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Olmsted County Community Services

Olmsted County Community Services . HRA 1-13-2014 Paul Fleissner, CS Director. Community Services works in partnership to fulfill its responsibilities for the safety, well-being and stability of children, families and adults in Olmsted County.  A safe, thriving, and inclusive community !.

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Olmsted County Community Services

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  1. Olmsted CountyCommunity Services HRA 1-13-2014 Paul Fleissner, CS Director

  2. Community Services works in partnership to fulfill its responsibilities for the safety, well-being and stability of children, families and adults in Olmsted County.  A safe, thriving, and inclusive community !

  3. Community Services Department Strategy Map 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 Build the Community Prioritize and Sustain Effective Services Managethe Resources Implement Effective and Innovative Technology Run the Business Pursue Operational Excellence Develop the Employees Values “Managing for Results (M4R) – Olmsted County’s Strategic Management System” September 2011 Demonstrate Sound Fiscal Management Build a Competent Workforce Recruit a Diverse Workforce Promote Staff Resilience

  4. 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)

  5. OLMSTED COUNTY COMMUNITY SERVICES • Adult &Family Services Division • Adult Foster Care • Adult Protection • Developmental Disabilities • Home & Community Care • Homeless Services • Integrated Behavioral Health • Planning/Evaluation/ Contracting • Support Services • Volunteer Drivers • Ways To Give A safe, thriving, and inclusive community! Olmsted County Board Community Social Services Advisory Board Child & Family Services Division • Adolescent Services • Child Mental Health • Child Foster Care/ Child Care Licensing • Child Protection • Child Welfare Services • Early Intervention • Family Involvement Strategies • Intake County Administration Dodge County Board Dodge, Fillmore, Olmsted Joint Powers Board Fillmore County Board FamilySupport &Assistance Division • Medical Assistance & State Health Care Programs • Food Support • General Assistance • MFIP (Minnesota Family Investment Program • Child Care Assistance Program • Child Support DIRECTORCommunity Services Paul Fleissner • Day Treatment & Community Alternative • Adult Supervision Unit • Intake Unit • Juvenile Probation • Dodge & Fillmore County Probation Services • Supervised Release Unit (SR) • Support Unit • Victim Services • Olmsted County Juvenile Detention Center Community Corrections Advisory Board Community Corrections OC Housing & Redevelopment Authority • Low Income Public Housing • Housing Choice Voucher • Rental Rehab Monitoring • Shelter Plus Care • Housing Options • T-RAP HRA Administering Board Veteran Services January 2014

  6. Human Services Value Curve Generative Business Model IntegrativeBusiness Model CollaborativeBusiness Model Outcome Effectiveness RegulativeBusinessModel Effectiveness In Achieving Outcomes Dr. Jerry Mechling, PhD …………….. http://www.innovations.harvard.edu/

  7. Olmsted County Integrating Our Work Across Community Services “All Doors Lead To Hope” Public Assistance Veterans CFS HRA AFS DFO Data Analytics Employment/Health Care Performance indicators Housing Transportation Portfolio of IT Assets AFS (Adult & Family Services) CFS (Child & Family Services) DFO (Dodge/Fillmore/Olmsted Community Corrections) HRA (Housing & Redevelopment Authority)

  8. 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

  9. 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

  10. 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

  11. 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.

  12. 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

  13. 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

  14. 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.

  15. 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

  16. Projected MA Expanded Enrollment

  17. Departmental Priority Goals

  18. The Pace of Change

  19. 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

  20. 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)

  21. Human Services App 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 Scan This To Get http://www.co.olmsted.mn.us/cs/Pages/OCFindItSupport.aspx

  22. Questions ?? Thank You

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