HRA1-13-2014

Paul Fleissner, CS Director

OLMSTED COUNTYCOMMUNITY SERVICES

 A safe, thriving, and inclusive community !

C OM M U NI T Y S E RV I C E S W O RK S I N PARTN E R SH I P T O F U LF I L L I T S RE SP ON S I B I L I T I E S F O R T HE S A F E T Y , W E L L -B E I N G AN D STAB I L I TY

OF C H I L DRE N , FAM I L I E S A ND A DU LT S I N OL M ST E D C O UN T Y.

Community Services Department Strategy Map

Prioritize and Sustain Effective Services

Demonstrate Sound Fiscal Management

Pursue Operational Excellence

Recruit a Diverse Workforce

Build the Community

Managethe

Resources

Run the Business

Develop the Employees

“Managing for Results (M4R) – Olmsted County’s Strategic Management System” September 2011

ResponsivenessAccountability

InnovationProfessionalism

AdvocacyValues

Vision: “A Safe, Thriving and Inclusive Community”

Mission: “Community Services partners for the safety, well-being, and stability of children, families, and adults in Olmsted County”

Engage and Leverage Key Stakeholders

Implement Effective and Innovative Technology

Build a Competent Workforce

Promote Staff Resilience

DEPARTMENT FACTS

2013 Community Services budget $66,053,320 DFO $8,853,850 Human Services $57,199,470

2013County budget $199,335,065 % of County budget 33% # CS employees 411.10 FTE (382 full time)

DFO – 77.10 FTE (71 full time) Human Services – 334.00 FTE (311 full time) 

Adult &Family Services Division

… Adult Foster Care… Adult Protection… Developmental Disabilities… Home & Community Care… Homeless Services

… Medical Assistance & State Health Care Programs

… Food Support

… General Assistance

Child & Family Services Division

…Adolescent Services

…Child Mental Health

…Child Foster Care/ Child Care Licensing

…Child Protection

FamilySupport &Assistance Division

Olmsted County Board

Community Social Services Advisory

Board

County Administration

DIRECTORCommunity

ServicesPaul Fleissner

January 2014

… Integrated Behavioral Health

… Planning/Evaluation/ Contracting

… Support Services… Volunteer Drivers… Ways To Give

Veteran Services

… Day Treatment & Community Alternative

… Adult Supervision Unit

… Intake Unit

… Juvenile Probation

… Dodge & Fillmore County Probation Services

Community Corrections

… Supervised Release Unit (SR)

… Support Unit

… Victim Services

… Olmsted County Juvenile Detention Center

… Child Welfare Services

… Early Intervention

… Family Involvement Strategies

… Intake

… MFIP (Minnesota Family Investment Program

… Child Care Assistance Program

… Child Support

Dodge, Fillmore, Olmsted

Joint Powers Board

Community Corrections Advisory Board

HRAAdministering

Board

Dodge County Board

Fillmore County Board

OLMSTED COUNTY COMMUNITY SERVICES A safe, thriving, and inclusive community!

OC Housing & Redevelopment

Authority

… Low Income Public Housing

… Housing Choice Voucher

… Rental Rehab Monitoring

… Shelter Plus Care

… Housing Options

… T-RAP

2003 2004 2005 2006 2007 2008 2009 2010 2011 201220

30

40

50

60

70

80

Per

cent

of B

udge

tState Mandates - Impact on the Tax Levy

What is Happening in 2012 - RealityCommunity Services - Levy Vs Intergovernmental Funding

Intergovernmental and FeesLevy

$68.5 million over 9 yearsLevy

Dr. Jerry Mechling, PhD …………….. http://www.innovations.harvard.edu/

Generative Business Model

IntegrativeBusiness Model

CollaborativeBusiness Model

RegulativeBusinessModel

Outcome

Effectiv

eness

HUMAN SERVICES VALUE CURVE

Effectiveness In Achieving Outcomes

OLMSTED COUNTY INTEGRATING OUR WORK ACROSS

COMMUNITY SERVICES

HOUSING

TRANSPORTATION

DAT

A A

NA

LYTI

CS

“All Doors Lead To Hope”

PORTFOLIO OF IT ASSETS

DFO CFSPublic Assistance

VeteransAFS

EMPLOYMENT/HEALTH CARE

PE

RFO

RM

AN

CE

IN

DIC

ATO

RS

AFS (Adult & Family Services) CFS (Child & Family Services) DFO (Dodge/Fillmore/Olmsted Community Corrections)

HRA (Housing & Redevelopment Authority)

HRA

ADULT & FAMILY SERVICES 2013 TRENDS

More Creative Housing Options becoming available for people with Disabilities

Increasing services for people experiencing Homelessness

Improving Care Coordination between Behavioral Health and Primary Healthcare

Statewide Outcome Measures for Adult Social Services

ADULT & FAMILY SERVICES 2013 OPPORTUNITIES

Healthcare Reform Structured Decision Making offering

better Safety Outcomes for Vulnerable Adults

Re-entry Service Implementation Innovative Supportive Housing Options Integration Across Multiple Service

Options

ADULT & FAMILY SERVICES 2013 CHALLENGES

Keeping people insured Psychiatric services access Supportive Housing Service funding Maintaining Homeless Service Level Quality, accessible, affordable housing Maintaining early intervention services Integrating social services and health

care

CHILD & FAMILY SERVICES 2013 TRENDS

Disproportionality of children of color in out-of-home placements.

Increased number of sibling groups in placement-parental alcohol and/or drug abuse was a primary factor.

Increased number of children/youth living outside of Olmsted County due to an increase emphasis on placing children with relatives (44% placed outside of Olmsted County in 2011).

Child Protection is serving more children and families in poverty who lack adequate basic needs including affordable housing, employment with sufficient income and transportation.

Children entering Children’s Mental Health Services are reflecting higher level of care needs with complex diagnosis.

Approximately 20% of families receiving CMH services involve adopted children- research indicate that up to 1/3 of adopted children have mental health issues and 40% exhibit problem behaviors.

CHILD & FAMILY SERVICES 2013 OPPORTUNITIES

Family Finding/Family Group Decision Making Grant- creating an integrated model for children/youth at risk, entering or are in out-of-home placement settings in Child and Family and Juvenile Corrections.

Trauma-Informed System of Care (Chadwick Center)- Super Community opportunity to assess current system of care, create a plan to develop a comprehensive system of care within our community and to then provide the training/resources to integrate trauma-informed in Community Services and community partners.

CMH Block Grants- School Based Mental Health Services and Mobile Crisis Grant Partnerships with local school districts- Rochester Public Schools (SAFE Program

and Special Education/mental health system), Dover-Eyota (School-based County Social Worker), Byron and Stewartville (Collaboration for Success).

Multi-Disciplinary Teams; Child Advocacy Center: Mayo, Community Services, LEC, & County Attorney Olmsted Family Services Collaborative AOD (Alcohol & Other Drug) partnership: Olmsted Medical, Mayo, Community

Services, CD Treatment Providers, Corrections, Public Health Chronic Neglect Inititiave

CHILD AND FAMILY SERVICES2013 CHALLENGES

Protecting children from maltreatment Protect women and children in domestic violence Supporting adolescents at-risk of placement Housing with supports for homeless families and youth. Quality, accessible, affordable housing Maintaining early intervention services Maintaining child mental health services Increase access to child & adolescent psychiatry Responding to Federal requirement of implementing a

trauma-informed child welfare system. Supporting youth in extended foster care Protecting children from chronic neglect

FAMILY SUPPORT & ASSISTANCE 2013 CHALLENGES

Having integrated technology for effective access, ensuring efficiency of processes, maintaining accountability, and sustaining responsiveness during policy change and service growth.

Policy simplification Federal/State mandates that create unfunded work at the local

level (i.e. EBT card-wasn’t fully taken over=more problems). Sustaining trained workforce in face of complex policy,

insufficient funding for personnel to keep up with case growth, and lack of integrated or interfacing program systems. Currently run two systems MAXIS/MMIS. With implementation of

the Health Care Exchange (HIX) will be operating health care component on a separate eligibility system, with the other two systems in place for cash and SNAP programs.

FAMILY SUPPORT & ASSISTANCE2013 TRENDS

Health care increased caseloads/intakes

Staff turnover-takes 12-18 months before they are fully trained

Impact of Health care Exchange (HIX) Estimated Distribution of new

Enrollees-ACA Changes Total New MA Enrollees = 4,710

PROJECTED MA EXPANDED ENROLLMENT

Change Timeline Statewide Olmsted County

1. Transfer from MinnesotaCare to MA

Begin 12-15-2013 107,455 2,673

2. New participants (currently not on MNCR or MA)

10-1-2013– open enrollment

44,417 1,089

3. Clients who stay on MA due to policy changes (avoiding ‘churning’)

1-1-2014 (with conversion to Curam)

63,782 1,416

Total Additions (individuals) 215,654 5,178

Total Additions (cases)(average 1.69 average individuals/case statewide; 1.74 individuals/case in Olmsted County)

127,606 2,975

Source: DHS, February 2013

DEPARTMENTAL PRIORITY GOALS

Operational Excellence

• INTEGRATION

Sustain Effective Services

• HOUSING

Effective & Innovative

• TECHNOLOGY

THE PACE OF CHANGE

EXAMPLES OF INTEGRATIVE WORK

Community Services Integration Team Navigator Pilot Project Human Services Cell Phone

Application Analytics work –

Internal (Tableau) External with IBM and Mayo Clinic

EXAMPLES OF INTEGRATIVE WORK

Coalition for Community Health Integration

Crossover Positions – DFO & SS Integrating Intake – ABHU & CMH Traveling Eligibility Workers Guiding Partners for Solutions (GPS)

HUMAN SERVICES APP

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WHAT ELSE DOES OC FIND IT! PROVIDE?… A service catalogue with program descriptions for: • Adults• Seniors• Aging & Disabilities• Family/Children/Youth• Financial/Health Care Assistance• Corrections/Probation• Volunteer Opportunities… Map it function… Web site link… Call button 

http://www.co.olmsted.mn.us/cs/Pages/OCFindItSupport.aspx

Thank You

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