SJR 96: Comprehensive Services Act and
the At-Risk Youth and Families Program
October 31, 2006
SJR 96 establishes
the joint subcommittee to study the cost effectiveness of the Comprehensive
Services Act (CSA) and Comprehensive Services for At-Risk Youth and Families
Program (Program) and to collaborate with JLARC regarding its evaluation
of the administration of the Comprehensive Services Act.
The study will be
conducted in two phases. In the first phase of the study, during the 2006
interim, the joint subcommittee and JLARC will:
- Review the administration
of the CSA by state and local governments, including projections of
caseloads, service needs and costs, and quality of services provided.
- Make recommendations
for improvement of program services and strategies for cost containment.
- JLARC is charged
by HJR 60 with completing a comprehensive study of the CSA and the Program.
During the second
phase of the study in the 2007 interim, JLARC will brief the joint subcommittee
regarding its findings and will assist the joint subcommittee in developing
recommendations relative to collective findings and assessments regarding
the administration of the CSA and the cost effectiveness of the Program.
The joint subcommittee
will ultimately develop appropriate recommendations in consultation with
JLARC. Throughout the process, the joint subcommittee and JLARC will work
collaboratively to minimize duplication and fragmentation.
- Executive Director, Office of Comprehensive Services
Ms. McGaughey presented an overview of Virginia's Comprehensive Services
Act and Comprehensive Services for At-Risk Youth and Families Program.
Ms. McGaughey discussed the impetus for the CSA and the CSA statutory
framework. She then provided overview of the demographics of the population
served, the services provided, and annual program expenditures. Additionally,
Ms. McGaughey discussed major challenges faced by the CSA and the Comprehensive
Services for At-Risk Youth and Families Program. These included ensuring
access to appropriate community services and creating an array of community
services. Ms. McGaughey offered several key initiatives intended to meet
these challenges, including:
- Expanding community
expertise in serving children with serious emotional and behavioral
- Expanding service
in families, schools and communities to prevent placements in more restrictive
- Returning children
from residential placements, or keeping children out of residential
placements, who can be served effectively in homes, schools, and communities.
- Eliminating the
need for families to relinquish custody of children in order to access
behavioral health services.
- Creating a system
of care for "mandated" and "nonmandated" children,
regardless of which agency "door" they walk through.
- Improving results
and performance accountability with CSA by implementing performance
measures, strengthening the role of Community Policy and Management
teams, and increasing CSA administrative funds for communities.
Meyer - Executive Director, Virginia Treatment Center for Children and
Chairman, Child and Family Behavioral Health Policy and Planning Committee
Dr. Meyer gave a presentation that identified the strengths, as well as
the problems associated with the CSA and offered six specific recommendations.
Molliet-Ribet - Joint Legislative Audit and Review Commission.
Ms. Molliet-Ribet presented an overview of the Joint Legislative Audit
and Review Commission's study of children's residential services delivered
through the comprehensive services act, pursuant to House Joint Resolution
60 and in conjunction with the joint subcommittee pursuant to Senate Joint
Resolution 96. Ms. Molliet-Ribet discussed the scope, activities and topics
of the final report, which will be released on December 11, 2006, at 9:00
Data for the study
was collected through site visits to 17 localities; surveys of every local
CSA coordinator, every local Community and Policy Management Team, case
managers of 360 CSA participants and all Virginia residential providers;
site visits and meetings with residential providers, financial analyses
of residential facilities; and analyses of licensing compliance data and
residential program characteristics. The final report will include findings
and recommendations related to:
- Factors affecting
residential expenditures, including availability of lower cost, community-based
alternatives to residential care, adequacy of local infrastructure to
secure the most cost effective services, and effectiveness of markets
in controlling rates of residential facilities;
- Adequacy of licensing
standards or regulatory enforcement, to ensure that quality services
are provided, including the adequacy of licensing standards to ensure
health and safety of children and the effectiveness of regulatory agencies
in enforcing compliance with licensing standards;
- Importance of
tracking child outcomes, including current availability of information
to measure the impact of the CSA program.
The next meeting
of the joint subcommittee will be held on December 11, 2006, in Richmond.
The Hon. Emmett
W. Hanger, Jr.
Sarah Stanton and
Ellen Weston, DLS Staff
of Legislative Services > Legislative
Record > 2006
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