HRA 1/13/2014 - Olmsted County

Report
O LMSTED C OUNTY
C OMMUNITY S ERVICES
C OMMUNITY S ERVICES
WORKS IN
PARTNERSHIP TO FULFILL ITS
RESPONSIBILITIES FOR THE SAFETY ,
WELL - BEING AND STABILITY OF
CHILDREN , FAMILIES AND ADULTS IN
O LMSTED C OUNTY .
A safe, thriving, and inclusive community !
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
Employees
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”
Advocacy
Professionalism
September 2011
D EPARTMENT F ACTS

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)
OLMSTED COUNTY COMMUNITY SERVICES
A safe, thriving, and inclusive community!
Community Social
Services Advisory
Board
Olmsted
County Board
Fillmore County
Board
… Adult Foster Care
… Adult Protection
… Developmental Disabilities
… Home & Community Care
… Homeless Services
County
Administration
Dodge County
Board
Adult &
Family
Services
Division
Child &
Family
Services
Division
Dodge, Fillmore,
Olmsted
Joint Powers Board
DIRECTOR
Community
Services
Paul Fleissner
Community Corrections
Advisory Board
Family
Support &
Assistance
Division
Community
Corrections
HRA
Administering
Board
OC Housing &
Redevelopment
Authority
Veteran Services
… Integrated Behavioral
Health
… Planning/Evaluation/
Contracting
… Support Services
… Volunteer Drivers
… Ways To Give
…Adolescent Services
… Child Welfare Services
…Child Mental Health
… Early Intervention
…Child Foster Care/
Child Care Licensing
… Family Involvement
Strategies
…Child Protection
… Intake
… Medical Assistance & … MFIP (Minnesota Family
State Health Care
Investment Program
Programs
… Child Care Assistance Program
… Food Support
… Child Support
… General Assistance
… Day Treatment &
… Supervised Release Unit (SR)
Community Alternative
… Support Unit
… Adult Supervision Unit
… Victim Services
… Intake Unit
… Olmsted County Juvenile
… Juvenile Probation
Detention Center
… Dodge & Fillmore County Probation Services
… Low Income Public Housing
… Shelter Plus Care
… Housing Choice Voucher
… Housing Options
… Rental Rehab Monitoring
… T-RAP
January 2014
State Mandates - Impact on the Tax Levy
What is Happening in 2012 - Reality
Community Services - Levy Vs Intergovernmental Funding
80
Intergovernmental and Fees
Percent of Budget
70
60
50
40
Levy
$68.5 million over 9 years
30
20
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
Generative
Business
Model
H UMAN S ERVICES V ALUE C URVE
Integrative
Business
Model
Collaborative
Business
Model
Regulative
Business
Model
Effectiveness In Achieving Outcomes
Dr. Jerry Mechling, PhD …………….. http://www.innovations.harvard.edu/
I NTEGRATING O UR
O LMSTED C OUNTY
W ORK A CROSS C OMMUNITY S ERVICES
AFS
DFO
CFS
Public
Assistance
Veterans
EMPLOYMENT/HEALTH CARE
HOUSING
TRANSPORTATION
HRA
PERFORMANCE INDICATORS
DATA ANALYTICS
“All Doors Lead To Hope”
PORTFOLIO OF IT ASSETS
AFS (Adult & Family Services)
CFS (Child & Family Services)
DFO (Dodge/Fillmore/Olmsted Community Corrections)
HRA (Housing & Redevelopment Authority)
A DULT & F AMILY S ERVICES
2013 T RENDS

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
A DULT & F AMILY S ERVICES
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
A DULT & F AMILY S ERVICES
2013 C HALLENGES

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
C HILD & F AMILY S ERVICES
2013 T RENDS

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.
C HILD & F AMILY S ERVICES
2013 O PPORTUNITIES

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 traumainformed 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
C HILD
F AMILY S ERVICES
2013 C HALLENGES
AND

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
F AMILY S UPPORT & A SSISTANCE
2013 C HALLENGES

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.
F AMILY S UPPORT & A SSISTANCE
2013 T RENDS

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
P ROJECTED MA E XPANDED
E NROLLMENT
Change
Timeline
1. Transfer from MinnesotaCare to Begin 12-15-2013
MA
Statewide
Olmsted
County
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)
127,606
2,975
(average 1.69 average individuals/case statewide;
1.74 individuals/case in Olmsted County)
Source: DHS, February 2013
D EPARTMENTAL P RIORITY G OALS
Operational
Excellence
• INTEGRATION
Sustain
Effective
Services
• HOUSING
Effective &
Innovative
• TECHNOLOGY
T HE P ACE OF C HANGE
E XAMPLES OF I NTEGRATIVE W ORK

Community Services Integration Team

Navigator Pilot Project

Human Services Cell Phone Application

Analytics work –

Internal (Tableau)

External with IBM and Mayo Clinic
E XAMPLES OF I NTEGRATIVE W ORK

Coalition for Community Health Integration

Crossover Positions – DFO & SS

Integrating Intake – ABHU & CMH

Traveling Eligibility Workers

Guiding Partners for Solutions (GPS)
H UMAN S ERVICES A PP
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
Scan This
To Get
http://www.co.olmsted.mn.us/cs/Pages/OCFindItSupport.aspx
Q UESTIONS ??
Thank You

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