Health and Human Services Committee

Regular Meeting Notes – Draft 4-20-17

Monday, April 17, 2017 3:30 PM

Legislature Chambers

 

Attendance

Attendee Name

Title

Status

Arrived

Anna Kelles

Chair

Present

 

Leslyn McBean-Clairborne

Vice Chair

Present

 

Will Burbank

Member

Present

 

Carol Chock

Member

Present

 

Peter Stein

Member

Late

4:18 PM

Katrina McCloy

Deputy Clerk

Present

 

Frank Kruppa

Public Health Director

Present

 

Jessica Gosa

Executive Director, Foodnet

Present

 

Joe Mareane

County Administrator

Present

 

Lisa Holmes

Director, Office for the Aging

Present

 

Karen Baer

Director of Human Rights

Present

 

Amie Hendrix

Director of Youth Services

Present

 

Marcia Lynch

Public Info. Officer, County Administration

Present

 

Tierra Labrada

Continuum of Care Coordinator

Present

 

Patricia Carey

Social Services Commissioner

Present

 

Call to Order

              Ms. Kelles, Chair, called the meeting to order at 3:33 p.m.

Changes to Agenda

              There were no changes to the agenda. 

Public Comment

              There were no members of the public present. 

Minutes Approval

March 20, 2017

RESULT:              ACCEPTED [UNANIMOUS]

MOVER:              Will Burbank, Member

SECONDER:              Carol Chock, Member

AYES:              Kelles, McBean-Clairborne, Burbank, Chock

ABSENT:              Stein

Chair's Report

              Ms. Kelles stated Departmental presentations will begin in June and the unified theme for presentations will be housing.  She has asked each Department Head to submit a short summary regarding their presentation in advance to share with all Committee members and the public to encourage public attendance.  If at any time there is a topic not related to housing a Department feels the Committee needs to be informed about they are welcome to bring that to the Committee. 

Comments from Committee Members

              There were no comments from Committee members. 

County Administrator's Report

              Mr. Mareane stated there is a need to review a number of things in the State budget to gain a better understanding.  He said some areas of the budget include shared-services initiatives, raising the age of criminality, Assigned Counsel program, and free tuition.  There has been a reduction of aid for the Foster Care program and the Department of Social Services has estimated that it will cost the County about $230,000.  Foster Care is a mandated program and the County will need to maintain it even though there is a funding cut.  Mr. Mareane will provide the Committee members with the baseline for the Foster Care program as requested by Ms. Kelles. 

 

              Ms. Kelles inquired about a shift in child care support.  Mr. Mareane stated he would look into that and provide additional information to Committee members. 

 

              Committee members spoke of the free tuition program included in the budget and the elements involved with utilizing those funds. 

Appointments/Liaison Assignments

Advisory Board Appointment(s) (ID #6912)

              Ms. Hendrix stated Mr. Carrillo has a background in the field of communications and will provide insight to the Youth Services Department.

 

              Youth Services Board

              Gabriel Carrillo - At-large representative; term expires December 31, 2019

 

              Liaison Assignments

              Ms. Kelles stated she will be the liaision to the Tompkins County Youth Services Board and Mr. Burbank will be the liaison for the Health Planning Council.

RESULT:              RECOMMENDED [UNANIMOUS]

MOVER:              Will Burbank, Member

SECONDER:              Leslyn McBean-Clairborne, Vice Chair

AYES:              Kelles, McBean-Clairborne, Burbank, Chock

ABSENT:              Stein

* * * * * * * * *

Office for the Aging

              Ms. Holmes invited Committee members to the Office for the Aging Annual Luncheon on May 3, 2017, 12:00 p.m., at the Country Club of Ithaca.  The keynote speaker will be Jayne Demakos and she will be discussing Healing Through Musical Companionship. 

 

Foodnet update (ID #6938)

              Jessica Gosa, Executive Director, Foodnet, provided a PowerPoint presentation entitled Foodnet Meals on Wheels, New Leadership at Foodnet.  Ms. Gosa provided a brief introduction of herself including her background and experience and the steps she has taken to become Executive Director.

 

              Ms. Holmes spoke of maintaining the living wage for staff in the Direct Care Workers Program of Foodnet and they have 15 full-time employees.  She stated there will be a need to request additional funds from the Contingency Fund due to a number of cuts to aging services overall in the State budget, including this program.  Many other counties do not utilize all these funds but Tompkins County does and it is imperative to keep Direct Care Workers at a living wage. 

 

              Ms. Gosa spoke of the eligibility requirement for Foodnet services being a minimum of 60 years of age and for home delivered meals there must be a need to be in their home; unable to shop, cook, and prepare meals for themselves.  The Registered Dietician completes a full assessment and uses the Compass Screening Tool. 

 

              Mr. Burbank asked if there has been any contact made to Congressman Reed’s office.  Ms. Gosa stated they have reached out to his office and have not received any response yet.

 

              Mrs. McBean-Clairborne inquired about how nutrition education and counseling services work.  Ms. Gosa stated the Registered Dietician determines those needs during the assessment and could include additional monitoring, coordination of services through a physician, additional visits, additional phone calls, and nutritional education.  Education is provided at all the congregate meal sites and the Registered Dietician provides presentations at each of them. 

 

              Ms. Kelles spoke of the bulk of costs being transportation, personnel, and food and asked if donations are accepted.  Ms. Gosa stated it is dependent upon what types of foods but in the past they have received calls from local farmers who have extra produce and there are situations where they are accepted.

 

              Ms. Gosa stated the four congregate meal sites were Titus Towers, Woods Edge Apartment, Groton Center Village Court, and Trumansburg.  She stated the Trumansburg site is actually a subcontracted site that is located over the county line in Seneca County at the First Baptist Church.  

* * * * * * * * *

Mental Health

Resolution No.2017-67 - Authorization to Accept Grant for Mobile Crisis Technical Support - Mental Health Department (ID #6936)

              Mr. Kruppa stated technical support funding was received for the purchase of tablets and cell phones for the Mobile Crisis Team program.

 

              Mr. Stein arrived at this time. 

RESULT:              RECOMMENDED [UNANIMOUS]

MOVER:              Leslyn McBean-Clairborne, Vice Chair

SECONDER:              Carol Chock, Member

AYES:              Kelles, McBean-Clairborne, Burbank, Chock, Stein

              WHEREAS, as established in Resolution 2016-266, adopted December 21, 2016, the Tompkins County Mental Health Department (Department) has developed a Mobile Crisis Team (Team) in order to serve individuals and families who are experiencing urgent concerns related to mental health and/or substance abuse issues, and

 

WHEREAS, as indicated in the Resolution, the Care Compass Network will provide startup funds for the first two years of participation in this Delivery System Reform Incentive Payment (DSRIP) Program-supported project, and

 

WHEREAS, it is vital that the department provide compact, mobile, efficient systems in order for clinicians to gain access to client medical records and complete their documentation in an accurate and timely manner, and

 

WHEREAS, the department has received approval for $12,000 in startup funds for technical support through the Care Compass Network for the purchase of tablet laptop computers and upgrades to current field telephones, now therefore be it

 

RESOLVED, on recommendation of the Health and Human Services Committee, That the Mental Health Department is authorized to accept said funds,

 

RESOLVED, further, That the County Administrator or his designee be and hereby is authorized to execute any and all agreements necessary to complete the requirements of the grant,

 

RESOLVED, further, That the Finance Director be and hereby is authorized to make the following budget adjustment on his books for the Care Management Program for 2017:

 

REVENUE:                                          4311.43489                            Other State Grants                            $ 12,000 

 

APPROPRIATION:                            4311.52206                            Computer Equipment                            $  8,000

                                                        4311.54472                            Telephone                                          $  4,000

                                                       

SEQR ACTION: TYPE II-20             

* * * * * * * * *

 

Resolution No.2017-66 - Authorization to Accept Grant Funds for Technical Support for the Health Home Care Management Program - Mental Health Department (ID #6935)

              Mr. Kruppa stated previously this program provided care management for just the mental health needs of individuals but the new Health Home model expanded it to the full health care spectrum.  The health care is coordinated by the Care Manager located at the Mental Health Department. 

 

              Mr. Kruppa said the Mental Health Department is a subcontractor to provide these health home services in the County and these funds are to purchase tablets and cell phones for this program as well.

RESULT:              RECOMMENDED [UNANIMOUS]

MOVER:              Will Burbank, Member

SECONDER:              Leslyn McBean-Clairborne, Vice Chair

AYES:              Kelles, McBean-Clairborne, Burbank, Chock, Stein

WHEREAS, Circare of Syracuse, New York, a Behavioral Care Management Program, and Health Homes of Upstate New York (HHUNY) Services of Syracuse, New York, provide administrative oversight to the Health Home Care Management program in Tompkins County, and

 

WHEREAS, the Tompkins County Mental Health Department Care Management Team has been providing Health Home services to individuals in Tompkins County, and

 

              WHEREAS, there are strict requirements regarding the technical aspects of providing Health Home services, such as documentation within a specific electronic client record, requirements regarding client signatures, retention and encrypted transfer of documentation and the need for the Care Management team to do the majority of their work in the field, and

 

WHEREAS, it is vital that the department provide compact, mobile, efficient systems in order for clinicians to gain access to client medical records and complete their documentation in an accurate and timely manner, and

 

WHEREAS, the department has applied for and has been given approval for an $18,000 grant from Circare and HHUNY for technical support through the purchase of tablet laptop computers and upgrades to current field telephones, now therefore be it

 

RESOLVED, on recommendation of the Health and Human Services Committee, That the Mental Health Department is authorized to accept said funds,

 

RESOLVED, further, That the County Administrator or his designee be and hereby is authorized to execute any and all agreements necessary to complete the requirements of the grant,

 

RESOLVED, further, That the Finance Director be and hereby is authorized to make the following budget adjustment on his books for the Care Management Program for 2017:

 

REVENUE:                            4330.43489                            Other State Grants                            $ 18,000 

 

APPROPRIATION:                            4330.52206                            Computer Equipment                            $  15,000

                                                        4330.54472                            Telephone                                          $   3,000

                                                       

SEQR ACTION: TYPE II-20             

* * * * * * * * *

 

Human Services Coalition

Update on development of transitional housing plan (ID #6985)

              Ms. Schlather provided an update regarding the Continuum of Care expansion of services for people experiencing homelessness.  She spoke of funding in the amount of $50,000 per year for three years as approved in the budget.  The Continuum of Care will oversee the disbursement of the $50,000 and is comprised of individuals and organizations that deal with people who are homeless or are in danger of becoming homeless. 

 

              Following a survey asking agencies to “think outside the box” and develop a plan as to what they could do with $50,000 in regard to homelessness, over thirty responses were returned with a wide variety of plans.  Those responses were categorized and the top three categories were rental assistance, transitional housing (purchase of or rehabilitation of), and improve housing that already exists. 

 

              Ms. Schlather explained the request for proposals (RFP) is designed for applicants to develop a plan to assist in homelessness in the County for a portion of or the entire $50,000 funding that falls in one of those top three categories.  The Human Services Coalition is preparing to release the RFP and applications are due on May 12th; she will keep the Committee up-to-date.

 

              Once applications have been received, they will be ranked according to criteria set forth by the Continuum of Care Governance Committee based on feasibility, appropriateness, sustainability, impact on the problem, and other standards. 

 

              Mr. Mareane suggested keeping it simple in regard to the disbursement of the funds with a one-time transfer to the Human Services Coalition to manage the contracts with vendors and accountability back to the Legislature through some type of periodic reporting system. 

 

              Mrs. McBean-Clairborne asked for more information regarding the top three categories the RFP’s are being based on.  Ms. Schlather stated rental assistance could be used to subsidize rent due to the high rental costs in Tompkins County.  Transitional housing category could be used for an agency towards the purchase of transitional housing or to rehabilitate an existing property they own.  The third category would be working with an agency that works with landlords to make housing more habitable and then in return have a contract with the landlord that the housing would be used for a target population.  In addition, the third category could be used to do education and outreach to landlords about how housing vouchers work to increase the number of landlords accepting them. 

 

              Ms. Hendrix explained the reason this is still in the discovery phase is because the governance committee of the Continuum of Care is putting forward this very simple RFP asking agencies to provide their ideas to solving the bigger picture.  More answers will be gathered once the responses are received and direction as to where this will go from here.

 

              Ms. Schlather stated the RFP has been made specific but still broad enough to allow for some creative ideas.  The RFP will be made public now that the Committee has discussed it and responses are due May 12th.  There are about 25 non-profit organizations the Continuum of Care works with and have been made aware of this being released.

 

              Ms. Kelles is supportive of the education piece for landlords and believes the return on investment for that could be high.  Ms. Schlather stated a landlord survey was completed last month and the results are being reviewed. 

 

              Mrs. McBean-Clairborne spoke of most non-profits not owning houses and inquired about the rehabilitation of the property component.  Ms. Schlather spoke of some agencies that do own homes or rent properties and stated it is a combination of some of this.  She is excited to see what ideas will be developed and the opportunities that could be opened with these funds. 

 

              Ms. Kelles requested a summary of RFP responses received. 

 

              Ms. Chock suggested under the Order of Priority section of the RFP criteria be given as to how the selection committee will judge the proposals.  Ms. Hendrix stated the criteria were developed when the nine categories were fine tuned to the three categories and questions are related to how the Continuum of Care will rate the proposals. 

 

              Ms. Kelles stated Ms. Labrada provided a presentation to the Committee last year that established the coordinated assessment.

 

              Mr. Stein spoke of the $50,000 not being an abundance of money when looking at the big picture and the limited projects that can be done with it.  He views the funds as more of a laboratory to try new things and develop new projects and to learn as you go. 

 

              Ms. Baer suggested the Committee review all the initiatives and ideas because they may coincide with some of the ideas from the Housing Retreat. 

 

              Ms. Kelles stated if there are creative ideas as a result of this there may be other sources of funding available to assist in developing some of those ideas. 

 

              Mrs. McBean-Clairborne stated if the $50,000 is broken down into 200 housing vouchers in the amount of $250 each that could truly make an impact to those in need. 

* * * * * * * * *

Liaison Assignments (if time allows)

              There were no liaison reports.

Adjournment

              The meeting adjourned at 4:50 p.m.

Budget Adjustments & Transfers (Info. Only)

Information Item - Year end budget transfers (ID #6964)

RESULT:              COMPLETED