HomeMy WebLinkAbout2014-2015 Guidelines - Block GrantMay 20, 2014
DPW Bulletin 2014-1 County Human Services Plan Guidelines
Appendix B
County Human Services Plan Template
The County Human Services Plan Template is to be used to submit the information as
outlined below. It is to be submitted in conjunction with Appendices A and C (C-1 or C-
2, as applicable) to the Department, as directed in the Bulletin.
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;
2. How these stakeholders were provided with an opportunity for participation in the
planning process, including information on outreach and engagement;
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;
4. Substantial programmatic and/or funding changes being made as a result of last
year’s outcomes.
PART II: PUBLIC HEARING NOTICE Two (2) public hearings are required for counties participating in the Human Services
Block Grant. One (1) public hearing is required for counties not participating in the
Human Services Block Grant.
Please provide the following:
1. Proof of publication of notice;
2. Actual date(s) of public hearing(s);
3. A summary of each public hearing. PART III: WAIVER REQUEST
(applicable only to Block Grant Counties)
If you are requesting a waiver from the minimum expenditure level for any categorical
area, provide the justification for the request.
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DPW Bulletin 2014-1 County Human Services Plan Guidelines
PART IV: HUMAN SERVICES NARRATIVE 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.
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:
Needs:
• Adults (ages 18 and above)
Strengths:
Needs:
• Transition-age Youth (ages 18-26)
Strengths:
Needs:
• 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.
Strengths:
Needs:
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:
Needs:
• Co-occurring Mental Health/Substance Abuse
Strengths:
Needs:
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DPW Bulletin 2014-1 County Human Services Plan Guidelines
• Justice-involved individuals Strengths:
Needs:
• Veterans: Strengths:
Needs:
• Lesbian/Gay/Bisexual/Transgender/Questioning/Intersex (LGBTQI) consumers
Strengths:
Needs:
• Racial/Ethnic/Linguistic minorities
Strengths:
Needs:
• Other, if any (please specify)
Strengths:
Needs:
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.
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.
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DPW Bulletin 2014-1 County Human Services Plan Guidelines
Estimated/Actual Individuals
served in FY 13-14
Projected Individuals to be
served in FY 14-15
Supported Employment
Sheltered Workshop
Adult Training Facility
Base Funded Supports
Coordination
Residential (6400)
Life sharing (6500)
PDS/AWC
PDS/VF
Family Driven Family
Support Services
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.
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.
Life sharing Options: Describe the services provided and identify how you propose to
support growth of this option.
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.
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.) 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.
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DPW Bulletin 2014-1 County Human Services Plan Guidelines
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.
Estimated/Actual Individuals
served in FY 13-14
Projected Individuals to
be served in FY 14-15
Bridge Housing
Case Management
Rental Assistance
Emergency Shelter
Other Housing Supports
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)
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)
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)
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)
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.
CHILDREN and YOUTH SERVICES
***FOR COUNTIES NOT PARTICIPATING IN THE BLOCK GRANT, PLEASE INCLUDE THE FOLLOWING STATEMENT UNDER THE CHILDREN AND YOUTH
SERVICES HEADING IN YOUR PLAN:
“Please refer to the special grants plan in the Needs Based Plan and Budget for Fiscal Year 2014-2015.”
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DPW Bulletin 2014-1 County Human Services Plan Guidelines
***THE BELOW SECTION IS REQUIRED ONLY FOR COUNTIES PARTICIPATING IN THE BLOCK GRANT***
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.
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
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
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DPW Bulletin 2014-1 County Human Services Plan Guidelines
For each program being funded through the Human Services Block Grant, please provide the following information. The County may copy the below tables as many times as necessary.
Program
Name:
Please indicate the status of this program:
Status Enter Y or N
Continuation from 2013-2014
New implementation for 2014-2015
Funded and delivered services in
2013-2014 but not renewing in
2014-2015
Requesting funds for 2014-2015 (new, continuing or expanding) New Continuing Expanding
X
• 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. 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.
• If a New Evidence-Based Program is selected, identify the website registry or program website used to select the model.
Complete the following chart for each applicable year.
13-14 14-15
Target Population
# of Referrals
# Successfully completing
program
Cost per year
Per Diem Cost/Program
funded amount
Name of provider
• If there were instances of under spending or under-utilization of prior years’
funds, describe what changes have occurred or will occur to ensure that funds for
this program/service are maximized and effectively managed.
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DPW Bulletin 2014-1 County Human Services Plan Guidelines
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.
This overview should include:
1. Information regarding access to services;
2. Waiting list issues;
3. Coordination with the county human services system;
4. Any emerging substance use trends that will impact the ability of the county to
provide substance use services.
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)
• Adults (ages 18 and above)
• Transition Age Youth (ages 18 to 26)
• Adolescents (under 18)
• Individuals with Co-Occurring Psychiatric and Substance Use Disorders
• Criminal Justice Involved Individuals
• Veterans
• Racial/Ethnic/Linguistic minorities
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.
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DPW Bulletin 2014-1 County Human Services Plan Guidelines
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-
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Projected Individuals to be
served in FY 14-15
Adult Services
Aging Services
Generic Services
Specialized Services
Adult Services: Describe the services provided, the changes proposed for the current
year, and the estimated expenditures for each service provided.
Aging Services: Describe the services provided, the changes proposed for the current year, and the estimated expenditures for each service provided.
Generic Services: Describe the services provided, the changes proposed for the
current year, and the estimated expenditures for each service provided. Specialized Services: Describe the services provided, the changes proposed for the
current year, and the estimated expenditures for each service provided.
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.
If you plan to utilize HSDF funding for other human services, please provide a brief
description of the use and amount of the funding.
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DPW Bulletin 2014-1 County Human Services Plan Guidelines
Appendix D
Eligible Human Service Definitions
Mental Health
For further detail refer to Cost Centers for County Based Mental Health Services Bulletin (OMHSAS-12-02), effective July 1, 2012.
Assertive Community Treatment (ACT) Teams and Community Treatment Teams (CTT) SAMHSA-recognized Evidence Based Practice (EBP) delivered to individuals with serious mental illness (SMI) who have a Global Assessment of Functioning (GAF) score of 40 or below and meet at least one other eligibility criteria (psychiatric hospitalizations, co-occurring
mental health and substance abuse disorders, being at risk for or having a history of criminal
justice involvement, and a risk for or history of homelessness).
Administrator’s Office Activities and services provided by the Administrator’s Office of the County MH
Program.
Administrative Management Activities and administrative functions undertaken by staff in order to ensure intake into
the county mental health system and the appropriate and timely use of available resources and
specialized services to best address the needs of individuals seeking assistance.
Adult Development Training Community-based programs designed to facilitate the acquisition of prevocational,
behavioral activities of daily living, and independent living skills.
Children’s Evidence Based Practices
Practices for children and adolescents that by virtue of strong scientific proof are known to produce favorable outcomes. A hallmark of these practices is that there is sufficient evidence
that supports their effectiveness.
Children’s Psychosocial Rehabilitation Services
Activities designed to assist a child or adolescent (i.e., a person aged birth through 17, or through age 21 if enrolled in a special education service) to develop stability and improve
capacity to function in family, school and community settings. Services may be delivered to the
child or adolescent in the home, school, community or a residential care setting.
Community Employment and Employment Related Services Employment in a community setting or employment-related programs, which may
combine vocational evaluation, vocational training and employment in a non-specialized setting
such as a business or industry.
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DPW Bulletin 2014-1 County Human Services Plan Guidelines
Community Residential Services Care, treatment, rehabilitation, habilitation, and social and personal development services
provided to persons in a community based residential program which is a Department-licensed or
approved community residential agency or home.
Community Services Programs and activities made available to community human service agencies,
professional personnel, and the general public concerning the mental health service delivery
system and mental health disorders, in order to increase general awareness or knowledge of
same. Consumer Driven Services Services that do not meet the licensure requirements for psychiatric rehabilitation
programs, but which are consumer-driven and extend beyond social rehabilitation services.
Crisis Intervention Crisis-oriented services designed to ameliorate or resolve precipitating stress, which are
provided to adults or children and their families who exhibit an acute problem of disturbed
thought, behavior, mood or social relationships.
Emergency Services Emergency related activities and administrative functions undertaken to proceed after a
petition for voluntary or involuntary commitment has been completed, including any
involvement by staff of the County Administrator’s Office in this process.
Facility Based Vocational Rehabilitation Services Programs designed to provide paid development and vocational training within a
community-based, specialized facility (sheltered workshop) using work as the primary modality.
Family-Based Services Comprehensive services designed to assist families in caring for their children or
adolescents with emotional disturbances at home.
Family Support Services Services designed to enable persons with serious mental illness (SMI), children and adolescents with or at risk of serious emotional disturbance (SED), and their families, to be
maintained at home with minimal disruption to the family unit.
Housing Support Services Services provided to mental health consumers which enable the recipient to access and retain permanent, decent, affordable housing, acceptable to them.
Other
Activities or miscellaneous programs which could not be appropriately included in any of
the cited cost centers.
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DPW Bulletin 2014-1 County Human Services Plan Guidelines
Outpatient Treatment-oriented services provided to a consumer who is not admitted to a hospital,
institution, or community mental health facility for twenty-four hour a day service.
Partial Hospitalization Non-residential treatment services licensed by the Office of Mental Health & Substance
Abuse Services (OMHSAS) for persons with moderate to severe mental illness and children and
adolescents with serious emotional disturbance (SED) who require less than twenty-four hour
continuous care but require more intensive and comprehensive services than are offered in
outpatient treatment.
Peer Support Services Refers specifically to the Peer Support Services which meet the qualifications for peer
support services as set forth in the Peer Support Services Bulletin (OMHSAS 08-07-09),
effective November 01, 2006.
Psychiatric Inpatient Hospitalization Treatment or services provided an individual in need of twenty-four hours of continuous
psychiatric hospitalization.
Psychiatric Rehabilitation Services that assist persons with long-term psychiatric disabilities in developing,
enhancing, and/or retaining: psychiatric stability, social competencies, personal and emotional
adjustment and/or independent living competencies so that they may experience more success
and satisfaction in the environment of their choice, and can function as independently as possible.
Social Rehabilitation Services
Programs or activities designed to teach or improve self-care, personal behavior and
social adjustment for adults with mental illness.
Targeted Case Management Services that provide assistance to persons with serious mental illness (SMI) and children
diagnosed with or at risk of serious emotional disturbance (SED) in gaining access to needed
medical, social, educational, and other services through natural supports, generic community resources and specialized mental health treatment, rehabilitation and support services.
Transitional and Community Integration Services
Services that are provided to individuals who are residing in a facility or institution as
well as individuals who are incarcerated, diversion programs for consumers at risk of incarceration or institutionalization, adult outreach services, and homeless outreach services.
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DPW Bulletin 2014-1 County Human Services Plan Guidelines
Intellectual Disability Administrator’s Office
Activities and services provided by the Administrator’s Office of the County ID Program.
The Administrator’s Office cost center includes the services provided relative to the Administrative Entity Agreement, Health Care Quality Units (HCQU) and Independent
Monitoring for Quality (IM4Q).
Case Management Coordinated activities to determine with the client what services are needed and to coordinate their timely provision by the provider and other resources.
Community Residential Services
Transitional residential habilitation programs in community settings for individuals with
intellectual disabilities. Community Based Services Community-based services are provided to individuals who need assistance in the
acquisition, retention, or improvement of skills related to living and working in the community
and to prevent institutionalization.
Other Activities or miscellaneous programs which could not be appropriately included in any of
the cited cost centers.
Homeless Assistance Bridge Housing
Transitional services that allow clients who are in temporary housing to move to
supportive long-term living arrangements while preparing to live independently. Case Management
Case management is designed to provide a series of coordinated activities to determine, with the
client, what services are needed to prevent the reoccurrence of homelessness and to coordinate their timely provision by administering agency and community resources.
Rental Assistance
Provides payments for rent, mortgage arrearage for home and trailer owners, rental costs
for trailers and trailer lots, security deposits, and utilities to prevent and/or end homelessness or near homelessness by maintaining individuals and families in their own residences.
Emergency Shelter
Refuge and care services to persons who are in immediate need and are homeless; i.e., have no
permanent legal residence of their own. Other Housing Supports Other supportive housing service for homeless and near homeless persons that are outside
the scope of existing HAP components.
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DPW Bulletin 2014-1 County Human Services Plan Guidelines
Children and Youth
Promising Practice Dependency and delinquency outcome-based programs must include the number of children expected to be served, the expected reduction in placement, the relation to a benchmark
selected by a county or a direct correlation to the county’s Continuous Quality Improvement
Plan.
Housing Activity or program designed to prevent children and youth from entering out of home
placement, facilitate the reunification of children and youth with their families or facilitate the
successful transition of youth aging out or those who have aged of placement to living on their
own. Alternatives to Truancy Activity or service designed to reduce number of children referred for truancy, increase
school attendance or improve educational outcome of student participants, increase appropriate
advance to the next higher grade level, decrease child/caretaker conflict or reduce percentage of children entering out of home care because of truancy. Evidence Based Programs
Evidence-based programs use a defined curriculum or set of services that, when
implement with fidelity as a whole, has been validated by some form of scientific evidence. Evidence-based practices and programs may be described as “supported” or “well-supported”, depending on the strength of the research design. For FY 2014-15, the CCYA may select any
EBP (including Multi-Systemic Therapy (MST), Functional Family Therapy (FFT),
Multidimensional Treatment Foster Care (MTFC), Family Group Decision Making (FGDM),
Family Development Credentialing (FDC), or High-Fidelity Wrap Around (HFWA)) that is designed to meet an identified need of the population they serve that is not currently available within their communities. A list of EBP registries, which can be used to select an appropriate
EBP, can be found at the Child Information Gateway online at:
https://www.childwelfare.gove/preventing/evidence/ebp_registries.cfm.
Drug and Alcohol
Care/Case Management
A collaborative process, targeted to individuals diagnosed with substance use disorders or co-occurring psychiatric disorders, which assesses, plans, implements, coordinates, monitors, and evaluates the options and services to meet an individual’s health needs to promote self-
sufficiency and recovery.
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DPW Bulletin 2014-1 County Human Services Plan Guidelines
Inpatient Non-Hospital Inpatient Non-Hospital Treatment and Rehabilitation A licensed residential facility that provides 24 hour professionally directed evaluation,
care, and treatment for addicted clients in acute distress, whose addiction
symptomatology is demonstrated by moderate impairment of social, occupation, and/or school functioning.
Inpatient Non-Hospital Detoxification
A licensed residential facility that provides a 24-hour professionally directed evaluation
and detoxification of an addicted client.
Inpatient Non-Hospital Halfway House A licensed community based residential treatment and rehabilitation facility that provides
services for individuals in a supportive, chemically free environment.
Inpatient Hospital Inpatient Hospital Detoxification A licensed inpatient health care facility that provides 24 hour medically directed
evaluation and detoxification of psychoactive substance abuse disorder clients in an acute
care setting.
Inpatient Hospital Treatment and Rehabilitation A licensed inpatient health care facility that provides 24 hour medically directed
evaluation, care and treatment for addicted clients with co-existing biomedical,
psychiatric and/or behavioral conditions which require immediate and consistent medical care.
Outpatient/ Intensive Outpatient
Outpatient
A licensed organized, non-residential treatment service providing psychotherapy and substance use/abuse education. Services are usually provided in regularly scheduled
treatment sessions for a maximum of5 hours per week.
Intensive Outpatient
An organized non-residential treatment service providing structured psychotherapy and client stability through increased periods of staff intervention. Services are usually
provided in regularly scheduled sessions at least 3 days per week for at least 5 hours (but
less than 10)
Partial Hospitalization Services designed for those clients who would benefit from more intensive services than
are offered in outpatient treatment projects, but do not require 24 -hour inpatient care. Services
consist of regularly scheduled treatment sessions at least 3 days per week with a minimum of 10
hours per week.
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DPW Bulletin 2014-1 County Human Services Plan Guidelines
Prevention The use of social, economic, legal, medical and/or psychological measures aimed at
minimizing the use of potentially addictive substances, lowering the dependence risk in
susceptible individuals, or minimizing other adverse consequences of psychoactive substance
use.
Medication Assisted Therapy (MAT) Any treatment for opioid addiction that includes a medication approved by the U.S. Food
and Drug Administration for opioid addiction detoxification or maintenance treatment. This may
include methadone, buprenorphine, naltrexone, or vivitrol.
Recovery Support Services Services designed and delivered by individuals who have lived experience with
substance-related disorders and recovery to help others initiate, stabilize, and sustain recovery
from substance abuse. These services are forms of social support not clinical interventions.
Recovery Specialist An individual in recovery from a substance-related disorder that assists individuals gain
access to needed community resources to support their recovery on a peer to peer basis.
Recovery Centers A location where a full range of Recovery Support Services are available and delivered
on a peer to peer basis.
Recovery Housing A democratically run, self-sustaining and drug-free group home for individuals in
recovery from substance related disorders.
Human Services Development Fund / Human Services and Supports
Administration Activities and services provided by the Administrator’s Office of the Human Services
Department.
Interagency Coordination Planning and management activities designed to improve the effectiveness of county human services.
Adult Services
Services for adults (a person who is at least 18 years of age and under the age of 60, or a person under 18 years of age who is head of an independent household) include: adult day care,
adult placement, chore, counseling, employment, home delivered meals, homemaker, housing,
information and referral, life skills education, protective, service planning/case management,
transportation, or other service approved by the Department.
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DPW Bulletin 2014-1 County Human Services Plan Guidelines
Aging Services for older adults (a person who is 60 years of age or older) include: adult day
care, adult placement, chore, counseling, employment, home delivered meals, homemaker,
housing, information and referral, life skills education, protective, service planning/case
management, transportation, or other service approved by the Department. Generic Services Services for individuals that meet the needs of two or more client populations include:
Adult Day Care, Adult Placement, Centralized Information and Referral, Chore, Counseling,
Employment, Homemaker, Life Skills Education, Service Planning/Case Management, and Transportation Services.
Specialized Services
New services or a combination of services designed to meet the unique needs of a client
population that are difficult to meet with the current categorical programs.
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