finance & operations committee wednesday, june 17, …adamhscc.org/pdf_adamhscc/en-us/6.17.20...

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FINANCE & OPERATIONS COMMITTEE

WEDNESDAY, JUNE 17, 2020 4:00 P.M.

ZOOM MEETING: Join Zoom Meeting via direct link: https://adamhscc-org.zoom.us/j/89472098522?pwd=eVQzaUJ3cU84QVhoV1djNGtJZzdWQT09 Through the web at: https://zoom.us/join and enter Meeting ID: 894 7209 8522 and Password: 411456 Call: 1 929 205 6099 and enter Meeting ID: 894 7209 8522 and Password: 411456

Committee Mission Statement: To assist the full Board in fulfilling its fiduciary responsibility by reviewing and overseeing financial and operational aspects of the system.

AGENDA

1. Call to Order – Steve Killpack, MS, Committee Chair

2. Board Member Attendance Roll Call – Linda Lamp

3. Approval of Minutes: May 20, 2020 – Steve Killpack

4. Finance Reports – (Action Requested) – Felicia Harrison - Board Voucher & Expenditure Reports – May 2020

5. 2020 Census Outreach Campaign – $4,100 – (Action Requested) – Beth Zietlow-DeJesus

6. Contracts – (Action Requested) – Felicia Harrison

a) Consulting Contract for the Development of a Strategic Plan for Calendar Years 2021-2025 for the ADAMHS Board of Cuyahoga County

- RAMA Consulting, Inc. - $57,630 b) Northeast Ohio Collaborative: Withdrawal Management/Detoxification and Crisis Bed Expansion Grant –

SAMHSA Emergency COVID-19 Grant Funds – $309,383 - Ashtabula County MHRS Board - $51,563.83 - Geauga County MHRS Board - $51,563.83 - Lake County ADAMHS Board - $51,563.83 - Lorain County MHARS Board - $51,563.83 - Summit County ADM Board - $51,563.83

c) Federal Emergency Management Agency (FEMA) Crisis Counseling Assistance and Training Program (CCP) Immediate Services Program (ISP)

- Bellefaire Jewish Children’s Bureau - $62,700.76

7. Contract Amendments – (Action Requested) – Felicia Harrison a) Amendment to Resolution No. 19-11-08, Cornerstone of Hope - $40,000 b) Amendment to Resolution No. 19-11-08, Recovery Resources - $100,000 c) Amendment to Resolution No. 19-11-08, Hispanic UMADAOP - $20,382.51

8. Identify Consent Agenda – Steve Killpack, Committee Chair

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9. New Business

Finance & Operations Committee Steve Killpack, MS, Committee Chair ▫ Sharon Rosenbaum, MBA, Committee Vice Chair

J. Robert Fowler, Ph.D. ▫ Rev. Benjamin F. Gohlstin, Sr. ▫ Harvey A. Snider, Esq.

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ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES BOARD OF CUYAHOGA COUNTY

FINANCE & OPERATIONS COMMITTEE MINUTES MAY 20, 2020

Committee Members Present: Steve Killpack, MS, Committee Chair, Reginald C. Blue, Ph.D., J. Robert Fowler, Ph.D., Rev. Benjamin F. Gohlstin, Sr., Sharon Rosenbaum, MBA, Harvey A. Snider, Esq. / Absent: None Board Staff Present: Scott Osiecki, Chief Executive Officer, Carole Ballard, Curtis Couch, Erin DiVincenzo, Tami Fischer, Cheryl Fratalonie, Felicia Harrison, Esther Hazlett, Myra Henderson, June Hudson, Linda Lamp, Kelli Perk, Allison Schaefer, Starlette Sizemore-Rice, Larry Smith, Jr., Maggie Tolbert, Beth Zietlow-DeJesus 1. Call to Order Mr. Steve Killpack, Committee Chair, called the meeting to order at 4:00 p.m.

2. Board Member Attendance Roll Call Due to the current public health orders surrounding COVID-19, and the Board’s commitment to ensuring the health and safety of our Board members, staff, partners, and stakeholders, the Finance & Operations Committee meeting was held via a Zoom meeting. To assure a quorum, Ms. Linda Lamp, Executive Assistant, completed the Board member attendance roll call. 3. Approval of Minutes The Finance & Operations Committee minutes from April 15, 2020 were approved as submitted. 4. Finance Reports – April 2020 Ms. Felicia Harrison, Chief Financial Officer, reported on the Voucher and Expenditure Report for April 2020. She indicated that relative to the Administrative Budget for the month of April, which covers 33% of the year, expenses were $371,779. The Board’s total administrative expenses through the end of April was $1,520,772, which is roughly 25.46% of the total Administrative budget that was approved for CY2020. In April, the Board received revenues of $3,092,523. The Board’s total revenue received through the end of April was $51,957,752, which includes the Board’s County levy allocation of $40,363,659. The Board’s expenses for the month of April was $7,253,974. The Board’s total expenses through the end of April was $17,170,821. Ms. Harrison reported that the County is still a little bit behind in terms of processing the Board’s expenses. As a result, a lot of things processed in April were actually March expenses. However, the Board is hoping that at some point the County will catch up, but presently remain behind with processing expenses. Motion to recommend approval of the Board Voucher and Expenditure Reports for April 2020 to the full Board. MOTION: B. Gohlstin / SECOND: S. Rosenbaum / AYES: R. Blue, R. Fowler, B. Gohlstin, S. Killpack, S. Rosenbaum, H. Snider / NAYS: None / Motion passed. 5. Ohio Association of County Behavioral Health Authorities (OACBHA) FY2021 Membership Dues Mr. Scott Osiecki, Chief Executive Officer, reported that these membership dues are for the Ohio Association of County Behavioral Health Authorities (OACBHA), which is the statewide organization that represents the interests of Ohio’s ADAMHS Boards at the state level. Each member, including the ADAMHS Board, pays annual membership dues to OACBHA to support its operations. Mr. Osiecki reported that OACBHA has been a vital source of information, resources and advocacy with OhioMHAS during the COVID-19 pandemic. OACBHA’s annual membership dues for FY2021 cover the time period of July 1, 2020 through June 30, 2021.

Motion to recommend approval of payment to the Ohio Association of County Behavioral Health Authorities (OACBHA) for annual membership dues for FY 2021 (July 1, 2020 – June 30, 2021 in the amount of $18,275 to the full

Finance & Operations Committee Minutes May 20, 2020

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Board. MOTION: R. Fowler / SECOND: B. Gohlstin / AYES: R. Blue, R. Fowler, B. Gohlstin, S. Killpack, S. Rosenbaum, H. Snider / NAYS: None / Motion passed. 6. Contracts o Ms. Harrison highlighted agenda process sheets for agreements listed below, answered questions, and provided

clarification for committee members. a) Cleveland Division of Police Co Responder Project – Accepting $523,800 from the City of Cleveland – ADAMHS

Board not to exceed $339,950 for three years - FrontLIne Service, Inc. - $514,650 - Murtis Taylor Human Services System - $343,100

Ms. Harrison reported that the City of Cleveland received a Bureau of Justice Assistance (BJA) Grant to fund the Co Responder Project in three districts and the ADAMHS Board is contributing funding to ensure expansion of this project to all five districts. The term for this project is October 1, 2019 to September 30, 2022 and the total project amount is $857,750, with $523,800 from the City of Cleveland, BJA Grant and $333,950 from the ADAMHS Board. This project will allow the Cleveland Police Co Responder team to respond to crisis calls received via the Cleveland Division of Police Dispatch for mental health related crisis in the community. The crisis specialist will be paired with a CIT officer in single cars in order to respond to the calls. The crisis specialist, in collaboration with the CIT officer, will engage and respond to the individual’s needs, provide assessment and triage to the least restrictive options in the community. The ADAMHS Board will be providing a match for the project of $33,950. This additional funding will allow for the implementation of two additional co responder teams and therefore cover all five districts. This funding enables the ADAMHS Board to contract with FrontLine Service for 2.0 FTE as well as Murtis Taylor Human Services System for 1.0 FTE. Ms. Sharon Rosenbaum indicated that the Co Responder Team will operate 40 hours per week second shift and inquired as to what the ADAMHS Board is being requested to provide. Ms. Carole Ballard, Director of Education and Training, and Captain James McPike, CIT Coordinator for the City of Cleveland Division of Police, were on the call to respond to this inquiry. Ms. Ballard reported that there will be five crisis specialists, one stationed at each district with each CIT Officer, and cover second shift only. Second shift was chosen due to the highest volume of calls throughout the state. Captain McPike added the Cleveland Division of Police sincerely hopes this project will reduce calls for service and divert people in crisis to the least restrictive alternative and linkage to services. Ms. Rosenbaum also inquired around the annual funding variations for this project. Ms. Ballard reported that in year one, 2020 funding in the amount of $120,000 is for start-up. The City of Cleveland received this grant in October 2019 and a contract was only recently received by the Board. Mr. Osiecki reported that future revisions may need to occur relative to budget adjustments to accommodate for additional provisions with this project. b) Strive for 5 Media Campaign - $31,000

- Advance Media - $2,000 - Call and Post - $2,000 - Radio One Cleveland - $5,000 - Voice It Radio - $7,500 - iHeart Radio - $7,500 - Fox 8 - $2,000 - El Toro - $1,000 - Lamar Advertising - $4,000

Ms. Harrison reported that funding has been set-aside in the Board’s CY2019 Operating Budget for prevention campaigns focusing on heroin, suicide and gambling prevention and awareness. The ADAMHS Board is receiving the not-for-profit/government/public awareness rates. If the Board had not received this discounted rate, the cost of the campaign would be much higher. The Board has applied for a grant from the Federal Emergency Management Agency (FEMA) to cover this campaign but has not received an award at this time.


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Ms. Harrison reported that last month, Governor DeWine and Ohio Department of Mental Health and Addiction Services Director Criss announced the Strive for 5 campaign, which challenges Ohioans to connect with 5 people every day for 30 days. The challenge began in New York and is designed to help all individuals feel connected, as well as reduce feelings of isolation and loneliness during the COVID-19 outbreak. The campaign includes a media buy for print, social media/geo marketing, radio and television to make individuals aware of this challenge and local resources in Cuyahoga County including the peer-to-peer warmline (440-886-5950), crisis, suicide prevention and information and referral hotline (216-623-6888) and crisis text 741741. Ms. Harrison highlighted that Ms. Beth-Zietlow-DeJesus, Director of External Affairs, was able to negotiate with the Board’s vendors for a further reduction in costs or added value. This request resulted in a reduction of $28,700 cost and many added value elements including: 120 free spots on three stations and free ads for May on seven stations, a free on-air interview that will air multiple times on two radio stations and extended billboard time. c) YWCA Greater Cleveland, First Year Cleveland Pregnancy and Infant Loss Committee – Grief Recovery

Paraprofessional Training - $20,000 Ms. Harrison reported that the ADAMHS Board will be contracting with the YWCA Greater Cleveland, First Year Cleveland Pregnancy and Infant Loss Committee for the updated term of June 1, 2020 through May 31, 2021 for this contract in the amount of $20,000. The Community Mental Health Support-Pregnancy and Infant Loss (PAIL)-Grief Recovery Paraprofessional Training is a community partnership between the ADAMHS Board, First Cleveland and the YWCA Greater Cleveland to support the education and training of up to 10 African American therapists, social workers and/or counselors to be trained and certified in the Grief Recovery Method (GRM) Training Program. PAIL’s mission is to provide awareness, support, and hope to those who have experienced miscarriage, stillbirth or death of a baby before the age of one. The GRM training facilitates healing by infusing mental health paraprofessionals into the community and providing culturally appropriate behavioral health support services for Black women and men who have experienced loss, especially miscarriage, stillbirth and infant loss. In March 2020, the inaugural GRM class included 24 men and women who have made a commitment to help African American families in Cleveland and Cuyahoga County. Rev. Gohlstin reported that he participated in the inaugural GRM class to become a Grief Recovery Specialist and commended this training. He noted that 8 weeks of material were reviewed in 4 days. d) Sponsorships*

- LGBTQ Center’s Pride in the CLE March and Festival, September 12, 2020 - $1,000 Ms. Harrison reported that sponsorship of this event complements the ADAMHS Board’s mission, vision, value statements, strategic plan and/or advocacy by supporting the Board’s focus on cultural competency and suicide prevention efforts for special/minority populations. This sponsorship also strives to alleviate the stigma of living with a mental illness and/or alcohol and other drug addictions. The benefits of the $1,000 Yellow Partner include: (1) Listing as a partner on Pride in the CLE webpage, (2) Logo placement on website and name listed on partner pages/lists, (3) Name listed on partnership page in Pride in the CLE Pride Guide, and (4) Resource table at the event.

- Wave of Light Remembering Our Babies Memorial Event, October 15, 2020 - $500 Ms. Harrison reported that the Board will be contracting with the YWCA of Greater Cleveland, the fiscal agency for First Year Cleveland (FYC), for the term of May 28, 2020 through November 30, 2020 for the event on October 15, 2020 in the amount of $500. FYC is a multi-sector collaborative working towards a unified strategy to reduce infant mortality and racial disparities in Cuyahoga County. The goal is to lower infant deaths by the end of 2020 by addressing three strategic areas: (1) Reduce racial disparities, (2) Address extreme prematurity, and (3) Eliminate sleep related deaths. The “Remembering Our Babies” event will provide a forum in which the community at large and public officials can hear directly from African Americans who have experienced pregnancy and infant loss (PAIL). The Board’s funds will be used to provide food, flyers and other promotional materials for the event.


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*Note: The ADAMHS Board does not pay sponsorships until the event is complete, which is indicated in our sponsorship contracts. If any of these events are not held, the sponsorships will not be paid.

Motion to recommend approval of Contracts (as listed above) to the full Board. MOTION: S. Rosenbaum / SECOND: R. Fowler / AYES: R. Blue, R. Fowler, B. Gohlstin, S. Killpack, S. Rosenbaum, H. Snider / NAYS: None / Motion passed. 7. Contract Amendments

a) Amendment to Resolution No. 20-02-06, Cuyahoga County Juvenile Court (CCJC) Intervention Center Behavioral Health Services - $200,000 Increase

- Applewood Centers

Ms. Harrison reported that the Cuyahoga County Juvenile Court extended the project period with the ADAMHS Board for the Intervention Center Behavioral Health contract and increased the project by $200,000. This increase will allow the Board to extend this contract for another year, July 1, 2020 through June 30, 2021. The Intervention Center’s behavioral health services include: (1) Assessment & Brief Behavioral Health Screening, (2) Case Management, (3) Referral to Respite services for crisis intervention, and (4) Navigation & Linkage to appropriate services and supports. The ADAMHS Board approved contracting with Applewood Centers on September 26, 2018.

b) Amendment to Resolution No. 19-11-08, Women’s Recovery Center – $56,840 Ms. Harrison reported that funding in the amount of $56,840 will be used to hire one Clinical Director/Group

Counselor full-time. In the long-term, the organization will benefit from having a full-time director; however, for the short-term, the proposal of a full-time position split between Clinical Director and counseling duties will be a great help as the organization grows under the new leadership. The individual who fills this position will eventually transition to serving as a full-time dedicated Clinical Director.

c) Amendment to Resolution No. 19-11-08, Hitchcock Center for Women – $250,000 Ms. Harrison reported that the ADAMHS Board is increasing Hitchcock Center for Women’s contract in the amount

of $250,000 to provide for residential treatment. These funds will continue to provide the life-saving treatment to the women and children. Additionally, Hitchcock Center for Women needs the additional funding during the ongoing COVID-19 pandemic and would struggle to maintain operations without such funding.

d) Amendment to Resolution No. 19-10-03, FrontLine Service – $75,000 Ms. Harrison stated that the Ohio Department of Mental Health and Addiction Services (OhioMHAS) has awarded

the ADAMHS Board additional SFY2020 funding in the amount of $75,000 for the Community Transition Program (CTP). FrontLine Service is the sole provider of the CTP for the adult prison population who are returning to Cuyahoga County. As a result, the contract for FrontLine Service will be increased for this program.

e) Amendment to Resolution No. 19-11-08, Life Long Transportation, LLC – $10,000 Life Long Transportation, LLC was originally awarded $40,000 for CY2020 and has already utilized these funds.

Therefore, the ADAMHS Board is currently requesting an increase in the contract in the amount of $10,000 until a contract can be renegotiated.

Ms. Victoria Hayes, from Life Long Transportation, LLC., indicated that they have made 1,000 trips thus far in

CY2020 and reported that transportation requests have increased due to the addition of Recovery Homes. She also noted that the Board’s CY2020 funding does not include administrative overhead.


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f) Amendment to Resolution No. 19-06-05, Cuyahoga County Division of Children and Family Services (CCDCFS) Treatment Foster Care/Kinship Care Pilot Contract Extension – $190,812

- Catholic Charities

Due to a limited number of homes, in addition to the delay in service provision, CCDCFS requested a contract extension to fully execute services to demonstrate the program’s effectiveness. CCDCFS set a goal to license five treatment foster families by December 2020 through utilizing newly approved online training for recruitment. The original contract amount was $251,000 and the balance of the contract is currently $190,812. This amendment will extend the Treatment Foster Care/Kinship Care Pilot with the CCDCF for the period July 1, 2020 through June 30, 2021 and extend the ADAMHS Board’s contract with Catholic Charities to fully execute services approved through this contract.

Motion to recommend approval of Contract Amendments (as listed above) to the full Board. MOTION: S. Rosenbaum / SECOND: B. Gohlstin / AYES: R. Blue, R. Fowler, B. Gohlstin, S. Killpack, S. Rosenbaum, H. Snider / NAYS: None / Motion passed. 8. Identify Consent Agenda Mr. Killpack recommended including the April 2020 Finance Reports, the Ohio Association of County Behavioral Health Authorities (OACBHA) FY2021 Membership Dues, Contracts and Contract Amendments into the Consent Agenda to be recommended for approval to the full Board. 9. New Business - None

There being no further business, the meeting adjourned at 4:35 p.m. Submitted by: Linda Lamp, Executive Assistant Approved by: Steve Killpack, MS, Finance & Operations Committee Chair

January 1 - December 31, 2020

Administrative Budget

May 2020

Projected 41.67%

Actual 34.39%

Budget CategoryCY 2020 Budget May-20 Y-T-D Balance % Utilized

Salaries:Salaries - Regular 1,400,000$ 137,293$ 517,120$ 882,880$ 36.94%Salaries - Part Time 25,000$ 1,462$ 5,145$ 19,855$ 20.58%Salaries - Union 1,762,000$ 167,168$ 627,160$ 1,134,840$ 35.59%

Subtotal 3,187,000$ 305,923$ 1,149,426$ 2,037,574$ 36.07%

Fringe Benefits: Hospitalization 695,064$ 67,503$ 194,252$ 500,812$ 27.95%PERS - Retirement 447,000$ 42,584$ 155,463$ 291,537$ 34.78%Medicare 45,000$ 4,290$ 16,136$ 28,864$ 35.86%

Subtotal 1,187,064$ 114,377$ 365,851$ 821,213$ 30.82%

Operational Expenses: Commodities:Office Supplies 7,000$ -$ 1,005$ 5,995$ 14.36%Copy Supplies 25,000$ -$ 11,067$ 13,933$ 44.27%Housekeeping Supplies 2,000$ -$ 617$ 1,383$ 30.85%Food Supplies 12,500$ 120$ 3,133$ 9,367$ 25.06%Miscellaneous Supplies 5,500$ -$ -$ 5,500$ 0.00%Computer Supplies 31,500$ 233$ 1,857$ 29,643$ 5.90%Utilities 70,500$ 4,990$ 28,155$ 42,345$ 39.94%

Subtotal 154,000$ 5,343$ 45,835$ 108,165$ 29.76%

Contracts & Professional Services: Prof & Tech Services -Consultants 205,000$ 53,138$ 118,934$ 86,066$ 58.02%Prof & Tech Services - Other 4,000$ 130$ 726$ 3,275$ 18.14%Contracted Services 80,000$ 2,740$ 25,319$ 54,681$ 31.65%Contract Services - Security 155,000$ 3,352$ 54,792$ 100,208$ 35.35%Assign Counsel 110,000$ 3,239$ 30,658$ 79,342$ 27.87%Tuition Reimbursement 7,000$ -$ 3,340$ 3,660$ 47.72%Liability Insurance & Bond 68,000$ -$ 6,498$ 61,502$ 9.56%Bldg. Grounds Maintenance 17,000$ -$ 1,670$ 15,330$ 9.82%Equipment - Contract Maintenance 22,700$ 5,442$ 6,455$ 16,245$ 28.43%Office Rent 392,400$ 31,637$ 158,784$ 233,616$ 40.46%

Subtotal 1,061,100$ 99,676 407,175$ 653,925$ 38.37%

Controlled Services: Data Processing 3,000$ -$ -$ 3,000$ 0.00%

Subtotal 3,000$ -$ -$ 3,000$ 0.00%

Equipment Expense Equipment - Lease/Purchase 20,000$ 1,173$ 5,142$ 14,858$ 25.71%Computer Equip. & Furniture 62,500$ 140$ 36,081$ 26,419$ 57.73%

Subtotal 82,500$ 1,314$ 41,223$ 41,277$ 49.97%

Other OperatingPostage 14,000$ -$ 194$ 13,806$ 1.39%Telephone 21,000$ 3,317$ 10,218$ 10,782$ 48.66%Travel - Duty Related 40,000$ 467$ 5,554$ 34,446$ 13.88%Travel - Seminars & Conferences 15,000$ -$ 572$ 14,428$ 3.81%County Printing/Printing 3,000$ -$ 245$ 2,755$ 8.17%County Supplies 5,000$ -$ 591$ 4,409$ 11.82%Other Expenses 108,000$ 2,278$ 12,889$ 95,111$ 11.93%Publications 7,750$ -$ 5,162$ 2,588$ 66.61%Professional & Membership Dues 45,000$ 250$ (2,139)$ 47,139$ -4.75%Misc. Chgs & Obligations 5,000$ -$ -$ 5,000$ 0.00%Advertising 35,000$ 709$ 11,632$ 23,368$ 33.23%

Subtotal 298,750$ 7,021$ 44,917$ 253,833$ 15.04%Total 5,973,414$ 533,655$ 2,054,427$ 3,918,988$ 34.39%

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January 1 - December 31, 2020

Administrative Budget

May 2020

Projected 41.67%

Actual 34.39%

Summary DataCY 2020 Budget May-20 Y-T-D Balance % Utilized

Salaries 3,187,000$ 305,923$ 1,149,426$ 2,037,574$ 36.07%Fringe Benefits 1,187,064$ 114,377$ 365,851$ 821,213$ 30.82%

Subtotal 4,374,064$ 420,301$ 1,515,277$ 2,858,787$ 34.64%Operational Expenses:Commodities 154,000$ 5,343$ 45,835$ 108,165$ 29.76%Contracts & Professional Svc 1,061,100$ 99,676$ 407,175$ 653,925$ 38.37%Controlled Services 3,000$ -$ -$ 3,000$ 0.00%Equipment Expense 82,500$ 1,314$ 41,223$ 41,277$ 49.97%Other Expenses 298,750$ 7,021$ 44,917$ 253,833$ 15.04%

Subtotal 1,599,350$ 113,354$ 539,149$ 1,060,201$ 33.71%

Grand Total 5,973,414$ 533,655$ 2,054,427 3,918,988$ 34.39%

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Description Vendor Name Amount Check Nbr====================================================================== ============ =========

PURIFIED DRINKING WATER 4/11/20 PURE WATER TECHNOLOGY LLC 119.90 201609

Total Food Supplies 119.90

AMAZON PRIME 3/27 FIFTH THIRD BANK 14.03 201599

AMAZON PRIME 4/27 FIFTH THIRD BANK 14.03 201742

AMAZON BACKUP TAPES FIFTH THIRD BANK 188.95 201742

ZOOM MONTHLY CHARGE FIFTH THIRD BANK 16.19 201742

Total Computer Supplies 233.20

ELECTRIC/HVAC 3/2020 UNITED TWENTY FIFTH BUILDING LLC 4,990.17 201608

Total Utilities 4,990.17

CONSULTANT 4/5/20-4/11/20 LESLIE M. KOBLENTZ 2,700.00 201566



NEEDS ASSESSMENT CLEVELAND STATE UNIVERSITY 45,037.50 201736

Total Prof/Tech - Consultants 53,137.50

SUBSTANCE TEST 3/2/20 OCCUPATIONAL HEALTH CENTERS OF OHIO 129.50 201085

Total Prof/Tech - Other 129.50

E-DECA V2.0 BY CHILD OPTION KAPLAN EARLY LEARNING COMPNAY 2,065.00 201558

MOOD MEDIA 5/2020 MOOD MEDIA NORTH AMERICA HOLDINGS 62.41 201594

IT CONSULTING 4/2020 CHRISTOPHER TOMARO 312.50 201757

IMPACT EAP 5/2020 IMPACT SOLUTIONS 300.00 201749

Total Contractual Services 2,739.91

SECURITY SOH 4/4 - 4/17/20 WILLOW SECURITY 3,351.60 201730

Total Security 3,351.60

HEARINGS 3/30/20-4/10/20 RONALD C. BALBIER 175.10 201596

HEARINGS 3/21/20-4/3/20 SCOTT J. FRIEDMAN 87.55 201613

HEARINGS 4/4-4/17/20 SCOTT J. FRIEDMAN 175.10 201758

HEARINGS 3/21/20-4/3/20 PAUL M. FRIEDMAN 1,838.55 201595

HEARINGS 4/4/20-4/17/20 PAUL M. FRIEDMAN 525.30 201620

HEARINGS 3/30/20-4/17/20 STEVE W. CANFIL 437.75 201662

Total Assigned Counsel/Psych Eval 3,239.35

RENT/TAX/INSURANCE 5/2020 UNITED TWENTY FIFTH BUILDING LLC 31,636.86 201607

Total Office Rent 31,636.86

COPIER LEASE 5/12 - 6/11/20 DE LAGE LANDEN PUBLIC FINANCE 1,173.30 201719

Total Equipment - Lease/Purchase 1,173.30

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BOARD VOUCHER REPORT

5/1/2020 THROUGH 5/31/2020

Description Vendor Name Amount Check Nbr====================================================================== ============ =========

BOARD VOUCHER REPORT

5/1/2020 THROUGH 5/31/2020

TIMEFORCE 2/2020 CTR EMPLOYEE MANAGEMENT SERVICES IN 140.28 201743

Total Equipment - Office Machines 140.28

MFG PREMIER TELEPHONE SYSTEM WARWICK COMMUNICATIONS 5,441.74 201633

Total Equipment Contract 5,441.74

CELL EXEC. (6) 3/4/20-4/3/20 VERIZON WIRELESS 890.20 201600

CELL FINANCE (1) 3/4/20-4/3/20 VERIZON WIRELESS 256.46 201600

CELL PLANNING (4) 3/4/20-4/3/20 VERIZON WIRELESS 949.85 201600

CELL CLINICAL (2) 3/4/20-4/3/20 VERIZON WIRELESS 371.25 201600

CELL HOTSPOT (1) 3/4/20-4/3/20 VERIZON WIRELESS 40.18 201600

PLANS AND SERVICES 3/2-4/1/20 AT&T 452.32 201597

PLANS AND SERVICES 3/2-4/1/20 AT&T 356.94 201598

Total Telephone 3,317.20

PARKING FIFTH THIRD BANK 10.00 201599

COAP CONF FIFTH THIRD BANK 131.70 201599

HYATT COAP CONF FIFTH THIRD BANK 296.28 201599EXPENSE REPORT MELENIE COLON 45.95 201726

VOID EXPENSE REPORT 12/2019 STARLETTE SIZEMORE (17.17)

Total Travel 466.76

RACIAL DISPARITY CONF. (4) FIFTH THIRD BANK (150.00) 201599

OH CHEMICAL DEPENDENCY LICENSE FIFTH THIRD BANK 400.00 201599

Total Prof Dues & Subscript 250.00

ADVERTISING 4/2020 YP LLC 709.00 201610

Total Advertising 709.00

CITY CLUB VOID 3/2020 FIFTH THIRD BANK (800.00) 200669

CITY CLUB EVENT FIFTH THIRD BANK 380.00 201599WALMART FIFTH THIRD BANK 70.20 201599ANNUAL MEMBERSHIP FEE FIFTH THIRD BANK 38.00 201599

START MEETING FIFTH THIRD BANK 6.95 201599

START MEETING FIFTH THIRD BANK 6.95 201742MASKS - BUDGET SOLUTION FIFTH THIRD BANK 1,700.00 201742THERMOMETERS-AMAZON FIFTH THIRD BANK 142.54 201742ANNUAL MEETING DEPOSIT FIFTH THIRD BANK 250.00 201742MASKS- DRUGTEST.COM FIFTH THIRD BANK 773.95 201742

VERMOUNT TEDDY-REFUND FIFTH THIRD BANK (540.79) 201742PARKING COUNTY CHARGE 250.00 Total Other Expense 2,277.80

Total Admin. Operational Expenses 113,354.07

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ADAMHS BOARD OF CUYAHOGA COUNTYINCOME STATEMENT

FOR THE PERIOD 1/1/20 THROUGH 12/31/20

Budget Jan-20 Feb-20 Mar-20 Apr-20 May-20 Jun-20 Total

Beginning Cash Balance 2,010,400 19,852,867 62,329,553 62,518,972 58,801,249 54,639,799 - 19,852,867

Federal RevenueSubstance Abuse Prevention & Treatment (SAPT) 4,891,942 1,222,986 1,222,986 2,445,971 Substance Abuse Prevention & Treatment Pass Through 2,269,632 587,941 139,427 - 326,308 250 - 1,053,925 SAPT DYS Aftercare 215,796 18,135 - 68,085 - - - 86,220 Title XX 861,179 - - 117,075 - 521,736 - 638,811 Projects Assistance Transition from Homelessness (PATH) 338,339 70,343 70,343 Mental Health Block Grant 839,814 209,954 209,954 419,907 Opportunities for Ohioans with Disabilities (OOD) - Case Service Contract 752,272 125,379 125,379 125,379 376,136

SAMHSA Federal Grant-AOT 846,689 119,881 132,483 252,363 SAMHSA Federal Grant-Jail Diversion 330,000 116,670 116,670 State Opioid Response (SOR) Funding 2,500,000 283,858 218,282 478,607 443,294 200,325 1,624,366 DOJ / COAP 310,744 - MH Housing 85,000 85,000

Total Federal 14,156,407 889,934 2,071,370 909,026 2,202,540 1,096,842 - 7,169,712

State RevenueMental Health System of Care 405,524 101,381 - - - 101,381 - 202,762 Behavioral Health Juvenile Justice 284,000 - - 54,953 - - - 54,953 Community Investments 1,756,934 726,601 363,300 - - - 1,089,901 Continuum of Care-Community Investments 14,489 Community Investments - ADAMHS Board Funding 113,848 Transitional Assertive Community Treatment (ACT) 275,000 137,500 137,500 Early Childhood Mental Health Counseling 441,906 110,477 110,477 Forensic Monitoring 194,406 48,602 - - - 48,602 - 97,203

ATP 325,000 81,250 - 81,250 - - - 162,500 AOD Recovery Housing 45,900 11,475 - 11,475 - - - 22,950

Specialized Docket Support-Drug Courts 410,000 - AOD Per Capita Treatment - Continuum of Care 586,004 146,501 - - - 146,501 - 293,002 AOD Per Capita Prevention 119,995 23,799 - - - 23,799 - 47,598 AOD Pass Through Funding 311,461 68,905 - 6,250 - 115,053 - 190,208 Casino Gambling Treatment/Prevention 415,215 103,804 - - 103,804 - - 207,608 BHCJ Linkage 20,833 20,833 41,667

Psychotropic Drug Reimbursement for County Jails 119,074 119,074 K - 12 Prevention 786,180 786,180 1,572,359 Access Success Operating Expenses 4,800 - - - - - 4,800 Crisis Flex Funds 473,149 - Community Transition Program 300,000 25,000 100,000 125,000

Total State Revenue 6,472,831 2,149,129 247,977 636,303 889,983 556,169 - 4,479,560

Local Revenue Miscellaneous Rents/Misc/Private Grants 200,000 1,386 46,538 26,879 - 10,104 - 84,906 Invest in Children (Early Childhood Mental Health) 669,552 - - 167,388 - 800 - 168,188 CCBDD Revenue - Overdose to Action Grant (Board of Health) 97,064 - Correction Planning Board, Misc County Grants 1,500,000 52,687 9,134 43,821 - 419,875 - 525,516

Northeast Ohio Regional Collaborative-Lorain County 1,250,000 1,250,000 1,250,000 Subtotal Local 3,716,616 1,304,072 55,672 238,087 - 430,779 - 2,028,611

HHS Levy Revenue ADAMHS Levy 39,363,657 40,363,659 - - - - - 40,363,659

Total Local & Levy Revenues 43,080,273 41,667,731 55,672 238,087 - 430,779 - 42,392,270 - Grand Total Revenues 63,709,511 44,706,794 2,375,018 1,783,416 3,092,523 2,083,789 - 54,041,542

BEGINNING BALANCE & REVENUES

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ADAMHS BOARD OF CUYAHOGA COUNTYINCOME STATEMENT

FOR THE PERIOD 1/1/20 THROUGH 12/31/20

Expenses Budget Jan-20 Feb-20 Mar-20 Apr-20 May-20 Jun-20 Total

Administrative ExpensesSalaries 219,560 197,666 221,428 204,849 305,923 - 1,149,426 Fringe Benefits 48,402 48,907 77,901 76,265 114,377 - 365,851 Commodities 8,491 7,182 17,066 7,752 5,343 - 45,835 Contracts & Professional Svc 69,135 70,898 94,578 72,887 99,676 - 407,175 County Data Processing - Equipment Expense 3,959 33,460 - 2,490 1,314 - 41,223 Other Expense 13,498 4,432 12,431 7,536 7,021 - 44,917

Total Administrative Expenses 5,973,414 363,044 362,545 423,404 371,779 533,655 - 2,054,427

Direct Service Expenses

Provider Direct ServicesMH Residential Services 18,070 241,188 952,946 627,856 642,756 - 2,482,815 SUD Residential Services 52,011 100,508 194,496 289,606 73,900 - 710,521 Employment Services 24,605 72,759 146,437 177,946 98,578 - 520,325 Non Medicaid Grants 634,942 593,983 1,121,808 983,538 1,052,226 - 4,386,497 Treatment Services - FFS 344,911 336,560 920,293 1,978,076 390,211 - 3,970,051 Peer / Family Support 227,263 31,975 294,828 469,045 98,507 - 1,121,618 Non Medicaid Prevention 28,485 80,626 71,804 286,697 116,527 - 584,139 Pass Thru Services 246,546 39,375 583,417 1,326,463 194,697 - 2,390,497 SUD Non Medicaid Treatment 70,881 2,415 - - - - 73,296

50,771,984 1,647,713 1,499,387 4,286,028 6,139,228 2,667,402 - 16,239,759

Other Services Non Medicaid Wrap Around Support 54,631 70,535 12,242 142,677 4,688 - 284,773

Wrap Refunds Credited towards Exp - (719) (1,796) - (1,290) - (3,805) Residential Placement Programs - BHJJ - 29,367 - 27,042 10,224 - 66,632 Healthcare Management Information System 171 - 1,241 - 11,726 - 13,138 Board Properties - Bldgs & Grounds 55220 10,258 14,881 7,748 19,863 24,630 - 77,378 Prevention Campaigns (Suicide,Gambling,Heroin,etc.) 1,250 11,355 1,800 100 158 - 14,663 Other (Client Trg., Drug Court) 2,170 - - 250 - - 2,420 Computerized Software 54300 / 200 586 586 586 5,568 7,410 14,736 Bus Tickets and Taxi and Misc - 3,725,000 69,065 126,004 21,821 195,499 57,546 - 469,936

OOD - Case Services Employment Case Services - 57,386 92,628 59,207 61,362 - 270,584 Mandated Match to OOD - Total OOD - Case Services 1,262,080 - 57,386 92,628 59,207 61,362 - 270,584

Federal Grants SAMHSA AOT 788 - 114,596 39,931 59,172 - 214,487 SAMHSA Jail Diversion 16,890 57,230 5,274 30,041 109,435 State Opioid Response (SOR) 132,085 99,118 465,687 420,206 49,724 1,166,820 DOJ/BJA Comprehensive Opiate Abuse (COAP) 17,413 24,269 39,745 22,848 2,141 71,471 Total Federal Grants 3,987,433 150,286 140,276 677,258 488,260 141,077 - 1,597,158

Grand Total Expenses 65,719,911 2,230,109 2,185,599 5,501,139 7,253,974 3,461,042 - 20,631,863

Revenues - Expenses + Beginning Balance - 62,329,553 62,518,972 58,801,249 54,639,799 53,262,546 - 53,262,546

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EXPENSES & ENDING BALANCE

Other Properties:Amount Vendor Description

8315 Detroit Ave. - EDENRoutine: $0.00 Guardian Alarm (ADS) Security.

$830.96 City of Cleveland Water/NEORSD Water/Sewer charges.$647.96 Iluminating Co. Electric.$297.25 Dominion East Ohio Gas.$0.00 Thyssen Elevator Corp Elevator Maintenance $0.00 Anthony Henderson Yardwork.

Sub Total $1,776.17Non Routine:

$0.00 Sub Total $0.00Total May $1,776.17

EDEN - W. 117th Street (Future Directions & Living Miracles)

$4,180.85 EDEN Consumer Operated Svcs W.117thTotal May $4,180.85

3244 E. 139th Street$9,899.00 EDEN Fire Panel Repair

Total May $9,899.00

Total May $15,856.02

Calendar Year 2020 YTD: $33,572.22

ALCOHOL, DRUG ADDICTION & MENTAL HEALTH SERVICES BOARDOther Properties

Calendar Year 2020For the Period May 1, 2020 through May 31, 2020

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Amount Vendor Description

$0.00 City of Cleveland Building Dept. Annual elevator inspection.Routine: $2,210.15 City of Cleveland Water/NEORSD Water/Sewer charges.$0.00 Dominion East Ohio Gas$0.00 Thyssen Elevator Elevator Maintenance $0.00 Various Linens, kitchen supplies.$890.77 Iluminating Co. Electric.

$110.34 AT&T Phone service.Sub Total $3,211.26

Non Routine: Sub Total $0.00 Total May $3,211.26

Y-T-D Total $17,567.2525540 Euclid PropertyRoutine:

$50.00 Allied Exterminators Pest control.$0.00 Iluminating Co. Electric. $175.32 City of Cleveland Water/NEORSD Water/Sewer charges.

$124.28 Dominion East Ohio Gas.$250.79 Waste Management Trash removal.

Sub Total $600.39$0.00 Republic and Waste Mgt. Trash removal.Non Routine: $0.00 EDEN, INC. (Reimbursements) Sidewalk/Driveway Repairs

Sub Total $0.00Total May $600.39

Y-T-D Total $4,853.091466 W. 81st Property Routine: $496.65 Dominion East Ohio Gas.

$607.45 Iluminating Co. Electric.$1,058.66 Waste Services (Republic) Trash removal.

$567.30 Guardian Alarm (ADS) Security$110.34 AT&T Phone service.$0.00 City of Cleveland Rental Registration

Sub Total $2,840.40Non Routine:

Sub Total $0.00 Total May $2,840.40

Y-T-D Total $12,463.5110229 Bernard AveRoutine: $187.14 City of Cleveland Water/NEORSD Water/Sewer charges.

Sub Total $187.14Non Routine:

Sub Total $0.00Total May $187.14

Y-T-D Total $621.8918464 Lakeshore Blvd.Routine:

$186.76 Dominion East Ohio Gas.$278.58 City of Cleveland Water/NEORSD Water/Sewer charges.$203.64 Cleveland Public Power Electric.$0.00 Guardian Alarm (ADS) Security$292.53 Waste Services (Republic) Trash removal.$348.95 AT&T Phone service.

Sub Total $1,310.46Non Routine: $0.00 City of Cleveland Build./Housing Rental Registration

Sub Total $0.00Total May $1,310.46

Y-T-D Total $5,962.07Seasons of Hope 1339 E. 112th Routine: $244.26 Cleveland Public Power Electric.

$379.81 City of Cleveland Water/NEORSD Water/Sewer charges.$0.00 Cuyahoga County Treasurer Real Estate TaxesSub Total $624.07

Non Routine: . Sub Total $0.00Total May $624.07

Y-T-D Total $2,337.86

ALCOHOL, DRUG ADDICTION & MENTAL HEALTH SERVICES BOARDBoard Owned Properites - Calendar Year 2020

For the Period May 1, 2020 through May 29, 2020

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Bradley Manor Property 3234 West Blvd

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Agenda Process Sheet Date: June 17, 2020

☐ Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee ☐ Planning & Oversight Committee Finance & Operations Committee ☐ Committee of the Whole ☐ General Meeting

Topic: 2020 Census Outreach Campaign: June and July 2020

Contractual Parties: Call and Post, 11800 Shaker Blvd, Cleveland, 44120 Entercom, Cleveland P. 0. Box 92911 The Mosound Group, Inc., 10104 Parkview Ave., Garfield Heights, 44125

Term: June 25, 2020 – August 31, 2020

Funding Sources: ADAMHS Board Operating Budget Amount:

To: For: Amount Call and Post Print Ads $1,000 Entercom Radio, Digital Geo Marketing $2,000 The Mosound Group, Inc. Soundtruck $1,100 Total 2020 Census Outreach Campaign $4,100

☐ New Program ☐Continuing Program ☐Expanding Program Other Outreach Campaign

Service Description:

• 2020 Census Outreach Campaign

Background Information: • Scott S. Osiecki, CEO, is tri-chair of the Hard to Count Communities subcommittee of the

Cuyahoga County Complete Count Committee alongside Joe Cimperman from Global Cleveland and Daniel Ortiz from Policy Matters.

• The individuals we serve, those suffering from addiction and mental illness, are a hard to count population.

• Census results are used to direct the distribution of billions of dollars in federal funds to local communities for schools, roads, SNAP, Medicaid, health clinics and other public services.

• Before coronavirus, we spoke to our clients, provider agencies, staff and Board of Directors about the importance of the Census. Since in-person meetings have been canceled, we have been promoting Census completion on social media, in e-blasts, on the website and in newsletters.

• A more targeted outreach campaign is necessary to increase responses in communities of Cuyahoga County that are at risk of being undercounted.

• This outreach campaign will target the City of Cleveland and East Cleveland, both of which have Census tracts with the lowest responses in Cuyahoga County at or below 30% response as of June 7, 2020. These include:

o Zip Code 44112, East Cleveland Census tract 1993 – 22.8% response Census tract 1501 – 30.8% response

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Census tract 1504 – 22.8% response Census tract 1503 – 27.3% response Census tract 1515 – 29.8% response Census tract 1516 – 26.2% response Census tract 1517 – 26.9% response Census tract 1518 – 29.3% response

o Zip Code 44120, Buckeye-Shaker/Mount Pleasant Census tract 1197.02 – 30% response Census tract 1207.01 – 29.5% response

o Zip Code 44108, Glenville Census tract 1166 – 29.6% response

o Zip Code 44103, St. Clair/Superior Census tract 1117 – 28.4% response

o Zip Code 44106, Hough/Fairfax Census tract 1989 – 24.9% response

o Zip Code 44104, Kinsman/Woodland Hills Census tract 1145.01 – 28.5% response

• The red dots on the map below indicate Census tracts being targeted for this campaign, which are listed above.

• Internet and radio messages will be combined with targeted soundtruck and print ads.

o 30-second spot: It only takes ten minutes to complete your Census, and it impacts our community for the next ten years. Census results determine funding to local communities for things like schools, SNAP, Medicaid, health clinics and even mental health and addiction treatment. That’s why it’s so important everyone gets counted. Do your part, and make sure your family is counted in the 2020 Census. Fill out your Census today, online at www.my2020census.gov or by calling 844-330-2020.

o 15-Second Spot: It only takes ten minutes to complete your Census, and it impacts our community for the next ten years. Do your part, and make sure your family is counted in the 2020 Census. Fill it out today, at www.my2020census.gov or by calling 844-330-2020.

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o Sample print and geo marketing ads:

Number of Individuals to be Served:

• Based on estimated impressions, 175,000 of individuals will be exposed to the campaign. Funding Use:

• Funding has been set-aside in the Board’s CY2019 Operating Budget for outreach campaigns.

Purchases include: • Call and Post, June and July 2020 ($1,000): two print ads

• Entercom, June and July 2020 ($2,000): Geofencing targeted digital ads will gain 125,000 impressions ($1,500); radio.com ads will gain 8,300 impressions ($500)

• Soundtruck, June and July 2020 ($1,100): two signs ($150.00), produce 30-second spot ($75), and play ad for seven hours (100 times per hour) for a total of 700 plays ($875)

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Client & System Impact:

Program/Service Goals: • The purpose of this campaign is to increase the number of 2020 Census responses in the City

of Cleveland and East Cleveland. These cities are at risk of being undercounted, which would result in federal funding disinvestment impacting the community for the next ten years.

Metrics (How will goals be measured)

o Increase Census response in targeted areas o Raise awareness about the importance of the Census o Raise awareness of ways to complete the Census

Evaluation/ Outcome Data (Actual results of program)

o Response rates in targeted areas increase by at least 10% by the end of the campaign.

Recommendation to Board of Directors from Board Staff and/or from Board Committee(s):

• Staff recommends the approval of 2020 Census outreach campaign to run in June and July of 2020 via the above listed media at a total amount of $4,100.

CONTRACTS

&

AMENDMENTS

Finance & Operations Committee June 17, 2020

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Agenda Process Sheet

Date: June 17, 2020 ☐ Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee Planning & Oversight Committee Finance & Operations Committee ☐ Committee of the Whole ☐ General Meeting Topic: Approval to Enter into a Contract with a Consultant for the Development of a Strategic

Plan for Calendar Years 2021-2025 for the ADAMHS Board of Cuyahoga County Contractual Parties: RAMA Consulting, Inc. Term: July 1, 2020 – December 31, 2020 Funding Source(s): ADAMHS Board Operating Budget Amount: $57,630

☐ New Program ☐Continuing Program ☐Expanding Program Other - Strategic Plan Service Description:

• Development and delineation of implementation of a five-year Strategic Plan for the ADAMHS Board of Cuyahoga County for Calendar Years 2021 through 2025.

Background Information:

• The ADAMHS Board is currently operating under the 2017-2020 Strategic Plan. • In order to plan for the future by ensuring a system of care that enables clients to access high quality, culturally

competent, behavioral health services, the Board issued a Request for Proposal (RFP) seeking a Consultant for the development of a new Strategic Plan.

• The Strategic Plan will be developed based on the Board’s most recent Needs Assessment, workforce development strategies, community input and the performance of the current provider network.

• The Strategic Plan will inform strategies and resource allocation decisions for Calendar Years 2021 through 2025.

• Intended to be a living document, the Strategic Plan will be modified with the ever-changing environment and will be regularly reviewed and updated as needed by the ADAMHS Board of Directors and leadership staff.

• In response to the RFP, the Board received thirteen proposals (please refer to the attached spreadsheet). • The proposals were reviewed and rated by an internal Board Review Committee consisting of eight staff

members. • Each proposal was scored on a 100-point scale with 800 total points being the highest possible score. • In order to determine the selected candidate, the Review Committee selected those bidders with at least a 700

out of 800 score. Five of the thirteen respondents met this criteria.

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• Scoring is as follows:

1 Rama Consulting, Inc. 759 $57,630 2 Public Works 736 $149,600 3 Analytic Insight 728 $39,332 4 Strategy Design Partners 715 $38,400 5 Measurement Resources Company 708 $24,140

• Rama Consulting, Inc. was the high scorer, besting the second highest bidder by 23 points. They also provided the most recent Strategic Planning document.

• Public Works, the second-highest scorer, was eliminated due to cost constraints. At $149,600, their bid was nearly three times the amount of the top-scorer, Rama Consulting, Inc.

• Analytic Insight was eliminated following discussion on 1) their location in Maine with no local contacts, 2) the verbiage that communicated a sense that a large amount of the work of the Strategic Plan may rest with the Board rather than with the vendor.

Score Cost Work

Hours

Average Hourly Rate

1 Rama Consulting, Inc. 759 $57,630 417 $131 4 Strategy Design Partners 715 $38,400 256 $150

5 Measurement Resources Company 708 $24,140 not specified n/a

• Next, the Review Committee considered hours committed to the project for the remaining bidders. o Management Resources Company did not specify hours, and their project was weighed overall. o Strategy Design Partners committed 256 hours at $150 an hour. The Review Committee did not regard

256 hours as sufficient for the Strategic Planning process. o Rama Consulting, Inc. bid 417 work hours which averages $131 per hour.

• Finally, Rama Consulting, Inc. scored 228 points on Question #3, “Describe the steps you will take to create a plan of action…[the Strategic Planning Process]” The next highest bidder scored 206; a 22 point difference on a scale of 0 to 240.

• Rama Consulting, Inc. was selected as the 2021-2025 Strategic Planning vendor.

Number of Individuals to be served: • All system clients and community partners.

Funding Use:

• Funds will be used to contract with RAMA Consulting, Inc., to facilitate the development of a Strategic Plan for Calendar Years for 2021 through 2025 for the ADAMHS Board of Cuyahoga County.

• RAMA Consulting, Inc., is a highly experienced MBE certified Columbus-based consulting firm with extensive experience working with a variety of public sector and nonprofit organizations and specializing in Stakeholder Outreach, Organizational Engagement, and Strategic Planning.


• Contracting with RAMA Consulting, Inc. will result in the development of a Strategic Plan that will guide the success of the ADAMHS Board of Cuyahoga County in the continuation and development of quality behavioral health and recovery services.

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• The five-year Strategic Plan can be read and understood by ADAMHS Board staff, Board of Directors, and the Board’s various stakeholders and community partners.

• The Strategic Plan can be used to inform strategies and resource allocation decisions for Calendar Years 2021 through 2025.

Evaluation/ Outcome Data (Actual results from program)

• N/A


• Board Staff recommends entering into a contract with RAMA Consulting, Inc. for $57,630 for the development of a Strategic Plan for the ADAMHS Board for Calendar Years 2021 through 2025.

• Approved by the Planning & Oversight Committee on June 10, 2020.

Executive Summary - 2020 Strategic Planning Scoring

Questions Analytic Insight Brain Storm Consulting Group Brown Consulting, Ltd. Burges & Burges Cleveland State UniversityMeasurement Resources

CompanyMKM Management

ConsultingProsper for Purpose Rama Consulting, Inc.

Rice Education Consulting, LLC.

Sankofa CircleSobriety in Motion

CorporationStrategy Design Partners

1. Describe your organization’s qualifications and experience in the development of strategic plans for governmental and non-profit entities which provide health and human services. (30 pts.). 225 238 201 229 177 226 237 105 237 212 96 17 228

2. Describe your plan to work in cooperation with the ADAMHS Board staff to gather input from the Board of Directors, Board staff and other community stakeholders to guide the development of the plan. (10 pts.) 66 76 69 69 74 72 67 46 73 73 46 8 723. Describe the steps you will take to create a plan of action in the areas of Leadership, Funding, Regulation & Legal Affairs, Clients Affairs, Clinical Standards/Best Practices, Advocacy/Social Media, Training/Capacity Building, Quality Improvement and Outcomes Evaluation, Information Technology, and Human Resources in the context of a changing behavioral health care environment. (30 pts.) 204 201 208 173 174 198 175 76 228 205 99 20 206

4. Discuss your experience with successfully producing comprehensive reports and conducting presentations for a variety of stakeholders (e.g. funders, nonprofit agencies, community partners, etc.) via multiple methods (e.g. website, presentations, PowerPoint, etc.). (10 pts). 78 77 58 63 43 59 52 33 67 71 44 4 665. Provide a detailed timeline for conducting the Strategic Planning process within the time frame, including task completion dates and responsible party(ies) based on the stated timeframe of May 1, 2020 – October 31, 2020. (10 pts.) 75 70 71 70 70 73 73 47 74 54 64 14 69

6. Provide three references of firms, governmental agencies or other organizations for who applicant is presently or previously conducted a strategic plan. Each reference must include the name of the organization, address, phone number and person to contact. (10 pts.) 80 74 79 78 57 80 76 56 80 73 73 41 74

Score 728 736 686 682 595 708 680 363 759 688 422 104 715Costs $39,332 $149,600 $59,750 $30,000 $97,908 $24,140 $44,234 $28,750 $57,630 $31,873 $19,000 $56,400 $38,400

Hours unknown / flat fee unknown / flat fee unknown / flat fee unknown / flat fee 1340 399 unknown / flat fee unknown / flat fee 417 344 unknown / flat fee unknown / flat fee 256Average Hourly Rate $-- ($32,400 - wages) (fringe

$5,832) $-- ($87,200* - wages) (fringe $3,000)

$-- ($56,400 - wages, 376 ) + ( fringe n/a)

$-- ($ wages not stated) (fringe n/a)

$58 ($60,622 - wages) + (fringe $16,968 )

$38 ($15,155 - wages) (fringe $3,031)

$-- (wages n/a) (fringe n/a) $43,150 all consultant costs

Costs not broken down in format requested.

$131 ($49,630 - wages, 387 hours) + (fringe n/a )

$81.25 ($23,138 wages) (fringe $3,600)

$-- ($11,000 wages) (fringe n/a)

$-- ($-40,000 wages) (fringe $1,500)

$150 ($- - wages) (fringe n/a)

Notes

$40,000 for additional consultant costs, for a grand total of $127,500 total in labor costs.

The $56,400 listed in wages is for consultant costs. A flat fee of $1,200 a day was charged.

Hourly rates vary from $15.00 for Research Assistants to $132.51 for Co-Principal Investigators.

Personnel costs are for the Project Director, Project Manager, and Research Assistants.

$43,150 consultant costs Costs not broken down in format requested.

$4,500 for an additional 30 hours in Design Consultant costs, for a grand total of $54,517 total in labor costs.



Includes 256 hours for Consultants. $38,400.

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☐ Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee ☐ Planning & Oversight Committee Finance & Operations Committee ☐ Committee of the Whole ☐ General Meeting Topic: Northeast Ohio Collaborative: SAMHSA Emergency COVID-19 Grant Funds Contractual Parties, Funding & Terms:

1. Ashtabula County MHRS Board $51,563.83 07/01/20 – 08/19/21 2. Geauga County MHRS Board $51,563.83 07/01/20 – 08/19/21 3. Lake County ADAMHS Board $51,563.83 07/01/20 – 08/19/21 4. Lorain County MHARS Board $51,563.83 07/01/20 – 08/19/21 5. Summit County ADM Board $51,563.83 07/01/20 – 08/19/21

Funding Source(s): SAMHSA Emergency COVID-19 Grant Funds Amount: $257,819.16 to Five Northeast Ohio Collaborative Boards $51,563.83 to Cuyahoga County ADAMHS Board $309,383 total

☐ New Program ☐Continuing Program ☐Expanding Program Other: COVID-19 Funding

Service Description:

• OhioMHAS received a $2 million SAMHSA grant for Emergency COVID-19 funding to address mental health and substance use disorders during the COVID-19 pandemic.

• Each collaborative will receive $309,383 of this award from OhioMHAS. The Northeast Ohio (NEO) Collaborative includes Cuyahoga, Lorain, Lake, Geauga, Ashtabula and Summit Counties. The ADAMHS Board of Cuyahoga County is the fiscal agent for the NEO Collaborative.

• Each NEO Collaborative Board will receive $51,563.83 to specifically enhance their Crisis/Information/Referral/Support Hotlines, Warm Lines and/or Mobile Crisis Teams. Each Board will contract with their local provider to utilize the Screening, Brief Intervention and Referral to Treatment (SBIRT) tool to identify then direct individuals impacted by COVID-19 to the appropriate levels of care. If a therapeutic intervention is required, the provider will facilitate a warm-handoff for evidence-based treatment and/or recovery support services to assist with anxiety, depression and trauma caused by the COVID-19 crisis.

• Each Board will implement a no cost social marketing and direct e-mail campaign aimed at healthcare workers at our behavioral health providers to assist with the stress or need for services because of dealing with the impact of COVID-19, including job loss, dealing with change in delivering services and overall stress of handling the increased stress exhibited by clients. The message will direct the behavioral health providers to call each county’s hotline number.

• Each Board will also implement a no cost social marketing and direct e-mail campaign to the general public to advertise that although it is normal to feel stress and uncertainty during this time, when it gets too much to handle it is OK to reach out for help. The message will direct the public to call each county’s hotline number.

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• The ADAMHS Board of Cuyahoga County was selected to serve as the Fiscal Agent for the NEO Collaborative since the inception of the Withdrawal Management/Detoxification and Mental Health Crisis expansion and was requested to continue to serve as the fiscal agent for all NEO Collaborative activities.

• OhioMHAS will distribute the SAMHSA COVID-19 funding on a quarterly basis and the ADAMHS Board will distribute the payments to the NEO Collaborative Boards with quarterly disbursements.

• Specifics of the SAMHSA COVID-19 funding:

o Can be used for either SMI, SED, SUD or both for adults and children: o 70% of the people served must be either SMI, SED, SUD or both. o 10% must be health care practitioners experiencing a non-SMI mental health disorder

that requires care. o 20% can be anyone with any diagnosis that is not SMI, SED or SUD, such as people who are

experiencing loss of a job, grief, etc.

• Each provider agency participating in the grant must provide Government Performance and Results Act (GPRA) data.

Number of Individuals to be Served: • The number of individuals to be served will vary based on each county but should follow the percentage

requirements outlined in the grant. Funding Use:

• Enhance Crisis/Information/Referral/Support Hotlines, Warm Lines and/or Mobile Crisis Teams to provide services to individuals experiencing mental health and substance use issues related to COVID-19.

Client & System Impact: • Increased Crisis/Information/Referral/Support Hotlines, Warm Lines and/or Mobile Crisis Teams to provide

services to individuals experiencing mental health and substance use issues related to COVID-19.

• Increased awareness of the behavioral health impact of COVID-19 on individuals living with mental illness and/or substance use, front-line healthcare workers and the public, as well as informing that help is available


• Each collaborative will report on the use of funds to OhioMHAS on July 14, 2020, October 14, 2020, January 14, 2021, and April 14, 2021.

• Each provider will enter clinical care performance data, such as demographics, diagnostic categories, functioning, and other variables as required into the GPRA, and provide other information, such as occupation, that will be determined by OhioMHAS.

Evaluation/ Outcome Data (Actual results from program)

• N/A


• Accept $309,383 in SAMHSA Emergency COVID-19 Grant Funds from OhioMHAS in four quarterly payments of $77,345.75 and authorize the ADAMHS Board of Cuyahoga County to provide quarterly payments of $12,890.95 of the $51,563.83 allocated to each of the other five Boards in the NEO Collaborative.

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☐ Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee ☐ Planning & Oversight Committee Finance & Operations Committee ☐ Committee of the Whole ☐ General Meeting Topic: Federal Emergency Management Agency (FEMA) Crisis Counseling Assistance

and Training Program (CCP) Immediate Services Program (ISP) Contractual Parties: Bellefaire Jewish Children’s Bureau Term: May 1, 2020 – June 29, 2020 Funding Source(s): OhioMHAS/FEMA Amount: $62,700.76

☐ New Program ☐Continuing Program Expanding Program ☐Other Service Description:

• The Immediate Services Program (ISP) is a CCP grant program that provides disaster relief assistance for up to 60 days after a major disaster declaration. The CCP is a short-term disaster relief grant for states, U.S. territories, and federally recognized tribes. CCP grants are awarded after a presidential disaster declaration. CCP funding supports community-based outreach, counseling, and other mental health services to survivors of natural and human-caused disasters. The focus of the ISP program is to provide high‐intensity, low‐volume individual services to persons and special poplutions directly affected by COVID-19.

Background Information: • OhioMHAS submitted a proposal on behalf of Ohio and negotiated with FEMA for the state’s award.

The ISP FEMA grant was awarded to the State of Ohio, June 3, 2020 in the amount of $466,500. The grant period began May 1, 2020 and ends June 29th, 2020. The department will be submitting a carryover request that will extend the ending date of the ISP grant July 28th, 2020.

• Bellefaire was chosen to receive an allocation for licensed therapists to provide telehealth services to current and newly enrolled clients across Cuyahoga County. Outreach and crisis staff provided individuals with information and education about typical reactions, coping strategies, and available disaster-related resources

Number of Individuals to be served: TBD

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Funding Use:

• Funding to compensate for increased costs attributed to staff time and telehealth expenses during the first 90 days of the pandemic.


• Making immediate resources available to individuals affected by COVID-19 to understand their reactions, review their options, and connect with other individuals and agencies that may assist them.


• Date when services began • Number of clients served • Total number of hours of services provided; • Number of clients receiving fact sheets and informational brochures; • Nature of psychological and social problems observed; • Type of mental health problems encountered by those impacted by COVID-19

and served by this program. Evaluation/ Outcome Data (Actual results from program)

N/A New expansion


• Board staff recommends accepting the FEMA funds from OhioMHAS in the amount of $62,700.76 to be awarded to Bellefaire JCB.

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☐ Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee Planning & Oversight Committee Finance & Operations Committee ☐ Committee of the Whole ☐ General Meeting Topic: Amendment to Resolution 19-11-08, Cornerstone of Hope Contractual Parties: Cornerstone of Hope Term: June 1, 2020 – December 31, 2020 Funding Source(s): ADAMHS Board of Cuyahoga County Amount: Increase - $40,000.00

☐ New Program ☐Continuing Program ☐Expanding Program Other COVID-19 Funding Service Description:

• Cornerstone of Hope provides Individual Counseling/Support Groups for Caregivers and Community Partners.

• When the COVID-19 quarantine began, Cornerstone of Hope expanded its services beyond bereavement to provide counseling for anxiety, depression, isolation, stress, adjustment disorder, and other related issues. Cornerstone of Hope has been offering remote telehealth counseling, and also opened their offices on May 11th in accordance with the Responsible RestartOhio protocol.

• Cornerstone of Hope has the capacity to accept referrals directly from the major hospital systems for their

caregiver/first responder staff, overflow clients from ADAMHS Community Partners and the community partners listed below. With funding from the ADAMHS Board, they will also be able to provide counseling services to new clients. The professional staff of counselors and social workers are ready to assist in providing care to individuals who need it most, including our heroic caregivers.

• Cornerstone of Hope is proud to be assisting the following community partners. They have access to thousands

of first responders who need help. Cornerstone of Hope takes referrals from these allied sources. They also accept referrals from ADAMHS partner organizations.

o Cleveland Clinic – Donald Malone, Jr., MD – Center for Behavioral Health o Cuyahoga County Medical Examiner – Thomas P. Gilson, MD – County Medical Examiner o MetroHealth System – Sarah Hendrickson, M.Ed. Director - Trauma Recovery Center o St. Vincent Charity Medical Center – Shannan Ritchie, Chief Operating Officer o University Hospital – Francoise Adan, MD - Connor Chair of Integrative Medicine


• Cornerstone of Hope is a 501(c)(3) comprehensive bereavement support center serving Cleveland and Northeast Ohio for the past 18 years. Their services include Individual Counseling, including Art and Trauma Therapy, Specialized Support Groups, In-School Support Groups, Youth Bereavement Camps, Retreats, Family

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Workshops, and Memorials. Our Bereavement Training Institute provides education on grief and trauma to hundreds of professionals each year. Since 2003, they have served over 38,000 grievers in Northeast Ohio.

Number of Individuals to be served: • This crucial emergency funding will increase individual therapy capacity by 400 sessions (267 for caregivers and

133 mental health sessions for community members). It will also allow for direct referrals to current and new support group offerings. Cornerstone for Hope expects to serve additional unique group clients for caregivers/first responders and clients who need extra mental health support.

Funding Use:

• Cornerstone of Hope is funded mainly by individual and corporate philanthropy, fundraising events, and grants. Due to the coronavirus pandemic and quarantine, their ability to have live fundraisers has been eliminated, as well as their ability to rely on individual and corporate philanthropy. They hope to change to a reimbursement model, which requires paneling for Medicare/Medicaid in the near future. Also, they need funding for more staff to provide critical bereavement and mental health care to clients.

• Due to the quarantine, individuals and grievers are isolated from friends and family, which can increase feelings

of loneliness, panic, depression, and increase risk for substance abuse and suicide. The resulting need for mental health care at this time is great.

• With this emergency funding, they can better ensure the continuation of the organization’s ability to provide

critical bereavement and mental health care while adding targeted programs for Caregivers of all types. Also, they will be able to serve more low-income clients in need with the ability to obtain reimbursement from Medicare/Medicaid.

Client & System Impact: Metrics (How will goals be measured)

• Number of increased Individual Therapy sessions o Goal 400 sessions

267 sessions for caregivers 133 sessions for community members

• Number of direct referrals to current support groups • Number of direct referrals to new support group offerings

o First Responders/Caregivers o New Mental Health clients

• Number of new grievers/clients (unduplicated) due to quarantine/COVID-19 seeking help with

o Loneliness, o Anxiety o Depression o Isolation o Stress o Adjustment Disorder o Substance Use Disorder

• Utilization of a pre-service and post-service client evaluation form to gauge program effectiveness

Evaluation/ Outcome Data (Actual) program results)

• No outcomes yet on the expanding emergency funding


• To amend Resolution 19-11-08 to provide Cornerstone of Hope emergency funding due to COVID-19 pandemic in the amount of $40,000 which will increase the existing Cornerstone of Hope agreement from $67,000.00 to $107,000.00.

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☐ Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee Planning & Oversight Committee Finance & Operations Committee ☐ Committee of the Whole ☐ General Meeting Topic: Amendment to Resolution 19-11-08, Recovery Resources Emergency Funding Contractual Parties: Recovery Resources Term: July 1, 2020 – December 31, 2020 Funding Source(s): ADAMHS Board of Cuyahoga County Amount: $100,000


• Recovery Resources is a comprehensive Outpatient Behavioral Health organization which provides services to children, adolescence and adults using evidence-based practice and client-centered strategies.

• ADAMHS board funding supports the following programs through Recovery Resources. Substance Use Disorder (SUD) Prevention, Mental Health (MH) Housing, Two MH Employment Programs, MH Peer Support, Jail Liaisons, Suburban Jail Liaisons, SUD/MH Prevention for Transitional Aged Youth, Gambling Initiatives and Treatment Services through Pooled Funding


• Recovery Resources has been serving clients with mental health, alcohol and drug addiction since 1955. One of their two founding agencies, Alcoholism Services of Cleveland, opened its doors in 1955. Prominent businessman Marty Baker, who was helped into recovery by Alcoholics Anonymous, wife, raised $90,000 from her husband’s business associates to help the National Council on Alcoholism start a treatment agency in Cleveland on Huron Rd. The agency grew, and in recognition of the need to address all addictions, changed its name, becoming Recovery Resources.

• In 1970 they partnered with the second founding agency, Neighborhood Counseling Services. • In 2008 an alliance formed with Community Challenge which worked to prevent alcohol, tobacco and other drug

abuse in Cleveland West Shore communities. • In 2011 Spectrum Supportive Services joined the Recovery Resources family which focused on the provision of

consumer-operated services and self-help/peer support services for Cuyahoga County adults with SUD/MH disorders.

Number of Individuals to be served: • This crucial emergency funding will increase the safety and wellbeing of all clients, staff and visitors who receive

services, work or are engaged in other business at Recovery Resources.

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Funding Use: • Screeners will be stationed at entry points to ensure all clients, employees and visitors are screened properly

before entering the building. Currently this is an unfunded but required service to ensure the safety of all entering the facility. This will require at least 2.5 FTE’s for the remainder of the year.

• Due to the current social distancing requirements alternative waiting areas are needed. As a result, an additional 1-2 Peer Navigators are needed for the remainder of 2020.

• Additional safety barriers will be put in place in waiting areas due to COVID-19 response. Client & System Impact: Metrics (How will goals be measured)

• Hire/Maintain 2.5 Full Time Equivalents employed as screeners for COVID-19 • Utilize Peer Navigators to help manage social distancing in waiting areas. • Maintain social distancing guidelines and procedures in all waiting areas. • Construct, maintain and utilize additional safety barriers in waiting areas.

Evaluation/ Outcome Data (Actual 2019 program results)

• N/A


• To amend Resolution 19-11-08 to provide Recovery Resources emergency funding due to COVID-19 pandemic in the amount of $100,000.


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☐ Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee Planning & Oversight Committee Finance & Operations Committee ☐ Committee of the Whole ☐ General Meeting Topic: Amendment to Resolution 19-11-08, Hispanic UMADAOP Contractual Parties: Hispanic UMADAOP Term: June 1, 2020 – December 31, 2020 Funding Source(s): ADAMHS Board of Cuyahoga County Amount: Increase - $20,382.51


• Hispanic Urban Minority Alcoholism and Drug Abuse Outreach Program’s (HUMADAOP) is an ADAMHS Board contract agency that is contracted to provide prevention and residential and outpatient treatment specific to the Hispanic/Latino population, although all individuals are welcome to obtain services from the agency.

• The agency’s priority is to serve youth and adults who are experiencing Behavioral Health issues with a focus on opiate/heroin addictions in both the Hispanic/Latino community and the community-at-large.


• Since the national and State of Ohio declarations of COVID-19 as a public health emergency, HUMADAOP instituted daily operation guidelines for preventing the spread of the virus while serving clients.

• However, the COVID-19 pandemic and subsequent State of Ohio-Stay at Home Order began to negatively impact residential client admissions. From October 2019 - January 2020, there were 72 admissions or an average of 18 admissions per month. From March - May 2020, there were 45 admissions or 11 admissions per month. Due to the pandemic, there was a 38% reduction in residential admissions and revenues.

• Fearful of a continuing admission reduction trend, HUMADAOP on May 12 submitted a Paycheck Protection Program application to US Bank to avoid staff reduction and/or layoffs. On June 1, US Bank approved the Paycheck Protection Program application in the amount of $187,665, that will be used to cover five weeks of payroll.

• On May 22, HUMADAOP learned of an employee testing positive for COVID-19. HUMADAOP immediately engaged the Cleveland Department of Public Health (CDPH) who interviewed employees and residential treatment clients, sent out quarantine orders, and assisted with mapping employee return dates.

• Within days, HUMADAOP completed discharge of the remainder of residential clients and on May 27, the HUMADAOP Board of Directors announced the temporary closure of the residential treatment center from May 28 - June 14, for lack of residential clients, professional decontamination cleaning, and lack of available staff due to CDPH return-to-work restrictions.

• Hispanic UMADAOP requested $53,102.51 in emergency funding to provide fringe benefits to employees during the temporary closure of its residential services, hazard incentive pay, and for addressing already expended and future costs of reopening its residential treatment services.

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• ADAMHS Board staff reviewed the request and are recommending to provide Hispanic UMADAOP with $20,382.51 for the following expenses:

o Professional Decontamination & Related Expenses: $ 6,100.00 o June 2020 Employee Fringe Benefits: $ 8,874.84 o June 2020 Treatment Center Operating Expenses: $ 5,407.67

$20,382.51 Number of Individuals to be served:

• This emergency funding will allow for 22 HUMADAOP employees to maintain benefits, as well as cover expenses related to reopening the residential treatment program.

Funding Use:

• This emergency funding will be used to cover the fringe benefits of 22 Hispanic UMADAOP employees, as well as cover expenses related to reopening its residential treatment program, such as decontamination of space and client transport vehicles, rent and utilities.

• Funding will be provided as a one-time payment that will require submission of receipts documenting how the funds were expended – like cost reimbursement. If the entire allocation is not spent, the remainder will be returned to the ADAMHS Board.

Client & System Impact: Metrics (How will goals be measured)

• Receipts documenting how the emergency funding was spent.

Evaluation/ Outcome Data (Actual) program results)

• N/A COVID-19 Emergency Funding


• To amend Resolution 19-11-08 to provide Hispanic UMADAOP emergency funding due to COVID-19 pandemic in the amount of $20,382.51, which will increase the existing Hispanic UMADAOP agreement from $75,000 to $95,382,51.


finance & operations committee wednesday, june 17, …adamhscc.org/pdf_adamhscc/en-us/6.17.20...

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