De Depar partme tment nt of of Hu Human man Se Servi vice ces PROPOSED FY 2019 BUDGET HIGHLIGHTS County Board Work k Session on February 28, 2018
Departm tment ent of Human Servi vices: ces: V Visi sion, on, Miss ssion ion & I Ideal al Culture ture Vision A community of healthy, safe and economically secure children, adults and families Mission Strengthen, protect and empower those in need Ideal Culture Customers are our highest Employees are engaged and Our organization is built on priority, receiving quality, committed to continuous mutual trust and shared integrated services improvement responsibility
Cl Clien ents ts Se Served ved by Pr y Program am Dep epar artmen tment t Initiativ itiatives es Aging & Disability Behavioral Health Child & Family 747 - Nursing Case Management 1,942 – Psychiatric Services 415 – Child Protective Services 552 - Independent Living Services 1,604 – Emergency Services 279 – Youth Mental Health 502 - Case Management 1,389 – Outpatient Mental Health 273 – Child Advocacy Center 308 - Adult Protective Services 988 – Jail Mental Health 228 – Child Care Licensing 272 - Senior Adult Mental Health 272 – Substance Abuse 104 – Foster Care 2 Departme tment nt of Human man Services vices
Cl Clien ents ts Se Served ved by Pr y Program am Dep epar artmen tment t Initiativ itiatives es Economic Public Health Independence 17,407 – Medicaid, SNAP, TANF 20,167 – School Health 1,585 – Energy Assistance 4,088 – Immunization Clinic 1,516 – Housing Choice Voucher 3,556 – Laboratory Services 1,229 - Housing Grants 2,658 – Family Planning 251 – Permanent Supportive 809 - Dental Clinic Housing 3 Departme tment nt of Human man Services vices
Dep epar artmen tment t Initiativ itiatives es Child Care Initiative • Promotes an inclusive, integrated child care system serving all Arlington families, especially vulnerable populations • Increased availability, accessibility, affordability, and improved quality of child care programs • 30 organizations, including providers, parents, non-profits, schools and government involved in leadership and working groups • Draft Action Plan under review by community – approximately 500 comments received; County Board to receive final draft in Spring Opioid Response • Over 20 entities, representing law enforcement, courts, schools, providers, hospitals and local government addressing the opioid crisis • Priorities are increased awareness, community education, expanded treatment access, naloxone dissemination and safe prescribing, enforcement, and reduced supply • Actions underway: 24/7 drug take back at 2 fire stations, April 2018 Town Hall meeting, 24/7 hotline through PRS (Crisis Link), community naloxone training Destination 2027 • Public Health initiative and campaign to achieve health equity through system changes by 2027 • Uses community feedback, health data, and national standards to identify how DHS can empower Arlingtonians and community organizations to improve public health • 35 entities representing health care providers, non-profits, schools, universities, foundations, law enforcement and local government will analyze data and develop goals and strategies for addressing them through system changes • 2,540 people responded to the community health survey - access to affordable housing, health care, and meeting basic needs are areas for improvement 4 Departme tment nt of Human man Services vices
Dep epar artmen tment t Initiativ itiatives es Bridges Out of Poverty • 23 non-profits, DHS, schools, and the Arlington Community Foundation making improvements to the service delivery system for shared clients and strengthening client voice • Developing new tools to share information on programs and clients across agencies • Addressing social determinants of health in Arlington census tracts with worst health outcomes AC Works • Inventory County-supported employment and workforce development activities and programs across all departments to identify redundant services • Propose strategies to eliminate redundancies, create efficiencies and increase effectiveness in meeting desired workforce outcomes • Improve collaboration, integration and performance between the public and private sectors Same Day Access (SDA) • Mandated best practice that allows clients to walk in for mental health intakes with no scheduled appointment • Increases client engagement, reduces wait time for first appointment, reduces paperwork and improves collaboration with partners • Since initiating in December 2017, have doubled number of mental health intakes and eliminated all wait lists for initial appointments 5 Departme tment nt of Human man Services vices
Propos oposed ed Bu Budget get Chang anges es for FY FY 2019 FY FY 2018 Adopt pted FY 2019 Propos oposed Net Chang nge % Chang nge $137,101,996 $138,794,705 $1,692,709 1.2% Expen penses ses $39,610,153 $41,144,648 $1,534,495 3.9% Revenue enue $97,491,843 (71%) $97,650,057 (70%) $158,214 0.2% Net Tax x Supp ppor ort 705.52 FTEs 691.82 FTEs -13.7 FTEs -1.9% Perma manent nent St Staff FY 2019 proposed revenue budget includes a $12,000 increase for new state-mandated client fees regarding testing for sexually transmitted infections. 6 Departme tment nt of Human man Services vices
Propos oposed ed Red eductions uctions DHS FY 2019 REDUCTION SUMMARY Personnel Non-Personnel Total Reduction FTE OPTIONAL: An image or graphic can be used to help show, explain or quantify a 16.0 FY 2019 Reduction $1,650,035 $557,101 $2,207,136 proposed reduction. (11 filled; 5 vacant) 7 Departme tment nt of Human man Services vices
Propos oposed ed Red eductions uctions Adm dminis nistr trati ative ve Supp pport t St Staf aff Servi vice ce Imp mpacts acts Budge dget Imp mpact act FY 2019 Change: -$164,620 Public Health Division Office Supervisor ($95,603) Transfer supervision of seven staff to the administrative officer, increasing direct reports from three to ten. Staff St f Imp mpact act Redistribute vital records requests & reporting, front desk support, as well as - 1.0 purchasing & payables tasks to other administrative staff under the direction 0 Office ce Superviso sor r (filled) of the administrative officer. -1.0 .0 Admini nistr trat ative ve Technici cian n (filled) Director’s Office Administrative Technician ($81,017) Reduce capacity for records tracking, delivering & retrieving. Require program staff to track & monitor records independently. Enlist contractor to deliver & retrieve records as needed ($12,000 cost included in FY 2019 impact). 8 Departme tment nt of Human man Services vices
Propos oposed ed Red eductions uctions Eliminate inate Non-Ess Essential ntial Cont ontinge ingency ncy Funding ding for r Behavior havioral al Healthcar thcare Division sion Contr ontract acts Servi vice ce Imp mpacts acts Budge dget Imp mpact act FY 2019 Change : -$80,000 • Eliminate non-essential contingency funding for Community Residences Group Homes, Crisis Stabilization, Intensive Support and Living Services Contracts. • There is no impact on clients or service delivery as vendors historically did not utilize contingency funding in order to meet contract goals and outcomes. • If contractual needs change in future years, funding levels may be revised. 9 Departme tment nt of Human man Services vices
Propos oposed ed Red eductions uctions Pharmacy armacy Servi vices ces Servi vice ce Imp mpacts acts Budge dget Imp mpact act FY 2019 Change: -$176,353 • By contracting pharmacy services, DHS will provide more efficient pharmacy operations at a lower cost. The pharmacy contract will include dispensing, Staff St f Imp mpact act pharmacist consultation and medication subsidy assistance for an estimated $134,040 per year (based on market research). Expenses will be covered by - 2.0 0 Administrati tive ve Technici nician ans s (vacant) reallocating existing, on-going grant funds. • Client outcomes will improve by co-locating pharmacy services with mental health and primary care providers through easier access to medications. • Clinical staff will no longer conduct medication management in order to focus on other direct client services. • Proposal includes the elimination of two administrative technicians ($159,153) and a reduction in pharmacy contract funding ($17,200). 10 Departme tment nt of Human man Services vices
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