Health and Human Services MINUTES OF MEETING May 22, 2017

Transcription

1 Health and Human Services MINUTES OF MEETING May 22, 2017 Meeting of the Health and Human Services Standing Committee of the Chemung County Legislature Minutes of a meeting of the Health and Human Services Committee of the Chemung County Legislature held in the Legislative Chambers, 5 th Floor, Hazlett Building, 203 Lake Street, Elmira, New York on Monday, May 22, 2017 Members and officials present: John Pastrick, David Manchester, L. Thomas Sweet, Joseph Brennan, Kenneth Miller, Brian Hyland, Cornelius Milliken III, Peggy Woodard, William Fairchild, Martin Chalk, Aola Jackson, Paul Collins, Richard Madl, Donna Draxler, Rodney Strange, Michael Krusen, J. Michael Mucci, Bill Hopper, Matthew Hourihan, Samantha Potter, Stephanie Fiorini, Stephen Wilber, Aaron Dowd, Robert Dieterle The meeting was called to order by the Chairman of the committee, Joseph Brennan. Motion made by William Fairchild, seconded by Aola Jackson, and Passed with a vote of 6-0, authorizing agreement with Chemung ARC on behalf of various Chemung County Departments. Motion made by William Fairchild, seconded by Aola Jackson, and Passed with a vote of 6-0, amending intermunicipal agreement with Steuben County on behalf of the Chemung County Department of Social Services. Motion made by William Fairchild, seconded by Aola Jackson, and Passed with a vote of 6-0, amending agreement with COMET Informatics, LLC on behalf of the Chemung County Department of Social Services. Motion made by William Fairchild, seconded by Aola Jackson, and Passed with a vote of 6-0, authorizing agreement with Delaware Support and Services, Inc. on behalf of the Chemung County Department of Social Services. Motion made by William Fairchild, seconded by Aola Jackson, and Passed with a vote of 6-0, authorizing agreement with Family Services of Chemung County, Inc. on behalf of the Chemung County Departments of Social Services and Mental Hygiene. Motion made by William Fairchild, seconded by Aola Jackson, and Passed with a vote of 6-0, authorizing agreement with Institute for Human Services, Inc. on behalf of the Chemung County Departments of Social Services and Mental Hygiene. Motion made by William Fairchild, seconded by Aola Jackson, and Passed with a vote of 6-0, authorizing agreements with various psychological and diagnostic service providers on behalf of the Chemung County

2 Department of Mental Hygiene. Motion made by William Fairchild, seconded by Paul Collins, and Passed with a vote of 6-0, authorizing Memorandum of Understanding with Elmira Psychiatric Center on behalf of the Chemung County Department of Mental Hygiene. Motion made by William Fairchild, seconded by Paul Collins, and Passed with a vote of 6-0, authorizing Memorandum of Understanding with the Chemung County Department of Aging and Long Term Care on behalf of the Chemung County Department of Mental Hygiene. Motion made by William Fairchild, seconded by Paul Collins, and Passed with a vote of 6-0, approving Change Order #1 to an agreement with RONCO Specialized Systems for the Call Light/Overhead Paging Project on behalf of the Chemung County Nursing Facility. The meeting was adjourned on the motion by Mr. Collins, seconded by Mrs. Jackson. Motion carried.

3 CHEMUNG COUNTY DEPARTMENT OF SOCIAL SERVICES Human Resource Center Pennsylvania Avenue P.O. Box 588 Elmira, New York Phone: (607) Fax: (607) Jennifer Stimson Commissioner of Human Services Christine O Herron Director of Administrative Services TO: CC: FROM: Thomas Santulli, County Executive / Steve Hoover, Budget Director / County Legislature Jennifer Stimson, Commissioner of Human Services / Brian Hart, Director of Community Services Christine O Herron, Director of Administrative Services DATE: May 5, 2017 RE: 2017 CHEMUNG ARC CONTRACT Please consider this correspondence as our request to renew the County contract with Chemung ARC in Chemung ARC will continue to provide annual custodial services to the Human Resource Center and the Emergency Management Office for $39,570 and $6,000, respectively. Please note, the Records Imaging Center moved to the Human Resource Center in 2017 and will no longer reimburse Chemung ARC for custodial services. A decrease of $5,850 is reflected in the attached budget. Custodial services include, but are not limited to, vacuuming, dusting, cleaning the break rooms and bathrooms, and emptying garbage cans. The Office of People with Developmental Disabilities (OPWDD) has approved $451,796 in state aid. This is an increase of $901, as compared to The Southern Tier Industries vocational training program serves over 230 adults with developmental disabilities by matching each individual with an appropriate vocational opportunity, ranging from competitive, to supported, to sheltered employment, with an emphasis on community inclusion as much as possible. Recreation services include leisure, social and therapeutic activities to adult County residents with developmental disabilities. Services are provided within community settings, such as City and County parks, recreational centers and local schools, in order to integrate the participants into community-based services and events wherever possible. Item # 1

4 In 2017, the Records Imaging Center hired County personnel to support their scanning needs. Chemung ARC will no longer assist with this program, for a reduction of $40,000 in this agreement. Of the $40,000, $20,000 was in the Records Imaging Center budget, and $20,000 in the Department of Social Services budget. The Shredding program budget will remain $15,000 in Shredding services are provided to various Chemung County departments as well as budgeted in each department s respective account Outcomes for ARC Vocational Training Program: Forty percent of individuals that are identified to have a goal of integrated employment will be enrolled in supports such as: community prevocational services, Employment Training Program, Pathway to Employment, Supported Employment or directly placed for competitive employment. Increase STI service recipients working in vocational setting by 10% compared to previous year. If you have any questions, please contact Jennifer Stimson at Thank you. Item # 1

5 ATTACHMENT "B" SCHEDULE IV Chemung ARC, NYSARC 711 Sullivan Street Elmira, New York /1/17-12/31/17 DSS/MH/RIC Agreement: ACCOUNT NUMBER DEPT. PROGRAM BUDGET FEDERAL STATE LOCAL Social Services Custodial Services - HRC $39, $19, $9, $9, Emergency Management Custodial Services - EMO $6, $0.00 $0.00 $6, Mental Hygiene OPWDD Non / Chapter 620 Funding (Southern Tier Industry)** $575, $0.00 $420, $155, Mental Hygiene OPWDD Non / Chapter 620 Funding (Recreations)** $44, $0.00 $31, $12, Total DSS/MH/RIC Agreement: $665, $19, $461, $184, Plus: Services Agreement: Shredding Services to Various County Department $15, $0.00 $0.00 $15, Total 2017 Chemung ARC Agreement: $680, $19, $461, $199, **OPWDD BREAKDOWN STI Rec Total OPWDD Non Chapter 620 Funding $420, $31, $451, OPWDD County Funding 155, , , TOTAL $575, $44, $620, Item # 1

6 CHEMUNG COUNTY ROUTE SLIP * PERSONNEL REQUISITION Resolution authorizing agreement with Chemung ARC on behalf of various Chemung County Departments Resolution #: 01 Slip Type: SEQRA status CONTRACT Explain action needed or Position requested (justification): Prior Resolution No Vendor/Provider Chemung ARC Term 1/1/ /31/2017 Total Amount $680,997 Prior Amount $725,946 Local Share $199, State Share $461, Federal Share $19, Project Budgeted? Yes Funds are in Account # Various. Please see attached budget CREATION: Date/Time: Department: 5/9/2017 1:12:05 PM Social Services APPROVALS: Date/Time: Approval: Department: 5/12/2017 9:04 AM Approved Budget and Research 5/12/2017 1:56 PM Approved County Executive 5/15/2017 9:51 AM Approved Legislature Chairman ATTACHMENTS: Name: Description: Type: ARC_Memo_2017.doc Memo Cover Memo ARC_Budget_2017.xls Budget Cover Memo Item # 1

7 CHEMUNG COUNTY DEPARTMENT OF SOCIAL SERVICES HUMAN RESOURCE CENTER PENNSYLVANIA AVE. P.O. BOX 588 Elmira, New York PHONE NO: (607) FAX: (607) Jennifer Stimson Commissioner of Human Services Christine O Herron Director of Administrative Services TO: CC: FROM: Thomas Santulli, County Executive / Steve Hoover, Budget Director / County Legislature Jennifer Stimson, Commissioner of Human Services / Kellie Lowman, Director of Children & Family Services Christine O Herron, Director of Administrative Services DATE: April 26, 2017 RE: 2017 STEUBEN COUNTY AMENDMENT On behalf of the Chemung County Department of Social Services, please consider this correspondence as our request to amend County Resolution No Due to an increase in the per diem rates for non-secure detention beds, the agreement with Steuben County is requested as follows; o In 2017, Steuben County will provide Chemung County with two non-secure detention beds at $231 per bed per day; if more than two beds are utilized in one day, Chemung will be charged $251 per bed per day based on an 8 bed capacity. In the event Chemung s usage is above the 8 bed capacity, the rate will be $360 per bed per day. Therefore, the Steuben County non-secure detention bed contract is requested not to exceed $168,630. This is an increase of $11,680, as compared to our original request. Please contact Jennifer Stimson at , if you have any questions. Thank you. Item # 2

8 CHEMUNG COUNTY ROUTE SLIP * PERSONNEL REQUISITION Resolution amending inter-municipal agreement with Steuben County on behalf of the Chemung County Department of Social Services Resolution #: 02 Slip Type: SEQRA status CONTRACT Explain action needed or Position requested (justification): Prior Resolution No Vendor/Provider Steuben County Term 1/1/ /31/2017 Total Amount $168,630 Prior Amount $156,950 Local Share 51% State Share 49% Federal Share Project Budgeted? Yes Funds are in Account # CREATION: Date/Time: Department: 4/26/2017 8:55:18 AM Social Services APPROVALS: Date/Time: Approval: Department: 5/12/20179:49 AM Approved Budget and Research 5/12/20172:00 PM Approved County Executive 5/15/201710:10 AM Approved Legislature Chairman ATTACHMENTS: Name: Description: Type: SteubenCo_AmendMemo2017.doc Memo Backup Material Item # 2

9 CHEMUNG COUNTY DEPARTMENT OF SOCIAL SERVICES Human Resource Center Pennsylvania Avenue P.O. Box 588 Elmira, New York Phone: (607) Fax: (607) Jennifer Stimson Commissioner of Human Services Christine O Herron Director of Administrative Services TO: CC: FROM: Thomas Santulli, County Executive / Steve Hoover, Budget Director / County Legislature Jennifer Stimson, Commissioner of Human Services Christine O Herron, Director of Administrative Services DATE: May 2, 2017 RE: COMET Informatics, LLC Contract Amendment On behalf of the Chemung County Department of Social Services, please consider this correspondence as our request to amend resolution with COMET Informatics, LLC for The yearly maintenance costs were erroneously overlooked in the original 2017 request. Therefore, the COMET agreement should not exceed $40,000 in This is a reduction of $25,000, as compared to the 2016 request. In Chemung County, many Human Service providers assist the same children, youth, and families from childhood to adulthood. While services are necessary, the utilization of multiple providers hinders the ability to streamline and communicate needs among agencies. The purpose of COMET is to create a county-wide integrated information system for children and youth that will interact with many, if not all, the service providers. The goal is to deliver a comprehensive longitudinal perspective on each child in the County, leveraging the technology to provide better, faster and continuously improved services. If you have any questions, please contact Jennifer Stimson at Thank you. Item # 3

10 CHEMUNG COUNTY ROUTE SLIP * PERSONNEL REQUISITION Resolution amending agreement with COMET Informatics, LLC on behalf of the Chemung County Department of Social Services Resolution #: 03 Slip Type: SEQRA status CONTRACT Explain action needed or Position requested (justification): Prior Resolution No Vendor/Provider COMET Informatics, LLC Term 1/1/ /31/2017 Total Amount $40,000 Prior Amount $20,000 Local Share $10,000 State Share $10,000 Federal Share $20,000 Project Budgeted? Yes Funds are in Account # CREATION: Date/Time: Department: 5/2/2017 8:58:43 AM Social Services APPROVALS: Date/Time: Approval: Department: 5/12/2017 9:05 AM Approved Budget and Research 5/12/2017 1:57 PM Approved County Executive 5/15/2017 9:51 AM Approved Legislature Chairman ATTACHMENTS: Name: Description: Type: Comet_Memo_2017_Amend.doc Memo Cover Memo Item # 3

11 CHEMUNG COUNTY DEPARTMENT OF SOCIAL SERVICES HUMAN RESOURCE CENTER PENNSYLVANIA AVE. P.O. BOX 588 Elmira, New York PHONE NO: (607) FAX: (607) Jennifer Stimson Commissioner of Human Services Christine O Herron Director of Administrative Services TO: CC: FROM: Thomas Santulli, County Executive / Steve Hoover, Budget Director / Chemung County Legislature Jennifer Stimson, Commissioner of Human Services Christine O Herron, Director of Administrative Services DATE: April 26, 2017 RE: 2017 DELAWARE SUPPORT & SERVICES On behalf of the Chemung County Department of Social Services, please consider this correspondence as our request to renew the County agreement with Delaware Support and Services, Inc. for Delaware Support and Services, Inc. no longer provides the Department of Social Services Child Support Unit with legal services pursuant to the recovery of Medicaid expenditures relating to birth and confinement. However, we continue to receive recoveries on claims established during the years legal services were provided. This agreement is rate based, not to exceed one third of the gross amount recovered and collected. Based on the trend of expenditures over the last three years, the 2017 contract is requested to decrease by $10,000, for a total budget not to exceed $20,000. If you have any questions, please contact Jennifer Stimson at Thank you. Item # 4

12 CHEMUNG COUNTY ROUTE SLIP * PERSONNEL REQUISITION Resolution authorizing agreement with Delaware Support and Services, Inc. on behalf of the Chemung County Department of Social Services Resolution #: 04 Slip Type: SEQRA status CONTRACT Explain action needed or Position requested (justification): Prior Resolution No Vendor/Provider Delaware Support and Services, Inc Term 1/1/ /31/2017 Total Amount $20,000 Prior Amount $30,000 Local Share $3,800 State Share $3,000 Federal Share $13,200 Project Budgeted? Yes Funds are in Account # CREATION: Date/Time: Department: 4/26/ :32:48 AM Social Services APPROVALS: Date/Time: Approval: Department: 5/12/20179:06 AM Approved Budget and Research 5/12/20171:57 PM Approved County Executive 5/15/20179:51 AM Approved Legislature Chairman ATTACHMENTS: Name: Description: Type: Delaware_Memo17.doc Memo Cover Memo Item # 4

13 CHEMUNG COUNTY DEPARTMENT OF SOCIAL SERVICES HUMAN RESOURCE CENTER PENNSYLVANIA AVE. P.O. BOX 588 Elmira, New York PHONE NO: (607) FAX: (607) Jennifer Stimson Commissioner of Human Services Christine O Herron Director of Administrative Services TO: CC: FROM: Thomas Santulli, County Executive / Steve Hoover, Budget Director / Chemung County Legislature Jennifer Stimson, Commissioner of Human Services / Brian Hart, Director of Community Services / Christy Harmer, Children s Integrated Services Coordinator / Kellie Lowman, Director of Children and Family Services Christine O Herron, Director of Administrative Services DATE: May 2, 2017 SUBJECT: 2017 FAMILY SERVICES OF CHEMUNG COUNTY The purpose of this correspondence is to request Legislative authorization to renew the Family Services of Chemung County, Inc. contract on behalf of the Chemung County Departments of Social Services, Mental Hygiene, and Children s Integrated Services. Per the March 13, 2017 Office of Mental Health award letter, Family Services of Chemung County will receive $1,072,062 in state aid. This is an overall increase of $58,971 as compared to the 2016 amendment request. Of the $58,971 increase, $54,000 can be attributed to budgeting the full annual amount of the Community Support Program. Funds will be used in a collaboration between Family Services and local nursing homes resulting in enhanced services to individuals in a transition phase from their facility to two of the three skilled nursing facilities. Next, the ICM Manager program in the amount of $22,189 will be eliminated from the contract and shifted to the Children s Health Home Care Management program in the amount of $23,228. The total increase due to the shift is $1,039. Lastly, a $3,932 increase is due to cost of living adjustment across various programs OMH programs. Children s Integrated Services preventive funding will total $269,050 in This is an overall decrease of $8,950, as compared to The Therapeutic School Based Mental Health Item # 5

14 (TSBMH) program decreased by $25,000, based on prior year actual expenses. Whereas, cost of living adjustments account for the $16,050 increase across the Family Services preventive workers, Bridger, and Community Prevention Coordinator. The Elmira Heights Therapeutic School Based Mental Health program will not exceed $17,143 in You may recall per resolution , Federal Salary Sharing funds will be used to pay for 65% of this program, while the Elmira Heights School District will be charged 35% in For the 2017 contract year, the following outcomes will be implemented: Mental Health Clinic Outcomes: The average number of visits for those individuals not receiving medication management will not exceed 20 visits 75% of all requests for service will be offered an intake appointment within five business days. 75% of individuals who have been referred from the ER or Hospital will have a visit with the psychiatrist within 30 days. Geriatric and Negative Symptoms Outcomes: 90% of individuals referred will agree to enroll in services. STIRS Outcomes: 80% of individuals served each month will receive Community Rehabilitation Support. 25% of individuals served each month will receive Intensive Rehabilitation. 10% of individuals served each month will receive Ongoing Rehabilitation Services 30% of individuals served each month will receive Clinic Treatment. Health Home Care Management Program Services (Adults) Outcomes: 80% of individuals referred through community based referrals will successfully engage in Health Home Care Management Services. 25% of individuals referred by the HHUNY will successfully engage in Health Home Care Management Services. 75% of individuals receiving Health Home Care Management Services will not be hospitalized or incarcerated while enrolled in services. Crisis Services Outcomes: 65% of all crisis contacts will be handled successfully by telephone. Item # 5

15 Of the individuals seen face to face, no more than 15% will require evaluation at a 9.39 hospital. Adolescent Sex Offender Program Outcomes: 90% of youth served will remain out of higher levels of care during, or for 3 months post discharge from the program 90% of youth will not have a new offense while involved in program. 75% will be successfully discharged from treatment Bridger and two Facilitators Positions Outcome: Family Services will increase their support, training and supervision of the staff assigned to Children s Integrated Services through quarterly case reviews in group format, of at least two cases per quarter. Child Advocacy Center 80% of victims referred to the MH counselor will be offered an appointment within 3 business days Baseline the percentage of children who are successfully discharged as demonstrated by Pre/Post Assessment scores School Based MH Less than 20% of children referred will decline services Of those enrolled in SBMH, less than 25% will be referred for counseling outside of the school setting Baseline that average number of days between referral and assessment completion There are no additional changes to the 2017 Family Services contract. For additional information on each Family Services program, please see attached. If you have any questions, please contact Jennifer Stimson at Thank you. Item # 5

16 ATTACHMENT "B" FAMILY SERVICES OF CHEMUNG COUNTY 1019 E. WATER STREET ELMIRA, NEW YORK /1/17-12/31/17 ACCOUNT NUMBER DEPT OMH CODE PROGRAM 2017 BUDGET FEDERAL STATE LOCAL DSS DSS Forensics Screening $10, $5, $2, $2, DSS Choice Program - Adolescent Sex Offender $23, $7, $7, $8, DSS Re-payee $69, $0.00 $45, $24, MH - CAC Mental Health Counseling Services $15, $15, $0.00 $ MH - CIS 2 Preventive Workers & 1 Bridger $152, $0.00 $94, $58, MH - CIS Community Prevention Coordinator $41, $0.00 $25, $15, MH - CIS Therapeutic School Based Mental Health (TSBMH) - ECSD $75, $0.00 $46, $28, MH - FSS Therapeutic School Based Mental Health (TSBMH) - Elmira Heights $17, $17, $0.00 $ MH - OMH 1400 AOT Coordinator $5, $0.00 $5, $ MH - OMH 1760 Advocacy / Support Services $262, $0.00 $262, $ MH - OMH 1810 / 1910 ICM Managers / Services Dollars $0.00 $0.00 $0.00 $ MH - OMH 1970 Transition Management $15, $0.00 $15, $ MH - OMH 2680 Crisis Intervention $218, $0.00 $218, $ MH - OMH 2720 Forensics (Jail) * $67, $0.00 $67, $ MH - OMH 6340 PROs State Aid $162, $0.00 $162, $ MH - OMH 2100 COPS Transitional Funding * $87, $0.00 $87, $ MH - OMH 0860 Medication Grant Program $4, $0.00 $4, $ MH - OMH 2620 / 2740 Health Home $118, $0.00 $118, $ MH - OMH 0690 Expanded Community Support - Outreach Nurse $108, $0.00 $108, $ MH - OMH 6340 Children's Health Home Care Management $23, $0.00 $23, $0.00 TOTAL $1,476, $44, $1,294, $137, $1,072, *Note, Both the Forensics (Jail) and COPS Transitional funding to be used for the Forensic Program Shading indicates OMH State Aid Item # 5

17 FAMILY SERVICES 2017 CONTRACT REQUEST DSS DSS Forensics Screening - Forensics activities are aimed at linking the consumer to the service system and at coordinating the various services in order to achieve a successful outcome. The objective of care coordination in mental health system is continuity of care and service. Adolescent Sex Offender Program the Family Services of Chemung County, Inc. (FSCC) Mental Health Clinic's Sexual Abuse Therapy Program (SATP) will provide the Adolescent Sex Offender Program through outpatient community-based therapeutic intervention. The program assists the adolescents to control and reduce the risk of their deviant sexual behavior as well as develops and demonstrates pro-social interpersonal skills. The program's therapeutic interventions include individual, group, and family therapies, education, and coordination and cooperation among all involved persons and agencies. Outpatient therapy can only be effective when all parties recognize the serious risk that the adolescent sex offender presents to the community and are willing to work together to provide supervision and monitoring of the client. Specialized assessment and therapy services must be utilized as traditional therapy modalities typically fail to focus on treating the client whose participation is not voluntary and whose risk behaviors are obsessive and addictive. Representative payee Family Services acts as the receiver of United States Social Security Disability or Supplemental Security Income for mental health clients who are not fully capable of managing their own benefits. The Representative payee program has three case managers that assist clients with out-patient mental health services manage their money, and provide protection from financial abuse and victimization. Mental Health CAC Mental Health Counseling Services - Mental Health Counseling Services provides immediate crisis intervention and mental health services for victims and non-offending family members or siblings of physical or sexual abuse, serious domestic violence, and child fatality cases. The Therapist will assist in working through the crisis, assess the need for mental health services, and provide appropriate mental health services and/or referral recommendations for additional mental health services as needed. Mental Health CIS Children s Integrated Services (CIS) Positions MH - The Coordinated Care Services, Inc. (CCSI) Bridger (1), CCSI Facilitator (2) and the Community Prevention Coordinator are provided by funding from the County and supervised directly by county personnel. CCSI Bridger The Bridger position assists families with children between the ages of 0 and 18 years successfully transition to a more independent, community based living. Services include support, advocacy, linkages, diligent follow up and reengagement. CCSI Facilitator The Facilitator position assists families with children between the ages of 0 and 18 years that are experiencing significant behavior issues and/or an emotional disturbance in wrapping services and supports around the child and family to maintain the child in the home, school and community. Community Prevention Coordinator The Community Prevention Coordinator position facilitates and Item # 5 implements suicide prevention strategies at the local level through education, monitoring, and coordinating activities.

18 Therapeutic School Based Mental Health (TSBMH) - TSBMH is clinical staff provided by Family Services to provide any necessary ancillary staffing appropriate for the provision of Individual Education Plan (IEP) counseling and of site school-based counseling for all children in the Elmira City School District (ECSD) who meet the following criteria: Mental Health OMH a. Not be a student receiving services in a 8:1:1 classroom b. Have counseling approved by the Committee on Special Education of the Elmira City School District c. Referred according to the ECSD school mental health counseling process. Mental Health Clinic The Mental Health Clinic Program is a full service comprehensive out-patient program meeting all State requirements and regulations, offering assessment, brief and ongoing therapy, consultation, and education and training. Services are available to anyone in the community, including children, adolescents and adults. Southern Tier Integrated Recovery Services (STIRS) PROS Family Services and Capabilities operate Southern Tier Integrated Recovery Services (STIRS), a PROS Program assisting individuals with functional mental health-related disabilities to successfully identify, pursue, and achieve their life goals at home, work, school, and in the community. STIRS will encompass the fundamental components of recovery, including individualized, personcentered, and strength-based services offered within a holistic, growth-oriented, peer supported framework, promoting consumer self-[direction, empowerment, and responsibility, based upon respect and hope. AOT Coordinator Assisted Outpatient Treatment (AOT) Coordinators are responsible for monitoring and overseeing assisted outpatient treatment (AOT) programs. Advocacy/Support Services Advocacy/support services may be individual advocacy or systems advocacy or a combination of both. Individual advocacy assists consumers in protecting and promoting their rights, resolving complaints and grievances, and accessing services and supports of their choice. Systems advocacy represent the concerns of a class of consumers by identifying patterns of problems and complaints and working with program or system administrators to resolve or eliminate these problems on a systemic, rather than individual basis. Intensive Case Management (ICM) Managers/Service Dollars/Health Home Care Intensive Case Management (ICM)/ Health Home care programs promote optimal health and wellness for adults diagnosed with severe mental illness, and children and youth diagnosed with severe emotional disorder. Wellness and recovery goals are attained by implementing a person-centered approach to service delivery and ensuring linkages to and coordination of essential community resources. Case Managers work in partnership with recipients to advance the process of individuals gaining control over their lives and expanding opportunities for engagement in their communities. Transition Management (TM) Transition Management Services (discharge planning) programs provide support for improved community service linkages and timely filing of Medicaid applications for seriously and persistently mentally ill (SPMI) consumers being released from local correctional facilities. The TM focus will be in obtaining post-release services for these consumers. Crisis Intervention Crisis intervention services, applicable to adults, children and adolescents, are Item # 5 intended to reduce acute symptoms and restore individuals to pre-crisis levels of functioning.

19 Forensics/COPS Transitional Funding Forensics activities are aimed at linking the consumer to the service system and at coordinating the various services in order to achieve a successful outcome. The objective of care coordination in mental health system is continuity of care and service. Medication Grant Program The medication grant program provides medications and other services need to prescribe and administer medication for individuals with a mental illness who leaves the local jails, state prisons or hospitals and have applied for Medicaid. Nursing Home Service - The Psychiatric Nurse Practitioner travels between the two skilled nursing facilities providing approximately eight hours a week at each facility the prescription of psychotropic medications. This collaboration between the nursing homes, Family Services will be further enhanced by the Elmira Psychiatric Center temporarily sending unit staff during a transition phase from their facility to two of the three skilled nursing facilities, and coordinating services with their Mobile Integration Team. Item # 5

20 CHEMUNG COUNTY ROUTE SLIP * PERSONNEL REQUISITION Resolution authorizing agreement with Family Services of Chemung County, Inc. on behalf of the Chemung County Departments of Social Services and Mental Hygiene Resolution #: 05 Slip Type: SEQRA status CONTRACT Explain action needed or Position requested (justification): Prior Resolution No Vendor/Provider Family Services of Chemung County, Inc Term 1/1/ /31/2017 Total Amount $1,476,307 Prior Amount $1,409,143 Local Share $137,307 State Share $1,294,205 Federal Share $44,795 Project Budgeted? Yes Funds are in Account # Various. Please see attached budget CREATION: Date/Time: Department: 5/8/2017 4:01:22 PM Social Services APPROVALS: Date/Time: Approval: Department: 5/12/20179:08 AM Approved Budget and Research 5/12/20171:58 PM Approved County Executive 5/15/201710:12 AM Approved Legislature Chairman ATTACHMENTS: Name: Description: Type: Family_Svs_memo_2017.doc Memo Cover Memo FamSers_Budget_2017.xls Budget FamSers_ProgDescrip.doc Program Descriptions Backup Material Backup Material Item # 5

21 CHEMUNG COUNTY DEPARTMENT OF SOCIAL SERVICES HUMAN RESOURCE CENTER PENNSYLVANIA AVE. P.O. BOX 588 Elmira, New York PHONE NO: (607) FAX: (607) Jennifer Stimson Commissioner of Human Services Christine O Herron Director of Administrative Services TO: CC: FROM: Thomas Santulli, County Executive / Steve Hoover, Budget Director / County Legislature Jennifer Stimson, Commissioner of Human Services / Brian Hart, Director of Community Services / Kellie Lowman, Director of Children & Family Services Christine O Herron, Director of Administrative Services DATE: April 26, 2017 RE: 2017 INSTITUTE FOR HUMAN SERVICES, INC. CONTRACT On behalf of the Chemung County Departments of Social Services and Mental Hygiene, please consider this correspondence as our request to renew the County contract with the Institute for Human Services, Inc. for The Department of Social Services will continue the Project in The Project is an information and referral system for health and human services providers, non-profits, educational programs, support and civic groups and local, city and county services. The Project budget is requested to remain $35,000 in Next, the Department of Social Services will continue to utilize the Institute of Human Services for the coordination and writing of the Children and Family Services Plan. The Children and Family Services plan is completed on a five (5) year cycle with a detailed yearly update on all developed outcomes and strategies. The program is requested not to exceed $5,000 in This is a decrease of $4,000, as compared to the 2016 request. Lastly, the Human Services Grant Writer provides the County, CIDS, Family Services, CASA/Trinity and Catholic Charities with services related to where and what funding opportunities to pursue for the purpose of financial sustainability and enhancement of services. The 2017 budget is requested to remain $32,000. Of the $32,000, a maximum of $12,000 is reimbursed with Federal Salary Sharing funds by the Department of Mental Hygiene, while up to $20,000 is recouped from the participating agencies. If you have any questions, please contact Jennifer Stimson at Thank you. Item # 6

22 Institute for Human Services 6666 County Road 11 Bath, New York /1/17-12/31/17 Account Number Dept. Program Budget Federal State Local Contributions DSS Project $35, $17, $8, $8, $ DSS C&FS Plan Reporting $5, $1, $1, $1, $ MH Grant Writer $32, $12, $0.00 $0.00 $20, $72, $31, $10, $10, $20, Item # 6

23 CHEMUNG COUNTY ROUTE SLIP * PERSONNEL REQUISITION Resolution authorizing agreement with Institute for Human Services, Inc. on behalf of the Chemung County Departments of Social Services and Mental Hygiene Resolution #: 06 Slip Type: SEQRA status CONTRACT Explain action needed or Position requested (justification): Prior Resolution No Vendor/Provider Institute for Human Services, Inc. Term 1/1/ /31/2017 Total Amount $72,000 Prior Amount $76,000 Local Share $10,500 State Share $10,350 Federal Share $31,150 Project Budgeted? Yes Funds are in Account # Various. Please see attached budget CREATION: Date/Time: Department: 5/1/2017 8:50:06 AM Social Services APPROVALS: Date/Time: Approval: Department: 5/12/20179:09 AM Approved Budget and Research 5/12/20171:58 PM Approved County Executive 5/15/201710:17 AM Approved Legislature Chairman ATTACHMENTS: Name: Description: Type: IHS_Memo_2017.doc Memo Cover Memo IHS_Budget_2017.xls Budget Backup Material Item # 6

24 CHEMUNG COUNTY DEPARTMENT OF SOCIAL SERVICES HUMAN RESOURCE CENTER PENNSYLVANIA AVE. P.O. BOX 588 Elmira, New York PHONE NO: (607) FAX: (607) Jennifer Stimson Commissioner of Human Services Christine O Herron Director of Administrative Services TO: CC: FROM: Thomas Santulli, County Executive / Steve Hoover, Budget Director / County Legislature Jennifer Stimson, Commissioner of Human Services / Brian Hart, Director of Community Services / Christy Harmer, Director of Children s Integrated Services Christine O Herron, Director of Administrative Services DATE: April 26, 2017 RE: VARIOUS PROVIDERS OF PSYCHOLOGICAL AND DIAGNOSTIC SERVICES On behalf of the Chemung County Department of Mental Hygiene, please consider this correspondence as our request to renew various provider agreements for Psychological and Diagnostic Services for the period of 1/1/ /31/2018. Providers under this agreement will continue to provide psychological assessment for individuals referred by the County and provide diagnostic evaluation to assist the Court and Chemung County personnel in determining service/treatment plans for targeted individuals. Furthermore, this agreement will provide projective testing, determination of pathology, diagnostic impressions, and treatment recommendations for the individuals served. The Various Psychological and Diagnostic Services agreement is requested to remain $22,000 per year. Various providers may include, but are not limited to, Jeffrey Donnor, Ph.D. and Family Services of Chemung County. If you have any questions, please contact Jennifer Stimson at Thank you. Item # 7

25 ATTACHMENT B SCHEDULE IV VARIOUS PROVIDERS OF PSYCHOLOGICAL & DIAGNOSTIC SERVICES 01/01/ /31/2017 ACCOUNT NO. DEPARTMENT BUDGET FEDERAL STATE LOCAL Department of Mental Hygiene $12, $0.00 $0.00 $12, Children's Integrated Services $10, $0.00 $10, $0.00 $22, $0.00 $10, $12, Item # 7

26 CHEMUNG COUNTY ROUTE SLIP * PERSONNEL REQUISITION Resolution authorizing agreements with various psychological and diagnostic service providers on behalf of the Chemung County Department of Mental Hygiene Resolution #: 07 Slip Type: SEQRA status CONTRACT Explain action needed or Position requested (justification): Prior Resolution No Vendor/Provider Various Psychological and Diagnostic Providers Term 1/1/ /31/2018 Total Amount $22,000 per year Prior Amount $22,000 Local Share $12,000 State Share $10,000 Federal Share $0.00 Project Budgeted? Yes Funds are in Account # Please see attached budget CREATION: Date/Time: Department: 4/28/2017 8:35:59 AM Mental Hygiene APPROVALS: Date/Time: Approval: Department: 5/12/2017 9:50 AM Approved Budget and Research 5/12/2017 2:00 PM Approved County Executive 5/15/ :16 AM Approved Legislature Chairman ATTACHMENTS: Name: Description: Type: Various_Psych_and_Diag_Memo_2017.doc Memo Cover Memo Various_Psychol_and_Diag_Services_Budget_2017.xls Budget Backup Material Item # 7

27 CHEMUNG COUNTY DEPARTMENT OF SOCIAL SERVICES HUMAN RESOURCE CENTER PENNSYLVANIA AVE. P.O. BOX 588 Elmira, New York PHONE NO: (607) FAX: (607) Jennifer Stimson Commissioner of Human Services Christine O Herron Director of Administrative Services TO: CC: FROM: Thomas Santulli, County Executive / Steve Hoover, Budget Director / County Legislature Jennifer Stimson, Commissioner of Social Services / Brian Hart, Director of Community Services Christine O Herron, Director of Administrative Services DATE: May 2, 2017 RE: 2017 Elmira Psychiatric Center Memorandum of Understanding On behalf of the Chemung County Department of Mental Hygiene, please consider this correspondence as our request to renew the Memorandum of Understanding with the Elmira Psychiatric Center for the period of January 1, 2017 through December 31, Per the Office of Mental Health award letter dated March 13, 2017, the Elmira Psychiatric Center (EPC) will receive $10,112 in state aid. A complete fiscal analysis of the Southern Tier Transition plan occurred in Due to the extremely slow startup of many of the programs, the Elmira Psychiatric Center MOU will decrease by $86,166 in 2017 and re-appropriated to Wayne County for a multi-county prescriber service in that part of the region. Note, of the $10,112, the Chemung County Department of Mental Hygiene will retain a 10% administrative fee of $1,011. Therefore, a total of $9,101 is available to the Elmira Psychiatric Center in If you have any questions, please contact Jennifer Stimson at Thank you. Item # 8

28 ATTACHMENT B SCHEDULE IV Elmira Psychiatric Center 100 Washington Street Elmira, New York /01/ /31/2017 ACCOUNT NO. PROGRAM BUDGET FEDERAL STATE LOCAL Enhanced Community Support Services - Adult Transportation $ 1, $ - $ 1, $ Enhanced Community Support Services - Adult Wrap Services $ $ - $ $ Adult Respite Beds - Transportation $ - $ - $ - $ Youth Respite Beds - Transportation $ 4, $ - $ 4, $ Regional Family Support Teams - Transportation $ 1, $ - $ 1, $ - TOTAL $ 9, $ - $ 9, $ - Item # 8

29 CHEMUNG COUNTY ROUTE SLIP * PERSONNEL REQUISITION Resolution authorizing Memorandum of Understanding with Elmira Psychiatric Center on behalf of the Chemung County Department of Mental Hygiene Resolution #: 08 Slip Type: SEQRA status CONTRACT Explain action needed or Position requested (justification): Prior Resolution No Vendor/Provider Elmira Psychiatric Center Term 1/1/ /31/2017 Total Amount $9,101 Prior Amount $96,278 Local Share $0 State Share $9,101 Federal Share $0 Project Budgeted? Yes Funds are in Account # CREATION: Date/Time: Department: 5/2/2017 1:19:36 PM Mental Hygiene APPROVALS: Date/Time: Approval: Department: 5/12/20179:08 AM Approved Budget and Research 5/12/20171:57 PM Approved County Executive 5/15/201710:16 AM Approved Legislature Chairman ATTACHMENTS: Name: Description: Type: EPC_MOU_2017.doc Memo Cover Memo EPC_Budget_2017.xls Budget Backup Material Item # 8

30 CHEMUNG COUNTY DEPARTMENT OF SOCIAL SERVICES HUMAN RESOURCE CENTER PENNSYLVANIA AVE. P.O. BOX 588 Elmira, New York PHONE NO: (607) FAX: (607) Jennifer Stimson Commissioner of Human Services Christine O Herron Director of Administrative Services TO: CC: FROM: Thomas Santulli, County Executive / Steve Hoover, Budget Director / County Legislature Jennifer Stimson, Commissioner of Human Services / Brian Hart, Director of Community Services Christine O Herron, Director of Administrative Services DATE: April 28, 2017 RE: 2017 Self-Help Memorandum of Understanding On behalf of the Chemung County Department of Mental Hygiene, please consider this correspondence as our request to renew the Memorandum of Understanding with the Chemung County Department of Aging and Long Term Care. Per the Office of Mental Health award letter dated December 16, 2016, the Office of Aging and Long Term Care Self-Help program will receive $3,165 in state aid. The Self-Help program is provided to utilize rehabilitative and support activities based on the principle that people who share a common condition or experience can be of substantial assistance to one another. This program may take the form of mutual support groups and networks, or may be more formal self-help organizations that offer specific educational, recreational, social, or other program opportunities. If you have any questions, please contact Jennifer Stimson at Thank you. Item # 9

31 CHEMUNG COUNTY ROUTE SLIP * PERSONNEL REQUISITION Resolution authorizing Memorandum of Understanding with the Chemung County Department of Aging and Long Term Care on behalf of the Chemung County Department of Mental Hygiene Resolution #: 09 Slip Type: SEQRA status CONTRACT Explain action needed or Position requested (justification): Prior Resolution No Vendor/Provider Chemung County Department of Aging and Long Term Care Term 1/1/ /31/2017 Total Amount $3,165 Prior Amount $3,165 Local Share $0 State Share $3,165 Federal Share $0 Project Budgeted? Yes Funds are in Account # CREATION: Date/Time: Department: 4/28/2017 1:43:13 PM Mental Hygiene APPROVALS: Date/Time: Approval: Department: 5/12/20179:47 AM Approved Budget and Research 5/12/20172:00 PM Approved County Executive 5/15/201710:16 AM Approved Legislature Chairman ATTACHMENTS: Name: Description: Type: OFA_Self_Help_Memo_2017.doc Memo Cover Memo Item # 9

32 Item # 10

33 Item # 10

34 CHEMUNG COUNTY ROUTE SLIP * PERSONNEL REQUISITION Resolution approving Change Order #1 to agreement with RONCO Specialized Systems for the Call Light/Overhead Paging Project on behalf of Chemung County Nursing Facility Resolution #: 10 Slip Type: SEQRA status CONTRACT Explain action needed or Position requested (justification): Resolution # authorizing project contract of $336, for a new call light system and re-wiring of speaker system at Chemung County Nursing Facility requires a change order due to additional work that was needed during the implementation. See attachment for explanation (Quote 6043) of additional work needed due to unforeseen construction issues. Change order amount is $5,200 which would bring the new contract amount to $341, which is $1, over budget. Bond Resolution # authorized $110,000 and Bond Resolution # authorized $230,000 for a total project budget of $340,000. The additional $1, above project budget will be paid out of the Nursing Facility's operating budget. No additional bonding or General Fund will be needed for this change order. Vendor/Provider RONCO Specialty Systems Term Total Amount $341, Prior Amount $336, Local Share $34, State Share $134, Federal Share $168, Project Budgeted? Yes Funds are in Account # CREATION: Date/Time: Department: 5/11/2017 3:07:01 PM Nursing Facility APPROVALS: Date/Time: Approval: Department: 5/12/20179:15 AM Approved Budget and Research 5/12/20171:58 PM Approved County Executive 5/15/201710:32 AM Approved Legislature Chairman ATTACHMENTS: Name: Description: Type: RONCO_Quote_for_Call_Light.pdf RONCO Quote/Explanation of Work Cover Memo Item # 10