Human Services Board Meeting

hsbminutesjune2012.pdf (28 KB)

MINUTES
SAUK COUNTY BOARD OF HUMAN SERVICES

Meeting: June 4, 2012, 5:00 p.m., Room 213, Baraboo, WI

Members Present: Scott Alexander, Andrea Lombard, Ruth Dawson, Mark Detter, Thomas Kriegl, Beverly Vertein, Karen Fabisiak, James Bowers, John Miller

Members Excused: None

Members Absent: None

Others Present: Orth, Box

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

Motion by James Bowers, seconded by Karen Fabisiak to adopt the agenda. Motion Carried.

Motion by Ruth Dawson, seconded by Beverly Vertein to approve minutes of the previous meeting. Motion Carried.

Public Comment
None.

Communications:
None.

Business Items:

A. Review and Approval of Monthly Vouchers: Box distributed the monthly voucher report and explained the following changes: Administrative: Decrease of $6,163.31. This is due to not paying crisis training expenses and a vehicle repair expense this month. Community Residential: Decrease of $26,403.67. We had a decrease in Adult Family Home expenses due to a change in provider and a new contract is in the process of being drafted, decrease in CBRF expenses due to changes in placement and decrease in Alternate Care expense due to an ended placement. Community Treatment: Increase of $22,269.32 as we paid for three months of expenses to Lutheran Social Services and they had not turned in invoices. Institutions: Decrease of $20,162.12. We did not pay the invoices for Lacrosse Lakeview as they have not billed us and decrease in expense for Mendota/Winnebago. Motion by Andrea Lombard, seconded by James Bowers to approve the monthly vouchers in the amount of $1,048,226.19. Motion Carried.

B. Quarterly Reports: The Alternate Care Statistics Report, Accounts Receivable Report and Volatile Line Reports were handed out and explained by Box.

C. Discussion and Consideration of Programs, Services, Vision, Mission and Goals for 2013: Goals - Orth stated the goals are based on what programs are most volatile for us financially. Orth explained each of the goals listed. Redesign – What other position would we need? Determined they need a Master Level position psychotherapist. Will be bringing this to the board through the budget process to hire this position. Orth went through each of the Program Titles and pointed out where any changes were made from previous presentation of this form.

John Miller – Any programs that the State is looking at putting into a consortium? W-2. Andrea Lombard – What is the crossover between services? Client could be seeing OP while getting IM or CPS services. Are there duplicate services? Orth states that we know what services are being offered and can watch for duplication. Mark Smooth Detter – At what age is a child not receiving children’s services. Answer 18. Orth stated that we can extend to age 19, but if a child wants to be done and they are 18 they can be done. Mark Smooth Detter – Are we doing any presentations in the schools? Orth stated yes, we do this at invitation of the school regularly. We always do child abuse and neglect training for the teachers. Thomas Kriegl – What degree of duplication did we have? Orth stated that as money has gotten tighter we are more thoughtful of when to provide service and not provide services they do not need. We have collaborative forum and carefully look at situations where a child may need to be placed. Thomas Kriegl – What were the ES numbers prior to 2011? Orth stated right around 4500 or so, but with the consortium formation our numbers have gone up significantly.

D. Human Services Fund Balance: We have a 1.4 million dollar reserve fund which was formed from prior year underspending. Orth is recommending just keeping the 1.4 million and putting the rest back to the General Fund. Mark Smooth Detter – What would be a scenario where we would need to use the money? Orth stated placements. Mark Smooth Detter – Why not put the money somewhere else or reduce our fund? Orth stated the money has to be somewhere and if it is moved we would not have access to it if needed. Motion by Andrea Lombard, seconded by Beverly Vertein to keep 1.4 million dollars in the Human Services General Fund. John Miller stated this is a prudent course to take as this insures protecting Human Services from a disaster. Motion Carried.

Department Updates:

A. Income Maintenance: This area is the most stressed. Orth would like to bring back a proposal for some additional staff. Final approval will be in August for the budget, but he will bring this back next month to discuss. The W-2 Program may be discontinued and the person assigned to this program could be used. Money would be going away and this position would be tax levy.

B. Human Services Redesign: Orth stated that WCHSA is trying to change how services are delivered around the State. At the Spring Conference counties were allowed to vote on if they supported WCHSA working at looking at statutory language and drafting new language so counties could work together. 80% voted yes (12 counties voted no). The second question was to create a commission like Minnesota has created (board members, legislators, directors) 30 counties voted yes, 28 no. There is a committee meeting at the end of the month to determine how to move forward. Work to protect tax levy at current counties.

C. W-2 Program: This program must have RFP’s every two years. DCF let it out in a form that mandated regionalization. Half of counties are using privatization for services. Advocacy groups are asking to stop the RFP and want it to come back to the table. Orth is not sure what will happen. He states Sauk County will not be running W-2 if the RFP goes through. Thomas Kriegl – Ridiculous that one department has huge caseloads and another department has 2.81 persons doing the job of one person. This is a problem that the County Board could address and we should be doing that (meaning adding additional staff to help ES). Ruth Dawson – Can fraud be followed up on a computer? Orth – Hard to get access to some information from clients.

D. WCHSA Spring Conference: Orth stated this was a good conference with good presentations. Ruth Dawson and Andrea Lombard attended. Andrea Lombard – Attended network for improvement of addiction treatment. How to do more with less. Everyone is struggling. Reducing admission rates. Avoid micro-management. Ruth Dawson - Attended Stress/Trauma session. This focused on compassion/fatigue for social workers. Often they mimic symptoms of their clients at home and Post Traumatic Stress from those coming back from the service. Ruth Dawson also attended Orth’s presentation on immigrant families. Parents get deported and children are left here to be cared for. Ruth Dawson also attended some Human Service 101 classes.

E. Community Recovery Services: New MA benefit we are applying for to offer in Sauk County. It covers supported employment, peer support and residential services. 60% federal reimbursement on these services.

The next meeting of the Sauk County Human Services Board will be in July 9, 2012 at 5:00 P.M. Motion by James Bowers, seconded by Karen Fabisiak to adjourn. Motion Carried.



Ruth Dawson