Agenda - 06-23-2004-5m - Laserfiche WebLink

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display the results of system performance to all stakeholders, and manage a public process for selecting priorities in the use of public resources for those with DD, MH, and SA issues. z Same of the threats brought forward by reform include disruptions in service if privatization is too hasty, cost/problem shifting as state institutions are downsized, and system fragmentation as private providers "cherry pick". Opportunities within reform for local communities include the chance to nurture innovation, exploit synergy among agencies, and develop new, needed services. What OPC has heard consistently throughout Steering Committee meetings and community feedback sessions is "Don't mess up things" like DD services, Club Nova, ACT (Assertive Community Treatment) Teams, the system of care for children, and court related endeavors such as Mental Health and Drug Court. By entering into the Interlocal Cooperation Agreement, the three counties establish a process by which they agree to adopt and administer an annual program budget that enables each county to share proportionately in the costs of programs necessary to meet basic requirements under state reform, the programs that serve and benefit all three alike, and be individually responsible for others that serve and benefit only their unique needs. County management from Orange, Person, and Chatham is working with OPC management to clarify and coordinate consideration by their respective Boards of unique programs that, upon demonstration to the state that goad faith efforts have been made to divest, could be integrated into county government operations (among other options, i,e,; establish a new non profit or fall under the umbrella of the OPC Foundation) in order to sustain service viability, Examples of programs under review in Orange include Childhood Early Intervention and Family Services of Orange County/KidSCope, Adult Day Treatment, and Treatment Alternatives to Street Crimes (TASC). Due diligence by the county would consist of a careful examination of revenue streams, synergy among existing human service functions, and impacts on existing infrastructure including management support. A public hearing is required prior to approval of the LME ICA. The BOCC held a public hearing at its June 8, 2004 regular meeting and the ICA is attached and recommended for formal approval on June 23. Person County has already authorized the agreement, and at this printing Chatham County is scheduled to act on June 21, FINANCIAL IMPACT: The State has provided no financing plan for the implementation of mental health reform, but has committed to full funding of the Local Management Entity. Steering Committee efforts at the programmatic level are directed towards service changes and improvements that they believe can be accomplished without adverse financial impact to the three counties, However, budgetary specifics cannot be addressed with any accuracy at this time and would have to be defined as monitoring and evaluation of the Local Business Plan continue. The Steering Committee has consistently articulated to the State that it would not divest vital program services prematurely, Recent rules issued by the State set forth definitions under which certain services could be continued as part of the new LME or by county government, State reimbursement rates far services in Fiscal 2005 were released by the State on June 14, Tom Maynard and his staff are continuing to assess the ramifications for local programs, but preliminary findings indicate a projected loss of $1 million in income far services, RECOMMENDATION(S): The Manager recommends that the Board approve the Interlocal Cooperation Agreement and authorize the Chair to sign, with the agreement to go into effect on July 1, 2004.