The agency provides services to any child from birth
to 18 years of age who has been abused, neglected, exploited, is incorrigible and/or
truant, as well as services to their families. Additionally, youth who were determined to
be ‘dependent’ prior to their eighteenth (18th) birthday and request to re-enter care are
provided child welfare services.
Services are provided to families who request and voluntarily accept services or who
have been ordered to participate in services by the Franklin County Courts. Services
are designed to promote the safety, permanency, and well-being of children and their
families. These are specialized services dealing with the problems of children whose
families need help in caring for them. Reports involving abused, neglected, exploited or
truant/incorrigible children are investigated and in-home services and/or placement
services are provided to families who meet Children & Youth legal criteria. Children and
Youth can help intervene in family disputes and crises; however, Children and Youth
does not have the authority to determine, mediate or change Court- ordered custody or
visitation agreements. Government intervention is justified when the family cannot, or
26
will not, provide for the child’s safety and/or basic needs. Placement of a child by
Children and Youth can only occur if ordered by the Juvenile Court. FCCYS provides an
array of services (either in-house or through private contracted providers) to accomplish
the goals set forth above.
Block Grant funding is limited to only one of the many programs provided by FCCYS:
Family Group Decision-Making. The Needs-Based Budget supplies funding for most of
the other programs in FCCYS. The services provided by FCCYS provide a wide range
of options to meet the needs of the families we serve.
One of the key challenges facing CYS is the increase in referrals and subsequent need
for services. Our Intake Department is struggling to keep up with referrals to C&Y. The
critical initial assessment of needs at the intake level put an enormous amount of safety
responsibility on the Intake Caseworkers and their supervisors. The timeliness, volume
of referrals, and paperwork demands are significant.
While the caseload numbers within the Intake Unit are high, we have been able to
sustain reasonable caseload numbers for our ongoing caseworkers and have seen
improved results in our casework practice. Workers are performing well within
recommended Best Practice Standards and continue to implement these
recommendations in their daily case management. We have implemented internal
checks and balances to assure that every worker is aware of and utilizing these
standards. State and Federal mandates are addressed and made a part of casework
practice.
The agency continues to enhance the quality of casework practice and provide in-house
trainings to the caseworkers on how to engage family members as resources for
children. C&Y continually looks at casework practices in an effort to refine and improve
our services to children and their families. Our County has a very active Children’s
Roundtable and our Juvenile Court Judges and County Commissioners are actively
involved with child welfare as well as juvenile delinquency matters. Our staff attend
relevant trainings and participate in regional meetings (Quality Assurance meetings,
regional supervisor meetings, IL meetings, PCYA conferences, etc.) C&Y staff are
encouraged to “think outside the box” and are encouraged to bring new practices/ideas
that may improve our work with children & families to the attention of management.
Identify a minimum of three service outcomes the county expects to achieve as a result
of the child welfare services funded through the Human Services Block Grant with a
primary focus on FY 2014-15. Explain how service outcomes will be measured and the
frequency of measurement. Please choose outcomes from the following chart, and
when possible, cite relevant indicators from your county data packets, Quality Service
Review final report or County Improvement Plan as measurements to track progress for
27
the outcomes chosen. When determining measurements, counties should also take into
consideration any benchmarks identified in their Needs-Based Plan and Budget for the
same fiscal year. If a service is expected to yield no outcomes because it is a new
program, please provide the long-term outcome(s) and label it as such.
Outcomes
Safety 1. Children are protected from abuse and neglect.
2. Children are safely maintained in their own home whenever
possible and appropriate.
Permanency 1. Children have permanency and stability in their living
arrangement.
2. Continuity of family relationships and connections if
preserved for children.
Child & Family
Well-being
1. Families have enhanced capacity to provide for their
children’s needs.
2. Children receive appropriate services to meet their
educational needs.
3. Children receive adequate services to meet their physical
and behavioral health needs.
Outcome Measurement and
Frequency
All Child Welfare
Services in HSBG
Contributing to Outcome
Children are safely
maintained in their own
home whenever possible and
appropriate.
Percent of children who
were not placed in a
residential setting.
FGDM
Continuity of family
relationships and
connections if preserved for
children.
Number of months
children are in placement
prior to reunification.
FGDM
Families have enhanced
capacity to provide for their
children’s needs.
Number of families
participating in FGDM.
FGDM
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Family Group Decision Making (FGDM)
Program
Name:
Family Group Decision Making (FGDM)
Status Enter Y or N
Continuation from 2013-2014 Y
New implementation for 2014-2015 N
Funded and delivered services in
2013-2014 but not renewing in
2014-2015
N
Requesting funds for 2014-2015
(new, continuing or expanding) Y New Continuing Expanding
X
13-14 14-15
Target Population Children & family
members
Children & family
members
# of Referrals 21 35
# Successfully completing
program 16 30
Cost per year $53,795.00 $47,469.00
Per Diem Cost/Program
funded amount $47,469.00 $47,469.00
Name of provider FCCYS FCCYS
• Description of the program, what assessment or data was used to indicate the
need for the program, and description of the populations to be served by the program.
Family Group Decision Making (FGDM) is a process in which family members,
community members and others collaborate with the child welfare agency to create a
plan for a child or youth. The family members define who comprises their family group.
In FGDM, a trained coordinator, who is independent of the case, brings together the
family group and agency personnel to create and carry out a plan to safeguard children
and other family members. FGDM processes position the family group to lead decision
making, and the statutory authorities agree to support family group plans that
adequately address agency concerns. The statutory authorities also organize service
providers from governmental and non-governmental agencies to access resources for
implementing the plans.
The key to successful FGDM practice is engaging the family group — those people with
kinship and other connections to children, youth and their parents. This includes those
who may not be currently connected to children and youth — for example, paternal
relatives who are often excluded or marginalized.
FGDM affirms the culture of the family group, recognizes a family’s spirituality, fully
acknowledges the rights and abilities of the family group to make sound decisions for
and with its young relatives and actively engages the community as a vital support for
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families. FGDM has the potential to energize hope, guide change and foster healing.
Through FGDM, a broad support network is developed and strengthened, significantly
benefiting children and their family groups. Government, local and tribal programs also
benefit, learning from and relying on the family group and community as resources that
strengthen and support families in ensuring that their children have a clear sense of
identity, lasting relationships, healthy supports and limits, and opportunities for learning
and contributing.
If discontinuing funding for a program from the prior FY, please explain why the funding
is being discontinued and how the needs of that target population will be met.
CYS made the decision to discontinue Credential for Strengths-based Family Workers
(SFW), formerly known as Family Development Credentialing (FDC), for the 2014-15
year. Franklin County began offering the SFW training in January 2010; there have
been three additional cohorts credentialed since that time (a total of four since 2010).
However, there has been a noticeable decline in the number of participants interested in
becoming credentialed, despite the actions of the SFW Implementation Team working
diligently to get the word out regarding the SFW Program. We have not been able to
generate enough interest for additional trainings, as most of the people in the field have
already been trained. Therefore, we have decided to discontinue the program and
instead use the funding for HSDF programs that will benefit youth.
DRUG and ALCOHOL SERVICES
This section should describe the entire substance abuse system available to county
residents incorporating all supports and services provided through all funding sources,
including state allocations, county funds, federal grants, HealthChoices, reinvestment
funds, etc.
The Franklin/Fulton Drug and Alcohol Program (FFDA) provides funding for all levels of
care for substance abuse treatment. These levels include inpatient detoxification,
rehabilitation, halfway house, partial hospitalization, intensive outpatient, outpatient, and
early intervention outpatient services for Franklin and Fulton county residents. FFDA
also provides case management services and oversight of medication assisted
treatment.
Information regarding access to services:
In order to provide funding for all levels of care, there are contracts established with
facilities across the Commonwealth. Currently, there are three outpatient treatment
providers and one inpatient drug and alcohol treatment facility located in Franklin
County. Within Fulton County, there is one outpatient treatment provider.
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Waiting list issues:
All treatment services are provided to any eligible resident despite age, gender, race,
and ethnicity. However, we serve individuals by our priority populations. These priority
populations are identified in the following order: Pregnant Injection Drug Users,
Pregnant Substance Abusers, Injection Drug Users, and all others.
An estimated 647 Franklin County residents will be funded for treatment through the
drug and alcohol program in fiscal year 2013-2014. FFDA projects that 552 individuals
will receive level of care assessments. Level of care assessments are completed by
contracted outpatient providers or FFDA Case Management staff.
Coordination with the county human services system:
Research has shown that a decrease in funding for treatment means an increase in cost
for other systems (i.e. jails, prisons, hospitals, crisis centers). Our population served
continues to increase as our funding constantly reduces each year. Therefore,
Franklin/Fulton Drug and Alcohol Program has taken the initiative to research and
identify new potential funding sources for services.
Our local district attorney is looking to implement a program titled “Feed The Good
Wolf.” This program would identify individuals in need of treatment at the “street” level
and coordinate services accordingly.
FFDA works closely with Adult Probation, Children & Youth, and Juvenile Probation to
coordinate drug and alcohol services for individuals involved in the criminal justice
system. Since 2010, D&A partners with Franklin County Adult Probation to provide a
designated Case Manager who works with level three and four offenders with addictions
issues who are sentenced to restrictive intermediate punishment. Funding for this
program is provided through a grant from the Pennsylvania Commission on Crime and
Delinquency. In 2013/2014, the grant totaled $233,617.
Any emerging substance use trends that will impact the ability of the county to provide
substance use services:
None noted.
Target Populations
Provide an overview of the specific services provided and any service gaps/unmet
needs for the following populations:
Older Adults (ages 60 and above)
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If indicated, older adults are eligible for all levels of care for substance abuse treatment.
These levels include inpatient detoxification, rehabilitation, halfway house, partial
hospitalization, intensive outpatient, outpatient, and early intervention outpatient
services for Franklin and Fulton county residents. FFDA also provides case
management services and oversight of medication assisted treatment.
Adults (ages 18 and above)
If indicated, adults ages 18 to 55 are eligible for all levels of care for substance abuse
treatment. These levels include inpatient detoxification, rehabilitation, halfway house,
partial hospitalization, intensive outpatient, outpatient, and early intervention outpatient
services for Franklin and Fulton county residents. FFDA also provides case
management services and oversight of medication assisted treatment. It is anticipated
that many of our priority populations, including Pregnant Injection Drug Users and
Pregnant Substance Abusers, will fall into this age demographic.
Transition Age Youth (ages 18 to 26)
If indicated, transition-age youth are eligible for all levels of care for substance abuse
treatment. These levels include inpatient detoxification, rehabilitation, halfway house,
partial hospitalization, intensive outpatient, outpatient, and early intervention outpatient
services for Franklin and Fulton county residents. FFDA also provides case
management services and oversight of medication assisted treatment. It is anticipated
that some of our priority populations, including Pregnant Injection Drug Users and
Pregnant Substance Abusers will fall into this age demographic.
Adolescents (under 18)
If indicated, adolescents are eligible for all levels of care for substance abuse treatment.
These levels include inpatient detoxification, rehabilitation, halfway house, partial
hospitalization, intensive outpatient, outpatient, and early intervention outpatient
services for Franklin and Fulton county residents. FFDA also provides case
management services and oversight of medication assisted treatment. Additionally,
FFDA also contracts with providers of prevention and intervention programs focusing on
the adolescent population.
Individuals with Co-Occurring Psychiatric and Substance Use Disorders
In conjunction with Franklin/Fulton Mental Health and Tuscarora Managed Care
Alliance, the Franklin/Fulton Drug and Alcohol Program has implemented a co-occurring
initiative in both counties. This initiative uses the Comprehensive Continuous Integrated
Systems of Care Model. All local providers participate in this initiative for co-occurring
32
competency. There are facilities that offer specialized treatment programming for
individuals with co-occurring conditions for providers outside of the two counties.
To evaluate the Comprehensive Continuous Integrated Systems of Care Model
(CCISC), we track the number of in-county facilities that offer specialized treatment
programming for individuals with co-occurring conditions.
Criminal Justice-Involved Individuals
If indicated, criminal justice-involved individuals are eligible for all levels of care for
substance abuse treatment. These levels include inpatient detoxification, rehabilitation,
halfway house, partial hospitalization, intensive outpatient, outpatient, and early
intervention outpatient services for Franklin and Fulton county residents. FFDA also
provides case management services and oversight of medication assisted treatment.
All contracted treatment providers have specialized programming for this population. In
addition, Franklin County is involved in the Restrictive Intermediate Punishment
Program that coordinates treatment needs for this population. We are currently working
closely with DAP to implement the medical assistance jail pilot in FY 14/15. In June,
New Hope Shelter in Waynesboro will open a recovery house, providing supportive
housing and treatment for offenders with addictions leaving the Jail without a home
plan. This program is funded through a grant from PCCD through Franklin County
CJAB.
Veterans
If indicated, veterans are eligible for all levels of care for substance abuse treatment.
These levels include inpatient detoxification, rehabilitation, halfway house, partial
hospitalization, intensive outpatient, outpatient, and early intervention outpatient
services for Franklin and Fulton county residents. FFDA also provides case
management services and oversight of medication assisted treatment. The County
provides drug and alcohol treatment funding to a small number of veterans due to the
majority of this population having insurance to cover their costs.
Racial/Ethnic/Linguistic minorities
If indicated, minorities are eligible for all levels of care for substance abuse treatment.
These levels include inpatient detoxification, rehabilitation, halfway house, partial
hospitalization, intensive outpatient, outpatient, and early intervention outpatient
services for Franklin and Fulton county residents. FFDA also provides case
management services and oversight of medication assisted treatment.
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Recovery–Oriented Services
Describe the current recovery support services available in the county and any
proposed recovery support services being developed to enhance the existing system.
Address any challenges in moving toward a recovery-oriented system of care in the
county.
Individuals in need of recovery support services receive information about local
Narcotics Anonymous, Alcoholics Anonymous, Al-Anon, and Alateen meetings. This
information is provided by inpatient providers at discharge, outpatient providers at
admission, or by Case Management staff at FFDA. All individuals are encouraged to
seek a sponsor through these 12-step programs to aid them in their recovery.
HUMAN SERVICES and SUPPORTS/ HUMAN SERVICES DEVELOPMENT FUND
Describe how allocated funding will be utilized by the County to support an array of
services to meet the needs of county residents in the following areas:
Estimated / Actual
Individuals served in FY 13-
14
Projected Individuals to be
served in FY 14-15
Adult Services 0 0
Aging Services 0 0
Generic Services 4,277 4,425
Specialized Services 13,164 12,575
Adult Services: Describe the services provided, the changes proposed for the current
year, and the estimated expenditures for each service provided.
Franklin County implemented the adult protective services program in the beginning of
fiscal year 12/13. This program has provided disabled consumers ages 19-59 access to
protective services. However, the State has begun the process of regionalizing the adult
protective services program. Scheduled development date is fall of 2014. The services
will continue through the County until new regulations/directions are established.
Franklin County executed the PA Link to Aging and Disability Resources (LINK) in
February 2011. Designed to streamline access to long term supports and services, the
initiative is part of the nationwide effort to re-structure services and supports for older
adults, persons with disabilities, family members and care providers. The objective is to
provide a “one stop shop” approach for residents in need. The LINK Coordinator refers
the consumer to the agency or agencies that best fits their particular needs.
These programs are not funded by the Block Grant.
Aging Services: Describe the services provided, the changes proposed for the current
year, and the estimated expenditures for each service provided.
34
The County’s Human Services Program Specialist coordinates with local community
agencies to provide trainings at the local senior center. Topics included but not limited
to; technology, health and wellness, nutrition, etc. Informational trainings are also
provided by local agencies in regards to what services are available to our aging
population within the County of Franklin.
This service is not funded by the Block Grant.
Generic Services: Describe the services provided, the changes proposed for the
current year, and the estimated expenditures for each service provided.
For FY 14/15, Franklin County will continue the Information and Referral program (I&R)
under HSDF. I&R provides information and referrals to 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 the
County. The I&R department is also the contact point for PA 211 coordination. Data
from our I&R resources database is shared with the capital region during quarterly
coordination meetings. In FY 13/14 Franklin County is projected to receive 2,575
contacts through our office and 1,702 through our contracted after- hours provider.
The I&R Coordinator assists people who are in crisis, and/or experiencing emergency
situations. She also advocates on behalf of those individuals who are in need of
additional support. The I&R Coordinator is certified by the Alliance for Information and
Referral Systems (AIRS). By way of a national exam, the Coordinator is recertified
every two years.
Estimated HSBG Expenditures For Generic Services: $81,312
Specialized Services: Describe the services provided, the changes proposed for the
current year, and the estimated expenditures for each service provided.
In FY 12/13, Franklin County implemented the Teen Intervene program. We have
continued to fund the program through FY 13/14 and will again continue funding for this
very effective program in the upcoming fiscal year. Teen Intervene is an evidence-
based program that is listed on the Substance Abuse and Mental Health Services
Administration (SAMHSA), National Registry of Evidence-based Programs and
Practices. It is designed to work with the court system, juvenile probation and schools
to provide an intervention for youth ages 12-19 that have minor to moderate drug and or
alcohol use. Students who are caught possessing substances or who demonstrate
evidence of use are the target population for this program. Teen Intervene is
administered individually to youth by a professional in two 1-hour sessions
approximately 7-10 days apart. An optional third session for parents is available to
address the need for the parent to demonstrate healthy attitudes and behaviors related
to substance use and to monitor the adolescent. The program integrates stages of
change theory and motivational enhancement to help teens reduce and ultimately
35
eliminate their drug or alcohol use. Teen Intervene serves approximately 15 students
per year that includes 30 sessions and helps youth evaluate their substance use and
determine their own reasons for abstaining from substance in the future.
Elementary intervention groups are another essential program that we will again support
if funding becomes available. This service is being offered to schools in Franklin County
that acknowledge having students who might be struggling in school or at home with
issues such as bullying, aggression, low grades, etc. Students are identified and
referred to the groups by teachers, staff or faculty. Groups are held in each school
during a time and day designated by the school. The facilitators use various curriculum
including (but not limited to) Too Good for Violence, Girls Circle and Boys Council. The
additional funding will allow the elementary intervention groups to be expanded
throughout the school year and offered to all the elementary schools in Franklin County.
The schools will also be offered multiple groups through the year based on need and
referrals. The elementary intervention program reaches approximately 120 youths
through 17 groups completed. The youth show increased connection to school and
adults. We continuously receive positive group feedback.
Red Ribbon Week is another essential program that was funded in FY 13/14 and will
continue to be financed in 14/15. This program reaches approximately 12,000 students
in grades K-12 in a one week time period. This is completed by organizing assemblies
in elementary, middle and high schools throughout Franklin County. The main focus is
to promote awareness regarding drug and alcohol substance use and abuse. Each level
of education has a theme based upon the age group.
The above programs tie into several categorical programs but best fit into the Human
Services Development Fund due to flexibility and affordability.
Estimated HSBG Expenditures For Specialized Services: $11,970
Interagency Coordination: Describe how the funding will be utilized by the County for
planning and management activities designed to improve the effectiveness of county
human services.
The Information and Referral Coordinator organizes a two-day training event that is
available for Human Services professionals. She also organizes the Introduction to
Human Services training that is available two times a year to new employees within the
County government as well as agencies in the community.
Estimated HSBG Expenditures For Interagency Coordination: $3,448
If you plan to utilize HSDF funding for other human services, please provide a brief
description of the use and amount of the funding.
None anticipated.
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37
Appendix B
Block Grant Plan Public Hearings
Human Services Block Grant 2014/15 Plan: Public Hearing #1
2:00 p.m. June 10th 2014
Human Services Building
425 Franklin Farm Lane
Chambersburg, PA 17202
Human Services Block Grant 2014/15 Plan: Public Hearing #2
9:30 a.m. June 24th 2014*
Commissioners’ Office Complex
14 North Main Street
Chambersburg, PA 17201
*Please note that the public comment period remained open from Tuesday June 24th
through board action on Thursday June 26th.
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39
June 10, 2014 Summary:
Attendance:
Voting Committee Staff Public Not Present
Manny Diaz Rick Wynn Shalom Black Christy Unger Amy Hicks
Ann Spottswood Carrie Gray Elizabeth Grant Sheri Morgan Lori Young
Karen Johnston Christy Briggs Cori Seilhamer Charlie Morgan Jeff Hoose
Kim Wertz Jennifer Lipko Doug Amsley Anne Larew
Sheldon Schwartz Jennifer Johnson Stacy Rowe Jean Snyder
Traci Kline Amanda Black
Megan Shreve Steve Nevada
We do not know why there were CYS regulations changes. We did not have to
add extraneous information. What guidance was given to the individuals writing this
plan? The guidance was the same as the year before; we start with allocation (same as
the first two years). CYS did not use their money so that became available. MH and ID
were projecting a small amount over budget so in the plan they asked to move funds
between MH and ID (which is included in the plan); these are the only dollar changes.
We took out the needs assessment in the plan. General narrative states that outcomes
are tracked as part of the program highlights; it is important part to track those
outcomes. The state is not requiring a needs assessment, nor did they have a specific
session in the plan on this. Shalom stated that does not mean the block grant
committee cannot do a needs assessment. Moving forward, the flexibility of the funding
is when the state will have a real need for a needs assessment; how and why we are
spending in each category. Discussions have been had about coordinating efforts with
Summit Health for a community needs assessment and the prosperity group because it
seems the priorities from each of the schools’ readiness, nutrition, mental health and
access of care is of high priority. We need to be aware of the desire to make sure we
look at unique factors of the county as a whole. We want to make sure everything we
add to the plan is meaningful and holds it longevity.
After this meeting, there will be another public meeting with the commissioners
on June 24 for approval of the plan, then it can be sent off to the state by June 27. The
draft will be placed on the county website for the public to view and receive comments.
The committee also discussed having an evening meeting for the 14/15 block grant
plan. Kim Wertz made the motion to try one or two evening block grant meeting(s), all
were in favor. The next (unofficial) scheduled meeting is September 10 at 2 PM. The
committee strongly suggested that the information for the block grant meetings, etc.
need to be available to the committee members and the public ten days before the
meeting. Karen Johnston made the motion to make sure information is available,
published and the opportunity for comments can be made, Manny Diaz seconded it, all
were in favor. The acceptance of the current 14/15 draft plan motion was made by
Sheldon Schwartz, Megan Shreve seconded the motion, and all were in favor.
The mission statement for the block grant, the submitted draft version of this was,
“Franklin County Human Services Block Grant Planning Committee will help to
maximize the benefits of public funds in an efficient and coordinated manner by
reviewing and recommending the funding of quality services that are responsible to
40
local needs of Franklin County” to the committee’s changed version that was, “Franklin
County Humans Services Block Grant Planning Committee shall assist in identifying
needs-based priorities for promoting the health, well-being and self-sufficiency for all
people in Franklin County by and through maximizing resources”. Megan Shreve made
a motion to accept the revised version of the mission statement, Sheldon Schwartz
seconded, and all were in favor. The committee also stated to move to work on guiding
principles.
Discussion of projections on the roll over amount from 13/14; if we have deficits
in any areas of the block grant, Rick has asked the committee to approve that the
categoricals use unspent funds to pay for any final bills for services that are submitted
by providers. Second recommendation, sit on any available balance we currently have,
which is $41,308 to roll over into 14/15. Ann Spottswood made a recommendation to
use for educational services for direct client/patient services. Megan Shreve made a
motion that the committee will support funds to be flexible for clients, Ann Spottswood
seconded the motion, and all were in favor.
Rick met with Karen to discuss her block grant letter that was submitted. Rick
suggested to Karen that we (block grant) do not fund anything further until we know
what the budget is.
Rick strongly urged for committee members and public to attend the
commissioners meeting that will discuss the draft block grant plan. Again, this
Commissioners meeting is on June 24 at 9:30 AM. Kim suggested that Commissioner
Keller be invited to our block grant planning committee meeting to see how the meeting
is operating and make any suggestions. Rick stated that Carrie Gray and he share
details to John Hart, County Administrator on how things are going with the meetings
and the block grant plan.
Time was given for Public comment.
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42
PRELIMINARY AGENDA
As of, June 23, 2014
For meeting, June 24, 2014
Starting at 9:30 AM
FRANKLIN COUNTY COMMISSIONERS
FRANKLIN COUNTY COMMISSIONERS OFFICE COMPLEX
AGENDA TOPICS
MOMENT OF SILENCE
PLEDGE OF ALLEGIANCE
APPROVE THE AGENDA
PUBLIC COMMENT
REVIEW MINUTES
Tuesday, June 17, 2014
Thursday, June 19, 2014
NEW BUSINESS
BOARD ACTIONS
See attached listing
PRESENTATION
Human Services Block Grant Plan
SOLICITOR TIME
Consideration of Resolution and Cooperation Agreement between Franklin County Industrial
Development Authority and Franklin County.
Consider agreements between Metal Township and Franklin County pertaining to properties
owned by Metal Township.
PRESS TIME
* * *
PLEASE NOTE
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The foregoing is a Preliminary Agenda reflecting the Agenda as of the date of its preparation. It is
provided for your convenience only and is not intended to be Public Notice of any Board proceeding.
Items may be deleted or added prior to and/or the day of the meeting. To be certain of an opportunity to
participate in the discussion of any item, whether itemized on this Agenda or not, you are advised to
attend this meeting.
Franklin County encourages qualified persons with disabilities to participate in its programs and
activities. If you anticipate needing any type of accommodation or have questions about the physical
access provided, please contact the Franklin County Commissioners Office at (717) 261-3812.
44
June 24, 2014
BOARD ACTIONS (This is a draft contract list. After review, items may be deleted or
added at a Commissioners public meeting.)
1. Archives – Supplemental Appropriation to reflect the release of funding by the Records
Improvement Committee, in the amount of $10,000.00, from the records improvement
fund for archival supplies.
2. Emergency Services – Supplemental Appropriation to provide a budget line for the
purchase of a fan, UPS capacitor, and battery equipment replacement for the 911
Center’s main UPS. The Pennsylvania Emergency Management Agency has allowed
for the use of accrued interest from the wireless fund in the amount of $13,033.12.
3. Grants/Human Services Administration – Assurance of Compliance to PA Department of
Public Welfare to comply with State Fiscal year 2014-15 Block Grant requirements and
for Board approval of the draft 2014-15 Block Grant Plan.
4. **Information Technology – Quote from Environmental Systems Research Institute for
the yearly maintenance of the County’s GIS platforms for the following departments:
Planning, Emergency Services, Information Technology, and Tax Services. Contract
term is July 1, 2014 through June 30, 2015 at a cost of $19,662.24, $7,900.00 will be
provided from 911 Communication Funding.
5. Jail – Amendment to the Inmate Telephone Services agreement (dated March 21, 2009)
between the County of Franklin and DSI/ITI/GTL to provide inmate telephone service at
no cost to the County for the period of June 21, 2014 through June 20, 2019.
6. Juvenile Probation - Renewal Agreement between the County of Franklin and the
Tuscarora School District for the School-Based Probation Program. The school district
agrees to provide $8,349.00 for the 2014-2015 school year. Franklin County will carry
liability insurance for its employees and the program. The term of agreement is August
25, 2014 through June 5, 2015.
7. Planning – Grant agreement between the County of Franklin and the Pennsylvania
Department of Community and Economic Development for the HOME Program for the
second floor renovation of New Hope Shelter’s second floor rehabilitation; creating
seven handicapped accessible housing units for low to moderate income
individuals/families, in the amount of $400.000.00 for the period of October 31, 2013
through October 30, 2018.
8. **Register and Recorder – Agreement between the County of Franklin and IMR
Information at Work for the installation of their Tax Pass software module in Landex.
This module will integrate with the CAMA Vision System and auto-populate information
fields from the Tax software into Landex, at a cost of $1,500.00, paid out of the
Recorder’s Improvement Fund.
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**Chairman’s signature only.
In accordance with PA Act14, 67, 68 and 127 notifications, R. Lee Royer & Associates notified
the County of a Pennsylvania Department of General NPDES Permit being applied by
Washington Township for a boulevard, located in Washington Township.
June 24, 2014 Summary:
Richard Wynn, Human Services Administrator, and members of the Block Grant
Committee conducted a public hearing on the Human Services Block Grant for Franklin
County Plan and Process for 2014/2015. Mr. Wynn gave the Board an update on the
block grant process for the past year and provided the 2013-2014 revised reallocation.
He informed the Board that the State will not release the true block grant funds until
October. Plus there may be cuts made by the State due to the State budget so they are
trying to plan for that. He reported if there are additional funds available for 2014-2015
to roll over, they can be used for prevention programs and mini-grant opportunities to
align with the County’s core identified human service needs. Mr. Wynn provided the
2014-2015 Projects Summary. Commissioner Thomas said this is a work in progress.
Prior to this process a decision was made in Harrisburg to put funds into a stovepipe
and counties could never move funds. If counties didn’t spend it, they would have to
send it back. This process involves local people to discuss the need and make
recommendations on how to spend the money. Several committee members spoke and
provided their support of the block grant process and their support for the
recommendations. Chairman Keller thanked the staff and the committee for their work
during this process. He is comfortable with approving the recommendations on
Thursday. Commissioner Thomas suggested hearing from the public in attendance.
Sheri Morgan provided verbal public comment on June 24th as well as written public
comment on June 26th. Her comments are summarized her and her written comment is
available upon request. Sheri said her, her son Charlie, and Alicia are the only public
that attends the block grant meetings. She does not feel the information on the public
hearings was provided properly, with regard to access to materials on the website and
in the public presentation. The public could not participate and ask questions at the
June 10th hearing due to not having access to the written Plan in advance. Ms. Morgan
said this process is not transparent and does not include people that use these
services. She appreciates the constraints these people are working on with how the
budget goes, but it’s specious at best and is disturbing. She doesn’t know how the
county hasn’t been sued in this process.
46
Sheldon Schwartz said he did receive the block grant document in advance and had
time to review. But the document was not available for the public to participate on June
10th as the record said.
Chairman Keller responded that if folks don’t feel they are getting information in a timely
manner the Board needs to know this before this comes to a vote. He informed Dr.
Morgan to contact the Board ahead of time. Sherri Morgan said it would be helpful if she
had the minutes.
Alicia Kanelopoulas said when they had the public hearing on June 10th, she couldn’t go
and asked why they can’t have one hearing during the day and one in the evening so
more people could attend. She was told Rick Wynn said no to this request.
Kim Wertz said she made the motion at the June 10th meeting for that and it was not
Rick Wynn that shot it down but it was all other voting members that voted it down. Mr.
Wynn had nothing to do with that vote.
Commissioner Thomas said he appreciates all of the committee members. He said one
big challenge that we have with public hearings is that not many people show up. When
they don’t trust government is when they tend to want to get involve. If a meeting is a
public meeting, the minutes should be posted on the website. Communication is always
the biggest problem.
Chairman Keller said this will be up for formal approval Thursday. Mr. Schwartz asked
since this is a public hearing is the record still open for public comments? John Hart,
County Administrator, responded that the Commissioners will take comments
until 9:30 AM Thursday June 26th and then the public comments will be closed.
The Board will take formal action Thursday. Mr. Schwartz said he would like a copy of
the June 10th minutes available for anyone who would like a copy.
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48
49
50
Appendix C: Human Services Block Grant Proposed Budget and Service Recipients
County:
HSBG HSBG PLANNED NON-BLOCK OTHER
ESTIMATED ALLOCATION EXPENDITURES GRANT COUNTY PLANNED
CLIENTS
(STATE AND
FEDERAL)
(STATE AND
FEDERAL) EXPENDITURES MATCH EXPENDITURES
MENTAL HEALTH SERVICES
ACT and CTT
Administrator's Office 616,418 16,767
Administrative Management 1,025 311,696 8,304
Adult Developmental Training
Children's Evidence Based Practices
Children's Psychosocial Rehab
Community Employment 85 292,713 7,962
Community Residential Services 63 1,493,061 40,757
Community Services 3,500 311,041 8,460
Consumer Driven Services
Crisis Intervention 2,300 272,829 7,421
Emergency Services 75 38,856 1,057
Facility Based Vocational Rehab 22 71,067 1,933
Family Based Services 2 18,455 502
Family Support Services 13 6,020 164
Housing Support 57 53,239 49,485 1,448
Other
Outpatient 789 292,711 5,761
Partial Hospitalization
Peer Support 35 40,532 1,102
Psychiatric Inpatient Hospitalization 2 45,317 1,233
Psychiatric Rehabilitation 40 77,652 2,112
Social Rehab Services 939 247,574 6,734
Targeted Case Management 2,046 223,678 6,084
Transitional and Community Integration
TOTAL MH SERVICES 10,993 4,448,942 4,412,858 49,485 117,801 0
51
County:
HSBG HSBG PLANNED NON-BLOCK OTHER
ESTIMATED ALLOCATION EXPENDITURES GRANT COUNTY PLANNED
CLIENTS
(STATE AND
FEDERAL)
(STATE AND
FEDERAL) EXPENDITURES MATCH EXPENDITURES
INTELLECTUAL DISABILITIES SERVICES
Admin Office 482,329 13,119
Case Management 57 50,404 1,371
Community Residential Services 6 93,736 2,550
Community Based Services 243 374,102 12,964
Other
TOTAL ID SERVICES 306 975,186 1,000,571 0 30,004 0
HOMELESS ASSISTANCE SERVICES
Bridge Housing
Case Management 278 48,321 1,314
Rental Assistance 278 45,540 1,239
Emergency Shelter 70 15,000 408
Other Housing Supports
TOTAL HAP SERVICES 626 113,658 108,861 2,961 0
CHILDREN & YOUTH SERVICES
Evidence Based Services 35 47,469 1,291
Promising Practice
Alternatives to Truancy
Housing
TOTAL C & Y SERVICES 35 59,439 47,469 1,291 0
52
County:
HSBG HSBG PLANNED NON-BLOCK OTHER
ESTIMATED ALLOCATION EXPENDITURES GRANT COUNTY PLANNED
CLIENTS
(STATE AND
FEDERAL)
(STATE AND
FEDERAL) EXPENDITURES MATCH EXPENDITURES
DRUG AND ALCOHOL SERVICES
Inpatient non hospital 72 161,330
Inpatient Hospital
Partial Hospitalization
Outpatient/IOP 156 84,459
Medication Assisted Therapy 4 4,180
Recovery Support Services
Case/Care Management
Other Intervention
Prevention
TOTAL DRUG AND ALCOHOL SERVICES 232 290,526 249,969 0 0
HUMAN SERVICES AND SUPPORTS
Adult Services
Aging Services
Generic Services 4,425 81,312 10,700
Specialized Services 12,575 11,970
Interagency Coordination 3,448
TOTAL HUMAN SERVICES AND
SUPPORTS 17,000 95,968 96,730 10,700 0
COUNTY BLOCK GRANT
ADMINISTRATION 0
67,261 0
GRAND TOTAL 29,192 5,983,719 5,983,719 49,485 162,757 0
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Appendix D
Block Grant Planning Committee
Committee Members:
Megan Shreve (HAP Provider)
Sheldon Schwartz (Mental Health/Intellectual Disabilities Community Rep)
Kim Wertz (MH Advocate)
Anne Larew (ID Advocate)
Manny Diaz (Drug and Alcohol Community Rep)
Karen Johnston (Prevention Provider)
Ann Spottswood (Summit Health)
Staff Members:
Carrie Gray* (Assistant County Administrator)
Jean Snyder (Fulton County)
Rick Wynn* (Human Services Administrator, Drug and Alcohol Director)
Stacy Rowe* (Fiscal)
Christy Briggs* (Fiscal)
Jennifer Lipko* (Human Services)
Jennifer Johnson (Mental Health Housing Specialist)
Steve Nevada* (Mental Health/Intellectual Disabilities/Early Intervention Director)
Lori Young (Intellectual Disabilities)
Shalom Black* (Grants Director)
Doug Amsley (Children and Youth Services Director)
Amanda Black (LINK)
Traci Kline (Aging Director)
*denotes Leadership Team Members
54
Appendix E ID Quality Management Action Plan
Administrative Entity Name: Franklin/Fulton MH-ID Developmental Disabilities Program Year: 2013-2015
Focus Area: Participant Safeguards /Restraint Reduction
Goal Outcome Target Objective Performance Measures/Data
Source(s)/
Frequency/Responsible
Person Participants are safe
and secure in their
homes and
communities.
People are
safe and
restraint
free.
Due to the low number of restraints, Franklin/
Fulton County Risk Management Team
monitor the number of restraint incidents and
take action immediately as warranted.
Baseline: Calendar Year 2012-13
Restraint Incidents = 1
# of individuals = 1 (9 months of
data)
Performance Measure:
# of Restraint Incidents
Data Sources:
HCSIS Incident Data
Frequency:
Quarterly
Responsible Party:
F/F Incident Manager
F/F Risk Management
Team
F/F ID QI Council
F/F MH-ID
55
Appendix E ID Quality Management Action Plan
Administrative Entity Name: Franklin/Fulton MH-ID Developmental Disabilities Program Year: 2013-2015
Focus Area: Provider Capacity and Capabilities/Lifesharing
Goal
Outcome
Target Objective Performance Measures/Data
Source(s)/ Frequency/Responsible
Person Sufficient HCBS providers
options are available in which
individuals live and share
life experiences with
supportive persons who
form a caring household.
People live
where they
choose.
Maintain 12-31-2011
baseline level number (n =
32) of people residing in Life
Sharing.
Baseline: 32 people in
Lifesharing in year 2012-13
(9 months of data).
Performance Measure:
# of individuals enrolled in
Lifesharing settings
Data Sources:
Franklin/Fulton ID Lifesharing Tracking
Form
Frequency:
Quarterly
Responsible Party:
SC Organization.
F/F MH-ID
56
Appendix E ID Quality Management Action Plan
Action Plan
Administrative Entity Name: Franklin/Fulton MH-ID Developmental Disabilities Program
Year: 2013-
2015
Focus Area: Provider Capacity and Capabilities/Lifesharing
Desired Outcome: People live where they choose.
Target Objective: Maintain 7-31-2013 baseline level number (n = 32) of people residing in Life Sharing.
Performance Measure(s): # of new individuals enrolled in Lifesharing settings
Data Source(s): Franklin/Fulton ID Lifesharing Tracking Form
Responsible Person: SC Organization and F/F MH-ID
Responsible
Person
Target
Date
Status Completion
Date Action Item
1. Identify people that have the potential or
interest in residing in Lifesharing.
SC Organization. ongoing
2. Participate in the Central Region Steering
Committee on Lifesharing and actively
participate in the Strategic Planning.
County Lifesharing
Point Person
7/31/2015
3. Community Awareness and Education to
attract potential Lifesharing homes and
individuals interested in lifesharing.
Providers and F/F MH-
ID
7/31/2015
4. Quarterly data collection to track # of
individuals participating in Lifesharing
options
County Lifesharing
Point Person
Quarterly/ongoing
5. Quarterly report and tracking of progress Quality Management
Program Specialist
Quarterly/ongoing
57
Appendix E ID Quality Management Action Plan
Administrative Entity Name: Franklin/Fulton MH-ID Developmental Disabilities Program Year: 2013-2015
Focus Area: Participant Access /Employment
Goal
Outcome
Target Objective Performance Measures/Data Source(s)/
Frequency/Responsible Person
Individuals work
in the
community.
People who choose
to work are
employed in the
community.
Increase the # of individuals in
employment by 10% (n = 67) by
7/31/2015.
Baseline: 61 individuals
employed in 2013 (9 months of
data).
Performance Measure:
# of individuals who are employed
Data Sources:
Franklin/Fulton ID and Provider Employment
Tracking Form, ISPs, Employment
Tool from ODP
Frequency:
Quarterly
Responsible Party:
SC Organization.
F/F MH-ID
Transition Employment Council
ID Providers
58
Appendix E ID Quality Management Action Plan
Action Plan
Administrative Entity Name: Franklin/Fulton MH-ID Developmental Disabilities Program
Year: 2013-2015 Focus Area: Participant Access/Employment
Desired Outcome: People who choose to work are employed in the community.
Target Objective: Increase the # of individuals in employment by 10% (n = 67) by 7/31/2015.
Performance Measure(s): # of individuals who are employed
Data Source(s): F/F ID and Provider Employment Tracking Form, ISPs, Employment Tool from ODP
Responsible Person: SC Organization, F/F MH-ID, Transition Employment Council, ID Provider
Action Item Responsible
Person
Target Date Status Completion
Date
1. Provide funding to Transition to Adult Life Success Program for
people ages 14- 21. The goal of this program is to prepare
students for adult life, encourage, and seek competitive
employment.
F/F MH/ ID ID
Employment Point
Person, Providers
07/01/2013
and
07/01/2014
2. SCs complete the employment tool to identify who wants to work
and what they would like to do. Providers meet with employers to
determine jobs that are available in the community.
Transition/Employment
Council, F/F MH-ID, &
SC Organization.
ongoing
3. Coordinate annual Transition/ Employment Expo- for students
transitioning from school
Transition/Employment
Council, F/F MH-ID
07/31/2012
4. Quarterly data collection to track # of individuals employed in the
community.
Providers and F/F MH-
ID Employment Point
Person
Quarterly/
ongoing
5. Quarterly report and tracking of progress Quality Management
Program Specialist
Quarterly/
ongoing
59
Appendix E ID Quality Management Action Plan
Administrative Entity Name: Franklin/Fulton MH-ID Developmental Disabilities Program Year: 2013- 2015
Focus Area: System Performance/PUNS
Goal
Outcome
Target Objective Performance Measures/Data Source(s)/
Frequency/Responsible Person
Franklin/Fulton
MH-ID
performance is
continuously
measured,
evaluated, and
improved.
Franklin/Fulton MH-
ID consistently and
appropriately utilizes
the PUNS to identify
services and supports
needed.
Increase the # of PUNS reviewed
within the expected timeframe of
365 days to 100% by
07/31/2015.
Baseline: % of individuals with
Puns updated in 365 days =
98.5% (9 months of data)
Performance Measure:
Total # of PUNS completed within the
expected timeframe of 365 days
Denominator: Total # of active PUNS
Data Sources:
HCSIS, DocuShare
Frequency:
Quarterly
Responsible Party:
SC Organization.
F/F MH-ID
Quarterly Administrative Entity Oversight
Monitoring Point person
60
Appendix E ID Quality Management Action Plan
Action Plan
Administrative Entity Name: Franklin/Fulton MH-ID Developmental Disabilities Program Year: 2013-2015
Focus Area: System Performance/PUNS
Desired Outcome:
Franklin/Fulton MH-ID consistently and appropriately utilizes the PUNS to identify
services and supports needed.
Target Objective:
Increase the # of PUNS reviewed within the expected timeframe of 365 days to 100% by
the end of the calendar year.
Performance Measure(s): Total # of PUNS completed within the expected timeframe of 365 days, Numerator:
Denominator: Total # of active PUNS
Data Source(s): HCSIS, AE Oversight Monitoring Data, DocuShare
Responsible Person: SC Organization., F/F MH-ID, Quarterly Administrative Entity Oversight Monitoring Point
person
Responsible Person Target Date Status Completion Date Action Item
1. Utilize the PUNS review process established
by the AE.
AEOM Point Person Ongoing
2. SC Supervisors will review PUNS completion
during the annual ISP review.
SC Organization Ongoing
3. Review of the ODP monthly PUNS report/
Sent to SC Organization by QM Program
Specialist
AEOM Point Person & SC
Organization
Monthly/ongoing
4. Review and completion of Active PUNS list
report
QM Program Specialist Quarterly/ongoing
5. Quarterly report and tracking of progress AEQM Point Person & Quality Management Council
Quarterly/ongoing
61
Appendix E ID Quality Management Action Plan
Administrative Entity Name: Franklin/Fulton MH-ID Developmental Disabilities Program Year: 2013-2015
Focus Area: Participant-Centered Service Planning and Delivery/Communication
Goal
Outcome
Target Objective Performance Measures/Data Source(s)/
Frequency/Responsible Person
Services and
supports are
planned and
effectively
implemented in
accordance with
each participant’s
unique needs,
expressed
preferences and
decisions
concerning
his/her life in the
community.
People are
supported to
communicate.
Increase the number of people
who do not communicate through
speech to have an effective
means of communicating their
needs, choices, wishes, etc. by 9
people by June 30, 2015.
Baseline: It is an increase of 9
people in 2 years time period;
therefore no baseline is needed.
Performance Measure:
9 people will be chosen by July 1, 2013 and
then number of people of these 9 who have
an effective means of communication on
July 31, 2015 will be the performance
measure.
Data Sources:
F/F MH-ID ISPs, assessments, IM4Q
surveys
Frequency:
Quarterly
Responsible Party: Supports
Coordination Organization F/F MH-ID
IM4Q Coordinator
62
Appendix E ID Quality Management Action Plan
Action Plan
Administrative Entity Name: Franklin/ Fulton MH-ID Developmental Disabilities Program Year: 2013-2015
Focus Area: Participant-Centered Service Planning and Delivery /Communication
Desired Outcome: People are supported to communicate.
Target Objective:
Increase the number of people who do not communicate through speech to have an effective
means of communicating their needs, choices, wishes, etc by 9 people by June 30, 2015.
Performance Measure(s):
9 people will be chosen by July 1, 2013 and then number of people of these 9 who have an
effective means of communication on July 31, 2015 will be the performance measure.
Data Source(s): F/F MH-ID ISPs, assessments, IM4Q surveys
Responsible Person: Supports Coordination Organization, F/F MH-ID, IM4Q Coordinator
Responsible
Person
Target
Date
Status Completion
Date Action Item
1. Each SC will choose one person who
does not use words to communicate and
report to the AE.
SC Organization, Individual, and ISP
team
July 1, 2013
2. SC will consult ISP team to develop a
communication goal to develop an
effective means of communication.
SC Organization, Individual, and ISP
team
December 31,
2013
3. The AE will approve and authorize ISPs
that require speech and language
assessments be done.
F/F MH- ID Ongoing
4. In formation on training opportunities will
be provided by the AE to SCO, Providers,
Individuals, and families.
F/F MH-ID July 31, 2015
5. The AE will train SCs on the definition of
“effective means of communication”.
F/F MH-ID September 30,
2013
6. Quarterly report and tracking of progress F/F MH-ID & Quality Management
Council
Quarterly/
ongoing
63
Appendix E ID Quality Management Action Plan
Administrative Entity Name: Franklin/Fulton MH-ID Developmental Disabilities Program Year: 2013-2015
Focus Area: Participant Rights and Responsibilities/Individual to Individual Abuse(I-2-I)
Goal
Outcome
Target Objective Performance Measures/Data Source(s)/
Frequency/Responsible Person
People are safe
in their homes
and their
community.
People are abuse
free.
Reduce the # of I-2-I abuse
incidents by 10% by June 30,
2015 (n= 29).
Baseline: Fiscal Year 2012-2013
I-2-I abuse = 32 (9 months of
data)
Performance Measure:
# of incidents of I-2-I abuse
Data Sources:
HCSIS Incident Data
Frequency:
Quarterly
Responsible Party:
F/F Incident Manager
F/F Risk management Team
F/F MH-ID ID Providers
64
Appendix E ID Quality Management Action Plan
Action Plan
Administrative Entity Name: Franklin/Fulton MH-ID Developmental Disabilities Program Year: 2013-2015
Focus Area: Participant Rights and Responsibilities/I-2-I Abuse
Desired Outcome: People are abuse free.
Target Objective: Reduce the # of I-2-I abuse incidents by 10% by June 30, 2015 (n= 29).
Performance Measure(s): # of incidents of I-2-I abuse
Data Source(s): HCSIS Incident Data
Responsible Person: F/F Incident Manager, F/F Risk Management Team, SCO, F/F MH-ID, & ID Providers
Responsible
Person
Target
Date Status Completion
Date Action Item
1. Identification of individuals identified as the target in I-2-
Iabuse incidents.
Incident Manager Quarterly
2. Look at target trends that may prevent future occurrences
at a broad and/or individual level.
Risk Management
Team
Quarterly/
ongoing
3. Offer providers tools to track Individual to Individual Abuse
Trends such as the OPTIMA form
F/F MH- ID As available/
Ongoing
4. AE review of incidents to ensure roommate matches are
suitable and offer optional living arrangements as they
become available
F/F MH-ID As needed/
ongoing
5. Quarterly data collection to track # of I-2-I abuse incidents. Incident Manager Quarterly/
ongoing
6. Quarterly report and tracking of progress Quality Management
Council
Quarterly/
ongoing
65
Appendix E ID Quality Management Action Plan
Administrative Entity Name: Franklin/Fulton MH-ID Developmental Disabilities Program Year: 2013-2015
Focus Area: Participant Rights and Responsibilities/Voting
Goal
Outcome
Target Objective Performance Measures/Data Source(s)/
Frequency/Responsible Person
People exercise
their rights.
People who want to
vote are supported to
vote.
100% of people registered to
vote have the proper
Identification Card to vote.
Baseline: There are 134 people
registered vote. Eleven people
need an ID card to vote. Forty
people have an ID card but it is
not known whether it is valid for
voting. The remaining 83 people
have a state issued photo ID that
will enable them to vote. (9
months of data)
Performance Measure: Numerator:
Number of Voters with ID Denominator:
Total number of people registered to vote.
Data Sources:
F/F MH-ID voter declination forms, ISPs
Frequency: Quarterly
Responsible Party:
F/F MH-ID
SC Organization
66
Appendix E ID Quality Management Action Plan
Action Plan
Administrative Entity Name: Franklin/Fulton MH-ID Developmental Disabilities Program Year: 2013-2015
Focus Area: Participant Rights and Responsibilities/Voting
Desired Outcome: People who want to vote are supported to vote.
Target Objective: 100% of people registered to vote have the proper Identification Card to vote.
Performance Measure(s): Numerator: Number of Voters with ID; Denominator: Total number of people registered to vote.
Data Source(s): F/F MH-ID voter declination forms, ISPs
Responsible Person: F/F MH-ID, SC Organization
Responsible
Person
Target
Date
Status Completion
Date Action Item
1. Determine baseline data of those already registered to
vote.
QM Program Specialist 06/320/2013
2. SC Organization will offer the voter registration
declination form at every ISP annually.
SC Organization Ongoing
3. Identification card information will be included in the
ISP.
SC Organization As needed/
Ongoing
4. QM Program Specialist will cross reference the
registered voter list with the ISP.
QM Program Specialist Ongoing
5. QM Program Specialist will send free voter
Identification information to each person without an ID.
QM Program Specialist Ongoing