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Page 1 A Message from the Director of Human Services If ever a division of government were aptly named, it is the Kenosha County Department of Human Services. For indeed, human services is what we are all about. A cursory and admittedly incomplete counting of the number of individuals directly assisted by our various divisions comes to a whopping 130,000, nearly approximating the population of the entire county! Many others are served by agencies and individuals funded by the Department to assist us in our work. Of course there has to be some duplication and overlap and many are brief contact, information only inquiries. Yet the fact is we touch numerous lives and have significant involvement in helping people cope with a myriad of problems. The scope of what we do is mirrored in a sampling of statistics detailed in this report: Division of Aging: 3,259 Information, Assistance & Access 475 Community Options Program/Medical Assistance 63 Eldereach 111 Home delivered meals 381 Care-A-Van riders Brookside Care Center: 154 Residents, 60 of whom are Alzheimer’s patients Division of Children & Family Services: 721 Physical & Sexual Abuse & Neglect Cases 168 Children in Foster Care 355 Referrals to Juvenile Court Services Unit Division of Disability Services: 5,388 Adult Crisis Contacts 167 Seriously mentally ill persons served in the Community Support Program 380 Developmentally Disabled persons served 191 Persons served in Community Integration and Community Options Program Division of Health: 16,668 Immunizations 8,879 Walk-ins -- Nurse of the Day 1,225 Licensed food establishments Kenosha County Department of Human Services 1998 Annual Report Page 2 Message from the Director 122 Animal bite investigations Division of Veteran’s Services: 274 Department of Veteran’s Affairs home loan guaranteed 286 Families of deceased veterans receiving burial benefits 85 Veteran educational grants 25 Personal loans for debt consolidation or education Division of Workforce Development: 56,000 Child support enforcement cases 2,314 Food stamp households 7,675 Medical assistance recipients 719 Welfare-to-Work recipients Numbers alone tell only part of the tale. The real story lies in a dedicated Dennis and compassionate work force, both public and private who labor long and Schultz hard to help people access services and cope with the problems of life. They form an honor roll of public service and I am proud to have been associated with them. As I pen these remarks (mid August1999), I have just resigned my position as Director of the Human Services Department to take on a juvenile justice assignment in the Division of Children & Family Services. I want to express my appreciation to the citizens of Kenosha County represented by our County Board and especially to Dr. Eunice Boyer, who for many years, has Boyer served as chairperson of our Human Services Board & Human Services Committee (and their predecessor bodies). She, the Board & Committee Judy members, have been universally supportive and understanding and have Weseman helped the Department maintain the high standards we have set for ourselves. I would also like to express my fondest gratitude to the colleagues who have constituted my management team: Schultz, Dennis Schultz who is succeeding me, has ably directed the Division of Children & Family Services. He cares deeply about children and is dedicated to turning young lives around so that they too can find their place in the sun. We have developed a close working relationship through the years and he has often been described as my “bastard son.” I could do Ron Frederick worse (I think). We are, of course, of approximately the same height (when I stand on the table, that is). Judy Weseman, our Director of Workforce Development, is a Weseman lawyer. Despite this handicap, she is embued with a social conscience, is devoted to bringing the poor out of poverty, and is always alert to emerging opportunities to bettering our service delivery system. Ron Frederick, (Disabilities Division Director) and LaVerne Frederick Jaros (Aging Division Director) are our twin consciences. Both are client Jaros, advocates with a strong streak of integrity. Ron brings a zest and passion LaVerne Jaros Kenosha County Department of Human Services 1998 Annual Report Message from the Director Page 3 to the job, which we all admire. LaVerne is quieter but just as persistent (and a lot better looking). Frank Matteo (Health Division Director) is even quieter than LaVerne. He handles a division with a myriad of public health responsibilities, does his job quietly and efficiently, is tolerant and keeps his anti-pipe smoking lectures to me at a minimum. Tom Lois (Veteran’s Division Director) is the quietest of all. Frank Mateo This is befitting his well-deserved war hero image. He sees to it that Kenosha veterans get maximum benefits due them. That’s what he’s here to do and he does it well. Jim Kennedy, Ph.D. (Director of Operations) is the intellectual of the house. He has the best grasp of anyone on the overall operations of the department and is assiduous in exploring ways of expanding and refining our service capabilities. He has a wicked sense of humor and gracefully accepts the ribbing that comes his way due to his inability to join LaVerne, Frank & Tom in limiting what he has to say. Tom Lois Wikstrom Bernice Wikstrom (Brookside Care Center Director) recently retired and was succeeded by Karen Vincent Vincent. Bernice took on an old nursing home with many problems, oversaw the construction of a state of the art facility and came to be loved by both residents and staff. Karen has the personality and vision to keep Bernice’s dream alive. Job Center manager Larry Jankowski has developed the “Jewel in the Crown”. Our Job Center is a wonder to behold. None is more effective in transitioning people from welfare to work. Visitors from around the world stop by to learn how we do it. Larry is the driving force behind this Jim Kennedy achievement and has given many workshops on the subject throughout the free world. Somehow, he has maintained a modest, self-effacing demeanor and is generous in crediting others for accomplishments due largely to his efforts. Our fiscal operations over the years have been carried out Orendorff, under the direction of Tom Orendorff who is a veritable genius at maximizing state and federal grant opportunities. Neither Tom nor Larry are county employees but they always perform with the county’s best interests at heart. With the creation of a Department of Human Services and the need for a county fiscal manager, we recruited Dan Vidas, Carol Vidas Bernice Golisch and Jeff Wilson from Tom’s firm. All have performed well in Tom’s Wickstrom tradition and have helped keep the Department’s finances sound (and me out of jail). Finally a word about Jim Hammelev (Contract Monitor) who is retiring after 34 years of service. Jim has performed a variety of duties in his tenure with distinction. Despite his gruff exterior, he is probably the most widely respected and best liked individual in county government. He has been my closest confidant and has done his level best to keep me out of trouble. Jim was recently diagnosed with cancer. He and his wife, Flo, (who is the saintliest person I know) are fighters. If anyone can conquer this Larry affliction, they can. The prayers of all of us are with them. Jankowski Kenosha County Department of Human Services 1998 Annual Report Page 4 Message from the Director I have always tried to surround myself with people who are brighter than I am. I have done so in my sojourn with Kenosha County. I salute my management team for their competence, dedication, and loyalty. It’s been a privilege to serve with them. As I look back over my years with Kenosha, as Social Service Program Manager, Director of the Department of Social Services, and finally as Director of the Human Services Department, I hope I will be remembered as someone who fostered professionalism, brought a measure of innovation, compassion and accountability to government work and one who recognized the value of melding public and private resources for the common good. I feel some success in bringing folks together, elevating the dialogue and facilitating good people working together to do good things. It’s a legacy I can live with. As mentioned earlier, I haven’t quite folded my tent to steal quietly into the night. I plan to continue to serve the people of Kenosha and appreciate the opportunity to do so. Thanks again to all! Sy Adler Kenosha County Department of Human Services 1998 Annual Report Page 5 Human Services Committee of the Kenosha Department of Human Services County Board of Supervisors Mission Statement Eunice Boyer, Chair Gerald Bellow To develop, coordinate, and administer a comprehensive network of services to children, youth, families, Tony Garcia the elderly, and individuals striving to cope with developmental disabilities, mental illness, and alcohol John O’Day and drug problems; to preserve and strengthen families, while protecting children from high-risk or Gordon West abusive situations; to empower individuals and families to become law-abiding and economically self- sufficient; to assure the delivery of public health services necessary to prevent disease; to protect, promote, and preserve a healthy citizenry and environment; to advise and assist military veterans; to provide high Kenosha County Human quality nursing home services to the elderly and medically disabled; to advocate on behalf of these Services Board constituencies on the local, state, and national level. Eunice Boyer, Chair Anne Bergo Sandra Bisciglia Seymour J. Adler, Director Ronald Johnson Kathryn Croskery Jones Tom Kerkman Jan Marrelli Aging Services Office of the Director Colleen Sandt Long-term Care Operation Richard Willoughby Adult Protective Services Fiscal Services Support Services Contract Monitoring Department of Human Services Office of the Brookside Care Center Director 1998 Expenditures Seymour J. Adler, Director James Kennedy, $348,773 Manager of Operations Carol Golisch, Children and Family Manager of Fiscal Services Services $6,117,564 James Hammelev, Child Welfare Contract Monitor Juvenile Court $8,215,915 Theresa Rothenberger, Senior Office Associate $15,908,777 Disability Services Department of Human Alcohol and Drug $12,694,636 Services Management Team Developmental Disabilities Mental Health $2,509,587 Seymour J. Adler Ron Frederick Carol Golisch Health $172,149 Larry Jankowski Nursing James Kennedy Environmental Health $9,218,777 Laverne Kulisek-Jaros Laboratory Thomas Lois Frank Matteo $55,186,178 Dennis Schultz Judy Weseman Veterans Bernice Wikstrom Workforce Development Economic Support Child Support Job Center Kenosha County Department of Human Services 1998 Annual Report Page 6 Division of Aging Kenosha County Commission on Aging Eugene Schutz, Chair Mission Statement Ross Boone The mission of the Kenosha County Division of Aging Services is to make life better for older people and Eunice Boyer Salonia Grimes persons with disabilities through information, advocacy, service and program development. Helen Halka Walter Johnson T he AgingKenoshaand servicesResource Center of and Disability shop for information County is a one-stop and an Medical Equipment. The Eldereach Coordinator, an employee of Mario Morrone Kathleeen Pfeiffer Maureen Reed Don Servais entry point for older and physically disabled Kenosha Area Family and Aging Services, Barbara Wisnefski persons seeking long term care. Inc., located at Aging and Disability Resource Center, provides emotional support and The Information , Assistance and Access referrals for older persons experiencing Community Options (IAA) staff receive requests for information mental or emotional problems. Volunteers Program/Long Term Support Advisory and help with a variety of concerns and visit individuals who can benefit from on- Committee maintain a community resource file. They going support. conduct face-to-face visits with people Jill Hall, Chair seeking long term care services, test the Betty Anderson Eldereach Ron Frederick state’s screening tool, assess their eligibility Persons Served 63 Jim Hammelev for funding and consult with them about their Edna Highland options. Volunteers 4 Marbeth Knoff Mary Jane Landry Information, Assistance and Access Caregiver Support Group Richard Lindgren Contacts (April-Dec.) 3,259 Average Monthly Attendance 9 Frank Matteo Mary Petersen Source of contact: Stanley Rosen Self 824 Daybreak provides group activities two days a Sue Tudjan week at the Westosha Community Center for Dolores Wojciechowitz Relative 923 Friend/Neighbor 156 persons with dementia while providing respite Hospital 288 for their family caregivers. Specialized Transportation Nursing Home 205 Committee Public Health/Home Health 125 Daybreak Community Provider 178 Ed Jenkins, Chair Persons Served 7 Elda Adrian Other 322 Betty Anderson Unknown 238 Volunteers 18 Marbeth Knoff Carol Schaufel-Romero Case management services for the elderly and The Special Needs Assistance Program physically disabled were provided by (SNAP) provides up to $500 toward special Division of Aging Lutheran Social Services and the Division of needs of eligible disabled persons. Services Staff Aging Services. The Benefit Specialist Program is Laverne Jaros, Director SNAP Carolyn Feldt Case Management Arlene Badtke Persons Served 30 Dolly Fitch Assessments 404 Christopher Hall administered by Kenosha Area Family and Wren Ide Care Plans 398 Dennis Rutkowski Aging Services staff at the Aging and Judy Schoor Persons Serviced Disability Resource Center. Volunteers COP/MA 475 assisted homebound persons to file for Supportive Home Care 82 homestead tax credit and provided help with Alzheimer’s 16 Medicare paperwork. The Division of Workforce Development has Community Based Long Term Care Services include Supportive Homecare, Adult Day (Continued on page 7) Care, Community Based Residential Facilities, Supportive Homecare, Lifeline, and Kenosha County Department of Human Services 1998 Annual Report Division of Aging Page 7 Benefit Specialists Congregate Nutrition Information only calls 928 Meals Served 64,165 Cases opened 252 Participants 1,132 Appeals 22 mornings a week at the Parkside Baptist Group presentations 30 Church nutrition site. Medicare workshops 8 The meals purchased by the Division of Monetary impact of cases $104,473 Aging represent about 20% of the Meals on Wheels delivered by Kenosha Area Family three workers at the Aging and Disability and Aging Services, Inc. Program volunteers Resource Center who process applications deliver a hot lunch and cold sandwich supper and determine eligibility of older persons to persons who are homebound and unable to applying for Medical Assistance to pay for prepare their own meals. The number of long-term care. meals served through Older American Acts The Adult Protection Services unit includes funds increased by 10% over 1997. staff of Goodwill Industries and the County. As part of the resource center pilot outreach activities, a new logo, brochures, refrigerator Medicaid (Title XX) magnets, bookmarks, file folders and index cards were developed and distributed through Intakes 358 Home Delivered Meals Caseload - Nursing homes 668 COP - Waiver 225 Persons served 111 Other 72 Meals served 18,353 Referrals declined generally by 7% from 1997 except for the category of financial abuse pharmacy prescription bags, senior groups, where referrals more than doubled from 14 to physician offices and other referral sources. 33. This seems to be following a national trend. Self-neglect referrals accounted for The Westosha Community Center provides a 60% of the total. variety of activities for older adults and serves as host to the Daybreak Program for persons The Congregate Nutrition Program provided with Alzheimer’s Disease. heart healthy meals accommodating special The Spanish Center, under contract with the Division of Aging, provides outreach to Adult Protective Services Hispanic elderly to provide information on senior issues and involve them in volunteer Persons Referred 248 activities to help the young and old. Protective placement/ 71 guardianship Westosha Community Center Elderabuse and neglect 177 Center Participants 376 WATTS reviews 159 Number of persons in protective 198 Kenosha County provides part of the placement matching funds needed by Senior Community Services of Southeastern Wisconsin to diets at seven sites. Kenosha Area Family provide low income senior aides with jobs in and Aging Services administered the program non-profit and government agencies while and Kenosha Achievement Center catered the seeking permanent positions in unsubsidized meals. Volunteer Support Program Participants 30 CAMP (Companionship, Activities, and Meals Program) provides activities for Community Options Programs clients two Kenosha County Department of Human Services 1998 Annual Report Page 8 Division of Aging jobs. match frail older persons with volunteers who can provide companionship, grocery shopping The Sheriff’s Work Crew did snow removal and other assistance. and chores for older adults. County jail inmates, supervised by a retired Sheriff’s The Kenosha News prints the Division’s deputy, washed windows, trimmed bushes, monthly newspaper mailed to over 12,000 and did minor painting and repair jobs. 26 senior households and distributed to area Senior Employment nursing homes. Volunteers of the Westosha Community Center label and bundle the Authorized positions 27 papers for bulk mailing. Readers contributed Persons served 37 $4,504 toward mailing costs. Unsubsidized Placement 12 Division of Aging Services 1998 Budget clients were also referred to the Boy Scouts for leaf raking. The Division of Aging contracts with the Lincoln Neighborhood Center to coordinate the Ethnic Elders Club. The club encourages 1998 Revenue Sources the involvement of African American elders in education, recreation, and volunteer County Levy Federal, State & $605,616 Other Non Levy (10%) Chore Service $5,513,273 (90%) Persons assisted Lawn and snow service 46 Work crew visits 95 activities. 1998 Expenditures The Kenosha Achievement Center, Inc. Education, Services for provides transportation through Care-A-Van Advocacy and Planning Older Adults and Volunteer Escort Service for elderly and $65,629 (1%) $638,110 disabled persons who cannot use the city (10%) buses. Adult Protective Long Term The Division of Aging provides a small grant Services Care to supplement foundation funds given to $280,642 Services (5%) $5,134,508 Transportation (84%) Care-A-Van Riders 381 Trips 20,749 Miles 9,353 Volunteer Escort Trips Miles driven Volunteers Kenosha Area Family and Aging Services to Kenosha County Department of Human Services 1998 Annual Report Page 9 Brookside Board of Trustees Brookside Care Center Robert Pitts, Chair Eunice Boyer Mission Statement Robert Carbone It is the mission of Brookside Care Center to provide high quality nursing home services to residents of Louis DeMarco Kenosha County in a fiscally responsible manner. In fulfillment of this mission, we affirm that Brookside Mina Heppel Care Center is committed to view those whom we serve as persons of dignity and worth, regardless of race, sex, creed, age, national origin, or social status. Brookside Care Center is committed to operate as a county Brookside Care governmental health care facility, and to provide qualified personnel to assure the health, safety, and rights Center Staff of our residents. Bernice Wikstrom Suresh Naik, M.D. Clyde Allen B rookside Care Center is a skilled nursing facility which admits both short term and long term residents, serves 154 residents at home or to another facility during 1998. The waiting list for admission continued to be up to two and one-half years. Hospital in- Paulette Campbell Peggy Clark one time, with 60 of those spaces dedicated to patients in need of nursing home placement Jon Hrpcek the person with Alzheimers or some other were given priority status for admission. Geri Kapplehoff form of dementia. Kenosha County residency remained a pre- Lisa Knoedler requisite. Derik Lawrence Dana Osinga During 1998, there were 74 admissions to Donna Pontillo Brookside Care Center. 21 of those were At the end of 1998, Brookside had 11 Annamma Abraham admitted to the dementia unit, and of those 21, management position employees on staff, 14 Donnna Abston 17 (81%) remain as residents on December registered nurses, 14 licensed practical nurses, Alan Aker 31, 1998. Of the 53 other residents who were 73 certified nursing assistance, 3 maintenance Susan Albert Lori Anderson admitted, 22 (41%) remain as residents on persons, 6 laundry workers, 13 housekeeping Lavetta Arrington December 31, 1998. These statistics validate workers, 24 dietary workers, 7 activity Atsuko Ashmus the fact that the resident admitted with assistants, and two office staff. Of these 167 Kim Augustine Alzheimers or another dementia is not likely employees, 85 (51%) were part-time. Katherine Barlow to be able to be rehabilitated to return home or Sandra Bartholomew to a lesser skilled facility. Sherri Baumgarten Mary Bell Constancia Binkley There were 48 deaths and 26 discharges to Gay Birkholz Monique Bond Characteristics of Residents Living at Brookside on 12/31/97 Rachael Borden Carolyn Borst Residents with selected diagnoses Daisy Brantley Dementia 35% Donna Bugalecki Ramona Chalekian Stroke 15% Elizabeth Cis Fractures 6% Eleonora Conforti Kaushik Damani Sheri Dreyer Eli Echevarria Residents with court-appointed guardian 16% Catherine Eschbach Ronnie Fisher Female 69% Gregoria Flores Brenda Franti By Age Shano Freidrich under 64 3% Eddie Gardner 65 and older Timothy George 85 and older Debra Gitzlaff Terry Hackbarth 95 and older Walter Hall Temeceka Harris By level of care Carole Hayden Intense skilled 2% Clair Hirsch Skilled 84% Carolyn Hogan Intermediate 14% Barbette Hoholik Mary Hunter, Paula Ide, Robin Jackl, Tracy Kenosha County Department of Human Services 1998 Annual Report Page 10 Brookside Care Center Cost Per Patient Day - $146.75 1998 Revenue Sources - $8,359,120 Staff $103.72 Misc. $5 Tax Levy 1,741 (21%) (71%) (0%) Medicare $999 (12%) Private/Ins. $2,452 Other (29%) $6.42 (4%) Supplies Medical $9.35 (6%) $11.78 Medicaid $3,162 Interest Depreciation (38%) (8%) $8.21 (6%) $7.27 (5%) Brookside Staff Continued Jepson, Patricia Johnson, Linda Jones, Patricia Jurgens Kelly Kelps, Terianne Kirby, Yvonne Klemm, Karen Koellner, Kay Konz, Mark Kreideman Sharon Krok, Mary Krueger, Dale Langston, Carla Lewis, Heidi Litz, Thomas Lovelle Marsha Lucas, Lavonne Lupi, Erica Maika, Arlene Martinelli, Henry Martinelli Mary Jane Melander, Branka Milanovic, Kathy Million, Robert Monsees, Valerie Nelson Diane Nelson, Mary Noble, Nancy Ogden, Louise Olsen, Sandra Otto, Marie Palmer, Corazon Pecze Walter Powers, Kathryn Gail Pridemore, Dana Prouty, Trudy Razdik, Amy Regina, Steven Rosinski Debra Sanders. Karen Schanke, Gilda Schiaffino, Constance Sharp, Carol Smet, Marlinda Smith Debra Smith. Paulette Spitzer, Theresa Steffenhagen, Barbara Stein, Sharon Stevens Kathleen Stich, Sandra Szarbaiko, Sharon Szarbaiko, Svetlana Tchabarovsky Timothy Teegarden, June Thilleman, Darlene Treskow, Loretta Trull, Sherly Valiaparampil Michele Vance, Shirley Varnell, Shlonda Walker, Nichol White, James Wilcox, Tammy Willis Michael Wray, Robbie Wright, Barbara Zorc Kenosha County Department of Human Services 1998 Annual Report Page 11 Public Welfare Committee Division of Children and Family Services Anne Bergo, Chair LuAnn Bodven Mission Statement Virgil Gentz To promote the safety and well-being of the child, family, and community by providing services to children, William Houtz youth, and families that are delivered in a respectful, culturally competent manner and are intended to Ronald Johnson Richard Lindgren maximize strengths and empower individuals. To advocate for children and families on the national, state, Mark Modory and local level. Division of Children and Family Services T he Division ACCESS/ChildProgram is of Children and Family Services Child Welfare comprised of the Protection dedicated to alleviating and, whenever possible, preventing harm to children while enhancing and maintaining the family unit. Staff Services Unit (CPS) and the Child and Family CPS social workers constantly deal with a Dennis Schultz Services Unit (CFS). In addition to County number of multi-stressed families by Patricia Bell staff, families receive a wide array of services providing family based services such as John Jansen through providers under contact to DCFS. counseling and parenting education either Pam Lambach directly or in conjunction with purchase-of- Pamela Anderson Dennis Bedford ACCESS service programs. In 1993, CPS social Jeannine Chapman workers began using “wraparound” services, Sharon Davis ACCESS provides a 24-hour, centralized consisting of highly individualized and John Deneka intake and information service for child abuse innovative programming designed to address Donna Dickenson and neglect, child welfare, and juvenile the specific needs and strengths of the family. Kathy Fliess delinquency referrals. ACCESS then routes Kathy Flowers Amy Fockler these referrals to the appropriate DCFS Unit. Referrals to the Division in 1998 included a Arletta Frazier Child abuse, child neglect, and child and large number of families with multiple Amy Green family referrals are directed to the DCFS allegations of child abuse and neglect. Pam Jepson Child Welfare Program. Exhibit 1 on page 10 illustrates the numbers Gary Kapitan and types of primary referrals and Veronica King-Wright Michele Martin Child abuse and neglect referrals are initiated assessments completed by Child Protection Sue Meier by mandated reporters (i.e., professionals Services over the last three years. Paul Moeller who, through the course of their employment, Laura Moschea come in contact with children and who, by Exhibit 2 on page 10 illustrates the historical David Neumann law, are required to report suspicions of child trend of child abuse and neglect reports along Ann-Marie Pace abuse and neglect) and non-mandated with the substantiation rates, from 1991 David Pisecki Shelby Poole reporters (i.e., concerned family members, through 1998. Leon Potter neighbors, and persons making self-referrals). Nancy Ramsey ACCESS staff collect information regarding Most of the reports of alleged child abuse or Cheryl Rusecki the alleged incident. neglect in 1998 were made by school Bonnie Saltzberg counselors, law enforcement officials, social John Schlax Elizabeth Schrandt Child Protective Services workers, teachers or neighbors/friends of the Janis Sepulveda child. JoAnn Slater Child abuse and neglect reports are referred to Larisa Stone the Child Protection Services Unit. CPS Children between the ages of 6 and 11 were Linda Tiso social workers assess the severity of the most frequently reported to be the victims of Karen Tolliver Denise Wagner alleged maltreatment and the potential of abuse or neglect. The next largest age group Evonne Wheeler future risk of harm to the child. After was children between the ages of 3 and 5 of Tracey Wheeler completing a thorough investigation of the the children referred for child abuse or report, a determination is made as to whether neglect in 1998, 71% were white/Caucasian, the Division’s continued involvement is 21% African American, 7% Hispanic, and 1% warranted. of Native American ancestry. 53% were female and 47% male. Eighty-two percent of The goal of CPS is to ensure that there is a the children alleged to be abused or neglected safe home environment for the child and to in 1998 resided within the City of Kenosha. provide the family with sufficient resources to adequately meet the physical and emotional In 1998, 28% of the investigations for needs of the child(ren). Protective service is (Continued on page 12) Kenosha County Department of Human Services 1998 Annual Report Page 12 Children and Family Services Exhibit 1. - ACCESS Case Set Ups Type of Report Number of Calls Child Abuse & Neglect* 1996 1997 1998 Physical Abuse 375 382 355 Sexual Abuse 157 175 157 Physical Neglect 215 216 200 Other** 5 20 9 Sub Total 752 793 721 Child Welfare 1996 1997 1998 Family Adjustment 74 65 33 Substitute Care 36 28 18 Uncontrollable 17 14 14 Home Study 13 18 16 CHIPS 11 19 21 Other*** 15 26 24 Sub Total 166 170 126 Total Case Set-Ups 918 963 847 *Primary referral reason; **Other includes Emotional Abuse and Threat of Abuse or Neglect; ***Other includes Home Study, Runaway, Threat of Suicide, Illegal Placement and School Truancy Exhibit 2. 1200 75% 65% 1000 962 49% 916 55% 800 797 793 755 752 721 45% 631 CAN Reports 600 35% 38% Substantiation Rates 36% 35% 35% 32% 25% 400 30% 29% 15% 200 5% 0 -5% 1991 1992 1993 1994 1995 1996 1997 1998 physical abuse were substantiated. 44% of ongoing services are needed. Referrals for sexual abuse investigations and 37% of child and family problems also come to the physical/medical neglect investigations were CFS Unit through ACCESS. Those served substantiated in 1998. Overall, for the year, have experienced a wide spectrum of societal 35% of all the investigations completed by and family stresses: intra-familial sexual CPS Social Workers were substantiated. abuse, teen pregnancy, child neglect, parents with severe mental illness, developmental Social Workers in the CPS Unit investigated disabilities, alcohol and other drug abuse and assessed 457 cases in 1998. During the problems and physical abuse. Whereas child year, 298 cases were closed or transferred to abuse and neglect referrals generally involve the Child and Family Services Unit for younger children, the majority of the child ongoing services. and family calls concern children who are 12 to 17 years old. Child and Family Services The goal of the Child and Family Services The Child and Family Services Unit (CFS) Unit is to help families overcome the receives child abuse and neglect referrals problems that brought them to the attention of from the CPS Unit if it is determined that (Continued on page 13) Kenosha County Department of Human Services 1998 Annual Report Children and Family Services Page 13 the Division. Through face-to-face visits, In 1998, 140 cases were assigned to the Child phone contacts and case management services and Family Services Unit for on-going provided by community-based agencies, CFS services. At the end of 1998, the CFS unit workers strive to strengthen and empower was serving 267 families. The average case families. load per social worker in the Child and Family Services Unit at the close of 1998 was Whenever possible, case workers attempt to 27. Most of these families were under court keep children at home with their families jurisdiction that required at least one year of while addressing the issues that led to the the Division’s involvement. abuse or neglect findings. Family service needs are assessed and service plans that Substitute Care contain timelines for achieving treatment goals are established. The Division of Children and Family services is committed to preserving and maintaining In those situations where it is not in the best family unity. When a DCFS social worker, interest of the child to keep him/her at home, however, determines that an out-of-home social workers attempt to identify other family placement is necessary, the least restrictive members who are willing to assume care placement option available to meet the child’s giving responsibilities. As a last resort, the needs is utilized. child may be placed in substitute care. During 1998, 618 children spent time in either Temporary custody of a child who has been a foster care or treatment foster care setting. placed in substitute care is given to the This was a 30% increase over 1997, during Division as a result of a court action. In which 476 children spent time in one of these addition to petitioning Juvenile Intake types of substitute care settings. Services for placement of a child in substitute care, CFS social workers are responsible for The characteristics of the children in either other juvenile court-related activities, such as foster care or treatment foster care are developing dispositional court reports with presented in Exhibit 3 on page 12. recommendations for services, change of placements and revision of the court orders, Juvenile Court Services extensions of jurisdiction and, termination of parental rights requests. Workers must appear When a youth is adjudicated delinquent for an in court for all hearings related to the case. In offense, the juvenile court judge orders that a adjudicated cases, the social worker ensures dispositional investigation be carried out by a that families are complying with the court social worker within 30 days. The purpose of orders. this investigation is to gather information about the family and social history in order to The role of the CFS social worker involves determine the best course of treatment and extensive coordination. When a child has services. This information becomes the basis been placed in substitute care, the worker for a worker’s recommendation to the maintains contact with the child, birth parents, juvenile court, which is commonly referred to foster parents and often with extended family as a dispositional report. The judge takes this members. For those families receiving report into consideration when making a services through community-based providers decision concerning the case. under contact with the Division, the social worker manages the case, coordinating and The social worker’s role depends in part on over-seeing the delivery of services. the types of services ordered by the court. In some cases, the youth presents a relatively When a family has a child in substitute care, low risk to the community and require few the goal is to reunite the family. If that cannot supportive services. In these cases, the social occur, the case plan becomes the termination worker is responsible for providing of parental rights to free the child for counseling and supervision based on his/her adoption. For older children, the goal is assessment, and there are little or no other usually to work toward independent living. service providers involved in the case. (Continued on page 14) Kenosha County Department of Human Services 1998 Annual Report Page 14 Children and Family Services Exhibit 3. - Characteristics of Children in Foster Care or Treatment Foster Care Placements - 1998 Demographics Foster Care Treatment Foster Care Gender: Male 47% 56% Female 53% 44% Ethnicity: Euro-American 44% 48% African American 48% 50% Hispanic American 7% 3% Age:* < 1 year old 13% 3% 1 to 4 years old 25% 7% 5 to 11 years old 29% 37% 12 to 14 years old 17% 30% 15 to 16 years old 14% 23% 17 to 18 years old 2% 0% TOTAL 100% 100% *Age as of 1/1/98 or placement date if after 1/1/98 Source: December 1998 Placement Report crimes against persons (e.g., robbery, sexual In other cases, the youth may be referred for assault, battery). The remaining 32% were services to one or more community agencies, offenses classified as “other” (e.g., disorderly may be placed out of the home, or require conduct, resisting an officer) and drug-related mental health services. In these cases, one of offenses. The number of offenses across the contracted agencies typically becomes the these categories has remained relatively lead service provider, while the DCFS social constant over the past five years. worker acts as the case manager. The social worker is then responsible for coordinating Client Population the services for the youth, serving as a liaison between the various service providers, and In 1998 the number of youth served by the maintaining contact with the court to Unit increased by nearly 5%. Most youth periodically report on the youth’s progress. served by the Juvenile Court Services Unit In all cases, the social worker provides crisis are white males between the ages of 14 and intervention in circumstances that may 16. The percentage of females has slowly involve the youth, family members, school, increased over the past five years, reaching a and/or service providers. high of 27% in 1998. Juvenile Arrests In 1998, minority youth comprised nearly 42% of the youth served by the Juvenile During the past five years, the number of Court Services Unit, a slight decrease from juvenile arrests have generally been on the 45% in 1997. At the beginning of the decade, decline. In 1998, the number of juvenile minorities represented 29% of the client arrests decreased by 5.4%. population. Offenses Since January 1997, youth 17 years of age are considered adults for prosecution purposes. Nearly one-half (46%) of the offenses The number of youth in the “17-19 years of committed by juveniles referred to the age” category decreased 28% in 1997 and Juvenile Court Services Unit in 1998 were another 8% in 1998, reflecting this change in property-related (e.g., criminal damage to the Juvenile Justice Code. Number of Juvenile Arrests Referrals to the Juvenile Court Services in Kenosha County A referral to the Unit represents a 1994 1995 1996 1997 1998 delinquency adjudication, petition for waiver 4,743 4,041 3,975 4,218 3,990 into adult court, or a consent decree between the youth and the juvenile court. Youth can property, theft, etc.). Just over 22% were (Continued on page 15) Kenosha County Department of Human Services 1998 Annual Report Children and Family Services Page 15 be referred to the Unit more than once in a given The Juvenile Court Services Unit experienced year. In 1998, 19% of the referrals involved a 6.6% increase in the number of referrals in 1998, although the change varied across types Characteristics of Client Population of referrals. Delinquency referrals and 1997 & 1998 consent decrees increased by 4% and 93%, 1997 1998 respectively, while the number of wavier Characteristic Percent Percent referrals remained virtually the same. Age* 11 years and under 3% 4% Risk of Recidivism 12 - 13 years 15% 15% 14 - 16 years 68% 68% When a social worker receives a new case, or 17 - 19 years 15% 13% an open case is referred to the Unit for a new Gender offense, a risk assessment is completed. The Male 76% 73% risk assessment is an 11-question survey Female 24% 27% which results in a summary score giving workers and administrative staff a sense of Race the relative risk of a client’s recidivating. The Caucasian 56% 58% average risk score of a delinquent has African American 31% 32% increased since the risk assessment tool was Hispanic American 12% 10% implemented, from 7.0 in 1993 (“moderate” Other 2% 0% risk) to 10.2 in 1998 (“high” risk). Total Clients 573 600 youth already on court-ordered supervision (i.e., Average Risk Score of Adjudicated open cases). The percentage of “open case Delinquent 1993-1998 referrals” in 1997 was 22%. This is a decrease compared to 1994-96, where an average of 26% the referrals were already open with a Court 10.4 10.2 Services worker. 9.4 8.7 7.5 7.0 Distribution of Referrals to Juvenile Court Services Unit 1994-1998 1993 1994 1995 1996 1997 1998 526 Risk Score: 0-5 (Low) 6-9 (Moderate) 10-13 (High) 14+ (Very High) 125 433 124 377 Recidivism 333 355 96 86 87 Beginning in 1993, DSS defined recidivism as a new adjudication, consent decree, or 350 waiver into adult court while on supervision 289 261 240 with the Division. In 1998, 84% of youth did 231 not recidivate while on supervision or as of December 31, 1998 (if an open case at this 51 20 20 15 29 time). The five-year average (1994-98) is 82%. 1994 1995 1996 1997 1998 Consent Decree Delinquency Waiver Kenosha County Department of Human Services 1998 Annual Report Page 16 Division of Disability Services Disability Services Committee Barbara Rankin, Chair Mission Statement Patricia Bell To Inspire HOPE - To Provide HELP - To Facilitate HEALing Marbeth Knoff Mark Modory The Kenosha County Division of Disability Services strives to secure services for Alcohol and Other Drug Steve Relich Abusers, Developmentally Disabled Individuals, and Mentally Ill Persons on a clinically sound, community Colleen Sandt based, least restrictive, economically realistic, and most in need basis. Gordon West D ivision of Disabilities Services is responsible to address the needs of Kenosha County’s citizens with Alcohol- reform model. Though quite time consuming, it is hoped that participation in these two major reform efforts will better Division of Disability Services Staff Drug, Developmental Disabilities, or Mental position Kenosha County to implement the Ronald R. Frederick Chris Hribal Health problems. It accomplishes this through inevitable changes inherent in the new John Sharp the administration of more than 100 service systems. Gayle Hannes contracts, mostly with local agencies. Lin Nakata 2. Local Changes in the Developmental Donna Adams Disabilities Service System Prove Janet Schmidt The array of programs administered by the Successful: The relocation of the Birth to Division constitutes a “safety net” for 3 Early Age Program (EAP) at the Kenosha’s citizens who are unable to access Community Kenosha Achievement Center has enabled mental health services through their own Intervention Center the Program to achieve greater visibility, resources. Kenosha’s public sector mental serve more families, and provide more than Linda Pavalko health program functions like a limited- 50% of its services in natural settings such Coordinator purpose health maintenance organization or as homes and day care centers. The EAP managed care firm. The Division strives to A partnership between serves 0-3 infants with developmental purchase quality mental health services for its Kenosha Human disabilities/delays. consumers on a clinically effective, Development Services, community based, least restrictive, affordable, The consolidation of care management Inc. and the Division of and most in need basis. services for persons with developmental Disability Services providing disabilities at the Community Intervention Adult Crisis, Major Activities in 1998 Center (CIC) has improved coordination Adult Shelter, and helped restrain costs. Assessment, Services in the Alcohol-Drug/Mental Health Court Liaison, The pilot Developmental Disabilities Care Management areas remained fairly stable in 1997. Resource Center (DDRC) got off to a good and Considerable change did occur within our start in 1998. The DDRC, located at the Specialty Program local developmental disabilities system. Those Services, Co mmunity I nter ventio n Center, changes were: Children Come First, compliments the Aging and Disabilities Ombudsperson, Resource Center operated by the Division Guardianship 1. Planning for the Transition to Managed of Aging. Both resource centers are part of Assistance, Care: Division staff were actively involved a pilot testing access, screening and Residential Quality in the State level planning processes for Assurance, eligibility for the new, long term care mental health and long term care reform, Family Support, system that Wisconsin is promoting known both of which are utilizing managed care Developmental as Family Care. Disabilities Resource models. The long term care reform focuses on elderly, physically and developmentally 3. Medicaid Personal Care Benefit Center Pilot, Adult Family Home disabled adults, and managed mental health Implemented: The Medicaid Personal Care Certification care, as the name suggests, is directed Benefit was tapped on behalf of 45 towards persons with mental illness and severely developmentally disabled adults secondarily, alcohol-drug problems. in residential care. This has proven to be a Kenosha was designated an “alternate” significant service in that residents receive County for purposes of piloting a long term the professional scrutiny of County Health care demonstration project. In mental Department nurses for purposes of health, Kenosha became a “planning assessment and service plan authorization. associate” for purposes of assisting the Medicaid reimbursement helps the State develop its managed care oriented, (Continued on page 17) Kenosha County Department of Human Services 1998 Annual Report Division of Disability Services Page 17 Division stabilize residential placements for this very needy population in this era of constricted revenues. 1998 Revenue Service Highlights SS/SSI CIP/COP • Logged 5,388 Adult Crisis Contacts $1,400,869 $4,702,957 • Accepted 261 Adult Shelter Admissions (10%) (35%) for 807 days of care Other, • Conducted 724 Behavioral Health State/Fed Assessments at the Community $2,288,828 17% Intervention Center: 247 for Alcohol/ County Drug, and 477 for Mental Illness Tax Levy • Responded to 319 Involuntary Admission Community Aids $669,451 Episodes (Emergency Detentions per $4,374,300 (33%) (5%) WS51) at St. Catherine’s Hospital. Up from 287 in 1997. • Helped 167 Seriously Mentally Ill Persons through the Community Support Program, 1998 Expenses Inc. Down from 171 in 1997. • Case managed over 380 Developmentally AODA Disabled Persons at the Community $819,641 (6%) DD Intervention Center of Kenosha Human Admin. $8,032,907 Development Services, Inc. $446,875 (60%) • Assessed 703 persons under the Intoxicated (3%) Driver Program at the Alcohol and Other Drugs Council, Inc. Up from 689 in 1997. • Assisted 459 persons at the Kenosha MI Achievement Center $4,136,982 (31%) • Involved 490 persons in Outpatient Counseling at Oakwood Clinic Associates. Provided Medication Monitoring Services for over 425 mental health patients via a Closed Panel of Local Psychiatrists. • Facilitated 147 Inpatient Psychiatric Admissions at St. Catherine’s Hospital. Up from 145 in 1997. 93 Medical Detox Admissions also logged in 1998. • Supported 155 admissions to Residential Care in Community Based Residential Facilities (5 beds+) and 121 in Adult Family Homes (1-4 beds). 1997 figures: Community Bases Residential Facilities, 161; Adult Family Homes, 103. • Utilized the Wisconsin Medical Assistance Program’s (WMAP) Personal Care Benefit for 45 persons who received 63,409 hours of care while in residential settings. • Served 191 persons in the Community Integration and Community Options Program, 180 served in 1997; Assisted 82 families in the Family Support Program, 100 in 1997 1998 Revenues and Expenses - $13,436,405 Kenosha County Department of Human Services 1998 Annual Report Page 18 Division of Health Board of Health Thomas Radmer, Chair Anne Bergo Mission Statement Stephen Feuerbach Lorraine Fuchs To assure the delivery of health services necessary to prevent disease, maintain and promote health, and to Margaret Kugler protect and preserve a healthy environment for all citizens of Kenosha County regardless of ethnic origin, John O’Day cultural and economic resources. Steve Schwimmer Nursing Food Protection Medical Advisor to the Division of Health T he nursing section of the Division of Program objective is the prevention of Health provides preventive health foodborne disease through regulation of Gregory Young, M.D. services to the residents of Kenosha County. restaurants, retail food establishments, Steve Schwimmer, D.O. Individuals are seen in clinics, schools, vending machines, school lunch programs, homes, day care, work places, as well as in farmers markets, food dealers and special Division of Health the Division of Health office on a walk-in events. Activities include licensing, plan Staff basis. review, routine follow-up and complaint inspections, consultations, and education. Frank Matteo Clinic Services Lodging Facilities Tonya Allen Sandra Badgerow Activity Units Pat Gotelaere • 16,668 immunizations were provided Dorene Leinenweber covering 15 vaccine types Establishments Licensed 1,225 Cynthia Rafenstein • 1,040 TB skin tests were administered, Inspections (Routine/Follow-up) 1,932 Randall Wergin down from 2,436 in 1997 Stacey Aker Harry Benn • 452 Adult/Senior Health Screenings Consultations/Plan Review 740 Peggy Bonk • 1,266 Hypertension Screenings Consumer Complaint 203 Diane Bosovich • 326 Well Baby Exams Investigations Dawn Bruce-Ernst • 984 Health Check Exams Wendy Cima Food Samples Collected 372 Lori Ditzler • 123 Prenatal Care Services Kim Emery • 39 Cardiac Risk Screenings Elaine Engel • 537 HIV Antibody Testings This program enforces regulations that seek to Yvonne Eskridge William Fitzgerald-Fleck • 609 Sexually Transmitted Disease ensure a safe, healthy and sanitary Linda Godin Screenings environment in hotels, motels, tourist Mike Gorman • 8,879 Walk-ins - Nurse of the Day rooming houses, bed and breakfast Jody Heck • 4,526 Home Visits establishments, and mobile home parks. Deanna Jarnigo • 1,782 School Hearing Screenings Recreational Sanitation Sandra Jensen Pamela Kavalauskas • 5,412 School Vision Screenings Jeff Kindrai This program’s goal is to ensure a safe and Steve Krzyzanowski Environmental Health Ted Leinenweber Activity Units Lynda Lester Establishments Licensed 62 Billie Lidik The Kenosha County Environmental Health Patricia Lyons Section is dedicated to preserve and enhance Inspections (Routine/Follow-up) 106 Carol McCarville the public health environment of Kenosha Mary McClain County. It does so by providing information, Consultations/Plan Review 40 Lorraine Magiera regulation, education, and intervention in the Mark Melotik healthy environment for residents and visitors Lisa Mueller areas of Food, Water, Waste, Recreation, Julie Newhouse Lodging, Environmental and Human Health at recreational and educational camps, Beth Noack Hazards, and Consumer Protection while campgrounds, and public swimming pools Christy Osborn providing these services in a professional and through enforcement of State codes. Doreen Perri responsive manner. Bacteriological testing of pool water is Gwen Perry-Brye conducted in the laboratory. Sandra Petersen James Rasch Division of Health (Continued on page 19) Staff (Continued on page 19) Kenosha County Department of Human Services 1998 Annual Report Division of Health Page 19 Continued Rabies Control and Animal Nuisances abatement orders are issued to control or eliminate sources of lead. Nancy Reeves Linda Rieschl Investigation and follow-up of animal bite Weights and Measures LaRee Roe cases, determining rabies immunization Kathy Sadowski This program conducts inspections and tests Art Schait Activity Units of all scales, gas pumps and fuel truck meters Darlene Specht used commercially within the City of Donna Studrawa Facilities Licensed 73 Kenosha. These inspections determine Debbie Sawisky Inspections (Routine/Follow-up) 104 Denise Wepking Consultations/Complaint 106 Activity Units Investigations Environmental Investigations/ 71 Water Quality Sampling 284 Follow-ups/Consultations status, and initiating animal quarantine and compliance with rules and regulations of the observation procedures as required by State National Bureau of Standards and the State of Statute and local ordinances. Investigation of Wisconsin. animal nuisances such as animal waste and excessive number of animal complaints. Environmental/Human Health Hazards Licensing and regulation of kennels and pet shops within the City of Kenosha. • Enforcement of Chapter XXIII, Code of General Ordinances, relating to noise nuisances. Investigations consist of Solid Waste Control identification, measurement and Enforcement of City of Kenosha Charter Activity Units #26 - Blighted Lot Ordinance. Garbage, Scales Tested 346 Activity Units Pumps/Meters Tested 55 Bite Investigations 122 Complaint Inspections/ 21 Bite Consultations/Follow-ups 247 Consultations Animal Nuisance/Complaints 151 abatement of noise violations and Consultations/Follow-ups enforcement of code regulations. Kennel/Pet Shop Inspections/ 104 • Investigation of indoor air quality Consultations/Follow-ups complaints, community odor complaints focusing on identification, providing debris and refuge control, consists of information to assist in problem investigation of citizen complaints and resolution and referral to appropriate abatement of actual or potential rodent, insect, State agencies as indicated. litter, blight or eyesore nuisances due to • Maintenance of Wisconsin Division of improper storage or disposal of waste. Health radiation monitoring stations. Lead Hazard Control This program collects data for the purpose of monitoring background Environmental investigations of dwellings in radiation levels in areas surrounding the which lead poisoned children reside. Zion Nuclear Power Plant. Inspections are conducted according to CDC • Investigation of human health hazard policy to identify whether lead hazards exist; complaints that exist in Kenosha County. Conditions include unsanitary conditions Activity Units in dwellings, dwellings that lack heat or Investigation of Citizen 1,482 water and other safety hazards. Complaints Follow-up/Clean-ups 2,284 Laboratory (Continued on page 20) Kenosha County Department of Human Services 1998 Annual Report Page 20 Division of Health Each year, more than 10,000 specimens are Analytical Chemistry Unit submitted to the laboratory for testing and examination. The laboratory is certified by the • Conducts chemical analyses of public United States Department of Health and and private water supplies to determine Human Services to accept human specimens the presence of nitrates. Activity Units • Conducts chemical analyses of private water supplies to determine the Noise Complaint Investigations 7 concentration of fluoride in drinking Air Quality Investigations 30 water. • Analyzes paint and pottery chips for the Radiation Samples Collected 258 presence of lead. Human Health Hazard Complaint 81 Investigations 393 samples tested - Nitrates, Fluoride, Lead Screens Human Health Hazard Follow-up/ 90 Consultation Forensic Chemistry Unit for the purposes of performing laboratory • Analyzes urine specimens and other body examinations or procedures. Approval has fluids for the presence of controlled been granted in the specialties of substances, drugs of abuse and alcohol. Microbiology, Diagnostic Immunology and • Analyzes evidence for law enforcement Chemistry. agencies for the presence of controlled substances. The Wisconsin Department of Agriculture, Trade and Consumer Protection certifies the 2,358 samples tested - Urine Drug Screens, laboratory in milk and water specialties and Street Drugs Safe Drinking Water Certification is maintained from the Wisconsin Department of Environmental Bacteriology Unit Natural Resources. The Wisconsin Department of Health and Family Services • Tests public and private water supplies certifies the laboratory to perform Legal for the presence of coliform bacteria. Alcohol testing. • Tests dairy products for bacteria count. • Tests swimming pool and whirlpool Clinical Microbiology/Serology Unit water samples for coliform bacteria. • Tests swimming beaches and recreational • Examines stool samples for the presence water for excessive coliform bacteria. of organisms which cause intestinal • Documents complaints of food suspected diseases. of causing disease outbreaks (food • Identifies intestinal parasites. poisoning). • Performs diagnostic tests for gonorrhea in • Identifies insects. support of statewide STD screening programs. 2,296 samples tested - Drinking Water, Dairy • Performs serologic tests for syphilis in Products, Pools, Beaches support of the Kenosha County Division of Health STD clinic. • Examines throat specimens for the presence of Group A streptococcus, the causative agent in Strep Throat. • Examines blood for hemoglobinopathies causing Sickle Cell Disease and Trait. • Collects specimens for urine testing. 3,755 samples tested - Enteric Pathogens, Strep Throat Cultures, Sickle Cell, Gonorrhea, Penicillin-resistant GC, Syphilis Serology. Kenosha County Department of Human Services 1998 Annual Report Page 21 Division of Veterans Services Staff Division of Veterans Services Thomas R. Lois Michael Rosko Mission Statement Clare Jones The mission of the Kenosha County Division of Veterans Services is to advise with veterans of all wars residing in the County relative to any complaints or problems arising out of their military service and render to them and their dependents all possible assistance. T he Kenosha County Veterans Service Office administers to the needs of the county’s military service veterans by Veterans and dependents of deceased and totally disabled veterans may receive a wide range of vocational and educational facilitating claims, applications, and counseling services from the Veterans numerous other legal forms, and by acting as Affairs. an advocate for Kenosha County citizens before state and federal agencies. Life Insurance The United States Department of Veterans Services Affairs offers several types of life insurance to newly discharged veterans. Veterans may Home Loan Guarantee convert their policies, request loans, change The United States Department of Veterans beneficiaries and their survivors can apply for Affairs guarantees loans made to veterans for the process of the policy through the veterans the purchase of refinancing of homes. VA office. guarantees part of the total loan, permitting the veteran to obtain a mortgage with a Primary Home Loan Program competitive interest rate without a down The Wisconsin Department of Veterans payment. Affairs offers qualified veterans a low interest fixed rate home loan with terms up to 30 Disability Pension years. It has important features for veterans Veterans may be eligible for disability including: no discount points, no interest rate pension if they have limited income and are increase, no limit on retained assets or amount permanently and totally disabled. Payments of down payment. The veteran may purchase are made to qualified veterans to bring their existing housing to include condominiums or total income, including other retirement or build a home. Social Security, to an established level. Home Improvement Loan Program Disability Compensation A low interest state loan from the Wisconsin Disability Compensation benefits are paid to Department of Veterans Affairs is available to those disabled by injury or disease incurred provide eligible Wisconsin veterans with during active military service. money to pay for repairs, alterations and improvements which will protect or improve Survivor Entitlements the basic livability or energy efficiency of the Eligible surviving family members may be veterans home. Improvements that qualify entitled to certain benefits that include: include: roofing, siding, additions, garage Dependency and Indemnity Compensation for construction, septic systems, etc. dependents of veterans who died on active duty or died of a service connected disability; Personal Loan Program Death Pension for dependents of wartime A veteran or qualified surviving dependent veterans, home loan guarantee; and may apply to the Wisconsin Department of educational benefits. Veterans Affairs for a $10,000 Personal Loan for consolidation or other expenses. Education and Training The United States Department of Veterans Affairs offers several educational programs. Education Assistance Programs The Wisconsin Department of Veterans Educational and Vocational Counseling Kenosha County Department of Human Services 1998 Annual Report Page 22 Division of Veterans Services Affairs offers three grant programs for the Affairs guaranteed 274 home loans to education of Wisconsin veterans: county veterans at a total loan amount of 1. Part-time Study $28,100,000. 2. Tuition and Fee Reimbursement Grant • The United States Department of 3. Retraining Grant Veterans Affairs paid disabled county veterans and/or surviving spouses Health Care Aid Grant $8,100,000 in disability compensation or The Health Care Aid Grant helps pay the cost pension. of temporary medical treatment and • Beneficiaries of deceased veterans who hospitalization for veterans and their families had “G.I.” insurance policies received who are unable to pay with their own $1,260,000. resources. • Families of 286 deceased veterans in 1998 were helped to obtain burial Subsistence Aid Grant benefits, government head stones and This grant from the Wisconsin Department of casket flags. Veterans Affairs provides money to veterans • Veterans or survivors file 35 new claims and their families to help pay basic costs of for disability compensation or pension. living when illness, injury or death causes a • In total 1,600 forms and documents were loss of income. processed with various components of the United States Department of Veterans Veterans Assistance Program Affairs. The goal of the Veterans Assistance Program • County veterans received 51 home loans is to help veterans who are homeless or at risk from the state amounting to $5,615,000. of becoming homeless obtain steady The Veterans Service Office facilitates employment and affordable housing to this process. reintegrate into the community. • 85 county veterans received educational grants from the Wisconsin Department of Wisconsin Veterans Home Veterans Affairs for a total of $27,000. The Wisconsin Veterans Home at King, near • 5 veterans received emergency Health Waupaca, is a pleasant retirement community Care or Subsistence Aid Grants in the where aging or disabled Wisconsin wartime amount of $3,900. veterans and their spouses can spend their • 25 Personal Loans were processed in the retirement years in comfort and dignity. Veterans Service Office to help veterans consolidate debts pay for education Aid to Needy Veterans totaling $226,000. Kenosha County provides funds for indigent veterans for transportation to United States Total expenditures for 1998 were $1,622,646. Department of Veterans Affairs medical centers, emergency medication prescriptions, cemetery fees for setting government grave markers, etc. Miscellaneous Services The Veterans Service Office also helps veterans and their families with problems not related specifically to veterans programs. This includes assisting with applications or claims with other federal, state, municipal and county agencies. Outcomes • United States Department of Veterans Kenosha County Department of Human Services 1998 Annual Report Page 23 Public Welfare Committee Division of Workforce Development Anne Bergo, Chair LuAnn Bodven Mission Statement Virgil Gentz William Houtz To create and operate a system that fully integrates Economic Support, Child Support, and Welfare-to-Work Ronald Johnson programming into a single delivery system that establishes social and economic self sufficiency as each Richard Lindgren participant’s primary goal; to provide Food Stamp, Medical Assistance and Child Care subsidies as Mark Modory economic supports for the participant; to extend encouragement and the expectation of success toward participant efforts in their progress towards economic independence; to be mindful that our personal involvement in the administration of policy determined actions and decisions affecting participant lives Judy Weseman, should contribute to an increase in participant empowerment; and to be accountable to the citizenry for our Director administration of these services. Division of Workforce Development Economic Support Program Under the Wisconsin Works Program families Economic Support are eligible for work program services that Staff The Economic Support Program is the benefit assistant them in obtaining and retaining issuance component that establishes eligibility employment. Depending on their level of Tom Buening employability, they may receive cash Bill Erickson for public assistance, determines benefit amounts, and distributes financial support. assistance if placed in a community service Lauren Fox Ed Kamin The primary program areas are: Wisconsin job, a Wisconsin Works Program transition Robert Simmons Works Program/Temporary Assistance to job, or if they are the caretaker of an infant. Kim Beck Needy Families, Food Stamps, Medical Wisconsin Works Program cash assistance is Roberta Bloner limited to 24 months in any single category Judy Capponi Assistance, Kenosha CARES/SHARES programs, and Childcare. and 60 months lifetime. Between January 1, Marlene Cline Margaret DesArmo 1998 and December 31, 1998, Kenosha Pat Doud Secondary components include the Low County issued $1,006,608 in Wisconsin Sue Fanning Income Energy Assistance Program, the Works Program payments for 130 families. Barb Ferber An average of 326 families were participating Lyn Flynn Emergency Assistance Program, the SSI Advocacy Program, the Holiday House in both paid and non-paid positions. Marlene Fredrick Pat Gohlke Charities, the Fraud Prevention Unit and the Diane Gruber Quality Control Unit. Child Support Program Terri Hannes Debbie Jacobsen The Child Support Program collected more The Economic Support Program operates out Carol Johnson than 24 million dollars in 1998 with an Mary King of three locations: the Kenosha County Job Scott Kluver Center serves the general community; the operating budget of $1.3 million. This Kathy Koessl Kenosha County Center serves the general represents an increase in collects of almost Dan Mack community who live west of I-94, the Center 7% over the prior year. Additionally, related Pat Magnuson for Aging and Long Term Care serves the expenses of the Family Court Rosemary Mrozak Commissioner’s office, Clerk of Court, and Janet Niemi elderly and nursing home populations. Jesse Noyola Sheriff’s Department were partially paid for Mary Passinault Economic Support Specialists, function as with Child Support revenues. Lynda Pfeiffer critical members of Financial and Keli Poppe Employment Planning Teams who not only The Child Support program was created in Phyllis Saliture Kenosha County in 1976 to establish and Lin Shepard determine eligibility and issue benefits for Wisconsin Works, Food Stamps, Medical enforce support orders for children, and to Helen Smith Bob Smuda Assistance and Childcare, but also determine establish paternity. Some cases result in court Mike Stancato what Wisconsin Works Program placement proceedings, but behind the scenes a great Kathy Tolnai and activities an individual is assigned. They amount of the work is done by office staff and Nicole Tristano work in conjunction with other Team case workers, who interview, investigation, Kristin Walter negotiate, process and take administrative Ann Whiteside members to assist families in becoming Claudia Volpentesta economically and socially self-sufficient. actions to collect ordered payments. Jean Zahn Wisconsin Works Program Currently, about 5% of child support customers receive Wisconsin Works Program benefits. Another 3% involve foster care, state institutional care, or Kinship Care. At (Continued on page 24) Kenosha County Department of Human Services 1998 Annual Report Page 24 Division of Workforce Development the program’s inception nearly all of the Child Support customers were public assistance recipients. Program Staff The Kenosha County Emergency Services Child Support has grown from approximately Network brings together community based Bev Patterson 1,000 cases to over 15,500. One with a minor agencies serving low income and indigent Darlene Sandberg child in the home, in need of support or residents of the County with the goal of Ben Schliesman paternity establishment can apply for Child creating better coordination of services and Joseph Spence Support services. Enforcement of child eliminating duplication of services and aid. Sheryl Acunal support obligations has enabled people to Ruth Bradley Lynn Costello become and remain self-sufficient. This The agencies involved with the Emergency Nancy Gardynecki program serves more than 56,000 persons. Services Network provide such key resources Joseph Hazelton as: food, shelter, clothing and some limited Elizabeth Houtz The County alleviated pressures due to medical care as well as counseling and Jacki Hughes historical understaffing by adding 5.5 new Val Jensen referral to other resources in the community. positions: a half-time supervisor, 2 Judy Johnson Linda Johnson enforcement specialists and 2 paternity The Kenosha County Division of Workforce Michelle Kozmer establishment investigators, and 1 office Development provides hunger and shelter Jean Krueger associate. grants to Emergency Service Network Rebecca Mentink member agencies under a program called Guinda McKoon Court hearings are conducted primarily on the Karen Niedzielski Kenosha County “SHARES”. Elizabeth Portilia calendar of the Family Court Commissioner. Colleen Roethe Receiving and disbursing of money was done The SHARES Program gave $135,000 in Christine Steinseifer by the Clerk of Court’s staff. These account County tax levy for Hunger and Shelter Marge Thomka clerks moved to the Child Support Program related grants in 1998. Nina Tracy offices in December, in preparation for Edward Winkler statutory changes which require the Child The agencies comprising the Emergency Support Program to take on these functions in Services Network are: Fiscal Unit Staff 1999. Federal regulations require that Wisconsin utilize a centralized lock box for • Racine/Kenosha Community Action Carol Golisch receipting of child support collections in Agency - WIC, Federal Commodities, Pat Frank 1999. County clerks will continue to enter TEFAP, Coordination of Emergency Kathy Frederking Services Network; Total Grant Awards - Julie Lichter orders, do account adjustments, audit Priscilla Reisenauer accounts, and will take on increased work on $20,000 Mary Sammons managing “suspended payments” as money • The Shalom Center - Soup Kitchen, Family becomes disbursed statewide, other than only Shelter, Coordination of INNS Program; on that county’s cases. Total Grant Awards - $75,702 • Salvation Army - Food pantry, social Legal papers are served and absent parents services component, Summer Food located with the assistance of the Sheriff’s program; Total Grant Awards - $17,000 Department, by two to three deputies. Their • The Sharing Center - Food pantry, rate of successful service of process is greater clothing, social services component for than 90%. Papers sent out of county to western Kenosha County; Total Grant private process servers are served at a lower Awards - $6,000 rate and out of state servers at an even lower • Kenosha Youth Development Services - rate of about 42%. Adult and children crisis centers, adult and children shelters, social services The Children First Program, operated by component, contracted through County for Goodwill Industries, provides job counseling AODA/Mental Health services and placement services to unemployed or • United Way - Additional funding source underemployed obligors. This Case Manger for many of these agencies also began a series of parenting classes for • First United Methodist Food Pantry; Total new fathers in paternity actions, called the Grant Awards - $2,000 Heroes program in 1998. The first class had • American Red Cross - Emergency shelter, four young dads. The second class doubled in food and clothing for victims of fires and size. natural disasters • Twin Lakes Area Food Pantry; Total Grant Emergency Services Network Awards - $1,500 Kenosha County Department of Human Services 1998 Annual Report Division of Workforce Development Page 25 • Kenosha County Department of Human initiative has resulted in 288 new families Services, Division of Workforce receiving medical assistance benefits Development • Women’s Horizons - Domestic abuse In 1998, Kenosha County provided shelter; Total Grant Awards - $8,298 $51,641,303 in health care related benefits • Holiday House - Food baskets; Total Grant under the Medical Assistance Program. This Awards - $4,500 amount covered the expenditures for 3,974 families and 7,675 recipients eligible under Food Stamp Program one of several categories of Medical Assistance. The Food Stamp Program is sponsored by the U.S. Department of Agriculture to help meet Medical Relief the nutritional needs of individuals and families whose income fall below a Medical Relief provides non-emergency percentage of the federal poverty level. primary medical and dental care to very poor, Eligibility for Food Stamps is determined by eligible adults with no minor children. Economic Support Specialists and is based Services are provided through a contract with upon both financial and non-financial criteria Kenosha Community Health Center, the local as outlined by State and Federal guidelines. Federally Qualified Community Health Food Stamp cases are reviewed every three Center. Specialized services and tests are by months. referral. In-patient and Emergency Room care are not covered. Food Stamps are provided on a monthly basis to eligible Food Stamp households in During 1998, 117 people were eligible for allotments that are determined by household services with an average of 25 persons per size and income. Food Stamps can be used month utilizing some form of health care like money to buy most food items. benefits through this program. 1998 expenditures for Medical Relief were There is a mandatory work requirement that $135,000, with up to 50 percent being State goes along with receipt of Food Stamps for reimburseable. adults who are not caring for a child under one year of age, or are not working at least 30 Medicaid Transportation hours a week, or are not over age 60, blind or disabled. The Food Stamp Employment and Medicaid Transportation is available to Training Program assists individuals in eligible individuals who need transportation obtaining and retaining employment. assistance to receive medical services. This includes individuals receiving Medicaid Medical Assistance Assistance (Title XIX), Healthy Start and Supplemental Security Income (SSI). The Medical Assistance Program provides health care benefits to individuals and In 1998, Kenosha County provided bus passes families who meet financial, health, and age and contracted with four companies which requirements. There are several types of provided trips at a cost of $267,849. The Medical Assistance available to cover the cost County, as agent of the State, must utilize cost of health care services for children and their effective methods of transportation. caretakers, the indigent, aged or disabled persons as well as for pregnant women Welfare-to-Work needing prenatal or postnatal care. Eligibility factors are different for each type of Medical During 1998 the Kenosha County Wisconsin Assistance. Works Program Program served 719 TANF recipients. The end-of-year case load dropped In May of 1998, the Medical Assistance from 396 in 1997 to 235. Outstationing/Outreach initiative was implemented. As of December 31, 1998, this Number of Participants Served 1990 - 1998 Participant Profile Kenosha County Department of Human Services 1998 Annual Report Page 26 Division of Workforce Development Forty-seven percent (47%) of Wisconsin Works Program participants were European- Americans. Fifty-two percent (52%) had either a high-school diploma (43%) or equivalent (9%). Fifty-one percent (51%) had 60% completed twelve years or more of education. 50% Only 46% of program participants had access 40% to a personal automobile and 53% did not 30% have a driver’s license. Sixteen percent (16%) 20% 10% 3500 0% 3000 90 91 92 93 94 95 96 97 98 2500 2000 1500 1000 500 1600 0 1400 90 91 92 93 94 95 96 97 98 1200 1000 Total New 800 End of Year 600 400 200 did not have access to a telephone in the 0 home. 90 91 92 93 94 95 96 97 98 Employment Outcomes Full-time Part-time In 1998, 396 program participants found 537 jobs for a placement rate of 55%. Five percent (5%) of these jobs were in Illinois. 420 full-time jobs were found at an average hourly wage of $6.81. 117 part-time jobs were found at an average hourly wage of $7.00 $6.73. $6.50 $6.00 Percent of Participants Placed into $5.50 Employment 1990-1998 $5.00 $4.50 Number of Job Placements 1990 - 1998 $4.00 Average Wage at Placement 1990 - 1998 90 91 92 93 94 95 96 97 98 Full-time Part-time Kenosha County Department of Human Services 1998 Annual Report Page 27 Administrative Support Staff Administrative Support MIS Staff Information & Computer database applications still used by the Mike Scofield department to be Year-2000 (Y2K) Lamont Beal Systems Support compliant. Larry Cayo Brian Crehan Ed Jakes Linda Spaulding T he Departmentdevelopmentitsservices PC database systems purchased Information Systems administrative services and for • MIS staff from the department participated in a state Department of over 300 networked PC users from System Health and Family Services initiative to Management, Inc. (SMI). In December, SMI design a “Common Client Index” to P&E Staff relocated to Illinois, and the Department eventually link state computer data Susan Koehn contracted with RHB Technology Solutions, systems used by human services Jennifer Madore Inc. for PC/network systems development and departments at the county level. Neil Naftzger support. Research, Evaluation and Systems Related Projects and Grants Development Accomplishments in 1998 In 1998, the Department purchased • DHS continued active participation as administrative support for Research, one of five pilot sites for the planning of Evaluation, and Grants Development from an automated Child Welfare computer LJJ-AIMS, Inc. Grant proposals were system which could be implemented prepared by ad hoc teams comprised of statewide. various DHS and contract provider staff. Consultant services were used sparingly. • DHS completed and implemented five PC database applications to support staff Grant Activities in 1998 in the Divisions of Aging Services, Children and Family Services (DCFS) • Planning and Evaluation staff screened and the Division of Workforce hundreds of competitive opportunities Development (DWD). These are: and identified 35 grant prospects relevant 1. Personal and Career Development to DHS or other community providers. (DWD - Job Center) The total potential value of these 35 2. Adult Learning Center - Assessment prospects for Kenosha County was $23.1 (DWD) - Job Center) million. 3. Intake and Assessment (VI.) (Aging and Disability Resource Center) • DHS submitted 10 grant applications (4 4. UA Tracking (DCFS) to federal grant programs, 3 to the State, 5. Victim-Offender Reconciliation and 3 to private foundations), with a total Program (DCFS) request value of $5.0 million. Of these, 4 were selected for funding (1 Federal, 2 • The DHS master “person data” set which State, and 1 foundation), generating a provides common client data for all total of over $2.5 million to the network/PC applications built for the Department over the life of the grants. department grew from including fewer than 8,000 to more than 17,000 people. • DHS provided grant planning and proposal development assistance for 2 • The “Joint Design Team” of MIS staff competitive grant applications submitted from the department and development by community agencies and area school staff from County IS completed a multi- districts, with a total request value of year project plan for a “Human Services $1.7 million. Of these, 1 was selected for Client Information System”, envisioned funding, generating a total of $1.2 as a core system for department-wide use. million to the Kenosha Unified School • County IS staff analyzed and upgraded District for two 21st Century Community the primary AS/400 databases and (Continued on page 28) Kenosha County Department of Human Services 1998 Annual Report Page 28 Administrative Support Learning Centers over the life of the in providing services to individuals with grant. mental illness to be enrolled in the upcoming Mental Health Managed Care • Total revenues actually received by DHS Demonstrations, the State requested that in 1998 from competitively won grants Kenosha County provide feedback on the resulting from previous grant writing severity of the mental health issues faced activities were $152,793. by individuals served by the County’s mental health system based upon the Planning, Research, and Evaluation intensity and types of services they Projects in 1998 received during a three year period. As part of this process, P&E staff examined • P&E staff, in collaboration with Kenosha service utilization information for 4,505 Unified School District, prepared a three- unduplicated individuals who received year evaluation report of the Bridges publicly-supported mental health services Program. in Kenosha County during calendar years 1995, 1996, and 1997 and categorized • P&E staff secured second-year funding them by the severity of their mental for the Kenosha County Victim-Offender health problems. Restoration Program (VORP). VORP, implemented by Kenosha Human • P&E staff wrote an application for a Development Services, is funded through Court Improvement Program Grant from the Wisconsin Office of Justice the Wisconsin Supreme Court. The Assistance. P&E staff also provide application proposed utilizing $11,054 in evaluation services to the program. Court Improvement grant funds to: (1) objectively assess the process by which • P&E staff continue to serve as program Termination of Parental Rights (TPR) monitors and evaluators for the Kenosha proceedings are handled in Kenosha County Gang Prevention Project. The County; (2) define barriers and problem program consists of five neighborhood- areas; and (3) generate an Action Plan based agencies providing services to detailing specific strategies for youth ages 6 – 18 that are at-risk of gang improvement. KCDCFS received the involvement. requested funds and the project was successfully completed in December of • P&E staff prepared a report entitled 1998. Project consultants were hired to Trends in Kenosha County Medicaid write an assessment and recommend Enrollment in the Post-AFDC Era: areas for system change and Results from the Uninsured Family improvement. Survey. The purpose of this initiative was to design and analyze the data resulting from a survey for uninsured families deployed at five community-based agencies serving low-income families to provide a clearer sense of 1) how the implementation of welfare reform 1998 MIS and P&E Expenditures initiatives may be impacting enrollment MIS Expenditures $476,522 in Medical Assistance (MA); 2) why potentially MA and possibly soon to be P&E Expenditures $201,403 Badger Care-eligible “MA Fallout” and Total $677,925 “Not Recently Enrolled” families remain uninsured; and 3) how such information relates to the need for additional MA outreach services. • As part of a State-sponsored effort to develop a methodology to determine Medicaid capitation rates and the financial share of participating counties Kenosha County Department of Human Services 1998 Annual Report Page 29 Department of Human Services Purchase of Service Contractors Adult Educators, Inc. Deerpath Estates/Oak Run Agard, Mary Berryman Department of Industry, Labor, and Ahlstrom, Jane Human Relations Alcohol and Other Drugs Council Dubois Adult Family Home Alpha Homes of Wisconsin Friendship Manor American Red Cross Gateway Technical College Athey, Rosemary Genesis Health Plan Atoz Maintenance Goodwill Industries of Southeastern B-Care Cooperation Wisconsin, Inc. Bayshore Clinical Lab Hagan Adult Family Home Bella Mobile Care Hayes, Seay, Mattern, and Mattern Bellwood Heelein, Karen Bjork House Homes for Independent Living Boatwright, Mark Hoppe and Orendorff, S.C. Boulevard Manor In-House Information Systems Boys And Girls Club Interim Healthcare Brotoloc Health Care Interventions Ltd. Careers Industries - Racine Jo-Deen, Inc. Carey Manor Kelly Services Casa Mia Care Center Kenosha Achievement Center Child Care Resource and Referral of Kenosha Area Family and Aging Greater Racine and Kenosha, Inc. Services Children's Service Society of Kenosha Community Health Center Wisconsin Kenosha County District Attorney Christian Youth Council Kenosha County Health Department Christopher House Kenosha County Sheriff's Community Action Agency Racine/ Department Kenosha Kenosha Hospital and Medical Community Advocates Center Community Impact Programs, Inc. Kenosha Human Development Community Support Program Services Concerned Citizens Coalition Kenosha Unified School District Consumer Clubhouse Kenosha Voluntary Action Cook Adult Family Home Kimberly Lane Cote Adult Family Home Lauer Adult Family Home Covelli Community Based Residential Laura's Home Facility Letter Perfect Secretarial Services Crabtree Adult Family Home Lincoln Neighborhood Community Dayton Residential Care Center Developmental Disabilities Service Lindsey's Home Center (Continued on page 30) Kenosha County Department of Human Services 1998 Annual Report Page 30 Purchase of Service Contractors LJJ Associates In Management Victorian Manor Services, Inc. Vines Adult Family Home Lutheran Social Services Visiting Nurses Manpower Volunteers of America Mapleridge Adult Day Care Center Vocational Consulting Services Marshman Adult Family Home Vocational Industries Michael's Adult Family Home Walgreens Pharmacy Miller Adult Family Home Welbourne Hall Nelson Adult Family Home Westosha Community Center Norstan Communications Windy Oaks Oakwood Clinical Associates Wisconsin Correctional Services Olsten Temporary Services Women's Horizons Opportunities, Inc Oslten Kimberly Quality Care Perone Adult Family Home Perez Adult Family Home Point of Life Poulin Lane Prairie View Home Productive Living Systems Professional Services Group Racine County Opportunity Center Radiology Consultants Reindl Home Roeschen's Pharmacy Santschi House Savaglia Adult Family Home Schuch Family Home Sebena Adult Family Home Senior Community Services SER - Jobs For Progress Sheriffs Investigative Unit Society's Assets Spanish Center Speno/Julius St. Andrew's Place St. James Manor St. Joseph's Adult Day Care St. Catherines Hospital St. Christopher Mobile Care Systems Management Timber Oaks Tobin Drug Trans Corp Trempealeau County Upton Adult Family Home Urban League Kenosha County Department of Human Services 1998 Annual Report
"Kenosha County Department of Human Services - 1998 Annual "