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Home My WebLink AboutHuman Services Board - Agenda - 6/27/2024K:Agendas & Minutes/DHS Board/Agendas 2024 FROM: Elizabeth Skulan, Director DATE: June 17, 2024 RE: MEETING NOTICE The Bayfield County Department of Human Services Board will hold the regular monthly meeting and the annual Public Hearing on the 2025 DHS Budget and Opportunity for Comments regarding Bayfield County’s Policies and Procedures for Equal Opportunity in Employment, Service Delivery, and Language Access on Thursday June 27, 2024 at 4:00 p.m. An in person and remote meeting will originate from the County Board Room of the Bayfield County Courthouse, Washburn, Wisconsin. Remote participation is available via Microsoft Teams or by phone using the information below. Microsoft Teams Need help? Join the meeting now Meeting ID: 248 082 583 706 Passcode: PQFDdW Dial in by phone +1 715-318-2087,,217706599# United States, Eau Claire Find a local number Phone conference ID: 217 706 599# For organizers: Meeting options | Reset dial-in PIN ________________________________________________________________________________ To join on your computer or mobile app, please ‘Control, Click’ the link below or left click and choose ‘Open Hyperlink” to connect. Department of Human Services 117 East Fifth Street P.O. Box 100 Washburn, WI 54891 - 0100 Telephone (715) 373 - (715 Fax 6144 - )373 - 6130 Email: baycodhs@bayfieldcounty.wi.gov K:Agendas & Minutes/DHS Board/Agendas 2024 Notice is hereby given, in the event the standing committee does not have a quorum, the County Board Chair or Vice Chair may act as an ex officio member (County ordinance, Chapter 3, section 2-3-1(c). Any person wishing to attend who, because of a disability, requires special accommodation, should contact the Department of Human Services at 715-373-6144, at least 24 hours before the scheduled meeting time, so appropriate arrangements can be made. The agenda: Approval of the May 23, 2024, Meeting Minutes; Open/Close Floor for the Public Hearing for Public Comment, Input on the 2025 DHS Budget and/or Bayfield County’s Policies and Procedures for Equal Opportunity in Employment, Service Delivery, and Language Access; 2025 Budget Priorities; Recommendation for New Position in the 2024 Budget; Consideration for a New Position in the 2025 Budget; 2024 Line-Item Budget Amendment Resolution; Program Presentation; Department Section Reports; Monthly Financial and Training Reports; Informational Items; and other business that may come before the Board. The Board may entertain a motion to move in and out of Executive Session pursuant to Wisconsin Statutes §19.85(1)(b); considering employment, promotion, compensation or performance evaluation data of any public employee over which the governmental body has jurisdiction or exercises responsibility. c: County Board Chair County Board of Supervisors Post (bulletin boards and website) e-mailed: DES Ashland Health Department DCS, Rhinelander New Day Shelter Greater Wisconsin Agency on Aging Resources, Inc. Daily Press Department of Human Services 117 East Fifth Street P.O. Box 100 Washburn, WI 54891-0100 Telephone (715) 373-6144 Fax (715-)373-6130 Email: baycodhs@bayfieldcounty.wi.gov BAYFIELD COUNTY DEPARTMENT OF HUMAN SERVICES BOARD MEETING PUBLIC HEARING ON THE 2025 BUDGET OPPORTUNITY FOR COMMENTS REGARDING BAYFIELD COUNTY’S POLICIES AND PROCEDURES FOR EUQAL OPPORUNITY IN EMPLOYMENT, SERVICE DELIVERY AND LANGUAGE ACCESS James Crandall Marty Milanowski Mary Dougherty Susan Rosa Madelaine Rekemeyer Vacant-Citizen Member Lona Schmidt Stephanie Defoe-Haskins Patrick Irvine RE: June 27, 2024, Department of Human Services Board Meeting, Public Hearing on the 2025 Budget, and Opportunity for Comments Regarding Bayfield County’s Policies and Procedures for Equal Opportunity in Employment, Service Delivery, and Language Access Notice is hereby given, in the event the standing committee does not have a quorum, the County Board Chair or Vice Chair may act as an ex officio member (County ordinance, Chapter 3, section 2-3-1(c). Dear Committee Members: Please be advised that the monthly meeting of the Bayfield County Department of Human Services Board, Public Hearing of the Bayfield County Policies and Procedures for Equal Opportunity im Employment, Service Delivery, and Language Access will be held on Thursday, June 27, 2024, at 4:00 p.m. Remote connectivity is available. The meeting will originate from the County Board Room of the Bayfield County Courthouse, Washburn, Wisconsin. Remote participation is available via Microsoft Teams or by phone using the information listed on the next page. Microsoft Teams Need help? Join the meeting now Meeting ID: 248 082 583 706 Passcode: PQFDdW Dial in by phone +1 715-318-2087,,217706599# United States, Eau Claire Find a local number Phone conference ID: 217 706 599# For organizers: Meeting options | Reset dial-in PIN ________________________________________________________________________________ Join on your computer, mobile app or room device To join on your computer or mobile app, please ‘Control, Click’ the link below or left click and choose ‘Open Hyperlink” to connect. Individuals who wish to provide input on the 2025 DHS Budget or comment on Bayfield County’s Policies and Procedures for Equal Opportunity in Employment, Service Delivery and Language Access remotely can indicate they would like to speak. They will be recognized by the Chair and invited to speak when the Floor is Open for the Public Hearing. The Floor will be open after the program presentation until the Executive Session near the end of the meeting to accommodate the public. Any person wishing to attend who, because of a disability, requires special accommodations, should contact the Department of Human Services at 715 -373-6144 at least 24 hours before the scheduled meeting time, so appropriate arrangement can be made. The agenda for this meeting is as follows: AGENDA 1. Call to Order 2. Welcome and Introductions 3. Discussion and Possible Action – Review and approval of the May 23, 2024, meeting minutes 4. Program Presentation, Family Services 5. Action – Open the Floor for Public Hearing for Public Comment, Input on the 2025 DHS Budget and/or Bayfield County’s Policies and Procedures for Equal Opportunity in Employment, Service Delivery, and Language Access 6. Opportunity for Public Comment, Comments on the 2025 DHS Budget, and/or Comments Regarding Bayfield County’s Policies and Procedures for Equal Opportunity in Employment, Service Delivery, and Language Access (Limit 3 minutes please.) 7. Review Any Written Comments 8. Monthly Section Reports A. Support Services – Stephanie Eder B. Aging & Disability Services – Carrie Linder C. Behavioral Health and Community Programs – Tom Croteau D. Economic Support Services – Jeanine Spuhler E. Family Services – Mary Anich 9. Monthly Reports A. Financial - First Draft Final 2023 and 2024 B. Training 10. 2025 DHS Budget Priorities 11. Discussion and Possible Action – Recommendation to Support the Request to post a new Service Facilitator for the Comprehensive Community Services (CCS) program as soon as possible to address the workload 12. Discussion and Possible Action – Recommendation to request a new Children’s Long-Term Support (CLTS) Social Worker/Case Manager position in the 2025 DHS Budget 13. Discussion and Possible Action – Review and consideration of Departmental Budget Resolution to move monies to new account numbers in the 2024 DHS Budget (Please note, this will not need County Board approval per County Administration.) 14. Action – Close the Floor for Public Hearing for Public Comment, Input on the 2025 DHS Budget and/or Bayfield County’s Policies and Procedures for Equal Opportunity in Employment, Service Delivery, and Language Access 15. Action – The Department of Human Services Board will entertain a motion to move into Executive Session pursuant to Wisconsin Statutes §19.85(1)(c); considering employment, promotion, compensation, or performance evaluation data of any public employee over which the governmental body has jurisdiction or exercises responsibility. 16. Action – The Department of Human Services Board will entertain a motion to move out of Executive Session pursuant to Wisconsin Statues §19.85(1)(c); after considering employment, promotion, compensation, or performance evaluation data of any public employee over which the governmental body has jurisdiction or exercises responsibility. 17. Discussion and Possible Action – Action if required for any decisions made in Executive Session 18. Other (Informational Items) A. April 29, 2024, email from Behavioral Health Case Manager Jamie Allen regarding Social Worker Briana Aldaba B. May 17, 2024, email from Wisconsin Department of Family Services Social Worker Lori Wagnitz regarding Family Services Social Worker Katie Bland 19. Future Meetings A. July/August Meeting August 15, 2024 from 1:30 to 3:00 in the County Board Room. Please note special meeting date, time, and location. The meeting was moved to accommodate the County’s 2025 Budget timelines, lack of meeting space during remodel, and a Zoning Committee meeting that begins at 3:00. This will be an abbreviated meeting focusing on the budget to accommodate these restrictions. B. September 26, 2024 C. October 24, 2024 20. Discussion and Possible Action - Motion or Chair’s Statement to Adjourn Thank you and have a safe trip home! Sincerely, Elizabeth A. Skulan Elizabeth A. Skulan, Director c: Mr. Mark Abeles Allison, County Administrator Bayfield County Board of Supervisors Bayfield County Department of Human Services Board Bayfield County Department of Human Services Managers Lynn Divine, Bayfield County Clerk Email to: Other Interested Parties Requesting K/agendas & minutes/DHS Board/agendas K: agendas & minutes/DHS Board/agendas/agenda narrative DEPARTMENT OF HUMAN SERVICES (DHS) BOARD MEETING June 27, 2024 4:00 PM AGENDA NARRATIVE 10. Budget Priorities – The DHS Management Team developed the list of 2025 Budget priorities. The list was included for review and input. 11. Request to support the Department’s recommendation to post and hire another Service Facilitator Position in 2024 – DHS has unsuccessfully been recruiting for a Mental Health Professional for the Comprehensive Community Services (CCS) program since November 2023. It is still the Department’s goal to hire this position when a qualified and willing candidate is available. However, the current workload is unsustainable for CCS staff. The Department petitioned the County Administration, Human Resources, and the Personnel Committee to hire the new Service Facilitator in 2025. However, DHS would like the Service Facilitator position to be posted now, to bridge the gap between now and when a Mental Health professional may be hired. This would address the current workload issues and reduce the potential for turnover and burnout. The Department seeks the Board’s approval to petition County Administration, Human Resources, and the Personnel Committee to hire the position in 2024. 12. Recommendation for New Position – Due to the current enrollment and projected increases in the Children’s Long-Term Support (CLTS) in 2025, the department requests support for including another fully funded position in the 2025 budget. 13. Department Budget Resolution – This budget resolution has a net zero increase to the Department’s spending authority. It does not increase either revenues or expenditures. It is a vehicle to allow the Department to move amounts from one account to another account in the budget to allow for better monitoring of funds as they are spent. Department of Human Services 117 East Fifth Street P.O. Box 100 Washburn, WI 54891-0100 Telephone (715) 373-6144 Fax (715-)373-6130 Email: baycodhs@bayfieldcounty.wi.gov BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING EOC & Virtual May 23, 2024 K:\Agendas and Minutes\DHS Board\Minutes\2024 DHS Board Minutes\2024-05-23_BCDHS_Board_meeting_minutes -DRAFT.docx 1 Board Members Present: James Crandall, Sue Rosa, Lona Schmidt, Marty Milanowski, Mary Dougherty, Patrick Irvine, Madeline Rekemeyer, Stephanie Defoe-Haskins (virtual) Others Present: Elizabeth Skulan, Mary Anich, Tom Croteau, Carrie Linder, Jeanine Spuhler (virtual), Sarah Traaholt, Brynna Watters-Moffitt Call to Order and Introductions Crandall called the meeting to order at 4:01 p.m. Introductions were made. Opportunity for Public Comment (Limit 3 minutes please) No Public Comment Discussion and Possible Action – Review and approval of the April 22, 2024, meeting minutes. Motion by Milanowski, seconded by Rosa to approve the April 22, 2024, meeting minutes. Motion passed. Program Presentation – Aging & Disability Services Brynna Watters-Moffit, Adult Protective Services Social Worker, was introduced to the group. Watters-Moffit reviewed new nationwide federal regulations for Adult Protective Services (APS). Administration for Community Living (ACL) released a final rule to establish the first federal regulations for APS programs. New regulations will take effect on June 7, 2024. States have until May 8, 2028, to fully comply with the new law. Watters-Moffitt notes the change in regulations sets a new national standard, promotes high-quality, and improves consistency in services across states. Watters-Moffit reviewed current practices of intake and referral for APS. She then spoke about changes and how they may be implemented in Bayfield County using the new guidelines. However, Watters- Moffit reported that how changes are implemented may be directed by the state. • A tiered assessment system will differentiate between cases that represent immediate risk from others. The current required response times for immediate risk cases commence within 24 hours (excluding weekends and legal holidays) of receiving a report. The new rule will require an in- person response within 24 hours and will require an APS worker, a law enforcement, or another appropriate community responder to make contact. Lower to moderate risk response time is now seven days. • APS programs must provide at least two ways that a report can be made 24 hours a day, seven days a week. At least one way to file a report must be electronic and available on-line. Bayfield County currently lists the Department phone number on the website and individuals can phone the Department to speak to staff or leave a voice mail message. During business hours, callers are DRAFT: Subject to change at the next BCDHS Board meeting BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING EOC & Virtual May 23, 2024 K:\Agendas and Minutes\DHS Board\Minutes\2024 DHS Board Minutes\2024-05-23_BCDHS_Board_meeting_minutes -DRAFT.docx 2 transferred to the Aging & Disability Unit. After hours, reporters can leave a message or call law enforcement. • Discussions about a portal for reporting as an online option are being discussed. • Rules also require APS systems to ensure that planning and delivery respect the fundamental rights of competent adults to make their own choices and accept or reject services based on their needs and preferences. Rights must be provided immediately to ensure individuals know and understand their rights at the beginning of an investigation. Schmidt asked if Bayfield County already performs some or most of what is required by the new plan. Linder noted that Bayfield County is meeting the current statutory guidelines. Rekemeyer asked how many APS reports were filed last year. Watters-Moffitt reported that there were seventy-one reports in 2023. Rekemeyer asked who makes referrals to the Department. Watters-Moffitt replied referrals are received primarily from hospitals, clinics, social workers, neighbors, family members, and law enforcement. Watters-Moffitt noted it is rare for someone to call for themselves. Crandall asked how many reports are not valid. Watters-Moffit noted there are different categories, substantiated, not substantiated and unable to substantiate. Once the Department receives a report, an investigation is conducted to identify evidence, build rapport, assess risk, and determine the individual’s capacity. Some investigations end when the person indicates they do not want services. If people are competent or not incapacitated, they have that option. The new federal rule requires APS to establish a timeline that is well documented. There must be coordination and consultation with a supervisor to ensure investigations are performed properly, and to avoid civil rights violations. If an individual is not interested in receiving services, staff provide them with information regarding the resources available and ask them to reach out in the future if they change their mind. Rosa asked if there is opposition. Watters-Moffitt reported that there is generally no conflict or opposition. Many individuals will politely thank the APS worker for the information but indicate they are not interested in receiving services. Watters-Moffitt said staff might offer to assist an individual to enroll in the home delivered meal program. Watters-Moffitt and Karen Bodin work with the Aging Services Supervisor to enroll individuals who are interested. Then the drivers have regular contact with the individual. Since drivers see participants several times a week, they are often able to recognize and report any changes in the individual’s circumstances or condition. Crandall asked about the ages served. Watters-Moffit stated they serve vulnerable adults between the ages of 18 and 59, and elder abuse to individual who are age 60 or older. Irvine questioned if individuals are ever afraid that they will be removed from their home. Watters- Moffitt replied yes, but that they explain that staff will always try to help individuals remain in their homes with services whenever possible. If an individual has not been deemed incapacitated, they have the right to live however they want, so receiving services is voluntary. Crandall asked where people are referred. Individuals are referred to ADRC for options counseling to help determine what resources are available to best meet their needs. Some are referred to other BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING EOC & Virtual May 23, 2024 K:\Agendas and Minutes\DHS Board\Minutes\2024 DHS Board Minutes\2024-05-23_BCDHS_Board_meeting_minutes -DRAFT.docx 3 human services departments or non-profit organizations. Croteau also stated the New Day Advocacy wraparound services can mitigate situations where domestic violence might be a contributing factor. Rekemeyer asked about wards of the state. Linder explained there is extensive process in Wisconsin as wards of the state refer to people under guardianship, who have been found incompetent by the court. Linder reported that World Elder Abuse Awareness Day is June 15, 2024. To celebrate the event, a Senior Empowerment Day, in Iron River will be held on June 14, 2024. The event will include speakers, a light lunch, and brain health/memory screens. Monthly Section Reports Behavioral Health and Community Programs – Tom Croteau • Croteau reviewed historical enrollment date for the CCS. There are currently 49 participants. • CCS remains understaffed as the program continues to grow. DHS continues to recruit for a Mental Health Professional. The position has been posted since the end of 2023. • Croteau is looking for other immediate options to address the workload. Richard Carbon, CCS intern, is working to index and upload old CCS files into the new electronic health record, Echo, which helps save staff time. Croteau also noted Behavioral Health staff provide continuity of care with clients they have already built rapport and assist them transition into the CCS when a referral is made. • The Community Support Program (CSP) serve individuals with severe and pervasive mental illness. Croteau notes that the CSP program can help participants avoid hospitalization through frequent client contact and services. Current enrollment is. There is one more referral that will be accepted in June. • Behavioral Health staff remains steady. Hailey BeBeau just celebrated a one-year anniversary and Jamie Allen will soon be celebrating her second anniversary. Continuity of staff helps to create a better workflow and provides more stability for participants. • Emergency detentions (ED) numbers continue to ebb and flow. Croteau noted there were a couple of back-to-back detentions processed in the last few weeks, including one from out of state. Croteau states that these referrals generally come from law enforcement and hospital systems. • Rosa questioned the difference between CSP, CCS and Behavioral Health. Croteau noted CSP is provided to individuals with chronic and pervasive mental health issues who need a lot of support to remain in the community. Behavioral Health is primarily focused on people who are receiving court ordered involuntary services or and/are experiencing a mental health emergency. CCS is a voluntary psychosocial community based rehabilitative program for eligible residents. It focuses on helping people who have a mental health and/or substance abuse diagnosis on their journey to recovery. Economic Support Services – Jeanine Spuhler • Spuhler noted that Bayfield County participants eligible for Medicaid received $33 million in health care services in 2023. BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING EOC & Virtual May 23, 2024 K:\Agendas and Minutes\DHS Board\Minutes\2024 DHS Board Minutes\2024-05-23_BCDHS_Board_meeting_minutes -DRAFT.docx 4 • Last week was Economic Support appreciation week. Spuhler stated staff were recognized by their supervisors and the Consortium Administrator. The Northern Income Maintenance Consortium (NIMC) staff serve approximately 65,000 people in the northern region. • Spuhler said the summer fill program will be offered again in 2024. The guidelines this year are more restrictive than in 2023. Staff have been working on distributing funds to participants. • Staff will be trained on how to determine eligibility for the Wisconsin Home Energy Assistance Program (WHEAP) air conditioning program next week. • Spuhler noted that the regular heating season closed on May 15, 2024. Emergency assistance is still available. • Unwinding policies end as of June 30, 2024. After June 30th, all standard income maintenance policies and procedures will apply. • Spuhler is happy to welcome Colleen Detjens to the Economic Support team. Spuhler reported training is going well and Detjens is a great fit for the team. Family Services – Elizabeth Skulan (for Mary Anich) • The bi-annual review for childcare certification will take place in July. • Anich attended several childcare certification program meetings with the state, both remotely and in-person at the Northwest Connection Family Resources office in Hayward on May 22, 2024. Every county and tribe certify and regulates in-home childcare providers who care for three or less children aged 0-7 who are unrelated to the caregiver. Many counties contract with Northwest Connection to provide the certification as the tasks are infrequent for a small county like Bayfield, and it is fairly time intensive to keep up with all the required duties to keep the program compliant. Unfortunately, neither Bayfield County nor the Red Cliff Tribe currently have any certified homes, and no one has recently expressed an interest in being certified. Recruiting for this essential job is very difficult due to the state requirements of providers. Ashland County currently has providers, but those numbers have also dwindled from twenty providers down to nine in the last few years. Anich noted that the area is resource poor regarding childcare. • The Coordinated Services Team (CST) program will serve youth with significant emotional disturbances that are involved in two or more systems of care. Anich, Skulan, and CST Coordinator Live Garramone attended a meeting with White Pine Consultants on May 10, 2024. Bayfield County is looking for assistance in creating policies and procedures for the CST program. Skulan has also reached out to Ashland County for information on their CST program guidelines. • Anich and the youth justice case managers attended a meeting with the State regarding the Interstate Compact for Juveniles on May 17, 2024. Anich noted the Interstate Compact refers to the states follow when a juvenile who is on supervision in another state relocates, is placed, or requests to be placed in Wisconsin or Bayfield County. • Anich participated in an interview for the Family Services Specialist position. Anich stated the position has not yet been filled. • Anich noted that Family Service work continues to be challenging and the number of new cases continues to increase. • Rosa posed a question from a constituent about truancy policy. Anich updated the board on the process. Support Services – Elizabeth Skulan (for Stephanie Eder) BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING EOC & Virtual May 23, 2024 K:\Agendas and Minutes\DHS Board\Minutes\2024 DHS Board Minutes\2024-05-23_BCDHS_Board_meeting_minutes -DRAFT.docx 5 • Skulan noted that Eder and the financial team are preparing for the 2023 single audit. • Data is being prepared for managers for the DHS 2023 Annual Report. • Skulan, Eder and the financial team are beginning work on budget and identifying priorities for 2025. Aging & Disability Services – Carrie Linder • Linder attended several meetings including trauma informed care service training to alleviate burnout. • Linder noted Bayfield County was awarded a vaccination grant, a collaboration between DHS and the Public Health Department. Linder increased the grant request to $204,000 to include equipment, billboards, video productions, social media, and other outreach. The grant brings vaccinations to the elderly into their communities. The final contract has not yet been issued. • The social isolation grant was also awarded, but not for the entire amount requested. Linder is developing a request for proposal for a facilitator to perform the work identified in the grant. • Linder attended Aging Advocacy Day at the capital. • Chartwells notified Bayfield County they are still in negotiations with Northland College to provide their food service after June 15, 2024. If negotiations are unsuccessful, Chartwells may not provide home delivered meals after June 15, 2024. If that is the case, the Bayfield County Kitchen may provide the additional meals. However, they are currently understaffed. Carolyn Novak is working Plan B, which would include securing prepackaged meals that can be used during a transition from Chartwells. • StrongBodies exercise program starts on June 11, 2024, in Port Wing. • A total of 259 responses were submitted to the Aging Plan Survey. Results will be compiled by a Public Health intern. • Linder and Novak met with their counterpart Sarah Tourdot from Red Cliff to improve collaboration. Monthly Reports Monthly Financial and Training reports were reviewed and retained. Discussion and Possible Action – Recommendation to support the request for a new CCS Service Facilitator position in the 2025 DHS budget. Due to projected increases in the Comprehensive Community Services enrollment in 2025, the Department requested Board support to include another fully funded CCS Service Facilitator position in the 2025 budget. Motion by Milanowski, seconded by Rekemeyer, to support request for a new CCS Service Facilitator position in the 2025 DHS Budget. Motion passed. Discussion and Possible Action – Review and consideration for approval of reappointment of Beverly Patterson to Family Services and Behavioral Health Advisory Committee retroactive to July 2023. BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING EOC & Virtual May 23, 2024 K:\Agendas and Minutes\DHS Board\Minutes\2024 DHS Board Minutes\2024-05-23_BCDHS_Board_meeting_minutes -DRAFT.docx 6 Patterson indicated interest in continuing to serve as a member of the Family Services/Behavioral Health Advisory Committee. The committee recommended her appointment retroactive to July 2023. Motion by Schmidt, seconded by Irvine, for approval of the reappointment of Beverly Patterson to Family Services and Behavioral Advisory Committee retroactive to 2023. Motion passed. Discussion and Possible Action – Review and consideration for approval, updated Emergency Detention Policy. The policies and procedure were updated to reflect the current process with Northland Counseling. Motion by Milanowski, seconded by Rekemeyer, to approve updated Emergency Detention Policy. Motion passed. Discussion and Possible Action – Review and consideration for approval, updated Consumer Repayment Policy (formerly Collections Repayment Policy). The draft policy update was provided to the board with modifications. The modifications were reviewed. The policy changes reflect current practice. Defoe-Haskins voiced her disagreement with the policy. Skulan noted the policy has been in place and that these modifications were clarifications, rather than changes, to the original policy. Motion by Rosa, seconded by Schmidt, to approve updated Consumer Repayment Policy. Defoe- Haskins opposed. By 7-1 vote, motion passed. 2025 Budget Planning – Review Documents 2025 Budget Planning documents were reviewed. A public hearing will be held during the June meeting. Other (Informational Items) • Economic Support Specialist and Case Manager’s Week Proclamation. • Tribal High Cost Pool Award. • ARPA HCBS Social Isolation and Loneliness Grant Award. • May 7, 2024, email from Steve Budnik, Northern Income Maintenance Consortium regarding Economic Support Specialist Jessica Soulier. • Dougherty reported that the Tribes may develop the Pigeon Lake property to establish a Wellness and Treatment Center for Youth. Future Meetings • The June meeting will be held on June 27, 2024, in the County Board Room. The meeting will include the Public Hearing on the 2025 Budget and an Opportunity for Comments Regarding Bayfield County’s Policies and Procedures for Equal Opportunity in Employment, Service Delivery and Language Access. BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING EOC & Virtual May 23, 2024 K:\Agendas and Minutes\DHS Board\Minutes\2024 DHS Board Minutes\2024-05-23_BCDHS_Board_meeting_minutes -DRAFT.docx 7 • The July/August meeting will be held on August 15, 2024, in the County Board Room from 1:30 to 3:00. It was moved since space is not available due to construction and development of regional dispatch. It will be an abbreviated meeting since the room is only available until 3:00. • September 26, 2024 Crandall adjourned the meeting at 5:54 p.m. Submitted by Sarah Traaholt, Clerk III Top 2025 Budget Priorities for DHS • Hire new staff to adequately address capacity for growing enrollment in programs where waitlists are not allowed. o Clerk III o Children’s Long-term Support Services (CLTS) Case Manager o Comprehensive Community Services (CCS) Service Facilitator • Continue to provide competitive wages and fringe to recruit and retain staff, including: o Review the amount of paid leave time offered to employees. o Review job descriptions to ensure they are graded equitably. o Provide additional county levy to support this if necessary. Ensure there is adequate funding for mandatory services, particularly high-cost placements for youth with complex behaviors and for individuals who must be placed in mental health institutions or residential treatment facilities to address their level of need for mental health or addiction services. • Ensure the remodel of the Lower Level in the courthouse is completed as expediently as possible to provide greater capacity for additional office space for Human Services staff and to establish a room compatible to conduct forensic interviews for children and youth. • Continue to fully fund aging services including nutrition, transportation, and adult protective services as the needs of the elderly in our communities increase. Original: Personnel File c: Employee Department BAYFIELD COUNTY JOB DESCRIPTION 1. Department Human Services 2. Employee Name 3. Position Title Youth Services and Support Coordinator 4. Position Purpose To provide services including assessment, referral and ongoing case management to children with disabilities and their families. To provide core youth transition services for the Aging and Disability Resource Center. 5. Qualifications A. Bachelor’s degree from an accredited college in human services related field such as social work, psychology, sociology, education, etc. B. One year experience in working with: target population; community organizations; and resources related to youth with disabilities. C. Certified to conduct Children’s Long Term Care Functional screens within one year of hire. D. Experience in computer use and keyboarding (50 wpm), Microsoft software including word processing, spreadsheets, e-mail, etc. E. Knowledge of resources available to target populations served. F. Valid drivers’ license and reliable transportation 6. Knowledge, Skills, and Abilities A. Interpersonal Skills 1) Ability to establish and maintain effective working relationships with children, their families, staff, local agencies and the general public 2) Recognizes the importance of dealing with complex issues with children and their families in a purposeful and meaningful manner to facilitate maximum independence 3) Identifies, with children and their families, strengths that can be linked to promoting optimal independence 4) Persists in engaging children and their families in gathering information, making decisions and seeking alternative funding and resources 5) Ability to effectively identify health and safety concerns and act on behalf of children’s best interests B. Personal/Professional Awareness 1) Recognizes/respects needs and beliefs of diverse cultures 2) Understands how values, style, and background can impact objectivity/bias 3) Displays an ability to be decisive 4) Displays openness to new information C. Analytical Thinking 1) Ability to appropriately interpret underlying causes of situations or behaviors 2) Ability to quickly understand and grasp complex issues D. Communication Skills 1) Creates situations that allow for open communication with children, their families and collaterals 2) Communicates clearly and accurately, orally and in writing 3) Uses interviewing techniques/methods that assist in obtaining essential information 2 of 3 E. Organizational Skills 1) Uses effective time management techniques 2) Documents cases accurately 3) Possesses good problem-solving skills 7. Examples of Duties A. Provides referral, assessment and case management services to voluntary cases related to the Children’s Community Options Program (CCOP) and Children’s Long-Term Services (CLTS) waivers B. Determines the range of services needed by children and families through interviews, home visits, collateral contacts, etc. C. Coordinates services with other agencies/disciplines/community members such as law enforcement, schools, attorneys, mental health, alcohol and other drug, medical services, etc. D. Links families with state advocacy organizations related to disability rights E. Assists families in identifying and applying for benefits, entitlements or reimbursements F. Attends school-based Individual Education Plan (IEP) meetings G. Provides advice in areas permitted by law for non-attorneys on issues involving children’s rights, benefits or entitlements H. Provides advocacy when appropriate on behalf of children in cases involving rights, benefits or entitlements I. Explores alternatives for financial assistance J. Performs functional screening to determine eligibility for children’s programs K. Secures verification and documentation of required information L. Records and maintains complete and accurate records and performs other general office duties as required M. Supports children and families throughout ongoing evaluation processes related to the child’s disabilities N. Assists families and schools in developing transition plans for high school children to publically funded adult long term care services O. Keeps informed of and processes all program changes P. Employs a variety of measures to ensure that children with disabilities, together with their families and guardians, are prepared to enter and are provided with a seamless transition into the adult service system and knowledgeable about services available through the Aging and Disability Resource Center to assist with the transition Q. Organizes and facilitates quarterly meetings of the Children’s Community Options Program (CCOP) Advisory Committee R. Answers face-to-face, mail, e-mail, and phone inquiries; maintains regular office hours with scheduled appointments S. Explains program rules and requirements to the public, participants, and board members T. Participates in and completes ongoing training as required by the state and county U. Completes required daily/monthly/quarterly/annual reports and complies with all established policies and procedures of the state and county V. Participates in departmental, section, and individual supervisory meetings W. Provides information presentations to other staff, professionals, and community groups related to department programs and policies X. Participates in supervision/consultation Y. Performs other duties as assigned 3 of 3 8. Title of Immediate Supervisor Aging and Disability Services Section Supervisor 9. Nature of Supervision Exercised Over Employee’s Work Moderate 10. Titles and Number of Persons Supervised by Employee (in whole or part) None 11. Nature of Supervision Exercised by Employee None 12. Contacts with Public – Nature of and Frequency Face-to-face, telephone, home visits and written contact – daily. Contacts may be with consumers, staff, other county employees, other organizations, and the general public. Contacts may be made to determine program eligibility, to clarify rules and policies, to present options, to provide referrals, and/or to coordinate activities. Contacts may be with families who are upset, overwhelmed, anxious and/or uncooperative. 13. Physical Demands A. Ability to sit or stand for extended periods of time while performing duties B. Ability to drive C. Ability to lift up to 20 pounds D. Ability to work out in the field E. Requires physical demands such as seeing, hearing, and color perception to make judgments both in the office and out in the field 14. List the Date the Employee Began Service in the Department and the Previous Position(s) Held, Including Dates and Title for Each Position Date Employee’s Signature 15. Certification of Accuracy of Foregoing Statements and Additional Information or Comments on Employee’s Duties Date Title Supervisor’s Signature No. 2024-03 Department of Human Services 2024 Line-Item Budget Adjustments WHEREAS, adjustments to and transfers within the Department of Human Services 2024 Budget are necessary to satisfy state statutes and accounting principles; and WHEREAS, the following line-item budget adjustments do not change the Department’s spending authority; and WHEREAS, these adjustments move amounts from old account numbers to new account numbers not available during the 2024 budget development process, so alternative existing account numbers were used; and WHEREAS, per County Administration, this adjustment does not require approval of the full County Board. NOW, THEREFORE, BE IT RESOLVED that the Bayfield County Department of Human Services Board assembled this 27th day of June 2024, does hereby approve the following 2024 DHS Budget line adjustments and authorizes the Department to work with the County Finance Director as needed to make changes accordingly. Old Account Number Description Line Item Adjustment 235-03-54338-299.348 FS, CLTS TPA, Direct Serv., CLTS TPA $1,000,000.00 235-05-54516-299.000 AD, Community MH, Direct Service $3,000.00 235-05-54516-604.000 AD, Community MH, MH, Case Mgmt $600.00 235-53-54520-50121 FS, Full Time $160,288.98 235-53-54520-50151 FS, Fica/Medicare $12,262.12 235-53-54520-50152 FS, Co. Share Retirement $11,059.94 235-53-54520-50154 FS,Health Insurance $59,438.01 235-53-54520-50155 FS, Life Insurance $35.04 Total $1,246,684.09 Resolution 2 K:\Agendas and Minutes\DHS Board\Agendas\2024 DHS Board Agendas\2024-06-27 DHS Board Info\DHS Resolution 2024-03 Line Item Budget Resolution.docx New Account Number Description Line Item Adjustment 235-53-54339-50299 FS, CLTS TPA, Direct Serv., CLTS TPA $1,000,000.00 235-07-54310-299.969 BHP, MH, Direct Serv., Community MH $3,000.00 235-07-54310-299.969 BHP, MH, Direct Serv., Community MH $600.00 235-53-54339-50121 FS, CLTS, Full Time $154,686.37 235-53-54339-50151 FS, CLTS, Fica/Medicare $11,833.52 235-53-54339-50152 FS, CLTS, Co. Share Retirement $10,673.36 235-53-54339-50154 FS,CLTS, Health Insurance $56,968.01 235-53-54339-50155 FS, CLTS, Life Insurance $33.54 235-53-54328-50121 FS, COP, Full Time $2,801.30 235-53-54328-50151 FS, COP, Fica/Medicare $214.30 235-53-54328-50152 FS, COP, Co. Share Retirement $193.29 235-53-54328-50154 FS, COP, Health Insurance $1,235.00 235-53-54328-50155 FS, COP, Life Insurance $0.75 235-53-54550-50121 FS, Birth to Three, Full Time $2,801.30 235-53-54550-50151 FS, Birth to Three, Fica/Medicare $214.30 235-53-54550-50152 FS, Birth to Three, Co. Share Retirement $193.29 235-53-54550-50154 FS, Birth to Three, Health Insurance $1,235.00 235-53-54550-50155 FS, Birth to Three, Life Insurance $0.75 Total $1,246,684.09 Approved this 27th day of June 2024. By Action of the Bayfield County Department of Human Services ____________________________ James Crandall, DHS Board Chair