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7/19/2001
Office of Management & Budget
....
Proposed 02 Inc/(Dec) % Change Adopted 01 Adopted 00
Middle Keys Guidance Clinic 499,558 -29,688 -5.6% 529,246 498,900
Baker Act Trans-Lower Keys 76,996 7,025 10.0% 69,971 0
Transportation 16,380 780 5.0% 15,600 13,000
Keys to Recovery 86,287 4,109 5.0% 82,178 68,482
Total Middle Keys Guidance 679,221 -17,774 -2.6% 696,995 580,382
Upper Keys Guidance Clinic 87,444 0 0.0% 87,444 87,444
Care Center 184,141 O. 0.0% 184,141 184,141
Total 950,806 -17,774 -1.8% 968,580 851,967
Mental Health Clinics
Date
Date
We further understand that meeting the Eligibility Criteria in no way ensures that the agency will be recommended for
funding by the Human Services Advisor.y Board. These recommendations are determined by service needs of the
. . community, availability of funds, etc. Approval of HSAB funding rerv.mmendations is granted by the Monroe County
Board of County Commissioners.
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Signature Signat4re \,
Chief Executive Officer by Director of Operations Lynn Mapes. Vice President....)
UaVl.d 1'. lUce, 1'h.lJ. by Debbl.e Barsell, MSW,CAP
Typed Name of Executive Director
June 19, 2001
Typed N-ame of Board President/Chairman
June 19, 2001
We understand that the agency must substantially meet the eligibility criteria to be considered for Monroe County
funding and that any applicable attachments not included disqualify the agency's application.
This certifies that this request for funding is consistent with our organization's Articles of Incorporation and Bylaws and
has been approved by a majority of the Board of Directors.
We affirm that the Agency will use Monroe County funds for the purposes as submitted in this Application for Funding.
Any change will require written approval from the Monroe County Board of County Commissioners.
IAGENCY PROFILE
~gency Name: Guidance Clinic of the Middle Keys, Inc. Operating Since 1973
~gency Location(s): Marathon, FL (serving the needs of County residents throughout the Keys)
Mailing Address: 3000 41st Street-ocean, Marathon, FL 33050
Contact: David P. Rice, Ph.D. Title:Chief Executive Officer
!Agency Phone: 305-289-6150 Fax: 305-289-6158
Have you ever applied to Monroe County HSAB for Funding Assistance? X Yes No
Will County funds be used as If yes, what is the ratio of match to
match for a grant? Federal and/or State dollars? TOTAL NUMBER OF EMPLOYEES
X Yes - No 15.6 %
FULL 53 PART 40
TIME TIME
Is funding for a AMOUNT REQUESTED AMOUNT RECEIVED AMOUNT RECEIVED
new, or an FOR COUNTY FISCAL YEAR ENDING FOR FISCAL YEAR FOR FISCAL YEAR
X existing, 9/30/02 ENDING 9/30/01 ENDING 9/30/00
program?
$679,211 $623,413 $583,018
CERTIFICATION
APPLICATION FOR FUNDING
MONROE COUNTY
Human Services Advisory Board
October 1. 2001 - September 30. 2002
3
Client base has increased due to increased funding, particularly in the areas of substance abuse outreach, intervention,
nd aftercare.
x
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x
e DOC contract for outpatient substance abuse treatment was long held by GCMK. In July 2001, this contract will be
ransferred by DOC to an independent contractor, reducing GCMK outpatient substance abuse services by $30K. In FY
'01, DCF increased adult substance abuse intervention and outreach funding by approximately $100K to provide for the
,treet program noted above,. In January 2001, approximately $10K was added to the DCF contract to provide aftercare
ervices for graduates of the KTR program.
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x
x
In July 2000, GCMK fully implemented a street outreach/intervention program in Key West designed to intervene with
omeless drug abusers to avoid incarceration. Two staff were hired. It is expected that this program will add another
.wo staff in FY '02 and expand services from Key West to Big Pine Key.
In January 2001, Mort Hall, MSW, retired from his position as KTR Director. Pat Mowery, CAP, CCJAP, assumed the
osition in the same month. Ms Mowery was recruited from a 75-bed , non-secure, residential substance abuse
reatment program in Ocala.
In July 2001, GCMK plans to add a compliance manager to monitor and ensure overall agency compliance with Federal,
IState, and County laws and regulations governing the provision of behavioral healthcare services. As regulations and
ompliance issue increase the addition of this position is necessary. GCMK has relied on temporary help when necessary
o support professional staff. This will be eliminated by the addition of a general office assistant who will be cross-
rained for use throughout the agency. A third full-time psychiatrist is being added to the staff. This physician will allow
n expansion of existing outpatient services. The substance abuse court counselor will work with Drug Court cases and
rovide counseling to KTR, detox, and outpatient clients. A treatment director will be added to the inpatient unit to
nsure proper treatment and discharge planning for all psychiatric and/or substance abuse clients who enter the inpatient
nit. The case management and HIV coordinator position will be abolished on July 12, 2001; these duties will be
ssumed by other staff. A housekeeping position was not filled and the services of a vendor were secured.
AGENCY NAME: Guidance Clinic of the Middle Keys, Inc.
t.j
x
x
x
S'
Ithough increases are requested for some services as noted above, the overall request has decreased by 2/6% due to
conomies expected in operating the Baker Act Vehicles. This request is $17,774 less than last year when co~i(iering al
unding secured from the County for the services/programs notes in #2 above.
How has your agency initiated any new, creative, or innovative projects to address social service needs in our
community? If so, give a brief description (include a description of any innovative projects that you would like to
undertake, but for which you have not yet been able to secure funding). Please include any awards or special
recognition your agency may have received this past year.
CMK is currently negotiating with the Key West Housing Authority to assume responsibility for the Safeport residential
ubstance abuse treatment program. If this comes to fruition, GCMK will be able to broaden its array of substance abus!
ervices for men, women, and children, while strengthening the continuum of behavioral healthcare. GCMK has been
uccessful in renewing its HUD grant for detoxification services for the homeless. GCMK continues to receive annual
"ncreases in supported housing funds for homeless persons with serious mental illness (SM!) and SMI with a co-occurring
If your request is greater than last year, explain in detail what the increase is expected to fund. If the increase is
due to more than one additional item, list the items in order of priority with the amount of each. 00 NOT LIST
YOUR AGENCY'S BUDGET BY LrNE ITEM.
Provide your agency's board-approved written mission statement.
he Guidance Clinic of the Middle Keys, Inc. (GCMK), is a nonprofit, charitable organization dedicated to the provision
f high-quality and cost-effective behavioral healthcare services throughout the Florida Keys. GCMK seeks to provide
ervices in a timely and affordable manner for persons with or at risk of mental health and/or substance use disorders.
CMK demonstrates its commitment to the community by embracing growth, expansion, and diversification of its
ervices in a manner that is accountable and responsive to its stakeholders.
Explain specifically how your agency plans to use the money you are requesting. e.g. rent, salaries, expansion of
services or service area, or general agency operations.
Baker Act Inpatient - $319,419: This request is the same as last year to provide involuntary crisis stabilization services
or persons who are a danger to themselves are others.
Residential Detox - $117,069: This is a 5% increase over last year's request to account for inflation (3.3% nationally)
nd increased costs associated with staff recruitment and retention. Due to the national nursing shortage, costs for
linpatient care have increased and will continue to increase as RNs can demand hire salaries. Residential detox is available
n a voluntary and involuntary basis (Marchman Act) with an average inpatient stay of 5 days per client.
Mental Health/Substance Abuse Outpatient - $63,070: This is a 10% increase over last year's request to account for
nflation and increased demand. Outpatient psychiatric, counseling, and case management services for clients with or at
'sk of mental health or substance use disorder.
Baker Act Vehicles - $76,996: This is a 30.6% reduction from last year's request to account for efficiencies achieved in
he delivery of this service through experience. Provision of transportation for clients to Baker Act receiving facilities,
IState mental hospitals, and involuntary detox units.
Keys to Recovery (KTR) - $86,287: This is a 5% increase over last year's request to account for inflation and increased
osts associated with staff recruitment and retention. With the retirement of the KTR Director in January 2001, it was
ecessary to recruit a qualified and experienced replacement from outside Monroe County. The costs associated with
Ilmporting staff from out of county is significantly higher than local recruitment. KTR provides 6 months of residential
ubstance abuse treatment for felonious males.
Community Transportation Coordination - $16,380: This is a 5% increase over last year's request to account for inflatior
nd costs associated with staff recruitment and retention. GCMK coordinates transportation for residents of Monroe
County who are transportation disadvantage.
AGENCY NAME: Guidance Clinic of the Middle Keys, Inc.
&
Additionally, clients may initiate a grievance or complaint through the relevant licensing agency. They may file complaints
.with the Human Rights Advocacy Committee (HRAC). Clients of all services are notified of their right to file grievances at
admission and posters with information and telephone numbers are placed at all program locations. Persons receiving.CSU
or detoxification services have direct phone access to HRAC and need not inform staff or ask staff permission to make such
a call.
16. What other organizations do you network with to prevent a duplication of services? Describe any sharing
of costs, referrals of clients, etc. We are looking for more detail than your membership in Interagency
Council. An example of an appropriate answer is "one of XYZ's employees works out of our branch" or
"we jointly fund X position with ABC Agency.
GCMK is the only community mental health center in the Middle Keys area; its outpatient services are not duplicated
by any other public sector funded agency in this area. It provides the only public sector psychiatric and
detoxification inpatient services in Monroe County and works closely with the Care Center for Mental Health in Key
West and the Guidance Center of the Upper Keys to ensure continuity of care of shared clients. We work closely
with Fishermen's Hospital, providing them on-call counseling services.
YES. Clients of all GCMK services have the option to seek informal redress of grievances through agency
supervisors and senior man~gers or to initiate formal internal grievance procedure in accordance with written agency
policies and procedures.
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15. Does agency have a grievance procedure for clients? If yes, briefly describe. Is it a formal procedure? How
are clients made aware of the procedure?
14. Briefly describe the training the volunteers receive. Same as GCMK staff. Graduate student interns also
receive clinical supervision provided by a Licensed Clinical Social Worker each week during placement in GCMK.
12. 12 Volunteers contributed a total of 342 hours to our agency this past year.
Board: .11Q.. hours Programs: ~ hours Committees: ~ hours
13. How do you utilize volunteers in the operation of your agency? Volunteer board of directors; graduate student
intern
.7. What is the authorized number of Board positions specified in your by-laws 11
8. Number of Board meetings held during past year _ 9
9. Average attendance of Board Members 86 %
10. What limits, if any. do your by-laws set on terms or years of service a board member may serve? Board memben
serve staggered 3-year terms of office. There is no limit on the number of terms a Board member may serve.
11 . Complete Attachment A - Board Information Form (see attachment)
ubstance use disorder.
Identify any special factors that should be considered when making final funding decisions. Include comments or
significant changes in revenue or expense items as compared to previous years. Also, explain any non-recurring
or unusual expenditures.
CMK is provides a broad array of behavioral healthcare services throughout Monroe County. GCMK operates the only
ublicly funded Baker Act beds for involuntary psychiatric commitment and the only publicly funded residential
etoxification beds. KTR is the only non-secure substance abuse treatment program for felonious males in the Keys.
CMK is the only provider of Baker Act transportation and is the designated Community Transportation Coordinator for
he county.
(plus one non-voting member)
Number of persons on Board of Directors 10
6.
7
. children and late adolescents with or at risk of substance abuse problems
. children with an emotional handicap, serious emotional disturbance, or mental illness
. children who have been abused or neglected by their families
. adults with disabilities who need long-term care to remain in the community
. adults and families who need assistance to become economically self-sufficient
. victims of domestic violence
21. Please give a paragraph description of the program for which you are requesting funding.
See page 8, #2.
22. What need or problem in this community does this program address? Include your target population.
The District 118 Needs Assessment and Strategic Plan, 1997-1998 developed and distributed by the
Florida Department of Children and Families the following target group priorities:
18. Is your agency receiving any in-kind services e.g. free rent, utilities, maintenance, etc. from the County
or any other organization? If so, What is the fair market value? NO
19. What is the percentage of total agency revenue that goes to the following:
Fundraising Expenses? 0 % Administration Expenses 14 %
20. Complete Attachment B - Agency Salary Detail Form. (see attachment)
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~:DEFj!ll:.$aE~SPEelEICrRROG ....
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The State of Florida licenses and/or certifies individual clinicians by professional discipline. The CSU and the two-bed
residential facility are licensed by the Agency for Health Care Administration and monitored each year. Substance
abuse detoxification, residential, outpatient, outreach, intervention, aftercare, and prevention programs are
monitored and licensed annually by the Florida Department of Children and Families. The Department of Corrections
monitors KTR semiannuall
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GCMK is on the Board of Directors of SHAL, a Monroe County community coalition dedicated to serving the needs
of the homeless.
17. Is your agency monitored by an outside agency? If yes, by whom and how often?
If not, how does your agency document and measure its service performance and success rates?
GCMK provides psychiatric services to residents of Safeport substance abuse treatment program in Key West and
works closely with Safe port staff to integrate mental health services into the overall treatment plans for their
residents.
GCMK works closely with Prison Health Services, the contractor who provides health care to inmates in Monroe
County Detention Center at Stock Island. We have a psychiatrist who see inmates each week in the jail.
Department of Children and Families and MCSO share the cost of the Forensic Case Manager placed in the jail and
supervised by GCMK.
Keys to Recovery (KTR) and outpatient substance abuse services work closely with local law enforcement and the
judiciary to provide an appropriate mix of supervision and treatment to persons whose substance abuse has led to
legal problems. The Forensic Case Manager at the jail also works closely to move appropriate inmates out of the jail
into KTR and other appropriate treatment or living situations.
GCMK provides a Prevention Coordinator to implement a substance abuse prevention curriculum in the elementary
and middle schools from Sugarloaf to Key Largo.
GCMK stations two Ufe Skills Counselors in Marathon schools, enabling interventions in a familiar setting to school-
age children. Funding for these positions is shared with the Monroe County School District.
'I
GCMK provides some services to most of the target groups that were prioritized in this needs assessment
and most services to some of the target groups. Priorities in this assessment and strategic plan were
based on services not being provided in Monroe County in sufficient volume to meet established need.
Reduction is current funding would effectively shift priorities by changing the levels of service availability
23. What data support this need? Attach copies of any relevant documents.
See #22 immediately above.
24. Where and when is this program being offered? Ust all sites and hours of operation. II
GCMK provides the full range of substance abuse and mental health services at its headquarters - 3000 41 st
Street-Ocean, Marathon, FL 33050. Outpatient services: Monday-Friday, 8:30 a.m.- 5:00 p.m.; on-call counselor
available 24 hours per day, 7 days per week. Inpatient and residential services: 24 hours a day, 365 days a year
25. What measurable goals do you plan to accomplish in this next funding year?
GCMK continues its efforts to achieve CARF accreditation and have moved forward in this process. Once achieved
accreditation will offer clients, families, payers, and taxpayers specific additional assurances of high quality services
and accountability. GCMK has in place an integrated performance measurement system, which allows for quarterly
adjustments in procedures when found appropriate and necessary. GCMK continues to seek new sources of revenue
to maintain and enhance the services it provides. Ii
'. adults with substance abuse problems
. families with children in child care
. families with children at risk of abuse and neglect
. indigent persons who are unable to work due to age, disability, or incapacity
. child victims of abuse or neglect who have become eligible for adoption
. adults with mental illness
. adults with disabilities and frail elderly at risk or victims of abuse, neglect, or exploitation
. persons with developmental disabilities.
9
27. Please complete Attachment C - Total Unduplicated Clients Form. Sections C through F are optional; complete
these sections only if you have already gathered this information. (see attachment)
6,570 6,570
189.18 $182.12 $192.40
2,920 2,920 2,555
$265.62 $262.48 $260.85
1,073 687 508
$91.15 $93.72 $88.09
3,423 2,661 . 2,149
204.22 204,22 $159.80
transport I 377 377 290
$84.88 $84.74 $78.56
4,380 4,380 4,380
$4.03 $4.86 Not availible
Baker Act inpatient services
Residential SA detoxification
Outpatient non-medical mental health =
Medical outpatient mental health
Baker Act vehicle transportation
Keys to Recovery residential SA TX =
Community Transportation
Disadvantaged Coordination = one-way tri
a. Basis for cost formula: Explain how you developed the cost per unit (e.g. total cost of program divided by total
units; total cost of program divided by total clients, etc.). Indicate the full cost of the unit of service. This cost
should include administration, etc. The unit cost should be the same for all funding sources of the program.
Total expenses within each program area divided by the total number of units within the area.
b. 3 Year Unit Comparison: Provide the "cost per unit of service" for the past, current and proposed fiscal years.
Provide the numbers of units of service for the past, current and the proposed fiscal years.
= one day
= one day
one hour
= one quarter hour
= one-way trip
one day
26. Define program unit of service (i.e. 1 unit = 1 hour counseling; 1 unit = 1 night shelter/1 meal, etc)
or state why this does not apply to your operation.
AGENCY NAME: Guidance Clinic of the Middle Keys, Inc.
2
Date
Date fo \ l~ \ c \
Kathleen Rchr~npr
Signature If ),L~~) ~
Richard Matthews, Ph.D
Typed Name of Executive Director
Typed Name of Board President/Chairman
We understand that the agency must substantially meet the eligibility criteria to be considered for Monroe County
funding and that any applica~le attachments not included disqualify the agency's application.
We further understand that meeting the Eligibility Criteria in no way ensures that the agency will be recommended for
funding by the Human Services Advisory Board. These recommendations are determined by service needs of the
community, availability of funds, etc. Approval of HSAB funding recommendations is granted by the Monroe County
- "Board of County Commissioners.
This certifies that this request for funding is consistent with our organization's Articles of Incorporation and Bylaws
and has been approved by a majority of the Board of Directors.
We affirm that the Agency will use Monroe County funds for the purposes as submitted in this Application for
Funding. Any change will require written approval from the Monroe County Board of County Commissioners.
Is funding for a
new, or an
-X existing,
program?
%
36
X Yes _No
If yes, what is the ratio of match to Federal and/or
State dollars?
Will County funds be used as
match for a grant?
ave you ever applied to Monroe County HSAB for Funding Assistance? X Yes No
Fax: 305/853-3286
305/853-3284
ITitle: C.E.O.
P.O. BOX 363 TAVERNIER, FL. 33070
Richard Matthews, Ph.D
GUIDANCE CLINIC-UPPER
Tavernier, Fl.
APPLICATION FOR FUNDING
MONROE COUNTY
Human Services Advisory Board
October 1, 2001 - September 30, 2002
3
x
x
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. .ccredit!tion,; Certification;. and/or tt~ri~lI,gJ .
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. ollabaratlvei Efforts/~elatl6nshlps with: ()ttier S'ervice: Provl(f~mrP ~?1f~ c' ..... "'::::'e; ~ ~"
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AGENCY NAME:
4
19. Average attendance of Board Members ~ %
10. What limits, if any, do your by-laws set on terms or years of service a board member may serve? none
11 . Complete Attachment A - Board Information Form
11
Number of Board meetings held during past year
8.
16. Number of persons on Board of Directors .-Jl
17. What is the authorized number of Board positions specified in your by-laws -WIDe
IGOVERNING BOARD'
Purchase meals for 100 more clients for one year (2 meals/day, total $5.00/day); will
increase service levels by 3%.
How has your agency initiated any new, creative, or innovative projects to address social service needs in our
community? If so, give a brief description (include a description of any innovative projects that you would like to
undertake, but for which you have not yet been able to secure funding). Please include any awards or special
recognition your agency may have received this past year.
5. Identify any special factors that should be considered when making final funding decisions. Include comments onl
significant changes in revenue or expense items as compared to previous years. Also, explain any non-recurring I
or unusual expenditures. I
$50,000
$25,000
$182,500
IC)
Cost of living adjustment to maintain current service levels.
One additional caseworker (salary & benefits) will increase service levels by 10%
la)
b)
1. Provide your agency's board-approved written mission statement. See Attachment
!2. Explain specifically how your agency plans to use the money you are requesting. e.g. rent, salaries, expansion of
services or service area, or general agency operations.
INARRifnvEovERVI
:,,';<>-':' ,,:::::,::~/:'''{:::'':'''~:::''''k.._ "_;"".-,;/."".,,... ..c.._;..... .-_............, -- .,,',.. ;'.,',','_ ',_._" ", '>""
AGENCY NAME:
5
DETAllSO.F:SPECIFIC., PRO.GR~NI"FOR WHI:~;~~'FuN.DING:ISiflE(].UES1'ED:
21. Please give a paragraph description of the program for which you are requesting funding.
22. What need or problem in this community does this program address? Include your target population.
23. What data support this need? Attach copies of any relevant documents.
24.. Where and when is this program being offered? List all sites and hours of operation.
25. What measurable goals do you plan to accomplish in this next funding year?
What is the percentage of total agency revenue that goes to the following:
Fundraising Expenses? 0 % Administration Expenses
20. Complete Attachment B - Agency Salary Detail Form.
19.
11 %
1 B. Is your agency receiving any in-kind services e.g. free rent, utilities, maintenance, etc. from the County
or any other organization? If so, What is the fair market value?
:FINANCIAlJNFORMA:rJON:"~:
,...... ...,' . .. . " ,. .. '-- . '-,' '.' ..' ,"" ., " ','. ,.... - ....,.. ,-_"""~,,,",\'-.,
15. Does agency have a grievance procedure for clients? If yes, briefly describe. Is it a formal procedure? How
are clients made aware of the procedure?
16. What other organizations do you network with to prevent a duplication of services? Describe any sharing
of costs, referrals of clients, etc. We are looking for more detail than your membership in Interagency
Council. An example of an appropriate answer is "one of XYZ's employees works out of our branch" or
"we jointly fund X position with ABC Agency." .
17. Is your agency monitored by an outside agency? If yes, by whom and how often?
If not, how does your agency document and measure its service performance and success rates?
;ip:GENc~:aPERAtJO
~"': . ".: ,<(";<,;,:::"">:";,c'~AA:,,,,:~~,,:,,:.':t,.,.,.;,.,,, . "'-<<~~""'~~:,w'>;:<e;,y,
13. How do you utilize volunteers in the operation of your agency?
14. Briefly describe the training the volunteers receive.
hours
Committees:
hours
Programs:
Board: 11 hours
12. No Volunteers contributed a total of 0 hours to our agency this past year.
AGENCY NAME:
:tc-- In reference to me Anacr.ment CheCKlist: Since we nave rewer man i'rfty employees we
are not subject to the Federal guidelines for Adults with Disabilities Act, We have a rew
clients that are dlsabieo' ana we try to be sensitive to their disaDliity and accommodate
them to the best of OUi ability,
25, We are going to continue to strive to be able to continue the level of services that we
Have been able to provide In previous years,
21. The Guidance Clinic of the Upper Keys is an outoatient community mental health clinic
oeolcateo to providing a multJ~OISClpllnary approacn to tne prooiems oT mental Illness a
and substance abuse through evaluation, treatment. case management and prevention.
Outpatient services include: Street Crime Alternative Treatment(SCAT); Family
Services Planning Team (FSPT); Intensive Crisis Counseling Program (ICCP); the
Mobile Team and the Rape Prevention program,
17, The Guidance Clinic is monitored fiscally and clinically on and annual basis by the
Dept. of Children and Families.
16. The other organizations we network with to prevent a duplication of services is the
Guidance Clinic of the Middie Keys and the Care Center for Mentai Heaith.
15. Yes, we 00 have a grievance proceoure for Clients. They can call tne Human Rights
Comml'ttee or the Department of Children and Families.
5, With the imolementation of the Mid-Keys Mobiie team there wiii be a substantiai
increase in revenues as weli as expenditures. The twO eXisting MODI I Teams nave
been highly successful in their mission and there is every reason to believe that the
third team will meet with the same level of success, The new therapist will help with the
additional counseling required.
4. No, we do not have any new programs planned for the coming fiscal year.
2. The funaing we are reQuesting Will we useo to pay for CliniC salaries.
.. t""o__ A.a.a.__I..___'"
I. ,;,tItI /'\U.C1c";rlIfltlllL.
~^RRITlVE OVERVIEW OF REQUESTED FUNDING
Non-direct Staff Hr.
23.79 24,02
1,230 1,318
30.87 36,21
1.902 2.331
4715
759
Outreach
Cost /Unit
Total Units
56,75
1,115
Prevenuon
Cost /Unit
Total Units
Non-Direct Staff Hr.
50,17
6.523
53.07
6.535
62.80
5.376
In-Heme/On Site
CostlUnit
Total Units
Direct staff Hour
311.54
312
278.81
312
315.68
312
Medical Servs.
CostlUnit
Total Units
Contact Hour
100.5'1
2.541
'103.43
2.527
191,78
1,092
Outoatient
CosvUnit
Total Units
Contact Hour
36,91
250
54.05
603
4630
1.039
Intervention
CostlUnit
Total Units
Direct Staff Hour
53.97
3.756
50.04
3.756
55,69
3.130
Case Mangr.
Cost/Unit
Total Units
Direct Staff Hour
35.40
1,841
31,16
1.841
110,:1
1.200
Assessment
CostlUnit
Total Units
Contact Hour
PROPOSED YEAR
2001-2002
CURRENT YEAR
2000-2001
PAST YEAR
1999-2000
26. The units of service that are used are as follows: contact hour measures face-te>-face or direct
teiepnone contacts and ciient coliaterai contactS that are charted. Tne next is the direct staff hour
In wTlIcn me sel'Vlce is olrectly assoclatea With a reclplern but they may not have to be pnyslcaliy
presern. Non-direct sel'Vlces are In the form of group acuvlty suen as prevenuon, consultation, ana
educational won< groups. These hours are categorized into cost centers.
a. A contact hour is based on 1.073
A direct staff hour is based on 1.252
A non-direct staff hour is based on 1 .430
PROGRAM UNIT/COST
Date
Date
Paul Rasmus, Chairman of the Board
Cli . f C; ... t\ I
Marshall Wolfe, President & Chief Executive Officer
f- - /r" C1{
9..\ G~
Signature - . y
..~
Signature
This certifies that this request for funding is consistent with our organization's Artides of Incorporation and Bylaws and has beer
approved by a majority of the Board of Directors.
We affirm that the Agency will use Monroe County funds for the purposes as submitted in this Application for Funding. Any change wi
require written approval from the Monroe County Board of County Commissioners.
We understand that the agency must substantially meet the eligibility criteria to be considered for Monroe County funding and that an
applicable attachments not included disqualify the agency's application,
We further understand that meeting the Eligibility Criteria in no way ensures that the agency will be recommended for funding by th
Human Services Advisory Board. These recommendations are determined by service needs of the community, availability of fund~
ete: Approval of HSAB funding recommendations is granted by the Monroe County Board of County Commissioners.
184,141.00
CERTIFICATION
184,141.00
184,141.00
PART I 3
TIME
.
AMOUNT RECENED
. FOR FISCAL YEAR
. ENDING 9l3OlOO
. FULL
nTlME
AMOUNTRECElVED
FORFISCALYEAR
ENDING913OIOt ...
AMOUNT REQUESTED
FOR COUNTY FISCAL YEAR ENDING
9I30I02
Is funding for a
_new, or an
...:.-existing,
program?
STATE IS%. WITH 25% COUNTY MATCH
",:,-Yes _No
OF EMPLOYEES
,gency Phone: 305l292~ ,Fax: 3051292-6723
Have you ever applied to Monroe County HSAB for Funding Assistance? ~ Yes_ No
Will County funds be used as
match for a grant?
If yes, what is the ratio of match to
Federal and/or State dollars?
,GENCY PROFILE
Operating Since 1983
,gency Name: CARE CENTER FOR MENTAL HEALTH
,gency Location(s): 1205 FOURTH STREET KEY WEST, FL 33040
Mailing Address: 1205 FOURTH STREET KEY WEST, FL 33040
!contact: MARSH WOLFE
!Title: PRESIDENT & CEO
APPLICATION FOR FUNDING
MONROE COUNTY
Human Services Advisory Board
October 1, 2001 - September 30, 2002
iOTHER:
ignificant Change in Equipment and/or Facilities?
*
" ~'ion, Certification, and/or UC8I1$lng?
*
,elationships with Parent, NatiOnal or State Affiliates?
*
Uaborative EffortslRelationships with. other Service Providers?
*
*
*
iSignificant Change in Service DeliveJY, Costs~ and/or Effec:tivenesSMeasures?
*
hange in Programs/Services (Addition.ocDeletion ofProQrains)?
liOrganization MissionfStrateQic'Directi0n7
undingSOurc:es(LossarAddition Of ReVenUe)?
'oIunteer QOvernanceandlorStruClure?
NO
YES
...... ...,.....'.........--....-..--.
1s.igJ1~change,in.~and1or~..
Indud 'Ing..the, .'ExeaJti\'e "'Dlrector)7 .' "'.' , .'...'.'..,....... ........'...... '
. . .._...... ,......0....-'.-".---.........
.. -' ...
*
.' -... .' .-.'
UMMARYOF$IGIlIIFlCANT'QlANGE
n____'" . . . ,,'-.,.--.,. .." ,...-..,.".....;.......
qUeStiOns.in.tJliS..sedionpSrtalrit()~.Ci'1a 19es'tfISt~oCcuiredWithintheofganiZStiorisPast fiscal year. If there has
~change,,'~:~~fl~t:'}~~ sum~.lftherehas'~, no change, d\ed("'f<,&<)" to that.question.and proceed
the.next.. ...d......' ............"............'........, ,........,.............." '. ,. . .
AGENCY NAME: CARE CENTER FOR MENTAL HEALTH
Number of persons on Board of Directors ~
What is the authorized number of Board positions specified in your by-laws ~
Number of Board meetings held during past year 11
Average attendance of Boatd Members ~ %
10.. What limits, if any, do your by-laws set on terms or years of service a board member may serve? NONE
11. Complete Attachment A - Board Information Form
OVERHING BOARD
How has your agency initiated any new, aeative, or innovative projects to address social service needs in our community?
If so, give a brief desaiption (include a desaiption of any innovative projects that you would like to undertake, but for
which you have not yet been able to secure funding). Please include any awards or special recognition your agency may
have received this past year. The Care Center develOped and implemented a new children's mental health/substance
abuse treatment program that is integratd into programs provided by the Monroe County School District and the
Department of Juvenile Justice.
Identify any special factors that should be considered when making final funding decisions. Include comments on
significant changes in revenue or expense items as compared to previous years. Also, explain any non-recurring or
unusual expenditures.
Same request as last year.
Provide your agency's board-approved written mission statement.
Explain specifically how your agency plans to use the money you are requesting. e.g. rent, salaries, expansion of
services or service area, or general agency operations. County funding ($184,141) will be used as the required match
pursuant to F.S. 394 to provide Alcohol, Drug Abuse & Mental Health (ADM) outpatient mental health services which shall
include assessment, crisis intervention, medical services, case management and outpatient counseling.
_ . __. __........_.... . ..._". .,_........... __. '. '.:,'_'. '.,.._,..'..'_:_',': ..,..._..._.......'..... ._, '. ._,.... ._ _..'....... ......."_.'___,.... ........'.....".'...c_...__.".'........_.. ......,'..'.'......
If'you are<requestingJundinQ tor more than one program;besur8.tOsPScificaUyf.i~~isbeing purchased for each
. program. Jnciudespecific,actjyjtiesthatwiD.beoanied.outbythepr1JQJ'8mlFOr'~fiffunding is fOr a new position,
explain the change in staffing requirements. Specifyfullorparttime..salaIyJ,ana~!rrtanymore dientswill be served. If
. funding isforadirectServicetodients,includeprogramobjectives8l'Kl:tlcr.y,'irulnj~UptiCated diems will be served.
If your request is greater than last year, explain in detail what the inaease is expected to fund. If the inaease is due to
more than one additional item, list the items in order of priority with the amount of each. 00 NOT LIST YOUR AGENCY'S
BUDGET BY LINE ITEM.
RAnvE OVERVIEWOFREQUESTED'FUNDING
AGENCY NAME: CARE CENTER FOR MENTAL HEALTH
21. Please give a paragraph desaiption of the program for which you are requesting fundingCounty funding ($184,141 will
be used as the required match pursuant to F.S. 394 to provide Alcohol, Drug Abuse, and Mental Health (ADM) outpatient
mental health services which shall include assessment, aisis intervention, medical servies, case management and
outpatient counseling.
22. What need or problem in this community does this program address? Include your target population. The Care
Center is Community Mental Health Clinic for the lower Florida Keys (South of the Seven Mile Bridge).
23. What data support this need? Attach copies of any relevant documents.
24, Where and when is this program being offered? List all sites and hours of operation. Our main location is at 1205 4th
Street in Key West, but we do have counselors in many off site locations including Key West High School, H.O.B.
DETAILS OF SPECIFIC PROGRAM .FORWHICH.FUNDINGIS.REQUESTED
Administration Expenses 8 %
18. Is your agency receiving any in-kind services e.g. free rent, utilities, maintenance, ete. from the County or any
other organization? If~, What is the fair market value? NO
19. What is the percentage of totaJ agency revenue that goes to the following:
Fundraising Expenses? 0 %
20. Complete Attachment 8 - /V;jercy Salary Detail Fonn.
15. Does agency have a grievance procedure for clients? If yes, briefly describe. Is it a formal procedure? How are
clients made aware of the procedure? We operate under the guidelines of the Human Rights Advocacy Committee.
procedures are posted.
16. What other organizations do you networ1< with to prevent a duplication of services? Desaibe any sharing of
costs, referrals of clients, etc. We are looking for more detail than your membership in Interagency Council. An
example of an appropriate answer is "one of XYZs employees wor1<s out of our branch" or ''we jointly fund X
position with ABC Agency." The Care Center has weekly meetings with the Department of Juvenile Justice, the
Depannent of Corrections, the Monroe County Detention Center and frequent meetings with the Department of
Children & Families and Drug Court.
17. Is your agency monitored by an outside agency? If yes, by whom and how often?
If not, how does your agency doaJrTlent and measure its service pertormance and success rates?
Yes, we are monitored by several different agencies, the largest is the Florida Department of Children & Families. We
also have an independent audit each year that is performed by Kemp & Green, P.A.
FINANCIAL INFORMAnON
AGENCY OPERAT10NS
12. 13 Volunteers contributed a total of ~ hours to our agency this past year.
Board: 150 hours I Programs: 24 hours I Committees: ~hours
13. How do you utilize volunteers in the operation of your agency? BOARD MEMBERS ONLY
14, Briefly desCribe the training the volunteers receive. None. Most board members are highly visible members of our
Community, and have served on numerous other boards.
VOLUNTEERS (JnctudingBoarc:tMembers)
AGENCY NAME: CARE CENTER FOR MENTAL HEALTH
. Middle Sd1ooI, Sugarloaf Middle School, Gerald Adams ElementarY, Monroe County DetentiOn Center. & the Douglas
Community Center.
25. What measurable goals do you plan to accomplish in this next funding year?
THIS SPACE INTENTIONALLY LEFT BLANK
27. Please complete Attachment C - Total Unduplicated Clients Fonn. Sections C through F are optional; complete these
sections only if you have already gathered this infonnation.
91.09
18300
91.09
18900
91.92
-
19200
. COST PER UNIT I Hour
TOTAL,#UNITS
CtlENTSSERVED
26. Define program unit of service (Le. 1 unit = 1 hour counseling; 1 unit = 1 night shelter/1 meal, atc)
or state why this does not apply to your operation. 1 unit = 1 counseling hour
a. Basis for cost fonnula: EXplain how you developed the cost per unit (e.g. total cost of program divided by total units;
total cost of program divided by total clients. etc.). Indicate the full cost of the unit of service. This cost should include
administration, etc. The unit cost should be the same for all funding sources of the program.
b. 3 Year Unit Comparison: Provide the "cost per unit of service" for the past, a.uT8I'1t and proposed fiscal years. Provide
the numbers of units of service for the past. current and the proposed fiscal years.
tJNITlYPEl ~:~~~ 1.\~~~~;;~"i{~r,ij-'!r~:ENDING
PROGRAMUNIT/COST
AGENCY NAME: CARE CENTER FOR MENTAL HEALTH