RECOMMENDATIONS on BUDGETING FOR RESULTS, RATIONALIZING SERVICE DELIVERY, and REBALANCING LONG TERM CARE January 8, 2013 1 TABLE OF CONTENTS Page Message to the Governor and Members of the General Assembly………………………………………………………3 Acknowledgements………………………………………………………………………………………………………………………………..4 Recommendations on Budgeting for Results………………………………………………………………………………………...9 Recommendations on Rationalizing Service Delivery Program Reorganization……………………………………………………………………………………………………………………….12 Children’s Behavioral Health…………………………………………………………………………………………………………….….16 Recommendations on Rebalancing Long Term Care……………………………………………………………………………25 Minority Report on Rebalancing Long Term Care Submitted by AFSCME Council 31………………………….40 Minority Report on Rebalancing Long Term Care Submitted by William Choslovsky………………………….43 Minority Report on Rebalancing Long Term Care Submitted by Shawn Jeffers……….………………………..45 2 MESSAGE TO THE GOVERNOR AND MEMBERS OF THE GENERAL ASSEMBLY The Executive Order creating the Human Services Commission gives it this responsibility: “recommend measures to ensure the sustainability of high quality human service delivery in the State of Illinois and make recommendations for achieving a system that will provide for the efficient and effective delivery of high quality human services.” Governor Quinn renewed the Human Services Commission for one-year term in 2012 with the charges to make recommendations for consideration by the Governor and the Legislature in the following areas: 1. Budgeting for Results 2. Rationalizing Service Delivery, including Children’s Behavioral Health 3. Rebalancing Long Term Care To fulfill this responsibility, the Human Services Commission The Commission met four times in 2012 and organized into three working committee to gather information, consult with experts and develop recommendations. We are pleased to submit a set of recommendations contained in this report to the Governor and members of the General Assembly. The Human Services Commission hopes that the recommendations in this report will be given serious consideration by the Governor and the General Assembly. Human Services Commission December 19, 2012 3 ACKNOWLEDGEMENTS This report represents the contributions and expertise of many individuals and organizations. The Human Services Commission gratefully recognizes the efforts of all who have provided content, commentary and guidance to this report. COMMISSIONERS We are grateful for the support and contributions made by commissioners. Commissioners provided guidance and feedback on the report through attending work group session and/or submitting written comments. J. Maichle Bacon, Illinois Public Health Association Lore Baker, Supportive Housing Providers Association Arthur Bishop, Department of Juvenile Justice Denver Bitner, Lutheran Social Services of Illinois Nancy Bluhm, Illinois Association of Public Health Administrators Richard Calica, Department of Children and Family Services William Delgado, General Assembly Evelyn Diaz, Chicago Department of Family and Support Services Mark Doyle, Governor's Office Wendy DuBoe, United Way Metropolitan Chicago Eileen Durkin, Community Counseling Centers of Chicago Art Dykstra, Trinity Services, Inc. Ric Estrada, Metropolitan Family Services Sara Feigenholtz, General Assembly Gaylord Gieseke, Voices for Illinois Children Salvador Godinez, Department of Corrections Julie Hamos, Department of Healthcare and Family Services Dr. LaMar Hasbrouck, Department of Public Health Pam Heavens, Will-Grundy Center for Independent Living John Holton, Department of Aging Gary Huelsmann, Catholic Social Services of Southern Illinois Mattie Hunter, General Assembly Anne Irving, AFSCME Council 31 Toni Irving, Office of the Governor Marco Jacome, Healthcare Alternatives System Naomi Jakobsson, General Assembly Shawn Jeffers, Little City Foundation George Jones, Ada S. McKinley Christopher Koch, Illinois State Board of Education 4 Maggie Laslo, SEIU HCII Ngoan Le, The Chicago Community Trust David Leitch, General Assembly Valerie Lies, Donors Forum Rosemary Mulligan, General Assembly Carole Pankau, General Assembly Maria Pesqueira, Mujeres Latinas Gregory Pierce, United Power for Action and Justice Polly Poskin, Illinois Coalition Against Sexual Assault Nancy Ronquillo, Childrens Home and Aid Dee Ann Ryan, Vermilion County Mental Health Amy Rynell, Social Impact Research Center at Heartland Alliance Michelle Saddler, Department of Human Services Nancy Shier, Ounce of Prevention Fund Dave Syverson, General Assembly Susan Kennedy, YMCA Neli Vazquez-Rowland, A Safe Haven Maria Whelan, Action for Children Diane Williams, Safer Foundation TECHNICAL SUPPORT AND INPUT We are grateful for the expertise provided by Jane Bilger, who provided extensive support for the report on rebalancing. Other consumers and advocates have also provided input into the information gathering process, including: Mark Abner, University of Illinois Christine Achre, Primo Center for Women and Children Sandra Alexander, IDoA Stephanie Altman, Health and Disabilities Advocates Melanie Anewiski, Featherfist Jennifer Aring, GOP Senate Sue Augustus, Health Disability Advocates Jeanette Badra, Illinois Department of Healthcare and Family Services\ Karen Batia, Heartland Alliance Betsy Benito, CSH Paul Bennett, IL Healthcare and Family Services Marge Berglind, Child Care Association of Illinois Karen Berman, Ounce of Prevention Lisa Betz, Illinois Department of Human Services-Division of Mental Health Mike Bibo, The Center for Developmental Disabilities Advocacy and Community Supports Neville Bilimoria, Duane Morris LLP Nancy Bluhm, Illinois Association of Public Health Administrators 5 Lisa Braganca, Access Living Marca Bristo, Access Living Scott Burgess, Alexian Brothers Center for Mental Health Daniel Burke, Office of the Governor Chris Burnett, IL Assoc of Rehabilitation Facilities Michele Carmichael, Illinois State Board of Education Terry Carmichael, Community Behavioral Health Care Association Kevin Casey, IL DHS/DD Richard Callica, Department of Children and Family Services Bill Choslovsky, Neal, Gerber & Eisenberg LLP Shawn Cole, Illinois Department of Healthcare and Family Services Ray Connor, Individual Care Grant (ICG) Parent Liz Doyle, McHenry County Mental Health Board Mark Doyle, Office of the Governor Mary Driscoll, Illinois Department of Public Health Andi Durbin, Illinois Collaboration on Youth Jamie Ewing, CSH Peggy Flaherty, Thresholds Gil Fonger, Marklund Christopher Gange Laura Garcia, Healthcare Alternative Systems, Inc. Teri Garate, Illinois Department of Public Health Michael Gelder, Governor’s Office Gene Griffin, Northwestern University Valery Gruss, UIC College of Nursing Christine Haley, CSH Brenda Hampton, IL Dept Human Services Brady Harden, Office of the Governor Dan Harris, Illinois Department of Human Services Christine Harman, Illinois Department of Children and Family Services Dr. Seth Harkins, National Louis University Michelle Hoereth, IFF John Holton, Department of Aging Jane Hornstein, Cook Bureau of Community Economic Development Toni Hoy, National Alliance of Mental Illness-Parent Debbie Humphrey, St. Clair County Mental Health Board Judy Hutchison, Illinois Department of Human Services-Division of Mental Health Mark Ishaug, Thresholds Dennis Jones, Williams/Colbert Court Monitor Larry Joseph, Voices for Illinois Children Norm Joyce, Maryville Academy Mike Kaminsky, ARC of Illinois-Lifespan Project Jack Kaplan, United Way Metropolitan Chicago Frank Kopel, Illinois Department of Healthcare and Family Services 6 Dr. Art Kohrman, Illinois Department of Public Health Greg Kyrouac, SIU School of Medicine Dawn Lamp, Turner's Manor Jonathan Lavin, Age Options Erin Laytham, Illinois Association of Rehabilitation Facilities Thomas Lenz, United Power for Action and Justice Janine Lewis, Illinois Maternal and Child Health Coalition Jim Lewis, The Chicago Community Trust Sandy Lewis, McHenry County Mental Health Board Jerry Lowell, Aunt Martha’s Youth Service Center & Health Center Dave Lowitzki, SEIU Healthcare Colette Lueck, Illinois Children’s Mental Health Partnership John Lyons, University of Ottawa and Northwestern University Faye Manaster, Family to Family- ARC of Illinois Sharron Matthews, Illinois Department of Healthcare and Family Services Lora McCurdy, HFS Renee Mehlinger, Illinois Department of Human Services-Division of Mental Health Christina Miksis, Alexian Brothers Center for Mental Health Mark Mroz, Mado Management Richard Monoccio, Cook County Housing Authority Jim Nelson, Illinois Public Health Association Matt Obert, Chaddock Heather O'Donnell, Thresholds Rahnee Patrick, Access Living Tony Paulauski, Arc of Illinois Tara Peele, IFF Marianne Philbin, Pierce Family Foundation Melissa Picciola, Equip for Equality Anne Posner, Age Options Tony Records, Ligas Court Monitor Diane Redleaf, Family Defense Center Mike Rein, Transitions of Western Illinois Sheila Romano, Illinois Planning Council on Developmental Disability Phyllis Russell, Association of Community Mental Health Authorities in Illinois Sister Catherine Ryan, Maryville Academy Barb Schipp, Illinois Department of Human Services John Schornagel, Illinois Community & Residential Services Authority Todd Schroll, McHenry County Mental Health Board Ralph, Schubert, Illinois Public Health Association Sheryl Seiling, Cook County Housing Authority Bruce Seitzer, C4 Mary Shahbazian, Allendale Association Michael Shaver, Children’s Home and Aid Barbara Shaw, Illinois Children’s Mental Health