HomeMy WebLinkAboutagenda.council.joint.20111018 MEETING AGENDA
October 18, 2011
4:00 pm, City Council Chambers
JOINT BUDGET WORK SESSION OF CITY COUNCIL AND BOCC
4:00 Health and Human Services
5:00 IT Budget
5:30 Housing Budget
6:00 Adjourn
AGENDA ITEM SUMMARY
WORK SESSION DATE: October 18, 2011
AGENDA ITEM TITLE: Joint City /County Health and Human
Services Budget Presentation
STAFF RESPONSIBLE: Mitzi Ledingham and the Health and Human
Services "POD" Network
ISSUE STATEMENT: The Pitkin County Health and Human Services network,
known as "the POD ", will present an overview of the current issues in 2011 affecting
individuals and families, nonprofit agencies and the overall community from their
perspective as service providers. Four health and human services agency representatives
will discuss the continuing challenges facing the public and how agencies are responding
to provide safety net support and assistance. They will also highlight examples of
collaboration that are working to reduce duplication and maximize efficiency in providing
needed services.
BACKGROUND: Each year the POD meets with City of Aspen and Pitkin County
elected officials during budget season to present information about the common issues
they experience in the provision of their services. The POD chooses to present to elected
officials as a collective instead of with individual requests because of their shared belief
that the strength of their services to Pitkin County residents and employees comes from
their unity. This philosophy is unique in that during most grant processes around the
nation non - profits assume a more competitive stance. Pitkin County is fortunate to
experience a more cooperative model that better serves individuals and families in the
community with more comprehensive and responsive services.
The POD has identified that conditions have remained much the same as Last year. The
standard has been set for agencies to accomplish `more with less', as service demand
continues to increase, grants and donor gifts remain flat or are reduced, and revenues are
reduced from fees for service. Agencies are continuing to make adjustments in light of
these realities.
2012 City and County grant requests
Please find attached a comparision spreadsheet indicating City and County health and
human services (HHS) agency funding for 2011 as well as 2012 grant requests
(Attachment A). Two agencies are newly applying for support in 2012 from both the
City and the County - Lift -Up and the Aspen Hope Center. Lift -Up, a nonprofit aid
program that operates pantries in Basalt, Carbondale, Glenwood Springs, New Castle,
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Rifle and Parachute, added an Aspen -based food pantry in 2009. In 2010, the Aspen
Hope Center began serving Aspen and Pitkin County residents with 24/7 counselor
access for acute mental health issues and follow -up referral and case management
services. Both the Roaring Fork School Health Centers and the Aspen to Parachute
Dental Health Alliance, funded by the Healthy Community Fund for two years, are
requesting funding from the City of Aspen in 2012. Four additional agencies have newly
applied to the County for 2012 funding: The Salvation Army, Tom's Door, Valley Life
for All, YouthZone and Woody Creek Community Center. The County notes a 14.9%
increase in grant requests over last year; and the City is experiencing a 271% increase in
funding applications for 2012. The Citizen Grant Review Committee will present their
2012 funding recommendations for County grant applicants to the Board of County
Commissioners on November 15 2011 at 10:00 a.m.
2010 Report Cards
Also attached are the 2010 "report cards" from the 25 HHS agencies providing services
to our youth, families and seniors in 2010. (Attachment B) These 2010 year -end program
summaries describe many of the specific achievements of the non - profit agencies who
provide key services to members of our Pitkin County community. Some highlights
include:
• The Buddy Program incorporated the experiential group mentoring program of
the former Aspen Youth Experience agency, to successfully serve 350
unduplicated youth, Big and Little Buddies in Pitkin County in 2010.
• 1,119 nights of shelter were provided during the 2009 -2010 winter season to 44
unduplicated individuals through the work of the Aspen Homeless Shelter.
• The domestic violence prevention agency, RESPONSE, received 2,311 contacts
and assisted 115 women with legal advocacy in 2010.
• 11,438 meals were provided to seniors through Pitkin County Senior Services, as
well as 36 seniors being helped with professional, individualized services in the
care management program.
LINK TO STRATEGIC PLAN: Livable and Supportive Community
KEY DISCUSSION ITEMS:
1. Review /explore current issues affecting individuals, families and non - profits in our
community.
2. Review challenges facing the public and how agencies are responding and what they
are accomplishing.
3. Review the spreadsheet identifying city /county requests for funding and ask specific
questions as needed.
BUDGETARY IMPACT: Health and Human Services (HHS) agencies receive
funding from the Pitkin County Healthy Community Fund. For 2012, $1,521,762 is
available for non -profit funding, plus fund balance. Requests for County funding for
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2012 are up by 14.9% over grant funded amounts from last year; requests for City
funding are up by 27.1% over 2011 funding.
RECOMMENDED BOCC ACTION: None at this time, informational only
ATTACHMENTS: A. Combined City and County HHS grant requests for 2012
B. 2010 Report Cards
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2012 HHS
Grant Requests - City of Aspen and Pitkln County
GOAL L FAMLYAlYOUNWF1LI MRA- Prorpe444W .S.& emotion& G Oeen.aem wna4M.g.tSilse aipelAlu
Tiro Suede PnpM 25,000.00 25,000.00 23,00000 15,000.00
0MNIloCM21. 13,65000 13,650.00 6,030.00 6,400.00
PanityVNAsr Pnp•o 10,000.00 70,000.00 15,000.00 15,000.00
...uremia%Hey 65,000.00 65,000,00 65,000.00 5,000,00
Developmental Sombre
PEARPOraingCOmor, Inc. 14,500,0D 5,000.00 0,00 0.00
RESPONSE 32,500.00 28,000.00 15,000,00 15,000.00
Raring Fork Finery Reamer Canters 40.000,00 40,000.00 10,00000 10,000.00
The Sea6en Amp 20,000,00 0.00 0.00 0.00 new agencycounty
Tom's Deer 5,000,00 000 0.00 0.00 new agency-county
Volley Lie for All 20,000,00 0.00 0.00 0.00 new agencycounty
Youtle.pe 45,000,00 45,000.00 10,000.00 10,000.00
WILY •%OU1X SUTOIALS $ 350,450.00 $ 2920!0.00 $ 144080.0 $ 76,40000
10412: PMVDIOAL HEAOIL hands Ow pATWa1 w W NNg et Nrlsalel.
Ayn CnwbuMVr Canter for 5,000.00 5,000.00 7,000.00 1,000.00
HaM a WYI4bg
Aspen Community Mune 2,50000 2,500.00 1,000.00 1,00000
Asir NemeleestreeNet 30,000.00 20,000.00 15,000.00 10,000.00
Community HaM3.M1.a 271,205.00 271,205.00 63,000.00 63,000.00
F9PeYW y.n9; Dental Hoehn 30,000.00 20,000.00 5,000.00 0.00 new agency-city
AXMn
Nome Om end meek* of the Vein 50,000.00 30,000.00 30,00000 15.000 00
UR Up 1,000,00 000 1,000 DO 0.00 new agencycity &county
Mountain Family Health Centers 40,00000 40,000.00 2,000.00 4,000.00
Mowed Parenthood 7,500.00 7,500.00 0,00 0.00
Reigns Fere Scheel Hann Nowa 10,000.00 10,000.00 10,000.00 0.00 newagencycity
3yM1TMrapySaNw `v * 12,000.00 8,000.00 w County moved to CNP
Kay Maw Hospital 5UlE Pnpnn 9,000.00 9,000.00 6,000,00 8,000.00
W wsE4uine enlw4LRming • * 5,000.00 5,000.00 `F County moved to CNP
wee/ Weedy CmkCommuny CaAsr 6,000,00 0.00 0.00 0.00 new agencycounty
PHYSICAL HEALTH SUSTOTALS 1 412,206.00 1 418,20600 6 187,000.0 $ 116,00000
e0AL MENTAL HIALTH 4 SUGTAM44 MIME PREVFMICILPnnnb 080 PMr1Opnl wsU4arg .t4dM4et
P19.41s trews W pncmds PObnbn 11148418111 m
Aoea C.uaMg Cent 78,20000 78.200.00 57,550.00 57,550,00
Me Aspen lbp Center, oggwbl the 50,000,00 0.00 5,000.00 0.00 new agency-city &county
AVMF
owermie WnS GWSDwo 10,000.00 10,000.00 5,000.00 5,000,00
CNerade West Psychiatric INGO& 16,480 DO 16,480,00 0.00 0.00
PtlHMM 10,000.00 10,000.00 2,00000 2,000.00
114 Riga Deer 95,000.00 65,000.00 85,00000 85,000.00
VWy POMmNpfor Ong Plonmbn 38,10000 38,100.00 33,000.00 33,000.00
your Priers/afar UN 10,000.00 3.00000 8.00000 3,000.00
MFMIALMFALT &SOBBTANCE45186 1 307,76000 1 220,76000 $ 19606000 1 185,56000
SWTOTeU
GOAL A 11x4 SERVICES 517100URIS Fri Ws peas An rppro.W MWMn otI.PI ad ISMS MWIles,
414 Lop] Unless, forma* RpMrg 20,000.00 20,000.00 10,000.00 10,000.00
Wasp! Sevier
LF6AL SERVICES SUBTOTALS $ 20000.00 $ 20,000.00 $ 10,000.00 $ 1000000
Goo. 6: WRL1IMO MUMMA,. Promote the ntlt& .00.8 L seam. ESN physical wslI elm MwrWa
PAMn County Sorer Sonless: 24 %M 345,086.00 345,08000 38,73000 38,160.00
$1,437,157
861108 WEU.6nNS 30890rALS $ 346,066.00 6 145,086.00 $ 16,730.00 $ 6A16000
5041.10011/1111111Y PROGRAM EFFECIM1WNm
P11M, 0owyEmapnMiF,ad 40,000.00 40,000.00 _ _ county only program
P..4 C.uyTnNYIL 5,00000 5,000.00 county only program
Yw w
A, oral MwM gx -
COMMUMIIYPROYMMEFFEOIIVENE55 $ 45,000.00 $ 45,000.00
SUBTOTALS TOTAL• $ 1,455.721.00 $ 1,292,721.00 $ 545,310.0D 6 429,110.00 'does not include Goal 6
Increase a priorplr • 14.9% 27,1% 'does not Include Goal 6
10/12/2011 9 00 AM HHSCIryCor myGraIeeWezlcompnis09I 0_2011 for Oct 10 2011 prevenlaton NoFI NALFF 10 11 11 1
2010 REPORT CARDS - ATTACHMENT A
Family and Youth Well -Being
Purpose: Promote the social, emotional & economic well -being
of families and youth.
2010 Healthy Community Fund Support: $331,650 —21% of HCF
PROGRAM AGENCIES: NN hal they trovidc
• The Buddy Program Youth mentoring programs, support services
• Catholic Charities Emergency assistance program
• Children's Health Foundation Intercultural /Anti -Bias and nutrition /obesity prevention programs in the schools
• Childhelp River Bridge Provide victim advocacy to ten Pitkin County child victims of crime
• Family Visitor Programs Support and education for pregnant women and new parents
• Mt. Valley Developmental Services Vocational & residential programs for the developmentally disabled
• Roaring Fork Family Resource Centers School -based services to connect with families and improve student health and
academic achievement
• RESPONSE Support for survivors of domestic violence and sexual assault
"Bann for the Buck ": Exam )Ics that show value to the Communitti
• 2010 Funding: $25,000. 369 "Buddy Pairs" from Aspen to Basalt were served by The Buddy Program's
(TBP) youth mentoring programs. Overall the Buddy Program served over 500 youth this year from Aspen to
Parachute — double the number from 2005. 350 unduplicated Big and Little Buddies as well as youth served
through our Experiential Group Mentoring Programs lived in Pitkin County in 2010. This represents 54% of
the total unduplicated population served. TBP is reaching double the number of youth served in 2005, and has
four times the geographic reach of 2009, but on the same budget. Cost per client: $948.
• 2010 Funding: 13,650. 809 households representing 2241 individuals received emergency assistance such as
rental assistance, prescription assistance, dental care, transportation and food vouchers through Catholic
Charities (CC) Glenwood office, including 140 Pitkin County residents or workers. Clients living and/or
working in Pitkin County accounted for 17.3% of the population served. In response to continuing
unemployment and more chronic hardship, CC has expanded its definition of "emergency" to include those
currently unemployed, underemployed, or who are working at a much lower wage than they were two years
ago. Cost per unit (household receiving support) is $414.
• 2010 Funding: $4,500. Childhelp River Bridge (CHRB) provided Child Advocacy Services to three Pitkin
County alleged victims and their non - offending caregivers during 2010. These victims represent 2% of total
victims served (95). As a result of receiving a Department of Justice grant in September 2010, CHRB is
providing outreach and awareness training regarding CHRB services to all potential partners in Pitkin County to
include the Department of Human Services Child Protection staff, local Police Departments, the Sheriff's
Office, the District Attorney and victim advocates. The intention is to secure signed Memoranda of
Understanding with all Pitkin County partners. Cost per unit: $150 per service hour. Each Pitkin case
averaged about 10 hours of intervention per case, so $1,500.
• 2010 Funding: $70,000. 928 clients were served by Family Visitor Programs (FVP), including 216 clients
who live or work in Pitkin County (23% of total)., these clients received a total of 1,662 visits. FVP continues
to see an increase in referrals and a decline in funding. 75% of Pitkin County families served began services
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prenatally, of great benefit to new parents as they are more prepared to parent their newborn effectively. At
time of discharge from services, as measured by pre- and post -test scores, 85% of parents reported strengthened
self - sufficiency skills; 64% increased resiliency skills, and 81% of primary caretakers reported a strengthened
level of optimism about a bright future for their child. Cost per Home Visitor Program visit: $158. The average
cost per family per year is $1404.00.
• 2010 Funding: $65,000. 304 unduplicated children and families and 95 unduplicated adults with
developmental disabilities were served by Mountain Valley Developmental Services in FY 2010. 100% of
children receiving early intervention or family support services were able to continue to reside in their family
home. All 95 adults were able to remain in community inclusive settings. 25% of the served population are
Pitkin County residents or work in Pitkin County (100 individuals). Last year, Mountain Valley served 80
clients in Pitkin County. Revenue continues to decline, but staff efficiency and performance has increased
while costs have been cut. Cost per client depends on the types of services received. The chart below indicates
the exact dollars per client based on the program services received. Note: some clients and children and
families receive more than one type of services. All clients receive Case Management Services.
Program Type Cost per Client Number Served
Medicaid Comprehensive $181 /day 92
State Adult Supported Living $8645 /year 4
Medicaid Adult Supported Living $6401 /year 41
Children's Extensive Support $19552 /year 1
Early Intervention $1848 /year 262
Family Support $1668 /year 97
Case Management $1181 /year 399
• 2010 Funding: $40,000. The Roaring Fork Family Resource Centers (RFFRC) remove barriers to
learning for children, such as those related to health, mental health, language, transportation, financial /
insurance status, and many others. During the 2009 -2010 school year, the RFFRC connected 96% of clients
(students and families) to needed services. 85% of case - managed students demonstrated improvement in the
area for which they were referred (physical health, mental health, academic, basic needs) and 94% showed
improvement in their behavior effecting school adjustment and learning. RFFRC directly served 895 students
through the Student Health & Well -Being program, including 311 Pitkin County residents and /or workers. 137
parents participated in our Parent Education program classes. Our clients were served at a cost of $704.00 per
client (including our in -kind budget), or $89.00 per contact.
— I
Physical Health - _ -- --
Purpose: Promote the physical well -being of individuals.
2010 Healthy Community Fund Support: $431, 205 —28% of HCF
PROGRAm AGENCIES: What they provide:
• Aspen Cancer Survivor Center Nutritional guidance, exercise programs, mental health services, and one -on -one
coaching for cancer survivors
• Aspen Homeless Shelter Warm place to stay in winter, helping access resources to meet needs, and
assisting in the transition to stability and self - reliance
• Aspen to Parachute Dental Health Alliance Family Visitor Programs acting as fiscal agent for this collaborative; to fund a
position to develop dental outreach and education; as well as development for an
indigent dental clinic in the Roaring Fork Valley.
• Roaring Fork School Health Centers Primary health and mental health care for health center patients
residing in Pitkin County
• Community Health Services Affordable public health services
• Hospice of the Valley Operational support for the care of dying patients and providing grief and
bereavement services
• Mountain Family Health Centers Primary care for the medically underserved and uninsured
• Planned Parenthood/Rocky Mountains Affordable reproductive care
• Sexual Assault Nurse Examiner Program Medical care & forensic evidence collection for sexual assault victims.
Education on sexual assault to various agencies.
"Bang for the Buck ": Exam )Ics that show value to the Community
• 2010 Funding: $8,000. 42 cancer survivors, 93% of whom lived within Pitkin County, received
consultation and assessment from the Aspen Cancer Survivor Center for Health &Well -Being (ACSC). 30
were provided exercise programs and 30 received referrals to appropriate community resources. Over 250
family members have been impacted through services provided to clients. If there is a pre -, post -ECG test done
along with 6 months programming and at least three one -on -one sessions, total cost per client = $2000.
• 2010 Funding: $15,000. Aspen Homeless Shelter (AHS) provided 1,119 nights of shelter during the
2009/2010 winter season to 44 unduplicated individuals at the nighttime shelter site of St. Mary's Catholic
Church in Aspen. During this same period, 2568 hot dinners were served to 82 individuals. 76 of the 82
unduplicated clients served were living or working in Pitkin County. Efforts are ongoing to work towards
finding space for a year -round nighttime shelter, to complement the day and evening shelter already in place at
the HHS building. The Evening dinner program for 2010 costs $1,340 per individual served.
• 2010 Funding: $30,000. The Aspen to Parachute Dental Health Alliance (APDHA) hired a Regional Oral
Health Consultant to provide training, education, information/referral and coordination services in the RFV. 44
providers were trained to apply fluoride varnish; 400 seniors across the valley received oral health education,
and 508 children received dental cleanings, sealants, fluoride and oral health education. $26.09 cost of service
per person.
• 2010 Funding: $10,000. During 2009 -2010 SY, The Roaring Fork School Health Centers (RFSHC)
provided physical health services to a total population of 472 unduplicated users (420 students, 48 staff
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members & 4 family members) over a total of 1,124 encounters (an average of 2.65 encounters /user). Pitkin
County residents represent 16.52% of this total (78 unduplicated users) with an approximate total of 207
physical health encounters. Given this data, Pitkin County funds parlayed into a $48.31 cost per unduplicated
Pitkin County user /encounter for physical health services; additional value associated with RFSHC operations
(including case management, classroom -based health education, immunization clinics,etc) were subsidized for
Pitkin County residents through other funding sources. RFSHC is in the process of developing the capacity to
submit Medicaid and CHP+ claims which will remove barriers to care and allow for a focus on preventive
health care to an at -risk population. Cost per service to unduplicated Pitkin County user: $48.31.
• 2010 Funding: $271,205. 1,707 unduplicated clients received direct services at Community Health
Services, including prenatal care, family planning services, and adult, travel and child immunizations. 65% of
these individuals reside in Pitkin County. 793 women and men were seen in the Family Planning Program at
year end 2010 with a cost per client of $430. 93 Pitkin and Eagle County women were served in the Prenatal
Program with a cost per client of $1600.
• 2010 Funding: $20,000. Hospice and HomeCare of the Valley (HV) served 77 Pitkin County residents in
either the Hospice program, Medicare - certified home health, or Private duty home health programs during
2010. 70 days /patient stay was the average length of stay for patients in the program. 6% of patients admitted
during the 2010 calendar year did not have any form of insurance, thus their care was provided free of charge.
Different technologies such as tele - health, are being explored to assist in monitoring patients from a centralized
monitoring RN nursing station. Hospice is offered at approximately $150 /patient/ day.
• 2010 Funding: $20,000. Mountain Family Health Centers in Glenwood Springs served 843 Pitkin County
residents, an increase of 7.5% over 2009. 7284 unduplicated patients were seen in 2010. Medicaid patients
totaled 1908. Average total annual cost/patient was $564 in 2010.
• 2010 Funding: $7,000. Planned Parenthood of the Rocky Mountains (PPRM) served 2,796 individuals in
2010 with reproductive health care on a sliding scale; 952 clients live or work in Pitkin County, a total of 34%
of clients served annually. PPRM's health center served 1,575 individuals who live at or below 150% of the
Federal Poverty Level with health care on a sliding scale. PPRM is one of the few providers in the Roaring Fork
Valley where individuals in the community can obtain reduced -fee, confidential HIV testing. The health
center's cost per client is $259.
• 2010 Funding: $9,000. 35 sexual assault victims, (plus 10 non -acute exams on children at River Bridge
Center) received care and evidence collection through the services of the Sexual Assault Nurse Examiner
(SANE) Program at Valley View Hospital. 8% of patients lived in, worked in or were assaulted in Pitkin
County in 2010. The SANE Coordinator provided education to at least 229 local professionals and volunteers in
the region. Trainings are set to expand in 2011. Cost per client was approximately $2,900 in 2010.
Mental Health & Substance Abuse Prevention
Purpose: Promote the psychological well -being of individuals;
Provide treatment and promote prevention of substance abuse.
2010 Healthy Community Fund Support: $ 220,780 —14% of HCF
PROGRAM AGENCIES: What awl' trovidc:
• Aspen Counseling Center Mental health services, including counseling, emergency services, & substance
abuse treatment
• Colorado West Psychiatric Hospital, Inc. Funding for operations at the Grand Junction psychiatric hospital benefitting
Pitkin County residents in need of inpatient mental health care.
• The Right Door Alternative detoxification program & case management
• Valley Partnership for Drug Prevention Wellness program in local schools for prevention of alcohol, drug and tobacco
use; drug awareness campaign through local media
• Pathfinders Holistic program for cancer patients, families and caregivers.
"Bang for the Buck ": Examples that show value to the Community
• 2010 Funding: $78,200. Colorado West Regional Mental Health, Inc., The Aspen Counseling Center,
served 1006 mental health and substance abuse clients in 2010. Seventy -three percent of the 1006 served were
Pitkin County residents. This represents a 28% increase in clients served over 2009. ACC served 334 uninsured
clients in 2010. In addition, ACC provided 212 emergency service contacts. The low no -show rate of 4%
demonstrates that clients are receiving care and are engaged in that care, increasing greatly the likelihood of
positive outcomes. The total cost per client for the uninsured population is $234.
• 2010 Funding: $16,480. 2010 saw a marked increase (200 %) in Pitkin County residents hospitalized at
Colorado West Psychiatric Hospital, Inc. (CWPH): 24 admissions, for a total of 114 days, with 11 of
admitted patients being uninsured; as compared to 2009 figures: 8 admissions, 48 total days, with 3 of admitted
patients being uninsured. Given the economy's slow recovery it is expected that the number of admits will
continue growing in 2011. The grant award was $16,480 and there were 114 total patient days for Pitkin
County residents, resulting in a cost per day /client of $114.00.
• 2010 Funding: $70,000. 1,140 clients were served by The Right Door's (TRD) alternative detox program.
39% of clients accepted case management at intake, and of those, 35% completed their plan and 33% partially
completed their plan. Cost per client served in case management is : $471.
• 2010 Funding: $38,100. 1008 students (100% of Aspen Middle and Aspen High School students)
participated in Valley Partnership for Drug Prevention's (VPDP) drug, alcohol and tobacco prevention
curriculum. In 2010 87% of students reported positive or very positive outcomes from participating in VPDP's
programs. A large scale social norms media campaign has begun, benefitting approximately 6,000 unduplicated
residents, of which 90% reside in Pitkin County. Cost per student: $90 -150.
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Legal Services & the Courts
Purpose: Facilitate access and appropriate utilization of legal and judicial assistance.
2010 Healthy Community Fund Support: $20,000 —1% of HCF
PROGRAM AGENCIES: what the) provide:
• Alpine Legal Services Legal services for low- income clients
• YouthZone Alternative sentencing options for youth in the juvenile justice system including
restorative justice programs, other court services, case management
"Bang for the Buck ": Examples that show value to the C'ommunit)
• 2010 Funding: $20,000. Over 600 clients were provided with free legal assistance in the Aspen office of
Alpine Legal Services (ALS). Pitkin County numbers represent close to 30% of our overall clients served.
More than 2,200 people contact us annually seeking legal information for issues such as: tenant rights;
evictions; debts; small claims actions; custody; divorce; civil rights; employment; and public benefits. ALS
provided more than 3, 200 attorney hours on approximately 400 Domestic Violence cases in 2010. This equates
to a value of more than $480,000 in free legal services annually. 40 legal clinics were provided, averaging 8
participants per clinic. In 2011, ALS is exploring placing computer terminals at all Courthouses in our service
area to help clients access basic information, forms, and other pertinent resources. Cost: $50 for brief
consultation; $1200 for full representation.
• 2010 Funding: $28,000. RESPONSE serves the residents, employees and visitors of Pitkin County and
Western Eagle County and their families who are, or have been, survivors of domestic violence or sexual
assault. During 2010, our volunteer advocates provided approximately 10,500 volunteer hours in order to
support 387 survivors of domestic violence and sexual assault, half of whom are Latino. The crisis line
received 2,311 contacts and 24 nights of emergency housing for 10 women and 3 children were provided. 84
women and 10 children attended support groups in English or Spanish for a total of 358 sessions. The legal
advocate and Latina advocate assisted 115 women with legal advocacy such as assistance in obtaining
restraining orders, court escort, referral to appropriate legal council and the like. The agency's youth targeted
education and prevention programs were expanded with 17 presentations conducted at Aspen High School,
Aspen Middle School, and Basalt High School to reach 712 students with messages about cyber- bullying,
sexual - bullying, teen dating violence awareness and healthy relationships. Cost per person: $166.59
• 2010 Funding: $45,000. 159 (104 youth and 55 adults) Pitkin County residents or workers in Pitkin County
were served by YouthZone (YZ) in the Aspen/Basalt offices in 2010. This represents 14.6% of total clients
served by YouthZone in 2010 (1090). YZ has seen an increase this year in marijuana use among juveniles.
Overall, we have seen a 58% increase in marijuana charges since 2008. The cost per client is approximately
$1000 for a youth for 3 to 6 months of services. YZ has also started the TITAN (Trained Involved Teens
Assisting Nonprofits) program at Basalt High School.
Well -Being of Seniors
Purpose: Promote the social, emotional, economic and physical well -being of seniors.
2010 Healthy Community Fund Support: $345,086 —24% of HCF
PROGRAM AGENCIES: What they )rov idc:
• Pitkin County Senior Services Responsive senior programs including nutrition, information & referral,
transportation and activities to promote independence and quality of life.
"Bang for the Buck ": Examples that show v alue to the Community
• 2010 Funding: $341,149. Senior Services served 1200 unduplicated senior clients in 2010, of which an
estimated 80% reside in Pitkin County. A total of 11,438 meals were provided to seniors through Pitkin
County Senior Services. This includes 8631 congregate and 2209 home delivered meals, and 516 "Blizzard
Box" emergency meals. Seven hundred more meals were served in 2010 over the 2009 count. On average, 73
meals were provided on each serving day. About 23% of the total Senior Services nutrition program is funded
through the Healthy Community Fund, which contributes about $2.58 per meal. About 50% of the total is
funded by State and Federal Funds. Another 32% is funded by a private non -profit gift and participant
contributions.
• Pitkin County's Senior Transportation program provided 4,263 senior van rides , funded by RFTA, and
325 supplemental transportation rides by taxis and volunteer drivers, to 110 unduplicated riders. Healthy
Community Fund dollars are used to pay for the Senior Services staff time necessary to coordinate the
transportation program, and for mileage reimbursements for volunteer and home delivered meal drivers. These
costs total approximately $3.48 per ride.
• The Pitkin County Senior Services care management program assisted 36 adults, ages 60 and older, with
professional, individualized services. 86% of clients were successfully connected with community resources to
make their life more manageable, and 83% reported that they felt safer and healthier. 83% reported that they
were better able to maintain their independence. Funding for this program is provided through state grant
dollars, private non - profits, and the Healthy Community Fund. About half of the funding for this program is
from HCF, equal to about $420 per client served.
7
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AGENDA ITEM SUMMARY
WORK SESSION DATE: October 18, 2011
AGENDA ITEM TITLE: Joint City /County Health and Human
Services Budget Presentation
STAFF RESPONSIBLE: Mitzi Ledingham and the Health and Human
Services "POD" Network
ISSUE STATEMENT: The Pitkin County Health and Human Services network,
known as "the POD ", will present an overview of the current issues in 2011 affecting
individuals and families, nonprofit agencies and the overall community from their
perspective as service providers. Four health and human services agency representatives
will discuss the continuing challenges facing the public and how agencies are responding
to provide safety net support and assistance. They will also highlight examples of
collaboration that are working to reduce duplication and maximize efficiency in providing
needed services.
BACKGROUND: Each year the POD meets with City of Aspen and Pitkin County
elected officials during budget season to present information about the common issues
they experience in the provision of their services. The POD chooses to present to elected
officials as a collective instead of with individual requests because of their shared belief
that the strength of their services to Pitkin County residents and employees comes from
their unity. This philosophy is unique in that during most grant processes around the
nation non - profits assume a more competitive stance. Pitkin County is fortunate to
experience a more cooperative model that better serves individuals and families in the
community with more comprehensive and responsive services.
The POD has identified that conditions have remained much the same as last year. The
standard has been set for agencies to accomplish `more with less', as service demand
continues to increase, grants and donor gifts remain flat or are reduced, and revenues are
reduced from fees for service. Agencies are continuing to make adjustments in light of
these realities.
2012 City and County grant requests
Please find attached a comparision spreadsheet indicating City and County health and
human services (HHS) agency funding for 2011 as well as 2012 grant requests
(Attachment A). Two agencies are newly applying for support in 2012 from both the
City and the County - Lift -Up and the Aspen Hope Center. Lift -Up, a nonprofit aid
program that operates pantries in Basalt, Carbondale, Glenwood Springs, New Castle,
Rifle and Parachute, added an Aspen -based food pantry in 2009. In 2010, the Aspen
Hope Center began serving Aspen and Pitkin County residents with 24/7 counselor
access for acute mental health issues and follow -up referral and case management
services. Both the Roaring Fork School Health Centers and the Aspen to Parachute
Dental Health Alliance, funded by the Healthy Community Fund for two years, are
requesting funding from the City of Aspen in 2012. Four additional agencies have newly
applied to the County for 2012 funding: The Salvation Army, Tom's Door, Valley Life
for All, YouthZone and Woody Creek Community Center. The County notes a 14.9%
increase in grant requests over last year; and the City is experiencing a 27.1% increase in
funding applications for 2012.
2010 Report Cards
Also attached are the 2010 "report cards" from the 25 HHS agencies providing services
to our youth, families and seniors in 2010. (Attachment B) These 2010 year -end program
summaries describe many of the specific achievements of the non - profit agencies who
provide key services to members of our Pitkin County community. Some highlights
include:
• The Buddy Program incorporated the experiential group mentoring program of
the former Aspen Youth Experience agency, to successfully serve 350
unduplicated youth, Big and Little Buddies in Pitkin County in 2010.
• 1,119 nights of shelter were provided during the 2009 -2010 winter season to 44
unduplicated individuals through the work of the Aspen Homeless Shelter.
• The domestic violence prevention agency, RESPONSE, received 2,311 contacts
and assisted 115 women with legal advocacy in 2010.
• 11,438 meals were provided to seniors through Pitkin County Senior Services, as
well as 36 seniors being helped with professional, individualized services in the
care management program.
LINK TO STRATEGIC PLAN: Livable and Supportive Community
KEY DISCUSSION ITEMS:
1. Review /explore current issues affecting individuals, families and non - profits in our
community.
2. Review challenges facing the public and how agencies are responding and what they
are accomplishing.
3. Review the spreadsheet identifying city /county requests for funding and ask specific
questions as needed.
BUDGETARY IMPACT: Health and Human Services (HHS) agencies receive
funding from the Pitkin County Healthy Community Fund. For 2012, $1,521,762 is
available for non - profit funding, plus fund balance. Requests for County funding for
2012 are up by 14.9% over grant funded amounts from last year; requests for City
funding are up by 27.1% over 2011 funding.
2
RECOMMENDED BOCC ACTION: None at this time, informational only
ATTACHMENTS: A. Combined City and County HHS grant requests for 2012
B. 2010 Report Cards
3
2012 HMS
Grant Requests - City of Aspen and Pilkln County
, ..e. 40' ;. _ "oars a:4,1g1p
GOAL L FAMILYA50YWRNWElNN89- •3':
PMrm M ana apn otleal i aae110n1b wa66a6y of law. NM 00848
The Buddy Program 25,000.00 25,000.00 23,000.00 15,000.00
6.81e1. 65altlw 13,650,00 13,650,00 6,030.00 6,400.00
FimINV101M Proems 70,000.00 70,000.00 15.010.00 15,000.00
Mountain Valley
p eve l e8 wpp S eas 63,000.00 65,000.00 65,000.00 5,00000
PEAK Pawling Canter, In.. 14,500.00 5,000 .00 0.00 0.00
R,P0X11 32,50000 28,000.00 15,000.00 15,000.00
Roaring Rah Family Remora Canners 40 ,000,00 40,00000 10,000,00 10,000.00
TM Salvation Army 20,000,00 0.00 0.00 0 D new agency-county
Tana Door 5,000,00 0.00 0.00 0.00 new agency-county
Valley Life for All 20,00000 000 000 0,00 new agency -county
YauNAne 45,000.00 45,000.00 10,000.00 10,000.00
FAMILY •2/081)1 $1111101813 $ 330,110,00 .$ 991650,00 $ 144,050,00 $ 76,400.00
905.2: P0950I1. IGLTN Paint We pNplgl wFMMg of NMMUa►
Aapa Comer SUrMECWaerar 5.000,00 5,000.00 7,000.00 7,000.00
NaYM G WMMIng
Aspen Community thy.* 2,500.00 2,500.00 1,000.00 1000.00
/upon Home's MAN( 30,000,00 20,00000 15,000.00 10,000.00
Canxnunb NeaMSeMaa 271,205.00 271,20500 63,000.00 63,000.00
FVP Miens egxM;pxnelM Health 30,000.00 20,00000 5,000.00 0.00 wagency -city
Miens
ne
Home Can and MSMw of Me Valley 50,000.00 30,000.00 30,000.00 15,00000
Olt 9p 1,000.00 0.00 1,000.00 0.00 new a6encyciry & county
Mountain Family Health Center, 40,000.00 40,000.00 2,000,00 4,000.00
Paned PNaWned - 7,500.00 7,500.00 0.00 0.00
Roaring F0M541e0I With Custom 10,000.00 10,000.00 10,00000 0.00 new agencyally
EoM`Tbr`ryb.W" w w 12,000.00 8,000.00 * County moved to CNP
VORryWlow HaMal SNIEPmOO, 9,000,00 9,000.00 6.000.00 6,000.00
WI1Mwpan Epsw NNted Lamming 5,000.00 3,000.00 a dman[
oanepVCenser e a y moved to CNP
T
Woody CrakComnwnds Connor 6,000.00 000 000 000 new agency -county
PNHIOAL INaLTN WaroTAA $ 442,20600 $ 416,206.00 5 167.000,00 $ 119,00000
GOAL 3: MENTAL MULTI i W9aTM ICE *2486 PREVENn06.MgM. to pyangp/sl WJaIMger MMMal9
PNwo balmy* NM Mow& pwwuan of Whams awe.
Mpun CaorMg Center 78,200.00 78,20000 57,550.00 57,550.00
The Aspen Hope center, ` project ar the 50,000.00 00 w e4anc8city & county
AMIE s,o00.00 0.00 "`
CgaaaWat OW$ Owea 10,00000 10,000.00 5,000.00 5,000.00
Colorado WM PsyealetrIc Haplal 16,480.00 16,480.00 000 0.00
PaNlnoars 10,00000 10,000.00 2,000.00 2,000,00
TM Right Goa 95,000.00 65,000.00 85,00000 85,000 .00
yawl Pawntlen 38,10000 38,100.00 33,000.00 33,000.00
Your Film&tor LA 10,000,00 3,000,00 8,000.00 3,000.00
Werra NFAL1M .WnTNICE 03186 $ 507,76000 $ 220,750.00 $ 111050,00 $ 1*6,16000
eII610rR1d
GOAL4: IL04L SERVICES ATHE509NTS FaeNl6 aeon IS ....,.l... rMmwM0 0100114419641991409996 -
Apm LepllNalS,Nmoarly ManrN 20,00000 20,000.00 10,000.00 10,000.00
Fak Legal SNNea
MAL5RVICB5WICTM* $ 20000.00 $ 10000.00 $ 10,000.0 0 10,000.0
6041.5: WMLSN50 M S00053 Plemetew *4101, •1901.0S. 00409n le NM 415•5419924990 cd ..nin
PRNn Gourds Semler Bares: 248 et
$1417657 345,086.00 345,08600 38,73000 38,16000
MOOR W01.485N 69910TNE $ 34506900 $ 346011.00 $ 39,710.00 $ 3946000
GOAL 6: 00MM9MIY PROGMLI EFFECINEN653
RMn Coun20041•nw FUM 40,000.00 40,000.00 _ _ county only program
PMdn Gourds TraNML Ta 5,000.00 5,000,00 _ _ county only program
MaiWma, Grant
L\1f119MLY911GYMN EFFECrNENESS $ 36.00000 1 4600000
00900!,01.5
TOTAL' $ 1.466,72100 $ 1.292,721.00 $ 645,310.00 $ 429,11000 *does not include Goal 6
9Maaaa yNr• USW 271% •does not Include Goal 6
1
10/12/2011 009AM NN :mompvhanm 2011000 Oct 102011
p:e :mmoanrlvFltwtFi10 11 11
2010 REPORT CARDS - ATTACHMENT A
Family and Youth Well -Being
Purpose: Promote the social, emotional & economic well -being
of families and youth.
2010 Healthy Community Fund Support: $331,650 —21% of HCF
PROGRAM AGENCIES: What they )rov
• The Buddy Program Youth mentoring programs, support services
• Catholic Charities Emergency assistance program
• Children's Health Foundation Intercultural /Anti -Bias and nutrition/obesity prevention programs in the schools
• Childhelp River Bridge Provide victim advocacy to ten Pitkin County child victims of crime
• Family Visitor Programs Support and education for pregnant women and new parents
• Mt. Valley Developmental Services Vocational & residential programs for the developmentally disabled
• Roaring Fork Family Resource Centers School -based services to connect with families and improve student health and
academic achievement
• RESPONSE Support for survivors of domestic violence and sexual assault
"Bain for the Buck ": Exam )Ies that show value to the Community
• 2010 Funding: $25,000. 369 "Buddy Pairs" from Aspen to Basalt were served by The Buddy Program's
(TBP) youth mentoring programs. Overall the Buddy Program served over 500 youth this year from Aspen to
Parachute — double the number from 2005. 350 unduplicated Big and Little Buddies as well as youth served
through our Experiential Group Mentoring Programs lived in Pitkin County in 2010. This represents 54% of
the total unduplicated population served. TBP is reaching double the number of youth served in 2005, and has
four times the geographic reach of 2009, but on the same budget. Cost per client: $948.
• 2010 Funding: 13,650. 809 households representing 2241 individuals received emergency assistance such as
rental assistance, prescription assistance, dental care, transportation and food vouchers through Catholic
Charities (CC) Glenwood office, including 140 Pitkin County residents or workers. Clients living and/or
working in Pitkin County accounted for 17.3% of the population served. In response to continuing
unemployment and more chronic hardship, CC has expanded its definition of "emergency" to include those
currently unemployed, underemployed, or who are working at a much lower wage than they were two years
ago. Cost per unit (household receiving support) is $414.
• 2010 Funding: $4,500. Childhelp River Bridge (CHRB) provided Child Advocacy Services to three Pitkin
County alleged victims and their non - offending caregivers during 2010. These victims represent 2% of total
victims served (95). As a result of receiving a Department of Justice grant in September 2010, CHRB is
providing outreach and awareness training regarding CHRB services to all potential partners in Pitkin County to
include the Department of Human Services Child Protection staff, local Police Departments, the Sheriff's
Office, the District Attorney and victim advocates. The intention is to secure signed Memoranda of
Understanding with all Pitkin County partners. Cost per unit: $150 per service hour. Each Pitkin case
averaged about 10 hours of intervention per case, so $1,500.
• 2010 Funding: $70,000. 928 clients were served by Family Visitor Programs (FVP), including 216 clients
who live or work in Pitkin County (23% of total)., these clients received a total of 1,662 visits. FVP continues
to see an increase in referrals and a decline in funding. 75% of Pitkin County families served began services
prenatally, of great benefit to new parents as they are more prepared to parent their newborn effectively. At
time of discharge from services, as measured by pre- and post -test scores, 85% of parents reported strengthened
self - sufficiency skills; 64% increased resiliency skills, and 81% of primary caretakers reported a strengthened
level of optimism about a bright future for their child. Cost per Home Visitor Program visit: $158. The average
cost per family per year is $1404.00.
• 2010 Funding: $65,000. 304 unduplicated children and families and 95 unduplicated adults with
developmental disabilities were served by Mountain Valley Developmental Services in FY 2010. 100% of
children receiving early intervention or family support services were able to continue to reside in their family
home. All 95 adults were able to remain in community inclusive settings. 25% of the served population are
Pitkin County residents or work in Pitkin County (100 individuals). Last year, Mountain Valley served 80
clients in Pitkin County. Revenue continues to decline, but staff efficiency and performance has increased
while costs have been cut. Cost per client depends on the types of services received. The chart below indicates
the exact dollars per client based on the program services received. Note: some clients and children and
families receive more than one type of services. All clients receive Case Management Services.
Program Type Cost per Client Number Served
Medicaid Comprehensive $181 /day 92
State Adult Supported Living $8645 /year 4
Medicaid Adult Supported Living $6401 /year 41
Children's Extensive Support $19552 /year 1
Early Intervention $1848 /year 262
Family Support $1668 /year 97
Case Management $1181 /year 399
• 2010 Funding: $40,000. The Roaring Fork Family Resource Centers (RFFRC) remove barriers to
learning for children, such as those related to health, mental health, language, transportation, financial /
insurance status, and many others. During the 2009 -2010 school year, the RFFRC connected 96% of clients
(students and families) to needed services. 85% of case - managed students demonstrated improvement in the
area for which they were referred (physical health, mental health, academic, basic needs) and 94% showed
improvement in their behavior effecting school adjustment and learning. RFFRC directly served 895 students
through the Student Health & Well -Being program, including 311 Pitkin County residents and /or workers. 137
parents participated in our Parent Education program classes. Our clients were served at a cost of $704.00 per
client (including our in -kind budget), or $89.00 per contact.
2
•
Physical Health
Purpose: Promote the physical well -being of individuals.
2010 Healthy Community Fund Support: $431, 205 —28% of HCF
PROG 12AN! AGENCIES: W then provide:
• Aspen Cancer Survivor Center Nutritional guidance, exercise programs, mental health services, and one -on -one
coaching for cancer survivors
• Aspen Homeless Shelter Warm place to stay in winter, helping access resources to meet needs, and
assisting in the transition to stability and self - reliance
• Aspen to Parachute Dental Health Alliance Family Visitor Programs acting as fiscal agent for this collaborative; to fund a
position to develop dental outreach and education; as well as development for an
indigent dental clinic in the Roaring Fork Valley.
• Roaring Fork School Health Centers Primary health and mental health care for health center patients
residing in Pitkin County
• Community Health Services Affordable public health services
• Hospice of the Valley Operational support for the care of dying patients and providing grief and
bereavement services
• Mountain Family Health Centers Primary care for the medically underserved and uninsured
• Planned Parenthood/Rocky Mountains Affordable reproductive care
• Sexual Assault Nurse Examiner Program Medical care & forensic evidence collection for sexual assault victims.
Education on sexual assault to various agencies.
"Bang for the Buck ": Exam - ties that show value to the Community
• 2010 Funding: $8,000. 42 cancer survivors, 93% of whom lived within Pitkin County, received
consultation and assessment from the Aspen Cancer Survivor Center for Health &Well -Being (ACSC). 30
were provided exercise programs and 30 received referrals to appropriate community resources. Over 250
family members have been impacted through services provided to clients. If there is a pre -, post -ECG test done
along with 6 months programming and at least three one -on -one sessions, total cost per client = $2000.
• 2010 Funding: $15,000. Aspen Homeless Shelter (AHS) provided 1,119 nights of shelter during the
2009/2010 winter season to 44 unduplicated individuals at the nighttime shelter site of St. Mary's Catholic
Church in Aspen. During this same period, 2568 hot dinners were served to 82 individuals. 76 of the 82
unduplicated clients served were living or working in Pitkin County. Efforts are ongoing to work towards
finding space for a year -round nighttime shelter, to complement the day and evening shelter already in place at
the HHS building. The Evening dinner program for 2010 costs $1,340 per individual served.
• 2010 Funding: $30,000. The Aspen to Parachute Dental Health Alliance (APDHA) hired a Regional Oral
Health Consultant to provide training, education, information /referral and coordination services in the RFV. 44
providers were trained to apply fluoride varnish; 400 seniors across the valley received oral health education,
and 508 children received dental cleanings, sealants, fluoride and oral health education. $26.09 cost of service
per person.
• 2010 Funding: $10,000. During 2009 -2010 SY, The Roaring Fork School Health Centers (RFSHC)
provided physical health services to a total population of 472 unduplicated users (420 students, 48 staff
{
members & 4 family members) over a total of 1,124 encounters (an average of 2.65 encounters /user). Pitkin
•
County residents represent 16.52% of this total (78 unduplicated users) with an approximate total of 207
physical health encounters. Given this data, Pitkin County funds parlayed into a $48.31 cost per unduplicated
Pitkin County user /encounter for physical health services; additional value associated with RFSHC operations
(including case management, classroom -based health education, immunization clinics,etc) were subsidized for
Pitkin County residents through other funding sources. RFSHC is in the process of developing the capacity to
submit Medicaid and CHP+ claims which will remove barriers to care and allow for a focus on preventive
health care to an at -risk population. Cost per service to unduplicated Pitkin County user: $48.31.
• 2010 Funding: $271,205. 1,707 unduplicated clients received direct services at Community Health
Services, including prenatal care, family planning services, and adult, travel and child immunizations. 65% of
these individuals reside in Pitkin County. 793 women and men were seen in the Family Planning Program at
year end 2010 with a cost per client of $430. 93 Pitkin and Eagle County women were served in the Prenatal
Program with a cost per client of $1600.
• 2010 Funding: $20,000. Hospice and HomeCare of the Valley (HV) served 77 Pitkin County residents in
either the Hospice program, Medicare - certified home health, or Private duty home health programs during
2010. 70 days /patient stay was the average length of stay for patients in the program. 6% of patients admitted
during the 2010 calendar year did not have any form of insurance, thus their care was provided free of charge.
Different technologies such as tele - health, are being explored to assist in monitoring patients from a centralized
monitoring RN nursing station. Hospice is offered at approximately $150 /patient/ day.
• 2010 Funding: $20,000. Mountain Family Health Centers in Glenwood Springs served 843 Pitkin County
residents, an increase of 7.5% over 2009. 7284 unduplicated patients were seen in 2010. Medicaid patients
totaled 1908. Average total annual cost/patient was $564 in 2010.
• 2010 Funding: $7,000. Planned Parenthood of the Rocky Mountains (PPRM) served 2,796 individuals in
2010 with reproductive health care on a sliding scale; 952 clients live or work in Pitkin County, a total of 34%
of clients served annually. PPRM's health center served 1,575 individuals who live at or below 150% of the
Federal Poverty Level with health care on a sliding scale. PPRM is one of the few providers in the Roaring Fork
Valley where individuals in the community can obtain reduced -fee, confidential HIV testing. The health
center's cost per client is $259.
• 2010 Funding: $9,000. 35 sexual assault victims, (plus 10 non -acute exams on children at River Bridge
Center) received care and evidence collection through the services of the Sexual Assault Nurse Examiner
(SANE) Program at Valley View Hospital. 8% of patients lived in, worked in or were assaulted in Pitkin
County in 2010. The SANE Coordinator provided education to at least 229 local professionals and volunteers in
the region. Trainings are set to expand in 2011. Cost per client was approximately $2,900 in 2010.
4
Mental Health & Substance Abuse Prevention
Purpose: Promote the psychological well -being of individuals;
Provide treatment and promote prevention of substance abuse.
2010 Healthy Community Fund Support: $ 220,780 -14% of HCF
PROGRAM AGENCIES: What they ) - ov ule:
• Aspen Counseling Center Mental health services, including counseling, emergency services, & substance
abuse treatment
• Colorado West Psychiatric Hospital, Inc. Funding for operations at the Grand Junction psychiatric hospital benefitting
Pitkin County residents in need of inpatient mental health care.
• The Right Door Alternative detoxification program & case management
• Valley Partnership for Drug Prevention Wellness program in local schools for prevention of alcohol, drug and tobacco
use; drug awareness campaign through local media
• Pathfinders Holistic program for cancer patients, families and caregivers.
"Bang for the Buck ": Examples that show value to the Community
• 2010 Funding: $78,200. Colorado West Regional Mental Health, Inc., The Aspen Counseling Center,
served 1006 mental health and substance abuse clients in 2010. Seventy -three percent of the 1006 served were
Pitkin County residents. This represents a 28% increase in clients served over 2009. ACC served 334 uninsured
clients in 2010. In addition, ACC provided 212 emergency service contacts. The low no -show rate of 4%
demonstrates that clients are receiving care and are engaged in that care, increasing greatly the likelihood of
positive outcomes. The total cost per client for the uninsured population is $234.
• 2010 Funding: $16,480. 2010 saw a marked increase (200 %) in Pitkin County residents hospitalized at
Colorado West Psychiatric Hospital, Inc. (CWPH): 24 admissions, for a total of 114 days, with 11 of
admitted patients being uninsured; as compared to 2009 figures: 8 admissions, 48 total days, with 3 of admitted
patients being uninsured. Given the economy's slow recovery it is expected that the number of admits will
continue growing in 2011. The grant award was $16,480 and there were 114 total patient days for Pitkin
County residents, resulting in a cost per day /client of $114.00.
• 2010 Funding: $70,000. 1,140 clients were served by The Right Door's (TRD) alternative detox program.
39% of clients accepted case management at intake, and of those, 35% completed their plan and 33% partially
completed their plan. Cost per client served in case management is : $471.
• 2010 Funding: $38,100. 1008 students (100% of Aspen Middle and Aspen High School students)
participated in Valley Partnership for Drug Prevention's (VPDP) drug, alcohol and tobacco prevention
curriculum. In 2010 87% of students reported positive or very positive outcomes from participating in VPDP's
programs. A large scale social norms media campaign has begun, benefitting approximately 6,000 unduplicated
residents, of which 90% reside in Pitkin County. Cost per student: $90 -150.
Legal Services & the Courts
Purpose: Facilitate access and appropriate utilization of legal and judicial assistance.
2010 Healthy Community Fund Support: $20,000 —1% of HCF
PROG RAM AGENCIES: What they provide:
• Alpine Legal Services Legal services for low- income clients
• YouthZone Alternative sentencing options for youth in the juvenile justice system including
restorative justice programs, other court services, case management
"Bang for the Buck ": Examples that show value to the Community
• 2010 Funding: $20,000. Over 600 clients were provided with free legal assistance in the Aspen office of
Alpine Legal Services (ALS). Pitkin County numbers represent close to 30% of our overall clients served.
More than 2,200 people contact us annually seeking legal information for issues such as: tenant rights;
evictions; debts; small claims actions; custody; divorce; civil rights; employment; and public benefits. ALS
provided more than 3, 200 attorney hours on approximately 400 Domestic Violence cases in 2010. This equates
to a value of more than $480,000 in free legal services annually. 40 legal clinics were provided, averaging 8
participants per clinic. In 2011, ALS is exploring placing computer terminals at all Courthouses in our service
area to help clients access basic information, forms, and other pertinent resources. Cost: $50 for brief
consultation; $1200 for full representation.
• 2010 Funding: $28,000. RESPONSE serves the residents, employees and visitors of Pitkin County and
Western Eagle County and their families who are, or have been, survivors of domestic violence or sexual
assault. During 2010, our volunteer advocates provided approximately 10,500 volunteer hours in order to
support 387 survivors of domestic violence and sexual assault, half of whom are Latino. The crisis line
received 2,311 contacts and 24 nights of emergency housing for 10 women and 3 children were provided. 84
women and 10 children attended support groups in English or Spanish for a total of 358 sessions. The legal
advocate and Latina advocate assisted 115 women with legal advocacy such as assistance in obtaining
restraining orders, court escort, referral to appropriate legal council and the like. The agency's youth targeted
education and prevention programs were expanded with 17 presentations conducted at Aspen High School,
Aspen Middle School, and Basalt High School to reach 712 students with messages about cyber - bullying,
sexual - bullying, teen dating violence awareness and healthy relationships. Cost per person: $166.59
• 2010 Funding: $45,000. 159 (104 youth and 55 adults) Pitkin County residents or workers in Pitkin County
were served by YouthZone (YZ) in the Aspen /Basalt offices in 2010. This represents 14.6% of total clients
served by YouthZone in 2010 (1090). YZ has seen an increase this year in marijuana use among juveniles.
Overall, we have seen a 58% increase in marijuana charges since 2008. The cost per client is approximately
$1000 for a youth for 3 to 6 months of services. YZ has also started the TITAN (Trained Involved Teens
Assisting Nonprofits) program at Basalt High School.
6
Well -Being of Seniors
Purpose: Promote the social, emotional, economic and physical well -being of seniors.
2010 Healthy Community Fund Support: $345,086 -24% of HCF
PROGRAM AGENCIES: Whatthev )rovidc:
• Pitkin County Senior Services Responsive senior programs including nutrition, information & referral,
transportation and activities to promote independence and quality of life.
"Bang for the Buck ": Examples that show value to the Communit
• 2010 Funding: $341,149. Senior Services served 1200 unduplicated senior clients in 2010, of which an
estimated 80% reside in Pitkin County. A total of 11,438 meals were provided to seniors through Pitkin
County Senior Services. This includes 8631 congregate and 2209 home delivered meals, and 516 "Blizzard
Box" emergency meals. Seven hundred more meals were served in 2010 over the 2009 count. On average, 73
meals were provided on each serving day. About 23% of the total Senior Services nutrition program is funded
through the Healthy Community Fund, which contributes about $2.58 per meal. About 50% of the total is
funded by State and Federal Funds. Another 32% is funded by a private non - profit gift and participant
contributions.
• Pitkin County's Senior Transportation program provided 4,263 senior van rides , funded by RFTA, and
325 supplemental transportation rides by taxis and volunteer drivers, to 110 unduplicated riders. Healthy
Community Fund dollars are used to pay for the Senior Services staff time necessary to coordinate the
transportation program, and for mileage reimbursements for volunteer and home delivered meal drivers. These
costs total approximately $3.48 per ride.
• The Pitkin County Senior Services care management program assisted 36 adults, ages 60 and older, with
professional, individualized services. 86% of clients were successfully connected with community resources to
make their life more manageable, and 83% reported that they felt safer and healthier. 83% reported that they
were better able to maintain their independence. Funding for this program is provided through state grant
dollars, private non- profits, and the Healthy Community Fund. About half of the funding for this program is
from HCF, equal to about $420 per client served.
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