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Agenda - 09-29-1999 - 5d
ORANGE COUNTY BOARD OF COMMISSIONERS Action Agenda Item No. ~,- ACTION AGENDA ITEM ABSTRACT Meeting Date: September 21, 1999 SUBJECT: Resolution: Support of Funding for Freedom House DEPARTMENT: Manager's Office PUBLIC HEARING: (Y/N) BUDGET AMENDMENT: (Y/N) ATTACHMENT(S): Resolution DHHR Request for Funding Proposal (to be sent later under separate cover) INFORMATION CONTACT: Sharron Siler TELEPHONE NUMBERS: - -ext. 2300 Hillsborough 732-8181 Chapel Hill 968-4501 Durham 688-7331 ----- Mebane 227-2031 PURPOSE: To approve a resolution in support of funding for Freedom House as presented in House Bill 1052: An Act to Appropriate Funds to Support the Programs of Freedom House. BACKGROUND: Freedom House, located on Airport Road in Chapel Hill, is a nonprofit agency that provides residential treatment to assist in the recovery of addiction. The agency, operational since 1971, offers detoxification programs, ashort-term acute stabilization program, a women's long-term residential program, and a men's long-term residential program in conjunction with its LifeSkills Education Program. During the last session of the General Assembly, Representatives Verla Insko and Joe Hackney sponsored House Bill 1052: An Act to Appropriate Funds to Support the Programs of Freedom House. The bill, approved for FY 1999-2000 in the amount of $100,000, was combined with other similar initiatives and budgeted within the Department of Health and Human Resources (DHHR). Officials from Freedom House have been advised that an RFP process will be conducted by DHHR to determine the funding appropriations. To ensure the most favorable results, Freedom House has requested that the Board of Commissioners endorse their RFP in support of program funding as was originally approved in House Bill 1052. The RFP from Freedom House and a resolution supporting their funding is attached. FINANCIAL IMPACT: None known at this time. RECOMMENDATON(S): The Manager recommends that the Board approve the resolution and authorize the chair to sign. ~~~ ~ a {: a ;.~ 9~ . - ~ ~ .. .~ ,~,.. '~. Resol`cEtion by~tt~~Orange noun hoard o~ Ca .~~ "' . Ta Support ~undlrtg fs~r Free,~-rr~ Hcr~se ..' h -. ~.. '. '. ... '_ .: .. ~ _ s r. ~therea8,-` Freedom: Ff"ousa ~s =a rtortpCOf~t o ~ nization that rga ' provides resdetntial care tE~ #~n~te recovery from the disease t~fsaddictk>n;~~an~i, - ., ,. , Whereas, sirtce° 1:r9?'~, Freedom House's ,mission has bin #a help (hose . :. ~, '" afflicted with alcolism or-drug addiction by providing the~toots ~. ; necessar'y~ta le~l~xe 1i#e of reoov~ry and toy becorn~ prpccti~e '", ,~ merttibers of sQCiety and ` '` - - ` ~ ,:.}, WHereps, alcphoi and drug abuse have a direct correl~ttian to indigence, unemploy~n~n# fityr disease, adole~ent pregnancy, school ~pout~~ates, ~time,'chr~nic illness, and death; arwd <~ . , tfVt~ereas, Freedom House oars detoxification; programs, a shdrt-term acute' I~ . "~.: ~ stabili~a '~ ra a women's long-term resid~en~al progranp, ~+' m, ~ rhen's long-ter'm residential program in conjunction wtth its Life kills Educati©rr:Rrt~r~rr~, which looks at~Fhe full rangesf needs ~ _; " `` artd rnyltiple lif® issues clients bring vyth -them as they enter :-; . ~~ treatment, ~ R 9 ~~ rY * .... ressin r ova ,. , educational, vocational, and " interpersonetr mss, and - ., r .. ,r _ .. _ ? ~ i ~~'.V r. Whereas, ~: Freedotxt.Mouse serves clients frc~rn Orange, Pvn, Chatham, as ~ ~" well as from~utaide;tf9e immediate'area; and , . .., ,.. ~ " .. rry w Whereas, during the past. year, Freedom House served over 630 people; and ,, J ' Whereat fiur-ds are needed t© meetthe increasing demand for ~dditiorial _ . servl'ces; dnd .~, r. r, *:. ~ - ... Wh'eaa, Ftepre~sentatives VerJa lnsk4 and Joey Hackney sponsored Howe ; :,,r .. BU 105: AiD Act to: Appropriate Funds to Suppo~ah~°~rograms of ~ ~' ,. :, Fr`+~edom H'ou eland r . ~fllhi~reas, House &l# 1052 was`a~proved"for Freedom- Hottce tc~~ec~ive ., .. { ~ ~~ ~~. ... .. Now, Theta~l~re~ B~~Et t~esolveti hat the Orange Countyr Board of ..: . ~. ~ ,. , ,. ``Commissioners -does h~'e~y ende,,~'e funding for Frelom Houses a _~ " originally approve~I in° use bill 1=052.: ~;; :, This, the.29~' day~f Sept~er 1! :.<. ~` `„ ,- " _ -Alice M. Gordon, Chair ' ~ ` .. ~~ w . ~ Orange COUnty Board oi` Corrimissi~~s ._ ., }, ~~ > ~~ ., ,. ~~~ ~ ~~ ~, ~:, . - x ` .FORM 01 DEPARTMENT OF HEALTH AND HUMAN SERVICES FIUMAN SERVICES-GRANTS TITLE AND AUTHQRI?.ATION PAGE. Program Name:. Men's Resideirtial House and LifeSkills ~ducaxion~gr~m Qrganization Name: ~Fre~~n I-~ouse Re~verv Cgnler Organization Tax ID Number: 560826'74 Address: 104 Ne~,sidg Drive Chavel Hill. North Camlin,~ 27516 List County or Counties 'fo Be Served by the Giant. If Statewide, Sirriplq Write Statewide: O e t Y e 11 Program Director: Trish I-sey, Title: Executive Iirector Phone Number (91.9) 942-2803 Address: Same as Above Contact Person: Trish Hussey Phone Number (919 9Z,, 42-203 Total Funds Requested: $100,000 Has this agency/entity applied for funding for this project from another source? Indicate: Yes X or No If yes, iderrtify the source: Kate B. Revnol~,s HCT, Coun of Orange. and OPC Mental Hgg~ Progr~tn. AUTHORIZATI~IN: We/I, the undeasigned, have read and understand the requirenu~tts a>ntained in the grant and' hereby make 'on far the finds. All 'tares shall be in co fiance with grant requirements. Signature omas It lrciana7n, M.D. Date Chairtriat~/President of flue Board:- (Identify Correct Title lay Unde~rlinMing & Type in the Name beside th,e Word Signature ~!6~ Signature Aim Frey Date Treasurer/Financial Officxr of the Board -(Identify concert Title 63' Underlining 8c Type inthe Name beside the Word Signature. Approved by: Secretary H. David Bruton, M.D. Date Departmern of Health and Human Services 3 Vol. II 1999-2000 Overv~w of Freedcasn House For aver 2'7 years, Freedom House has promotied recovery from the disease of addiction through irs detox and halfv~ay house programs, helping those witi~ alcohol~srri/drug addiction byproviding; the t~oo)g necessary to lead a life of recovery and become self-suffiden>; productive mernhers the oornrrnmity. With an ekpanded 38 bed, ori-c~rnpus facility, we offer 7-day deto~ 14~day acuve stabi anti a six rrionth w+omen's halfway house. Recently, NC D~trnenf of Corrections and local'H(OME furuling ($504,000 enabled Freiedom House to construct a 10 bpi rnen's residential facility and a lifeSkr~s Edxrcatyan Centr:r. The IifeSk~Is Edu~rtion I'mgram will intierF~ce with all of our residential progtarns, fr~ not drily on recovery. issues, but on adoration, job skt~s, and personal life skills. !Geog}aplvcalty, we serve the entire Triangle Area, including Wake (32}, Durham (14t7i ,Orange (302j, and Chath~n (58j co~rties, and- other portions of the state.: The majority ofthe people we serve ate indigent or livingwell below povt~rrtp }evel, and are welo~~ne without regard to abilitg tp paq. In 199 our detiox unit served 523 people - 67% rr-eri and 33%women - 87% came ftarn households witfi annualinoomes of less than $1~000.Our 12-bed worn~en's house operated at l0t)% oceupancy with a lengti~y waiitmg list; serving 53 women last year. Seventy pereent came from households with incomes less than $5,000 Of allthewomen served, 73%are n Americans.. Follow-up studies at 12monti~s show that over 70n/o of those ernvlledm our long term programs remain sober during tYvs time. +Commmiity Need: Substance abuse/treamrrent issues rank fi~ in every: needs survey of the Triatrgle for the past five years. The 1997 United Way Survey ovexwhehrr>t~y ranked dnig/alcohol abuse as the top issue of ooncem -- abovehousing health cane and educ~on. In Ornge County alone (199'x, epidemiologists estimate that over 10,40(}residents. are acldisted to alcohol and other'~ff. Substance abuse costs Orange residents over $82 million evei~r year: Those figr.rrt`s increase siCantiQ in Durham and'Wake counties. More ~t is the personal irrrpac~ of addiction as it relates dit~tlp ~ unemployment; indigence, family disease, crime, chronic , and-death.. 'Ibe Fr+ojecc/Program A recent Rutgers University study indicatr's that recovery programs like oursthatcombine. king-term. resrderrtiai treatment services with txoader services, looking at the whole: person, have a lasting impact on an individual's ability to remain sober, b~rnemdep~eaideatand erx~ruxniea~s~sta;and lead a Pie life in their cornmunitq. 'I1zere ~s a substantial need for innovative ~praaches that build self~ry among those who are addic6ed and of low-income. 'The I~f Prog~m~ pt+anidea a model for a aoanp~eaeiv~t approach ~ reoove>cy and nehabilytation drat addresses vocational and jab needs, eon, housing. and personal support services throug~ ooa~nrnunty agency collaboration. This in turn £osbers stronger t~eoovery, closing gaps in services andmakingservices -even mare cost- effective. (Q~errtii*e toads t»~rriarl~r~l ~ by vak;murrgarmf lxrdrliin8' arxlsla~ P.~v~das a mneweao~.ramricvpportiirlriz~s.) We are rex~ueatyng $100,0(10 iu fim~g tEi+o~n rile North Cin+olua D~rartment a~Hea~ and Hannan Services support: dxe Mesn"s Rai Fac~ity a~ad Lf~ia'tIs F,duc~iion 1'rng~nam Because addiction cuts such a desmacdw swathe throug~i tfie lives of k'~, many of our c~rents are typically ~/underinsured; victims of farrutyvialence; persons with HTV/AIDS;and/or have sigvficai~rt defies in basic fixing and rrnnaging sk~ls. Because we know that dlese needs and deficits will oeane barriers. for a person in their recovery program and eventual reerniy mm the ocirryrnur~ity, the I.i£eSkills pmgrarn addresses these needs throw both the clinical services we wide, and the case managed linkage we bur4d within the program and with other aga~aes in the oornrntmity. Suoc>e1 1'Y ~ P ~ iif people havae the earl ski needed to'fi~i tineauuurrgful ~paient, secure a home, an+d rdt+e For dim a~ their. . Ob~iv+es of the Pmt/Prc~m~ The primary-goals and design ofthe' IifeSk~ls ~ Program is ~ support an indi~vicluaPs rewverq by incasing self~cy arriong residents. We do this by g}ving them the support needed to sustain sobriety, artd the tools needed for success in their jobs, their and other relationships, and their oomrruu~ity. This program combines substance abuse ~fwith support a.~'ri die. vor~onal/c~raer tr'amic~, education, °o~mseli~r, family Pla~v~g/p'arenting finanaal management; cornrrHanity and independent kvmg sk>11s). ~ abj'~eGive~ ofti~prn~erae~ ms>EFattow,~ (1) Freedom House will inenease its current services do meet community needs "through the new men's residential faalitg and-the Iafe,Skills Education Prog~tn. (~ The ptagram wrll support 38 residents in overcoming chemical icy and maintaining sobriety tlu+oug~out the program; (3) Thraug,~ the IifeSki-s Eamon I~ each resident will irrcrease independent living and cornrnt~ty hvnrig skills, bung prepared m assume rrtore stable and p~oduCtive roles as they reenter the a~rruntiu~ity; . (4) Irnprpve case errant in transtioning 38 residents among levels of ~ both within-the agenry, as well as among oorrnYnmty services; and. (5) Ktrit snore tightly the resources available d~roughout the comrrYUnitq, vo provide increased services ro Fi~edom House residents. S~u~a«w>~~. Cvae #~ X:cs7g~+ergrn r~al serv~ic~ w~b~e ~ ~ the ~ ~'a 1(1 Obeid m~ea'at~dat~thou~~d 8iel~duci Fxieedom House w~l eshablish new prt>~~ and hire residential (~, case manager (1) and clinical (1) staffba oversee the plc. Obese #~R~vdafe~ whn ai s~osb~tp Gs w~P~ m 73"/x; ~' FH will futdier develaP its it~sve reco''verY prograxnrnirig: C.ectihed clinical staffwill provide mdiviclual and g}vup aounselxng;- and case manager wiIl track residents' needs: and int~erEace with pnrn ~ and other ooixununity services. Ob~adfve#~:~ ZLtaq~irLoIIs~irc~rt~i, ~ahttestt~dl'z~nt skilJ~ bpi to aa~une rr~re se~G~erx~ea~, stele, pt~rc~[ver~es as t~yt~eaAer~ ar~rrtl»wr~ty: Staffw~l assess ~' needs upon admission and develop a oompr~ehensive case plan. The liidiviudualized its ~,~a%c~rXrur~ willl teach classes inchu~ng budgeting deasion rr>aking pat~ntin~ int~erpersorral sk~)s, stress/anger management and con9ictresohut~n. Case manager, Vo~ional Rehabilitation staff and resic~nts will develop awork plan forJolrSkr~s T~d'.Taev Workingwith the Skills Center, FanPlayment Sec~nty Commission, Vocational Rehaliilitarion, and other agaic~es, residents wiIl fmd jobs within two weeks of er~~g the program. AcErlaahrr~t won will be ntad ins the priog~ram and refrn~als made w the corrnnLmity college or Orange Tiberacy Cotmal fior adulC basic. education, GED classes, or higher education. MenaxFirg/Te~rrn .8zax~Suppra~/Cammr~nit~.M~aetmgs tr~ch amity cooperation as residents from diverse haunch live tioge~her, attend class tither; plan house/corrgnrmity activities bogethec. Frograrnstaffand residents w~lw~orkwith OPC Merthal Health and~V'ac Rehab tv obtain hioustinp O~e~adwe #41 I~-tnvae c~se.m~n~t;ui ~~~~ afc~e, ,bo~6 up~ri tie ncP, as w~~s tgcaommr~rutyse~ica~ . ~~~ ~ ~, ~, motes, and review at regular inta~ vials, staffwin closely motaibar each resident's pmgmss. 5taffwnl ensure that residents win move to the next appropriatie level of ~ throughout: then meaiment; and monitor successful transition back intp the community. #5 Krrit xn~e t~i~fj't~ie ~ avar7a~e tl rt~ighout die c~mrnrmr~. ~: Collaborat~ori'with many agencies in the oonurnmty (i.e. Iitay Counca~ Rape Criss, OPC Mental Health, InterFaith Counal Seraices, Vocational Rehab, marurnmity college Sknls Center, Employment Security Comrraission, TROSA, Dispute Settietnent Centier, Orange County Women's Center) will pem~ate an aspects of the program. A Development Committee of comrrn>raity service providers is working with Fit House to plan services. IrntgA~cdvti~ues which Ft>r~r Weffiiess 'The ti~at takes place within the contact of l~-germ ut often happens within the fabric of a resident's day m day interactions with his/hee' housernates. When people enter our ~ the9 often have missed out on the very basics of de~relopment bec~ase of their of abuse,'and espeaany if has been a part of their chik~aood and fatxrilq's historq. They are often left bereft of bfe skills and per,~onaI resouc~ces. Often we see people whose focus has tieen tzt+d codependent ne}a>xonships with others, and this has kept them from generating heahhy, nucfitring relarionships with f~crgly, friends and with community. Thm>agh ocir commitment to mean, team hriri~ ~f p~/aornmur~ityart wieane able e~-teach tx~mrnunt~' ooopera>, and ra~al mimcierst~ding and aecepiance as residents live tngedier, attend class :plan house/comtnuniCy activities and governance together.'Ihe philosophy of Freedom Rouse is one of respect fnr and ~n of the individuality of each person in our ~t prograths. 'This philosophy is reflected in the diversity of our .staff As we wotlc dtlyto "bridge the ~ of race and doss in a stmngand lasting manner'', we pay cbse amention to dze mata~ials we lase in our cvrric~alum,our study gt~s, using materials which speak sensitively and cornpassiotaabell't~a ma.ibricu difl~wraces in dealingwif}'i bough life issues. Avery irraportatit aspect of the r~oc~vering community at Freedom House is the way that residents, staff alurtmi,and. corrnru.>nitp members/vohmttaecs o~fTle ro pass on the gift of their recovery and life lessons td address the sorial issues of addi~on,Poverty,.life. sknls,'farr~ly/dvldren, and wellness.. Indeed, the result of this comu~ag in community is to unproQe the entire comrrnmity. Menioring and support occurs atmarrylevels - between aomttuuutp vohanteers who Cuing orne~on-one support tp zsidents;, between v+oharateets firm the kmgttean r~acovering cunitpwho bring 12 std meetings Freedom House; between resident who have been in the prima for several months and ti~ose who are lust enta fragae and vulnerable. The axaostirnportant aspect i9 that this is a oommiuaitywhere racial stereotypes and differences are not so much a banti~ as'the commonality and lawx>anity that we all share. ~teilatioartshi~ ~ Uther nn die C.oty- Inad to Meet Simms Need Freedom House is a primacy provider of sub.~fiance abuse r~esideratial, for the western part of the Research `Triangle region. How+ever, our reach often exbenclS ~ the eastern. boundaries as weD. We wont with other slabs ice abuse P~ that fin an array of service. gaps in the Tr~aragle oammuriitj . For. instance, m Duchain,'I`R(~SA provides two gears of residential and vcarional services. to people adcli~ed and chttmicany identif~d with the cxunuaal jusfiice syst3em. We often make re£ea~ls to this. program when. we feel it would be a rriome ~ get than tine s~~nonth halfvaay house model we provide. However, there are many people with ciz and families who caruwt carve two ~ out oftheir lives fnr treatment; aixi may not Hoed this intense level of ~ Even with the bed spaces available in our area, we all aper~abe with lorigwaiting lists ofthose needing long-terrn residential care. Many people r.~m gain ..successful recovery through intensive outpazi~t P~ but this is more diff~ult for those who have little in the way of personal resources. E~ w~l be ~ ~ e law project/prog~a~n ~s m+ae~img its objectiives. Ou>>come indicates wiU be n~eastn~d using an Outcome Assessment Wit, coupled with baseluae, ongoing and kmg tin evaluation. Continued sobriety will be sig~ai6rarat ~ the success of this program and will be traded Wising hrinalgsis besting' The program ouboorrae ewahaanon w~71 ~ ~~ ~y Pal' ~~ {empbyme~nt; completion of education'at and vocational goals) which are built intao the "individuals case plan": Staffw~t enter this infom~tiora into a database. Clierat data wail be reviewed regularly in weekly sta~ng, to rr~onitor pxvgress. intake loan will collect participant cl~aaracta~Cistics. Follow-up Form will be designed ~ assess o data: 'Ihe Executive Dineclpr will use focus gcvups in the ~ Pty. Prragrun Managers will measure the number of individuals acid their)~~agth of stay in our program(s), as well as successful pla~nerrt in the ne.~tlevel of care. Sobriety will be assessed aftier leavitlg the pin through in~vievvs at six and twelve months. The F~et-utive Direc~bor, Clinical IDire~tor, and Community De^ve~opment CorYUxaittee w~ use irafom~ora m these reports tv fiatther refitae the progt~rng and; staffang development Projecx ~' fi~oam Othec Orgar~acartic~s 'These earpansiora pro,~ams are being pac~aily fiandetl by Orange/Pexsota/Cha~am Mental Hearth Progtwaran the County of Ox~nge, and a three year grant from the Kate B. Reynolds Health Care Toast F~muding firm the State of riTorth Carolina wiIl provic~ the ~ of support needed for this purr. The (Jrange County Legislative Delegation has supported Freedom House by sponsoring House Bill. 1052, a bill to include funding ita the state budget This Bill was introduced by Representatives Insko and Hackney, and funding included in the proposed House Budget. Attached'is a copy of HB 1052. rn edition, tlxe 1~1C Departrnerat of C.omectioras hasp>;vvided discretioraacy coital fimding the NC Criminal Justice Partnership Pragrarn,; for con,~ixcliaxi of the men's rl fa~ity. This faality is ronatraitbed do serving those who are involved in ~e criminal justice system, with an Intarrrnediabe S~criora, underPost Release Supetvi~iora jlnt>ensive St~ervision, in an effort bo divert them inter oornmunity treatrne~nt and wellness. F~mw+e fimduig foAr the p~+ojecx/proj~nn Freedom House is in a strong position to undertake this. project: Support sraEt' has been developed over two years as we-ready ourselves for opening the new programs. Our Board of Directors is committed to this project, and has implemented a Development Campaign including community volunteers to raise operational funds.. We have seen initial success in building individual community support. There is a crying need; for men's residential services in this communitq, and therefore an urgency m occupy the newly completed building. We mill continue to seek foundation supporrfrom diverse sources,.however.