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HomeMy WebLinkAbout85-114A~w~'«* `~ ',Ryo~~ COUNTY ~)~" BC~TT`E, S`TA~=~E QF GA~LIFORiV°°#A ~eso~ution 110.85-114 (A) RESOLUTION OF THE BUTTE COUNTY BOARD OF SUPERVISORS ADOPTING 1984-85 SHORT-DOYLE MULTIYEAR PLAN FOR MENTAL HEALTH SERVICES THEREFORE, BE IT RESOLVED, that the Board of Supervisors of the County of Butte hereby adopt the Short-Doyle Multiyear Base Plan far Mental Health Services attached hereto, for the fiscal year 7984-85. PASSED AND ADOPTED by the Board of Supervisors, County of Butte, State of California, this T6th day of July, 1985, by the following vote: AYES: Supervisors Dolan, Mclnturf, McLaughlin and Chairman Fulton NOES: None ABSENT: Supervisor Wheeler NOT UOTING: None I ~~ ~-~- N FULTO Chairman of the tte County Board of Supervisors RTTEST: MARTIN J. NICHOLS Chief Administrative Officer and Clerk of the Board of Supervisors By: ,: i~ BUTTB COUNTY MENTAL HEALTH MULTIYEAR BASE PLAN Part B 1984-85 TABLE OF CONTENTS I. General Requirements Page 1.1 Board of Supervisors Adoption and Submission 1 1.2 MHAB Review Documentation 1 1.3 Action in Response to Anticipated Funding 1 i.4 Form D, Certification Document 2 TT. Certification Review Hearings 2.1 Hearing OfficErs 6 a) Listed 6 b) Procedure and Criteria for Selection 6 c) Method for Funding and Training 6 2.2 Patient Representatives 7 a) Listed 7 b) Method of Assuring Independence 7 c) Method for Training 7 2.3 Representatives of Facility at Hearings 8 2.4 Location, Schedule, and Frequency of Hearings 8 2.5 Designated Facility 8 III. Treatment Service System 3.1 Form 3.1, Pro3ection of Resource Development 9 3.2 Form 3.2, Summary of Conservatorship Costs 9 3.3 CR/DC Budget Reference 9 3.4 Cost and Percentage for Inpatient Services 10 3.5 LPS State Hospital Utilization 10 3.6 1) Distribution of Program Costs by Age 10 2) Distribution of County Population by Age 10 3) Distribution of New and Expanded Funds 10 4} Section 5704.6 11 5) Agreement for Services to Developmentally Disabled 11 IV. Administration and Finance 4.1 Community Mental Health Center Reference 18 4.2 Grant Activity Report 18 ATTACHMENT I: Budget CHAPTER I General Requirements 1.1) Board of Supervisors resolution will. be submitted under separate cover. 1.2) ~'he Mental Health Advisory Board review documentation will be submitted under separate cover. 1.3) A description of specific actions taken for the 19$4-$5 fiscal. year {i.e., program reductions, resource re-allocation, re-organization.} in response to anticipated funding. Identify programs with respect; to their Cost Accounting Planning model. designation. `fhere were no program reductions, resource re-allocations, or re- organ~.zat~.ons which were taken as specif~,c actions for the 1984-$5 fiscal year in response to anticipated funding. _.1 1.2) MENTAL HEALTH AUViSORY BOARn CERTIFICATION OF REVTEW'~OF 19$4-85 MULTIYEAR BASE PLAN,; PART B FOR MENTAL HEALTH SERVICES FORM 1.4 ASSURANCES Submitted by BUTTE County for Fiscal Year 113$4$5 1NE CEIZTIFY THAT: A. The county mental health pracd. ram assures in particular that services Are provided In ~a manner consistent with Sections 5325.5, 5710.1, 566 .5, 5801 rind 5651 .7 of the 6~elfare and Institutions Code. l3. The county mental health program will be administered according to Division 5 of the Welfare and Enstitrations Code. C. Ali persons employed in this county mental health program {directly or thrcaugh contract) meet applicabEe requirements contained in Division 5 of the V-'elfare and institutions Code and Title 9 of the California Administrative Code unless athcrwise noted in this npplicatian . D. Employment of personnel She!! be made solely on the basis of merit, without regard to race, religion, color, sex, national origin, age, ar physical or mental handicap. 1) Affirmative Action shall be taken to insure that applicants are emp?dyed, and that employees are treated during employment without regard to their race, religion, color, sex, nations! origin, age, ar p3~ ysicai qr mental handicap. Such $ctian shall Include, but not be limited to the frallawing: Employment, ' upgrading, dernation or transfer; recruitment or recruitment advertising; iayof'!` or terrninatinn; rates of pay ar other forms of compensation; and Selection for training, Including apprenticeship. T mere shat! be posted in conspicuous places, notices available to employees and applicants far employment provided by the County Officer responsible far contracts setting fiorth the provisions of the Equal Opportunity clause. 2) All solicitations ter advertisements for employees placed by or on behalfi of the contractor end/or the subcontractor shall state that all qualified applicants will receive consideration for ernpiayment without regard tt7 race, religion, color, sex, .y nations! origin, age, or physical or mental Nandi: ap. 3) Eech labor union ar representativs~ of workers wrlth which the county and/or the Subcontractor has a Collective bargaining agreement or other contract or understanding must post a notice provided by the County officer responsible far contracts, advertising the labor union or avarkers` representative of tl~e contractor°s cammitmAnts under this Equal ©pportunlty clause and shalt post copies of the notice In cor-rspscuous places available to employees and applicants far employment. -2- w,u.±rr.~<nn,ra;.~rrr.~e;^,:[•rr>:`aan~~an-.s1o-r.,r.,..-wa.nsurr~sn:~mmrr:~~ra+:rx!~K':.error:a;:7rt.-nYa:xrrvN!!ry~7?a5'iTS~3~i.. .+~.. ~ +~ Farm 1 .4 ~ 4} In the event of noncompliance with the discrimination clause of this contract ar as otherwise provided by stag and federal taw, this contract may be cancelled, terminated, or suspended in -ahale or iri part and the contractor andfar the subcontractor iYray be declared ineligi.bie far further stag contracts. 5) All provisions of- paragraphs 1) through 5} will be included in every subcontract unless exempted by rules, regulations, or orders of the Director of the Department of Mental Health sa that such provisions will be binding upon each subcontractor. The contractor ~ril1 take such action with respect to any subcontract as the State may direct as a means of enforcing such provisions lncl~ding sanctions for noncompliance provided; however, that in the event the contractor becomes Involved in, car is threatened with, litigation with a sutacantractor as a result of such direction by the State, the contractor may request in writing to the State, who, in turn, may request the United States to enter into such litigation to protect the Interests of the State and the United States. ~. Services, benefits and facilities shall be provided to patients without regard to their race, color, creed, national origin, sex, age, ar physical or mental handicap and na one will be refused service because of inability to pay far such services. 'k) Nand"recrimination in Services Benefits and 1=acilities ' There shall be na discrimination in the provision of services because of color, race, creed, national origin, sPx, age, or physical or rrrental handicap in accordance with Title V1 of the Civil nights Act of X964, ~2 U.S.C. Section ~OOOd, rules and reflulatior~s promulgated pursuant thereto, or as otherwise pro- vlded by state acrd federal law. For the purpose of the con- tract, distinctions on the grounds of race, color, creed ar national arigi~~ include but ere not lirrrited to the fallowing: per~ying a participant any service car benefit to a participant which is dif'Ferent, ar i,s provided in a different manner or at a di~'ferent time from that provided to other participants under this contract; subjecting a participant to segregation or separates ti-eatnent En any r~rattEr related is his receipt of any service; restricting a ~aarticipant in any way in the enjoyment af, any advantage ar privilege en}eyed by others receiving any service nr benefit; treating a participant differently from others in determining yvh~^ther he satisfied any admission, enrollment quota, efi{~ibility, membership, ar other requirement or can- dition e~hich individuals must meet in order to be provided any service or benefit; tine assignment of times or places far the provision of services on the basis of the race, color, creed, or national origin of the participants to be served. The county and ~r11 subcontractors wi!! take affirmative action or ensure that intended beneficiaries are provided services . without regard to race, color, creed, national origin, sex, .. age, or physical ar mental handicap. _~;_ Form 1.~ ~- 2) The county and ail subcontractors assure that all recipients of service are provided information in accordance with pro- visions of 4~elfare and Institutions Code, Sections 5325 and 5325.1 , and Sections 5520 through 5553, pertaining to their rights as patients. That the county has established a system whereby recipients of service may file a complaint for alleged violations of their rights. 3) Procedure for Camala'rnt Process All complaints alleging discrimination in the delivery of services by the county and/or the subcontractor because of race, color, national origin, creed, sex, Age, or physical ar mental handicap! may be resolved by the State through the Departmznt of Mental Health Nea[th's civil rights complaint prOG~55. .~t) Notice of Com faint Process The county and all subcontractors shelf, subject to the approval .cif the Department of P-~enta! Health, establish pro- cedures under which recipients of service are informed of their eights to file a complaint alleging discrimination or a violation of their civil rights with the Department of Mental Health. 5} 15'here a substantial number of persons within the population are non°~nc~€ish speaking, all forms critical to the utilization of ' services are available in a language spakEn by said non-Fnglish sp~:aking persons. Such farms include Chase which: a. Equst be signed by the patient, b. Advise patient of his ar her rights. c. Rre a prerequisite to treatment. 6) Interpretive services are available or aril! be persons required to sign forms of the type paregraph D.4 tvho are fluent only in a language trans€ated form is availab€e. obtained for identif€ed in for v~rhich na F'. Tile county and any subcontractor will furnish a1! information and -~ reports required by the F3epartment cif Mental Health and wit! permit access to books, records ~+nd accounts for purposes of investigat"son to ascertain carr~pliance ewith paraflrnphs C, 1) through C, 3), and D, 1). -4- .._r ~._~'~ft n. rt7?1 .'r t jf.%F'J~7+, i•~~„-.:f+.?fi7 Truarsv,• r ~--'-~r!x,.~1. n??r.'s~CC"F^i~x`iss,T'^7rm,..4.;.;~t+!;cP~i~r.-srr.-:rr~*+f^'^.".;::'"'7k`.~:r~~.r,~.ri;l;!C;ae^1T?iK^"21+'F,7AY.r;x"c'ert£!~.: ...~.1 Y~a:!#K Form ~.4 • ,~~ {signature anc~ itle Chairman of Ga~erning Qody ...- ' Signature Lacai Mental E-iealtn Director JUL 1 6 X985 Date 6 l~s~" gate NOTE: Government Code, Section 7296.2 which appEies to state agencies only defines "SubstUntia{ Number of Persons" as any group con- stituting 5$ or more og Lhe genera! papulat'san in the area served. Sections 7293 and 7295 of the Government Code perta'sn1 to local agencies and non-English sp~:~aking pc~puEatians. Ti•~ese sec#ions ~sllorr local determination ar" when a proportion ai non-Ensiish spr:aking pt~rsor~s constitutes a "s~.~bstantiai t7umber". It -5- CHAPTER II. Certification Review Heari~s. r' 'r • • 2.1) Certification Review Hearing Officers a) The hearing officers for the plan year are: 1) Roy Brazzale Licensed Clinical Social. Worker -~ Department of Social Welfare California State iJniversity, Chico chico, GA 95929 2) Janice Gagerman Licensed Clinical Social Worker Private Practitioner 34~. Broadway Chico, GA 9592b 3} Richard Lainge Registered Nurse Oroville Hospital . 2767 Olive Highway Oroville, CA 95965 4} Mike Bush {alternate} Attorney Northern California Legal. Services 541 Normal. Avenue Chico, CA 95926 5) Allen Lieberman (alternate) Attorney Northern California Legal Services 541 Normal~Avenue Ch1C0, CA 9592b b) Describe the county's procedure and criteria for selection of the panel of independent Certification Review Hearing Officers. Staff and the Patients' Rights~Advocate collaboratively develop a list of licensed mental health professionals and/or attorneys willing to serve as hearing officers. This list is submitted to a panel consisting of County Gaunsel, the Public Defender, and Mental Health Director. That panel. then selects the hearing officer from the list. -6- 2.1} Certii'a.cation Review Hearing Officers c) Describe the county`s method for the funding and training of Hearing Officers. Hearing Officers are funded From County Short-Doyle budget~on a fee-for-services basis. The first Hearing Officer was an attorney knowledgeable in mental health law. He had available to him the materials distributed at the Department of Mental Health Certification Review Training Seminar held in December 19$2. A mental health staff member and the Patients' Rights Advocate met with him to discuss general procedures for conduct of certification hearings as well as basic mental. health laws, including specific criteria for grave disability and dangerousness. This person has trained the other two hearing officers. Each prospective hearing officer observed a hearing conducted by the original officer and participated in a two-hour training session with him, inpatient staff, and the Patients' Rights Advocate. They have also studied the training seminar materials described above. The original hearing officer observed each new hearing officer as he or she conducted his ar her first hearing. Subse- quently each officer has attended training provided fora the local program by the State Patients' Rights Advocate. It is expected that as new hearing officers are added the above training procedures w~.ll be applied. 2.2) Patient Representatives a) List of patient representatives for the plan year: 1} Max George, Mental. Health Education Assistant Patients' Rights Advocate Mental Health Services employee E 2} Marian Gage, Mental Health Education Assistant Assistant Patients' Rights Advocate Mental Health Services employee b) Describe the county's method of assuring that representatives above are independent. Independence of the patient representatives is assured by observance of the state guidelines for patients' rights advocates: No person serves as patients' rights advocate who has direct administrative or clinical responsibility for patient treatment. c) Describe the county's method to train patient representatives if they are other than an attorney or patient rights advocate {as defined in Section 5520). Patient representatives are the Patients' Rights Advocate and Assistant Advocate. -7- 2.3) Representative of Facility at Hearings: -; 1) Social Worker, Richard Buehler $utte County Mental Health Services employee Psychiatric Health Facility 2) Registered Nurse, Sherrie French $utte County Mental Health Services employee Psychiatric Health Facility 3} Counselor, Steve Wiley Butte County Mental Health Services employee Psychiatric Health Facility 2.4) List the facility, location, schedule, and frequency of Certification Review Hearings at each facility, designated to provide intense treatment pursuant to Section 5651.3. Hearings take place in the Mental Health offices in the same building as an adjacent to the Psychiatric Health Facility. Hearings are held at 1:00 PM each Tuesday and Friday, except legal holidays. 2,5) Provide a list of all facilities designated for 72-hour treatment and evaluation. The Butte County Mental Health Services Psychiatric Health Facility is the only facility in the county designated for 72-hour treatment and _. evaluation. -8- CRAFTER III Treatment Service System 3.1} Provide a description of resources needed (Form 3.1) which shows in columns 6 and 7 the program adjustments in response to allocation adjustments. No adjustments were required in response to allocation adjustments, therefore Form 3.1 is omitted. 3.2) Summary of Projected Annual Costs for LPS CDnservatorship. (Form 3.2) Agency providing conservatorship investigation: Butte County Public Guardian Agency providing conservatorship of person: Butte County Public Guardian Agency providing conservatorship of estate: Butte County Public Guardian Conservatorship Services Investigation Administration Number of Cases: 0-17 ~ ~ 1859 ~0 45 b0 plus 20 17 Total cases: 60 62 Annual Cost: $5,000 $43,196 Average LPS Conservatorship caseload per FTE investigator: 60 Average LPS Conservatorship caseload per FTE administrator: 62 3.3} Attach the entire CR/DC budget prepared pursuant to procedures delineated in the CR/DC manual, including Form E, MH 1910. CR/DC budget, including Form E's is attached. -9- 3.4) Cost and Percentage of Adjusted Gross Casts for State and Local Inpatient Services: Actual Estimated Projected 1982-83 1983-84 1984-85 Cost $ 628,473 $ 714,586 $1,027,959 Percent of Total Programs 24% 26% 33% 3.5) A projection of LPS state hospital utilization: Butte County does not utilize the state hospital system for treatment of LPS cases. 3.6) For children's services (ages 0-17) specify in the following format: 3.6.1) Distribution of children's program costs: (1) (2) (3) Total Ayes 0-17 Ades 0-17 as % of To_t_a1 __ 1) Adjusted Gross $3,083,606 $ 351,519 11.4% Program Costs 2) State Psychi- ~ ~ N/A atric Facilities 3} Total Adjusted Costs, All $3,083,806 $ 351,519 11.4% Programs 3.6.2) Distribution of County Population: (1) (2) (3) Total Ages 0-17 Ages 0-17 as % of .Total County Population: 143,851 33,253 23.1% 3.6.3} Distribution of New and Expanded Funds: FY 84-85 Allocation: FY 83-84 Allocation: Subtotal: Restoration of FY 83-84 Reductions: Undesignated Expanded Funds: $2,389,382 2.032.948 356,434 112,657 $ 243,777 -10- iE f 3.6.3) Distribution of New and ExpancledFunds: (1) (2) Total. Ayes 017 ', Undesignated '! New and Expanded I Funds $243,777 $137,245 ~ (3} 0-17 as ~ of Total 56~ 3.6.4) If the proportion of new money allocations is less than required under Section 5704.6 of the Short-Doy~e ACt, inlcude minutes from the required public hearing. The proportion of new money allocated meets the requirements of Section 5704.6 of the Short-Doyle ACt. 3.6.5) Include a copy of the agreement between your program and the regional centers pertaining to the prevision of services to developmentally disabled individua7.s pursuant to "Memo of inderstanding Between DDS/DMH 1984-85", which will be provided under separate cover when available. See "Delivery of Services AGreement" dated 1978. A revised Memorandum of Understanding remains in draft form pending receipt from the State of "Memo of Understanding Between DDS/DMH 1984-85. -11- •~- :. ~~at taopx}a~.}tra }ct.cxa~~rt~ c-.~r~s:~.!t ~,ra~ ir~cr,r, rLS~ra'~~r, }iE7tLT}i sE};vzc~s I)EI,3:V}•:F1' U_~ 5)::RVICES ]1GF2r.;~~?•;ENT 1c~7~3 INTnODL}CTORY STATir..t~x;N'I': The purpose of this working ac~zeer~ ant is to csta}~1ish a working policy for the pravl.sion of psychiatric services far developmentally disabled persons. Both local riental 9iczlth me}g~ .:.:~, ccnd }:egi.ont~l Center programs are mandated to develop wor}sing agrecment.l k+acw~:cn the Ywo ~+c~encies beginning wzth the 1978 - 1979 fiscal ye~>r. rat;r-~NITIOra o~ n~:~~r'r.,a}'rtr:*a~'~~t, t~Z~r.:itr,I'rt: A disability which origin~stc:s b{:fore r~rz irsdivs.dual attains the age of J. E3, continues, or can be expGc:tsec? i_a ccrrrt.irr:r~~:, irrc?efi.nitely, and constii:utes a substantial haazdicap xc~r such .:r: i.::ciivic'.u~.l. T.s defined by the I7irectox of ' fiet,lth in consultatic>n ~'.iLh thy: S~sc~c•r_ir+yc~:,r',~•nt. u.£ 1'uh]ic: Instruction, this terse s}gall include Ipe~rst.;:~ ::::t:s:~dtsti.csrs, cc•rc:`ar_t:l t~,a].t:y, epilepsy, autism anti assacitzt:cd r~curcrl.o:~ic-,si?~: h;+r;:?ic-.r:,j,;•,i. `}'iris: tr:rur ::h till also includr~ handicapping conditions found Lc~ 2~c: c]o~,c:ly x-a]t;tc~ci to razntal retardatir. •~ or to rc:quixe treat.r~nt =:imi1: x Lc t:ht3t rc:ca+:ixc:c3 for rncntal7.y xctarded indi- viduals but shall rrot irs:.•luci~ <.tir;•z- h:::r:ji.a~:~};~irrc~ conditions that are solely physical in nature. 1'URI'OSES The purpose of this :.lC)LG'l''fTl(:F1C: 1:.: to <}uar~+rstce that any cleveloprnenL-ally dis- ab led person receives a].1 pu;~chi ~.Lric :: CZ-'.~irr:~; which are deemed necessary, I:t is understood that t}Se do:velc,l~,,.~:• r~tr+'lly di:.,:b1c:c3 i. r:ciividu~til is t}~e primary responsibility of a ,tcgion~:1 C'+:::t~:r. }!aw~~v~r, the l.oc~~l }•~ental fiealt3z agency is required and exz~ected to t~z~z~~icie cor:~~ultrst:icon, dit+gnostic and treatment services, emergency sLrvires ~:nc? j~:sych~-t:dive rnec3ication, and plar-nirsg and xeview -12- ..~ ,- in conjuctian wit} the ~ginr.31 Center. ~'or the develagrnentally disabled persons known or unknown to the P.egional Centers systean treated S.n any mental health serv5:ce, the F~_,ic,n.~l Ceryter sh,331 participate i.n treatment and dispositional planning wit~rin 2~ houx-s (r.rr th~_• nex.t working day) from the time the request is,~ru~de b}~ t},e ].oval h~_ntal }7e:alth program. 1. Res pas,sibilitics cif I,:,ca1 }•:_ntal }iez+].i}r I'ra~r~-irrs a. The local n;^nt~+l }ic~~:ltl3 proyrara sI7a1]. provide psychiatric services to all developn~ntally di<_:abl~.d pGrsor:s who requa-re them in the same manner that t]sey will x~rovic3~ ther.~s to any other citizen_ b. T}re local rnent~al health progr~_m sT,al.l ]save available staff which sha11 have trairsing and c:::per4i:se i.n cvt3luatinr] and treating psychiatric ' problems of dc:vc,lo>::,;:nt~sily disc:}.pled pcsrsor.s. The xegiorral cente'r' shall tram rnr~Ilt.ill }~sc~;t] t?z :,t~sff Z.n wc.,x-}:ing with the developmentally disabled persons r;s xc.•~:s~~•~sted by 1o;:t+l manta]. health prograrszs and reflected in the war}:znc~ ~.yzees;,ent. c. T'nc local ment.41 h~~~~at}s prc~gra'n shall x~cfcr to t-hc appropriate regional • center any 1>er~~,on :~tr:~.>L~c:t.cd o]C h~:virrc~ a c3cvelaprrr~ntai c]isa]oility £ar intake ~.nd assess:.-::nt._ :Tr t};t~ l>er ton is Laing detained by tho Xocal mental Health proyrr.:a ender the lsravisions of the Lanterinan-Pettis- - Short Act, or canr;;~t of}:e.rwiae be e>:pected to reach the regional center, the xegion~~l c;c~ntr~r :,hal..l zrr.rsnr~e wits the local mental health program, ~•rithin 2l hours, or the next wor):ing day for a mutually agreeable time and place for t?sc i.ntai;c: arsd assessrnent_ 2. Responsibilities of Req.iona]_Centers a. Thy reyianal ci~nter :,hall have staff capable of assessa..ng psychiatric -13- x: problems as pant of L3ieir fatal assessment of a person ox may purchase assessments from approved vendoXS. p. The regional center shall not purchase any psychiatric treatment services , without approved funding. " c, ~'he regional center :hall have ~~rir,~ry responsibility for case manage- • ment sezvices f.or develol?rnentally disabled clients_ 'T`he zegional center shall consult witYs local mental. }iealt]3 programs on the psychiatric needs of their clic~nt.s, ~snd document the findings in the lndividua7. Pxagxam Plan. d. For regional centr,r cl_icnt:s treated in any mental health service, the regional cent:c:r =:h.s~l] ]~.srt iciTr~stc. ~.sy treatment and disposition al plan- ,: ping withirs 4 }~ou:-:~ (ar t.hc- n~~:t war:i:ing d<iy) from the ti~se the rea_uest 3 i : r~ndc by t:}1~' lc~r:.s.]. i.~~•sst.sl }~c~alt:li s;rc~t~!'~sm. , e. Pragrr.:ns to ~schievc: :,nc:}, 1 iriLc•c~r•~sl~c.~n of the developmentally disabled individu:~~ls are t2sv rc~r~.l~orisibility of t_hc regional center. All zefexrals bet".~•een the tk~cs ac;s~nc~-r"' `~~~rsll ~.cnere to legal recui.rements of con- fidentiality. REGTO:~AL CENTER 3ttiSPOi:SIisTT~]_'I'Y_ T,:~iU Sr:R`J7C:5 ]~i:T.f:'P~:~ ?~'U~1CTlONS: }.. Diagnose, evaluate ~;nd forr:ulate the individual program plan services needed for eligible clar:nty. 2. N.a]ce full use of all rc.,;c~ut:c~c:s to ~schicvc specified objectives. 3.' Assist the client ~+nd/ut: f~~rzsily on aTrt~~a.ning i•trr'sieda.ate services. 4 _ Review and evaluate contr ~ct:ed services _ .. _ _ .: S. Provide continuing caac- rn,-snayern~nt services as needed. {,. Assist in venc]orinc~ l>a•ocess whin ~sp=~ri~F~riate 7. With regard to Far ?:orthE:rn Ttegianal Cr'rzrer's Developmentally Disabled clien treated in a h,ental Health int.erssive inpatient program, when the inpatient • -Z4- director natifics k'ar 13orthern Regian<<1 Center that further 24 hour intensive careis.no lanyer clinically indicated k'ar Northern Regional Center w~:~.>; xe- assume clinical responsibility and give }rightist priority to implementing discharge plans; MEPITR3.~ H};ALTH PRC)Gk,'11•'S Ri•:S}>O?~S7E377,ITY At'];? S~:]{VICi::S REIs~T£L} FUTdC1'IO?~S: . 1. I]iagr,ase, evaluate and fuz•raulate case objectives far all clients eligar_ble for canmunity r;~ental healt?s services_ 2. Prepare and ir:~-~lement trr~~trn_r,t objr~ctives. 3. 3assist patient ~_ncl family it-~ ohtainirrg immediate services i.e. through xeferxal process pxocedur.c~s_ 4. Review and ev~:luate cc~:~~t,rac~ Is(_r~Ur-r~~lI1CL~. 5. }?ravide liaison with luovi.c;:_rs to r:~ surE: continuity of care. r Trrcn~~ nr. m~~~•r.~.s hr•t~,;rrr•c~ . • '2eferrals to local r:~ntr~l Fle.,~l t}1 S~i~vi ct's prc)c3xar<.s by Regional Center, in other than crisis- instance.:;, ::.hall })c' wit}t the rccu;~.:7ersdation of the Regional Center Care Staff. Upon confixrn.rtion by IieJional Center Care Staff the case rnanayer for the client s}tall ,r>-~~}.~ wr.i.tt.c~r rr~fc•~-r<-rl to loc~xl l:antal }iealtlr Pragra~s far needed services. Cri ~;i.: s; i t t:ations ;:2i~s1.1 be cleared throug~, th.e iruneciiate supervisor who will. cnn,dr•i. t-r:~ ~:~~~ro;)rr`tr~ r?:ivit4i.an of t::e local t•;ental Flealth progr:lrn~ e.g_ Dixc:ctor of OLt.~-I';:i~.ic~::t Services, i~irectaz of In-Faticnt Services. Financial requirerrents of Coi:::::~,~ssi t~,• }:»ntrrl F1c,r:lth nrograrn, Uniform t•]ethad • of Determining rL~ility t:a 1',ry (13~~:!)A~'1 , must },c: barn by the family or witYr third x party payor if the f~irnily h~.a irs:,:ra~~:nce. Wit}urut specia3 approved funding, Regional Centers will not be held rc:sk~c~n~,i~le for:- such costs with the exception -of diagnosis and evaluation_ 7("ne C:ornrnurri.ty 1•s~ntal }la~alt.h k~rogr~ must be vendored with the `tate Department of F9ealt}t iri arc3r~r far Fir NQ~ thorn Regional Center to purchase diagnosis and •evaluation sea-va.ces_ It wi ll. fie rccFUircd of the Regional Center Counselor to infc~rra the f.arnily of ::~ssi-hle Financial liability required by the -~. 5- .~ s Jniform Method of C:eterrnining .tibility to Pray {L3'i~F;P) for services provided by the dental Health Agency. The Regional C'e.nter Counselor will also inform the family to uti7-ize pz'i.vate haalth insLranc~- or ?•1c:di-C~rl where avail.able. Rr?ferrals by Mental Health to t.}re F:c:yional Cs~r~tcrs sha7.l orc~iniate with the program director ar their designee•to the sunervis.i.ng coun,elax- or their cesignee. For those develop-- tr:c:ntally disables] r~rsons or. the in-i.~at.is:nt program the Program director or their designee shall notify the P:~csa.onal Ce:ntcr Supervising Counselor by telephone requer a Dispositional Pl~rrtning Co:yfcrenci'~ wzt:}7in 2: hours ax the next wor}:ing day. >r'rom ' out-patient or Contir:uirrg Cars: Irivi ~.nns of 1~:;:nt`l Heali:.ll a referral to the Region Center shall be yenE:ratc:cl on the I:ec~.ic,nal C'e~rite.r refc:x-ral forri, k'NRC 02q _ At the t of the referral on t~ze r't,;:C.C12f, car Ftr.:c~iorral. (:c,nL'Lr r.efc:rral fora tine l~:ental Health Clinic shall incltaaL>. ~s11 rt_lc_v.:r:i. :!t:ci ]~~•rt..ir:~nt diacJnostic material which indicates •~`~re irrc3ividual i=; ucv~.loi~:nc_ni r,l]}• cii:.,~l~lcsci_ 1•~r;c:n ]asychi~ctric"consultation is Indic for determination of r_i~;:>rc~,,r-i,.t-~~::cr,;, cif re•fr<•i°:-::.T:s t:.o cc~:n:nuni.t:y care, pl~zcemant foci lilies, or education or tr:sir;ilr:~ t>.-•uc;~-:rm wit1~ rest~ct to any 1•Sental Flealtl-r proble such consultation will 2~~:~• rc.c:~,[:stc:~.] f.~rora t?;e }oc:~~l t•;ental Health program. In a situation where client: :.c_rvi.cc:s i:~:e reniii.rc_d fro*_n both agencies, it is expecte that the Regional Ce.:,tor Ca:~,~ ::~:I:,:r~;:r ~':.nd the 2•:ent~rl Flealth Professional having primary treatment rc ,.r~ns.ibi l i.t•.~ will cor.~nuni cats with each other to insure contin- uity of care and cor:cl~lc::n_::rit.:ry c'.el iver~~ of sc:r. vS.cc:s_ zf either system, I~~cal 1•,~r:tt;l }!~~~31t1i car F'tic,ional Center, is unable to provide the requested services, the x~c:frrx-r.l 2~~jc_nc}' sh~c].]. 1~e given written notification of the • ~ Justification for denial o£ :;cruises. Notice of inability to com;aly wi±:1} all or rrny part of this agreement shall be provided to the other agency, in w 'ling, at least {3Q) days prior to nary-comolianc~ ~~ •- N ~ W - pia agreement may }tee re vic~•.~c:.c3 ~u~d revised ,,L t:he rcc~uest of eiL•hez party upon thi (30} -days' notice. Terr:~.:slution o~ ;-.his t:yrcement s?,all be upon sixty ~(60} days' notice by either party wi~3i natificatinn to the: F:c:c~ianal Centers 5ectian and Locale pzogzam Section ~C:k-aal~:IlE_':11: of t~e.,lth_ DIRECTOR: T'AR IvOtiii?.~:i:"7 }:I;GlO:;:s:~ C:iai:'1'L•'~2 DTiTE SYGN'~D: ~.^ ~/ ~~. /L~ ~~ L~c,._ /rte tax 'ClbR: UTTE LINTY MEFiTAL HElx ~1~ SERVI CfS ~ ~~ ' G -~ ~n~. s xGra . -17~- - - - r __ .............. CHAPTER IV Administration and Finance 4.I) Butte County has no Community Mental Health Center programs. "" 4.2} Butte County Mental Health Services rece~.ves no grant funding. -18"- ATTACHMENT I Budget ~. State pf Callfornla-Mealth and Welfare Agency PR(~'=RAM BUDGET SUMMARY MH . . ~ 17/$41 FISCAL YEAR COUNTY 01= BUTTE Department of Mental Health SUBMISSION DATE: April. 30,__19, ~ 2 3 4 41 I:i EGULAR ITEMS LOCAL ONLY STATE HOSPITAL OMHSS TOTAL SALARIES & EMPLOYEE BENEFITS $ 1 , 827, 332 $ ~ ~ 1 827 332 OPERATING EXPENSES 5 7, 65 547 665 EQUIPMENT 14 685 14 685 REMaDeuNG 20,000 COUNTY OVERHEAD 80 993 NEr .E FOR SERV. CONTRACT 201, 84$ 201 848 CONTRACTS 391,283 391 283 GROSS PROGRAM 3,083 806 3 08 06 LESS: SAVINGS -fl- _a_ ADJUSTED GROSS PROGRAM 3,083,806 3 083 806 LESS: GRANTS -~""' -4- PATIENTS FEES 76,062 76 062 PATIENTtNSURANCE $1,914 ~ 81 914 MED!-CALIFED 2 , 758 424 758 MEDI-CALINON-FED 237, 114 237 114 MEDICARE 52, 59 52 659 CONS. ADMIN. OTHER -O- 58, 51a _ _.- - - _~--^ -- -- - --°- - - -~-- --~-- - M.D.O. -0- - - COUNTY OVERMATCW -O- TOTALREVENUES 931 017 1 N ET COST 2 ,152 , 789 2 152 78 2 LESS COUNTY SHARE 215, 279 215 279 3 SWORT•DOYLESTATESHARE 1,937,510 4 F TATE SI-IARE ONLY MEDI-CAL! ED 1S E 214, 758 5 6 _ MEDI-CALINON FED M.D.O. 237,114 -~- 7 TOTAL GENERAL FtJND [LINES 3, 4, 5, and 61 $ 2, 389, 382 ~ ~ ~ 2,389, 382 '~'-"` STATE HOSPITAL LPS ATTACH SHEET EXPLAINING DFFFERENCES ', INPATIENT DAYS ARE: -p- BETWEEN THIS BUDGET SUMMARY AND THE A L LDCAT I 0 NS. ~` C u~ o0 ~ ~ ~ ~ w Q a ~ c r E ,,,,I ~ ~_ El U a ~ ~-~, Y AA ~ ~ a ~ ~ O ~ ~- x ~ I Z ~~ ~ o O ~~^ v 'o o a~. m~=2 ~ N m ~' w ~ ~ o I c ~ O~ ~ M °n' N o I p ~ ~ n ~ ~ ~ ~ N rn 6fS I n ~ I o cr-~ no r o O ~ H ~ ~ ~ ~ f!1 (,!) ri rl y:. ER Q O C. ~ ~ U _3 o~.. ~ Q ~ ~ ~ ~ 0 °o 0 ~ 0 °o ~ ~ °o r ~ I ~ I ~ O ~ O O M I ~ ~ ~ I I ~ I N N ' n ~ r-t 'O 69 w ~ ~ Z I O I I O I ~--i n ~ ~ ~ ~ N c~'1 ~ I O I ~y w ~ ~ w H LD n M N C*') ~ N ~D v f13 W ~ ..J ~ p ~ O ~ I o I o ~ ~ ~ ~ n ~ t ° - Mcah ° ~ -=gin [7 o ~ ~ ui O~ ~ ¢ N O N A~ ~ ~ I~ n I ~ o aNo N ~ N E3 i"~ p M r-I d u u wp w°- U } F- ~ w I-' ~ w ~ d U p V ~ O w~ _ ~ ~ Q:~w a~Cp o~Ca Q u,. w Q w Q Q ° ° w LL ~ sx~ Oo xo ~ ° ~ ~ I- Q o. ~, ~ ~ v d O O w cn o cn °. ~ ~ w > ~ J O ~ z cn w ~ w c~ cn rw~ ¢ C? oC 4 wo aG x I.u^w w O Q ~ w u.. ~ Q O J p Qha d z~ ~~~ ~ >- to p Z ~ I-~ w ~ ~ ~ m ~ n v, z ~ }~, ~ . ~ ~ ~ U i ~ Q ~ ~ ~ O I- ~ ~ ~ O a ~ ~ Q Q O v i t n ~s ~ ~ N C'7 ~ LD ifl F~ 00 ~ C iy A rii 30 1985 04 COUNTY OF BUTTE Ol SUBMISSION TYPE: 01 SEPTEMBER SUBMISSION 02 BUDGET REVISION BUDGET ITEM/PROVIDER NAME BUDGET ITEM 101-041 {ax} COMMUNITY RESIDENTIAL TREATMENT PROGRAM COMMUNITY LIVING CENTERS 7 2 4 FUNbING 50URC1; SUMMARY PROGRAM MEDI-CAL/ FEbIrRAL MEDICAL/ NON-FED TOTAL ITEM * DESCRIPTION COSTS STATE ShiARE NET COST'S 10i-001 (a}COMMUNITYSERVICES 1,911,332 23.4,758 237,114 2,363,204 ~.....-001 {ax} COMM. RES. TRMT. SVCS. 26,3.78 -0- -0- 26,178 MODE OF SERVICE STATE PROVIDER SERVICE FUNCTION GENERAL FUND NUMBER CObE CODE AMOUNT d ~" " r, ~ ~ ~ O ~i a ~-- ~ n ~-+ o0 c*) r~ ~ z ~ } p O 2 Z u,t w O oo Q ~ Cn ~ E- Q N a w ~ c r? ~ ~ cn w a ~ ~ ~ ~ ~ .t om Q m er _ --I ~ f~ CJ ~Y p , C] h cOn v'3 m ~ ~ ~ ~ .- N m O Q ~ F- Q ~ ~ ~7 _ ~ ~ ~ ~ ~ ~ p ~ O crr ~ ~ Q ~ V1 U O . U fA . ~ ~ _ H C Q a ~ F>a ~ O a w } o ~ a ~ _, ur ~ ~ ~p U ~ ~ Q a~o~ o~ ~I ~ ~ ~ ~ ~ o ~ ° r -+ rn o 0 o u~ O I O ~b n I r ~ ~ ~ ~ O O rl ~' N N 0 0 0 ~ ~ O ~~t l n r-1 r~ ri 4r-i .-~ a "- 64 I I fFt GC W (~ ~ .Z O Z Q ~ ar -- I Q o ~ ~ ~n N n I n ~ c~ I Lrt u~ ~o ~ o ~ rn ~ o ~n r~ ~ 0 n o~ n l n O o0 i ~ 00 ~ N o ~, O o~ o ~ N I N ~, ~ ~ ~ ~Z Q O ~ N r-+ I ~--+ I f I ~--~ ~ o m O 00~~ I to L 3Q 0 N rn N ~ ~ . w Q ~ o ~ a,, rn i rn rn I I cn W ,~ ~ ~ w aF" r~ N u'1 i M 0 I n l n I I I n n ,-~ n ' co o rn o o ~a ~0 0 ootio~ I I O ~ 0. ~ O ~ 7 ~ I ~ O i N I N I I I N N o 0 LV cx,. ~ ~ I I F5] O .-t ~ ~ -+ c0 O O G7 O Q ~ ~u p[ w ac oc ~- cv ~ c~ ~r ~n U m T p a D [n O C ~ ~ j ~ U ~ O t I] ~ ~ ~ ~ ~ U r Q ~ E- ~ O N Q N F- O oC ~ ~ ~ W w Z Q ~ ~ ~ G5 ~ Q ~ U t p p Q W pm ~ X ~I W O ~c-~n ~ Z~ p ~ ~ ~~ H z""w o~~ Nc=nw c~ moo ~~~ cn cn m ~oo I.u ~ U U_ ~ ~ ~ ~ W LL1 ~ t!] _ ~, U O~ ~~ ^ ~ O~ ~ O ~I a H ~ O a a[ a Q ~- T a~ I Ei.i a z o ~ I ~ ~ ~ ~ ~ va +~ ~ ~ es ~ a0 n u1 I v'i ~ ch I crr M " O ~ ~ O ~-t ~t Y . 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