ADOPTED - FEBRUARY 28, 2006

Agenda Item No. 13

 

Introduced by the Judiciary and Finance Committees of the:

 

INGHAM COUNTY BOARD OF COMMISSIONERS

 

RESOLUTION AUTHORIZING A CONTRACT WITH THE COMMUNITY MENTAL HEALTH BOARD OF CLINTON, EATON, AND INGHAM COUNTIES FOR THE  INGHAM FAMILY AND YOUTH INTERVENTION PARTNERSHIP PROGRAM

 

RESOLUTION #06-051

 

WHEREAS, the Circuit Court/Family Division and the Family Guidance Service of Community Mental Health Board of Clinton, Eaton, and Ingham Counties collaborated to develop a proposal to serve youth and their families under the jurisdiction of the 30th Judicial Circuit Court, Family Court, Family Division; and 

 

WHEREAS, the youth referred to this program must meet the criteria for severe emotional disturbance and be moderate to high risk for out-of-home placement; and

 

WHEREAS, families will receive a package of Family Guidance Service (FGS) services designed to address severe emotional, mental, and/or behavioral disturbance, stabilize youth and family functioning, and maintain or reintegrate these youth with their primary caretakers in the community; and

 

WHEREAS, the 30th Circuit Court/Family Division has determined that these services are Child Care Fund eligible and the Community Mental Health Board of Clinton, Eaton, and Ingham Counties have identified the necessary matching funds out of their existing budgets.

 

THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners hereby approves the 30th Circuit Court/Family Division’s request and authorizes a contract with the Community Mental Health Board of Clinton, Eaton, and Ingham Counties to provide the Ingham Family and Youth Intervention Partnership Program at a cost of up to $450,000 total, with the County Family Division responsible for a net cost of up to $225,000 for the time period of October 1, 2005 through September 30, 2006.

 

BE IT FURTHER RESOLVED, that the Ingham County Board of Commissioners authorizes the Controller to make the necessary budgetary adjustments to the 30th Circuit Court/Family Division Child Care Fund 2005/06 budget.

 

BE IT FURTHER RESOLVED, that the Community Mental Health Board of Clinton, Eaton, and Ingham Counties will be responsible for up to $225,000 net, for the Ingham Family and Youth Intervention Partnership Program.

 

BE IT FURTHER RESOLVED, that the Ingham County Board of Commissioners authorizes the Board Chairperson and the County Clerk to sign any necessary contract agreements consistent with this resolution and approved as to form by Corporate Counsel. 

 

JUDICIARY:  Yeas:  Weatherwax-Grant, Holman, Nolan, Bahar-Cook, Schafer, Dougan

            Nays:  None                Absent:  None               Approved 2/16/06

 

FINANCE:  Yeas:  Thomas, Hertel, Grebner, Dedden, Dougan

            Nays:  None                    Absent: Weatherwax-Grant             Approved 2/22/06

 

INGHAM FAMILY AND YOUTH INTERVENTION

PARTNERSHIP PROGRAM

 

LENGTH OF THE CONTRACT

 

 The length of the contract will be October 1, 2005-September 30, 2006.

 

 

REFERRAL/ SCREENING

 

All youth and their families served under this agreement will be currently under the jurisdiction of the 30th Judicial Circuit Court, Family Court, Juvenile Division. Referrals directly made from the Family Court will be directed to the CMH Children’s Access Liaison who will assure appropriateness and facilitate an initial assessment. Referrals of Family Court involved youth from other sources (families, schools, etc.) will be screened by the CMH Children’s Access liaison to assure appropriateness and as well as contact the Family Court Liaison to inform them of the potential Child Care Initiative referral.

 

 

ADMISSION

 

All youth referred under this agreement must meet the criteria for severe emotional disturbance (SED) which includes a moderate to very severe DSM IV mental health diagnosis, a CAFAS youth functioning score of more than 100, a CAFAS care giver resource score of at least 10, and moderate to high risk for out-of-home placement.  Final determination for admission will be made after an initial intake assessment with the youth and their family.

 

 

SCOPE OF WORK

 

Family Guidance Service, Community Mental Health Authority of Clinton-Eaton-Ingham Counties, would provide the following services:

 

The annual, (CEI-CMH Fiscal year) capitated case rate is $3,600 per child, and will be re-billed each fiscal year thereafter.  This all inclusive rate includes the following services. This is an all inclusive rate that allows services to be provided as often as necessary, with no additional cost to the Child Care Fund or the Court.

 

Families would receive a package of FGS services designed to address severe emotional, mental, and/or behavioral disturbance; stabilize youth and family functioning; and maintain or reintegrate these youth with their primary caretakers in the community. Services could be provided multiple times per week for an average of six to nine months.  Services would occur in the home or in other community locations such as court and schools.  Services would be strength-based, family-centered, and collaborative.  Services would be intensive, with clinicians having an average of 8 to 12 youth on their caseloads. 

 

The treatment models utilized will be based upon established and recognized effective methods such as strength-based and family-centered therapy, solution-oriented therapy, cognitive behavioral therapy, behavior management consultation; and coordination and collaboration with other involved agencies and individuals.

 

The annual capitated case rate of $3,600 per child includes the following services:  (These services will be provided as often as necessary with no additional cost to the Child Care Fund or the Court.)

 

·                      Intake assessments and annual reassessments;

·                      Treatment planning;

·                      Individual and family therapy;

·                      Case management;

·                      Collaboration with Family Court and other involved agencies;

·                      Periodic measurement of treatment progress using the CAFAS (Child and Adolescent Functioning Assessment Scale);

·                      Love and Logic® parent training;         

·                      Social-recreational activities;

·                      Psychiatry;

·                      Children’s emergency services;

·                      Behavioral management training and consultation;

·                      Skill-building groups;

·                      Mentors/respite workers;

·                      Overnight crisis residential in  St. Vincent Home for Children and in respite foster care;

·                      Psychiatric hospitalization.

 

 

INFORMATION/ REPORTS 

 

Information and needed reports will be available to the Court and the court staff with proper authorization to release confidential information per the Mental Health Code or upon order of the Court.

 

CMH staff are also willing to testify in needed cases with proper authorization to release confidential information per the Mental Health Code. 

 

 

BILLING

An all inclusive capitated case rate of $3,600 per case, per year (CEI-CMH fiscal year) will be utilized. Each case opened under this agreement will be retrospectively billed using the   intervals of December 31, 2005 and September 30, 2006 as the billing dates.   At each interval, the local match normally sent to CMH by the County will be withdrawn to use as the match.

 

            The fiscal year begins October 1, 2005, so all cases open between October 1, 2005 and September 30, 2006 will use the full year capitation rate of $3,600.

 

 

Child Care Initiative Solutions Group

We also would like to propose a group composed of CMH and Court designated personnel be assigned as an oversight and solutions group to monitor and problem solve pertinent issues that relate to the implementation and success of the Initiative.