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HomeMy WebLinkAbout9-10-20 - BG Minutes ~ FRANKLIN COUNTY COMMISSIONERS COMMISSIONER’S Human Services Administrator’s Office David S. Keller, Chairman Human Services Building John T. Flannery 425 Franklin Farm Lane Robert Ziobrowski Chambersburg, PA 17202 www.franklincountypa.gov Hearing Impaired Number: (717) 264-8474 Human Services Administrator Telephone: (717) 261-3893 Stacie M. Horvath FAX: (717) 261-0999 smhorvath@franklincountypa.g ov Franklin County Human Services Block Grant Meeting Minutes Date: September 10, 2020 Time: 10:00 – 11:30 a.m. Location: Google Meet Attendance: Voting Members Staff Staff Staff Public Michael Straley Stacie Horvath Stacy Rowe Teresa Beckner Nicole Baker Drug & Alcohol Human Services Human Services Fiscal Director 2020 Census Advocate Specialist Administrator Fiscal Manager Carey Freeman Glenda Helman Stacey Brookens Ashley McCullough Intellectual & Director MH/IDD/EI Aging Developmental Disabilities Grants Administrator Deputy Director Advocate Specialist Management Michelle Sedgwick John Thierwechter Ashley McCartney Missy Reisinger Early Intervention County MH/IDD/EI TMCA Advocate Specialist Assistant Fiscal Executive Director Administrator Erin Grant Doug Amsley Christy Unger Jim Gilbert Mental Health Children & Youth Drug & Alcohol MH/IDD/EI Advocate Specialist Administrator Director Thomas Reardon Bonnie Speaks James Eagler Housing/Homelessness Aging/Fiscal Drug & Alcohol Community Advocate Ann Spottswood Jane Cline Cori Seilhamer Health Planning MH/IDD/EI MH/IDD/EI Community Advocate Sherri Sullivan Erin Nye Stacy Yurko At Large MH/IDD/EI Information & Community Advocate Deputy Referral/211/ Administrator Training Coordinator Douglas Wilburne Payton Mummert Sharyn Overcash Criminal Justice Ombudsman HSA Community Advocate Administrative Assistant 1 Acronyms: C&Y = Children & Youth HSDF = Human Services Development Fund D&A = Drug & Alcohol HUD = Housing and Urban Development DHS = Department of Human Services I&R = Information & Referral EI = Early Intervention MH/IDD/EI = Mental Health/Intellectual & ESG = Emergency Solutions Grant Developmental Disabilities/Early Intervention HCP = Healthy Communities Partnership SCCAP = South Central Community Action HS = Human Services Program HSBG = Human Services Block Grant TMCA = Tuscarora Managed Care Alliance Meeting Documents/Sent Out:  September 10, 2020 Meeting Agenda  Meeting minutes from the last meeting, July 1, 2020  HSBG Fiscal Report  HSBG Retained Earnings 5%  HSBG Membership I. Welcome and Introductions  An introduction from each individual.  Welcome Shawn Haines, the new Administrator for the Area Agency on Aging.  Erin Grant is the newest voting member to the Human Services Block Grant Committee. Erin’s title is Mental Health Advocate Specialist. II. Guest Public Speaker, Nicole Baker – The 2020 Census Presentation.  Nicole Baker is working with the 2020 Census. She hopes to collect a count of all Franklin and Fulton County residents. For each resident that is not counted, that certain County will lose $2,000 st towards road repairs, schools and etc. Where an individual is living as of April 1, that individual st would be counted as living in that household. If it is after April 1 that individual will not be counted as living in the household. If anyone has resources to help with the 2020 Census count, please contact Nicole at her work phone number at 208-353-3565 or her email address, nicole.h.baker@2020 census.gov. III. Approval of July 1, 2020 Meeting Minutes  Sherri Sullivan approved the motion  Thomas Reardon seconded the motion  All approved IV. Fiscal Review of 2019-2020 Year (Handout)  Slide #1 is the summary of Fiscal Year 19/20 – Stacy Rowe o The numbers on this slide are not final. Still closing the Fiscal Year 19-20 year. Mental Health and Intellectual & Developmental Disabilities have slightly changed. The numbers are within $5,000 to $8,000. 2 o The deadline for the Fiscal Year 19-20 close will be at the end of the day, September 11, 2020. o Out of the total 19-20 allocation of $6,902,429, which includes FY 18-19 retained earnings of $155,497; the Block Grant spent $6,633,086. The total FY 19-20 carry-over is currently estimated to be $228,110. o The County is required to contribute 2.7% annually on all State funded expenditures. The total County Match for FY 19-20 is estimated to be $166,700. o The Block Grant can only carry-over State dollars. Federal dollars will need to be returned. There is no flexibility on Federal money.  Slide #2 – Fiscal Year 19-20 Summary – Stacy Rowe o The Block Grant allows us to retain up to five (5)% of State funding. The total allowable carry- over for FY 19-20 is $277,431, we’re estimating to carry-over $228,110 which is under the five (5)% allowable for FY 19-20. o A vote will be needed for the proposed FY 19-20 Retained Earnings Plan.  Slide #3 – Proposed Distribution of Fiscal Year 19-20 Retained Earnings – Stacy Rowe o Stacy Rowe sent out the proposed Retained Earnings Plan. The Retained Earnings Plan is submitted to the State with the annual Report of Income and Expenditures. o Drug & Alcohol – Certified Recovery Specialist (CRS) Training ($15,000) – Christy Unger  Certified Recovery Specialist is a certification that is offered. In Pennsylvania it is granted by the Pennsylvania Certification Board. The Certified Recovery Specialist is a lived experience peer role. Interested individuals need to have personal continuous recovery for eighteen (18) months and they need to have a high school diploma or GED. They are required to go through a fifty-four (54) hour training program and then take an exam to become a Certified Recovery Specialist. Drug & Alcohol is working with Penn State Mont Alto to bring the training closer to this area. The training has not been held in Franklin County for several years. In October, Penn State Mont Alto will be hosting the training in Chambersburg. The training enrollment/registration fee, per person, is $995.00. The individual also needs to pay to submit the application and they need to pay for their exam. The provided block grant funds will cover scholarships to qualified individuals covering $795 of their registration costs.  Erin Grant had a question asking if there is a plan for the individuals after they are trained. Christy Unger replied that there isn’t a plan and that the County does not employ Certified Recovery Specialists. As of now, there hasn’t been anything formulized. o Drug & Alcohol – BALM Program Training – Intervention ($15,000) – Christy Unger  BALM stands for Be a Loving Mirror. This is a support class and training that uses evidence-based strategies to train family members and others to do brief interventions with individuals struggling with Substance Use Disorder. The program takes twelve (12) principles/lessons and teaches those over seven (7) weekly classes. The funding would be to hold four (4) of the trainings. o Drug & Alcohol – National Recovery Month Events/September ($5,000) – Christy Unger  National Recovery month is September. They have a series of events scheduled for this month. These funds include: an outreach campaign to decrease stigma and increase awareness. To promote recovery support services which includes purple lights, yard signs, shirt project, a proclamation, a virtual “town hall” event and billboards. 3 o Drug & Alcohol – Out-patient Treatment Services ($17,000) – Christy Unger  Drug & Alcohol usually requests funding at the end of the year when there are funds that are left over. This year they decided to request funds at the beginning of the year to help fund individuals who are underinsured or uninsured. o Mental Health – Family Housing – Rental and Utility Assistance ($50,000) - Erin Nye  In FY 19-20, this program was able to utilize approximately $41,000 to assist twenty-five (25) individuals/families with rent and/or security deposit and nine (9) individual/families with past due utilities. The families need to provide documentation of one (1) family member that resides in the home that has a mental illness. It does not need to be a Serious Mental Illness (SMI). At this time, Tracy Radtke (Mental Health Housing Program Specialist) has approximately $7,000 dollars’ worth of requests for this assistance for the new fiscal year. o Mental Health - The New Vision’s Clubhouse – Social Rehabilitation ($15,360) – Erin Nye  This is a very big resource for individuals. It is a place for individual’s to go to develop friendship and social skills. This may be the only place that individuals have a warm meal.  New Visions would like to purchase kitchen appliances and complete some building repair/maintenance on the Clubhouse. The repairs would include: exterior painting, brick repair of the building and additional cookware. This would serve approximately 115 individuals. o Mental Health – Housing Support – Temporary Lease/Pest Control & Furnishings – ($3,925) – Erin Nye  A recent occurrence between a landlord and a tenant – consisted of labor fees, cleaning fees, pest control treatment, furnishings and a three (3) month temporary lease. o Intellectual & Developmental Disabilities – Respite Care – Start Up Costs for a Keystone Resident – ($30,000) – Erin Nye  There is an apartment that can be used for Emergency Respite Care due to Adult Protective Services and families who are in need of Respite Care. The Intellectual & Developmental Disabilities Program will pay for the monthly apartment rental fee and Keystone will pay for the utilities. If an individual would go into the Respite Program, the service rate will increase when the service is being provided. o Human Services Development Fund – Aging Personal Care Services ($50,000) – Ashley McCullough & Bonnie Speaks  Aging has used this Human Services Block Grant funding to supplement the Personal Care Services which helps the seniors in the community. The funds will be used to provide personal care services such as: bathing, dressing, feeding, ambulation, medications and etc. The services are ordered for older adults so they can remain safe in their homes. They are able to serve approximately 150 individuals, which covers approximately 3000 – 3500 hours of time of the Personal Care providers. These are individuals who do not qualify for the State Waiver Programs. o Human Services Development Fund – Information and Referral Program ($13,000) – Stacy Yurko  Information and Referral is available to anyone seeking information in regards to available services. Also, to have referrals placed to the most appropriate agencies, especially in regards to the housing systems. The way of contact can be through email, text, calling in or to just walk in. In a typical month, there are easily, 500 different responses to referrals that 4 were made. Last month’s report, there were 511 contacts with clients. From the 511 contacts, there were 1,109 referrals that were made. The services are mainly handled via phone.  Erin Grant asked what the difference is between 211 and Information and Referral. Stacy Yurko’s reply was that there is a separate phone number for Information and Referral. The Senior Citizens of the community prefer to use the Information and Referral line rather than the 211 line. If the line is busy, the call will forward to a voicemail so the individual could leave a message. The phone number for this service is 717-261-2561. If calling the 211 line, there could be as much as a two (2) to three (3) hour wait time. This is due to an extreme amount of volume. If the line is busy, the individual’s call would go back into the queue until someone is available to answer. o Human Services Development Fund – Data Warehouse ($13,825) – Missy Reisinger  Approximately four (4) years ago, Tuscarora Managed Care Alliance teamed up with Franklin County in an agreement to take data from certain Human Services departments from proprietary and State systems and pull into a database. Tuscarora Managed Care Alliance has a Management Information System, in which they perform informatics and analytics for the departments so the County has the ability to cross-reference multiple information systems to get a better idea of the status of the departments and the needs of the Community. There are currently eight (8) data systems in the Data Warehouse. They have an agreement with Franklin County, for 2021, to maintain the systems.  In the next four (4) years, Tuscarora Managed Care Alliance will add Data from the Jail, Emergency Services, Area Agency on Aging and Children & Youth. Once the data is entered into the Data Warehouse system, the staff of Tuscarora Managed Care Alliance will work with the County’s department directors to create a stylized dashboard. The staff will educate each County office how to use it and customize it based on what their individual needs would be. The platform they are using is Tablo Software. The request for funding the Data Warehouse is not the total cost. For this year, the total cost of the warehouse will be $68,845. The additional funds and the County programs will be paid by the Tuscarora Managed Care Alliance and by the County programs. V. Fiscal Year 2019-2020 Retained Revenue Plan – Vote to Approve Allocation of Retained Revenue – Stacy Rowe  The Retained Revenue Plan will be submitted to the Commissioners for approval along with the Annual Income and Expenditure Report. This will be submitted to the Commissioners September 24, th 2020 for signature on September 30. The due date to the State is September 30, 2020. The State needs to approve the Retained Revenue spending plan, this typically occurs in January. All of the projects proposed are eligible within their respective categories. Stacy Rowe feels there will not be any problems with obtaining State approval. We cannot move on to the next steps until the committee votes to move forward. Thomas Reardon asked if there are any of the programs where it may be difficult to expend the total amount of the requested funding? And, is this money already expended? Stacy Rowe replied that some of the projects that were proposed were pulled from the original list due to not knowing if the project would be able to move forward. One of the projects was under Mental Health, the expansion of Suicide Prevention Programs in the schools. Because schools are not currently in session that was not able to move forward at this time. The project will be re- 5 evaluated in January. The proposed projects do not have any restrictions related to the pandemic and will be able to move forward immediately. For example, the Certified Recovery Specialist Training, it is proposed that virtual training occur if in-person training is not possible. Stacy Rowe explained that there is a Funding Request Policy and Procedure statement. There are three (3) levels that determine how available funds are allocated. Ensure the needs of the programs in the seven categoricals within the Block Grant are met. A good example is Drug & Alcohol, they did not receive adequate funding in their State allocation for Treatment services. After review of the seven (7) categoricals, if funding is still available to be allocated, we would look at Human Service programs who have a need and could be served through the Human Services Development Fund (HSDF). A good example is Aging, services have increased over the last few years and funding has remained flat. If all needs have been met and there are still funds available to be allocated, a funding notice would be released through the Directors of the programs within the Human Services Block Grant categoricals to be released to Community Health and Human Services Providers. Providers would need to submit an application for funding. A subcommittee would be established to evaluate applications received.  Vote to Approve Allocation of Retained Revenue o Thomas Reardon approved the motion o Michael Straley seconded the motion o Carey Freeman abstained the motion o The remaining members approved VI. Fiscal Year 2020-2021 State Budget Update and Tentative Allocation  The Fiscal Year 20/21 Plan was submitted to the State in July, 2020. That is pending approval.  The Fiscal Year 20/21 Allocations have not been released. Programs are currently operating on a tentative Budget.  Currently, the State has only approved a five (5) month Budget. The programs are basing their budgets on the Fiscal Year 19/20 allocation levels. VII. Program Updates  Ashley McCullough & Bonnie Speaks – Aging Agency on Aging o Intakes are coming in steadily for the different services and programs they offer. o Currently, there are two (2) open positions. A new position is opening up for a Protective Services Investigator and they will be filling a position to perform assessments. o The Tuscarora’s Senior Center Pilot Program will be opening back up the week of September 21, 2020 for only four (4) days. o Once or twice a week, the Senior Centers have been offering some outdoor activities and also a grab and go lunch. o Starting to see consumers and other individuals coming back into the office.  Payton Mummert – Ombudsman o On Monday, September 14, 2020, they will have a State wide phone call regarding the new Guidance that was recently sent out. This includes visitation, especially compassionate Care visitation for the residents who have more than one (1) significant decline. The resident is permitted to have one (1) or two (2) family members visit them as their health declines. 6 o Payton Mummert recently spoke to an Administrator in one (1) of the nursing homes. The Administrator said that there is more staff that are testing positive for the virus. She feels it is due to the increase in positivity rate that the County is currently seeing.  Cori Seilhamer & Erin Nye – Mental Health/ Intellectual & Developmental Disabilities/Early Intervention o Interviews and assessments have continued for the Forensic Specialized Community Residence (FSCR), eight (8) bed residence. Several individuals have been tentatively accepted to the program. Keystone Service Systems continue to wait for the state license to occur. Staff recruitment and training is still in process. o Crisis Intervention Team Training (CIT) will be next week, September 14 through September 18, 2020. Cori Seilhamer and the Co-Responders will conduct the training. Social distancing and CDC guidelines will be in place. o Recently, there was a Crisis Intervention Team International Conference. The conference is a way to learn what other states are doing with CIT. This conference was very beneficial. o Cori Seilhamer, as the Crisis Intervention Team (CIT) Coordinator, has provided testimony during the House Democratic Policy Committee Hearing on Police Approach to Mental Health Calls. The testimony included information related to the Franklin/Fulton County CIT and Co- Responder Program. o Participants continue to submit their certificates to Cori Seilhamer for the Certified Clinical Trauma Professional Training Course. This course was offered to County employees and contracted providers. If anyone is interested in this training course, please contact Cori Seilhamer. o MH/IDD/EI staff are back in the office at least three (3) days per week. o With this being Suicide Prevention Awareness month, there are Question Persuade Refer (QPR) trainings available with no charge. The trainings will be virtual. There are trainings through Wellspan and the Mental Health Association. To access the trainings, go to Healthy Franklin County Calendar.  Missy Reisinger – Tuscarora Managed Care Alliance (TMCA) o Continuing to see services being delivered in a telehealth manor. o Most of their Outpatient providers are seeing an increase in referrals. A lot of them have moved and are giving individuals the opportunity to be seen face to face. o The more intensive family services are still seeing some declines in service delivery. o They did not see a spike in Crisis numbers. All providers are required to provide Critical Incident Reports. o Medicaid eligible have increased. There are several Medicaid requirements that are suspended during COVID. o There has been an outbreak of COVID in two (2) of non-hospital Drug & Alcohol rehab. Facilities. Both facilities contacted DOH and had DOH help them litigate. Both facilities handled the outbreak very well.  Glenda Helman – Grants o Glenda Helman commented that the purple lights, in downtown Chambersburg, Waynesboro and Mercersburg, look very nice. She thanked everyone who participated in putting them up. o There is a Law Enforcement Corrections Grant for body worn cameras and Policy and Implementation of Procedures. Glenda is working with the District Attorney’s Office, Law Enforcement and the Jail with this grant. 7 o This morning the PCCD released the Fiscal Year 20/21 Community Violence Prevention funding announcement. Glenda will forward the information to the Criminal Justice Advisory Board Members by the end of the day tomorrow, September 11, 2020. o Funding through the Cares Act, there is Emergency Solutions Grant funding in the amount of $480,526 going out to three (3) sub-recipients in Franklin County. They are; SCCAP (South Central Community Action Program), Waynesboro Community and Human Services, and Maranatha Ministries Candleheart. They will be utilizing these funds to help with Rapid Rehousing, Shelter, Homelessness Prevention and Street Outreach. o There is Pennsylvania Housing Finance Agency money in the amount of $500,000. This can be accessed through SCCAP (South Central Community Action Program). There is a process for this. Contact: Stacy Yurko at 211 or SCCAP (South Central Community Action Program) directly. o There is PHARE and Home4Good money. There is approximately $35,000 that can be used for rent and utility assistance. o The Community Development Block Grant for both the County and the Borough of Chambersburg were submitted on August 31, 2020. o They have been working with landlords in the community. Stacy Yurko and the group held a very good Landlord Engagement Summit, early August, 2020. Phase II will be coming up, September 18, 2020. Contact Stacy Yurko or Glenda Helman for information. Ann Spottswood commented that she appreciates the work from all of the team leaders. From the Healthcare System perspective, they are extremely busy as our team leaders. This is why everyone should collaborate and work together as quickly and efficiently as possible. There are many individuals struggling, in need of the services that were described today during this meeting. This is a very busy time with many issues and then there is COVID on top of that. Stacie Horvath thanked Ann Spottswood along with all of Wellspan. VIII. Discussion in Regard to Public Participation - Stacie Horvath  There was a very good conversation led by the Mental Health Association that gave some really great ideas regarding more public participation at this Human Services Block Grant Meeting. We are trying our best to get as much public participation as possible. The meetings are advertised in the Information & Referral Newsletter. Advisory Board participants are passing on the message to please participate at the meetings. It is posted on the County Website. Stacie Horvath expressed, that these are public meetings and public money. We are trying our best to advertise for more public participation. Any further advertising suggestions for the Block Grant, please contact Stacie Horvath. IX. Recruitment for the Two Open Voting Positions  Erin Grant recently filled one (1) of the positions.  The current open position is an advocate with lived experience to talk about Housing or Homelessness. X. Next Scheduled Meeting: To Be Determined XI. Adjournment - Ann Spottswood motioned to adjourn - Thomas Reardon seconded the motion - All approved 8