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HomeMy WebLinkAboutResolution 2011 (03) v ' , RESOLUTION TO REFILL AODA COUNSELOR POSITION Resolution No. 3 1 St. Croix County, Wisconsin WHEREAS, on October 5, 2010, the St. Croix County Board of Supervisors adopted a resolution requiring any position in which a vacancy occurs to be reviewed by the parent committee, the Administration Committee and the County Board prior to refilling; and WHEREAS, the Health and Human Services Board is the parent committee for the position of AODA Counselor in the Health and Human Services Department; and WHEREAS, a vacancy has occurred in this position; and WHEREAS, the Health and Human Services Board has reviewed the position and determined the position is necessary and there are no viable alternatives to refilling the position, and therefore recommends that the vacant position be refilled; and WHEREAS, the Administration Committee has reviewed the position and agrees with the conclusions of the Health and Human Services Board and recommends the position be refilled; and WHEREAS, the County Board has reviewed the position and agrees with the conclusions of the Health and Human Services Board and the Administration Committee and concludes that the position should be refilled. THEREFORE, be it resolved by the St. Croix County Board of Supervisors that the position of AODA Counselor in the Health and Human Services Department be refilled. Offered by the Administration Committee YES NO ABSTAIN ABSENT SUPERVISOR SIGNATURE ®❑ ❑ ❑ r --, Ryan Sicard ❑ ❑ ❑ ® Esther Wentz ® ❑ ❑ ❑ Gene Ruetz ® ❑ ❑ ❑ Lorin Sather Sharon Norton- ® ❑ ❑ ❑ Bauman ®❑ ❑ ❑ �C Buck Malick ® ❑ ❑ ❑ Daryl Standafer This Resolution was adopted by the St. Croix County Board Reviewed as to form on r - C� f C) of Supervisors on y Greg TirYnerman, Corporation Counsel Cindy Campbe , County Clerk r v AODA Position 1. What has the recent annual and monthly trend of work performed by the position? The position is required to meet face -to face with clients in scheduled sessions 60% of their scheduled work hours. The other 40% is spent dealing with clients in residential facilities; evaluating clients for inpatient needs; providing crisis interventions to residents not open to services or when their counselor is unavailable; in clinical and administrative stafngs; doing paperwork; etc. The clinical hours required translates into 36 clients served in face -to face sessions (individual and group) per week. The trend for outpatient services has increased (see wait list information below). 2. Who fills the position during absences for PTO: It isn't filled except for energent duties (on -call, emergency inpatient evaluations, clients in crisis) being assigned temporarily to other staff and prioritized over others. Staff has seen clients thru crisis sessions which delays other scheduled appointments. 3. What will the impact to the public of a delay in filling the position: Waiting list that is currently at about 6 weeks will grow and we will not be able to provide one of the groups which will decrease efficiency. This means that we will risk having to provide the mandatory higher cost emergency inpatient services. If the delay is more than a few months it will also limit our ability to provide the non - revenue generating services that are not mandated such as the Adult Drug Court and Juvenile Treatment Court. Clients with pay sources will seek treatment elsewhere even if it is less convenient, which will reduce revenue. There is only one other option within St. Croix County and they do not provide adolescent treatment. Hiring our last 6 positions has required us to send out a letter to each provider asking for applicants, after advertising failed because of the lack of available licensed AODA counselors. 4. How much is the net savings for each month the position is unfilled. Short -term we will save about $7,000 /month less the $1300 1month in revenue the position generates netting $57001 month. If we wait beyond a few months we risk losing a $60, 000 1year contract with State and a $45, 000 DOC contract, both of which are outcome based and based on our ability to provide evidence -based services (e.g. Matrix Program, CST teaming, Juvenile and Adult treatment courts). This could add another $87501 month in lost revenue which would bring the total to over $10, 000. In addition, the risk of increased contracted treatment costs ($4500 - $12, 000 per person spent on detoxification and inpatient treatment services) and the loss could be significantly higher if clients on our waiting list worsen while waiting to be seen. For a great many of our clients there is no other viable option other than St. Croix County AODA services on an outpatient basis.