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Program A: Jefferson Parish Human Services Authority

Program Authorization: Act 458 of 1989

PROGRAM DESCRIPTION

The mission of Jefferson Parish Human Services Authority (JPHSA) Program is to minimize the existence of and the disabling effects of mental illness, substance abuse, and developmental disabilities and to maximize opportunities for individuals and families affected by those conditions to achieve a better quality of life and to participate more fully within their community.

The goals of Jefferson Parish Human Services Authority Program are:

1. Assure comprehensive services and supports which improve the quality of life and community participation for persons with serious and persistent mental illness, substance abuse, and developmental disabilities. It is also the goal of JPHSA to maximize opportunities for individuals and families affected by those conditions to achieve a better quality of life and to participate more fully within their community.

2. Assure overall consistency between the JPHSA and the Department of Health and Hospitals (DHH) in the broad-based goals for the prevention, treatment, and advocacy for persons with serious and persistent mental illness, substance abuse, and developmental disabilities. It is also the goal of JPHSA, through the development of annual administrative agreements with the Department of Health and Hospitals, to reflect program specific performance indicators which are in keeping with the strategic plans and performance agreement expectations of the DHH Offices of Mental Health, Developmental Disabilities, and Substance Abuse.

The clinics/offices operated by JPHSA are comprised of those formerly designated as Region X, Louisiana Department of Health and Hospitals. JPHSA has possession and operating control of all personal and real property previously under the control of DHH.

JPHSA is managed by its board of directors, and includes an administrative subprogram and three tiers of service delivery based on the need of the clients being served. The JPHSA is governed by a twelve person governing board, composed of nine members appointed by the Jefferson Parish Council, and three members appointed by the Governor of Louisiana. JPHSA operates two mental health centers, three substance abuse centers, one developmental disabilities office, one community support office, and one administrative office.

The JPHSA Program includes an administration unit, an Access Unit, and three levels of service delivery. These levels include Tier I mental health/substance abuse; Tier II developmental disabilities; Tier III special programs. Services are provided directly by JPHSA staff as well as through contract provider relationships.

The Access Unit coordinates intake for mental health, substance abuse, and developmental disabilities services which are provided by the agency. Access provides coordination activities between those individuals determined to be eligible for services and JPHSA service providers, and coordinates prior authorization to providers for eligible clients. In addition, it provides information and referrals for those ineligible for services to the appropriate community resource.

Tier I Mental Health/Substance Abuse is designed to promote safety, recovery, and stability through the provision of group and individual counseling, medication management, evaluations, and other outpatient services. Tier I provides an array of services to children and adults with serious mental illnesses and substance abuse in the most appropriate and cost efficient manner possible, primarily in clinic-based settings. Such services are designed to improve the quality of life of Jefferson Parish citizens and families with serious mental illnesses and substance abuse disorders. Services provided are intended to respect the dignity and rights of all individuals, and to assist consumers and families to maximize their potential. This level of care is for individuals whose disorders can be managed through lower intensity maintenance treatment or brief treatment.

Tier II Mental Health/Substance Abuse sets its focus on enhancing the quality of life and community inclusion for those Jefferson Parish residents who are impacted by serious substance abuse and mental illness. Individuals and families who have complex needs and persistent disabling functional problems related to substance abuse and/or mental illness are provided high intensity community and home based services and supports, designed to enable them to live successfully in the community. This subprogram also seeks to support and enhance the recovery process of all individuals. It attempts to maximize the potential of each individual by insuring that services will be culturally sensitive and address the uniqueness of the individual, the family, and the community. It has a responsibility to provide an array of intensive and flexible community supports and services which are individualized and which promote the safety and broad quality of life for individuals with the most difficult to serve mental and emotional disorders and substance abuse problems. These may include respite, in-home services, supported employment, supported living, case management, social supports, self-help, assertive community treatment, and many other community-based services. Supports provided also include a 24-hour mobile crisis intervention system.

Tier II Developmental Disabilities supports and promotes the development, independence, and dignity of Jefferson Parish citizens with developmental disabilities and their families through a broad array of community supports and services which will meet their individual needs and preferences and contribute to their desired quality of life. In all endeavors it seeks to provide community supports and services which are responsive to the needs and preferences of individuals with developmental disabilities and their families and which promote and protect their rights, assure choice in selecting services, and enhance their independence, participation, and productivity in community life. Services are provided in the community in the least restrictive and cost effective setting which minimizes dependence on costly service arrangements. A strong effort is made to enhance quality of life in areas of housing, work, income support, recreation, social supports, health, education, safety, legal status, and self-advocacy, and to promote the maximum inclusion of individuals and their families in the life of the Jefferson Parish community.

Tier III Special Services Programs provide services to people identified as being at significant risk for mental health, substance abuse, or developmental disabilities problems due to the presence of empirically established risk factors or the absence of protective factors. Programs include services for HIV/AIDS, gambling addiction, forensic services, drug courts, infant team services and prevention activities.

As a general statement of intent, JPHSA provides a broad array of community services and supports which affords choice in selecting among a wide range of quality service and support options and which may be individualized to reflect personal needs and preferences. They are also designed to assure access to services regardless of age, sex, race, ethnic background, or ability to pay.

 

OBJECTIVES AND PERFORMANCE INDICATORS

Unless otherwise indicated, all objectives are to be accomplished during or by the end of FY 1999-2000. Performance indictors are made up of two parts: name and value. The indicator name describes what is being measured. The indicator value is the numeric value or level achieved within a given measurement period. For budgeting purposes, performance indicator values are shown for the prior fiscal year, the current fiscal year, and alternative funding scenarios (continuation budget level and Executive Budget recommendation level) for the ensuing fiscal year (the fiscal year of the budget document).

 

 

RESOURCE ALLOCATION FOR THE PROGRAM

SOURCE OF FUNDING

The total financing for this program is State General Fund which is in keeping with the Memorandum of Understanding between Jefferson Parish and the Department of Health and Hospitals.

ANALYSIS OF RECOMMENDATION

GENERAL FUND

TOTAL

T.O.

DESCRIPTION

 

 

 

 

 

$12,666,084

$12,991,956

0

 

ACT 19 FISCAL YEAR 1998-1999

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$241,773

$391,773

0

 

BA-7 # 129 allowed Jefferson Parish Human Services Authority to receive transfers from the Office of Alcohol and Drug Abuse, the Office of Mental Health, and the Office for Citizens with Developmental Disabilities

 

 

 

 

 

$12,907,857

$13,383,729

0

 

EXISTING OPERATING BUDGET November 20, 1998

 

 

 

 

 

$5,445

$5,445

0

 

Annualization of FY 1998 - 1999 Classified State Employees Merit Increase

$156,881

$156,881

0

 

Classified State Employees Merit Increases for FY 1999 - 2000

($30,371)

($30,371)

0

 

Risk Management Adjustment

$139,931

$139,931

0

 

Acquisitions and Major Repairs

($112,193)

($112,193)

0

 

Nonrecurring Acquisitions and Major Repairs

$416

$416

0

UPS Fees

$379,810

$379,810

0

Salary Base Adjustment

($275,669)

($275,669)

0

Attrition Adjustment

($266,467)

($266,467)

0

 

Salary Funding from Other Line Items

$2,404

$2,404

0

 

Civil Service Fees

$325,872

$0

0

Means of Financing Substitution(s) Replace Interagency Transfers with General Fund to finance the transfer from the Office of Mental Health for pharmacy needs

$150,000

$0

0

 

Means of Financing Substitution(s) - Replace Interagency Transfers with General Fund for the Drug Court Program

 

 

 

 

 

$13,383,916

$13,383,916

0

 

TOTAL RECOMMENDED

         

$476,059

$187

0

 

DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 100.0% of the existing operating budget. It represents 94.6% of the total request of $14,149,000 for this program. This program has remained essentially unchanged from existing operating budget.

PROFESSIONAL SERVICES

This program does not have funding for Professional Services for Fiscal Year 1999-2000.

OTHER CHARGES

$7,276,594

 

Personal Services (including 160 positions)

$6,107,322

 

Non-Personal Services

 

 

 

$13,383,916

 

TOTAL OTHER CHARGES

ACQUISITIONS AND MAJOR REPAIRS

This program does not have funding for Acquisitions and Major Repairs for Fiscal Year 1999-2000.


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