C7D - Increase Funding for Nurse Program

Resolutions - C7 D

COMMISSION MEMORANDUM

TITLE:

A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF THE CITY OF MIAMI BEACH, FLORIDA, (I) APPROVING AN INCREASE IN THE CITY CONTRIBUTION FOR THE MIAMI BEACH NURSE ENHANCEMENT INITIATIVE FOR THE 2025-2026 SCHOOL YEAR FROM AN AMOUNT NOT TO EXCEED $139,000.00, AS SET FORTH IN RESOLUTION NO. 2019-30957, TO AN AMOUNT NOT TO EXCEED $169,000.00; (II) APPROVING AN INCREASE OF THE CITY CONTRIBUTION FOR THE MIAMI BEACH NURSE ENHANCEMENT INITIATIVE TO AN AMOUNT NOT TO EXCEED $169,000 FOR EACH SUBSEQUENT SCHOOL YEAR, ON A RECURRING BASIS, SUBJECT TO FUNDING APPROVAL DURING THE CITY’S BUDGETARY PROCESS; (III) APPROVING, IN SUBSTANTIAL FORM, AMENDMENT NO. 9 TO THE MEMORANDUM OF UNDERSTANDING DATED JULY 26, 2016 BETWEEN THE CITY AND THE MIAMI BEACH CHAMBER EDUCATION FOUNDATION, INC. (MBCEF) FOR THE PROVISION OF THE MIAMI BEACH NURSE ENHANCEMENT INITIATIVE FOR THE 2025-2026 SCHOOL YEAR IN AN AMOUNT NOT TO EXCEED $169,000; (IV) AUTHORIZING THE CITY MANAGER AND CITY CLERK TO EXECUTE SAID AMENDMENT NO. 9; AND (V) AUTHORIZING MBCEF, AS THE CITY'S FISCAL AGENT, TO NEGOTIATE AND EXECUTE ANY REQUIRED AGREEMENTS WITH THE CHILDREN’S TRUST AND A PROVIDER AUTHORIZED BY THE CHILDREN’S TRUST TO FUND THE SERVICES PROVIDED PURSUANT TO THE MOU.

RECOMMENDATION

T he City Manager recommends approving Amendment No. 9 to the Memorandum of

Understanding (MOU); dated July 26, 2016, between the City and The Miami Beach Chamber Education Foundation (MBCEF). This Amendment will approve the utilization of Jessie Trice Community Health System. INC., a primary care, therapy and counseling services provider for The Children’s Trust for the Miami Beach Feeder Pattern.

The City Manager also recommends amending the city’s contribution cap, as set forth in resolution 2019-30957, from an annual amount not to exceed $139,000 to an annual amount not to exceed $169,000; and authorizing MBCEF, as the City's fiscal agent, to negotiate and execute any required agreements to fund the services, as needed, for the participating schools; and further recommends authorizing MBCEF to execute future funding agreements, which may include other providers, approved by The Children’s Trust for similar services, in connection with the fulfillment of the Nurse Enhancement Initiative .

BACKGROUND/HISTORY

The City of Miami Beach, North Bay Village, the Town of Bay Harbor Islands, the Town of Surfside, and Bal Harbour Village determined that students at North Beach Elementary, Treasure Island Elementary, and Ruth K. Broad Bay Harbor K-8 Center did not have full-time, on- site

healthcare services and were, thus, underserved as compared to other public schools in the feeder pattern that falls within the City of Miami Beach.

On August 19, 2013, the Participating Municipalities, the Miami Beach Chamber Education Foundation, Inc., and The Children' s Trust entered into a Memorandum of Understanding, to provide healthcare services through a nurse for these participating schools during the 2013-2014 school year. During the 2014-2015 school year, the Nurse Initiative was extended.

Due to the success of the Nurse Initiative, and because the basic healthcare services previously funded through the Nurse Initiative were being provided by The Trust via the new school health programs, on April 13, 2016, the Mayor and City Commission adopted Resolution No. 2016- 29345, approving the enhancement of the Nurse Initiative by providing behavioral health/mental health services for the participating schools through a licensed clinical social worker for the 2016- 2017 school year.

Pursuant to Resolution No. 2016-29345, on July 26, 2016, the City and MBCEF entered into a Memorandum of Understanding which continued the Nurse Enhancement Initiative for North Beach Elementary, Treasure Island Elementary, and Ruth K. Broad Bay Harbor K-8 Center, and expanded the Nurse Enhancement Initiative to include Miami Beach Senior High School, Miami Beach Nautilus Middle School, Miami Beach Fienberg Fisher K-8, Biscayne Elementary School, and Miami Beach South Pointe Elementary School, by providing for a licensed clinical social worker one day a week at each of the participating schools.

On May 25, 2017, the City and MBCEF executed Amendment No. 1 to the MOU, continuing the Nurse Enhancement Initiative for the 2017-2018 school year.

The Mayor and City Commission adopted Resolution No. 2018-30259, on April 11, 2018, approving the expansion of mental health services at all public City elementary and middle schools, in an amount not to exceed $60,000.00 per year.

Pursuant to Resolution No. 2018-30259, the City increased funding for the Nurse Enhancement Initiative for the 2018-2019 school year, providing funding for two (2) licensed clinical social workers, or agreed upon equivalent professional, at each of the City schools for the indicated number of days: Miami Beach Senior High School, one (1) day; Miami Beach Nautilus Middle School, two (2) days; Miami Beach Fienberg Fisher K-8 Center, two (2) days; Biscayne Elementary School, two (2) days; Miami Beach South Pointe Elementary School, two (2) days; and North Beach Elementary, one (1) day, in a total amount not to exceed $114,000.00 per year.

On August 30, 2018, the City and MBCEF executed Amendment No. 2 to the MOU, continuing the Miami Beach Nurse Enhancement Initiative for the 2018-2019 school year.

On September 11, 2019, the Mayor and City Commission adopted Resolution No. 2019-30957, approving Amendment No. 3 to the MOU for the extension of the Miami Beach Nurse Enhancement Initiative, in the amount not to exceed $139,000.00 per year the 2019- 2020 school year and each subsequent school year, on a recurring basis, subject to funding approval during the City's budgetary process.

On August 19, 2020 through July 1, 2024, the City and MBCEF executed Amendments No. 4-8 to the MOU, continuing the Miami Beach Nurse Enhancement Initiative for school year 2020- 2021 through 2024-2025 (Attachment A).

Hazel Health, a provider for the Nurse Enhancement Initiative for the 2024-2025 school years, was not selected to continue providing said services during the 2025-2026 school year at the City's Participating Schools by the Children’s Trust.

The Children’s Trust has an existing agreement with Jessie Trice Community Health System (JTCHS) to provide primary care, therapy, and counseling and selected JTCHS for the Miami Beach Feeder Pattern Schools.

The City seeks to utilize the services of The Children’s Trust approved provider for the Nurse Enhancement Initiative to enhance services at the City's Participating Schools, and every year thereafter, as may be needed.

In order to utilize these services, MBCEF will execute an agreement with The Children’s Trust and duly authorized provider, which agreement would allow MBCEF, as the City's fiscal agent, to fund the primary care, therapy, and counseling services provided.

The City's current contribution for the Nurse Enhancement Initiative is $139,000.00, as approved in Resolution No. 2019-30957 and has increased to a not to exceed $169,000.00.

ANALYSIS

Mental health support was sustained in 2025 with 252 youth receiving a total of 1,370 sessions, up from 131 youths and 779 sessions in the previous year (Attachment B). Several schools received telehealth services through a partnership with Hazel Health. The table below indicates the number of sessions provided to youth at on-site at select Miami Beach feeder schools receiving services during the 2024-2025 school year through a partnership with neighboring municipalities, Borinquen Medical Centers, The Children's Trust and the Miami Beach Chamber Education Foundation:

School Name # Students # Sessions

Miami Beach Senior High School

205

930

North Beach Elementary

17

172

Treasure Island Elementary

7

52

Ruth K. Broad Bay Harbor K-8 Center

23

216

The enhanced behavioral services provide on-site access to a licensed clinical social worker to provide services including, but not limited to, the following:

■ Academic Issues ■ Disruptive Behavior ■ Attention Issues

■ Attention Issues ■ Depression ■ Anxiety

■ Anger Management ■ Stress Management ■ Family Issues

For the 2025-26 school year, The Children's Trust has selected Jesse Trice Community Health Services as the provider for the Miami Beach public schools. As such, the city will execute agreements with the Miami Beach Chamber Education Foundation and our neighboring municipalities to continue these much needed and heavily utilized mental health services with our new provider.

FISCAL IMPACT STATEMENT

FY 2026 $169,000.00 which is a $30,000 increase from prior years as funding has remained flat for the past 8 years.

Does this Ordinance require a Business Impact Estimate? (FOR ORDINANCES ONLY)

If applicable, the Business Impact Estimate (BIE) was published on: See BIE at: https://www.miamibeachfl.gov/city-hall/city-clerk/meeting-notices/

FINANCIAL INFORMATION

177-6881-000343-12-400-592-00-00-00-

CONCLUSION

To continue supporting the Nurse Initiative for behavioral health services in FY 2026, the allocation will increase to an annual amount not to exceed $169,000 per fiscal year to fund the aforementioned services. All neighboring municipalities and the Miami Beach Chamber of Commerce Education Foundation have requested to sustain the partnership for the upcoming school year.

Applicable Area

Citywide

Was this Agenda Item initially requested by a lobbyist which, as defined in Code Sec. 2-481, includes a principal engaged in lobbying? No

If so, specify the name of lobbyist(s) and principal(s):

Department

Education and Performance Initiatives

Sponsor(s)

Co-sponsor(s)

Condensed Title

Amendment 9 to MOU w/ MBCEF EPI

Previous Action (For City Clerk Use Only)