091906 Comprehensive Services AComprehensive Services Act
for
At-Risk Youth and Families
City Council
September 19, 2006
Robert Matthias
Susan Dye
Who Receives the Services?
“Mandated”clients:
?
Children who would have been serviced by the
–
education funds and/or the foster care funds
“Sum sufficient”language attached to these
–
children in the Federal law and/or the Code of
Virginia
These identified special education and foster care
–
children are the only populations state and local
governments are requiredto appropriate sufficient
funds to serve
Who Receives Services?
“Non-mandated”clients:
Children from all other funding streams
–
except the education and/or foster care
funds.
-If funds are available, other children with
emotional or behavioral problems may be
considered as long as there is multi-
agency involvement.
Case Profile
18 year old male
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Child born prematurely with Cerebral Palsy and
?
heart condition. Diagnosed with autism, pervasive
developmental disorders and borderline intellectual
functioning. Child also has psychotic episodes with
visual and auditory hallucinations.
Placed in foster care at age 12. Biological Mother
?
unable to parent due to brain injury. Biological father
killed in accident. Unable to be maintained in foster
home due to extreme aggression and fire-setting.
Case Profile (cont’d)
Services since age 12:
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Therapeutic Foster Care
–
Psychiatric Hospitalizations
–
Residential placements
–
Group home placements
–
Open heart surgery
–
Intention of CSA
To create a collaborative system of services
and funding that is:
child-centered,
family focused,
and community based
when addressing the strengths and needs of
troubled and at-risk youths and their families.
Comprehensive Services Act 1993
Governor of Virginia
Secretary of Health and Human Services
State Executive Council
State Office of Comprehensive Services
City of Virginia Beach
Virginia Beach Community Planning and Management team (CPMT)
Fiscal Management
CSA Administrator & Coordinator
Department of Human Services
Department of Human Services
Mid-Management Review Team (MMRT)
Family Assessment and Planning Team (FAPT)
Referring Agency:
Social Services, Community Services Board, Court Services Unit, Public Schools, Public Health
At-Risk Child and Family in Need of Services
Expenditure History
Total CSA
YearGrand TotalLocal%
Local
2000-017,418,0882,160,41629.1%
2001-0210,459,8703,316,28731.7%
2002-0310,343,2923,100,55330.0%
2003-0410,367,8473,211,85031.0%
2004-0512,047,2893,659,56230.4%
Locality Costs
FY05TotalChildren Cost Per
ServedChild
Virginia Beach$12,047,289651$18,506
Statewide$349,295,51314,517$24,061
How We Manage CSA Costs
Day Treatment programs in the public
?
schools
Therapeutic Alliance For Youth program
?
(TAFY) –therapeutic foster care at less cost
than private providers
How We Manage Costs (cont.)
Local dollars are used as last funding source
?
Ongoing specialized training for all CSA case
?
managers
How We Manage Costs (cont.)
Pendleton Child Service Center extended
?
services to 24/7 (07/01/06) to meet needs of
residential cases at less cost
Scrutinize cost and quality of service
?
Dilemmas Created by CSA
What do we do with children who age out of
our system?
Dilemmas Created by CSA
How do we handle the ever-increasing
administrative costs of managing CSA?
Dilemmas Created by CSA
How do we secure funding from
?
Congress to pay costs for military
children?
military-related
During FY04 and FY05, sixty-one (61)
?
youth
received services totaling $2,143,005 of CSA
monies.
Comprehensive Services Act
for
At-Risk Youth and Families
Conclusion
QUESTIONS?