Resolution 2020-31200 RESOLUTION NO. 2020-31200
A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF THE CITY OF
MIAMI BEACH, FLORIDA, AMENDING RESOLUTION NO. 2018-30371,
APPROVING FUNDING OF A ONE (1) YEAR PILOT PROGRAM WITH CAMILLUS
HOUSE, INC TO CONDUCT SPECIALIZED OUTREACH TO MENTALLY ILL
HOMELESS PERSONS IN FY 2018/2019, IN THE AMOUNT OF $91,572; SAID
AMENDMENT INCREASING THE TERM OF THE PILOT PROGRAM FOR AN
ADDITIONAL SEVEN MONTHS, COMMENCING MARCH 1, 2019 AND EXPIRING
ON SEPTEMBER 30, 2020, WITH APPROVED FUNDING, IN THE AMOUNT NOT
TO EXCEED $139,000; AND FURTHER AUTHORIZING THE CITY MANAGER TO
EXECUTE AN AMENDMENT TO THE AGREEMENT WITH CAMILLUS HOUSE
INCORPORATING THIS AMENDMENT.
WHEREAS, the Committee on the Homeless invited Camillus House, Inc. ("Camillus
House")to its February 28, 2018 meeting, to present on the Lazarus Project, which is a program
which provides targeted outreach and medication to chronically homeless persons suffering
from mental illness; and
WHEREAS, the goal of the Lazarus Project is to have those served (clients) complete
the evolving 60-day treatment plan, which could consist of the administration of psychotropic
medication and primary medical care, so that clients subsequently achieve a level of cognition
required to access further services, including housing; and
WHEREAS, at the conclusion of the presentation, the Committee on the Homeless
requested a proposed budget to target ten (10) chronically homeless individuals, who would be
identified by the City's Homeless Outreach Team and police; and
WHEREAS, at the April 10, 2018 meeting of the Committee on the Homeless, Camillus
House appeared telephonically and provided City staff with a proposed budget for a one-year
pilot program, in the amount of $91,572, addressing the scope discussed at the February
meeting; and
WHEREAS, pursuant to the Camillus House proposal, Camillus House would engage a
team of five employees for the City's pilot program, consisting of: one (1) project supervisor; one
(1) psychiatric Advanced Registered Nurse Practitioner (ARNP); one (1) SOAR Case Manager
(to assist with disability benefits' applications for the clients); one (1) Case Manager (to assist
with care coordination, housing, benefits and other services); and one (1) Medical Assistant
(providing medical and data entry support to the ARNP); and
WHEREAS, the Committee on the Homeless subsequently passed a motion for
submission to the Mayor and City Commission supporting the funding of a one (1) year pilot
program, based upon the Camillus proposal, with the understanding that the funding agreement
between the City and Camillus House would delineate specific outcome measures to determine
the efficacy of the pilot program; and
WHEREAS, at the May 16, 2018 City Commission meeting, Commissioner Gongora
referred the Committee on the Homeless' motion to the Neighborhood/Community Affairs
Committee (NCAC)for further discussion; and
WHEREAS, NCAC heard the item at its June 20, 2018 committee meeting; and
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WHEREAS, the NCAC recommended that the item be forwarded to the Mayor and City
Commission for referral to the Finance and Citywide Projects Committee, with a favorable
recommendation, to fund the project as part of the City's FY 2018/2019 budget process; and
WHEREAS, on July 13, 2018, the Mayor and City Commission accepted the
recommendation of the Neighborhood/Community Affairs Committee, at its June 20, 2018
committee meeting, to fund a one (1) year pilot program with Camillus House, Inc., to conduct
specialized outreach to mentally ill homeless persons, with funding in the amount of$91,572, as
an enhancement in the FY 2018/2019 budget; and
WHEREAS, on February 6, 2019, the City and Camillus House executed a Professional
Services Agreement("Agreement"); and
WHEREAS, on July 19, 2019, the parties executed Amendment No. 1 to the Agreement
to correct the term of the Agreement to reflect a commencement date of February 6, 2019 and
an expiration date of January 31, 2020; and
WHEREAS, the program commenced in March of 2019, with approved funding, in the
amount of$92,000; and
WHEREAS, during the budgetary approval process for FY 2019-2020, the Mayor and
City Commission approved additional funding for the program, as part of the Housing
Department's budget, in the amount of$47,000.00; and
WHEREAS, with this additional approved funding, the pilot program could now be
extended for an additional seven (7) months, through September 30, 2020; and
WHEREAS, the Administration recommends modifying the term of the pilot program to
reflect a commencement date of March 1, 2019 and an expiration date of September 30, 2020,
in order to collect sufficient data to see if the program should be maintained on a more
permanent basis.
NOW, THEREFORE, BE IT RESOLVED BY THE MAYOR AND CITY COMMISSION OF
THE CITY OF MIAMI BEACH, FLORIDA, that the Mayor and City Commission hereby amend
Resolution No. 2018-30371, approving funding of a one (1) year pilot program with Camillus
House, Inc. to conduct specialized outreach to mentally ill homeless persons in FY 2018/2019,
in the amount of $91,572; said amendment increasing the term of the pilot program for an
additional seven months, commencing March 1, 2019 and expiring on.September 30, 2020, with
approved funding, in the amount not to exceed $139,000; and further authorize the City
Manager to execute an amendment to the Agreement with Camillus House incorporating this.
amendment. �,/
PASSED AND ADOPTED this ��day of flact , 2020.
INCORPIO°IDRATED ban Gelber, Mayor
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Ra ael E. Granado, CiClerk
T:IAGENDAl2018t07 JulylHousing&Community Ca;«•
Resolutions-C7 G
MIAMI BEACH
COMMISSION MEMORANDUM
TO: Honorable Mayor and Members of the City Commission
FROM: Office of Housing and Community Service
DATE: March 18, 2020
SUBJECT:A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF THE CITY
OF MIAMI BEACH, FLORIDA, AMENDING RESOLUTION NO. 2018-30371,
APPROVING FUNDING OF A ONE (1) YEAR PILOT PROGRAM WITH
CAMILLUS HOUSE, INC. TO CONDUCT SPECIALIZED OUTREACH TO
MENTALLY ILL HOMELESS PERSONS IN FY 2018/2019, IN THE AMOUNT
OF $91,572; SAID AMENDMENT INCREASING THE TERM OF THE PILOT
PROGRAM FOR AN ADDITIONAL SEVEN MONTHS, COMMENCING
MARCH 1, 2019 AND EXPIRING ON SEPTEMBER 30, 2020, WITH
APPROVED FUNDING, IN THE AMOUNT NOT TO EXCEED $139,000; AND
FURTHER AUTHORIZING THE CITY MANAGER TO EXECUTE AN
AMENDMENT TO THE AGREEMENT WITH CAMILLUS HOUSE
INCORPORATING THIS AMENDMENT.
RECOMMENDATION
Administration recommends approving the resolution.
BACKGROUND/HISTORY
On July 13, 2018, the Mayor and City Commission accepted the recommendation of the
Neighborhood/Community Affairs Committee, to fund a one (1)year pilot program with Camillus
House, Inc., to conduct specialized outreach to mentally ill homeless persons, with funding in
the amount of$91,572,as an enhancement in the FY 2018-2019 budget.
The program commenced in March 2019, with approved funding, in the amount of $92,000;
however, during the budgetary approval process for FY 2019-2020, the Mayor and City
Commission approved additional funding for the program as part of the Housing Department's
budget in the amount of $47,000. These additional funds would extend the program for an
additional seven(7) months,through September 30, 2020.
ANALYSIS
In March 2019, the city launched the Camillus House-Lazarus Pilot Program to serve 10 chronically
homeless participants with persistent mental illness whose illness contributes to their personal
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homelessness. Camillus House engages clients in the field, assesses their medical needs, pursues
the administration of appropriate medications, and works with the client to pursue and secure
permanent housing. This program focuses on continuous client engagement, medication
management, when applicable, and a contractual benchmark of achieving shelter and/or permanent
placement for a minimum of 30 consecutive days.
The city provided Camillus House with 26 referrals, a pool of sufficient size to acknowledge the
inherent difficulties in engaging this population. Of these referrals, six (6) candidates were
subsequently rejected because Camillus House staff was unable to consistently locate the
individuals.
The program has been able to provide placement to four persons. One participant was housed in
permanent supportive housing and is currently receiving wraparound services through Camillus
House-ACT Program. As of this writing, one participant remains in shelter since December 2019.
Another participant was in shelter for one week, relapsed to the streets and subsequently relocated
to family out of state. In January, one participant resided in shelter placement intermittently for more
than six months; however, she ultimately reverted to homelessness and is currently waiting for an
appropriate shelter bed to become available for re-placement at Camillus House.
The program has been able to provide seven medical assessments in which four participants have
consented to receive psychotropics, three of which remain on medication. The administration of
psychotropics requires consistency of administration which is difficult to achieve when clients cannot
be located or when staffing issues arise for Camillus House. The Lazarus Program is currently not
staffed to provide medication management during weekends and holidays. City staff has addressed
with Camillus House its concern regarding the consistent administration of medication. Camillus
House has subsequently revised its programming to ensure that clients are provided weekend doses
for self-administration.
FINANCIAL INFORMATION
This item was approved in the FY 19/20 General Fund budget.
Account(s) 011-0560- Amount(s) $47,000 (FY 19/20)
000349-23-
405-575-00-
00-00
CONCLUSION
The Administration recommends modifying the term of the pilot program to reflect a
commencement date of March 1, 2019 and an expiration date of September 30, 2020, in order
to collect sufficient data to see if the program should be maintained on a more permanent basis
and to reflect the funding allocated by the Mayor and Commission during the FY 2019-2020
budget process.
Applicable Area
Not Applicable
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Is this a "Residents Right Does this item utilize G.O.
to Know" item. pursuant to Bond Funds?
City Code Section 2-14?
No No
Strategic Connection
Mobility-Address homelessness.
Legislative Tracking
Housing and Community Services
ATTACHMENTS:
Description
o Amended Resolution
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