Transcript 2016 Budget Process - Olmsted County, Minnesota

2016 Budget Process
Presented to CSAB
June 10, 2015
Community Services Department Strategy Map
Vision:
“A Safe, Thriving and
Inclusive Community”
Build the
Community
Mission: “Community Services partners for the safety, well-being,
and stability of children, families, and adults in Olmsted County”
Manage
the
Resources
Run the
Business
Develop
the
Employee
s
Values
Engage and Leverage
Key Stakeholders
Prioritize and Sustain
Effective Services
Demonstrate Sound
Fiscal Management
Implement Effective and
Innovative Technology
Recruit a Diverse
Workforce
Pursue Operational
Excellence
Build a Competent
Workforce
Responsiveness
Promote Staff
Resilience
Innovation
Accountability
“Managing for Results (M4R) – Olmsted County’s Strategic Management System”
September 2011
Advocacy
Professionalism
Opportunities/Challenges
Housing
New
Funding
Community
Partnerships
Cross Divisional
Departmental Partnerships
Integration
Child
Protection
Behavioral
Health Access
MNSure
LEAP
Growth in Caseloads
and Workloads
Technology
Cost Shifts/Cuts
Environmental Factors
• Federal deficits
• Legislative Successes
• CRAFT Funding and Expansion
• CPS Funding
• Housing dollars
• Olmsted County and Community Services (CS) added to reserves the past 7 years
• Organization integration and alignment
• Child Protection Policy Debate
• Sex Offender Policy Debate
• RTC Cost Shifts
• HRA integration
Environmental Factors
•
CS has a reserve of about 43% of total revenues. This is within the
recommended amount from the state auditor of 35-50%.
•
To cover growth in costs we typically need 3-5% depending on labor
agreements, insurance increases, and pension payment changes.
•
Community Services has been proactive the past few years by improving
processes around case management reimbursement, aggressively going after
new funding resources, and attracting several grants.
•
HRA Levy request
•
Transportation funding pressures
•
Children’s services growth along with child protection policy changes
•
Successful care coordination contracting
•
Targeted case management changes
Emerging External Partnerships
• Community Collaborative for
Health Intervention
• Community Housing Partnership
• Mayo Clinic Foundation
• Mental Health Structured
Decision Making Tool
• Regional Mobile Crisis
• Rochester Area
Foundation
• United Way
• Currently selling
multiple services to
regional counties
• Regional Mobile Crisis
Services
•Mobile Services
•Social Media
•Sharepoint 2013
•U of M partnership – app
for applying for benefits.
Integration
Across
Agencies
Technology
Service
Supports to
Other
Counties
Greater
MN
Housing
Fund
• Housing Plan for Olmsted
County
• Leveraging local resources
including HRA supports
6
Emerging Integration Opportunities
• Collective Impact – an integrated human
services community
• Community Health Needs Assessment
• Mayo Clinic Becoming an Affordable Care
Organization
• HRA
• CCHI – Collaborative for Community Health
Integration
Target and At-Risk
Populations for Investment
Residents of Health
Care Institutions who
Prefer to Live in the
Community
Frequent or High
Utilizes of Health or
other Crisis
Resources
Target
Populations
People Exiting Jail or
other State Prison,
with Chronic Health
or MH Conditions
Families with High
Utilization of Child
Welfare Systems
A safe, thriving and inclusive community.
OCCS Housing Continuum
Short Term
Housing
 Familyfocused on
child safety
• Emergency
housing
• 1 to 4 mo.
• Intensive case
management
in home
• Transitional
housing
Vouchers
School Housing
Program
• Family-focused
on child safety
• Family
unification
issues solvable
with housing
• Intensive case
management
in home
• Lifetime
voucher for
families
• 18 month
voucher for
transition age
youth
• School and
self-sufficiency
focus
• Homeless
families with
McKinney
Vento Status
• Children must
be enrolled in
school district
(BVSD or
SWSD)
• 2 years of
intensive case
management
in home
HSP - DHHS
• Self-sufficiency
focus
• Eviction
prevention
• Rapid rehousing
• Utilities and
deposit or rent
• Monthly case
management
• Financial
literacy
• Job-focus
• 4 mo to 12 mo
HSP
Community
Family SelfSufficiency
• Same as HSPDHHS but with
communitybased referrals
• Communitybased case
management
• 4 mo to 12 mo
• Self-sufficiency
focus
• 5 years of
monthly case
management
and rent
support
• Focus on adult
education and
job training
• Housing
Development
and Housing
Choice
• Lower-risk
profile
2015 Investments
Highlights From Last Year
1.0 FTE Child Protection Assessment Social
Worker - Regulative
• Increase of 29% in caseload growth.
• Capacity to handle increase in family investigations
Augment Developmental Disabilities (DD)
Employment Services – Collaborative
• 8 new graduates will receive County funded vocational
services officially moving off the waiting list
2015 Investments
Increase Semi-Independent Living Services (SILS)
funding – Integrative
• Allowed 4 new recipients to receive SILS services
o Improved quality of life, community interaction and training, and assistance
with managing significant medical issues
Increase funding for use of Family Involvement
Strategies with adults – Integrative
• Ability to serve 3-5 families with adults needing this support.
Provide funding to support the Fathers’
Project – Generative
• Addition of 1 FTE allowing for the ability to serve 100% more participants
• Served 121 participants since January 2015 (97 fathers)
2015 Investments
Corrections increased .55 FTE
• During the first four months of 2015, we have encountered a
25% increase in ‘opened’ clients in Dodge County (compared
to four month averages during 2013 and 2014).
• Pre-Sentence Investigation completion rate in 2015 has more
than doubled previous year’s averages.
• We currently have two staff supervising between 900 – 1000
clients in any given month on our Telephone Reporting System
Increase services from Children’s Therapeutic Support
Services (CTSS) – Integrative
•
•
•
•
Touched 98 kids through funding
Recruited 2 mental health behavioral aides
Trained 4 clinicians in TF CBT
Ability to implement summer social skills groups
2015 Investments
2016 Funding Streams
Opportunities/ Efficiencies / Realignment
2016 Funding Streams
•
•
•
•
•
•
•
•
•
•
Care Coordination
MN Choices
HRA Levy
Child Protection Funding
CRAFT Funding
Supportive Housing / Group Residential Housing
Reform
Community Corrections Act Formula Increase
$130,000
Additional ISR Dollars
Operational Enhancement Grant (Veterans) - $17,500
+Realigning Purchase of Services – Joint effort between
Probation and Community Services
Pressures –
Budget Challenges
New Costs / New Services
Pressures – Budget Challenges
• $100,000 mandated cost – Employment Services for
the disabled
• 2 new MN Sex Offender Program Admissions - $62,000
• Cost shift – Anoka Metro Regional Treatment Ctr $70,000
• Staff pay increases
• Intensive Community Rehabilitation Support Shift
• How much HRA levy? Where do we want to use it?
• Governor’s Child Protection Task Force Allocated $’s –
not enough for all the recommendations
• Growth in Child Protection Caseload
• Out of Home Placement Increase
• Alternative To Placement Increase
Pressures – Budget Challenges
• Child Protection – Northstar Care forces us to
secure funds. Shift to childcare.
• Family Involvement Strategies – How do we keep
these services funded?
• Youth Behavioral Health – Increased placement
costs – 40% growth in deep end.
• Sex trafficked kids – Behavioral Health Needs
• Targeted Case Management Rate Decrease
• Need for another Analyst?
• 38-40% increase in Medical Assistance cases but
greater efficiencies because of technology.
Pressures – Budget Challenges
• Prison Rape Elimination Act (PREA) – Need 2 more
female staff at the JDC (Consider rate increase).
• Need for ISR (Intensive Supervisor Release) – P.O.
• Developmental Disabilities Employment - $50,000
• Mental Health & Developmental Disabilities – Housing
Development for 24 people (Partial Revenue Source)
• New worker for Behavioral Health Intake Diversion
(DHS Grant)
• Supervisor in Aging & Disabilities – High staff to
supervisor ratio
• Detox Holds – CARE cuts
• “Clubhouse Recovery Center” – Grant and $’s from DHS
Next Steps
• Review Unmet Needs
• Prioritize requests
• Other
Thank You