To: Board of Supervisors
From: DHHS: Administration
SUBJECT:
title
Mental Health Services Oversight and Accountability Commission Grant for Children's Mental Health Triage Personnel and Supplemental Budget, to Provide School-Based Mental Health Services to Children (4/5 Vote Required)
end
RECOMMENDATION(S):
Recommendation
That the Board of Supervisors adopt the attached resolution authorizing the Department of Health and Human Services-Mental Health (DHHS-MH) Director, or a designee thereof, to accept, a grant in the amount of $7,500,000.00 over four (4) years, and execute the state standard agreement and all documents necessary to secure, grant funding from the California Mental Health Services Oversight and Accountability Commission to deliver school-based mental health crisis services; approve the allocation of one (1) full-time equivalent (FTE) Supervising Mental Health Clinician (class 0916, salary range 476) in budget unit 424, effective upon execution of the state standard agreement; approve the allocation of six (6) full-time equivalent Mental Health Clinician I/II (class 0909A/B, salary range 422/452) in budget unit 424, effective upon execution of the state standard agreement; adopt the attached supplemental budget in the amount of $1,875,000.00 for fiscal year 2018-19, DHHS Mental Health budget unit 1170-424 (4/5 vote required); and direct the Clerk of the Board to return one (1) certified copy of the resolution to the Department of Health and Human Services-Contract Unit for further processing.
Body
SOURCE OF FUNDING:
Mental Health Fund
DISCUSSION:
DHHS-MH applied for and has been selected to receive a grant from Mental Health Services Oversight and Accountability Commission (MHSOAC) for school-based mental health triage personnel. The grant funding supports the hiring of mental health personnel to provide triage services to children on school campuses who are experiencing or are at risk of experiencing a mental health crisis. Seven (7) of the grant supported personnel will be county staff, the remaining fifteen (15) grant supported personnel will be employed by school-districts.
Aside from the one (1) PTE county Supervising Mental Health Clinician and six (6) FTE county Mental Health Clinicians I/II; school-districts will hire one (1) Supervising K-12 Mental Health Coordinator, ten (10) K-12 Case Managers and four (4) K-12 Family and Child Support Coaches. Clinicians will be assigned to various regions of Humboldt County, and will primarily provide direct services to students requiring mental health interventions. Clinicians will team with K-12 Case Managers and K-12 Family and Child Support Coaches, and other county and school staff to provide comprehensive and coordinated services. Interventions provided will include assessment, individual/family/group counseling, treatment planning, crisis intervention, safety planning, and psychoeducation/consultation.
Case Managers will support school administrators and staff; provide students, parents, and staff with information and referrals to support students' success, and provide information regarding students' goals and progress. They will assist students with academic, attendance, and/or behavioral issues including implementing student disciplinary services and assisting parents and students in locating services (e.g. counseling, resource and intervention referrals) to increase student success. Family and Child Support Coaches will provide peer-to-peer support and assistance to children and families who are dealing with their own or their child's mental health challenges. The Family and Child Support Coaches will bring real life experience to their jobs. The four coaches will serve the four most populated regions and work with the regional Clinician, Case Managers, and other DHHS, Humboldt County Office of Education (HCOE), and partner staff.
The grant requires formal collaborative partnerships and agreements will need to be executed and submitted to the grantor, formally solidifying the collaboration. The collaborative partners include the 31 independent school districts in Humboldt County.
FINANCIAL IMPACT:
The MHSOAC awarded a total of $7,500,000 in funds to the Humboldt County DHHS-MH for school-based mental health triage personnel. The grant award will sustain this program for 48 months. The grant will fund salary and benefit cost for 7.0 FTEs: 1.0 FTE Supervising Mental Health Clinician and 6.0 FTE Mental Health Clinicians. Additionally, this grant award will fund consultation services provided by HCOE personnel.
Estimated salary and benefit cost of 6.0 FTE Mental Health Clinicians is $594,105; salary and benefit cost for 1.0 FTE Supervising Mental Health Clinician is estimated to be $110,696. School District consultation expenditure funded through the grant is estimated to be $1,170,199. Supplemental budget request totals $1,875,000 for FY 2018-19 DHHS-Mental Health Administration budget unit 1170-424 and includes increased appropriation in salary and benefits, and professional services.
DHHS plans to sustain the program by means of effective use of Medicare/Medicaid billing and health care reform opportunities such as expanded benefit enrollment strategies; cross-agency financing strategies and opportunities for redirection and maximizing federal match in Medicaid.
This request supports the Board's Strategic Framework by providing community-appropriate levels of service and creating opportunities for improved safety and health.
OTHER AGENCY INVOLVEMENT:
Humboldt County Office of Education, Arcata School District, Big Lagoon Union Elementary School
District, Blue Lake Union Elementary School District, Bridgeville Elementary School District, Cuddeback
Elementary School District, Cutten Elementary School District, Cutten Elementary School District, Eureka
City Schools, a Unified District, Femdale Unified School District, Fieldbrook Elementary School District,
Fortuna Elementary School District, Freshwater Elementary School District, Garfield Elementary School
District, Hydesville Elementary School District, Jacoby Creek School District, Klamath-Trinity Joint
Unified School District, Kneeland Elementary School District, Loleta Union Elementary School District,
Maple Creek Elementary School District, Mattole Unified School District, McKinleyville Union School
District, Northern Humboldt High School District, Orick Elementary School District, Pacific Union School
District, Peninsula Union School District, Rio Dell School District, Scotia Union School District, South
Bay Union School District, Southem Humboldt Unified School District, and Trinidad Union School
District K-8.
ALTERNATIVES TO STAFF RECOMMENDATIONS:
Board discretion.
ATTACHMENTS:
1. Supplemental Budget
2. Resolution No._____: Resolution of the Humboldt County Board of Supervisors Authorizing Acceptance of Mental Health Triage Personnel Grant Funding from the California Mental Health Services Oversight and Accountability Commission for school-based mental health services and execution of the state standard agreement
3. Mental Health Triage Personnel Grant Application Dated April 19, 2018
4. Request for Mental Health Triage Personnel Grant Applications
5. Intent to Award letter
PREVIOUS ACTION/REFERRAL:
Board Order No.: N/A
Meeting of: N/A