To: Board of Supervisors of Sonoma County
Department or Agency Name(s): Department of Health Services
Staff Name and Phone Number: Robert Gonzalez, 565-4416
Vote Requirement: Majority
Supervisorial District(s): Countywide
Title:
Title
Department of Health Services Public Health Staffing Allocations
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Recommended Action:
Recommended action
Adopt a resolution amending the Department Allocation List for the Department of Health Services, effective February 8, 2022, to extend 3.0 full-time equivalent time-limited Social Service Worker III allocations through October 2, 2023.
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Executive Summary:
The Public Health Division’s Teen Parent Connections program provides case management services to pregnant and parenting teens who are 18 years and younger, and children of teen parents, with the goal of maximizing their educational potential and self-sufficiency. The program has three full-time equivalent, time-limited, Social Service Worker III positions, with an end date of October 3, 2022. The Department is requesting an extension of these positions through October 2, 2023. The position extensions will be funded with one-time 1991 Realignment Fund Balance and Targeted Case Management while the Department continues to seek ongoing funding.
Discussion:
Public Health Division - Extension of 3.0 Full-Time Equivalent Time-Limited Social Service Worker III Allocations
Currently, the Department’s fiscal year 2021-2022 budget contains 3.0 full-time equivalent, time-limited Social Service Worker III allocations in its Teen Parent Connections program through October 3, 2022. These allocations provide a significant impact on the underserved babies and families in the County.
Although the Teen Parent Connections program leverages federal, state, and other funds to provide targeted home visiting and case management services, it is the only program within the Family Health unit that is a non-mandated program.
The Teen Parent Connections program supports approximately 209 pregnant or parenting teens who are 18 years and younger and 176 children of teen parents, through case management services, with the goal of maximizing their educational potential and self-sufficiency. Without the program, teen parents would be more likely to not graduate from high school, have a second teen pregnancy, become homeless, enter the child welfare system, enter the juvenile justice system, and require other County services that lead to increased long-term County costs for safety net services (including human services, behavioral health, criminal justice, child support, child protective services, etc.).
Without the 3.0 FTE supporting the Teen Parent Connections program, the staff that would remaining Supervisor and 1.0 Social Service Worker III would be unable to support the 200+ clients currently being seen. The following are consequences to the clients and community with such a limited program.
- Decrease in graduation rates for teen parents
- Increase in second teen pregnancies
- Increase in child abuse reports for the children of teens
- Increase in health discrepancy for Latina teens
For 2021-2022 fiscal year, the extension of the 3.0 FTE Social Service Worker III allocations was provided by one-time 1991 Health Realignment fund balance in the amount of $268,272 along with leveraging funding from Targeted Case Management $202,381 to cover total costs of $470,653. Staff is continuing to search for and secure funding with the expectation the program will sunset in October 2023 if funding is not secured.
For 2022-2023 fiscal year, the annual cost of the 3.0 full-time equivalent Social Service Worker III positions is $445,314. Currently the positions are funded through October 3, 2022 for a total of $114,314 funded via 1991 Health Realignment of $74,837 and Target Case Management funding of $39,477. Funding for the remainder of FY 2022-2023 of $331,000 will be via one-time 1991 Health Realignment fund balance of $216,693 along with leveraging funding from Targeted Case Management $114,307 to cover the additional cost.
Prior Board Actions:
On June 8, 2021 the Board adopted a resolution amending the allocation list for the Department of Health Services, effective June 8, 2021, to extend 3.0 full-time equivalent time-limited Social Service Worker III allocations, through October 3, 2022, to support the Department’s Teen Parent Connections program.
On June 2, 2020 the Board adopted a personnel resolution amending the Department of Health Services allocation list, effective June 2, 2020, to 1) add 8.10 full-time equivalent positions and delete 1.0 full-time equivalent position as detailed in the attached resolution; 2) extend the term of a 1.0 full-time equivalent time-limited Health Program Manager position through June 30, 2022; and 3) extend the term of 3.0 full-time equivalent time-limited Social Service Worker III positions through June 30, 2021.
Fiscal Summary
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Expenditures |
FY 21-22 Adopted |
FY 22-23 Projected |
FY 23-24 Projected |
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Budgeted Expenses |
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445,314 |
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Additional Appropriation Requested |
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Total Expenditures |
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445,314 |
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Funding Sources |
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General Fund/WA GF |
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State/Federal |
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445,314 |
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Fees/Other: |
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Use of Fund Balance: |
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Contingencies |
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Total Sources |
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445,314 |
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Narrative Explanation of Fiscal Impacts:
Public Health Division - Extension of 3.0 Full-Time Equivalent Time-Limited Social Service Worker III Allocations
One-time funding from 1991 Health Realignment Fund Balance and leveraged funding from Targeted Case Management has been identified to extend the 3.00 full-time equivalent Social Service Workers III positions in the amount of $331,000 (total staffing cost $445,314), in the FY 2022-2023 base budget through October 2, 2023. Extending the Social Service Worker III allocations will generate additional Targeted Case Management revenues by providing approved services to clients. Appropriations for the Teen Parent Connections staffing allocations will be included in the FY 2022-2023 budget.
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Staffing Impacts: |
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Position Title (Payroll Classification) |
Monthly Salary Range (A-I Step) |
Additions (Number) |
Deletions (Number) |
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Narrative Explanation of Staffing Impacts (If Required):
The Social Service Worker III positions are currently filled. Should the Board not approve extending the positions for the full year, authority to implement layoff procedures would be requested in June as part of the FY 2022-2023 budget adoption process.
Attachments:
Attachment 1 - Personnel Resolution
Related Items “On File” with the Clerk of the Board:
None