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HomeMy WebLinkAbout2012-2013 Plan - Block Grant Richard Wynn, Human Services Administrator 11/9/2012 COUNTY OF FRANKLIN, PA HUMAN SERVICES PLAN 2012/13 Block Grant Pilot County This plan details the County‟s service delivery role in the areas of child welfare, juvenile justice, homeless assistance, drug and alcohol, intellectual disabilities and mental health. 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. 11/9/2012 11/9/2012 County of Franklin, PA Human Services Plan 2012/13 Block Grant Pilot County To develop this Human Services Plan, the County of Franklin, PA (herein after referred to as “County”) utilized a comprehensive, collaborative framework that included all levels of the county‟s human service systems. This plan details the County‟s service delivery role in the areas of child welfare, juvenile justice, homeless assistance, drug and alcohol, intellectual disabilities and mental health. Appendix B details the proposed budget and service recipients related to this plan. The format of this plan aligns with the format contained in the Department of Public Welfare Commonwealth of Pennsylvania Bulletin Number 2012-1, titled “FY 2012/13 County Human Services Plan Guidelines.” Background Franklin County is a fourth (4th) class county located in south-central Pennsylvania in the Cumberland Valley. Franklin County covers an area of 772 square miles. The County has seven boroughs (Chambersburg, Greencastle, Mercersburg, Mont Alto, Orrstown, Shippensburg [also in Cumberland County], and Waynesboro) and 15 townships (Antrim, Fannett, Greene, Guildford, Hamilton, Letterkenny, Lurgan, Metal, Montgomery, Peters, Quincy, St. Thomas, Southampton, Warren, and Washington). Franklin County is considered rural and is served by six school districts, including Chambersburg Area, Fannett- Metal (also in Perry County), Greencastle-Antrim, Shippensburg Area (along with Cumberland County), Tuscarora, and Waynesboro Area. We share a variety of joinders with Fulton County, our western neighbor, including:  39th Judicial District 11/9/2012 11/9/2012  Drug & Alcohol  Mental Health/Intellectual Disabilities  Early Intervention  Mental Health Association  Tuscarora Managed Care Alliance  Women In Need/Victim Services In addition, we are joined with Adams County for services available through South Central Community Action Programs (SCCAP). According to the 2011 U.S. Census estimate, the total Franklin County population is 150,811. This is a 16.6% increase over the 2000 Census number. Approximately 23.6% of the population is children/youth under the age of 18. The County‟s population by race and ethnicity includes 93.5% Caucasian, 3.6% African American, 1% Asian and 4.5% Hispanic/Latino. Franklin County has 63,882 housing units and 58,290 households. The median household income is $51,035. About 8.2% of the County‟s population lives below the federal poverty level. The 2012 unemployment rate in Franklin County (6.4%) is less than that of Pennsylvania (7.5%). Although Franklin County is one of the fastest growing counties, we consistently rank as one of the lowest-funded per-capita counties in the Commonwealth. 11/9/2012 11/9/2012 Please see the following table, which details this disparity. Allocation Per Capita Ranking From Bottom Area Agency on Aging $2,833,217 $18.94 18th 35th out of 52 Children and Youth $8,098,063 $54.12 6th 62th out of 67 Drug and Alcohol $964,003 $5.86 3rd 45th out of 47 Early Intervention $857,586 $5.21 12th 37th out of 48 Homeless Assistance Program $126,287 $0.84 24th 44th out of 67 Human Services Development Fund $107,687 $0.72 8th 60th out of 67 Intellectual Disabilities $1,083,159 $6.59 2nd 47th out of 48 Medical Assistance Transportation $858,980 $5.74 16th 50th out of 65 Mental Health $5,408,073 $32.88 22nd 27th out of 48 Franklin County's Human Services system has a strong history of collaboration and integration. The current Human Services Director also has oversight of the Drug & Alcohol program. Since 2001, a single Administrator supervises the Juvenile Probation Department and the Office of Children, Youth and Family Service. In addition, the Human Services Director and human services administrators are also members of many other multi-systemic groups including: the Criminal Justice Advisory Board (CJAB), the Tuscarora Managed Care Alliance Steering Committee, CASSP and the Judge's Children's Roundtable. The Franklin County Commissioners support the block grant concept and are eager to continue the work of the county's Block Grant Planning Committee. 11/9/2012 11/9/2012 An additional strength of Franklin County is the administrative efficiency that we have had to develop over the years due to decreasing resources. Even during state and federal budget crises, Franklin County has honored our contracts and paid our vendors. Due to economic conditions, many county employees wear multiple "hats" that allows for better collaboration and a better understanding of what each of us does. We feel that we are already in a good position to take advantage of the block grant and to identify ways to increase efficiencies to better serve our consumers. 1. Public Hearings 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 Commissioners conducted two public hearings to receive input on the Human Services Plan detailed in this document. Public meetings were held at 10:00 a.m. on October 23rd and 10:00 a.m. on November 8th, 2012. Appendix C contains the proof of publication and Appendix E contains summaries of the public meetings. 2. Waiver The County is not requesting a waiver at this time. 3. County Planning Team and Needs Assessment Planning team members included county staff and administrators as well as service providers and other key community stakeholders. Appendix D includes a comprehensive list of the members of the planning team and their affiliations. The County team members used an iterative planning process that began with a department-by-department review of current services and budgets, as well as suggestions for budget realignment for an 80 percent expenditure rate. “How can we be expected to pick certain human services over others when there is such great need throughout all of the programs?” -- County Planning Team Member and local pastor/ adjunct college professor 11/9/2012 11/9/2012 Department administrators then provided suggestions on best ways to utilize the flexible funds, with a focus on cross-systems collaborative and interagency-coordinated initiatives. Staff also provided local needs, services, and outcomes data as available. After staff reviews and clarifications, County planning team members offered suggestions and comments and made decisions that fall into one of two categories. First, the County planning team identified enhancements to current activities and initiatives designed to increase the quality of cost-effective, and efficient, services; this document details those decisions. In addition, the County planning team identified future additions or enhancements to human services that, due to complexity and/or timing, are beyond the scope of this initial effort but will be addressed in future plans. From a planning perspective, this second „future‟ category is heartening because it suggests that County planning team members value the planning process and wish to continue engaging in future processes. One of the suggestions for future plans included an initiative aimed at enhancing the local needs, services delivery, and consumer outcomes data. 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 initiatives that are responsive to local needs and the current service delivery environment. The County planning team also acknowledged that establishing sufficient quantitative and qualitative data for planning purposes of this nature requires more thought and time than the current deadline affords. The County planning team also desires to establish an objective decision-making framework that incorporates needs, outcomes and values when developing future human services plans. The process for drafting the Block Grant Plan yielded benefits beyond what was expected. “Understanding outcomes of consumers receiving current services will better enable us to plan cost-effective and efficient services.” -- County Planning Team Member and health provider representative 11/9/2012 11/9/2012 By collaborating as a County planning team to receive input and develop this plan, each participant gained insight into each other‟s “part” in human service provision in the County. The team more accurately envisioned the „whole picture‟ because they better understood each other‟s role. The process also yielded more empathy among planners. At a recent meeting, Reverend Diaz, an adjunct college professor who serves on the Drug and Alcohol Advisory Board, commented that the challenge of deciding which programs to augment, and how much to provide, seemed almost too daunting. After listening to the status of human service programs and the level of met and unmet needs, he wondered, “How can we be expected to pick certain human services over others when there is such great need throughout all of the programs?” This profound question prompted great discussion regarding development of a decision-making framework that takes into consideration service provisions, consumer outcomes, and values in order to make objective decisions during critical moments. At this point, Ann Spottswood, a planning member and Endowment Manager for Summit Health, noted that, “Understanding outcomes of consumers receiving current services will better enable us to plan cost-effective and efficient services.” 4. 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 4 of the 7 funds included in the Block Grant. Both counties have longstanding Human Services Administrative models. We anticipate that the Block Grant will in the future allow funds to complete integrated data project. 11/9/2012 11/9/2012 Mental Health (MH) Services SERVICE CATEGORY CATEGORY DESCRIPTION CONSUMER OUTCOME SERVICES AVAILABLE TARGET POPULATION (Adults, Older Adults, or Trans-Age Youth) Treatment Alleviating symptoms and distress Symptom Relief Family Based Services Inpatient Extended Acute Care Outpatient Respite Psych evals including persons released from Franklin County Jail Danville State Hospital BHRS LTSR Mobile Mental Health At risk families All families in MH At risk families Individuals with no insurance Children 0-18 w/a mental health illness adults 11/9/2012 11/9/2012 Crisis Intervention Controlling and resolving critical or dangerous problems Personal Safety Assured Crisis intervention Delegates Disaster Crisis Outreach & Referral Team Critical Incident Stress Management Team All residents Individuals who are involuntarily committed Emergency/Disas ter Victims Case Management Obtaining the services consumer needs and wants Services Accessed Administration Resource Coordinator Intensive Case Management Jail Diversion Forensic Peer Specialist Individuals needing support Individuals with Serious Mental Illness Individuals with Serious Mental Illness Individuals with mental illness or co-occurring who present before the court Individuals incarcerated and continues upon discharge Rehabilitation Developing skills and supports related to consumer’s goals Role Functioning Social Rehabilitation Psychiatric Rehabilitation adults adults 11/9/2012 11/9/2012 Enrichment Engaging consumers in fulfilling and satisfying activities Self Development Vocational Services- Voc. Rehab Supported employment Transitional employment Community (individuals 18 years of age and older) Rights Protection Advocating to uphold one’s rights Equal Opportunity Administrator’s office Community Basic Support Providing the people, places, and things consumers need to survive (e.g., shelter, meals, healthcare) Personal Survival Assured Community Supported Living Program Shelter care (homeless) Full Care Group Home DeafLink Specialized Community Residence Transportation Transitional Living Independent Living Homeless Hearing Impaired 18 years and older Dependent Youth 11/9/2012 11/9/2012 SERVICES: Table 1, below, identifies services available to residents with a qualifying diagnosis. The table includes a brief description of each service category. It also includes information regarding consumer outcomes, specific services available under each category. The last two columns detail the funding sources utilized to provide these services as well as the target population. The narrative following the table specifically addresses services for transition-age youth, Jail Diversion, and individuals who will be discharged from state hospitals. Table 1. County Mental Health Services Transitioning Youth: With the close of the 2010-2011 fiscal year, MH/ID was available to develop a transitional housing program focusing on the needs of transition age (18-26) and the forensic population. The committee agreed to start with three apartments to ensure quality of the treatment team composition and available supports. Self Help Exercising a voice and a choice in one’s life Empowerment Certified Peer support services Student Assistance Program (SAP) Children Adolescent Service System Program (CASSP) Adults Students at Risk Wellness/ Prevention Promoting healthy life styles Health Status Improved Help Line (Warm Line) Community Support Program Community Psychiatric Nurse Community Recovery Education Community Community CHIPPS residents & community Community Other Anything not addressed above Specify Individual/Family Satisfaction Team Individuals & Families 11/9/2012 11/9/2012 The purpose of the program is to provide a transition to independent living to young adults and individuals re-entering the community from incarceration. The goal is to reach ten apartments by the year 2014. The MH Housing Director leads a partnership of housing agencies and providers, including: New Visions, Franklin County Homeless Shelter, New Hope Homeless Shelter, Franklin County Jail, Maranatha Ministries, the Franklin County Housing Authority, Borough of Chambersburg, Franklin County Planning Commission, Cold Weather Drop In Shelter, Individuals, Parents, Faith-Based Groups, Program Planning, Franklin County Adult Services (who is this?), and the United Way of Franklin County. By working in this collaborative setting, the Housing Partnership has identified the following priorities:  Create more housing/new housing and supports for people with mental illness who are homeless/near homeless and mentally ill ex-offenders.  Create more transitional and permanent housing in our area and continue to work with partners to enhance these services, most notably for transition age youth. Jail Diversion: Created in 2009 through a grant from the Pennsylvania Commission on Crime and Delinquency (PCCD), the Jail Diversion Program serves approximately 30 people a year. The Diversion Program links justice- involved individuals with a serious mental illness and often co-occurring (substance abuse) disorders with community-based treatment, services and/or support systems. Jail Diversion participants have an open case with Franklin/Fulton County MH/ID and receive case management services, such as ICM, RC or ACM. Participants are referred to community health providers to address their mental health needs to include psychiatric evaluations, medication management, etc. The Jail Diversion Participants also receive Certified Peer Specialists for peer-to-peer support. Along with mental health services, participants receive other support and assistance, including housing, medications, birth certificates, etc. Some participants receive assistance for first month rent or security from the PATH grant. The Salvation Army and other local agencies provide financial assistance to pay the full cost or co-pays of medications. Access to medicine and treatment, as well as housing, are critical issues for justice-involved County residents with mental illness. 11/9/2012 11/9/2012 By referring to County programs and providing support, the Jail Diversion program utilizes the resources available so each participant can live successfully in the community. To ensure that the Jail Diversion program is meeting the local need, inmates of the Franklin County Jail who have mental health challenges are surveyed. The survey assesses their needs during and after release from incarceration. The survey results indicate the following crucial issues facing inmates post- release:  Access to mental health treatment including medication  Affordable housing  Staying drug and alcohol free The Jail Diversion implementation team continues to hone the program based on these surveys and staff feedback. Recent efforts have focused on the lack of affordable and appropriate housing options that continues to be a barrier to the timely release of incarcerated individuals. This is especially true for individuals with felony histories along with sex offenders and arsonists. The Franklin County Jail has connected with the New Hope Shelter to provide a home plan for individuals who are otherwise eligible for release but remain jailed due to the lack of an approved home plan. New Hope Shelter has agreed to provide shelter for these individuals for 90 days. Individuals Discharged from State Hospitals: The County MH case managers consult with the treatment team at the state hospital prior to an individual‟s discharge. Through the Community Support Plan (CSP) development process, the case manager refers individuals to the appropriate community based services including residential, outpatient mental health, employment, representative payee, case management, etc. The goal of the service coordination is to support their transition back into the community and support their ongoing recovery. COMMUNITY DATA AND INDICATORS: The MH program currently tracks the following indicators:  Number of individuals served in state hospital settings this calendar year is 8 people. One person has been discharged.  Number percent of youth served in residential treatment facilities is 0.6 (Franklin) and 0.8 (Fulton). 11/9/2012 11/9/2012 Intellectual Disability (ID) Services SERVICES: The County‟s Intellectual Disabilities (ID) Program partners/ collaborates with the following agencies to foster better services and to not duplicate services.  All county School Districts  LICC for Early Intervention  CASSP  Office on Aging: Franklin, Fulton, Huntington, Bedford, Somerset  OVR Franklin/ Fulton County provides services to individuals with intellectual disabilities using both waiver and base funding. The majority of services for individuals with intellectual disabilities are paid for with waiver services money. Below is a breakdown of the financial resources and the services they provide. Waiver Services amount was $13,284,082.24 for 2011-2012 per DocuShare  Provides all services including Residential, Supports Coordination, Day Programming, Employment, Respite, Companion, Home and Community Habilitation, Nursing, etc for 248 people through the Consolidated and P/FDS Waiver. Waiver Administration amount is $456,575 for Franklin Co and $43,301 for Fulton Co  Provides salary and benefits for Program Specialists  Provides Training, office supplies, etc…  Provides AWC and OHCDS Administration Costs Base Administration amount is $128,952 for Franklin Co. and 14,328 for Fulton Co.  Provides the same as above costs for Waiver Admin  Provides funding for Incident Investigations and Riverside Associates 11/9/2012 11/9/2012 Base Services Amount is $613,029.60 for Franklin Co. and $68,114.40 for Fulton Co.  Provides services for 65 people with Intellectual Disabilities (59 in Franklin Co. and 4 in Fulton County and 2 out of Franklin county residents with placements out of county) in 2012- 2013.  Provides Service Coordination Services to those who are not Medical Assistance eligible.  Provides Programs such as personal care, Social/ Recreation and Transition to Adult Life.  Services provided are o Respite: 24 people (22 Franklin and 2 Fulton) o Supported Employment: 23 people (22 Franklin and 1 Fulton) o Residential placement: 2 people who are Franklin county residents with placements out of county o Prevocational Services: 7 people (Franklin County only) o Transitional Work: 6 people (Franklin County only) o Behavioral Supports: 2 people (1 Franklin county resident with placement out of county and 1 Franklin County o Family Aide: 19 people (Franklin County only) o Transportation: 4 people (3 Franklin and 1 Fulton) o Community Habilitation: 2 people (1 who is a Franklin county resident with placement out of county and 1 Franklin Independent Monitoring For Quality (IM4Q) amount is $38,582 for Franklin Co & $3828 for Fulton Co.  This is a statewide program that has people with Disabilities or Family members interviewing people with Intellectual Disabilities as to their satisfaction with Services.  The State uses this data for the ODP Quality Management Plan. The expectation for the Counties is to analyze this data and use the information on the required County Quality Management Plan.  Any issues brought to light during the IM4Q interviews are dealt with by the Supports Coordinators in a timely manner. This is called “Closing the Loop”. Any health or safety issues are brought as an urgent concern and dealt with immediately.  The IM4Q program is a monitoring step to make sure people receiving services are safe, healthy and satisfied with their life. 11/9/2012 11/9/2012 Health Care Quality Unit (HCQU)  Franklin/ Fulton Counties request money from Cumberland County as they are our regional lead for services provided by the HCQU. The amount requested is $18,245.70 with the 10% cut.  This resource provides training to providers, Supports Coordinators and staff. They also are a resource for providers, individuals and Supports Coordinators. Franklin/ Fulton County Intellectual Disabilities Program plans to continue to fund the services for existing individuals with Intellectual Disabilities in 2012- 2013. They plan to continue to provide the mandates as written in the AE Operating Agreement. They also will continue to fund the IM4Q program as set by the State. ODP has a Waiting List Initiative that will address the graduates from June 2012. They should all receive a waiver slot to fund their services. Per the Prioritization of Need List (PUNS), there are 15 people graduating in June 2013. If the waiting list initiative is renewed, they will all have waiver slots. If waiver slots are not available, then Franklin/ Fulton County funds what is needed through base dollars which is usually some type of day program, employment and/or transportation. Three of these individuals are already receiving base funding. There are two individuals who are aging out of EPSDT. They should both receive waiver slots and not need base funding. In 2012- 2013, there is one person in jail. At this time, there is not a definite release date. There is one person in an Approved Private School (APS) who is base funded and will remain at this school as it provides the best quality of care to meet his needs. There are no individuals in Residential Treatment Facilities or with Children and Youth who will age out in 2012- 2013. There is also no one scheduled for discharge from a state center in 2012- 2013. COMMUNITY DATA AND INDICATORS: The ID program currently tracks the following indicators:  Number of base funded/ block grant funded individuals is 65 people (59 in Franklin County, 4 in Fulton County and 2 Franklin county residents with placements out of county)  Number and percent of individuals in State Centers is 3 people in State Centers which is 0.6% of people served.  Number of people avoiding higher level of placement cost by using base funding is 63 people. People who are using base funding are funded so they can remain in their family home using natural supports. For example, a family may need a family aide to keep their son/daughter in their home. If this service was not provided, then that individual would need residential placement which is higher cost. 11/9/2012 11/9/2012 Another example is that an individual may need supervision during the day to protect their health and safety. They either get supported employment or other support to work during the day. Without this assistance, the individual would need someone at home with them and one parent may need to quit their job. There are 2 people in base funded residential placement. All the others have supports so they can remain in the family home.  Information on increased employment opportunities: o Transition to Adult Life program is base funded. This program helps high school students with disabilities to connect with community resources whether they be Intellectual Disabilities Resources or other Disability Resources. It also stresses Employment First before looking at higher cost day programming. They help students to gain employment that will extend beyond graduation. o Supported Employment: This service helps people with Intellectual Disabilities obtain and continue community jobs. It is both base and waiver funded. o Prevocational and Transitional Work Services help people with Intellectual Disabilities gain skills and experience needed to work in community employment. It is also both base and waiver funded. o Every year Franklin/ Fulton Co Intellectual Disability programs partners with the school and other agencies to promote a Transition Expo. This expo provides individuals with information on employment and the agencies that provide the service. It is neither base nor waiver funded. o Franklin/ Fulton County has committed to increasing Community Employment for individuals with Intellectual Disabilities through their Quality Management Plan. There is a QM goal to increase the number of people employed in the community.  Information on increased life sharing/ family living opportunities. o Currently, Franklin/ Fulton Co. have 31 individuals living in life sharing/ family living homes. All are currently waiver funded. o There are currently 8 openings that are licensed for life sharing/ family living that are not filled. So, Franklin/ Fulton has more homes for life sharing available than individuals that choose life sharing and have a waiver or available funding. The County‟s Transition Expo provides information on employment opportunities and agency support. 11/9/2012 11/9/2012 o Franklin/ Fulton County has committed to maintaining the level of Life Sharing for individuals with Intellectual Disabilities through their Quality Management Plan. There is a QM goal to maintain the number of people in Life Sharing Homes. 32% of people in residential placement are in Life Sharing Homes. Homeless Assistance SERVICES: The County provides a continuum of services to homeless and near homeless individuals and families residing within Franklin County. The County currently participates in and offers various services for residents who are homeless or imminently facing homelessness. Allocated funds are utilized in conjunction with other County and grant funding currently available for the same services. A Local Housing Options Team (LHOT) is currently active in the county. Participants of the LHOT team currently include, but are not limited to, staff members from Women In Need (WIN), New Hope Shelter, South Central Community Action Plan, Maranatha Ministries, Projects for Assistance in Transition from Homelessness, Franklin County Shelter for the Homeless, Waynesboro Human Services, and Mental Health and Intellectual Disabilities. Various members are also participants of the local Continuum of Care (RHAB #507) for homeless services. These stakeholders are able to provide valuable information and feedback regarding the homeless and near homeless population in our rural area. The Franklin County Shelter has 18 beds available for homeless individuals for occupancy in their program. The Franklin County WIN Shelter has a total of 16 beds available for victims of domestic violence. The New Hope Shelter can house 30-35 individuals in their homeless shelter consecutively. Maranatha‟s Cold Weather Drop-In Shelter can house 20 individuals per night, December through April. MH/ID receives funding through two Supportive Housing Projects and a Shelter Plus Care program to subsidize housing for 30 chronically homeless individuals with a diagnosed serious mental health illness on an ongoing monthly basis. The 30 participants are also provided with supportive services as well as case management. MH/ID also subsidizes rent for six individuals on an ongoing monthly basis through a Housing Expansion and Transitional Housing program. Projects for Assistance in Transition from Homelessness (PATH) is able to assist homeless or near homeless individuals diagnosed with a serious mental health illness in their transition to stable housing through rental assistance or security deposit and case management services. 11/9/2012 11/9/2012 Franklin County actively participates in the annual Point-In-Time count. Traditionally, zero homeless individuals are found during the annual Point-In- Time counts. During the optional August 2012 count, 19 homeless individuals were found. The increase of individuals found can be attributed to the greater understanding of rural homelessness as well as the dedicated participants of the LHOT team. Considering the bed availability and the 19 homeless individuals found during the August 2012 PIT count, our county continues to demonstrate a chronic unmet need for assisting those who are homeless or at imminent risk of homelessness. It is for these reasons that the County is proposing to provide additional funding to supplement the current HAP funding in our county. Approximately 30 families will receive case management services and funding for rental assistance or security deposit with the additional $15,000 to end or prevent homelessness. Roughly 206 families received rental or security deposit assistance in fiscal year 2011- 2012. The 2011 Emergency Shelter Grant provided personnel costs for security staff at two homeless shelters - SCCAP in Chambersburg and New Hope in Waynesboro. Child Welfare SERVICES: The Franklin County Children and Youth Service (FCCYS) is the local public child welfare agency that has the responsibility 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 and their families. 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 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. The County has a greater understanding of rural homelessness thanks to the efforts of the dedicated LHOT team, which includes consumer advocates. 11/9/2012 11/9/2012 Children and Youth can help intervene in family disputes and crises; however, Children and Youth do not have the authority to determine, mediate or change Court-ordered custody or visitation agreements. Government intervention is justified when the family cannot, or 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. FCCYS does not utilize Child Welfare Special Grants to supplant funding in the Needs Based Budget. The agency utilizes the “Special Grants” to fund two (2) required practices of the Pennsylvania Permanency Practice Initiatives – Family Group Decision making (FGDM) and Family Development Credentialing (FDC). Caseworkers and other workers in other systems who have been trained in the FDC curriculum are better prepared to meet and resolve the complex issues our clients face. FDC is also an opportunity to network with other professionals and form valuable working relationships. FGDM gives the family the opportunity to formulate a plan, with the assistance of a community support system that will further reduce the need for out of home placements and/or re-entry into the system. Franklin County is a Phase II County in the Administrative Office of Pennsylvania Courts (AOPC) Office of Children and Families in the Courts‟ (OCFC) Permanency Practice Initiative (PPI). Two (2) of the required programs that must be provided are Family Development Credentialing (FDC) and Family Group Decision Making (FDC). All other PPI initiatives have been fully implemented in Franklin County. FGDM and FDC are utilized in coordination with existing services to children. Family Development Credentialing better prepares case workers to meet and resolve complex issues…and network with others to form valuable working relationships. 11/9/2012 11/9/2012 The following, has been approved for FCCYS to provide FGDM and FDC in FY 2012/2013: Special Grant Certified Amount 12/13 Share FCCYS Cost Per Unit Number of Units to be provided FGDM $49,967 State: $47,469 $2,995 per conference 16 families Local: $2,468 FDC $12,600 State: $11,970 $1,200 per participant 10 Participants (One class) Local: $630 The amounts reflected above are a significant decrease over past fiscal years. Youth and Family in the County Have a Role and Voice in Decision Making. The engagement and active involvement of the youth and family in case planning is essential to the positive change and growth of the youth and family involved in services with the agency. The family joins the agency in the planning process and receives information regarding the services to their children in the development of the Family Service Plan, along with all family members involved with their children. The agency utilizes intervention strategies identified in the Family Service Plan, that allow the children to remain safe and free from risk of harm in their own family environment. The strength based, family empowerment, and inclusiveness philosophy of FGDM and FDC will continue to complement our existing practices. The County Provides a Continuum of Care that Prevents Out-of-Home Placements and Re-entry into the Child Welfare System. The mission of the agency is that all children, who come to the attention of the Child Welfare system in Franklin County, have permanency in their living situations and continuity of their family relationships and connections. An agency caseworker is assigned in order to assist and support the parents‟ efforts to ensure the safety and well-being of their children. 11/9/2012 11/9/2012 Case workers can assist in securing necessary medical, dental, mental health appointments and treatment, and help parents effectively and safely supervise and discipline their children. Caseworkers also ensure that the family is meeting children‟s educational and basic needs of stable food, clothing and shelter. The County Provides a Continuum of Care that Supports Timely Reunification of Families. Substitute care is meant to be temporary. Removal of the child from his/her home is traumatic, and every effort is made to utilize kinship caregivers while parents work toward reunification. Under the Adoption and Safe Families Act, permanency should be achieved before the time the child has been in out-of-home placement for 12 months. The implementation of the ABC visitation program (funded through a Time Limited Reunification Grant) for parent modeling and education continues to improve reunification efforts. The agency has successfully utilized Family Group Decision Making in order to prevent placement and to aid in the speedy transition of children out of foster care. It remains to be the priority of the agency to move children home or toward adoption in compliance with the timelines and requirements of the Adoption and Safe Families Act. All children with the goal of reunification are scheduled for permanency hearings every three months. This frequent judicial oversight ensures that both the all parties are held accountable for substantive progress toward permanency. When reunification occurs, the agency offers and continues to provide “after care” services for a minimum of 6 months, provided the family wants the extra agency support. This practice provides a continuity of caseworker for the child, their natural family, the foster parents and all providers. Franklin County Children and Youth Service is working collaboratively with South Central Community Action Program (SCCAP) and Fulton County Services for Children in providing FDC. Our group has already credentialed three (3) classes of students. The current class will be credentialed in October 2012 and anticipate another class to start in January 2013. FDC is a course for front-line staff that work directly with families. Staff may be from in-home service programs, foster care programs, residential programs, the Head Start Program, Children and Youth staff, Juvenile Probation staff, etc. 11/9/2012 11/9/2012 Franklin County has found FDC to be an expensive initiative. However, in working with Fulton County and our partners in MH/MR and the social services field, we have been able to have three (3) cohorts complete the program and have a cohort going through the program now. We have used a combination of an ICSPS grant, “in-kind” support, registration fees and some agency support to fund the program. COMMUNITY DATA AND INDICATORS: Data will be tracked in order to ensure that the agency is utilizing both FGDM and FDC to their fullest potential. At the present time FCCYS must operate the following software systems: Munis, CAPS, Xi-Tech, AFGARS, CPCMS Data collection and analysis is a challenge for FCCYS; however, FCCYS did request additional funding and approval to hire a Program Specialist I to oversee child welfare required data entry, collection, analysis and submission of data in FY 2013/2014. Drug and Alcohol (D/A) Services) SERVICES: Franklin/Fulton County Drug and Alcohol program provides funding for all levels of care such as, inpatient detoxification, rehabilitation, partial, halfway house, medicated assisted treatment, intensive and outpatient therapy, and case management services for Franklin and Fulton County qualified residents. Currently there are four outpatient and one inpatient facility located in Franklin County and one outpatient clinic in Fulton. In fiscal year 2011-2012 the drug and alcohol department provided funding for 610 Franklin County residents and 107 Fulton County. Our staff alone completed 121 level of care assessments that were referred by a number of sources such as probation and mental health associations. The State Department of Drug and Alcohol Programs began July 1, 2012. At that time they also implemented the new statewide STAR data system. STAR is used by all County entities and contracted providers throughout the state. It was noted in the planning process that ACT 152 has been historically under spent. Additionally, Franklin/Fulton Drug & Alcohol, TMCA, and CBHNP have partnered to ensure that users of Inpatient Substance Abuse Services will be applied for Medicaid and upon determination of Medicaid approval could become BHMCO members on date of inpatient admission to aid in ensuring continuity of treatment and payment for the member 11/9/2012 11/9/2012 (otherwise known as Expedited Plus Plus). As a result, this process will allow us to move 20% ($37,960) of the ACT 152 allocation into other program areas. Since ACT 152 funding has been limited to inpatient services it has been used to supplement the existing funding streams when clients are eventually Medical Assistant eligible. Human Services Development Fund (HSDF)/Human Services and Supports SERVICES: Adult and Aging Services: The Human Services Development Fund has been over the last few years reduced by approximately 68%. Because of that, we have been only using our funding to support the Coordination of services in areas such as Information and Referral. It is expected as we mature in the block grant process that the areas of adult and aging services will be able to receive some funding for services that will be done in an integrated manner. For the years 2012-2013 the initial plan is to not use HSDF funding for adult and aging services. Interagency Coordination: Because Franklin County has had a history of direct and indirect allocation of Administrative costs for several years, we do not anticipate spending more dollars in the 2012-2013 other than for PACHSA dues and conferences as well as integrated human services training days. Should money come available for data integration and for the related staff position, we will expand in this area. Specialized Services: The block grant planning committee permitted the movement of $20,000 into certain integrated prevention programming with emphases on the components of drug and alcohol and $2,960 for cross systems Human Services Training days. The committee also recommended the continuation of Franklin County‟s 24 hour comprehensive Information and Referral which includes 211 services. In past years Franklin County has received an average 11/9/2012 11/9/2012 of 2,398 contacts through our Information and Referral office and 660 through our contracted after hours provider. I&R is an integral part of the overall human service sector. The Coordinator assists people who are in crisis and emergency situations and most significantly advocate on behalf of those individuals who are in need of additional support. The Information and Referral Coordinator organizes and participates in a number of trainings and presentations throughout the year. The goal of the presentations is to educate the community of the various services that are available throughout the County. Training days is a two day professional event that is available for those that are involved in the Human Services field. In October 2012 an average of 208 people participated in a number of trainings that were provided. 11/9/2012 11/9/2012 Appendix A 11/9/2012 11/9/2012 Appendix B HUMAN SERVICES BLOCK GRANT PROPOSED BUDGET AND SERVICE RECIPIENTS County: ESTIMATED PLANNED CLIENTS EXPENDITURES MENTAL HEALTH SERVICES ACT and CTT Administrator's Office 75 $711,791 Administrative Management 555 $425,140 Adult Developmental Training Children's Evidence Based Practices Children's Psychosocial Rehab Community Employment 65 $231,397 Community Residential Services 25 $782,200 Community Services 286 $134,590 Consumer Driven Services Crisis Intervention 1,250 $205,989 Emergency Services 275 $41,338 Facility Based Vocational Rehab 25 $65,183 Family Based Services 4 $15,925 Family Support Services 10 $10,358 Housing Support 55 $154,661 Other Outpatient 75 $186,140 Partial Hospitalization Peer Support 35 $49,564 Psychiatric Inpatient Hospitalization 5 $95,000 Psychiatric Rehabilitation 25 $90,931 Social Rehab Services 200 $260,078 Targeted Case Management 11/9/2012 11/9/2012 650 $904,984 Transitional and Community Integration 100 $83,673 TOTAL MH SERVICES 3,715 $4,448,942 INTELLECTUAL DISABILITIES SERVICES Admin Office 110 $548,413 Case Management 68 $38,019 Community Residential Services 2 $98,812 Community Based Services 63 $251,692 Other 60 $38,250 TOTAL ID SERVICES 303 $975,186 HOMELESS ASSISTANCE SERVICES Bridge Housing Case Management 206 $42,447 Rental Assistance 206 $59,846 Emergency Shelter 43 $15,000 Other Housing Supports TOTAL HAP SERVICES 455 $117,293 CHILDREN & YOUTH SERVICES Evidence Based Services Promising Practice 23 $59,439 Alternatives to Truancy Housing TOTAL C & Y SERVICES 23 $59,439 DRUG AND ALCOHOL SERVICES Inpatient non hospital 11/9/2012 11/9/2012 Inpatient Hospital 58 $135,990 Partial Hospitalization Outpatient/IOP 226 $68,969 Shelter/Transitional Living Client Related Services (Care and Case Management) $5,036 Medication Assisted Therapy Recovery Suport Services TOTAL DRUG AND ALCOHOL SERVICES 284 $209,995 HUMAN SERVICES AND SUPPORTS Adult Services Aging Services Specialized Services 3,604 $104,766 Interagency Coordination 340 $5,152 TOTAL HUMAN SERVICES AND SUPPORTS 3,944 $109,918 COUNTY BLOCK GRANT ADMINISTRATION $62,946 TOTAL COUNTY BLOCK GRANT 8,724 $5,983,719 11/9/2012 11/9/2012 Appendix C Proof of Publication for October 23, 2012 meeting. 11/9/2012 11/9/2012 11/9/2012 11/9/2012 11/9/2012 11/9/2012 11/9/2012 11/9/2012 11/9/2012 11/9/2012 Appendix D Planning Committee Name Agency Jennifer Johnson MH- Housing Program Megan Shreve SCCAP Manny Diaz D&A Board member Karen Johnston Provider Rep (HCP) Amanda Black HSDF Traci Kline Aging Sherry Goertz MH/ID Board member Sheldon Schwartz MH/ID Board member Lori Young Mental Health Cori Seilhamer Mental Health Claire Hornberger MH/ID/EI Cassandra Rahauser Children and Youth Jean Snyder Fulton County Human Services Amy Hicks United Way Ann Spottswood Summit Health Carrie Gray Franklin County Grants Stacy Rowe Franklin County Fiscal Dept. Christy Russell Franklin County Fiscal Dept. Richard Wynn Franklin/Fulton D&A Program/HSA Jennifer Lipko Franklin/Fulton D&A Program/HSA 11/9/2012 11/9/2012 Appendix E Meeting Minutes Block Grant Plan Committee (1st) Meeting 10/12/2012 I. Welcome and Introductions a. Everyone introduced themselves and stated what organization, agency, and business they are affiliated with. II. Why Block Grant? a. We are preparing a rough draft plan for the Block Grant that is due by the end of October. We are not receiving our fair share of tax dollars for those individuals that are in need of human services. This is based on a yearly comparison of all counties on a per-capita basis. We can have a better idea of where to place these funds to better serve the communities of Franklin and Fulton County. We often have unspent funds which should stay within the county for further utilization for services. These funds now under the block grant can be reprogrammed and kept here for other services. Collaboration to devise new ways to provide services is another reason of using the funds under a block grant. Local expertise can devise a more efficient way to meet consumer needs. There is a very short deadline for this block grant. III. Purpose of Committee a. The state wants to be flexible this year. Advisory board representatives, providers, human service staff, and categorical agencies staff will be a part of the initial Block Grant Plan Committee, to meet the short deadline. IIII. Process a. Review categoricals of how they would use the seven block grant funds. They provided a plan how they would use 80% of remaining funds, and what they could provide with the remaining 20% that is eligible to be moved. The categorical programs also were allowed to request additional funds. Committee will prioritize requests for additional funds as part of the overall recommendation to commissioners. The recommended plan will be presented to the commissioners as part of a public hearing. Anyone is welcome to attend the public hearings. No large movements of money will take place this year. 11/9/2012 11/9/2012 Up to 3% of unspent funds can be retained for future Block Grant use. Both counties have to agree on shared parts of the plan from each county since 4 of 7 categoricals are shared by Franklin and Fulton County. IV. Values a. What are the values to be utilized for the block grant and why the spending of each categorical is important? The challenges and wisdom of decisions will in the future determine why each categorical plan should get money. CYS has only two special grants that they submitted, so they are not a big part of the grant. Goals down the road will be to do things a little differently. The flexibility will increase in five years, 20,25,50,75, and 100%. Some questions: What is HSDF? Human Services Development Fund….a pot of money that doesn‟t have a lot of restrictions. Example, move ACT 152 and put into HSDF and then provide collaborative D&A services through HSDF without being confined by the rules of DDAP regulations. What are some successes of each categorical? Intellectual Disabilities Program main focus is the health and safety of individuals, MH- inpatient and outpatient needs to individuals being met, as well as Student Assistance Programs. D&A-PAYS surveys of youth gives us information to environmental strategies, Of theses, there are seven, youth give information that is measured (pre and post ). Also providing inpatient and outpatient treatment and Student Assistance Programs (with outcome based outcomes with D&A and MH). SCCAP- HAP: housing stability 24 months out. CYS- Family Development and Credentialing having the biggest impact is the portfolio, and being accepted for the first time and Franklin has the highest accepted rate. V. Review of categorical submissions 1. CYS- Reviewed FGDM and the loss of number of conferences and/or people that can attend. Courts would likely want county to pay for if not put into the block grant. These two programs are very community based. 11/9/2012 11/9/2012 Front line people getting a two week education in strength based family-based approach to manage problems and teach different social work approaches. This training helps staff to empower the families that they are working with. 2. HAP- 295 people, Information & Referral received 671calls or walk-ins related to housing, in 2010 1500. We cannot afford to take additional cuts after the last 10%cut. We need to do a lot more with the housing coalition and give them more ideas. 3. HSDF- The state must fund at least $50k in this category; most important expenditure is for Information and Referral. This includes the cost of $5k for “after hours” coverage with CONTACT when county phone coverage is not available; this gives 24 hour access including the use of 211. This funding also updates the “Where to Turn” booklet. REQUESTS- If additional funds are available throughout the year for payment of Training Days. Funding for a position of an evaluator that does analysis of data and maintenance of integrity of the data system will be a full time position of ($25k for 6 months). A response to this was “Is this money worth being used for one person, is this something that providers can measure and share? This is versus paying for a consultant or a company that we pay for to do or put together the data. 4. Mental Health- Mental Health does have outcomes. MH contracts are currently over allocated; the acute care facility, outpatient and transitional housing have received reductions. Transition housing got juveniles aging out and people coming from jail back into society. PCS for provider staff could be cut and would not be impacted. IMPACT IF 20% were not returned to MH…. If programs were cut staff would be cut as well. At least two program specialists‟ positions would be eliminated and money placed back into services. 5. ID- Currently under budget, but there is no money for three adolescents that are away at residential homes, graduating and coming back here to live in Franklin County. We do not have the base funds to pay for them to live here with our system. These needs would usually be provided by the State Waiver funded program. But there are no vacant slots currently. Royer Greave and Masonic Village are mandated facilities for these specific residential services but these facilities are not located in the county. 11/9/2012 11/9/2012 6. Drug and Alcohol- ACT 152 total with cuts, can be lowered. Limited to services provided with MA eligibility in inpatient services. Expedited Plus Plus could eliminate some of the need to use these funds. We are attempting to work with the local County Assistance Office since this process is not being done like it was intended to do. Requests that $20k be put back into HSDF for Prevention programming. Behavioral Health Service Initiative (BHSI) has already been cut and we would need to keep it at the current level. 11/9/2012 11/9/2012 BG Plan Committee (2nd/final) Meeting 10/15/2012 I. Overview Questions on estimate of costs, some counties do not have an Integrated Human Service county structure and the category for Block Grant Administration allows lee way to fund expenses for those that don‟t have an integrated structure. One thing that we could have done was place admin costs into HSDF. Costs have recently been reduced. Commissioners are not interested in making any huge changes this year but we should start laying the ground work for future block grants. Next meeting of this committee will tentatively be next January and we would look at mid-year funds and we could redeploy. We have opportunities to have 3% reinvested if not used and keep within the county. We could submit revised plan with 20% flexibility. Stacy Rowe review the Fiscal year 2012-2013 allocation from Department of Public Welfare Human Services Block Grant, it was discussed with committee. Review of seven categorical requests:  CYS has asked that $50k remain in two areas to propose to continue to be funded. Cassie will submit details on services and data & indicators.  HAP usually runs out of money three months before the end of the year. The request is for an additional $20k, to drawn down this money for housing. This need is heightened because HPRP funding has closed. Carrie and Jen Johnson will provide data on services provided and community data & indicators.  HSDF funds information and referral primarily. This system has 211 and phone assistance with anything and everything with follow up. Request is for funding to complete the task of integrating the software for the two new Human Service data systems (CYS and D/A STARS) with the current data warehouse. Another request is for funds to continue training days. Everyone is ok with paying for training days and holding off on Software development, data analyst and a laptop.  D&A- we have ACT 152 monies available to reprogram, due to programs like Expedited Plus Plus. We Request to reprogram funds to prevention programming through HSDF. Keep the prevention programming with a D&A approach but integrated with overlapping HS programs One We were picked for the Block Grant pilot was because we are a joinder county. The 11/9/2012 11/9/2012 community coalition is mainly unfunded with volunteers, but determines prevention approaches along with County D/A staff. PAYS surveys were paid for through an ICSP Grant. County pays for county wide report of this data. Other Prevention County funded programs are: Keystone Health Center who does Intravenous Drug User prevention services. We also provide money to Student Assistance Programming through Healthy Community Partnership. ACT 152 needs to be reprogrammed into prevention services through HSDF. Rick and Christy will submit.  MH/ID/EI they do not have any money to donate with repeated cuts and even if 100% keep they likely will have deficits. Staff will get more information on the prevention activities that were requested. Senior Line, county nurse comes around and does checks. MH/ID and D&A work together as well as HAP, Housing we have cross categorical programs. Case management is changing as well to be across several systems. Cori and Lori have submitted services to be provided and community data and indicators. Lori will get two sentences for each service that ID provides. Request for Future Consideration>>>>>$36k for MH- Housing Expansion- roughly 30 families would be served, Also are requesting $17k recruitment and retention (training for individuals for degrees dollars) to be considered. All plan committee members were ok with keeping things the way they are for this BG year, with the exception of the movement of 20% of HSDF funds: $15,000 to HAP, $20,000 to Prevention programming through HSDF and $2950 towards training days. Final thoughts on future possibilities for Block Grant: Out of seven fund types; ID the money is currently not going for prevention more for services. Possibly look at programming for Reduction of restraints and individual abuse against ID clients, and possibly teaching health and safety. Discussion on evidence based program/activities/etc. Take 100% of HAP funds put it into HSDF and then bring back out to do a program that helps with homelessness. Look at long term goals to better use the program to achieve the goals the programs were meant to do and use the data that each program/provider gathers. Have ways to be more efficient and having more flexibility. Meeting before the end of the year is a possibility?? This team is trying to find a way to meet more needs with less money or decide to provide fewer services with better funding for remaining services. 11/9/2012 11/9/2012 Public Hearing Sign In sheet: 1st Meeting 11/9/2012 11/9/2012 Meeting Minutes: 1st Meeting 11/9/2012 11/9/2012 11/9/2012 11/9/2012 11/9/2012 11/9/2012 Sign In Sheet: 2nd Meeting Meeting minutes for the second public hearing will be sent when available.