Video index
Roll Call: 7 members present, 0 members absent, 0 members excused.
9:00 A.M. CALL TO ORDER (ITEMS 1.01-1.03)
1.01 Pledge of Allegiance.
Supervisor McGowan stepped away from the dais.
1.02 Consider approval of agenda.
Motion to Minute Order No. 10-66: Approved agenda as submitted. Moved by Rexroad, seconded by Provenza.
Vote to Minute Order No. 10-66: Approved agenda as submitted. (Approved)
Supervisor McGowan returned to the dais.
1.03 Public Comment: Opportunity for members of the public to address the Board of Supervisors on subjects relating to county business. The Board of Supervisors reserves the right to impose a reasonable limit on time afforded to any topic or to any individual speaker.
Elaine Roberts Musser addressed the Board.
CONSENT AGENDA (ITEM 2.01)
2.01 No Consent Items
REGULAR AGENDA (ITEM 4.01)
County Administrator
4.01 Receive updates on countywide staffing study and countywide cost-savings strategies and conduct a workshop on the Alcohol, Drug & Mental Health and Employment & Social Services departments.
Recommended Action 4.01
Supporting Document 4.01A-ADMH
Supporting Document 4.01A-DESS
Supporting Document 4.01B
Elaine Roberts Musser addressed the Board.
Patrick addressed the Board. Mindi addressed the Board.
Mindi walked the members thru the 'Staffing Data at a Glance - ADMH - reduction from 2007 to 2010 of 39%. Pat Leary addressed the Board with a brief update of county options that were brought up at the February workshops.
Kim Suderman addressed the Board. Thanked the Board and also her management team for preparing the program descriptions. Managed care allocation is at risk for next year. CONREP - recommending this program be released back to the State. Those in the community and those potentially released back into the community. Redwood Toxicology - page 3 - recommending this contract be sent back to the State. MH Older Adult - page 5 - have not eliminated this program. The Grant thru A4AA covers the nurse position to assist the older adults. Ms. Musser addressed the Board on this item. There are misconceptions out there about services being provided/not provided. Kim - Case Management for the seriously mentally ill seniors will continue, but the services for the mentally ill will not be continuing. Ms. Musser - language barrier, in particular Russian, is impacting the Russian community, as there is no one to be able to provide this service. Kim indicated that they could make it a piece of hiring to include a foreign language. Adult Protective Services - page 7 - will be joining the Multi-Disciplinary Team. DUI - page 9 - recommending this be contracted out. Not funded fully for this program. Cost we do not recoup is $129,000. (includes overhead costs) R/Provenza - Motion to have the DUI program be contracted out to be implemented immediately 5/0 - adopt recommended action Redwood Toxicology R/Pr - 5/0 - begin immediately to send it back to the State - adopt recommended action
MHSA - page 11 - planning to continue to provide services. Sup. Thomson asked that signs be provided in the bldgs. for clients. Transportation is usually an issue. Crisis - page 13 - are continuing as indicated. (5150) Provide services during the day and after hours thru mobile crisis. During the day, the psychiatrist is the one responsible. During the evening and off hours, it is a little more difficult. Share on-call with Wdld Memorial. First 5150 then admitting thru psychiatrist to 3B North. Both must have a 24 hour response time. Agreed to share these services. Clearly funded for both sides. Each paying for 1/2 of the coverage. Having discussions with Sutter Davis on this as well, or some other format. Supervisor McGowan stepped away from the dais at 10:30 am. Insurance is billed, but may not recoup the entire cost. Current proposal is to continue funding and providing the contracts. Are looking at being more efficient. Break at 10:50 am for 5 minutes
returned at 11:00 am - all present except for Supervisor McGowan. Approved agenda R/Pr 4/1 -absent McGowan.
MH Treatment - page 15 - decreased the amount of folks in these programs from 30 to 15 placements. Sup. Rexroad would like to know in the future how people are placed in this system, according to cost. EPSDT - page 17 - last year they begin looking at the target populations - some are missing like 0-5 year olds (will work with First 5 Yolo) and how we do our services differently. Have to serve serious mentally disturbed kids. Do not have formally identified sites. They know they are missing some kids and serve that population. Want to put out an RFP to broaden their access to these kids. Chapter 26.5 of the Government Code (IDEA) - page 21 - currently provide but not always reimbursed Triage and Care - page 23 Quality Improvement - p. 25 Transitional Age Youth - p. 27 - adult half of transitional youth who are 18-24 and seriously mentally ill adults Older adults - p. 29 - mental services act - community based intensive service Urban Children's Resiliency Program - p 31 - continuing as in the past - early intervention CSS Children and Youth program - p. 33 - mental health services to children/youth under the age of 18 Wrap around - p. 35 Cal works program - p. 37
Drug Courts - p. 39 - continuing program Perinatal Treatment - p.41 continuing program Rural Children Resiliency Program - p. 43 Felony Drug Court - p. 45 - will continue Crime prevention - p. 47 SAMHSA - p. 49 - seriously mentally ill kids and adults - will continue Early Signs Training and Assistance Program p. 51 - education and training on mental health for community agents Capital Facilities - p. 53 - own or lease? what's the best option. Cap. Facilities means we have to own the bldg. Has to be ours. We could lease space out, and it would not impact the money received. Chemical dependency program - p. 55 Targeted Capacity Expansion p. 57 Senior Peer Counselors - p. 59 Child Abuse Treatment - p. 61
Offender Treatment Program p. 63 - will continue Justice Assistance Grant - p. 65 - Mental health services - p 67 - above threshold of Med-Cal and Healthy Families Therapeutic Behavioral Services- p. 69 - medi-cal service Juvenile Hall services thru CFMG - p. 71 - this program might go Workforce Education and Training - p. 73 Crisis Intervention Training Program - p. 75 Friday Night Live - p. 77 - will continue Healthy Families mental health coverage - p. 79 (may be cut by the Governor) - just above medi-cal threshold for youth age 19 and under PATH - p. 81 - will continue CFMG - p. 83 (Discretionary) - release and discharge planning Sup. Rexroad left dais at 11:59 pm Inmate - p. 85 Misdemeanor charges - p. 87
Substance use disorders - p. 89 Partnership with Friday Night Live - p. 91 Prevention program p 91 and 93 and 95 Housing - p. 97 - has not been developed yet Innovation Component - p. 99 - has not been developed yet Prevention Program - p. 101 - Sup. Rexroad arrived at12:05 pm Ends the ADMH portion of this program adjourned at 12:07 pm - Sup. McGowan will not be returning.
Returned at 1:11 pm - Sup. Chamberlain, Thomson and Rexroad, Provenza. ABSENT: McGowan
Elaine Roberts Musser addressed the Board about DESS. Pam Miller addressed the Board. Explained the chart of budget totals and FTE. IHSS has risen a lot over the past decade; retirement incentive, raised group rate by 32% back to December. Lost a lot of staff and in some areas staff costs increased and received some one time funds. Anticipating no layoffs form the savings of those laid off in February. Still uncertainty with the State Budget. MOE (Maintenance of Effort) is a set amount of money allocated for programs (threshold match), County Match and County Share (%). For 2010/11 - will only spend the allocation of the MOE and not go into over-match.
Public Authority - p. 1 - maintaining # of provider hours. 192 on the registry. Current rate is $10.50/hr. Sup. Rexroad does not understand why IHSS comes under the County umbrella. Public Authority is the employer of record. Child Welfare Services - p. 3 - significant reductions in the past year. Re-unify 58% of the time. **Board would like to see if they could find $100,000 to fill in this particular item for this year to get matching funds** Adult Protective Services - p. 7 - 450 to 550 cases a year. Elder Justice Act passed yesterday, which will hopefully bring federal funding, not state or county. Once client is evaluated, they are directed to the right area - DA or Public Guardian. CalWORKS - p. 9 - Will not do over-match, as the State is unreliable in paying. Program is last resort for families with children. 5627 total people with 4143 are children and 1487 are adults. Housing and food stamp comes into the program. These people are really dire when they come into the program. Maximum program is for 5 years. Once they reach the 5 years, allocation to parent is deleted but children still receive grant. Spoke of the Cal-Learn program. Assistance payments - p. 15 - Foster Care eligibility - p. 17 - $25,000 is a required portion. 4143 children are receiving foster care payments, not necessarily in foster care. IHSS - p. 19 - fraud is very low in this program - Pam sees very little of this. Food Stamps - p. 21 - thru CalWORKS and separately, without being in CalWORKS - 70 % rise from 2003 to 2009. 5019 children and 5519 adults. Thinks 48% of those who could qualify have not.
Can use Food Stamps in the Farmers Markets - EBT card. Medi-Cal eligibility - p. 232 - receive about 725 apps amount 16, 133 children and 10, 152 adults. Program where assets are very low. Share of cost depending on your income. Need to have children or disabled adult or elder. YCHIP - p. 25 - County does eligibility for the program. Health Dept. administers the program. General Assistance - p. 27 - mandated program. General Fund Program. Ave. benefit is about $260. Have seen a drop in case load. If clients should be off the program, then they should be off the program. Applies between t he ages 18 to 64. Independent Living Program - p. 29 foster care youth - 212 could potentially participating. Currently have 20 youth. Difficult for these youth to see the need to gain skills for independent living. TANF - p. 31 - great program - provided over 1000 families with children with support. 200% of poverty level to gain from this program THP+ - p. 33 - 13 participants but currently serving 6. Risk is that they will begin working with these youth in July, and it may not be funded in the next year. Send letter to Senator Steinberg on this issue (per Sup. Thomson) Regular Workforce Investment Act - p.35 - dislocated Worker Program and Youth Program 114% increase in request for services. Work with larger companies. Teach them how to interview, resumes, dressing, job training, Sup. Chamberlain asked what businesses they call, because he has not been called.
CalWIN - p. 37 - automates the programs. CSBG - p. 39 - pass through of these funds - pays for coordination of homeless shelters - working with Cities. Patrick - asks that we could continue so Sup. Rexroad's question can be answered. Pat Leary provided a layout for Friday's meeting. Motion to continue to Friday - Pr/R 4/0/1 Absent - McGowan
Received updates on countywide staffing study and countywide cost-savings strategies and conducted a workshop on Alcohol, Drug & Mental Health and Employment & Social Services departments.
Motion to Minute Order No. 10-67: Approved immediate implementation of contracting out the Driving Under the Influence Program. Moved by Rexroad, seconded by Provenza.
Vote to Minute Order No. 10-67: Approved immediate implementation of contracting out the Driving Under the Influence Program. (Approved)
Motion to Minute Order No. 10-68: Approved ending the Redwood Toxicology Laboratory contract on June 30, 2010 and immediate action to send the Conditional Release Program (CONREP) contract back to the State. Moved by Rexroad, seconded by Provenza.
Vote to Minute Order No. 10-68: Approved ending the Redwood Toxicology Laboratory contract on June 30, 2010 and immediate action to send the Conditional Release Program (CONREP) contract back to the State. (Approved)
The Board of Supervisors recessed at 10:50 A.M. and reconvened at 11:00 A.M. All members except Supervisor McGowan were present. Chairwoman Thomson presided.
The Board of Supervisors recessed at 12:10 P.M. and reconvened at 1:10 P.M. All members except Supervisor McGowan were present. Chairwoman Thomson presided.
The workshop on the Department of Employment & Social Services was continued to March 26, 2010.
ADJOURNMENT
Next Board of Supervisors budget workshop scheduled for: March 26, 2010
I declare under penalty of perjury that the foregoing agenda was posted March 19, 2010 by 5:00 P.M. at the following places:
1. On the bulletin board at the east entrance of the Erwin W. Meier Administration Building, 625 Court Street, Woodland, California; and
2. On the bulletin board outside the Board of Supervisors Chambers, Room 206, in the Erwin W. Meier Administration Building, 625 Court Street, Woodland, California.
I declare under penalty of perjury that the foregoing agenda will be posted no later than March 19, 2010 by 5:00 P.M. as follows:
3. On the Yolo County website: www.yolocounty.org. Julie Dachtler, Deputy Clerk of the Board By: Deputy NOTICE
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Mar 23, 2010 Board of Supervisors Budget Workshops
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Roll Call: 7 members present, 0 members absent, 0 members excused.
9:00 A.M. CALL TO ORDER (ITEMS 1.01-1.03)
1.01 Pledge of Allegiance.
Supervisor McGowan stepped away from the dais.
1.02 Consider approval of agenda.
Motion to Minute Order No. 10-66: Approved agenda as submitted. Moved by Rexroad, seconded by Provenza.
Vote to Minute Order No. 10-66: Approved agenda as submitted. (Approved)
Supervisor McGowan returned to the dais.
1.03 Public Comment: Opportunity for members of the public to address the Board of Supervisors on subjects relating to county business. The Board of Supervisors reserves the right to impose a reasonable limit on time afforded to any topic or to any individual speaker.
Elaine Roberts Musser addressed the Board.
CONSENT AGENDA (ITEM 2.01)
2.01 No Consent Items
REGULAR AGENDA (ITEM 4.01)
County Administrator
4.01 Receive updates on countywide staffing study and countywide cost-savings strategies and conduct a workshop on the Alcohol, Drug & Mental Health and Employment & Social Services departments.
Recommended Action 4.01
Supporting Document 4.01A-ADMH
Supporting Document 4.01A-DESS
Supporting Document 4.01B
Elaine Roberts Musser addressed the Board.
Patrick addressed the Board. Mindi addressed the Board.
Mindi walked the members thru the 'Staffing Data at a Glance - ADMH - reduction from 2007 to 2010 of 39%. Pat Leary addressed the Board with a brief update of county options that were brought up at the February workshops.
Kim Suderman addressed the Board. Thanked the Board and also her management team for preparing the program descriptions. Managed care allocation is at risk for next year. CONREP - recommending this program be released back to the State. Those in the community and those potentially released back into the community. Redwood Toxicology - page 3 - recommending this contract be sent back to the State. MH Older Adult - page 5 - have not eliminated this program. The Grant thru A4AA covers the nurse position to assist the older adults. Ms. Musser addressed the Board on this item. There are misconceptions out there about services being provided/not provided. Kim - Case Management for the seriously mentally ill seniors will continue, but the services for the mentally ill will not be continuing. Ms. Musser - language barrier, in particular Russian, is impacting the Russian community, as there is no one to be able to provide this service. Kim indicated that they could make it a piece of hiring to include a foreign language. Adult Protective Services - page 7 - will be joining the Multi-Disciplinary Team. DUI - page 9 - recommending this be contracted out. Not funded fully for this program. Cost we do not recoup is $129,000. (includes overhead costs) R/Provenza - Motion to have the DUI program be contracted out to be implemented immediately 5/0 - adopt recommended action Redwood Toxicology R/Pr - 5/0 - begin immediately to send it back to the State - adopt recommended action
MHSA - page 11 - planning to continue to provide services. Sup. Thomson asked that signs be provided in the bldgs. for clients. Transportation is usually an issue. Crisis - page 13 - are continuing as indicated. (5150) Provide services during the day and after hours thru mobile crisis. During the day, the psychiatrist is the one responsible. During the evening and off hours, it is a little more difficult. Share on-call with Wdld Memorial. First 5150 then admitting thru psychiatrist to 3B North. Both must have a 24 hour response time. Agreed to share these services. Clearly funded for both sides. Each paying for 1/2 of the coverage. Having discussions with Sutter Davis on this as well, or some other format. Supervisor McGowan stepped away from the dais at 10:30 am. Insurance is billed, but may not recoup the entire cost. Current proposal is to continue funding and providing the contracts. Are looking at being more efficient. Break at 10:50 am for 5 minutes
returned at 11:00 am - all present except for Supervisor McGowan. Approved agenda R/Pr 4/1 -absent McGowan.
MH Treatment - page 15 - decreased the amount of folks in these programs from 30 to 15 placements. Sup. Rexroad would like to know in the future how people are placed in this system, according to cost. EPSDT - page 17 - last year they begin looking at the target populations - some are missing like 0-5 year olds (will work with First 5 Yolo) and how we do our services differently. Have to serve serious mentally disturbed kids. Do not have formally identified sites. They know they are missing some kids and serve that population. Want to put out an RFP to broaden their access to these kids. Chapter 26.5 of the Government Code (IDEA) - page 21 - currently provide but not always reimbursed Triage and Care - page 23 Quality Improvement - p. 25 Transitional Age Youth - p. 27 - adult half of transitional youth who are 18-24 and seriously mentally ill adults Older adults - p. 29 - mental services act - community based intensive service Urban Children's Resiliency Program - p 31 - continuing as in the past - early intervention CSS Children and Youth program - p. 33 - mental health services to children/youth under the age of 18 Wrap around - p. 35 Cal works program - p. 37
Drug Courts - p. 39 - continuing program Perinatal Treatment - p.41 continuing program Rural Children Resiliency Program - p. 43 Felony Drug Court - p. 45 - will continue Crime prevention - p. 47 SAMHSA - p. 49 - seriously mentally ill kids and adults - will continue Early Signs Training and Assistance Program p. 51 - education and training on mental health for community agents Capital Facilities - p. 53 - own or lease? what's the best option. Cap. Facilities means we have to own the bldg. Has to be ours. We could lease space out, and it would not impact the money received. Chemical dependency program - p. 55 Targeted Capacity Expansion p. 57 Senior Peer Counselors - p. 59 Child Abuse Treatment - p. 61
Offender Treatment Program p. 63 - will continue Justice Assistance Grant - p. 65 - Mental health services - p 67 - above threshold of Med-Cal and Healthy Families Therapeutic Behavioral Services- p. 69 - medi-cal service Juvenile Hall services thru CFMG - p. 71 - this program might go Workforce Education and Training - p. 73 Crisis Intervention Training Program - p. 75 Friday Night Live - p. 77 - will continue Healthy Families mental health coverage - p. 79 (may be cut by the Governor) - just above medi-cal threshold for youth age 19 and under PATH - p. 81 - will continue CFMG - p. 83 (Discretionary) - release and discharge planning Sup. Rexroad left dais at 11:59 pm Inmate - p. 85 Misdemeanor charges - p. 87
Substance use disorders - p. 89 Partnership with Friday Night Live - p. 91 Prevention program p 91 and 93 and 95 Housing - p. 97 - has not been developed yet Innovation Component - p. 99 - has not been developed yet Prevention Program - p. 101 - Sup. Rexroad arrived at12:05 pm Ends the ADMH portion of this program adjourned at 12:07 pm - Sup. McGowan will not be returning.
Returned at 1:11 pm - Sup. Chamberlain, Thomson and Rexroad, Provenza. ABSENT: McGowan
Elaine Roberts Musser addressed the Board about DESS. Pam Miller addressed the Board. Explained the chart of budget totals and FTE. IHSS has risen a lot over the past decade; retirement incentive, raised group rate by 32% back to December. Lost a lot of staff and in some areas staff costs increased and received some one time funds. Anticipating no layoffs form the savings of those laid off in February. Still uncertainty with the State Budget. MOE (Maintenance of Effort) is a set amount of money allocated for programs (threshold match), County Match and County Share (%). For 2010/11 - will only spend the allocation of the MOE and not go into over-match.
Public Authority - p. 1 - maintaining # of provider hours. 192 on the registry. Current rate is $10.50/hr. Sup. Rexroad does not understand why IHSS comes under the County umbrella. Public Authority is the employer of record. Child Welfare Services - p. 3 - significant reductions in the past year. Re-unify 58% of the time. **Board would like to see if they could find $100,000 to fill in this particular item for this year to get matching funds** Adult Protective Services - p. 7 - 450 to 550 cases a year. Elder Justice Act passed yesterday, which will hopefully bring federal funding, not state or county. Once client is evaluated, they are directed to the right area - DA or Public Guardian. CalWORKS - p. 9 - Will not do over-match, as the State is unreliable in paying. Program is last resort for families with children. 5627 total people with 4143 are children and 1487 are adults. Housing and food stamp comes into the program. These people are really dire when they come into the program. Maximum program is for 5 years. Once they reach the 5 years, allocation to parent is deleted but children still receive grant. Spoke of the Cal-Learn program. Assistance payments - p. 15 - Foster Care eligibility - p. 17 - $25,000 is a required portion. 4143 children are receiving foster care payments, not necessarily in foster care. IHSS - p. 19 - fraud is very low in this program - Pam sees very little of this. Food Stamps - p. 21 - thru CalWORKS and separately, without being in CalWORKS - 70 % rise from 2003 to 2009. 5019 children and 5519 adults. Thinks 48% of those who could qualify have not.
Can use Food Stamps in the Farmers Markets - EBT card. Medi-Cal eligibility - p. 232 - receive about 725 apps amount 16, 133 children and 10, 152 adults. Program where assets are very low. Share of cost depending on your income. Need to have children or disabled adult or elder. YCHIP - p. 25 - County does eligibility for the program. Health Dept. administers the program. General Assistance - p. 27 - mandated program. General Fund Program. Ave. benefit is about $260. Have seen a drop in case load. If clients should be off the program, then they should be off the program. Applies between t he ages 18 to 64. Independent Living Program - p. 29 foster care youth - 212 could potentially participating. Currently have 20 youth. Difficult for these youth to see the need to gain skills for independent living. TANF - p. 31 - great program - provided over 1000 families with children with support. 200% of poverty level to gain from this program THP+ - p. 33 - 13 participants but currently serving 6. Risk is that they will begin working with these youth in July, and it may not be funded in the next year. Send letter to Senator Steinberg on this issue (per Sup. Thomson) Regular Workforce Investment Act - p.35 - dislocated Worker Program and Youth Program 114% increase in request for services. Work with larger companies. Teach them how to interview, resumes, dressing, job training, Sup. Chamberlain asked what businesses they call, because he has not been called.
CalWIN - p. 37 - automates the programs. CSBG - p. 39 - pass through of these funds - pays for coordination of homeless shelters - working with Cities. Patrick - asks that we could continue so Sup. Rexroad's question can be answered. Pat Leary provided a layout for Friday's meeting. Motion to continue to Friday - Pr/R 4/0/1 Absent - McGowan
Received updates on countywide staffing study and countywide cost-savings strategies and conducted a workshop on Alcohol, Drug & Mental Health and Employment & Social Services departments.
Motion to Minute Order No. 10-67: Approved immediate implementation of contracting out the Driving Under the Influence Program. Moved by Rexroad, seconded by Provenza.
Vote to Minute Order No. 10-67: Approved immediate implementation of contracting out the Driving Under the Influence Program. (Approved)
Motion to Minute Order No. 10-68: Approved ending the Redwood Toxicology Laboratory contract on June 30, 2010 and immediate action to send the Conditional Release Program (CONREP) contract back to the State. Moved by Rexroad, seconded by Provenza.
Vote to Minute Order No. 10-68: Approved ending the Redwood Toxicology Laboratory contract on June 30, 2010 and immediate action to send the Conditional Release Program (CONREP) contract back to the State. (Approved)
The Board of Supervisors recessed at 10:50 A.M. and reconvened at 11:00 A.M. All members except Supervisor McGowan were present. Chairwoman Thomson presided.
The Board of Supervisors recessed at 12:10 P.M. and reconvened at 1:10 P.M. All members except Supervisor McGowan were present. Chairwoman Thomson presided.
The workshop on the Department of Employment & Social Services was continued to March 26, 2010.
ADJOURNMENT
Next Board of Supervisors budget workshop scheduled for: March 26, 2010
I declare under penalty of perjury that the foregoing agenda was posted March 19, 2010 by 5:00 P.M. at the following places:
1. On the bulletin board at the east entrance of the Erwin W. Meier Administration Building, 625 Court Street, Woodland, California; and
2. On the bulletin board outside the Board of Supervisors Chambers, Room 206, in the Erwin W. Meier Administration Building, 625 Court Street, Woodland, California.
I declare under penalty of perjury that the foregoing agenda will be posted no later than March 19, 2010 by 5:00 P.M. as follows:
3. On the Yolo County website: www.yolocounty.org. Julie Dachtler, Deputy Clerk of the Board By: Deputy NOTICE
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