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Department of Human Services

November 12, 2009

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Mission

To promote and provide for Lee County’s diverse human service

needs through progressive leadership and community

partnerships.

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Core Programs and Services

Administration/Fiscal

Department direction and oversight Fiscal mgmt. of general and grant funds Long Term Disaster Recovery Geographic Information Systems Computer support/database management Human Service Council and Advisory

Committees

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Core Programs and Services

State Mandated Programs

Medicaid – inpatient hospital and nursing home

Indigent Burial/Cremation Health Care Responsibility Act Mental Health and Substance Abuse Child Abuse Medical Exams

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Core Programs and ServicesPublic Health Department Primary Care – including:

Women’s Health ClinicHealthy StartWomen Infants and ChildrenChronic Disease Prevention

Communicable Disease Control/ Immunizations

Environmental Health Services

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Core Programs and Services

Contract Management

Issue requests for proposals (RFP) Execute and administer contracts Provide technical assistance, oversight,

and monitoring FY09 - 95 contracts - 42 organizations 

FY09 expenditures $15,641,834

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Core Programs and ServicesFamily Self Sufficiency

Homeless prevention and interventionemphasizing economic self sufficiency One-time emergency assistance for rent,

mortgage, and/or utility expenses Permanent housing for persons who are

homeless or HIV+ Job skills training and employment

assistance Case management

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Core Programs and Services

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

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Core Programs and Services

Neighborhood Building Neighborhood Accountability Boards

(NABS) - diversion program for youth who commit non-violent crimes

Neighborhood Relations • Write and secure HUD CDBG, Federal, and

State homeless grants• Comply with federal reporting requirements• Work with residents in 5 target

neighborhoods to improve the quality of life

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5 Year History Adopted Expenditures and Revenue Budget

0

5

10

15

20

25

Millions

FY05 FY06 FY07 FY08 FY09

Adopted ExpenditureBudget

Adopted RevenueBudget

Revenue is non -grant donations/fees

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Approved Budget HistoryFY05 FY06 FY07 FY08 FY09

Admin/

Fiscal

1,070,524 1,240,978 1,450,803 1,563,544 1,530,060

Housing 437,755 509,906 583,879 592,126 582,560

Neighbor-hood Bldg

504,296 553,207 744,144 772,381 600,740

State Mandates

6,598,290 8,089,388 8,715,766 8,793,610 9,058,860

State Health 1,762,534 1,860,854 2,146,538 2,394,368 2,467,786

FSS 1,393,408 1,501,380 1,478,531 1,564,008 1,547,207

PFR 3,492,539 3,934,799 4,521,097 4,585,497 4,448,569

Total 15,259,346 17,690,512 19,640,758 20,265,534 20,235,782

Excludes Grant and Donated funds

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Detail of Mandated ExpendituresFY05 FY06 FY07 FY08 FY09

Burials 63,970 63,540 69,685 78,995 68,735

Medicaid 3,645,491 3,343,905 3,564,263 4,351,686 4,627,511

Out of Co. Hospital

0 19,563 57,582 4,512 26,672

Mental

Health *1,874,739 2,357,003 2,501,780 2,953,178 2,828,189

Substance

Abuse *1,076,750 1,354,355 1,664,355 2,067,302 2,064,358

Abuse Exams

120,000 136,458 173,500 167,750 145,250

* Amounts funded exceed required local match

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Impact of Grants on BudgetApproved budget does not include grantsGrant revenues are not budgeted due to

varying effective dates of funding contractsGrants are budgeted as carryovers or via a

budget amendment resolutionGrant dollars are used to offset general fund

salary and eligible operating expenses

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DHS General Fund and Grant Expenditures

68%65%66%65%67%

32%35%34%

35%33%

0

5

10

15

20

25

30

35

FY05 FY06 FY07 FY08 FY09

Mil

lio

ns

Grant

General Fund

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FY09 General Fund and Grant Expenditures by Program Area

0

2

4

6

8

10

12

14

Admin

/Fis

cal

Contract

s *

FSS *

Housing NB

Mil

lio

ns

General Fund

Grant

* Includes State Mandates in program area general fund figures

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History Approved PositionsArea FY05 FY06 FY07 FY08 FY09 FY10

Admin 8 10 10 11 12 12

Fiscal 6 6 6 6 6 6

Housing 6 7 7 7 7 10*

NB 7 9 11 10 9 8

FSS 15 16 15 15 15 17*

Contracts 5 5 6 6 5 5

Total 47 53 55 55 54 58*Average salary expenditures reimbursed by grant funds is 48%* FY09/10 - 5 new positions funded with stimulus grant dollars

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Current Budget FY09/10

Totals $20,241,100 - General fund without grants

STATE HEALTH

12%

$2,452,331

PFR

22%

$4,458,709

-FAMILY SELF

SUFFICIENCY

7%

$1,516,701

STATE MANDATED

45%

$9,058,860

FISCAL

2%

$462,946

ADMIN/CLERICAL

5%

$1,004,050

HOUSING SERVICES

4%

$754,202

NEIGHBORHOOD

BLDG

3%

$533,301

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Departmental Major Issues

Declining economy + high unemployment rate = Increased demand for services

Requests for financial assistance increased 80% since FY 07

Implementing stimulus programs (NSP, etc.) Increase in Medicaid liability (28% over past

five years) proposed to increase 45% more by 2011

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Departmental Major Issues

0100200300400500600700800900

1000110012001300140015001600

Clients Seen Through Intake Client Telephone Screenings

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

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Anticipated Future Services Increased state mandates Increased demand for services and non-profit

operating fundsNeed for adequate support services, shelter,

housing, and treatment Criminal justice diversion projectsSustainability of Triage CenterNeed for adequate affordable housingNeed to maintain existing housing stock

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Where Are We Going?Options for reduction in programs/service levels

Reduce PFR funding or priorities (i.e. after-school and summer programs)

Limit PFR funds or prioritize applicants that can draw down State or Federal funds with County dollars

Only fund required match amounts for mental health or substance abuse treatment (currently exceed mandated amount)

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Where Are We Going?• Options for enhanced or new revenues

Reduce or discontinue emergency assistance provided on behalf of individuals

Explore revenue maximization programs where applicable (Medicaid substance abuse)

Aggressively pursue grants with minimal match requirements to deliver cost effective services

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Where Are We Going?

• Options for enhanced or new revenuesRedirect use of grant funds (i.e. CSBG,

CDBG, etc.) and better leverage Federal funds when possible

Maximize use of program incomeLobby for equity of entitlement funds at the

Federal Level (CSBG)

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Action Requested From Board

Determine future of Partnering for Results funding and if continued, determine priorities

Determine amount of future funding for mental health and substance abuse treatment

Determine amount of funding for public health services

Continuation of emergency assistance provided on behalf of eligible households