Resolution 2018-30371 RESOLUTION NO. 2018-30371
A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF THE CITY OF
MIAMI BEACH, FLORIDA, ACCEPTING 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 IN FY 2018/2019, AND TO REFER TO
THE FINANCE AND CITYWIDE PROJECTS COMMITTEE, WITH A FAVORABLE
RECOMMENDATION, THE FUNDING OF THE PILOT PROGRAM, IN THE
AMOUNT OF $91,572, AS AN ENHANCEMENT IN THE FY 2018/2019 BUDGET.
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 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
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.
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
accept 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 in FY 2018/2019, and to refer to
the Finance and Citywide Projects Committee, with a favorable recommendation, the funding of
the pilot program, in the amount of$91,572, as an enhancement in the FY 2018/2019 budget.
PASSED AND ADOPTED this 2nd day of July, 2018.
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LIAGENCA12018107 July IHousing&Community Services Camillus Project Resolution 07022018 doc
Resolutions - C7 B
MIAMI BEACH
COMMISSION MEMORANDUM
TO: Honorable Mayor and Members of the City Commission
FROM: Jimmy L. Morales, City Manager
DATE: July 2, 2018
SUBJECT: A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF THE CITY OF
MIAMI BEACH, FLORIDA, ACCEPTING THE RECOMMENDATION OF THE
NEIGHBORHOODS/COMMUNITY AFFAIRS COMMITTEE TO REFER TO THE
FINANCE/CITYWIDE PROJECTS COMMITTEE, WITH A FAVORABLE
RECOMMENDATION, THE FUNDING OF A PILOT PROJECT BY CAMILLUS
HOUSE TO CONDUCT SPECIALIZED OUTREACH TO MENTALLY ILL
HOMELESS PERSONS IN FY 2018/19.
RECOMMENDATION
The Neighborhood/CommunityAffairs Committee(NCAC)has recommended referral to the Finance and Citywide Projects
Commiftee(FCW PC)for consideration as a budget enhancement for FY 2018/19.
HISTORY
At its February 28. 2018 meeting, the Committee on the Homeless hosted representatives from the Miami-Dade County
Homeless Trust and Camillus House.At the meeting, Camillus House presented its specialized outreach program known as
the Lazarus Project. This specialized outreach team targets homeless persons suffering from mental illness who are
reluctant to engage or accept services including shelter because of their impaired ability.The Lazarus Project's primary goal
is to have those served complete the evolving 60-day treatment plan, which could consist of the administration of
psychotropic medication and primary medical care, so that clients can subsequently achieve a level of cognition required to
access further services(including housing).
After the presentation, the Committee requested a budget proposal for a one-year pilot program in the City that would target
10 chronically homeless individuals identified by the City's Homeless Outreach Team and Police.At the Committees April
10, 2018 meeting, Camillus House presented its proposal via telephone conference addressing the scope discussed at the
February meeting.
After the presentation,the Committee on the Homeless passed a motion to support the pilot program with the understanding
that the agreement would delineate specific outcome measures to determine the efficacy of the program. The Committee's
motion was subsequently referred by Commissioner Gongora to the Neighborhood/ Community Affairs Committee for
further discussion at the May 16,2018 City Commission meeting.
The item was heard at the Neighborhood/ Community Affairs Committee on June 20, 2018. The Committee
recommended that the item be forwarded to the special Finance Committee meeting with a favorable
recommendation,
ANALYSIS
Camillus House, a shelter provider contracted by the City,submitted a budget proposal for a pilot project addressing the 10
chronically homeless individuals discussed at the Committee on the Homeless. The proposed attached budget for the pilot
project is 391,572.
Page 84 of 408
The Camillus House pilot project would engage a team of five employees comprised of
• Project Supervisor
• Psychiatric Advanced Registered Nurse Practitioner(ARNP)
• SOAR Case Manager(a person to assist with disability benefits'applications for the clients)
• Case Manager(to assist with care coordination,housing, benefits and other services)
• Medical Assistant(providing medical and data entry support to the ARNP)
As directed by the Committee on the Homeless, Cay staff has identified program measures to help determine the
efficacy of the pilot program. Suggested measures include:
• Document the targeted encounters engaging clients at least wice weekly:
• Provide medication administration as medically needed:
• Use of Homeless Management Information System (HMIS) database to track client contacts, services, referrals and
placements:
• Provide written acknowledgement of receipt of City referrals to program:
• Provkle a determination on Cay referrals and develop enggagement strategy. to include (as applicable and appropriate)
housing and service plans,within five(5)husthess days of client assessment,
• Conduct case staffing with(ity staff at least once a month:.and
• Provkle outcome measures and client detcrminatkns quarterly with a final report at the end of the one-year pilot project_
CONCLUSION
The NCAC has recommended referral to FCWPC for consideration as a budget enhancement for
FY 2018/19.
KEY INTENDED OUTCOMES SUPPORTED
Enhance Beauty And Vibrancy Of Urban And Residential Neighborhoods: Focusing On Cleanliness, Historic
Assets, In Select Neighborhoods And Redevelopment Areas
FINANCIAL INFORMATION
The proposed pilot project would cost $91,572. The proposed project budget is attached.
Legislative Tracking
Housing and Community Services
ATTACHMENTS:
Description
❑ Camillus Project Budget
Page 85 of 408
Camillus House,Inc.
Draft of 3/12/2018
PROJECT DESCRIPTION: Project Lazarus-City of Miami Beach Expansion
PROJECT TYPE: Outreach
POPULATION FOCUS: Individuals
[A] Funded by M/Beach I Notes
Unit Cost FTEs Budget($)
Salaries
Project Supervisor 58,240 0.10 5 5,824.00 10%of the Program Supervisor for Administrative
Psych.Advanced Registered Nurse Practitioner 94000 0.10 $ 9,400.00 10%of Psych ARNP for psychiatric&medical evaluation
SOAR Case Manager 40,000 0.05 $ 2,000.00 5%of SOAR case manager for processing of SSI/SSDI
applciations
Case Manager 35,000 1.00 $ 35,000.00 1 FTE Case Manager for care coridation: housing, benefits
and social services referral to support services
Medical Assistant 33,000 0.05 $ 1,650.00 0.05%of MA-medical and data entry support to the
Psyche ARNP
Subtotal salaries 1.30 $ 53,874
Benefits and payroll taxes % All benefits calculated at Camillus actual costs for full time
employees
Social Security tax 6.20% $ 3,340.19
Medicare tax 1.45% 781
Unemployment tax(on first$7,000 only) 5.40% 491
Workers Compensation 1.78% 959
Health insurance $701.97/mo. 10,951
Life,disability and long-term care 1.65% 889
403b 3.00% 1212
Subtotal benefits and payroll taxes _ $ 18,624
Other expenses
Food service costs 1,800 $150 per month for snack items
Direct support 5.000 lab dx,medications, personal supplies,relocation, medical
Licenses and fees
Transportation 2,000 gas,oil,tires, repairs,etc.
Supplies/Program expenses 1,200
Subtotal other expenses $ 10,000
Subtotal expenses $ 8Z498
Admin @ 11%o of total grant amount(last approved federal indirect $ 9,075 finance, executive oversight CEO/C00,overhead
Total Expenses I $ 91,572
Page 86 of 408