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HomeMy WebLinkAboutAgenda - 06-02-1997 - 8h 1 ORANGE COUNTY Board of Commissioners Action Agenda Item No.�_ Action Agenda Item Abstract Meeting Date: June 2, 1997 Subject: Community Based Public Health Initiative(CBPHI), Phase II Grant Department: HEALTH Public Hearing Yes X No Budget Amendment Needed X Yes No Attachments(s): Information Contact: (1) Agreement between UNC-CH and Health Director's Office X2411 the Orange County Health Department Telephone Number Hillsborough- 732-8181 Chapel Hill - 968-4501 Mebane - 227-2031 Durham - 688-7331 Purpose: To approve the Agreement between the University of North Carolina-Chapel Hill (UNC-CH) and the Orange County Health Department (OCHD)to fund the Community Based Public Health Initiative(CBPHI) for a fifth year from October 1, 1996 through September 30, 1997. The Agreement is a sub-grant under the primary grant from the W.K. Kellogg Foundation to the UNC-CH School of Public Health. The aim of this program is to improve the health of African- American members in the Efland-Cheeks and Cedar Grove communities and to strengthen the capacity of community-based groups to assess and address their own unique health related problems. The focus of the grant is a"Rural Safe Communities Initiative." A proposal prepared by the Orange County Coalition representing the Health Department, the Cooperative Extension Service, the Joint Orange Chatham Community Action Agency, the UNC-CH School of Public Health and a grassroots community based organization, United Voices of Northern Orange County. Background: The Orange County Board of Commissioners has previously approved four years of funding beginning October 1, 1992 and ending September 30, 1996, based on the original four year grant from the W.K. Kellogg Foundation to the UNC School of Public Health. The program supported by this Agreement was to have begun on October 1, 1996, along with initiatives from three other counties in the Consortium, namely Chatham, Lee and Wake. Allocation of the funding for the grant was held up until May of 1997 because of delays in other counties submitting reports to 2 Kellogg for the previous grant. The contract and a check were issued on May 14, 1997 and the ` funds can be used retroactively to October 1, 1996. The"Rural Safe Communities Initiative" is attached to the Agreement as Exhibit A. The proposal documents the selection of community safety as a high priority issue of the Community Voices coalitions ofEfland-Cheeks and Cedar Grove. The project involves three major components: 1) collaborative work with law enforcement partners to develop and implement community policing and neighborhood watch programs; 2)expanding the existing Teens in Power program to assist in developing drug and violence prevention programs; and 3) continue the public/private partnership to develop a community-school park in Efland-Cheeks to create a safer environment for families and community groups. The Orange County Coalition has agreed that the funds would be used to continue an existing temporary coordinator position currently filled by Angenette McAdoo. The Coalition also agreed to request reclassification of the office assistant position currently filled by Ron Gallerani to be the program assistant position. Because of the late start, the funds may cover activities beyond September 30, 1997; therefore, authorization is sought to extend the term of the two positions until such time as the funds from the Agreement are exhausted. No County funds are required to fulfill the terms of this Agreement. Recommendation: The Manager recommends that the sub-grant be accepted, the contract be signed, and the positions of coordinator and program assistant be authorized until such time as the sub-grant funds are exhausted. 3 UNC Acct. No. 5-45358 - AGREENENT Between THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL (hereinafter referred to as UNC-CH) and ORANGE COUNTY HEALTH DEPARTN4ENT (hereinafter referred to as SUBGRANTEE)- WHEREAS, UNC-CH has been awarded a grant(P0034711)from the W. K. Kellogg Foundation(WKKF)"to evaluate and network WIW-assisted projects to help build strong community-based practice and academic programs to'promote public health and primary prevention;" and WHEREAS the Foundation has given its approval for SUBGRANTEE'S participation in this work; NOW THEREFORE, the parties mutually agree as follows: ARTICLE 1. STATEMENT-OF WORK The work performed under this agreement shall be in accordance with the SUBGR.ANTEE's proposal for"Rural Safe Communities Initiative" attached herewith as Exhibit A ARTICLE 2. PERIOD OF PERFORMANCE The work under this agreement shall be performed during the period October 1, 1996 through September 30, 1997. No costs shall be incurred under this agreement prior to the start date nor subsequent to the termination date. The period of performance may only be extended by mutual written agreement of the parties. 4 . ARTICLE 3. COMPENSATION In consideration of the SUBGRANTEE'S performance, UNC-CH shall compensate the SUBGRANTEE in an amount not to exceed$45,000.It is agreed between the parties that the above-referenced sum shall represent the total amount of this Agreement, except that such amount may be amended in by mutual written agreement of the parties. The amount set forth above will cover direct and indirect costs of the work in general conformity with the budget in Exhibit A, excluding "NC CBPHI Consortium Support" funds retained by UNC-CH. Any questions about appropriateness of expenditures under this agreement should be addressed to: Karen Moore, Project Coordinator Interdisciplinary Curriculum in Practice&Leaders_hip University of North Carolina at Chapel Hill CB#7400, Room 423, Rosenau Hall Chapel Hill, NC 27599-7400 ARTICLE 4. PAYMENT The SUBGRANTEE shall be awarded a payment of$45,000 within 15 days of the signing of this agreement by the parties. Any unexpended cash funds remaining from the UNC-CH payment at the close of the project year must be returned to UNC-CH with the final financial repo. ARTICLE 5. AUDIT AND RECORDS Financial records, supporting documents and other records pertinent to this agreement shall be retained by the SUBCONTRACTOR for a period of three (3)years from the date of submission of the final expenditure report. Records pertaining to audits, appeals, litigation or settlement of claims arising out of performance of this subcontract shall be retained until such audits, appeals, litigation or claims have been settled. ARTICLE 6. KEY PERSONNEL Ethel Jackson shall represent UNC-CH as Principal Investigator and shall be responsible for overall technical matters relating to this agreement. Dan Reimer shall represent SUBGRANTEE as Principal Investigator and shall not be replaced without written notice to UNC-CH within 30 days of the change. 2 5 S. Kent walker, or his designee, shall represent.UNC-CH as Contract Administrator and shall be responsible for all matters relating to the _ interpretation and administration of this agreement. ARTICLE 7. REPORTS SUBGRANTEE shall render-all reasonable technical reports required by the UNC- CH Principal Investigators. The SUBGRANTEE also agrees to provide an annual report of expenditures no later than 30 days after termination of the budget period. Failure to submit reports described in this agreement in a timely manner constitutes non-compliance and shall be grounds for termination of this agreement. ARTICLE 8. LIABILITY The SUBGRANTEE shall at all times be considered to be an independent contractor and shall not hold himself/herself out as an employee of UNC-CH. Each party shall be solely liable for any claims, actions, demands or damages arising out of its performance of this Agreement. ARTICLE 9. SEVERABILIIY If any provision of this Agreement or any provision of any document incorporated by reference shall be held invalid, such invalidity shall not effect the other provisions of this Agreement which can be given effect without the invalid provision, and to this end the provisions of this Agreement are declared to be severable. ARTICLE 10. TERMINATION This Agreement may be terminated by either party, with or without cause, by giving thirty(30) days prior written notice. The thirty(30)day termination period shall commence on the date of receipt of the notice by the affected party. The SUBGRANTEE shall immediately stop all work under this Agreement on the date and to the extent specified in the notice of termination. ARTICLE 11. - SPECIAL PROVISIONS UNIVERSITY NAME: The SUBGRANTEE may not use the name of The University of North Carolina at Chapel Dill in news releases or advertising or in 3 6 other publications directed to the general public without the prior written approval of an authorized signatory of UNC-CH. PUBLICATIONS: All publications must ate the source of support (i.e., The W. K. Kellogg Foundation through UNC-CH)and shall indicate that the findings, opinions and recommendations expressed therein are those of the author and not necessarily those of UNC-CH or The Kellogg Foundation. An advance copy of all proposed publications shall be furnished to the University's Principal Investigator. LIMITATIONS ON LOBBYING: Funds provided under this agreement shall not be expended to carry on propaganda or otherwise attempt to influence legislation or to influence the outcome of any specific public election or to carry on, directly or indirectly, any voter registration drive. IN WITNESS WHEREOF, the parties have caused this Agreement to be executed as of the date first written by their duly authorized representatives. FOR THE UNIVERSITY OF NORTH FOR SUBGRANTEE: CAROLINA AT CHAPEL HILL: Robert P. Lowman, Ph.D. SIGNATURE Director, Office of Research Services Typed Name: - ee.;n t e r Title: hlc a 1+1n p j re c._�•v-r MAY 1 3 1987 y-9 7 DATE DATE 56-6000327 TAX I.D. NUMBER 4 7 FOR SUBGRANTEE: ORANGE COUNTY FINANCE DIRECTOR "This instrument has been pre-audited in the manner required by the Local government Budget and Fiscal Control Act. Orange County Finance Director Date Chair Orange County Board of Cmmissioners Date 5 W. K. Kellogg Foundation 1996-97 '-Grant Request submitted by the ORANGE COUNTY COALITION OF THE NORTH CAROLINA CBPH CONSORTIUM "RURAL SAFE COMMUNITIES INITIATIVE" 9 Community Need and Opportunity The Efland-Cheeks and Cedar Grove communities he in the rural northern area of Orange County. According to the 1990 census,of the approximately 15,000 residents, 30% are African American. One-third of the population is under the age of nineteen and one-tenth is over sixty-five. One of every three African American children and youth lives in poverty. However, of most importance in describing these communities is recognition of the strong community spirit and commitment to working together to develop long-term solutions to health issues and concerns. The history of what has been accomplished and present efforts provide an impressive foundation for building effective partnerships and shaping the public health of the area. Living in an area free of fear of violence and crime is a universal goal.. Although one might imagine that accomplishing it would be less of a problem in rural communities,the experience of northern Orange County illustrates that this is not so. Many of the traditional activities and programs developed for urban and suburban settings to reduce the incidence of violence, violent crime,theft, and illicit drug activity.have for the most pact been ineffective in rural areas. For example,prevention of drug abuse among adolescents is hampered by the illicit drugs available and the isolation of youth from alternative activities in the more populated areas of the county. The effectiveness of these programs are greatly influenced by issues such as a more scattered Population, very little lighting(perhaps none)to illuminate roads and streets, and minimal police presence. Residents and law enforcement alike are frustrated by the necessity of having only 1.5 sheriff s deputies to cover the 40 square miles of northern Orange County. It is not uncommon for incidents occurring in other parts of the county to pull 90%'0 of deputies on duty,leaving other areas such as Efland-Cheeks without coverage. This has a profound effect on having a police presence, response time,_and ability of officers to participate in community activities. These conditions often contribute to a greater sense of isolation and fear on the part of many rural residents and have opened the door for increased and widespread illicit drug activity in the Efland-Cheeks and Cedar Grove areas. The Orange County Coalition of the North Carolina Community-Based Public Health Initiative (CBPHI) has used a community-driven approach to define and develop its direction. A major outcome of CBPHI efforts of the Orange County Coalition is the formation of United Voices of Orange County. This group, constituted of citizens from Efland-Cheeks and Cedar Grove, has established priority issues to work on together. Based on priorities developed by residents of the Efland-Cheeks and Cedar Grove communities (through the Community Voices program), the Coalition has facilitated implementation of a minority youth leadership program(Teens in Power), a neighborhood drug patrol (Perry Hills),and a partnership to develop safe recreational areas (United Voices with the Efland-Cheeks School Parent Teacher Organization, School Board, Recreation Department, and the county commissioners). In addition, the Orange County team participating in the Shared Leadership Program has included representatives of all the divisions of the health department along with university and community representation. Building on the work to date,the Orange County Coalition of the North Carolina Community- Based Public Health Initiative requests funding from the Kellogg Foundation to develop a Rural Safe Communities Initiative. Program Description The Orange County Coalition's Safe Communities Program is a collaborative effort to help residents of Efland-Cheeks and Cedar Grove find ways to create safer and more healthful environments in which to live, and to promote a re-examination of law enforcement policies and procedures in rural Orange County. The Coalition and community leaders will further their collaboration with the Orange County Sheriff's Department as well as the State Bureau of Investigation, State Attorney General's Office, and the Justice Department to develop strategies and models for changing and improving police protection and presence in rural northern Orange County and to enhance residents' participation in community activities aimed at reducing crime and violence. The State Attorney General's Office and the N.C.Justice Department have implemented a pilot Safe Neighborhood Initiative in eight communities in North Carolina using community policing which involves police working together with people to solve community problems related to crime. In addition, the model promotes involving citizens in drug and crime prevention,youth programs, neighborhood security and clean-ups, and even volunteering at police stations. Another strategy which could be adapted to rural northern Orange County is one being used.by the Metro-Dade Police Department(Florida) and fellow members of a unique public-private partnership called the Dade County Neighborhood Cellular Watch Project. This project put cellular phones in the hands of Citizens' Crime Watchers and saw a dramatic overall decrease in neighborhood crimes. Along with the police department and crime watch group,AT&T Wireless Services made a 12-month donation of 50 cellular phones and 200 minutes of free air time per phone each month. In addition to these programs, Perry Hills in the Cheeks township has already gained some- experience and success (three out of five known drug houses shut down) with Neighborhood.Drug Patrols based on the Charlotte,NC, "The Crusade,"which uses neighborhood-patrollers to target. drug buyers with psychological warfare through their presence and that of law enforcement officers. They also take down license plate numbers.of suspected buyers and have postcards sent to them identifying their vehicles as spotted in a known drug traffic area. Another important aspect of the Rural Safe Communities Initiative is involvement of teens in these rural communities. Prevention of drug use among adolescents is a challenge every community faces even in rural areas. Not only are illicit drugs available,the youth are often isolated from alternative activities in the more populated areas of the county. Community concern about drugs and lack of activities for youth resulted in designating this as a priority area. The Teens In Power (TIP) program began in 1992 with a volunteer coordinator who was a graduate student at the UNC School of Public Health. TIP is a multifaceted drug intervention program designed to prevent and reduce illicit drug use-among adolescents in northern Orange County,to improve their overall health and well-being, and to create a safe and positive environment. The program provides activities for 20+teens (the majority of whom are boys) which include building self-esteem and skills in decision-making,problem-solving,conflict resolution, and communication. It is targeted to strengthen adolescents' abilities to resist and cope with peer pressure and to increase the - accessibility of organized activities. Through participation in the TIP program, adolescents develop skills that contribute to the development of personal goals and community leadership. The activities address issues of boredom,social isolation,low motivation,low self-esteem, and peer pressure. In addition, these activities increase an awareness of the benefits of education and achievement and the full range of available life choice options. 2 10 Planned Approaches In order to enhance and promote these multi-faceted community-driven safe community initiatives, the Orange County Coalition will support a coordinator to oversee six sets of activities: 1. Increase police effectiveness and presence as well as explore redefining policing policies that better meet the needs and concerns of residents in the rural communities of Efland- Cheeks and Cedar Grove through strengthening collaborative efforts with the Orange County Sheriff's Department,the State Bureau of Investigation, the State Attorney General's Office, and the Board of County Commissioners. 2. Work with law enforcement partners to develop and implement a community policing concept that is applicable and useful to rural areas of Efland-Cheeks and Cedar Grove to decrease illicit drug activities and violent crimes. 3. Develop an appropriate neighborhood watch program using adaptations from some of the known existing state and national programs to motivate more active participation of - community residents to create a safer environment and decrease criminal activity. 4. Increase more direct involvement of Coalition members (the health department,the cooperative extension service,Joint Orange-Chatham Community Action,_Inc.,Parks and Recreation,the UNC School of Public Health,and the Northern Orange Family Resource Center)in training families to protect themselves against violence and violent crimes by collaborating with law enforcement agencies to conduct workshops and information sessions for community residents in the targeted rural areas. 5. Continue public/private partnerships currently underway to develop a community–school park(current partners include United Voices of Efland-Cheeks,Efland-Cheeks School PTO, Orange County School Board, Orange County Parks and Recreation, and the Board of County Commissioners)which will improve community relationships as well as create a safer environment for families and community groups. 6. Expand the existing Teens In Power program,particularly through the hiring and involvement of a male teen program assistanttcommunity advocate (the majority of teen participants continue to be young males)who can serve as a role model and assist in developing a teen component of safe communities to develop drug and violence prevention. Evaluation Evaluation will be a integral part of the specific program planning. Both quantitative and qualitative methods will be used to determine how well the implementation of activities has occurred as well as to consider outcomes. Because the funding period is limited,it is unlikely that any measurable outcome related to incidence of crime and violent activity will occur. Thus, outcome measures that will serve as markers towards such a goal will be employed. For instance, after the drug patrols in the Perry Hills area had been going on, a resident remarked that the initiative had been a success. When asked how she knew, she stated that she could sleep through the night—an important outcome that might have been missed with traditional evaluation using incidence of crime as a measure. Thus,the evaluation plan will be developed through a 3 11 participatory process with the Coalition partners and the law enforcement agencies. Assistance in developing the specifics of the plan will come from the university through the Orange County _ Coalition faculty liaison. Dissemination The Coalition and participating communities will consider how best to develop dissemination products for similar rural communities. This might be in the form of a workbook documenting "how to's"of a Rural Safe Communities'program. The Institute for Government at the University of North Carolina will be approached about helping to disseminate the project to government and law enforcement agencies in other areas. Dissemination.of the experiences of the project,including challenges,successes, and lessons learned, will be multi-faceted. Obviously, Coalition experiences will first be shared through the North Carolina Consortium, providing a mechanism for both giving and receiving feedback. In addition,presentations can be developed for any national CBPH networking meetings. At the local level,dissemination will happen through such outlets as the local television stations and newspapers, association meetings, and presentations to service and religious organizations. Both the process and outcomes will be documented and used to develop articles and presentations to practice and academic professional audiences. Possibilities include the annual meeting of the American Public Health Association,North Carolina Society for Public Health Educators conferences, the North Carolina Association of County Commissioners,the National Association of County Health Officers, and other local state and national groups and organizations as appropriate. Most importantly, all dissemination efforts will reflect the perspective-used in CB PH- initiatives: a partnership of community,university,and health agency representatives. 4 t 12 4 Budget and Justification _ Personnel Safe Communities Coordinator $20,821 Community Advocates=Program Assistant 12,000 Subtotal $32,821 Operating Expenses Travel/Traming/Personal Mileage $3,500 Telephone 11879 Postage 400 Duplicating 200 Office Supplies 400 Community Project Support 5,000 Equipment 800 Subtotal $12,179 NC CBPH Consortium Support $5,000 Total $50,000 Safe Communities Coordinator: These funds equal partial support for a three-quarter-time position (30 hrs./wk. +benefits = $30,821; $10,000 granted by N.C. Triangle Community Foundation will be used to complete the salary). While the majority of the focus of the,activities of the coordinator will be on teen activities (planning and implementing youth-sponsored programs designed to prevent drug abuse and increase leadership skills),this individual will also be responsible for overseeing the array of safe communities activities. Community AdvocateffIP Program Assistant: This position at 20 hrsJwk. will assist the - Safe Communities Coordinator with the focus on teen activities as well as facilitate the involvement of existing local community-based organizations to initiate grassroots solutions to community problems. ORerating Expenses Travel/Training/Personal Mileage: travel expenses; registration for staff training conferences; and mileage reimbursement for attending community activities. Telephone: monthly telephone (two phone lines) and fax expenses. 5 13 Postage: mailing out meeting notices for community and coalition meetings. Duplicating: copying educational materials, meeting notices, and minutes. Office Supplies: paper, pens, pencils, file folders, refreshments for meetings, and other office supplies. Community Project Support: provide seed money for community-based projects and ideas such as invited speakers, workshops, and training. Equipment: current fax machine needs replacing. Program Support - NC CBPH Consortium Support: These funds will be used in conjunction with similar amounts contributed by other CBPH coalitions in North Carolina to sustain participation in the North Carolina CBPH Consortium. Such participation provides opportunities for coalitions to share experiences related to implementing community-based approaches to public health, to speak with a single voice on matters of policy and dissemination of the CB PIE message, and to approach funders as part of an initiative that is based in communities but has an impact throughout the region. In particular, these contributions will be used to achieve the following goals for 1996-97: 1) coordinate the development of cross-county activities that address shared priorities such as health,youth, economic development, safe communities, and leadership development; 2) advocate for the implementation of CBPH approaches among local,state, and national representatives of the'three CBPH partners (community-based organizations, health agencies,and academic institutions); 3) explore policy issues that have an impact on our mission; 4) provide operating support for the Consortium; and 5) facilitate Consortium-wide evaluation processes_ The Coalition proposes that the requested funds be sent to the University of North Carolina at Chapel Hill as the fiscal agent for the Consortium and then subcontracted to the Orange County Health Department as the fiscal agent for the Orange County Coalition. Funds for the two staff positions described above would then be subcontracted to Joint Orange-Chatham Community Action,Inc. 6