Nevada County Grand Jury • 2004-2005

Management Deficiencies in the Nevada County Behavioral Health Department Reason for Investigation The Grand Jury

Published: June 24, 2005 23 pages
Ver PDF original

Findings and Recommendations 9 findings

F1
Since 2000, the County Drug Court has discontinued referrals to MIR due to inappropriate behavior by the program facilitator that included writing a letter containing false allegations against County Probation staff and signing client names to the letter.
Related Recommendations (2)
R2
The BOS should direct the CEO to work with Drug Court to study and determine the best way to deliver drug recovery programs within the county.
R3
The BOS should direct the CEO to ensure that BH reestablishes good working relationships with all related county and external agencies in order to provide county-led recovery programs accessible to all qualified participants.
F2
The responsible manager at the time characterized MIR as “the shining star of Behavioral Health,” even complimenting the program facilitator for not letting external forces distract or influence conduct of the program, when in fact the program facilitator had been disciplined for inappropriate behavior with an external agency.
Related Recommendations (1)
R3
The BOS should direct the CEO to ensure that BH reestablishes good working relationships with all related county and external agencies in order to provide county-led recovery programs accessible to all qualified participants.
F3
The Human Resources (HR) department took fourteen months to complete an investigation into a county employee’s complaint filed in 2003 of a hostile working environment caused by the program facilitator of the MIR program. Although HR conducted interviews regarding the complaint, no one from the complainant’s list of nineteen witnesses was interviewed. HR found “no merit” to the allegations of a hostile work environment.
Related Recommendations (1)
R6
The BOS should direct the CEO to review the current policy regarding complaints and/or grievances involving county employees and to ensure timely and thorough completion of investigations by HR.
F4
The Grand Jury was unable to find any established, written protocol for operation of the MIR program. There is evidence that this lack of structure has led to allegations of favoritism and unequal treatment of clients by the facilitator of the program.
Related Recommendations (1)
R1
The Board of Supervisors (BOS) should direct the CEO to suspend operation of the MIR program until proper management and treatment protocols can be ensured. Current clients should be re-directed to other programs.
F5
At least one MIR program client has filed a formal complaint with the county alleging that MIR staff compromised therapist-client confidentiality.
Related Recommendations (1)
R1
The Board of Supervisors (BOS) should direct the CEO to suspend operation of the MIR program until proper management and treatment protocols can be ensured. Current clients should be re-directed to other programs.
F6
Evidence shows a history within BH of certain staff filing false accusations shortly before performance reviews are due resulting in changes of supervisors and delay of anticipated poor reviews. For example, there have been four different supervisors for the MIR program facilitator in less than two years, including the Director of BH.
Related Recommendations (1)
R4
The BOS should direct the CEO to ensure that BH management strictly adheres to personnel code requirements regarding timely and accurate employee evaluations and that all supervisors, managers, and directors are held accountable for maintaining a supportive and cooperative work environment for county employees.
F7
Recently, a few drug recovery program staff members from BH filed a grievance with the county’s HR department against their current supervisor shortly before their performance reviews were due. The grievance was promptly investigated and found to be without merit by HR.
Related Recommendations (1)
R4
The BOS should direct the CEO to ensure that BH management strictly adheres to personnel code requirements regarding timely and accurate employee evaluations and that all supervisors, managers, and directors are held accountable for maintaining a supportive and cooperative work environment for county employees.
F8
Several BH clients have been made to wait for hours for appointments with drug recovery program staff that are reportedly chronically late or fail to show up.
Related Recommendations (1)
R1
The Board of Supervisors (BOS) should direct the CEO to suspend operation of the MIR program until proper management and treatment protocols can be ensured. Current clients should be re-directed to other programs.
F9
The Director of BH has allowed inappropriate behavior such as repeated false allegations against co-workers and poor attendance by a few drug recovery program staff to continue with little or no disciplinary action taken. CONCLUSIONS
Related Recommendations (1)
R5
The BOS should direct the CEO to take immediate action to determine the root cause of the current hands-off management style within BH and work to cleanse the department of the atmosphere caused by a failure to appropriately discipline staff. Such action should include progressive discipline, letters of reprimand, administrative leave, suspension, and/or termination.

Conclusions 9

No Responses Found 1

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Nevada County Board of Supervisors Elected County Office