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SANTA

Administration
ue

Dedicated to the Health

26

VALLEY

of the Whole Community

ftV TUC orvA nrs

Tel.(408)299-6141

BY THE BOARD OF SUPERVISOR® (408)279-1843
OF THE COUNTY OF SANTA CLARA

HGAUH&HOSPn-AL SYSTEM

Phyllis A.Perez, Cle* of the^oard

DEPARTMENT OF

ALCOHOL & DRUG SERVICES

By
Clerk

Date:4ii0V fl g 1,9^9

October 8, 1999

Prepared by: John Larson,Program Manager
Reviewed by: Amelia Whitlow, Administrative
Services Manager

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Submitted by: Robert Gamer, Director
Alcohol and Drug Services
Guadalupe Olivas, Director
Public Health
TO:

Board of Supervii

FROM:

Robert Sillen, Ex

icl

Health and Hospi
SUBJECT:

ACCEPTANCE OF SPENDING PLAN FOR DEPENDENCY DRUG
TREATMENT COURT FUNDS,ADOPTION OF SALARY ORDINANCE
AMENDMENT AND APPROVAL OF ATTACHED BUDGET
MODIFICATION FORM

RECOMMENDED ACTIONS
1.

Approve the attached spending plan for $801,000 in Dependency Drug Treatment Court
funding for FY 2000.

2.

Approve the attached salary ordinance amendment to add: 1.0 Health Services Supervisor
(PI6)and 1.0 Advanced Clerk Typist(D36)in Department of Alcohol and Dmg Services,
BU 417; and 1.0 Public Health Nurse n(S48)or Public Nurse I(S50)in Public Health,
Budget Unit 410.

3.

Approve the attached budget modification form (F-85)which reallocates Object 2 to Object
1 to cover the cost ofthe positions being created within Alcohol and Drug Services(BU 417)
and to transfer funds to Public Health, Budget Unit 410 to cover the cost ofthe Public Health
Nurse position.

The Department of Alcohol & Drug Services is a divisioap^
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alth & Hospital System. Owned and operated by the County of Santa Clara.

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FISCAL IMPLICATIONS

There will be no impact on the General Fund as a result of this action. The Board of Supervisors
appropriated $1,253,000(annualized) in FY 1999 for the Dependency Drug Treatment Court.
These funds are budgeted in the FY 2000 Approved Budget. This spending plan reflects
ongoing expenditures of $801,000. The remainder ofthe $452,000 has already been allocated to
fund the following ongoing expenses on an annual basis;
• 2.0 Social Worker positions in the Social Services Agency(SSA)were added in FY 99 to
BU 501. An additional Social Worker position will be added by SSA sometime in January
2000;

• 1.0 Psychiatric Social Worker position assigned to Department of Alcohol and Drug Services
(DADS)to do Alcohol-and-Other-Drug(AOD)assessments at Dependency Court was added
to BU 417 in FY99;and

• a contract with Rainbow Recovery for 20 Transitional Housing Unit(THU)beds was
awarded in June 1999.

The cost of the new positions for the remainder of the fiscal year and the maximum annualized
wage plus benefits is as follows:
Maximum

Classification

1.0 Health Services Supervisor(PI6)-BU 417
1.0 Advanced Clerk Typist(D36)- BU 417
1.0 Public Health Nurse U/I - BU 410
Total

Cost for

Annualized

remainder of

wage plus

FY2000

benefits

35,577
20,271
36,771
92,619

78,066
44,202
80,550
202,818

CONTRACT HISTORY

In the attached spending plan, $324,000 is being recommended to fund 36 Transitional Housing
Unit(THU)beds. A Request for Proposals was issued September 1999 by DADS for these
services. Following review of the proposals, the Department will be requesting Board approval
ofthe recommended contract services for THU beds sometime in January 2000.
In June 1999, through a competitive bid process. Rainbow Recovery was awarded a contract for
20 THU beds for clients with dependency issues. The annual contract award is for $180,000.
The provider also contracts with DADS for 10 THU beds for women who are referred through
the Adult Drug Court system. This contract is for $78,000 and was awarded in October 1998.

2

REASONS FOR RECOMMENDATION

This transmittal proposes a spending plan that updates the earlier projected needs of the
Dependency Drug Treatment Court system. This spending plan provides for additional THU
beds (the current slots are full) as well as for a broader array of supportive services than
originally envisioned.

Public Health nursing, employment and housing services have been identified as being crucial to
the long-term recovery of these clients. In general, the clients who do the best are those who
have achieved financial independence through employment: steady jobs provide a structure,
self-esteem, as well as a source ofincome to pay for decent housing, childcare, etc. However,
since many ofthe clients have little employment history and have been dependent on men (many
of whom are unfortunately involved with drugs)for food and shelter, intensive support is needed
to help them achieve independence. Additional funds will pay for program enhancements at
programs serving this target population.
The Public Health nursing position will be assigned to work with social workers to support
clients in achieving family reunification and will develop the health component of the
dependency client’s treatment plan. Supervisory and clerical support positions to manage the
continuum of services are also being recommended for this project in the spending plan. The
Health Services Supervisor will participate on the multi-disciplinary Drug Treatment Court team
and will develop performance expectations for team members; and the Advanced Clerk Typist
will provide the clerical support for the alcohol/drug and ancillary staff on the multi-disciplinary
Drug Treatment Court Team. Employee Services Agency(ESA)concurs with the
recommendation to add the new positions.
BACKGROUND

When the Board appropriated funds for the Dependency Drug Treatment Court in June 1999, it
was with the understanding that this was a novel undertaking and unlike any other Drug Court in
existence. The last nine months have been spent refining the mission, target population, and
service needs ofthe clients served by the Dependency Drug Treatment Court.

One ofthe most promising developments of the project has been the improved communications
between the Dependency and Criminal Drug Court. Services are now being offered to clients
with dependency cases, regardless of which Drug Court they are in. Services are also being made
available to clients with open dependency cases that, for one reason or another, have chosen not
to participate in the formal Drug Treatment Court. In some of these cases. Judge Edwards has
even instituted the same system offrequent report backs as exists for Drug Court clients.
The Dependency Drug Court Team, which includes representatives from Social Services
Agency, the District Attorney’s Office, the Department of Alcohol and Drug Services,
3

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Dependency Legal Services, County Counsel and the Court, has met weekly during this period
to develop procedures and services for these high-risk clients. This spending plan has been
discussed at numerous meetings and in subcommittees that were formed to address special needs
of perinatal clients such as childcare. The proposal contained herein reflects the consensus that
emerged from these meetings.
CONSEQUENCE OF NEGATIVE ACTION

Failure to approve the recommended actions will result in the loss of additional services to
clients with dependency issues, specifically Transitional Housing Unit(THU)beds for women,
case management, employment and housing support services.
STEPS FOLLOWING APPROVAL

Clerk ofthe Board to forward one executed copy to Health and Hospital Administration.
cc:

Robert Gamer, John Larson, Amelia Whitlow, HHS Administration, HHS Finance

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4

ORDINANCE NO. NS-5.99.66

AN ORDINANCE AMENDING SANTA CLARA COUNTY ORDINANCE
NO. NS-5.99 RELATING TO THE COMPENSATION OF EMPLOYEES
SECTION 1:

In SECTION 39 - SCVHHS - PUBLIC HEALTH - 410, the following shall be added:
1

OR

S48

Public Health Nurse II

S50

Public Health Nurse I

In SECTION 43 - SCVHHS - ALCOHOL & DRUG - 417, the following shall be
added:
1

D36

1

P16

Advanced Clerk Typist
Health Services Supervisor

SECTION 2:

This Ordinance shall be implemented on December 13, 1999.

PASSED AND ADOPTED by the Board of Supervisors of the County of Santa
by the following vote:

Clara, State of California, this

AYES:
NOES:
ABSENT:

Supervisors,
Supervisors,
Supervisors,

CHAIR of the BOARD OF SUPERVISORS
PETE MCHUGH

ATTEST:

PHYLLIS A. PEREZ

CLERK, BOARD OF SUPERVISORS

tjc/PMA/MC

Form Approved by County Counsel 9/99

DEPARTMENT OF ALCOHOL AND DRUG SERVICES
DEPENDENCY DRUG TREATMENT COURT
SPENDING PLAN
1.

36 THU beds - $324,000. The 20 beds currently allocated for Dependency Court referrals are full. The

Department has developed an RFP for 36 additional beds for women (with and without children) which
will be issued in September 1999.
2.

Child Care - $117,000. An RFP will be issued to community childcare providers. Mandatory training

in the special needs of substance abusing families will be provided to successful applicants. Augmentation
ofthis funding level may be needed in future years.
3.

Add 1.0 Public Health Nurse(PHN)II/I - $83,000. This position will intensively case manage clients
referred by the criminal and dependency Drug Courts. The PHN will intervene with families to assure

follow-up of basic preventive care and primary parenting skills and link eligible families to the Health

Trust Incentive Family Home Visiting program. Office space is available for his new position
4.

Add 1.0 Health Services Supervisor and 1.0 Advanced Clerk Typist - $118,000. These positions will
be added to manage the continuum of services for the dependency drug treatment court. The Department
is able to provide office space for these positions.

5.

Employment and Housing Support Services - $60,000. These funds will provide clients employment
and housing support. Many of these clients have never worked and special assistance is required to:move
them into jobs with career potential. These women also need special assistance in finding affordable
housing when they are ready to leave residential treatment or THUs. Without it, many of these women are
likely to return to unhealthy relationships with men involved with drugs.

6.

Transportation - $20,000. These funds, using Valley Transit Authority(VTA), will provide clients with
transportation to and from THUs,treatment programs, child care, parenting classes, supervised visits,
medical appointments etc.

7.

Client Expense Fund - $20,000. These funds will be used as seed money for a fund, which will advance
client’s money for extraordinary expenses, such as first and last month’s rent These funds will be loans
except for in exceptional circumstances.

8.

Funding for SSA - $20,000. This funding will be set aside for assessment services for the Dependency
Drug Treatment Court for SSA Child Welfare Services.

9.

Department Overhead - $39,000. The Department has set aside this amount for infi-astructure needs.

TOTAL EXPENDITURES(FY 2000)- $801,000

The allocation of funds in future years will depend on the level of client referrals and the client need for, and
utilization of, child care, transportation, employment and housing services.
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