Department of Human Services

1. Department of Human Services November 12, 2009

2. Mission To promote and provide for Lee County’s diverse human service needs through progressive leadership and community partnerships.

3. Core Programs and Services Administration/Fiscal • Department direction and oversight • Fiscal mgmt. of general and grant funds • Long Term Disaster Recovery • Geographic Information Systems • Computer support/database management • Human Service Council and Advisory Committees

4. Core Programs and Services State Mandated Programs • Medicaid – inpatient hospital and nursing home • Indigent Burial/Cremation • Health Care Responsibility Act • Mental Health and Substance Abuse • Child Abuse Medical Exams

5. Core Programs and Services Public Health Department • Primary Care – including: Women’s Health Clinic Healthy Start Women Infants and Children Chronic Disease Prevention • Communicable Disease Control/ Immunizations • Environmental Health Services

6. Core Programs and Services Contract Management • Issue requests for proposals (RFP) • Execute and administer contracts • Provide technical assistance, oversight, and monitoring • FY09 - 95 contracts - 42 organizations  • FY09 expenditures $15,641,834

7. Core Programs and Services Family Self Sufficiency Homeless prevention and intervention emphasizing economic self sufficiency • One-time emergency assistance for rent, mortgage, and/or utility expenses • Permanent housing for persons who are homeless or HIV+ • Job skills training and employment assistance • Case management

8. Core Programs and Services Housing Services Provision of decent, safe, affordable housing • Owner/renter occupied rehabilitation • Acquisition/rehabilitation/resale • Down payment assistance • Demolition of unsafe structures • Hurricane Housing Assistance • Supportive Housing Development

9. Core Programs and Services Neighborhood Building • Neighborhood Accountability Boards (NABS) - diversion program for youth who commit non-violent crimes • Neighborhood Relations • Write and secure HUD CDBG, Federal, and State homeless grants • Comply with federal reporting requirements • Work with residents in 5 target neighborhoods to improve the quality of life

10. 5 Year History Adopted Expenditures and Revenue Budget Revenue is non -grant donations/fees

11. Approved Budget History Excludes Grant and Donated funds

12. Detail of Mandated Expenditures * Amounts funded exceed required local match

13. Impact of Grants on Budget • Approved budget does not include grants • Grant revenues are not budgeted due to varying effective dates of funding contracts • Grants are budgeted as carryovers or via a budget amendment resolution • Grant dollars are used to offset general fund salary and eligible operating expenses

14. DHS General Fund and Grant Expenditures

15. FY09 General Fund and Grant Expenditures by Program Area * Includes State Mandates in program area general fund figures

16. History Approved Positions Average salary expenditures reimbursed by grant funds is 48% * FY09/10 - 5 new positions funded with stimulus grant dollars

17. Current Budget FY09/10

18. Departmental Major Issues • Declining economy + high unemployment rate = Increased demand for services • Requests for financial assistance increased 80% since FY 07 • Implementing stimulus programs (NSP, etc.) • Increase in Medicaid liability (28% over past five years) proposed to increase 45% more by 2011

19. Departmental Major Issues 2009 to date - 9,851 screenings for assistance performed 40% of households unemployed or working reduced hours4,032 households receiving food stamps (↑ 46% since FY09)

20. Anticipated Future Services • Increased state mandates • Increased demand for services and non-profit operating funds • Need for adequate support services, shelter, housing, and treatment • Criminal justice diversion projects • Sustainability of Triage Center • Need for adequate affordable housing • Need to maintain existing housing stock

21. Where Are We Going? Options for reduction in programs/service levels • Reduce PFR funding or priorities (i.e. after-school and summer programs) • Limit PFR funds or prioritize applicants that can draw down State or Federal funds with County dollars • Only fund required match amounts for mental health or substance abuse treatment (currently exceed mandated amount)

22. Where Are We Going? • Options for enhanced or new revenues • Reduce or discontinue emergency assistance provided on behalf of individuals • Explore revenue maximization programs where applicable (Medicaid substance abuse) • Aggressively pursue grants with minimal match requirements to deliver cost effective services

23. Where Are We Going? • Options for enhanced or new revenues • Redirect use of grant funds (i.e. CSBG, CDBG, etc.) and better leverage Federal funds when possible • Maximize use of program income • Lobby for equity of entitlement funds at the Federal Level (CSBG)

24. Action Requested From Board • Determine future of Partnering for Results funding and if continued, determine priorities • Determine amount of future funding for mental health and substance abuse treatment • Determine amount of funding for public health services • Continuation of emergency assistance provided on behalf of eligible households