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Home My WebLink About710528.tiff 4 THEE MENTAL HEALTH CENTER OF WELD COUNTY , COLORADO ; 220 1 1 TH AVENUE, SUITE 304 GREELEY, COLORADO 80631 TELEPHONE 353 - 3686 ORADO COUNTY OF WELD ss. Filed with the Clerk of the Board August 15, 1971 of County Commissio.—S AUG 3t 1971 rtii l • Dean A. YiurigerrGrd 9y COyNTM CLERK/NO 71 ER9' 1\ Interim Regional Health Director ljtY Department of Health, Education & Welfare Room '9071 Federal Office Building 1961 Stout Street Denver, Colorado 80202 Attention: Ernest Hamburger, M. D. Re: Staffing Grant 08-H 000005-05 MR-H01-C-0 Dear Sir: _ The following information requested by your office is in regard to our continuation grant application herewith attached: Problem; The Weld County Mental Health Center needs a more efficient administrative structure. When this center began operation, it was small enough that one person could non: I' administrative and clinical duties. The con- , *. ;1;;",.4n of services into many varied programs, plus currently proposed further expansion, makes it impossi- ble for the psychiatrist to carry both the administrative and clinical duties. We do not believe it advantageous or feasible to use the psychiatrist' s time for administration. Therefore, administrative changes are indicated to meet the new demands. Goals: 1. Efficient administration. 2. Designation of psychiatric time to: A. Inpatient and outpatient care B. Consultation to community agencies C. All other psychiatric, non-administra- tive responsibilities. 3. Expansion and improvement of services to meet community needs. We need to get out into the community to determine these needs. OOO,5 710528 Mr. Dean A. H-ungerf ord Page 2 Organizational Plan: The attached organizational chart designates the various -responsibilities and proposed programs which will help solve the problem we have des- cribed and achieve the above-mentioned goals. New Position Designations: 1. Executive Director a. plans and directs the overall community mental health programs and services. b. hires and dehires with the consent of the community mental health center board. c. trains and supervises the activities of subordinates. • d. interprets and coordinates mental health service and activity to the community to promote maximum use of mental health services. e. hired by the board on a one year contract. 2. Medical Director (in collaboration with Exec- • utive Director) • a. directs the diagnostic and psychiatric treatment activities of the center. b. carries on active treatment with patients himself. c. supervises the professional mental health staff members in the treatment of; patients. d. studies the mental health needs of the community and orients activities of the center to meet these needs. 3. Staff Psychiatrist (under the supervision of the Medical Director) a. primary responsibility for the inpatient services. b. alternate on the 24-hour psychiatric emer- gency coverage with the medical director. • c. provide outpatient and consultation services as time permits. d. hired by the Executive Director with the recommendation of the medical director. The narrative of the" Center' s programs, aim, and goals, attached to the grant application, elucidate in more- length Mr. Dean A. Hungerford Page 3 • on the material presented in this cover letter. ': We sincerely hope that we have covered all aspects of the Center' s program . and proposed expansion of services. • y. Your,s very truly, (Mrs.) Marjorie Kadlub Chairman of the Board mf `f • I r,.........====.41 117:1 f, it. p •. O 'r'. 0 al Iii i .: •r-l' I 'i, • 11 o c��` �' «max • i4 IC -t� -i.) 43 W 111 f .q RS g 4131 , �J c, W 1�; 4 o o ` t o0H 0 ciu 1-7-40 1 3 `' t — 1 r �c r c� ! 4. I to W ) ►i U o i •- .ri v . i 2. f{ I f 6 'H . 1 'N1 • LY 1 I 4 N .r{ ( to t; .ri E' 1 i • .I • PTA-1 O ,►4 N i. p �' t ,� 17.+ 9, f ,� • n7 c7 i • 434 gi t. L' W N. • II �u}i •Ul 9 •-d S i C? �l 4 .ri + njj VI 1 0 441 .t .,--I c— .1.: . -rtpp I H I C" r.l)j •,>-.4 i r1 i a # t r-01 7_11 r7 C i t I. U 0 i { • . t Q 4i iNi tr, �, LH' i( 55 y 1 • i� U1 W U s L i j `d 4 N �tw .rl > x c.) ri N '..-c I i..i0 ca . E i • s� �_...�_. c `Oi J ' p kty i S 0.l ,..."? t; O 5 Z 60 -co • . . P is 0 • . ._._.__..__._._-- ___---iiri AIITI�t.ENt Or —I-- _ _ LEA_vr: rt.t:Nic _r:,;t itsi:_ttA u.•_a�.LY __ _-----_. it[A1.1'tl,iLIG I:rtAL-IllION, iIIVND 'df.i.FAi2E rf{OJi:c1- IDENTIFICATION Wi.,hitliii1 I'LftII IC It{./�LfII:it hVtU om. Ili:AL II:.C11VICES AWL)MMENTALI4L•ALi'ii ADN.INtS'{RATION t f wl_�---- , i NA1 Io:•,AL INSTITUTE OF MENTAL HEALT1� ;,:i„,ini:.t7,. Nr,tor j Ye4;-��t,;.t•,(.,.. int, Pr°:"r” of If a:r,.n:•,• COOVCII10111 I .CaWi:ocy �__...—___.__—_h_--__—APPLICATION FOR CONTINUATION STAFFING GRANT Amlit:ISTA TIVI.: CODES t-tsn.ilt0 TYPc 1 yp' 1 of ut Illcsubmittat Mental, Huniih Center rrb;r 1nl Proc,an, Application • Community Pncntur __-_._ - -- �- Li Comprehensive N .i-cotic Addiction and Drug Abuse Services I_ y cUli:.faL tiAri El Gumi)rehirrtl5io l\tcoItnlism I I 1 Services _ I—�—I I I......... • TO LIE CO:::PLETED BY APPLICANT ------• • I. T11 LL OF PROJECT (Limit in 53 spaces)MENTAL HEALTH H ALTH CENTER OF WELD COUNTY _ _ ___ _ ._-_ _ 5- PROJECT»C7 PERIOD (Lr,wr total time for t:Hic h sunl:nrt i;rot;;;;-::::T.: a: ,��fiA':e. .COi ,ty,State or Country, CT (Street Number,Street Name, approved showing bcvinning date end crrtling tl.;;cl City,Gnu,,ty,Ste:c Com,:ry,ZIP Code) -- —--•------ From (Mo.an'. }'r.) Tnroc,7h (A:o,(.4:y, }Y.1 MENTAL HEALTH CENTER OF WELD COUNTY 1220 ELEVENTH AVENUE NOVEMBER 1, 1967 OCrs'03L 31, 1975GREELEY, .COLORADO 80631 � __._ 6. BUDGET PERIOD (For both new and continoafion gr.7ntr the p.';:•c: is 12 t»onths) YFrom (Afo,Day. Yr.) 'riuotcc,,b (l.lo,Day, }'r.) NOVEMBER 1, 1971 1 OCTOBER 31, 1972 Gp;4Gi; �'�- G&Srt)1AL DISTr�iG: 7. AMOUNT REQUESTED FOR BUDGET VERIOD if rum Item o, (Detailed Lud)ct,Part:fl 3. Lc+;f LOYi:1l';i IOLiJTIFICAT{C)N 14UMEtLi1 (Lnter IRS nu•nbert iven you O Includes Indirect Costs lot tax rel,ur:rng pt ryoses) $ 227,249 r 00 . �]Excludes lnd�rect Cost, 8��-a522395 W _ ._. 4. DIRECTOR OF i'i3OJECT (Program or Center Director,Coordinator,or B. FINANCIAL MANAGE ME NT OFFICIAL (Legs„nom"of oliir.;9i,nt• Principal Investigator) Applicant organization accountable forgr:rnt funds; htr. NAME (Last,First,Middle initial) — NAME (Last,First,Middle Initial) o Miss STANEK, MARTHA B, r.r. . Mrs. Li Pais TEOSSEN, ARLYCE M. . (Specify) • I h1rs. o TITLE (Specify) INTERIM EK> UPIVE DIRECTOR I B y,- SOCIAL SECURITY NO. ff TITLE OF POSITION DEGREE3 . ACS4 515 36 7279 ; BUSINESS MANAGER ADD ;S (Srrce!Number or Box Number,Street Name,City,State or j ADDRESS (Street Number or Box Number,Street Natat;,C:it,',: :•':- Country,ZIP Code)Cocrntry,llP Code) • 1220 ELEVENTH AVENUE •1220 ELEVENTH AVENUE GREELEY, COLORADO 80631 GREr. ,EY, COLORADO 80631 • . •303-353-3686 303-353-3686 •` _- Uf I 10E T E:{ f:t•ef[i`:'r%rr�Cca�>,1::r7;:�.. �tcn:r:+ra..-...--. OrFIC TC[.if'NONCMIA,oa Code, Pei.No..Extension) • r !'\ ------ "`-"- PFIOJLCT IOFNT II-ICAT ION NO. ASSURANCES AND CERTIFICATIONS BY APPLICANT 08 H 000005 • • The following assurances and certifications arc part of the project grant application and must be signed by an official duly authorized to commit and assure that the applicant will comply with the provisions of the applicable laws,regulations,and policies relating to the project. The applicant hereby assures and certifies that be has read and will comply with the following: Title VI -- Civil Rights Act of 1964 (It SS-352) and Part 80 of Title 45, Code of Federal Regulations, so that no person will be excluded from _participation in, be - _ denied the b.nefits of, or be otherwise subjected t. discrimination on the grounds of race,color,or national drigin. ' Patents and inventions (Current PHS Policy Statement) tinder which all inventions made in the course of or under any grant shall be promptly and fully reported to HEW. ' Specific assurances, policies, guidelines, regulations and requirements in effect at the • time the grant award is made and applicable to this project (including the making of reports as required and the maintenance of necessary records and accounts, which will be made available to the Department of HEW for audit purposes) which are •, contained and listed in the grant application package and made a part hereof. j SIGNATURES—Use ink. Autographic signatures are required on original only. DATE ri.!o.,d. APPLICANT NO. 1 (Nano only) SIGNATURE OF DIRECTOR OF PROJECT/ v,.) STANEK, MARTHA B. 1)1(6,1 Ii, t, B C;�c�. -.i;' k—I6 •—r OFFICIAL AUTHORIZED TO SIGN FOR APPLICANT TITLE OF OFFICIAL AUTHORIZED TO SIGN FOR APPLICANT CHAIRMAN OF THE BOARD OF DIRECTORS OF THE • }(tiy Name (Cast,First,Middle Initial) MENTAL HEALTH CENTER OF WELD COUNTY rYsY • Mrs. KADLUB, MARJORIE DATE: rr:rp.,i SIGNATURE y//r,/ (specifALIy) A. roi_culr �,_/b ', .DEGREE �l � Oi;f •�;••} f :: 1 Fl- :: 1C i '4Rf 1, Nk) I ( l i e `.!. ,•.V,HUi C J 1C 1: G ' I ' ` to G'i [ ,:.:•:•:1',":1 • For lish4il/l (A.0.....rr • ORGANIZATION AND PERFORMANCE SITE DATA 1. /.PI't tCANT (h:rrac. Only) ! • ORG/.Ni%A"FIONAt. LL VIE 1. - 1 MENTAL HEALTH CENTER OF WELD COUNTY PROJECT IDENTIFICATION NO. ORGANIZATIONAL LEVEL — 2 i. ARE FEDERAL FACILITIES TO 13E USED FOR Ti 11S PROJECT ❑ 0 %of time ORGANIZ_ATIONALLEVEL-3 S. ORGANIZATION DESCRIPTORS A. TYPE ----- ------.-.--_------ 1. PU[;LIC 2. tUI;LIC SPON:',O4: ORGANIZATIONAL LEVEL-4 D 'Federal OCCounty 0 Col: lily Action. • O State 0 City 0 Sponsored Orr)::nire:;..• .--. • o Interstate ❑ School District • ❑ Other(Specify) ORGANIZATIONAL LEVEL--S 0 Metropolitan 0 Special Unit ❑ Other (Specify)_ 2. OFFICIAL TO tNII0M CHECKS ARE TO BE t'AILEC (If different • '3. PRIVATE NOrdP F1O:=IT • from financial Management Officisfi l (Indicate type of proof of NONPROFIT STATUS furnisl:::l• 0 mr. NAMt! (Last, First, Middle Initial) a. IRS Cumulative List Reference: o miss Mrs. STANEK, MARTHA B. Copy Pr.....:. ( Attached Sut,r.u:- _specify b. IRS Tax Exemption Certificate 0 t-i TITLE • INTERIM EXECUTIVE DIRECTOR - c. State certification Statement • ADDRESS (Number,Street Name,City,State or Country,Zip Code) ither ' E d. Ether a,b,or c above for State or • 1220 1;.JEVENTH AVENUE GREELEY, COLORADO 806311 National Parent Organization,PLUS . . . .❑ e. Statement from Parent Organization re {^ . ......-- :rr.- v,.,,nro:- 7- -— 4:--7. .. -- .�. : «+::177—.�_ [7 applicant's al ❑ • • Indicate Place Filed: Date Filed: . i1 .-..... --.....w.........ra.2..... MIT..J�.ri..►Y-.....►.tr� �rr..... ... .mod.- ..ry v.v .-0.T •.!:e• .1..e_t.tr..x-1 ii. FUNCTION 4. MODEL CITY INVOLVEMENT % • 0 Educational CXService 0 Otlter (Specify) 5. INVENTIONS A.❑ No C.❑ Yes--Previously reported 0 Planning 0 Hospital . • E.❑ yes—Not previously reported 9. GEOGRAPHIC SCOPE , G. RESEARCH INVOLVING HUMAN SUBJECTS (Sec Instructions) A.❑ No C,D Yes—Pending Revicv 0 National 0 Statewide 0 Local 0 Regional a Areawide 0 Other t3.❑ Yes Date Approved: (Specify/ — 10, I'Eiii1OF1MANCE SITE(S): The places where work will be performed if different from applicant address. Enter name,address and congressional district of center in the first space if the center itself is not the legal ei.plicant. Use additional spaces as necessary to provide similar information for all affiliating agcncies. SI'i E- NO, 2 (Name) SITE NO. (Name) . WELD COUNTY GENERAL HOSPITAL _ ---. - - - ADDRESS (Slicer I'/umber, Siruct Name, City,County,State or Country, ADDRESS (Srect Number,Street Name, City, County,.c t or Cou:,rr,•, • Zip Code) Zip Code) 16th STREET & 17th AVENUE GREi:FEY, COLORADO 80631 LONG. DISTRICT rORIC.Lii5l r:;. s:-:.ET NO.__ 3 (Name) SITE NO. (Name) DAY CARE CENTER __ _ _ _ _ _ __ _ /;DUi:[SS (Strcct ti,,W. :r,Strcr:t N.iMQ,city,county,State'or Coan"Y,— At.,b ti sS (Sucet Number,Street N✓nut,City,Cvunry,; or t..• •• . Zip cud ) Zip code) 1313 9th AVENUE • - GREELEY, COLORADO 80631 • •, CLING. iii Fla'- Fi-.5 tat i;l': !I. • DETAILED BUDGET --•PART I i'i oit.:r1(;wtrnnt: ic.ition __._------ I'li{)I=1:1;SIONAL. AND Ti_CISNICAL STAFF POSITIONS - CUiliif N TLY Ai't'iioVi:D AND T:) (;l: CONTINUED (List Positions by Service; Enter Subtotals;or S;1 ies (Columns 4 anti G) for Each) Seivic;e) -- - --- -- �____.._—_ACTUAL. SALARY--__—,— • :' PQ`Il IQN • Current J Contiraliaicn 'O..•TION Y Year R4MAii'r;S Year I UMi. ii ' TITLE _______.—,___ • -- - — - • - % of % of Salary Dime Salary i Time -------- 1 - 3 il 5 c 7 1 EXECUTIVE DIRECTOR ,E5:°o' ' 31.365,001100-' $22,000.0 IN—PATIENT 60% 22,140.00 5% 1,100.0 OUT—PATIENT 10% 3,690.00 30% 6,600.01, PARTIAL HOSPITALIZATION 5% 1,845.00 5% 1,100.0 EMERGENCY 5% 1,845.00, 300 . 6,600.00 CONSULTATION & EDUCATION 5% 1,845.00 30% 1 6,600.00 • 2 PSYCHIATRIC SOCIAL WORKER 100% 16,008,00 1002 E$16,850.00, 1 IN-PATIENT 10% 1,600.80 - � - OUT-PATIENT 30% 4,802.401 30% 5,055.00 PARTIAL TIAL HOSPITALIZATION 10% 1,600.80 10% 1,685.00 . EMERGENCY 10% 1,600.80 20% ;' 3,370.00 CONSULTATION & EDUCATION 40% 6,403.20 40% 6,740.00 • 3 ;'MEDICAL DIRECTOR 1000 27,675.00 10G'r, X30,000,00 IN-PATIENT 50% 13,837.E0 30% 9,000;00 OUT-PATIENT 30% 18,302.50 5% 1,500.00 PARTIAL HOSPITALIZATION 10% 2,767.50 30% 9,000.00 EMERGENCY 5% 1,383.75 30% 9,000.00 CONSULTATION & EDUCATION 5% 1,383.75 50 1,500.00 4 PSYCHIATRIC SOCIAL WORKER 40% ', 6 61 00 4G% ' 6.950.00 IN-PATIENT 30% 4,959.75 30% 5,212:50 EMERGENCY 10% 1,653.25 10% 1,737.50 - 5 PSYCHIATRIC SOCIAL WORKER 80% 9,684,00 80`4 510,168.00 . IN-PATIENT 20% 2,421.00 20% 2,542.00 OUT-PATIENT 40% 4,842.00 40% 5,084.00 . PARTIAL HOSPITALIZATION 100 • 1,210.50 10% 1,271.00 EMERGENCY - 10% 1,210.50 10% 1,271.00 • • 7 PSYCHIATRIC SOCIAL WORKER loo 16.045.00 100% 16.'848.00 . IN-PATIENT 10% 1,604.50 10% 1,684.80 OUT-PATIENT 75% 12,033.75 65% 10,951.20 • PARTIAL HOSPITALIZATION 5% 802.25 15% 2,527.20 EMERGENCY 10% 1,604.50 10% .1,684.80 • 8 STAFF PSYCHOLOGIST 75% ` 11.919.00 75% $ 2,000.00 , IN-PATIENT 5% 794.60 150 2,400.00 OUT-PATIENT 5% ?94.60 30% 4,800.00 PARTIAL HOSPITALIZATION 5% 794.60 - - EMERGENCY 50 794.60 5% 800.00 CONSULTATION & EDUCATION 55% 8,740.60 25% . 4,000.00 • /-%, ttlloi' l[:,::,nunic,)tion --'O s -cunr iNTLY A PriOV1:D AND 70 fit: CON.TINGcJ i'iip��'+:;::lONAt .•........ iGf _lCi)Scrviee� • (List i''U$111OF S by Ceivic'; IThter Sll1);Atili$1_r .+ 13; es�� ___.� , ______T_____ �— A CT U A L S A:.A it�. ______ . • ------E70.1-- VU:.iiaU�i�Gr! REMAiiAS .O?d POSITION Year Year �Li�y:E.::ii I TITLE • % of—I--7— c• of I S;:,ary . gslary Time 1 k 1'ii�'e � •� } *i 4 5 u i ; I 9 j STA.'i' PSYCHOLOGIST 75% i$11.206.001' 7% ' ,i I� i�lo,500d Q IN—PATIENT 15% 1,680.90 i 15% 1,575.0 j OUT—PATIENT : - • 15% : 1,680.00 15% 1,575:0 ' EMERGENCY. 5% l 560.30 55. : 525.00 • ; CONSULTATION & EDUCATION 40% 7,283.90; 4G% 1 6,825.00 k 1 10 1 PSYCHIATRIC P.H.N. . • - 100% 110.534..00 100%$ 8.820't001• • ! IN-PATIENT 50% 5,267,00 50% j 4,410,001 PARTIAL HOSPITALIZATION 40% j 4,213,60 40% 1 3,528,O0i I EMERGENCY 10% 1 1,053.40 10p t 882.00 . i11 l CASEWORKER 100% $ 9.321.00. 1004 111.696.oo • IN-PATIENT 80% 7,456.80i 5 ► 584.50 OUT-PATIENT 140% 4,67600 PARTIAL HOSPITALIZATION 12 1,8;4.2P .20% y 2,338:00 o� w I 1 EMERGENCY • - - 15% I 1,753.50 1 CONSULTATION & EDUCATION' - . - 1 20% 12,•338.00 •12 IOCCUPATIONAL THERAPIST 1100% 6 5,824.00}100 _ 6.300.00 - ,,, • . . I IN-PATIENT 60% 3;494.401 40% 2r520.00 • 1 PARTIAL HOSPITALIZATION 40% •2,329.60 •60% 3,780.00 ' l 15 ; PSYCHIATRIST 100% 4.800.00 100% $14.800:00 CONSULTATION & EDUCATION 100% 4,800.00 100% . 4,800.00 17 • ! TEACHER-EMOTIONALLY DIST, 100•% 8.696.00 00% $ '9)200.00 . . . PA;R'TIAL HOSPITALIZATION 100% 8;696.00 00% 9,200.00 • • 19 1 SECR D'I'ARY - RECEPT. • • 100% 1%6.907.00 100% 8.500.00 • . . 1 IN-PATIENT. • • - 25%. 2,125.00 I OUT-PATIENT • 100% 6,907.00 25% 2,125.00 } PARTIAL HOSPITALIZATION - - 25% ,125,00 i EMERGENCY - • - _ 25% ,125.00 • III r • 21 SECRETARY-,RECEPT. 100% 5:792.00 100% 16.082'00 , IN-PATIENT So% 12,896.00 25% I1,520,50 S OUT-PATIENT - - . 25% 1,520.50 • •PARTIAL HOSPITALIZATION 50% 2,896.00 25% 11,520.50 EMERGENCY - - 25% 11,520.50 22 (SECRETARY - RECEPT. 10 0 5.967.00 100% \$6.566.00 i IN-PATIENT . - 25% 1,641.50 • M UE--• ••-^- TCCiiti;CAL •iA1"' POSITIONS"CUrt.:IEV.- D ^ �! • (00:: i `i mill 6i 0 iti ii i:rVil.2�i !41St I OCitiCli1S Uy CC.'rVI A., i.i. l ------ ACCTUAL s . __ALA S . . yam- I 1-----6 'it 1 c0lii i:tion Ry MAilit.Ci POSITION Ycar ! '''r •v tJl�Litill t Q1 1 f O Sz,:arv! salary i 1 22 1 Cont.-II-rued from. .previous -page I • . t • i. OUT—PATIENT 1 100% $ 5,967.0 2.5% 1$ 1,641,50i f} PARTIAL HOSPITALIZATION i j — 25 1 1,641,501 • — 25% ;EMERGENCY — 1,641.50 f j ! I • 24 ; HEAL` NURSE • • . 100% ($ 9,Y36.0c 1�0'0% i $ 9,000,00 • TN—PATIENT 100 . 9,436.00 100y ; • 9,000.,0 i {{ • I 25 t S'='":F.c' NUF SE io0`'� $ G,3751 0(, 1.(05 1 8 220 0 IN—PATIENT 100% 9,375.00; 10a I. 8,200.0 I • 26 ' STAIN' NURSE . 3.00% 1$ 9,375,4100Z kp 8,200,0 , . IN—PATIENT 100% 9,375.001100% i 8,200.00 1 I 27 ISTAF7 NURSE • • • . \1O0% 9.3?K 150L.00%_i` S 8200,00] I 1 IN—PATIENT 1100% ► 9• ,375.001100 '8,200:001 •28 1STAF A • - . • I I I • 2Nd 'RSE • • 10(7• . 9.375.00 1071$. 8.200001 • • IN-PATIENT 00% i 9,375.00 100% E 8,200.00! . STAFF NURSE 100% $ 9,375,00 1001 $ 8.200,L00i .29 1J�.yi 1' a•.,la ,1 IN-PATIENT 100,4. 1 9,375.00 100� 8,200.001 30 . i S T�lFl� NURSE 5• 0% k 4,687.00 50:% $ 4.000.00 • . , . f IN-PATENT • 50% i 4,•667,00 50% 14,000.00 31 {SuPF'w'iISG'R • 1001 $ 1.155,00 ` 00% i 1.213.00 . . • • . IN—PATIENT ]00% 0,155.00 00 • 1,213.00 • 32 CLEi��C - R . sir, • 100 0 0 4.063,001 100% .$ L..266,0,0 IN—PATIENT 100%• I�• i •4,063.001 100 4,266.00 • • S EN ATTENDANT • ' - 1100 3.688.00i100% 3.872,00 . • IN-PATIENT , • 100% \ 3,688,001 100% 3,872.00 ..).-v S tTIOR AT ENDANT 100 3,688,00 1-- j 3,372,00 • IN-PATIENT 10000 3,688.00 1100% I 3,872.00 \ I �. .35 j SENIOR ATTENDANT 100% 3,688.00 11002 3.872.00 I IN-PATIENT . O''110 !i3,688.00. ,688.00 \1001!0 3,872,00 I • • f • { . 1 • DETAILED BUDGET —PART 1 it•rr,•';.'J(:c),n,n :?:Jiio11 — —_—vitol'i.:s!.gmiAI. AND Tl:CiiNICAL STAFF POSITIONS•-CURRENTLY A?i'1 OVt:D AND TO LIE CONTINUE() (List Vo:zitions by Service; Enter Subtotals for S:il5i'ICS (Ca1 ;mns 4 and G)for Each Service) ,____..___I_ ------ ___ACTUAL. S A L A i t Y• �__ (! CUrrc.i.t CoiUi iuution ! RC(d �liSC •t"J;i:'F;Oc�I POSIT ION Year • Yea I 1i rN u( C . G, tt Salary Ti 1 Ji�i3:y ' �__� 7ilrie �•I'�� 1 t r > 6 ! — 36 + � . SENIOR .ATTENDANT 100" $ 3,688.0 10 % '1.8 2.00 , IN—PATIENT 100% 3,658,01: 100% j 3,872.00 ! 37, I SENIUR ATTENDANT i00% $ 3.688.00 3 10C � :".822.0o1 I IN-PATIENT 100% 3,688.001100 1 3,872.001 . 38. SENIOR ATTENDANT • • 100% 3.688,00 100Z w 37200 1 IN-PATIENT 100% 3,688,00 10b,513,872.00 ! 39. !SENIOR ATTENDANT 1o0%j 3.688.00 10J; _: 3,872.00 1 i 1 IN-PATIENT • 100% 1 3,688.00,100% I3,87200 . 40. 6FNIOR ATTENDANT 100% 3688.0010g 3,872,00 1 IN-PATIENT I 100% 3,688. 0 110Cio 3,872.00 s 41. 1 S NIO-� ATTENDANT •( 100 .p 3,688.001100% $t 3.872,00 1 f _ . i IN—PATIENT 100% 3,688.00 107 3,872.00 42. PSYCHIATRIC SOCIAL WORKER 100% ,$12 600 00 001 11.230.00 IN—PATIENT 5% . 630.00 5% 551.50 . 1 OUT-PATIENT 60% 7,560.00 60% i 60738,00 1 PARTIAL HOSPITALIZATION 12.5% 1,575.00 12.5% 1,403.75 ! E:`;ERG NCY'• . 10% 1,260.00 10% 1,123.00 - CONSULTATION & EDUCATION 12.5% 1 1,575.00 12.5% 1,403.75 I 1 . 1 \•I. i I l • 1 II 1 ' ,' i)ETA;LED iiliil( : ... Pi 2 T•!ii'A[..V!':[I('omnatn1c.7fi(ll ��+� •• w .»��„ ��' - �. __.._. ...- PiiOF1:.SIONAL At::) T t'(:}INICAi.:i ST Ai':;i' PLI:Il'O" WON P0:ii-IONS FOR WiiICII i•UNI>1N(i is iii:l}uc T U) Von(:o: TiNiJA110P: ri:Af (List Po tioti.by Service; F Ili,'i a Stfilio.i11 for SaIat'1;'S (CUiiJmn 4) for Each Service) i'UsilloN i PO51'i•iGN . j % l.CZ-ll;.l. i OU Foil Gil s '�� PROP OSL'D NEW i'0:; l iON I�iii ii:i 1i i Ci7i.[ G(' SALARY TIME i -..------- ._— i PSYCHIATRIST ` i $25.000.00BOARD ELIGIBLE OR BOARD CERTIFIED 43. � .,....I.nl��z.tT.sT ,1.00°' � j PSYCHIATRIST { IN—PATIENa' 150% 12,500.00 OUT—PATIENT 10 2,500.00 I • PARTIAL HOSPITALIZATIO! 1Cfj; 2,500.00 1 EMERGENCY • 20% i 5,000.00 . . I CONSULTATION AND ED. 10'61 2,500.00 f � I • I • I �{ {� •• • 1 i t 1 1 I I I • • • • I e • . . I • ' • . I • I I i . I 1 1 , • . 1 • i • • • • DETAUi.i.D UU')GET -•i'Aii i. 4, l'rivilettad Ctrtnh;tlriiCJtipli _ — ---- RECEIPTS ANl) %XPENt)I T w LS NOTE: It the center receives funds which are not retained for its a:m,do not incIutie these under Ieceipts. ' Explain on a continuation pe•je IIICIuLlinj the source of funds,the am m amount and to who rent. _ CUiii f:NT VCAI.i COW I ii:l,,/1 i ION iicvi,eci YE.Aii RECEIPTS t. Estirnato i:SVItooViii _ rl ;. ( %Cat:l'al Staffing Grant (Pt. SS-11 i as urncuded) i0211r079.00 (`227,249,,00 II I 2. f0ther f=ederal runts (Exclude Research d '!ruining Grants) (Wittily Source) GOVEiIidM' T 1 • r t.:NOS: I i fr.vrlu ive,of i T State I=uiit:s — • 124:1_420.00 I179 6:30,00 i)f,.•ct Scr.'icr' ;f..____ _ . COUNTY AND MATCHING 58,773..00 i 55_830.00 g i.._ Funds e i 4i.�J i.__ R i ib:lament) It:;. TOTAL GOVERNMENT FUNDS )94.270.00 ) a9Q Qg— 20 104.00 20 200,00 11. Pa.;:trot FiieS 1- 7.. •in,urance (Prirntc and t'uluntary) —O,_�.—I--—0— _—_ ( 1 4. Medicaid . . 10.500.00 8 000.00 15. Quler Receipts From Services (specify'): rho SERVICES: I UNIVERSITY OF COLORADO 5,000.00 5,000.00 1 - • • I . 33,000.00 I •� Is 3.r),t�01+ GO ��I G. TOTAL RECEIPTS FRON;SERVICES C , • I 1, Arndt Raising (United funds, Foundations,Gifts,etc.) _I —0— —0— • HCE-.i:;S 12. Other (Specify): I I rr.or: i, J • -0— j _0.. SOURCES: I -------- ! I • 3. TOTAL RECEIPTS FROM OTHER SOURCES . I$ —0— S —0— -•"0-11,1_ F:ECE'T S FRO:;ALL SOURCES (Line A5+Line B *Line C3) JS429,874.00 P496,909,00 EXPENDITURES 11. inr)atient Services— including Diagnostict�'�lithd•rt.tval Services 159,966.00 $$i-i-',701 30 1_2. Outpatient Services__including D_iacnostic Services 58,491.;00 .__5'Y,Z&h„-2, ' 3 Pkirti,I 'i(r5)itiii17ation/InternletliateCaareServices f 28,037.00 i 43,619.95.�,I.I. t:.vSA710id c 11,619.00 39. Q33.$s0 OP i= I:'cl�'iAi. ;..._ ___. _ . r _. .5.Services_ __— iiEAL"i Ii ' S. Consultation and Education 28.'04.00 •i_36.?o&.25^_.-. u'. fli1XDIlD Fu�'�c-,tr.a7.l�tu�tiUn Services i — 1'O.`!'i iONS: 1, i r_:iilinci • !-- 13.^es -lick and Evaluation , 1---_— (lih 1Ud,fringe ; ;1. Administration - — l. ,iC[tts in k these totals)• 10,Other (Specify): • ' • FRINGE BENEFITS • 28,642.00 1 31,783.00 ' ) 5315,059.00 5349;614.00 I 11. TOTAL COMPENSATION OF MENTAL IiEALTii PERSONNEL (Stun of Lines I—!0 C4'.!PENSATI0N OF OTHER PERSONNEL ,• (Unfunded or lneliyitile for Participation) 38,365.00 1105i 100.00 fE--_ 36,870.00 II 42,195.00 '. to Li:Al ING L•X�'i.NDITURES Mee, Telephone,etc.) I 2__:____._.-- _ f t.�1OrAt. E`XPENDITUrois • (Line Ell +Line rs Line G) . !1390,294.00 P496,909.00 -- r 111Th. n Llne !i) . '., 39,580:00 -0- . . . D.1"A,;.-l: ilUDGET -i'Aii T 3 . ... - - I • h.utiu • iiECiiJI• C'i) �1 fiEGUf:ST 1t Kin CC:: :;ilUO ' .:;; C 1./lid COMPUTATION Q t.iAXlil�U ALLtJytiiA Lf.' _--`—_—SALARIES Positions Cirrrcvr!!1•Ir:rudid ari<!;:►be Continued is 292,8)1.00 ;a1 TOTAL • (Purr 1,CuL•unlr Gf -- C 1$ 29,283.00 fp Previously X ppru'.'.d Rau' l flit fii:i../�rC:Jr""iiltiGE 3EN�r'tTS ��,_.._-.-------- i i ...� ig 25,GOO.GG • lGi O'i r AL. 5A..AR1E !Veit'PositionsRequested (Part 2,t.OJritlill41 i ._._.— --------- Is 2,500,03 (<;; t«!,-rrD {I;VG.: �iENcr'r:S 1—...------7--- it")— 'EAri (Srr,+:njs tJrro:r4Jl cJJ !: r��k',OG TOTAL 5AI_Ai;iC.S AND FRINGE BENEFITS fOR CON INUA�'iGN 1� � ;1,A; ;'art 4,1.l1i:1l,Column 2) IS ''96,9(19.00 TOTAL GXP NDI Urins—CGN;Nu ATtON YEAR EST; MATE -•-- -colns� 11oN:rtG„nN� regiaa �� =�,598,C�G :i. AVZRAG EXPENDITURES von THE TWO YCAflS PRIOR l >>:icalionasA PROVED) f ------ • (1.lric:.rrJ'lcliojl�irsl Yr�ur4J1 (Irni 2 minus 3J ! /,• i i5aJc-�:ri:a iii:l:RGA5E IN i'iiOuFiAY� _�� •---•------------------- 1$349,614.00 ,�,r, r. C:.T:. (The::..�.�of:,�.,. tCl vi . I �,�. ..r.J rrr C 1 r� S ';;227,2 i r�5 r�ajrrcrr J 9.00 _.:: G. GRANT firOil::ST:-Q , MAXIMUM ALLOWABLE PEriCENTAG:iS OF SU?POrt T 1 — Determine the maximum allowable percz • . . . ta;�a of support foap r he • program and year of support from titc appropriate .table;• this percentage:o the eligible costs in Una . u.e the amount of the grad:requested (Item 6) in the following spaces: Item 7 of the Face Page ,.�.• On line A.1 of Column of Part 4 of the Detai e litidvAt • -.-- COMPREHENSIVE ALCOHOLISM SERVICES AND i COMMUNITY MENTAL HEALTH CENT`,RS 1 COMP r1E ENSIVE NArtCOTIC ADDICTION AND DRUG ABUSE SERVICES ' Designated I1lon•;,ovOrty I Year o. • pasignaeed .�:o^•povarty Area Soar of Support I ?overly Area i Poverty Area Area i 4 i �i{J".L I IJ G0% y 1__________ i � J11,-....._... �. <45% " -.�.-.-r,,...�-r._._�.r•--....--•'1 I11:.ti !tall" ,,1 i--" 3 1_ 75% "�.,.Cz • G I 70% i30% as an utBan or rural I• 7O• i mow.. + it:Ipveny area? Imo-...rte'•.. — r.........-.--....--.—....r-.. I �_ -.-....�.-^ i' •/., , , ,•i NARRATIVE PROGRAM INFORMATION A. Progress Report: This continuation year will see a marked change in the administrative structure of this Mental Health Center. Most notable will be the splitting of duties of what was previously the Director of the Center into two positions, that of Administrative Director and Medical Director. It is also planned that there will be a sizeable expansion of personnel and services provided by the Center. It is felt that the Center' s obligations and services had expanded to the point where one person was unable to efficiently handle both the administrative and clinical directorship' duties. Previously the Director had been a psychiatrist and it was felt that it is not advantageous or feasible to use a psy- chiatrist' s time for administration. Therefore, it is ex- pected that the administrator will be a non-psychiatrist and the Medical Director will have a psychiatric specialty. At the present time, the basic service elements are each headed by a person designated as a coordinator and these individuals have been responsible directly to the Director for their supervision and program coordination. There are coordinators for these following services: In-Patient Out-Patient Emergency Day Care Alcoholism Volunteer Program Childrens' Service In-Service Training Consultation and Education The change of administrative structure, which will be accomplished during the following year, will have all of the clinical coordinators directly under the Medical Director. The non-clinical services, such as administrative, consultation and research will fall directly under the Executive Director as is also the position of the Medical Director. With these changes of administration the designation of psychiatric time will be limited directly to in-patient and out-patient care, consultation time with community agencies and other psychiatric non-administrative responsibilities. The functions of the Executive Director will be to plan and direct the over-all community health programs and services, to hire new personnel n Narrative Program Information Page 2 with the consent of the community Mental Health Center Board, and to train and supervise the activities of subordinates. He will also interpret and coordinate the mental health services and activities to the community and promote the maximum use of mental health services. He will be hired by the board on a one-year contract. The Medical Director, in collaboration with the Executive Director, will head the diagnostic and psychiatric treatment activities of the Center. He will also carry on the direct treatment with patients and supervise the professional Mental Health staff members in the treatment of other patients. He will study the mental health needs of the community and orient the activities of the Center to meet these needs. It is also planned that there will be a staff psychiatrist who will be under the psychiatrist who occupies the position of Medical Director. B. Utilization of Services: As reported in previous continuation summaries, we have had concern over a particular area within the county which has shown to be a high risk group. This is the Ft. Lupton area with a high proportion of Spanish speaking migrant workers. For this past year we have served as a consultant to FUND (an agency attempting to provide comprehensive medical care) in their attempts to provide mental health services. As a result of this there are more staff in the Mental Health Center in- volved in outlying districts than a year ago. With the freezing of extra funds especially designated for poverty areas we will be establishing satellite clinics in poor areas such as Ft. Lupton. Changes as described above and additions within this next year will enable the Center patients to be more repre- sentative of the catchment area than in previous reports. The school consultation program has been a standing concern of both the Center and the Board of Directors and plans are being made for a more extensive and comprehensive program to be initia- ted during the ensuing year. This is based largely on the Center' s having more staff available to improve services in this area. There has been a concerted effort during the past year to expand the type and number of direct educational services to the community. These have included participation and organi- zation in worry clinics and panels on mental health and related problems in the community. The primary agencies being consult- ed within large part remain as they were last year. We have extensive communication and coordination with the Department eft\ pm Narrative Program Information Page 3 of Welfare where there are regular formal meetings and also extensive emergency and unscheduled consultation. The staff at the Mental Health Center continue to: talk regularly with various community groups, both informally and at specific community functions and meetings. During the past year there were seminars with the Probation and Parole Departments and these were considered successful. We expect to expand on these throughout the coming year. There will also be regular monthly meetings with the Departments of Vocational Rehabili- tation and Parole because of the large number of referrals from these two agencies. Throughout the past year there has been an extensive effort to keep a continuing series of articles published in the local newspaper regarding the rental_ Health Center and its work. We have been much more active than pre- viously in helping to educate and disseminate knowledge about the Nental Health Center to the community. We have had an annual open house inviting; all lay people and representatives of extensive organizations in the area to attend. There was a revision in our emergency service coverage and letters were sent explaining this to all lawyers, police, sheriff' s depart- ments, ministers, doctors, hospitals, various community organi- zations, school superintendents, administrators, counselors, teachers, etc. , so they would be aware of how to efficiently use our. 24-hour emergency service. Treatment modalities uti- lized by the staff continue to be varied and hopefully appro- priate to the need. The staff is eclectic in their orientation and most psychotherapeutic techniques are used, including individual therapy, group therapy, children' s activity, family and couple therapy, somatic therapy, occupational and recreation therapy, and special education. There are weekly in-service training programs held for both the hospital and in-patient staff, and the out-patient staff. Each staff member is en- couraged to attend one national and one local meeting a year within their discipline to improve their psychotherapeutic skills and general knowledge in mental health. During the past year we have been efficiently able to use the Day Care program to a much larger extent than before. This is because of the addition of a full-time coordinator and full-time recreational therapist for the program. Also, the in-patient service has been expanded to be able to provide for persons who need to use the facility only as a night hospital or day hospital, or have such specialized treatment as only attend in a daily group therapy session in the hospital. In past years it is felt that Narrative Program Information Page 4 the Day Care program was under-utilized because of inadequate staff and facilities to meet the needs for this aspect of patient care. There is continuing emphasis on emergency and crisis intervention to help resolve problems quickly or get a person into suitable helping agencies. We attempt to do this to keep our waiting list at a minimum. At the present time we have been able to have no waiting list at the Center. C. Coordination and Continuity of Care: Continuity of care is maintained by having the staff person who is initially and primarily involved with the patient continue to work with him irrespective of the service the patient is in. For instance, if a patient' s condition requires admission to the hospital, the out-patient therapist continues to see the patient while he is on in- patient status. This way continuity of care persists in spite of transfer from one service to another. With additional staff, we expect that providing continuity of care will become more difficult and feel that a team approach with adequate inter- team communication will provide the desired continuity of care as we expand services in general. D. Assessment of Community Needs: H During the past year it is felt that the expansion of program, particularly the consultation and education, has been able to provide more knowledge of the Center' s capabili- ties to the community and help the other community agencies work in coordination with us in providing care that is appro- priate for various types of individual problems. Because of the increased education and consultation, we have become more clearly aware of areas and situations within our catchment area which need more attention or greater service. Among these have been the poverty area near Ft. Lupton and the need for expanded school consultation. E. Community Involvement: The establishment in the past year of a volunteer program has helped link this agency more closely to the general lay public. The training program is extensive for the volunteers and there has been coordination with Red Cross in helping train these volunteers. They participate in the in-patient, Day Care, and out-patient services. There is a Narrative Program Information Page 5 continuing difficulty in relating to the community and their pressure for more extensive and direct services. By consultation and education we hope to increase the skill of members of other agencies so that appropriate care can be given without the Clinic portion of Mental Health Center becoming back-logged with treatment cases. F. Administration: As described under "A" , there are extensive adminis- trative changes within the Center which will be accomplish- ed during the coming year. The Board of Directors has assumed a much more active and interested role in the Center throughout the past year. They have been engaged in interviewing and screening applicants for the new position of Administrative Director. There has been poor communication previously between the administrative sections of the Center and the Board of Directors. At the present time they seem to be well on their way to resolution and with the various changes in reporting of program to the Board of Directors, it is hoped that communication will continue to improve. G. Over-All Assessment of Program: This is very difficult to ascertain and one must rely on feed-back from the agencies that the Center consults with and from interested persons such as members of the Mental Health Center Board. Noteable accomplishments which include the expansion of the Day Care Program and further coordination of its services with the in-patient and out-patient services. The revision of the emergency service is certainly more efficient and provides more rapid evaluation and treatment of any emergency condition. The program expansion already under way will be reflected in much greater direct service, better rapport with the community. 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