HEALTH AND HUMAN SERVICES COMMITTEE
JULY 17, 2003 - 9:00 A.M.
SCOTT HEYMAN CONFERENCE ROOM


Present:  M. Robertson, Chair; N. Schuler; P. Penniman; F. Proto (arrived at 9:43 a.m.)

Excused: M. Koplinka-Loehr

Staff:       A. Cole, Public Health Director; J. Taylor, Health Department; W. Skinner, Public Information; S. Whicher, County Administrator; I. Stein, Office for the Aging Director; L. Holmes, Office    for the Aging; T. Herden, Social Services; M. Dill, Human Services Coalition; B. DeLuca, Mental Health Commissioner; R. DeLuca, Mental Health; S. Jaynes, Mental Health; N. Zahler, Youth Bureau Director

Called to Order

    The meeting was called to order at 9:06 a.m.

Changes to Agenda

    A budget transfer and adjustment were added to the agenda from the Mental Health Department.  Ms. Robertson noted she would like to have an executive session at the end of the meeting to discuss contractual issues.

Report from the Chair

    Ms. Robertson updated the Committee on a housing issue.  She said she had contacted a local builder, Bruno Schickel, about the housing development on Boiceville Road in Slaterville Springs.  The design is basically stand-alone apartments as individual houses and they are very attractive.  The rent is approximately $800 per month.  There are 18 units; three will be ready August 1, and there is room for six more units that Mr. Schickel plans to build next year. 

    Ms. Robertson said she received poverty statistics from Martha Armstrong of Tompkins County Area Development and will report on this subject next month.

    Ms. Robertson said she also spoke with Legislator Blanchard about the 1995 Affordable Housing Task Force Report.  Most of the details included in the report relate to code issues such as building codes, sanitary codes, etc. 

    Ms. Robertson announced the SPCA started reporting information to the Health Department in May about the stray cat shelter.   Below is a brief summary of the activity in May:

    Stray cats:          Impounded                                47
                                Adopted                                      6
                                Redeemed                                   3
                                Euthanized                                  1
                               Trapped Neutered Released     2

    Ms. Robertson reported on an Alcoholism Council meeting she attended last evening and shared the following statistics from January 2003 through June 2003: 

    Referral Source:      Criminal Justice System - 58%
                                      DSS - 14%
                                      Mental Health - 12%

    Primary Substance of Abuse:     Alcohol - 74%
                                                             Marijuana - 15%

    Employment Status:          Full time employment - 28%
                   
    Marital Status:              Never married - 50%
                                            Married - 17%
                                            Living as married - 4%

    Sex:                 Male - 76%
                            Female - 24%

    Ms. Robertson commented that the statistics concerning age do not provide sufficient information The State format was used and the intervals are unequal, so the numbers are difficult to interpret. . 

Approval of Minutes

It was MOVED by Mrs. Schuler, seconded by Mr. Penniman, and unanimously adopted by voice vote by members present, to approve the minutes of the June 19th meeting as submitted.
     
Health Department

    Resolution - Preschool Special Education Program
    It was MOVED by Mrs. Schuler, seconded by Mr. Penniman, and unanimously adopted by voice vote by members present, to submit the following resolution to the Budget and Capital Committee for approval.  Ms. Cole introduced Jana Taylor the Director of the Preschool Special Education Program who explained the proposed rate changes outlined in the resolution.  In answer to Mrs. Schuler's question, Ms. Taylor explained the drop in rate for Psychological Services from $100 to $60.  She commented that in looking at other counties, this service is not usually provided.  It was implemented here two years ago to work predominantly with the autistic population.  However, the service is not being utilized as originally created, but is being utilized for social and emotional problems.  The Ithaca City School District is the only school district utilizing the psychological services.  It is Ms. Taylor's recommendation to reduce the rate to $60 based on the information she gathered. 

    A voice vote resulted as follows:  Ayes - 3 (Schuler, Penniman, and Robertson); Noes - 0; Excused - 2 (Proto and Koplinka-Loehr).  RESOLUTION CARRIED.

RESOLUTION NO.  - AUTHORIZING CHANGE IN RATES – PRESCHOOL SPECIAL EDUCATION PROGRAM - HEALTH DEPARTMENT

    WHEREAS, New York State Education Law, Section 4410 stipulates the responsibility for special education services and programs to children 3 to 5 years of age, who are determined eligible under New York State Education Department (SED) regulations, belongs to the municipality of residence*, and
    WHEREAS, it is the municipality’s responsibility to establish contracts with the appropriate school districts, programs and therapists who in turn provide the services and programs to eligible children, as determined by each school district’s Committee for Preschool Special Education (CPSE) and stipulated per the Individual Education Plan (IEP), and
    WHEREAS, SED establishes the rates for Special Education Integrated Programs, Special Education Itinerant Services and 1:1 Aides with the integrated setting, the municipality establishes the rates for Related Services (i.e. Speech, Occupational and Physical Therapy, Counseling, Skilled Nursing, Teacher of Deaf and Hard of Hearing or Visually Impaired, Interpreter, Psychological Services, etc.) for the fiscal period of 7/1 through 6/30 and
    WHEREAS, the department has reviewed data from surrounding counties, regionally and services rendered within the County over the last four years, including the rate history, and based upon the maximum reimbursement allowed by SED, now therefore be it
    RESOLVED, on recommendation of the Health and Human Services and Budget and Capital Committee, That the Tompkins County Health Department implement the Related Service Rates below, with the approval of the New York State Education Department:

Preschool Special Education Programs
2003-2004 Related Service Rates

2002-2003 Rates                                                                                             2003-2004 Rates
Related Service Sessions (up to 1 hour)    Individual/Group                 Related Service Sessions (up to 1 hour)    Individual/Group
Speech Therapy    $66.00/$40.00                                                                 Speech Therapy    $60.00/$40.00
Physical Therapy    $66.00/$66.00                                                               Physical Therapy    $60.00/$40.00
Physical Therapy Asst.    N/A  /$66.00                                                      Physical Therapy Asst.    N/A  /$40.00
Occupational Therapy    $66.00/$66.00                                                      Occupational Therapy    $60.00/$40.00
Occupational Therapy Asst.    N/A  /$66.00                                             Occupational Therapy Asst.    N/A  /$40.00
Counseling    $40.00/$40.00                                                                          Counseling    $60.00/$40.00
Teacher of Visually Impaired    $40.00/$40.00                                            Teacher of the Visually Impaired    $60.00/$40.00
Teacher of Deaf & Hard-of-Hearing    $40.00/$40.00                                Teacher of Deaf & Hard-of-Hearing    $60.00/$40.00
School Health Services/Nursing    $60.00                                                  School Health Services/Nursing    $60.00
Psychological Services    $100.00                                                                Psychological Services    $60.00
Psychological Services Coordination    $40.00                                          Psychological Services Coordination    Omit service and cover under                                                                                                                                                   general service coordination
Service Coordination    $30.00                                                                     Service Coordination    $30.00
Interpreter    $42.00                                                                                        Interpreter    $40.00
Audiological Services    $66.00                                                                   Audiological Services    $60.00
Assistive Technology Services    $66.00                                                  Assistive Technology Services    $60.00
Parent Counseling    *Service not offered                                                Parent Counseling    $60.00
Program Aide per ½ hour     $6.00                                                              Program Aide per ½ hour    $7.00

    RESOLVED, further, That the department is authorized to promulgate these related service rates in future years, so long as, the related service rates deemed appropriate by the Department do not exceed the education program rates established by the New York State Department of Education.
SEQR ACTION: TYPE II - 20
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Explanatory note:  "Municipality of residence" means the County.

Office for the Aging

    Project Care Evaluation Summary
    Ms. Stein introduced Lisa Holmes who is responsible for the evaluations and surveys for the Department.  Ms. Holmes provided an overview of the survey she conducted in the spring on the Project CARE Program.  She said the program is an expansion of the Friendly Visiting Program.  In 2001, Federal funding was received through the Family Caregiver Act and used to expand the Friendly Visiting Program.  It is a volunteer-based program and includes friendly visiting, errands, light housekeeping, transportation, etc.  Seniors, caregivers, and volunteers were surveyed to assess the satisfaction among all parties.  The results indicated that among the demographics, the program is meeting the targeted group.  The program is serving seniors over age 75, those living alone, seniors who are frail or disabled, and seniors of minority status.  The survey showed that 75% of the volunteers are community members.  The following is a list of some of services utilized by seniors in order of prevalence: friendly visiting, grocery shopping, errands, transportation, light housekeeping, yard work, financial management.. 

    In 2002, the volunteers of the Project CARE program donated a total of 4,651 hours toward visiting seniors equal to a dollar value of $74,648.55 (using guidelines of the Bureau of Labor Statistics).

    A majority of those surveyed expressed satisfaction throughout all areas of the program.  Some recommendations include the development of a written volunteer agreement, a better orientation program for volunteers, printed materials to offer guidance to volunteers as they conduct their work, volunteer consistency, and development of a notice to communicate to the senior when the volunteer will no longer be coming.  

Transfer
It was MOVED by Mrs. Schuler, seconded by Mr. Penniman, and unanimously adopted by voice vote by members present, to submit the following transfer to the full Legislature for approval:

From:  Salary                                6772.51000    $900
To:      Professional Services     6772.54442    $900

Department of Social Services

    Resolutions
    It was MOVED by Mr. Penniman, seconded by Mrs. Schuler, to submit the following resolution to the full Legislature for approval.  Mr. Herden provided an overview of the resolution and said F.M. Blake and Associates contacted the Department several months ago.  The company has extensive experience in providing a review of SSI eligible clients for both the foster care population and adult recipients of public assistance in other states.  It is his understanding that Westchester County has recently engaged this company's services.  At the time eligibility is established and the first benefit payment is received, the company will be paid their contingency fee which is equal to 1.8 times the federal portion of the child's SSI benefit. 

    Mr. Proto arrived at this time.

    Mr. Penniman raised the question of whether this required the solicitation of other bids.  It was unclear if soliciting other bids was necessary; Mr. Whicher said he would follow-up with Jackie Kippola, Contracts Coordinator. 
 
   A voice vote resulted as follows:  Ayes - 4; Noes - 0; Excused - 1 (Koplinka-Loehr).  RESOLUTION CARRIED.

RESOLUTION NO._____-AUTHORIZATION FOR SOCIAL SERVICES TO CONTRACT WITH F.M. BLAKE AND ASSOCIATES TO ESTABLISH AND MAINTAIN SSI ELIGIBILITY FOR CERTAIN FOSTER CHILDREN; BUDGET ADJUSTMENT – DEPARTMENT OF SOCIAL SERVICES

WHEREAS certain foster children under the Department of Social Services care are likely to be found eligible for Federal SSI benefits if an application were made on their behalf, and
WHEREAS, depending on the particular combination of each foster child’s care needs and eligibility for other Federal reimbursement, Social Services’ net local cost for some cases will be reduced if SSI eligibility were established and assigned benefits accepted, and
WHEREAS the Department of Social Services has neither the resources nor the expertise to establish and maintain SSI eligibility for these clients, and
WHEREAS a consultant with unique expertise and experience in this area, F.M. Blake and Associates, Lewiston, Idaho, is willing to perform those services on a contingency fee basis, qualifying for payment only upon successfully establishing SSI eligibility for the foster child, and
WHEREAS this arrangement could result in a significant reduction in the net local cost of certain foster care cases in exchange for a nominal additional administrative expense, now therefore be it
RESOLVED, on recommendation of the Health & Human Services Committee, That the Department of Social Services is authorized to contract with F.M. Blake and Associates for the purpose described above,
RESOLVED, further, That the Director of Finance is authorized to make the following adjustments to Social Services 2003 budget.
Appropriation:  6010.54442  Professional Services                $19,880
  Request use of equal amount of 2002 Rollover.         
SEQR ACTION:  TYPE II-20
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Explanation:  The Department proposes to refer to the vendor only those foster care cases whose characteristics would lead to the cost of the contingency fees being recouped in 6 or fewer months.  For most cases for which eligibility is established the cumulative reduction in the local cost of care will exceed the cost of the contingency fee within two months.  We anticipate paying for 20 such successes respecting our current caseload. 

The Department of Social Services is precluded from claiming Federal reimbursement for the contingency fees paid to establish and maintain SSI eligibility.  The existence of the NYS Foster Care Block Grant (and the level at which it is funded) together dictate that additional state reimbursement for these expenditures cannot be expected either. 

The cost of the contingency fees will be more than offset by savings in the mandate programs through which the Department pays foster care costs.  But transfers of appropriation from mandate programs to a non-mandate program would be problematic at best, and the two mandate programs in question (Family Assistance and Foster Care) are running over-budget this year in any case, therefore we’re requesting permission to use a portion of our 2002 Certified Rollover to fund this contract. 

    It was MOVED by Mr. Penniman, seconded by Mrs. Schuler, to submit the following resolution to the full Legislature for approval.  Mr. Herden briefly explained the resolution and said the payment represents five quarters worth of payments to the Health Department for the Early Intervention Program.  He said $40,000 is the budget estimate for next year.  

    A voice vote resulted as follows:  Ayes - 4; Noes - 0; Excused - 1 (Koplinka-Loehr).  RESOLUTION CARRIED.

RESOLUTION NO._____-AUTHORIZATION TO CLAIM AND PASS-THROUGH TO PUBLIC HEALTH DEPARTMENT FEDERAL MEDICAID REIMBURSEMENT FOR THE EARLY INTERVENTION PROGRAM; BUDGET ADJUSTMENT – DEPARTMENT OF SOCIAL SERVICES

WHEREAS the Department of Social Services has the ability to draw down Federal reimbursement for 50% of the administrative costs for running a Local Early Intervention Agency (LEIA), and
WHEREAS the Public Health Department is the designated LEIA in Tompkins County and anticipates having $52,146 in eligible expenses to submit for 50% reimbursement in 2003, and
WHEREAS the Social Services’ 2003 budget does not presently reflect either the Federal revenue or the transfer to Public Health, now therefore be it
RESOLVED, on recommendation of the Health & Human Services Committee, That the Director of Finance is authorized to make the following adjustments to Social Services budget.
Appropriation:  6010.54442  Professional Services       $26,073
Revenue:            6010.44610  Federal Revenue               $26,073
SEQR ACTION:  TYPE II-20
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    It was MOVED by Mrs. Schuler, seconded by Mr. Penniman, to submit the following resolution to the full Legislature for approval.  Mr. Herden said this resolution is asking two separate things:  (1) authority to enter into an agreement with United Way to accept this particular private donation of funds, and additional funds in the future, and (2) permission to use this money to amend the contract with Family and Children's Services for the Dispositional Alternatives Program.  There was a suggestion made that a press release be done; however, Ms. Skinner feels it is more appropriate for the agencies to prepare the press release, as the necessary information is available through said agencies.

    A voice vote resulted as follows:  Ayes - 4; Noes - 0; Excused - 1 (Koplinka-Loehr).  RESOLUTION CARRIED.

RESOLUTION NO.___ - AUTHORIZING DSS TO ACCEPT PRIVATE DONATIONS TO FUND PREVENTIVE SERVICES THROUGH UNITED WAY AND TO AMEND A CONTRACT TO UTILIZE THE FIRST SUCH DONATION; BUDGET ADJUSTMENT – DEPARTMENT OF SOCIAL SERVICES

WHEREAS, as a result of actions taken by the Tompkins County Legislature and the Tompkins County Department of Social Services during the 2003 budget process, the value of several contracts for at-risk children and youth was significantly reduced, and
WHEREAS, one program that was reduced in value and services was the Dispositional Alternatives Program (DAP) operated by Family & Children’s Service, and
WHEREAS, the Dispositional Alternatives Program is a Preventive services program for at-risk youth which has repeatedly demonstrated that it is a valuable tool for the Department and the community in the prevention of foster care, and
     WHEREAS, changes in the NYS budget revitalized an option for financing preventive services for families and children which had become moot during the existence of the previous New York State method of financing preventive services for families and children, and
WHEREAS, this option provides the Department of Social Services with an opportunity to utilize private, non-governmental or tax levy funds to offset the local cost of such programs, and
     WHEREAS, the Department has been working with various agencies and private funders to take advantage of this opportunity to use private dollars to maintain, create or expand services to at-risk families and children, and
WHEREAS, an amount of such private “donated funds” has now become available, and
WHEREAS, the United Way of Tompkins County, its Executive Director and governing Board have demonstrated courageous community leadership in agreeing to donate these funds as well as a matching grant of $2,000 for the purposes of maintaining community services to at-risk children and families, and
WHEREAS, the United Way of Tompkins County and the Tompkins County Department of Social Services have completed the discussions required for the United Way to donate and for DSS to accept these donated funds, and
     WHEREAS, allowing the DAP program to be the first to be assisted by this funding formula will reduce the administrative burden for DSS and DAP staff, now therefore be it
RESOLVED, on recommendation of the Health & Human Services Committee, That the Department of Social Services is authorized to accept donated funds from the United Way as they become available,
RESOLVED, further, That the amount of Social Services’ 2003 contract with Family & Children’s Services for the Dispositional Alternatives Program be amended so that the total contract value will be $306,533 with no additional local tax dollars required to support this program,
RESOLVED, further, That the Finance Director is authorized make the following adjustments to the Social Services 2003 budget:
Appropriation:    6070.54400  Purchase of Services    $32,391
Revenue:              6070.42705  Gifts & Donations        $10,446
                               6070.44670  Federal                           $13,300
                               6070.43670  State                               $  8,645     

SEQR ACTION:  TYPE II-20
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Explanation:  The SFY 2002-2003 budget created, (and the SFY 03-04 budget has continued), a 65% net-of-federal funding stream for Preventive services to children and families.  The existence of this funding, after nearly 10 years of a capped appropriation, made it possible for local social service agencies to revisit the financing of some programs.  The regulations allow that up to 17.5% of total program costs for Preventive Services families may be comprised of private funds, if certain restrictions are met.   These private funds leverage both state and federal revenue and offset what would otherwise be a local tax levy expense to support the program.
 
The Department has been talking with local foundations and funding entities about the possibilities created by this change and the leveraging capacity of such private dollars, which are referred to in regulation as “donated funds.”  The United Way of Tompkins County has been a partner in these discussions from their onset and the Board of the organization has approved the United Way as a facilitator or conduit for private dollars from time to time.  They have also agreed to provide a matching contribution in the amount of $2000.  There are currently private funds that have become available to the United Way.  The Department is prepared to execute the agreement that is necessary for both the United Way and DSS to document the requirements and restrictions and enable the transfer of these funds.

Family and Children’s Services DAP program is the first of the several programs with which we are working with to be approved by the regional office of the NYS Office of Children and Family Services.  The Department expects to receive a check from the United Way that will allow us to restore the DAP contract to slightly more than the total value of the agreement in 2002 and to maintain this critical program in the community with no additional tax levy support.

In addition, the approvals we have received from the NYS Office of Children and Family Services will alleviate administrative requirements at DSS and with DAP, likely making both DAP and department staff able to focus more time on direct services.
It is very likely that other preventive services contracts will be impacted by receipt of private donations in the near future.

    Monthly Reports
    At this time, Mr. Herden briefly highlighted the current fiscal situation for the Department.  The reports reflect figures through the end of May.  He said the Department is under budget in administration and over budget in mandate programs.  The areas over budget are in Family Assistance and Foster Care.

    Mr. Whicher noted that Mr. Herden will be giving an overview of the Department's budget at the next Budget and Capital Committee meeting.

McGraw House

    Ms. Mallison, Executive Director, said McGraw House is an apartment building for senior citizens 62 years of age or older.  The facility does not provide health care.  There are 105 units in the building and a dining room that serves dinner every night (except Saturday).  Meals are purchased through the dining service separate from rental payments.  Residents are entitled to obtain their own services such as housekeeping, Foodnet, health aide, etc.  Twenty-four hour care is allowed if the resident is paying for the service. 

    Ms. Mallison commented that between 50-75 percent of the residents pay for some kind of assistance.  Many have housekeeping services, transportation (Gadabout), etc.  She said there is a full-time Service Coordinator who is basically a social worker and helps residents connect with necessary services. 

    At this time, Ms. Mallison gave a brief overview of the McGraw House heritage. In 1870, the Ladies Union Benevolent Society (LUBS) was formed to provide a secure homelike setting for older women.  By the year 1876, through the generosity of Jane McGraw, "The Home" on South Aurora Street was built. From these roots and the commitment of LUBS came McGraw House, built in 1971 for both men and women.

    The range in rent for an apartment in McGraw House depends on income.  There is no cash subsidy received.  Ms. Mallison said there is always a waiting list.  She said there are now 40 people on the waiting list and feels 20 are serious about moving immediately.  However, if someone is on the waiting list but is not ready to move in when an apartment becomes available, their name will remain on the list.  McGraw House has 65 studios (rental $359-436 including utilities) and 40 one-bedroom apartments (rental $448-544 including utilities).  A guestroom is available for residents who have overnight visitors.  

Human Services Coalition

    CVSA/Advocacy Center
    Ms. Dill provided a brief history of the CVSA and Advocacy Center and reviewed the funding sources and staffing levels.  The CVSA has agreed to dissolve at the end of September and the two services provided will be moved to other agencies.  However, possibly as a result of the changes and reduction in funding at the County level, the State also substantially reduced its funding of grants.  Ms. Dill feels this was an error and misunderstanding at the State level; an effort is being made to recapture two grants that were denied.  It appears there was a $60,600 cut from the State Department of Health and $157,300 from the Crime Victims Board (CVB).  Ms. Dill feels the misunderstanding was that the services would no longer be provided.  She said that is not the case and that the Advocacy Center has agreed to assume all services related to adult sexual assault and Family and Children's Services is proposing to use the CVB funds for a direct service/educator/coordinator position.. 

    Ms. Robertson said that Assemblywoman Lifton and her assistant, Susan Pratt, are now involved and agrees with Ms. Dill that an effort to recoup the funding from the State is necessary.  Ms. Dill suggested and Ms. Robertson agreed that a trip to Albany would be appropriate to emphasize the services currently provided by CVSA are ongoing and will be transferred to other agencies.

Youth Services

    Funding Recommendations
    Ms. Zahler reviewed briefly the 2004 Over Target recommendations adopted by the Youth Services Board.  She said the Youth Services Board was challenged with having $195,000 less in funding going into 2004.  Their request includes permission to use existing rollover and $40,170 in new funding next year.

    Ms. Zahler commented on a mentoring Federal grant the Ithaca Youth Bureau applied for that her Department assisted with in the amount of $200,000.  She said the Ithaca Youth Bureau is one of the finalists. 

Mental Health Department

    Transfer and Budget Adjustment
    This item was deferred to the next meeting.

    Dual Diagnosis Report
    Mr. Jaynes distributed copies of a summary outlining the progress of the Dual Recovery Coordinator position and the progress of service integration.  This position was created in December 2002 and is entirely grant funded.  There are a total of 12 such positions throughout the State.  The mission of the job from a systems point of view is to have agencies who have people affected by mental illness and substance abuse (e.g., housing programs, hospitals, drug courts and other involved agencies) work together in an organization that is comprehensible and part of a system.  The mission is to make the system more seamless for people receiving services and bridge the divide among providers.

    At this time, Mr. Jaynes described his duties and the progress he has made.  He spoke about the Dual Recovery Steering Committee and said it meets monthly.  Ms. Robertson asked for a list of the members of the Committee.

    Mr. Jaynes spoke about training initiatives and encouraged Committee members to attend a presentation by Ken Minkoff, M.D. regarding integrated treatment on September 22, 2003, at the Holiday Inn.

    Robert DeLuca added that this is a program making a lot of progress.  He commented on a pilot project as well with the drug courts.  They are looking at 15 cases and integrating with the clinicians of the two systems.  Mr. Jaynes spoke about CARS and the clients that have mental health conditions in addition to chemical substance abuse issues.  Ms. Robertson suggested a presentation be given to the full Legislature at a future meeting.

    SRO (Single Room Occupancy) and Community Residences
    Mr. DeLuca updated the Committee on the status of funding available at the State level for SRO's (Single Room Occupancy) and Community Residences.  He said the Mental Health Services Board will be discussing this issue at their meeting on Monday, July 21, 2003. 

    Mr. DeLuca provided the following synopsis for the Committee concerning mental health housing.  He said there is a facility with community resident beds on Green Street and there are many mental health clients who live in Titus Towers.  Permanent independent housing with support is what is needed currently.  The community residences were supposed to be used as transitional housing but we have been using them as permanent housing, because there have been insufficient alternatives.  Mental Health has an agreement with the Department of Social Services to utilize the Green Street facility; however, this facility should be targeted for the homeless.  Titus Towers is beginning to restrict its residents by age, which raises a concern with the impact this could have on mental health clients in the future.

    Mr. DeLuca said the plan is to redevelop the Single Room Occupancy (SRO) that the County had 20 years ago, but which was destroyed by fire.  Fortunately the State recognizes the need for an SRO with community level support in Tompkins County. 

    Mr. DeLuca said the three Lakeview facilities needs to be renovated or rebuilt.  A plan is being developed and will be submitted to the Mental Health Services Board that states the County's need for an 8-bed community residence level facility for permanent housing.  He said Park Place will be renovated so that each person will have their own bedroom.  He will also be asking for the more cost-effective community residence with a 14-bed capacity (a duplex with two seven-bed units).  He said that in addition to the three residences, there are currently 30 licensed apartments that have only operated at 50 percent occupancy.  These apartments are for people who require a minimal amount of support. 

    Mr. DeLuca said the State does everything by the number of beds in a facility.  The intent is to take down 13 of the apartment beds and three community residence beds, ask for reallocation of nine beds from another county, and build a 25-bed SRO facility here. It will include six staff counselors, a nurse, a receptionist and food service personnel, and possibly case management staff.  He said the capital project would be paid by the State, including the property purchase, with only approximately $5,000 in local dollars needed annually.  He hopes the facility will be open by fall 2004.

Executive Session

    It was MOVED by Mr. Proto, seconded by Mrs. Schuler, and unanimously adopted by voice vote by members present, to hold an executive session to discuss real estate negotiations.  An executive session was held at 11:25 a.m. and returned to open session at 11:43 a.m.

    Mr. Penniman was excused at 11:39 a.m.

Adjournment

    The meeting adjourned at 11:43 a.m.

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