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1987-03-18 PacketCHESTERFIELD COUN�1( CHESTERFIELD, VIRGINIA 2383qr1IIIII AGENDA BOARD OF SUPERVISORS HARRYG. DANIEL. CHAIRMAN DALE DISTRICT JESSE J. MAYES. VICE CHAIRMAN MATOACA DISTRICT G. H. APPLEGATE CLOVER HILL DISTRICT R. GARLAND DODD BERMUDA DISTRICT JOAN GIRONE MIDLOTHIAN DISTRICT RICHARD L. HEDRICK COUNTY ADMINISTRATOR DATE: March 18, 1987 COURTHOUSE TIME: 5:00 P.M. AGENDA BOARD OF SUPERVISORS COMMUNITY SERVICES BOARD MAGNOLIA GRANGE 5:00 P.M. Call to Order Invocation 5:00 P.M. - Dinner 5:45 P.M. 5:45 P.M. - Opening Remarks 5:50 P.M. Mr. Harry Daniel kC�rv�e Rev. Malcolm Hutton (JR Mary Jo Lux Chairman, CSB 5:50 P.M. - Program Overview Dr. Burt Lowe 6:00 P.M. Executive Director, CSB 6:00 P.M. - Community Services Board 6:15 P.M. Long Range Plan - Plan Development Peter Ward, Vice Chairman - Recommendations Stephen Martin, Secretary 6:15 P.M. - FY 1987-88 Budget 6:30 P.M. Implications Dr. W. Clinton Pettus 6:30 P.M. - Open Discussion Mr. Harry Daniel 7:00 P.M. A G E N D A March 18, 1987 Welcoming kemarKs - Mary Jo Lux, Chairman Program Overview - Dr. Burt Lowe, Executive Director Community Services board Long Range Plan - Developmznt Process - Peter Ward, Vice -Chairman - Recommendations - Stephen Martin, Secretary FY 1987-88 Budget Implications - Dr. W. Clinton Pettus Open Discussion 4_ f I. 1 4 M M THE LONG RANGE PLANNING PROCESS In 1985, the CCSB adopted a policy which states: The Community Services Board shall develop ... a comprehensive plan for the delivery of public mental health, mental retardation and substance abuse services to the residents of Chesterfield County.~ The CCSB identified five purposes to be accomplished through the development of the plan. These are: A. Defining community needs for mental health, mental retardation and substance abuse services, C. Increasing public awareness of the needs and issues, and increasing public support for addressing them, D. Educating those persons whose decisions effect the delivery of mental health, mental retardation and substance abuse services (including law makers, funding sources, administrators, managers, and service providers), and E. Providing a framework for the review and evaluation of CCSB funded programs and services. C., NOW NEEDS ASSESSMENT In order to facilitate development of the plan a formal assessment of community need for services was conducted during the spring and summer of 1986. This assessment involved 1) a community forum in which invited participants were asked to express their beliefs about the needs and services in the community, 2) a survey of key informants whose knowledge of the community and its needs provided another perspective regarding the need for mental health, mental retardation and substance abuse services, 3) analysis of socio—demographic indicators of the need for services in Chesterfield County, and 4) examination of data describing the current capacity, utilization, and demand for CCSB services. 6 CONCLUSIONS A. For some services, intolerable waiting lists already exist; these must be addressed in any long range plan. B. The long range plan must include provisions for adequate space, equipment and support systems. C. Laws, regulations and State mandates dictate that particular services and specified service levels be provided. D. Current trends indicate that State priorities will emphasize community services for chronically mentally ill persons. E. The County population will continue to grow, and therefore the need and demand for services will continue to grow. F. As a result of increased population density, increased awareness of services, and reduction in the stigma of seeking help, the demand for services will increase faster than the rate of population growth. G. In order to meet all of the need and demand for services, the CCSB will have to cooperate and coordinate with other human service providers in both the public and private sectors. H. Reasonable caseloads for CCSB staff must be established and maintained in order to retain a competent professional staff. I. Volunteers and students will continue to be an important resource to assist in the delivery of services. J. Access to services is limited for many persons because Chesterfield County lacks an adequate public transportation system; this must be addressed in any long range plan. K. Because of competing local priorities and increasing County debt service, efforts will be needed to obtain additional County funding. L. State funding will be insufficient to keep up with growing demand, and will be targeted to state priorities. M. Non—traditional funding will become increasingly more important. N. Some kinds of programs may require less public (government) funding because of the program's ability to generate revenue. CRITERIA FOR LONG RANGE PLAN PRIORITIES _Keep pace with population growth. The Chesterfield County Planning Department projects that the population of the County will increase by 29% during the five—year period from 1967 through 1991. In order to maintain current service levels, each program must increase its capacity by a corresponding amount. Develo new services in those areas where there is currently a complete absence of services. There are currently critical needs in the County for which no services are available. Reduce critical waiting lists which currently are intolerable. The length of time a citizen can reasonably wait for a needed service depends on the nature of the service and the severity of the problem. The availability of services must be responsive to community needs. . Meet and maintain minimum standards of quality. For some services, CCSB programs do not allow waiting lists. In these programs, the number of clients served by a single staff person can reach unacceptable levels. The quality of care is inadequate when minimum staff to client ratios are not maintained. Tar et outreach efforts so that persons in need of certain CCSB services are given the opportunity to access those services. Build political and community support for services. This involves reducing the stigma associated with the need for CCSB services, developing neighborhood acceptance of CCSB facilities, and increasing the visibility of services. Develop alternative (non —governmental) sources_of revenue. These include first and third party reimbursement, corporate and individual donations, in —kind contributions, and foundation grants. CHEST"RFIELD COMMUNITY SERVICEc" BOARD err' `40 Long Range Plan 1987 - 1991 Percent of Current Demand 0 20 90 60 80 100 CLINICAL outpatient (Clients) FY 87 Capacity FY 87 Demano FY 91 Capacity Substance Abuse (Clients) FY 67 Capacity FY 87 Demand FY 91 Capacity Medical (Clients) FY 87 Capacity FY 87 Demand FY 91 Capacity Horne Intervention (C FY 87 Capacity FY 87 Demand FY 91 Capacity Emerpency (Events) FY 87 Capacity FY 87 Demand FY 91 Capacity COMMUNITY Service Coordination (Clients) FY 67 Capacity FY 87 Demand FY 91 Capacity Residential (Clients) FY 87 Capacity FY 87 Demand FY 91 Capacity Day Support (Clients) FY 67 Capacity FY 67 Demand FY 91 Capacity PREVENTION Primary (Recipients) FY 87 Capacity _ FY 87 Demand not appli FY 91 Capacity Infant Intervention FY 87 Capacity FY 67 Demanc FY 91 Capacity � '41d CLINICAL SERVICES Outpatient Current Capacity 550 clients annually Reducing Waiting List 447 clients annually Population Growth 262 clients annually FY 91 Needed 1279 clients annually Capacity Substance Abuse Early Outpatient Intervention Current Capacity 488 clients annually 3 schools Reducing Waiting Lists 215 clients annually 2 schools Targeted Outreach N/A annually 4 schools Population Growth 203 clients annually 2 schools FY 91 Needed 906 clients annually 11 schools Capacity Medical Current Capacity 330 clients annually Standards of Quality 74 clients annually Population Growth 112 clients annually FY 91 Needed 516 clients annually Capacity Home Intervention Current Capacity 22 clients annually Waiting List 12 clients annually Population Growth 10 clients annually FY 91 Needed 44 clients annually Capacity Emergency Current Capacity 312 emergencies Population Growth 90 emergencies FY 91 Needed 402 emergencies Capacity 0 In COMMUNITY SERVICES Case Management Current Capacity Standards of Quality Targeted Outreach Population Growth FY 91 Needed Capacity Day Support Current Capacity Absolute Gap Waiting List Standards of Quality Population Growth FY 91 Needed Capacity Residential Mental Major Mental Retardation Illness 200 clients annually 150 clients annually 111 clients annually 175 clients annually 50 clients annually 30 clients annually 90 clients annually 95 clients annually 451 clients annually 460 clients annually Adolescent Dav Treatment 0 clients 12 clients N/A N/A 4 clients 16 clients CVS 75 clients N/A 134 clients N/A 58 clients 267 clients Crisis Respite House Current Capacity 0 clients 0 clients Absolute Gap 95 clients 26 clients Waiting List N/A N/A Population Growth 29 clients 8 clients FY 91 Needed 124 clients 34 clients Capacity Child Treatment 12 clients N/A 7 N/A 5 clients 24 clients MR Residential 27 clients NIA 44 clients 21 clients 92 clients Chester House 17 clients/day N/A N/A 8 clients/day 8 clients/day 33 clients/day MH Residential 16 clients N/A 15 clients 7 clients 38 clients M *400 PREVENTION Primary Current Capacity Waiting List Targeted Outreach Population Growth FY 91 Needed Capacity Infant Program Current Capacity Waiting List Standards of Quality Targeted Outreach Population Growth FY 91 Needed Capacity Solve That Problem (STP) 13 schools 14 schools 0 8 schools 35 schools Welcome Baby Project 30 recipients 0 30 recipients 18 recipients 78 recipients 60 infants 5 infants 5 infants 20 infants 30 infants 120 infants Other Prevention 4000 recipients 0 0 1160 recipients 5160 recipients annually annually annually annually annually annually M ADMINISTRATION AND SUPPORT C. Administration Current Capacity Standards of Quality Population Growth FY 91 Needed Capacity Support Services Current Capacity Standards of Quality Population Growth FY 91 Needed Capacity Client Transportation Current Capacity Absolute Gap Waiting List Standards of Quality Population Growth FY 91 Needed Capacity Space Requirements Current Capacity Standards of Quality Population Growth FY 91 Needed Capacity Ratio of Administrative Staff to Total Staff 1 13 ( 8.7 FTE) 1 10 ( 4.0 FTE) ( 3.5 FTE)- 1 10 (16.2 FTE) Full Time Equivalent Support Staff Main Center 8,500 sq. ft. 5,000 sq. ft. 20.500 sq. ft. 34,000 sq. ft. 15.1 FTE 5.8 FTE 6.1 FTE 27.0 FTE 88 Clients per day 12 Clients per day 134 Clients per day 23 Clients per day 70 Clients per day 327 Clients per day C.V.S. 12,000 sq. ft. 4,000 sq. ft. 8.000 sq. ft. 24,000 sq. ft. Chester House 2,500 sq. ft. 1,000 sq. ft. 1.500 sq. ft. 5,000 sq. ft. CHESTERFIELD COMMUNITY SERVICES BOARD Long Range Plan Cost to Implement Recommendations FY 88 through FY 91 Clinical Community Prevention Admin. & Services Services _services Support Total FY 88 s 190,000 608,900 60,300 326,000 1,185,200 FY 89 266,700 717,200 27,600 181,600 1,193,100 Fy 90 183,500 542,700 37,100 255,300 1,018,600 FY 91 150,400 547,200 37,100 250,600 985,300 CHESTERFIELD COMMUNITY SERVICES BOARD FY 1987-88 Budget Target Issues - No New Positions No Capital Equipment Operations 9 4.5% of Last Year - Part-time 9 2.5% of Last Year 10% Employee Salary Increase Assume County Share remains at 38% m m r,�= Revenue Source CHESTERFIELD COMMUNITY SERVICES BOARD FUNDING FY 82 - FY 87 Total FY 82 FY 87 Change Annual Change County General Fund ffi 873,000 1,407,000 61.2% 12.2% State MH/MR 908,000 1,740,700 91.7% 18.3% Fees and Sales 103,000 551,600 435.5% 87.1% Total * 1,884,000 $ 31699,300 96.4% 19.3% m m CHESTERFIELD COMMUNITY SERVICES BOARD Local Funding as a Percent of Total Budget FY 76 through FY 87 Fiscal Local Total Local Year Funds Budget Percent FY 76 225,600 508,800 44.3% FY 77 269,100 596,500 45.1% FY 78 357,000 823,800 43.3% FY 79 528,800 1,220,900 43.3% FY 80 730,600 1,606,700 45.5% FY 81 771,700 1,698,600 45.4% FY 82 873,000 1,884,000 46.3% FY 83 876,200 2,004,600 43.7% FY 84 901,200 2,369,500 38.0% FY 85 990,400 2,627,600 37.7% FY 86 1,229,900 3,121,100 39.4% FY 87 1,407,000 3,699,300 38.0% FY 88 1,631,300 3,936,700 41.4% M 1 2 4 5 0 7 8 CHESTERFIELD COMMUNITY SERVICES BOARD FY88 Critical Additional Funding Requests Net Cost Description 29,500 MH/MR Services Supervisor for Residential Services. With the addition of two new group homes next year we will have seven residential programs. In order to adequately oversee these programs while developing additional residential services, this position is required. 95,700 Operating funds for new group home; includes staff, substitutes, and facility costs. 8,600 Increase Infant Program Speech Pathologist from 32 hours/week to full-time to serve 10 additional clients. 28,200 Executive Assistant to support Board and senior staff by relieving them of detailed tasks. 9,000 Eight hours per week of child psychiatry to provide consultation and medication for seriously disturbed children. 39,000 Expanded facility for Community Support Program including space cost, furniture and vehicle. 1,000 Desk, chair, filing cabinet for Medical Records Technician. 5,000 Replacement of furniture, etc. for seating area of Main Center. a tr w ScI r I a�I wo BkI N� I a Erg law # CDF4 1,-Ii:�ITIIAG Ll.,,ST rat S S. rat Sl 0=0 rz,p low. 777M -M., 1=1 7-i::Ii -771 TTI 17—