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Annual Report Rowan County Department of Social Services. Fiscal Year 2011 July 1, 2010 – June 30, 2011.
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Annual ReportRowan County Department of Social Services Fiscal Year 2011 July 1, 2010 – June 30, 2011
In today’s fragile economic climate, we see our family members, our friends, and our neighbors facing the worst of times. Businesses are downsizing and closing, leaving many Rowan County citizens out of work and without adequate resources to take care of their basic need for food, clothing, and shelter. In life’s most difficult times, some people do not have a family, a church, or a circle of friends to turn to for support. For these people, the poor economy can have very serious and long-lasting affects and can lead to homelessness, illness, addictions, abuse, neglect, and domestic violence. DIRECTOR’s STATEMEnt
In times such as these, it is more important than ever to have community resources to help hold people up until times get better. Rowan County Department of Social Services is committed to being part of a network of community organizations that help people overcome life’s challenges in the hardest of times. In fact, almost half the households in Rowan County are being helped through Medicaid, Food Assistance, and Work First benefits. These programs are helping people to receive needed medical care, to obtain food for their children, and to pay their rent and utility bills. DIRECTOR’s STATEMEnt
DIRECTOR’s STATEMEnt In addition to financial help, DSS provides services to those in need. Many of our disabled residents and those who are aged are getting good care in an adult day program or care in assisted living facilities, if their needs warrant such care. Single parents are getting help for their children through child support services, offered for free or for a very small cost. Parents who are working or who are full-time students may qualify for help with day care costs, giving them the assurance that their children are well cared for while parents work to earning a living.
Even with financial assistance and social services to fill the gaps, some parents are unable to provide a safe and nurturing home for their children. Sometimes, these children are victims of abuse and neglect, and they become DSS foster children. With the birth parents, foster parents, and DSS working in partnership, most foster children return home when it is safe for them to do so. DIRECTOR’s STATEMEnt
I am grateful for our community partners, our Board of Directors, and our 200 employees for the service they provide to Rowan County residents. Working together is the key to addressing the community’s urgent and compelling needs. After you have reviewed the Rowan County DSS Annual Report, please do not hesitate to call on us for more information. Located at 1813 East Innes Street in Salisbury, next door to the Rowan County Health Department, DSS is open Monday through Friday, from 7:30 a.m. until 5:00 p.m. We are honored to serve you. Sandra M. Wilkes, Director Rowan County Department of Social Services DIRECTOR’s STATEMEnt
Total Impact on Rowan County Citizens and Economy in FY 2011 $223,755,881 in benefits and services impacted our County’s economy in FY2010-2011. The vast majority is Federal and State funding, with the total County share for these benefits $2,531,460 (1.1%). 26,000 households and 48,249 individuals in Rowan County received assistance in FY 2011 in Medicaid, Food and Nutrition, and/or Work First Benefits. This means 49% of Rowan County households received one or more of these basic kinds of assistance last year.
Demographic Information 2010 census shows population of Rowan County was 138,428. 2009 estimated number of households was 53,249. 16.7% of our citizens were below the poverty rate in 2009 Median household income in 2010 was $46,292 Unemployment Rate was 11.5% for June 2011 From Charlotte Regional Partnership, US Census Bureau, and Employment Security Commission
Assistance Issued in FY2011 (3 of 3) Food and Nutrition Medicaid
6-year Comparison • 32% Increase in 5 years
Pat Spears, Program Administrator Programs Medicaid for Families and Children Medicaid for Adults Medicaid Transportation Special Assistance Food and Nutrition Services FNS Employment and Training Low Income Energy Assistance Crisis Intervention Share the Warmth ECONOMIC SERVICES DIVISION
Medicaid Program Medicaid is a health insurance program for low-income individuals and families who cannot afford health care costs. Medicaid serves low-income parents, children, seniors, and people with disabilities. 23,725 individuals were authorized for Medicaid (17% of Rowan County population) as of June 2011; average value of medical services received was $6,872 per person for the year. Expenditures are shown by type of service received, individual recipient categories, and type of providers in Rowan County, based on reports from the Division of Medical Assistance.
Medicaid Services Provided (3 of 3) Mental Health HMO Premiums Nursing Home Hospital Doctor RX
Rowan County Provider Earnings (3 of 3) Nursing Homes Doctors Pharmacies Hospitals Note: $31,172,113 HMO Premiums for Mental Health for Rowan citizens does not show in this chart because the provider, Piedmont Behavioral Health, is located in Cabarrus County.
Medicaid Transportation This service is provided through a contract with Rowan Transit System $661,872 was paid to vendors and family members to transport Medicaid-eligible clients for medical services 38,036 trips were provided in FY2011, serving an average of 265 recipients per month
State-County Special Assistance for Adults (SA)provides Medicaid coverage and a cash supplement to help low-income individuals residing in adult care homes (such as rest homes) pay for their care. Adult care homes are unlike nursing homes in that medical care is not provided by home staff. Designated staff may administer medications and provide personal care services such as assistance with bathing, eating, and dressing. Special Assistance Programs
Special Assistance In-Home is an alternative to placement in an Adult Care Home for individuals who are able to live at home safely with additional supportive services. Slots for this program are limited and persons determined eligible for SA In-Home receive Medicaid and a monthly financial payment based on need. Special Assistance Programs
Special Assistance(Adult Care Home Payments) Payments for Disabled Adults in FY 2011 - $1,108,570 Payments for Elderly Adults in FY 2011 – $1,093,447 (Includes $51,923 for SA In-Home Care)
Food and Nutrition Benefits Food and Nutrition Services (FNS) is a federal food assistance program that helps low-income families. Monthly allotments of FNS benefits are issued via Electronic Benefit Transfer cards (EBT cards). The purpose of Food and Nutrition Services is to end hunger and improve nutrition and health. $35,946,840 was issued to an average of 10,671 Rowan County households per month in FY 2011 (20% of households in county). $170,964.34 was dispensed in USDA surplus commodities.
Food and Nutrition Services (FNS) unit members ages 18 through 59 may volunteer to participate in an E&T Program. The local Employment Security Commission administers the program. FNS recipients who volunteer for the program are referred to ESC. The E&C Coordinator assesses the recipient’s needs and develops a plan for training activities or for job search activities based on the recipient’s individual needs. Persons who participate in the program are reimbursed for participation expenses. $2,670spent in SFY 2011 Food and Nutrition Services Employment & Training
Low Income Energy Assistance The Low Income Energy Assistance Program (LIEAP) is a Federally-funded program that provides for a one-time cash payment to help eligible families pay their heating bills. $1,119,876 was issued in FY 2011 5,069 households received assistance (9.5% of county)
Crisis Intervention and Share the Warmth Programs The Crisis Intervention Program (CIP) is Federal funding which provides assistance to low-income households that are in a heating or cooling related emergency. Share the Warmth is funded by Piedmont Natural Gas and its customers. These two programs are administered through a contract with Rowan Helping Ministries. 2,737households and 7,069 individuals were served in FY 2011 (5.1% of county population) $672,283 was paid to 26 vendors
Nancy Brandt, Program Administrator Programs Adult Protective Services Adult Day Care In-Home Aide Services Special Assistance In-Home Adult Care Homes Guardianship Work First Benefits Work First Employment Services Work First Emergency Assistance Child Support Enforcement Child Day Care Subsidy SERVICES SUPPORT DIVISION
Adult Services support older and disabled adults and their families through a community-based system of opportunities, services, benefits, and protections. Adult Services Services administered through Rowan County DSS include protective services, case management, home management, in-home aide, adult day care, placement services, guardianship, and other services for elderly or disabled adults.
Protective Services Reports Received in FY2011 – 310 Abuse – 3 Self-Neglect – 70 Caretaker Neglect – 54 Exploitation of Assets – 12 Exploitation of Person – 3 Psychological Evaluations - 5 Screened Out (did not meet criteria in law) – 203 Preventive Outreach Referrals – 102 Incompetency Hearings - 24 Adult Protective Services
Adult Day Care Adult Day Care services are an organized program of services in a community group setting to support adults’ personal independence and to promote their social, physical, and emotional well-being. Additionally, we monitor adult day care centers in order to ensure program quality. $67,348spent in SFY 2011
In-Home Aide Services are provided to assist families with attaining and maintaining self-sufficiency and improving quality of life for the elderly adult to stay in their homes as long as possible to avoid premature substitute care and unnecessary out-of-home placement. These services assist with home management tasks and personal care tasks for adults who cannot carry out the tasks essential to the activities of daily living. $86,419spent in SFY 2011 In-Home Aide Services
Personal Care Services provide for additional personal care assistance for Medicaid eligible residents in adult care homes. A resident must meet Medicaid criteria as a heavy care resident and require extensive or total assistance in ambulation/locomotion, toileting, and/or feeding. DSS staff provided case management for 134 recipients of personal care services in FY2011. The cost of the services provided by adult care home staff is included in our Medicaid expenditures. Personal Care services
The Special Assistance In-Home program provides an option for in-home care for older and disabled adults who are in need of placement in an adult care home, but who desire to live in a private living setting and can be maintained safely in that setting. A social worker develops a care plan based on client assessments and planning with the clients, family members, and others and determines how the Special Assistance In-Home payment is to be used to enable the client to live at home safely. Special Assistance In-home $ 51,923 spent in FY2011 to assist 20 clients
Adult Care Home SERVICES Adult Services Social Workers provide licensing, monitoring, and case management services for Adult Care Homes (Assisted Living facilities). 17 Adult Care Home Providers in Rowan County served up to 729 residents in FY2011
GUARDIANSHIP Guardianship involves the provision of services to individuals who are declared incompetent by the court. DSS is given responsibility for the adult’s personal affairs, making important decisions regarding the individual’s personal welfare. The agency is Guardian of Person for 55 cases.
Work First Benefits and Employment Services Provides services focusing on employment and self-sufficiency and monthly payments for families with children who meet income eligibility guidelines. The program promotes work, requires personal responsibility, and helps families get and keep a job. Work First Family Assistance benefits provide short-term services with families expected to work actively towards becoming self-sufficient. The program is built on the premise that all families have a responsibility to their families and community to work and provide for their children.
Work First Benefits and Employment Services $810,561 was issued in cash assistance payments in FY 2011 334 is the average number of households assisted each month (76% of these payments are for the child only) $43,878 was paid to assist clients in finding and keeping employment $16,639 was spent on contracted services with Family Crisis Council, who assisted 27 victims of domestic violence
Work First Emergency Assistance Emergency Assistance provides benefits to families with children to alleviate an emergency situation defined as an unexpected, immediate crisis that is not expected to re-occur if assistance is provided. Citizenship and residency requirements apply as well as income and resource limits. Examples of situations where services may be provided are families in immediate danger of eviction or foreclosure or where a utilities cut-off notice has been issued. $23,630 was paid for emergencies to ensure that 62 families with children had shelter and utilities
Child Support Enforcement works to ensure that both parents are responsible for the financial support of their children. Services are provided to the custodians of minor children, regardless of income level. County agents help locate non-custodial parents, establish paternity of the child, and petition the court to order child support payments and to enforce compliance. Child Support Enforcement
Child Support Enforcement $ 9,957,326 was collected on behalf of Rowan County children in FY 2011 An additional $281,079 was saved in medical costs, paid by absent parents or insurance rather than Medicaid Paternity was established for 249 children
Child Day Care Subsidy Day Care Subsidy provides for the care, protection, and developmental experiences of children for a portion of the day or night. Services may be provided to families who demonstrate a need based on North Carolina Division of Child Development policy. Eligibility requirements also include a residency requirement in the county of North Carolina where they apply, citizenship requirements, an age requirement of the child, and income eligibility. Each type of child care arrangement must be licensed or meet all applicable Division of Child Development requirements for the type of arrangement.
$4,602,557 was issued in Fiscal Year 2011 • An average of 1,150 children were served each month • 2,068 is the total number of children served in FY 2011 • Approximately 85 child care providers in Rowan County received subsidy Child Day Care Subsidy
Tom Brewer, Program Administrator Barbara Sharpe, Program Administrator for Children’s Protective Services Programs Children’s Protective Services (Intake, Investigations, In-Home Services) Foster Care Licensing and Placement Services LINKS Transitional Services Adoption Services Adoption Assistance Payments One Church, One Child Program CHILDREN’S SERVICES DIVISION
