Embed Size (px)
Citation preview
HRA1-13-2014
Paul Fleissner, CS Director
OLMSTED COUNTYCOMMUNITY SERVICES
A safe, thriving, and inclusive community !
C O M M U N I T Y S E RV I C E S W O R K S I N PA RT N E R S H I P T O F U L F I L L I T S R E S P O N S I B I L I T I E S F O R T H E S A F E T Y , W E L L -B E I N G A N D S TA B I L I T Y
O F C H I L D R E N , FA M I L I E S A N D A D U LT S I N O L M S T E D C O U N T Y.
Community Services Department Strategy Map
Prioritize and Sustain Effective Services
Demonstrate Sound Fiscal Management
Pursue Operational Excellence
Recruit a Diverse Workforce
Build the Community
Managethe
Resources
Run the Business
Develop the Employees
“Managing for Results (M4R) – Olmsted County’s Strategic Management System” September 2011
ResponsivenessAccountability
InnovationProfessionalism
AdvocacyValues
Vision: “A Safe, Thriving and Inclusive Community”
Mission: “Community Services partners for the safety, well-being, and stability of children, families, and adults in Olmsted County”
Engage and Leverage Key Stakeholders
Implement Effective and Innovative Technology
Build a Competent Workforce
Promote Staff Resilience
DEPARTMENT FACTS
2013 Community Services budget $66,053,320
DFO $8,853,850
Human Services $57,199,470
2013County budget $199,335,065
% of County budget 33%
# CS employees 411.10 FTE (382 full time)
DFO – 77.10 FTE (71 full time)
Human Services – 334.00 FTE (311 full time)
Adult &Family Services Division
… Adult Foster Care… Adult Protection… Developmental Disabilities… Home & Community Care… Homeless Services
… Medical Assistance & State Health Care Programs
… Food Support
… General Assistance
Child & Family Services Division
…Adolescent Services
…Child Mental Health
…Child Foster Care/ Child Care Licensing
…Child Protection
FamilySupport &Assistance Division
Olmsted County Board
Community Social Services Advisory
Board
County Administration
DIRECTORCommunity
ServicesPaul Fleissner
January 2014
… Integrated Behavioral Health
… Planning/Evaluation/ Contracting
… Support Services… Volunteer Drivers… Ways To Give
Veteran Services
… Day Treatment & Community Alternative
… Adult Supervision Unit
… Intake Unit
… Juvenile Probation
… Dodge & Fillmore County Probation Services
Community Corrections
… Supervised Release Unit (SR)
… Support Unit
… Victim Services
… Olmsted County Juvenile Detention Center
… Child Welfare Services
… Early Intervention
… Family Involvement Strategies
… Intake
… MFIP (Minnesota Family Investment Program
… Child Care Assistance Program
… Child Support
Dodge, Fillmore, Olmsted
Joint Powers Board
Community Corrections Advisory Board
HRAAdministering
Board
Dodge County Board
Fillmore County Board
OLMSTED COUNTY COMMUNITY SERVICES A safe, thriving, and inclusive community!
OC Housing & Redevelopment
Authority
… Low Income Public Housing
… Housing Choice Voucher
… Rental Rehab Monitoring
… Shelter Plus Care
… Housing Options
… T-RAP
2003 2004 2005 2006 2007 2008 2009 2010 2011 201220
30
40
50
60
70
80
Pe
rce
nt
of
Bu
dg
et
State Mandates - Impact on the Tax LevyWhat is Happening in 2012 - Reality
Community Services - Levy Vs Intergovernmental Funding
Intergovernmental and FeesLevy
$68.5 million over 9 yearsLevy
Dr. Jerry Mechling, PhD …………….. http://www.innovations.harvard.edu/
Generative Business Model
IntegrativeBusiness Model
CollaborativeBusiness Model
RegulativeBusinessModel
Outcom
e
Effectiv
eness
HUMAN SERVICES VALUE CURVE
Effectiveness In Achieving Outcomes
OLMSTED COUNTY INTEGRATING OUR WORK ACROSS
COMMUNITY SERVICES
HOUSING
TRANSPORTATION
DA
TA A
NA
LYT
ICS
“All Doors Lead To Hope”
PORTFOLIO OF IT ASSETS
DFO CFSPublic Assistance
VeteransAFS
EMPLOYMENT/HEALTH CARE
PE
RF
OR
MA
NC
E
IND
ICA
TO
RS
AFS (Adult & Family Services) CFS (Child & Family Services) DFO (Dodge/Fillmore/Olmsted Community Corrections)
HRA (Housing & Redevelopment Authority)
HRA
ADULT & FAMILY SERVICES 2013 TRENDS
More Creative Housing Options becoming available for people with Disabilities
Increasing services for people experiencing Homelessness
Improving Care Coordination between Behavioral Health and Primary Healthcare
Statewide Outcome Measures for Adult Social Services
ADULT & FAMILY SERVICES 2013 OPPORTUNITIES
Healthcare Reform
Structured Decision Making offering better Safety Outcomes for Vulnerable Adults
Re-entry Service Implementation
Innovative Supportive Housing Options
Integration Across Multiple Service Options
ADULT & FAMILY SERVICES 2013 CHALLENGES
Keeping people insured
Psychiatric services access
Supportive Housing Service funding
Maintaining Homeless Service Level
Quality, accessible, affordable housing
Maintaining early intervention services
Integrating social services and health care
CHILD & FAMILY SERVICES 2013 TRENDS
Disproportionality of children of color in out-of-home placements.
Increased number of sibling groups in placement-parental alcohol and/or drug abuse was a primary factor.
Increased number of children/youth living outside of Olmsted County due to an increase emphasis on placing children with relatives (44% placed outside of Olmsted County in 2011).
Child Protection is serving more children and families in poverty who lack adequate basic needs including affordable housing, employment with sufficient income and transportation.
Children entering Children’s Mental Health Services are reflecting higher level of care needs with complex diagnosis.
Approximately 20% of families receiving CMH services involve adopted children- research indicate that up to 1/3 of adopted children have mental health issues and 40% exhibit problem behaviors.
CHILD & FAMILY SERVICES 2013 OPPORTUNITIES
Family Finding/Family Group Decision Making Grant- creating an integrated model for children/youth at risk, entering or are in out-of-home placement settings in Child and Family and Juvenile Corrections.
Trauma-Informed System of Care (Chadwick Center)- Super Community opportunity to assess current system of care, create a plan to develop a comprehensive system of care within our community and to then provide the training/resources to integrate trauma-informed in Community Services and community partners.
CMH Block Grants- School Based Mental Health Services and Mobile Crisis Grant
Partnerships with local school districts- Rochester Public Schools (SAFE Program and Special Education/mental health system), Dover-Eyota (School-based County Social Worker), Byron and Stewartville (Collaboration for Success).
Multi-Disciplinary Teams;
Child Advocacy Center: Mayo, Community Services, LEC, & County Attorney
Olmsted Family Services Collaborative
AOD (Alcohol & Other Drug) partnership: Olmsted Medical, Mayo, Community Services, CD Treatment Providers, Corrections, Public Health
Chronic Neglect Inititiave
CHILD AND FAMILY SERVICES2013 CHALLENGES
Protecting children from maltreatment
Protect women and children in domestic violence
Supporting adolescents at-risk of placement
Housing with supports for homeless families and youth.
Quality, accessible, affordable housing
Maintaining early intervention services
Maintaining child mental health services
Increase access to child & adolescent psychiatry
Responding to Federal requirement of implementing a trauma-informed child welfare system.
Supporting youth in extended foster care
Protecting children from chronic neglect
FAMILY SUPPORT & ASSISTANCE 2013 CHALLENGES
Having integrated technology for effective access, ensuring efficiency of processes, maintaining accountability, and sustaining responsiveness during policy change and service growth.
Policy simplification
Federal/State mandates that create unfunded work at the local level (i.e. EBT card-wasn’t fully taken over=more problems).
Sustaining trained workforce in face of complex policy, insufficient funding for personnel to keep up with case growth, and lack of integrated or interfacing program systems.
Currently run two systems MAXIS/MMIS. With implementation of the Health Care Exchange (HIX) will be operating health care component on a separate eligibility system, with the other two systems in place for cash and SNAP programs.
FAMILY SUPPORT & ASSISTANCE2013 TRENDS
Health care increased caseloads/intakes
Staff turnover-takes 12-18 months before they are fully trained
Impact of Health care Exchange (HIX)
Estimated Distribution of new Enrollees-ACA Changes Total New MA Enrollees = 4,710
PROJECTED MA EXPANDED ENROLLMENT
Change Timeline Statewide Olmsted County
1. Transfer from MinnesotaCare to MA
Begin 12-15-2013 107,455 2,673
2. New participants (currently not on MNCR or MA)
10-1-2013– open enrollment
44,417 1,089
3. Clients who stay on MA due to policy changes (avoiding ‘churning’)
1-1-2014 (with conversion to Curam)
63,782 1,416
Total Additions (individuals) 215,654 5,178
Total Additions (cases)(average 1.69 average individuals/case statewide; 1.74 individuals/case in Olmsted County)
127,606 2,975
Source: DHS, February 2013
DEPARTMENTAL PRIORITY GOALS
Operational Excellence
• INTEGRATION
Sustain Effective Services
• HOUSING
Effective & Innovative
• TECHNOLOGY
EXAMPLES OF INTEGRATIVE WORK
Community Services Integration Team
Navigator Pilot Project
Human Services Cell Phone Application
Analytics work –
Internal (Tableau)
External with IBM and Mayo Clinic
EXAMPLES OF INTEGRATIVE WORK
Coalition for Community Health Integration
Crossover Positions – DFO & SS
Integrating Intake – ABHU & CMH
Traveling Eligibility Workers
Guiding Partners for Solutions (GPS)
HUMAN SERVICES APP
Scan This
To Get
WHAT ELSE DOES OC FIND IT! PROVIDE?… A service catalogue with program descriptions for: • Adults• Seniors• Aging & Disabilities• Family/Children/Youth• Financial/Health Care Assistance• Corrections/Probation• Volunteer Opportunities… Map it function… Web site link… Call button
http://www.co.olmsted.mn.us/cs/Pages/OCFindItSupport.aspx
Thank You
QUESTIONS ??
