To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Reassign one (1) vacant full-time Mental Health Clinical Specialist (VQSB) position from Division #0466 to #0467 in the Contra Costa Health Department.
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
ADOPT Position Adjustment Resolution No. 26250 to reassign one (1) vacant full-time Mental Health Clinical Specialist (VQSB) (represented) position #17281 at salary plan and grade TC2-1384 ($6,059 - $8,994) from Department #0466 (Alcohol and Other Drugs Services) Org #5903 (Quality Assurance/Utilization Review) to Department #0467 (Behavioral Health) Org #5977 (Wraparound Program) in the Contra Costa Health Department.
Behavioral Health (0467): APPROVE Budget Amendment No. BDA-23-00313 authorizing FY 2023-24 Reimbursement Government/Government (9951) appropriations in the amount of $173,342 for salaries, benefits, and expenses in the Behavioral Health Department.
FISCAL IMPACT:
The Position Adjustment action has an annual salary and benefit cost of approximately $173,341.77 and will be fully funded through Mental Health Realignment funds.
The Budget Amendment will result in increasing the appropriations to Reimbursement Government/Government (9951) appropriations in the amount of $173,342: Permanent Salaries (1011) by $107,934, F.I.C.A (1042) $5,004, Retirement Expense (1044) by $24,469, Employee Group Insurance (1060) by $21,094, Retiree Health Insurance (1061) by $13,389, Unemployment Insurance (1063) by $131, and Workers Compensation Insurance (1070) by $1,321 in the Behavioral Health Division.
BACKGROUND:
The Contra Costa Health Department is requesting this action to support operational needs in the Wraparound Program. The program is a family-centered, strength-based program serving seriously emotionally disturbed children and youth and their families who are confronted with complex issues that are chronic and systemic and need additional support from a team of dedicated providers. With increasing numbers of mental health clients requiring Wraparound services, another Mental Health Clinical Specialist position is needed to support this program. The Mental Health Clinical Specialist will oversee the clinical needs of Wraparound clients and will work collaboratively with the Wraparound team to develop and implement comprehensive plans of care designed to support individuals with mental health and/or behavioral support needs in the home, their school and community. The Mental Health Clinical Specialist position in the Quality Assurance/Utilization Review team, which has been vacant since July 18, 2022, has been determined to no longer be needed at this time.
CONSEQUENCE OF NEGATIVE ACTION:
If this action is not approved, this position will not be properly allocated to the Wraparound Program and will negatively affect departmental accounting activities. In addition, the program would not have enough staff to provide comprehensive Wraparound services to mental health clients.