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HomeMy WebLinkAbout71-267SE IT RESOLVED that this Board approves the attached. contract on behalf o~' the-County o~ Butte and authorizes the Chairman to execute same on behalf of the County of Butte. In that the Chairman will be out of the State for approximately ten d.ays, this 12eso1ution also authorizes Supervisor Art Gilman, Acting Chairman, to execute said contract on behalf of our County. PASSED AND ADOPTED by the Butte County Board of Super- visors this 2nd day of November, 1971, by the fol~.owing vo~re: AYES: Supervisors Gilman, Madigan, Maxon, McKillop, and Chairman Reynolds NOES: None .EIBSEE[~11T: Non~ NOT VOTING: None ~ ,ART GILMA~], ~ng Chairman o t e Butte Count oard of Supervisors ATTEST: CLARK A. NELSON, County Clerle and ex-offici~a C1erk of the Board By ~`~<l•z- ~. ~~h _ '7/-~G7 RESOLUTION APPROVTNG CONTRACT FOR SERVICES FOR THE MENTAlLY DISORDERED CONTRACT FOR ~iE PROVISION 0~' CA~ 1~Nb SERV~C~S TO TH~ I~.EI~TAI.LX D~SO~tDEKED This cantract, en~ezed i~to on July 1, 137I at Orovi~.le, California, by and. betra~en the Caunty o~ Butt~, hereina~ter call,ed the County, aztd the State af Cali£arnia through its Department o~' Soc~.a~. Welfare, ~ereinafter cal~ed ~he Department, ~.s made pursuant to Welfa~e and ~ns~itutaons C~de Seetion 7345 and 100~3.5 £ar the pur~ose af uti].izing certain funds ~ade available by ti~e Legislature af the State of California far ti~e provision o~ pratective social services and care irt private homes of faciJ.xties ta m~nta].ly di.sprc~ered perspns, to establ.ish a unifaz'~n rat~,o o~ County and SCate responsibi~.ity for financing th~se mental health services and to provide a means of allocating Stat~ mentai health funds according to County needs in aCCOrdance ~aith the Shox~-Aoy2e Act, Welfare and Ins~iCutians Code Sections 5G00-5767. It is mutua~.yy agreed between ~he paxties as follotas; I This contract and al], the pzovisions con~ained hezein sha3.I rema~n in ~orce and effect unl~.ss ezCher party e~.ects ~,rithin the €irst six (6) montfis af any fiscal year ~o rescind the contract. A rescxssion resui~ing from an ~le~tian exercised pursuant to this Article shalJ. not be effeCt~ve ~nt~.1. the first of the ~:Lscal year next fol~awing the fiscal year in tahich such eJ.ection i~as made. ~ Zt is acknowledged by tne Departmen~ that the County's in.tent is to cease ut~7.ization of services frorn ~he Community ServiCes Division ~~fective NovambEr ~., 197~, ~'herefore, no departmez~ta,1 cos~s except monitoring costs ~ :, • -2- w~Z1 be cliarged subsequen.~ to October 31, 1.47]. unless the Caunty so reQuests atn writing. rlonitaring services as requirad ~ar federa~ part~icipation shaZl continue without r~c~~est beyond ~oveanber 1, 147~ and only the County~s gropart~onate share of the statewide cost shall ba chax~ged to the Couztty after November 1., 1971. E,~fective i3ovember l, 197I, the County agrees to provide services comparab~.e to those ~ortnerl.y provided by ~he Cornmunit.y Services l]a.vision in accordance with a Shor~-lloyie plan and contrac~ betG~een the local mental health program and the county ~relfare departmen~. Said plan and can~ract is subject tp the app~ava~. of both ti~e Departmen~ af MEnta1 Iiygiene an.d the 5tate Depaxtment of Social S~eZfare . ~ Fiscal year means the per~.od froFn ,7u~}r 1 af one ~alendar year ~a June 30 0~ the next calendar year. The pravisions of this article sha~l no~ be effecL-ive £or changes in provzszons of the cantract wh~.ch b~come necessary by r~.ason af legislariv~ appropriations or changes in state or federal law. II "ProtECtive Social. Servi.ces" to the mentally c{~sorder~d means su~h services as provxded for in WeJ.fare and institutions Code Section Z0053.5 (Stats, I970 , Ch. 1651} and shall include, but are nat limited by, the fol~o~aing: _g_ ~ROTECTIVE SERVICES ~OR AD~LTS Descxip~ion - Protective servic~s are prav~ded to indivi~uals who because o~ serious mental or physical impairments are unab~e to carry aut actiivit3e5 of dai~y l~v~ng, manage their own resources or protect themse~ves ~rom neglect or hazazdous sit~ations wfthout assistanc~ from o~hers. Protective services include preventat~ve sacia~ services to avoid the n~c~ssity af hospitalixat~an, crisis ~ntervent~on, counseling, arranging for valu~teers, homemakers, medical and psychiatric d~ag~osis and tireatment, moneq ~anagement, housing, employment, guard~anship, p~ann~ng and cooperating with the cou~ts. Qbject~ves - Ta remove or prev~nt dangerous condi~ians a~d ava~d the necessity for hospitalization. PROTECTTV~ SERVIC~S FOR CIiILDREN Descrip~ian - Protectiv~ services are ~rov~.ded to chi2dren wtta are exposed ta dangerous situa~ions such as physica~ abuse, emotional. deprivation, ~.mmaral or degrading conditions or subject to poor physical care, suPervision and medica~ care. Protective services mean.s socia~ casework and o~her services on beha3.f of chi~dren sub~ect Co cri~ical. situar~ons and preventaLive soeial services tio avoid the necessity af hospitalizatinn. Qb~ect~,ves - T~ pr~serve the c~iild's aean home whenever possible an~. t~ereby . xeduce ~IZe need for a~tion by law enforcem~nt agencies. -4-- zzi Care and serv~.ces provided £or ~nder Ar~icle XVTI (b), (c), and (d) bel.ow s~a1~. include, but are not ~3.rnited by, the fol~.ataing: OU~-OF-fIOME SERVICES - ADULTS Description - Out-of-home services means p].acement in foster, group, or ~nstitutional care appropr~ate ro tt~.e needs af each individua~., assurance ~hat tihe persdn receives proper care ~n such p3.acemen~., and ongoing evaluat~.on of the agproPriateness and need ~or the p~acensent. Qb~ect~ves -- To sacure praper care and treaCment of aged and disabied adults. To prevent hospi~alization through facil~.tating the release of pe~sons in public institutions, to r~duce and grevent ~he need far rehps~i~alization, 0[IT--~O~-HOi~IE SE~'~IIC~S - CH~LDR~N Descrip~ion - Out-of--home care servic~s means th.e pro~~.si,on pf £os~.er famxl.y and 3.nsti~utiona~. care for children who cannot remain in the~r o~~m homes because of the death of parenrs, znabi~~.~.y of ~he parents ta provide suitable living conditions ar personal problems o~ the child which famzlies cannot handle. Ob~ ect3ves - To provide the child wzth basic she~ter, ~oad, and care. To, pravide care and special services ~o lielp chil~ren overcome ex~.st3.ng impairm~nts. IV The: Depa~tment sha~I b~11 the County far ~ull casts in accordance wit]i ~'aragraphs ~VI., ~ncluding state, county, and federal share. Paymen~ ~ -~ ~L~ -5- ~fram the County sha~1 not b~ required pri~r to the Cauntyrs reimbursEment fram the State Department of Menta~ Hygiene provided su~h payment is no~ delayed because o£ the County's failure to sub~iC claims wittz ~easonable s~ promptness to the State Department of M~ntal Hygie~e. ~~~~~ ~f''~ "1 ; The Depaxtment acknow~edges tnat the Caunty shal~ a cer~ain famil car ~~ ~ _ P Y Y e C!~'~ ~ . and/ar clothing and incidental b~.3.~s on behal~ of the De~artment griar to ~~~ • November 1, 1971 and further a rees b ~^''' ~ _ . g that re~mbursemen~ of ~00/ pf the costs ° sha11 b~ made to the County. The County acknowl~dges ~hat such expenditure is a cost of the Aepartment and shal~. be inc~.~ded~~n the casts b~11ed to the locaZ menta~ healrh program. The Caunty further acknaw7.edges ~~at it understands such costs may be c~.ai~ned from ~he pepart~nent of r#ental Hygiene through the Short~-Doy~.e Program and th~:re~ore subj~ct ~o reirnbursement for aJ.~ but 1Q% ot the nonfederal snare. ~~ . V Services fqr whi~h ~rovisian i5 made in tha County SI~ort-Doyle plan which are ~~ ~~ ~ ~~ ~~ n ~.,~~`~~' / ~ no~ pravided by the f}epartment pursuant to the terms of thf.s con.traCC sha3.J. be provided ~y tl~e County in accordance with the County Short-~oyle plan, V~ Care and s~rviCes pursuant to the ~erms of ~hi~s co~~tracr s1~aZ1 be provided to any mentally d~sordered person ~aho ~.s a Cal~.~ornia resident regard~,ess nf ~~.s status as a gublic asszstance recipient, a£orrnex or poten~.ia1 public ass~stance recip~ant or a nonpub~ic assisrance reca.~ient. A Cali~orn~a residen~ is one who is physicalZy present in Cali~arnia f'or puxposes not tempozary in nature. -b - VII Care and services pursuant to this contract shaJ.~ not he denied to any person on the bas~s that suCt~ gerson ~.s noC a residenC of the county. vxz~ Tn carrying out Che tex~s of thzs contract, priority shall be given ~o chronically mentally disordered pe~sons who are severe~y ~islocated from ~he fami~.y, vacational and communi.ty supparrs. TX NotwiChstanding Artic].e XVI o£ this contract, ~lie County menCal ~heal.tlz d~.rectax~ sFaa11 autt~orize the prov~szon of such care and services by the caunty welfare department to menta3.~y disqrdered persons who are puhlir. ass~.srance recipients or wtlo are cons~.dered by th~ county we,lfa.re department to be foxZner or patentia~ publi.c ass~.s~ance recx~ients ~at2icrt~. are required by' ~he Stake Plan af the Department to maii~tain. statet+r:Cde uni~armity in the provis~on ot such care and services sa as to assur~: the f~.nancial partici~ativn ofr the United Sta.tes Ae.partmen,t o~ liealtli, l~du~a~ion, and tdelfare xn the ~ost of providing suclz care and services. X The County sha~I in.clude in ~he Shnr~ -T}oyle p~.an for the County provisions ~o~ the care and services spec~.f~.ed in Artic~.es IX and XV~. ~~~ XI Payments shall be made by rhe County pursuan~ ~o th~ texms of this contract on a manthly bas~s and shall be based on cost £igures estab~isned in accordance with a system of generally accep~ed accoun~ing practices. XII The Department map affset any amaun~ due to th~ Depa~tment from the County pursuant ta ~he terms of ~his contract agains~ any amount owing the Caunty by t~~e Department pursuant to any other pragram. ~ xx~z~ ~ ~ t ~ ~~~' ~ v ~' ~ xhe tota~. expertditure made by the Depart ent ~sursuanr to ~he ~erms of ~his contract tai~.I be kimited to a maximum f$77,598 i stare and county funds. The aa~ount avai~abl.e fo~ re~mbursement ~o the Depa~tment shall be limited to 1 ~ ~th of this ~.im~.~ation p1.us federal matching share for each month that servi.ces by the Community Services A~.vision are requested by the Caunty. The amaunt available subsequent to the discont3.nua~ce of services by the Community Serv~.ces bivision shal.l ba limired ~a the County's pra~ortionate share of actual s~.a~ewide cost serv'c s as required by .~-`-- federa~. regulations and aut~iarized by tize State Department of Finance. The exgected £ederal ~inancia]. matching not included in Che ~imitat~.an sha1~._ be as se~ fortli in "~xi~ibit A" attaci~ed ltereto. , - -8- XIV ~xcept ~o~ mon~tar~ng serv~ces, no services shal~ be prov~ded by tihe Depar~men~ pursuant ~o this contract unless requested by the County mental hea~th d~rector. County xespansibili~y for requesting such servic~s and its obl~gation to pay £o~ services rendered shall be as fallows: (a) For those serv~ces specified in Artzcle XVI (b} and (f} rendexed by the ~epartment to persans physically present within the county; (b) Foz ~hose serv~ces specified in ArticZe XVI (a}, (~), (d}, and {e} rendered by tha Departm~nt to persons admitted to a me~tal hospital from th~ County regard~ess of rahere such hospital is situated except tha~ for post hospita~ sertrices, includinp, placemen~, for s~ch persons who are p~aced outs~de th~ County the papment obl~gat~on sha1~ be for a period not ~o exceed three (3) years from the date su~h persans are released or discharged £ram rhe menta~ hospita~; (c) For ~IlOS~ services rendezed by the Depart~ent to persons physica~ly present witttin t~e County for which p~yments had been ma.de by ano~her Coun~y in aCCardanee with {~} above but fvr which the three (3) year limitation on ~he payme~lt obligation has expired. XV The County shall pay ~he DepartmenC for the total amount of money expended by the neparCment pursua3zt to the terms of this contract, includ~ng ttie portion of t~xe cast as ~s prov~ded hy the ~ede~aZ gaveznment, €ar care and servzces ~-9 - as set ~arth in Article Z and XVI, sub~ecC ta the provisions set farth in Art~cles XSiZ and XIV above. The monthly provisional rate and ttte basis £or est~,~nat~ng the nontedera~ port~.on nf thaC rate are described ba~aw. (~} For each case for wh~ch servfces descril~ed f.n Art~cle XVI {a), (b} ,(e) , and (f) are requasted by ~he Coun~y dur~.ng any ~onth].y peri.od, at the rate idantifiad to ~.nclude: Fedarally Elig~.bie_ Service costs-Direct $2305 5ervfc~ costs--Indirec~ Placem~n~ costs ~~b~~ Number xatal o£ Federal~.y of ~onfedera~ Cas~s Inelig~.ble Cases Cost 255 ~ $2584 18 C~oth~.ng and ~ncidental . costs . 28(l 14 ~ $5269 (b) Although car~ and serv~.ces described ~n Article XV~ (c) and (d) have been antihor~.zed, no £unds are ava~~able f~or th3.s purpose and such cosCS are noC inc~uded in the pravisional ra~e or limitatian. {~) The provzsiona~ rate including faderal share is $12,184 payabJ.e monthly. Itates expressed in ~h~.s article are provis~.onaZ rates, sub~ect to ad~us~ment at ~he close of each calendar quarter. A special adjustmenC wi~.l be made before Nov~mber 30, 1977. to reL~.ect monitoring costs only. An adjustment o~ the pravis3.onal rates to ac~ual. cosCs will be compl.eted, based on costs ~nc~uding accrua~.s de~ermined at the c~ose a~ the quarter ~ollow~ng the current ~iscal , ~- .. _~~_ year. Any differences b~twean prpvisional rates and actua~ costs wi12 be billed ~a the County for the current year, A final a~jus~ment rev~sion o~ prov~sional rates ta actua~ c~sts wi~l be completed within a two~year period prior to the reversion of the appropriaC~on to the Genera~ F~nd. This final ad3ustment wi1l be far any di~fer~nces resulting ~rom o~er or under accrua~s. Nothing within the terms o~ th~s contract may be construad tio mea~ that the Aepa~tmen~ shall exceea i~s budgetary authprization to expend for aIl c~aims from the Depar~ment of Mentai Hyg~ene. A~tuaZ cast ~ased upan t~e latest avai~able data sizall de~~rmine the prov~sional xa~es for subsequent f~scal years. XVI ~he Depar~ment shall proviae prot~ctive social service and care in private ham~s or facilities for menta~Zy dfsordered p~rsons whq are residents of California as fol~ows: (a) 1'rotective socia~ services fror ~he care of inental~y d~sordered. pati2nts released frotn mental ilospa.tals or to fac3~itate the release o~ mentally disordered patients in menta3. hospitals for tvhom such hospi.ta~ ca~e is no longer th~ appropriate ~rea~m~nt; (b) P~otective social services ta prevent the unnecessary ac~mission of mentally d~sozde~ed persans to men~a~. hospitals; (c) Payment for serv~ces for men~ally disordered patiex~tis in private institu~ions wtto l~.ave been released or discharged ~ram mental hospitaZs wi,thin the l~mi~at~on of.~unds appropria~ed ta ~he I}apartment €or t~iar pvrpqse; -~1- (d} payment for care prav~ded bq a~~censed hosp~ta~ or ot~er suitable licensed facility ~o any me~tally d~sordered pat~ent wlzo is released ar discharged ~rom a• mental nospita~ w~~h~n the 1zm~tation of funds availahle ~o the pepartmenC for that purpose; (e} PayEnent for the cost o£ pra~id~ng for care ~n a pr~vate hom~ to the extent funds are appropriated and available, for mentally d~sordered patients release~ from menta~ hospitais or to ~acilitate the re~ease o~ ~ental~y disord~red patien~s in mental ~ospita~s for whom such hosp~tal care is no Zonger the appropziate treatment. (f) ~aymenr for the cost of providing~~or ca~e in a~riva~e home, to the extent funds are appropriated and avai~ab~e, Co pzevent the unnecessary admission of inen~alzy disnrdered persons to mental hospitals. XVIZ Dur~ng ~he periad that services by ~l~e Communi~y S~rvices Division are requested, the Department ~n addition to and in connection with the prpvxsion of requested care and serviees set forth in Article XVI ab~ve w~~~ pxov~de the County t•iental Health De~artment wirh t~e foxlowing inforenation and perform the fallowing act~ans: (a) Par~i~~pation in a s}rstem fox acknawledgment of received re~errals and acceptanCe of new cases; (b) A written casa p~an fo~ ~ach case apened ~or serviCe and quarterly repo~ts of case service act~vity; ~ _~~~ (C) Spec~al reports on request o€ tihe County on any case or graup of cases with which the Caunty MEntal Health Depar~ment lias spec~al informat~on needs; (d} Tnforina~ian by telephone ar fn writing within twenty-tour ha~rs of any special incident accurring in connection with any patient accegted ~or sezvice, ~dent~~ying and descr~bing the paCient and the ineiden~ and r~porting on other principals involved and ac~~ons taken; (e) Ad~ante notice of ~he intent to deny or to d~scpntinue sez~vice ta any patient, the da~e and ~he reasons for the praposed discontinuance or denia~ and, if requesCed, Consu~tatian w~th the Countp Menta~ H~alth Director or ~is designee regarding the decis~on. ~ -(£) Pravision of continuity a£ care and pratective social services ~hrough utiliza~ian af the Depar~ment's state~aide network of offices tor patients mvving from one county ~o another. XVIT~ Buring the periad tha~ services by tlie Cammunity Serv~ces Division are requested, the Caunty thrnugh its mental health depar~ment will provxde ~tie Departme~t with the ~ol~owing information and serv~Ces in suppart of the care and services requested as set forth ~n Artic~e XVZ above: {a) Upon r~ferra~, su~fic~ent soczal and cl~nzcal informat~on as needed by the Departmen~ ta make possible necessary ~udgments and decisions; , -~3- {b} Prompt comtnunicatiian of any addf.tional information xeceived on the xe~erred case which may ha~e per~inence to the senr~ce requested; (c) Med~.ca1 and gsychiatric consultation. services ~o staff of the Department; (d) Provisi.an of emergency medica~. and psychiat~ic servi.~es~ (e) Regular x~eview of Che tinedical and psychiatric status and needs of referred cases, in.cl.udirtg medica3. and psychiatric exainination; {£) Frescription and provision, where no o~her source is avaiZable, of required med~.Cation; and (g) pxptnpt evaluatzon of an}* pat3.ent wl~o a~pears ta tneed inpatient Care . XTX Spec~.al re~ax'ts described ~.n XV~I (c) wx~1 not ~.nclude data reguired of the counC.y by the Aeparzmen~ of l~iental. H}*giene unless prov~.sion far said data is requ~red by contrac~s between th~ State Department of Socia3.[del~'are and the Stiata Department of ~Sen.ta~ Hygiene. XX ~t is understood tha~ because limitaCians are based upon past experience, funds avai~able to the County include funds available for residents o~ other counries resf.di.ng in ~he ~ounry. " ~,, , --14- The parties hereto have ca~zsed their duly authori.zed representat~ves to execute th~s CQrit~~C~ on the date ~irst wr~~.ten abav~:. County Mental Hea1~.h Df.rec~or Dated: ~ G~ Chief Aeputy birec~or 5tate Department of Soc3.al We~~ara pated : qpPROVED AS TO F" $uite Coun#y C~~s• . paniel V• Slaclcs#ac ~ By ~~~.. ------------' , ~ `~ Ch ' an, Board of ugervi.sax's ted:~J , ~ ~ ]~ ~ ~ _ ~pprovac~ as Eo (=iscal anc~ ~r~c`ce~ary Co~tr ~ Atto~~ror ~%~~- ~ By d H H ~ F~i :C N H ~~ ~ a~ ~ O G~ U ~ ~ ~ 0 G ~ ~ ~ ~ ~} ~D N - ~ ~p ~ N ~ ~, V] - ._ . ~ r~ ~ W A ~ ~ ~ ° ~ " ~ ~ z ,~ ,~ 0 z ~ ~ H ~ ~ U ~' n F-+ o o rn ~ ~ '~ ~ ~ ~ ~ v~ U ~ Q7 ~ ,-; ~ L*~ i+~ 't7 O~ Pa (a ~C W ~ W ~ . W Lx+ `h W . ~ ~ ~ ~ a • a ~ o ~ ~ ~ o ~ ~ ~ ~ ~ . ~ ~5 ~ ~''~ W ~ ~ , ~ ~ ~ U ~ ~ ~ ~ ~ ~ O '~ r. r. ~ ~ ~ ~ ~ ~ E~ ~ V ~ ~ ~ . N ~ ~ ~ O 5~ ~ ~ ~ ~.R{O ~t'~ Fi+ C.J ~ ~ ~ ~ ~ ~i <h- f:~ [~-'! ~ ~ H Q ~ `E ~ • • ~• U ~ U . w 7 ~ W A ~ , ~ F-~ C, H ~ ~ ~ ~ o ~ ~ ~ ~ U ~ ~ ~ ~ ~;,7 ~ F r -1 U ~ ~ pC ~ ~ ~ ~ rn P-~ f '_ .~ ..