File #: 21-0129    Version: 1 Name:
Type: Action Item Status: Consent Agenda
File created: 2/15/2021 In control: Board of County Commissioners
On agenda: 3/8/2021 Final action:
Title: Budget Ordinance Amendment No. 21BCCC000088 Increasing Youth Home Expenditure Budget for Psychiatric Services for Youth Home and Contract Amendment for Services
Attachments: 1. AAF Supplemental Document - Contract Amendment Psychiatric Services (002), 2. Contract Amendment Psych Svc FY2021, 3. Attachment 1 - Psych Services Scope of Services FY2021 Amendment February 2021, 4. AAF-88 LEGAL FORM Hiring Freeze Set-aside $7,200 for Youth Home Psych Services
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Item:
Title
Budget Ordinance Amendment No. 21BCCC000088 Increasing Youth Home Expenditure Budget for Psychiatric Services for Youth Home and Contract Amendment for Services
Body
Date of BOCC Meeting: March 8, 2021

Request for Board Action:
Agenda Text
The Board is requested to approve Budget Ordinance Amendment No. 21BCCC000088 increasing the Youth Home expenditure budget by $7,200 to cover the increased contract cost of providing psychiatric services and medication management to juveniles in the Durham County Youth Home. Funding for this need will come from funds that were set aside at the outset of FY 2020-21 to address potential revenue shortfalls and/or address expenditure overages. A Budget Amendment is needed because the County's expenditures are adopted by the Budget Ordinance at the Functional Area level, and this transaction requires a transfer from General Government to Public Safety. The Board is also requested to authorize the County Manager to sign the amended contract with Psychiatric Services and Consultation to add psychiatric services and medication management for juveniles in the Durham County Youth Home.

This contract amendment, which increases the contract amount from $98,280 to $105,480, will add two to three (2-3) hours per week of medical staff time that will be used to interview youth detained at the Youth Home, prescribe medications, and review medications on established review intervals. Psychiatric Services at the Youth Home will be billed at the hourly rate of $200.

The Youth Home currently does not have regular onsite psychiatric services available. If these services are required, youth are transported to community-based services. Since "Raise the Age" and associated legislation went into effect, more juveniles are confined for longer periods of time at the facility due to very serious charges. This provision will allow the youth to remain at the Youth Home, reducing security risks, and developing a regular medication manag...

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