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FEBRUARY 3, 2014
Catawba County Board of Commissioners Meeting
Monday, February 3, 2014, 9:30 a.m.
Robert E. Hibbitts Meeting Room, 1924 Courthouse
30 North College Avenue, Newton, NC
1. Call to Order
2. Pledge of Allegiance to the Flag
4. Approval of the minutes from the Board’s Regular Meeting of January 21, 2014
5. Recognition of Special Guests
6. Public Comment for Items Not on the Agenda
9. Departmental Reports:
10. Other Items of Business
12. Manager’s Report
PERSONS WITH DISABILITIES: Individuals needing assistance should contact the County Clerk at 828-465-8990 within a reasonable time prior to the meeting. . Access to the 1924 Courthouse for individuals with disabilities is at the south side (“A” Street). The elevator is located at the north end of the building. Participation in public meetings is without regard to race, creed, religion, national origin, sex, age, color, or disability.
CALENDAR: The next Board of Commissioners Meeting will take place on Monday, February 17, 2014 at 7:00 p.m. in the Robert E. Hibbitts Meeting Room, 1924 Courthouse, 30 North College Avenue, Newton, NC.
PREVIEW OF COUNTY COMMISSION AGENDA
MONDAY, FEBRUARY 3, 2014, 9:30 A.M.
ROBERT E. HIBBITTS MEETING ROOM
1924 COURTHOUSE, NEWTON, N.C.
The Catawba County Board of Commissioners will consider a set of mid-year budget outcome adjustments for Fiscal Year 2013/2014 for Social Services, brought about by changes in State and Federal policy and new information that was not known when the outcomes were first set, when the Board meets at 9:30 a.m. on Monday, February 3, 2014, at the 1924 Courthouse at 30 North College Avenue in Newton.
The Board will also consider a request for a Grant of Easement to Piedmont Natural Gas for the purpose of installing a natural gas pipeline across County property located on Highway 70 and recognize Catawba County Public Health, which recently earned re-accreditation from the North Carolina Local Health Department Accreditation Board.
These proposed changes have minimal impact as they are due to mental health Managed Care Organization changes or realized differences in original estimates. Social Services’ mission remains unchanged: to strengthen, with dignity and respect, the quality of life for all citizens through supportive services and advocacy. Below is a summary of proposed outcome changes:
Child Support: This outcome has historically been measured as a point in time percentage. If the percentage included in the outcome was met for one month during the fiscal year, it was considered achieved. Staff is recommending the outcome be measured as an average as opposed to a point in time. It would be necessary for staff to maintain the average for the entire year, which is more in line with what is trying to be accomplished in establishing orders for Child Support. Due to the change in the way in which the information is being calculated, it is recommended that the percentage be reduced from 89.5% to 87.25%. Staff reports this will be a challenging outcome, and is currently determining best practices that can be implemented to assist in increasing the number of cases under order. Proposed Change: To assure that children are financially supported by both parents, 87.25% (reduced from 89.5% in the original outcome, and is 5,996 of 6,872) of the children who need a child support order for support will have one during FY 2013/2014 as compared to similar counties average of 85.04% and the statewide average of 84.69% (reduced from 83.47% in the original outcome).
Permanency planning: Child welfare social workers and supervisors made a commitment to improve the outcomes for families involved with in-home services by holding Child and Family Team (CFT) meetings for parents such that they show improvement in being able to keep their children safe in their homes. That is still the intent of the outcome; however, the way the original outcome was worded makes the intent unclear, reading as though closing the case in nine months equals safety and all parents will be available and willing to participate in a CFT. The current outcome reads, “To keep children safe, strengthen parent engagement, identify supports and mutual understanding of expectations, 70 percent (133 of 190) of all families with children found to have been abused, neglected and/or dependent during Fiscal Year 2013-2014, will participate in a Child and Family Team meeting within 60 days of case decision and will demonstrate positive parental behaviors which assure safety of children in their homes, as measured by case closure within 9 months.” Proposed Change: The outcome would read, “To promote keeping children safe, strengthen parental engagement and behavior, identify supports and provide a mutual understanding of expectations that expedites case closure, 70% (56 of 80) of all families with children found to have been abused, neglected and/or dependent during Fiscal Year 2013-2014, will participate in a Child and Family Team meeting within 60 days of a finding of abuse/neglect/dependency, and will demonstrate improved parental behaviors (as measured by the Child and Family Case Plan and Strength and Needs Assessment) to establish case closure within 12 months.”
Medicaid Transportation: Social Services provided a total of 23,669 trips during FY 2012/2013 and expects this trend to continue in the current fiscal year. Staff is requesting to increase the number of trips listed in the outcome from 23,000 to 24,000. During the November 2012 outcomes planning process, information regarding the number of unduplicated individuals was added to the outcome. Counting unduplicated individuals is a process staff has worked to refine using in-house databases. During FY 12/13, Social Services provided Non-Emergency Medical Transportation (NEMT) to 1,890 unduplicated individuals, based on actual service provision as opposed to the estimate used in outcomes planning. Based on the actual number of unduplicated individuals receiving NEMT services, staff is requesting to reduce the number of unduplicated individuals from 2,300 to 1,890. In addition, it is important to note that reports for the current year indicate no increase in the number of Medicaid recipients in Catawba County. Proposed Change: Assist Medicaid eligible Catawba County citizens in accessing medical service by arranging and/or providing 24,000 trips (increased from 23,000) to an estimated 1,890 unduplicated individuals (reduced from 2,300) during FY 2013/2014. (A trip is measured as a round trip.)
Outpatient Services: The current outcome reads: “In order to enhance and maintain family functioning, 90% (approximately 405 out of 450) of the children and adolescents will show a significant decrease (at least 3 points) in their Child and Adolescent Level of Care Utilization System score, used to determine intensity of services, resources required, and duration by assessing multiple dimensions (risk of harm, functional status, co-morbidity, recovery environment, resiliency and treatment history, acceptance and engagement) by FY 2013-14”. Proposed Change: The outcome would read, “To improve family functioning, 88 percent (396 of approximately 450) of children and adolescents served will demonstrate improvement (at least a 10 point decrease in at least one domain - Role Performance, Behavior Towards Others, Moods/Self-Harm, Substance Use, Thinking) on the Child and Adolescent Functional Assessment Scale after six months or upon completion of all outpatient treatment services during Fiscal Year 2013-14.”
Intensive In-Home Services: Proposed Change: In order to enhance and maintain family functioning and increase the probability of child/adolescent remaining in the home, 93% (approximately 51 of 56) of the children served will show a significant decrease (at least 2 points, reduced from “at least 3 points” in the original outcome) in their Child and Adolescent Level of Care Utilization System (CALOCUS) total score, used to determine intensity of services, resources required, and duration by assessing multiple dimensions (risk of harm, functional status, co-morbidity, recovery environment, resiliency and treatment history, acceptance and engagement) after 6 months of service or upon completion of services by FY 2013-14.
ACT Day Treatment: Proposed Change: To increase appropriate social, emotional, and behavioral functioning in a school setting and to enhance student potential for academic success, 85% of children attending day treatment (33 of 38) will show a significant decrease (at least 2 points, reduced from “at least 3 points” in the original outcome) in their Child and Adolescent Level of Care Utilization System (CALOCUS) total score, used to determine intensity of services, resources required, and duration by assessing multiple dimensions (risk of harm, functional status, co-morbidity, recovery.
The Board’s Policy and Public Works Subcommittee recommends the Board approve the proposed outcome revisions.
CONTACT: DAVE HARDIN, PUBLIC INFORMATION OFFICER 465-8464
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