The Future of Housing and Human Services in Bucks County Women’s Advocacy Coalition March 23, 2018
“I recognize that a lot of great work is already happening across the spectrum of human services in Bucks County and I’m looking forward to joining our highly committed leadership team and staff in fulfilling our mission of delivering exceptional services to the residents the county,” Mr. Rubin said of his decision to join the county administration. Jon Rubin – May 2014
Telling the future?
The Bucks County Division of Housing and Human Services Housing Services Area Children Agency on and Youth Aging DHHS office Mental Health- Drug and Intellectual Alcohol Disabilities Behavioral Health
Our Vision and Mission Our Vision A community where all individuals and families thrive Our Mission Supporting and strengthening individual and family wellness through community connections, collaboration, integration, innovation, and responsible stewardship of resources
Our Values Person Centered Trust and Teaming transparency Collaboration Organizational Culturally excellence responsive
Some outputs of our work: � Over 72,000 eligible Medicaid recipients in 2017 (20,000 increase with expansion in 2015) � Average approximately 12,000-14,000 monthly people receiving treatment � Approximately 100 million dollars spent on treatment for MH or SAS � Base services for over 5000 MH treatment � Over 2000 receiving early intervention services � 8680 reports of child abuse or neglect � 217 Newborns substance exposed referrals � 9342 different seniors received services (home care, meals, protective) � Over 550 lives saved through distributed Narcan (last 3 years) � Improved outcomes from PIT count include reduction in street homeless
Proposed future for federal funding- President Trump’s proposed budget � Major cuts to: � Basic nutrition � Housing � Health care (eliminate Medicaid expansion) � Investments in: � Efforts to combat the opioid epidemic � Funding for older Americans � Child welfare flexible funding � Focus on moving individuals from TANF to work
Proposed future for PA State funding � Proposed increases � Proposed increase in education spending � Increases in Child Care supports � Increase in Substance Abuse services � Increase supports for Autism/ID � Proposed cuts � Proposed “flat” funding for most human services � Facility closures � Savings from better management/consolidation/restructuring
One final point on funding: 1990 2018 Average net $20,172 $46,640 (2016) compensation Gas $1.04 $2.72 Bread .69 $1.43 Eggs $1.22 (dozen) 2.33 (dozen) TANF average monthly $403.00 $403.00 grant Annual income of $15,080 $15,080 someone making minimum wage in PA
At the county services level…we need to consider what we can control… � How we: � Serve the community � Team and Partner � Measure, monitor, and improve � Prioritize needs � Treat people � Innovate
The real challenge: “Our sector must move to transformative work that creates population level change through ecosystems that are the only way we can have the greatest impact possible for people!” --- Dr. Michael McAfee, President PolicyLink Macro Meso Micro
Focus on all of the social determinants of health and well-being
The Human Service Value Curve Ge Gene nerative Using a population-based health and well-being approach to find solutions that get at root causes and are implemented collectively with families and communities Int Integrative Working across sectors to address problems at their root through data analytics and a customized service array for a family Colla llaborative Working towards a single-door approach to link services across programs and agencies, easing access and reducing duplication Regula lative Accurate and timely administration of programs to assure compliance and integrity; focus on efficiency and accountability for proper use of funds Antonio M. Oftelie and Leadership for a Networked World
Multi-dimensional socioeconomic issues • Complex and pervasive mental health issues • Substance misuse / opioid epidemic • Aging population • Reduced and/or limited resources • Lack of low income housing resources • Persistent inequities • Antiquated legacy IT systems • Antiquated governance structures and business operations • Outmoded and misaligned laws and regulations • Deeply-embedded cultural mindsets •
Opportunities Focus on Population-based health / Social Determinants of Health • and Well-Being Ecosystem perspective • Two Generation/Multigenerational/whole family approaches • Trauma-informed systems / authentic family voice • Systems integration • Data analytics / data visualization • Linking payments to outcomes • Repurposing resources to generate innovation • Creating more seamless and permeable boundaries across sectors • Collective Impact/Collective Funding approaches • Adaptive Leadership •
Remember …the Future � Present unified vision of the future � Become data informed and outcomes driven � Engage community partnerships � Develop a teaming model of practice � Support consumer system access and navigation � Prioritize Equity for all services � Integrate business processes � Staff and leadership development
Engaging the Community in the Discussion
Contact Jon Rubin Director of Housing and Human Services Bucks County, PA jerubin@buckscounty.org 215-348-6203
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