Human Services Committee

DATE: February 5, 2007
TIME: 5:00 p.m
PLACE:
County Board Gallery
Baraboo, WI

Members Present: Alexander, Dippel, Bowers, Fordham, Stoeckmann, Vertein, Fabisiak, Endres, Zowin

Members Excused: None

Members Absent: None

Others Present: Orth, Brattset, Horkan, Vandre, Hebel, Joan Wheeler, Bill Bishop, Mary Jane Arnold

Chair Alexander called the meeting to order and certified compliance with the Open Meeting Law.

Motion by Fordham, seconded by Zowin to adopt the agenda.
Motion Carried.

Motion by Dippel, seconded by Fabisiak to approve minutes of the previous meeting.
Motion Carried.

Communications:

Trish Vandre - Transportation Grant : Vandre spoke about the upcoming transportation grant (see attachment from packet). Recruitment for a project position will begin soon. This will be a 12 month grant. The plan is to improve coordination of transportation countywide. Fordham noted that the Health Care Center resources will tie into this grant and this is a good idea to coordinate throughout the county. Another goal is to increase access to resources.

Business Items:

1. Review and Approval of Monthly Vouchers: Horkan distributed monthly voucher report and noted salary and benefits were down from average due to year end reconciliation of payroll. Administrative line was up due to payment to Juneau and Richland counties from a settlement reward. CWCAC contract for resources for homelessness was paid at $20,000 for 2006. Community living and support was down due to VARC being low this month, as a result of fewer work days in December. Community Resources was up due to an adult family home rate increase and increase placements in Mental Health and Long Term Support. Community Treatment was also up due to paying two months for autism and year end billing, as well as psychiatric evaluations and detoxification services being up. Institutional line was up from December with Mendota and Winnebago having billed. In addition, there was a slight increase in CCI placements. Income Maintenance was up due to an increase in funerals and med transports. W-2 was down due to an adjustment with CWCAC contract. Motion by Bowers, seconded by Stoeckmann to approve vouchers at $1,756,841.18.
   Motion Carried.

   Horkan reviewed the volatile line report (see attached). Horkan noted that in total it was about $296,000 over budget, which is common for the volatile line annual results. She further indicated that year end projections are still favorable.

2. Personal Care Program Resolution: Orth referenced the Personal Care Resolution (see attached). Motion by Stoeckmann, seconded by Fordham to accept the resolution as written.
   Motion Carried.
3. Resolution Recognizing Mary White: Orth referenced the resolution recognizing Mary White (see attached). Motion by Zowin, seconded by Endres to accept the resolution as written. Discussion. Endres noted that Mary White should attend the full County Board Meeting to be present when this resolution is presented.
   Motion Carried.
4. 2006 IVE Legal Services Contract Addenda: Horkan noted that an addenda for IVE and legal services covers financing from the state for TPR and CHIPS that Corporation Counsel works on for Sauk County. Motion by Endres, seconded by Dippel to approve the IVE Legal Services Contract Addendum. Discussion. Endres noted that although it is always challenging TPR's have been a positive fiscal impact at the same time it helps children.
   Motion Carried.

Department Updates:

1. Changes in Chapter 46, 54, and 55 of the Wisconsin Statutes: Hebel spoke about changes in Chapters 46, 54, and 55 of the Wisconsin Statutes. Mary Jane Arnold and Bill Bishop, social workers working in these programs were introduced and spoke briefly about their role in adult protective services and some changes in these Chapters. Hebel spoke further about elder abuse, adults at risk and protective placements. Hebel reviewed updates on Chapter 54 and 55 (see attached). Hebel noted that changes in Statutes and additional requirements to include adults at risk may impact on an increase of referrals.
2. Delinquency Prevention/Jail Diversion: Orth spoke about Joan Wheeler's interest in jail diversion and delinquency prevention. Orth reviewed the Department's efforts in regards to juvenile delinquency to include working with young children with severe mental illness as a pilot project with schools, which will be beginning in the near future. In addition, Orth described efforts with Juvenile Justice to utilize integrated services and inter disciplinary teams. Orth further noted that delinquency prevention is not mandated or funded by the state, however, there could be some efforts in the future if funding were provided by the county for substance abuse prevention for adolescents. It was also reviewed that another non-mandated funding option could be child protective service with home visitation programs and parenting education. These would have to be additionally funded. Wheeler discussed her concerns about the need for jail diversion and creative programming with interdepartmental communications being maximized. Wheeler further indicated that it was interesting to listen to the discussion of Human Services options and she will follow up with discussions at the County Board level as well as functional group involvement. Additional topics which were briefly discussed included: the potential to increase Human Services case management and mental health services in the county jail, as well as the expansion of child welfare social work position. Orth spoke briefly about being willing to position the department to collaborate with jail diversion programs and contribute as long as law enforcement and judicial and district attorney offices took the lead. In addition, it was noted that Brattset will be attending the law enforcement functional group in the near future.
3. Long Term Care Redesign: Orth noted an update regarding Long Term Care Redesign that in early 2008 the care management organization should be ready to go into effect (see attached). Options that could be taken for Sauk County include perhaps maintaining relationships in both coalitions. Orth will continue to review options and explore differences in the coalitions. There is a difference in philosophy with the partnership being more of an HMO model as opposed to Family Care with increased consumer dialogue. Orth noted that ADRC's will still go on track with the Southwest Coalition, which has made the decision to split into two regions and clusters above and below the Wisconsin River. There will be combined governance and resource sharing as well as one coordinator for the district.
4. Annual Report: Orth noted that the annual report is in the packet for board members to review. (see attachment) .
5. Comprehensive Community Services (CCS) Site Visit: Brattset reported that the State has made their site visit for CCS licensure. All things appear to be in order with some minor adjustments and there needs to be a dialogue between the licensure and fiscal elements of the service. This will occur sometime in the next month with projected potential annual provisional license being granted on March 1.
6. AODA/Mental Health Therapist Position: Brattset reported that the position has gone through the posting period and is currently being advertised. This will result in interviews in the near future. The Department is excited about getting this position hired.
7. Proposed Wisconsin Department of Children & Families: Orth spoke about the Governor's new model for the proposal for the Department of Children and Families (see attached). Orth further reiterated some brief pros and cons and is divided on this decision. Pros include: advocacy for family. Cons potentially include: increased bureaucracy and increased number of people to interact with as a result of that bureaucracy. Endres noted that there has been some talk at Wisconsin Counties Association that the logistics and details are difficult and it could take quite some time to develop this new Department, if ever.

The next meeting of the Sauk County Human Services Board is scheduled for Monday, March 5, 2007.

Motion by Dippel, seconded by Bowers to adjourn.
Motion Carried.

Respectfully Submitted: Judith Stoeckmann