HomeMy WebLinkAbout2019-11-05 BHAC MINUTES1
Behavioral Health Advisory Committee
(Mental Health-Substance Use Disorders)
Meeting Minutes
Tuesday, November 5th 2019
3:00-5:00 PM
FINAL
I. Call to Order/ Introductions: Called to Order by David Sullivan
Board Members:
X David Sullivan
X Patricia Beathard
X Jill Buhler-Rienstra
X Anne Dean
X Mike Evans
X Ariel Speser
X Sheila Westerman
Staff: Vicki Kirkpatrick & Anna Mc Enery
Guests: Gabbie Caudill, Joe Nole, Jud Haynes, Julie Canterbury, James Kennedy, Natalie Gray,
Patrick Johnson, Michael Defilippo, Philip Ramunno and Lori Fleming
II. Approval of the draft agenda of November 5, 2019: Ariel (M)/ Anne (S)/ Approved with no
changes.
III. Review and adoption of the draft minutes of September 3, 2019: Jill (M)/ Sheila (S)/ Approved
with no changes.
IV. Public Comments: No public comments.
V. 2018/2019 Budget Tracking Spreadsheet: Anna shared the updated budget tracking
spreadsheet. She shared that the revenues are up by 13% in sales tax year to date, we are
projecting that we may be $61,286.00 underspent. Anna suggested coming back to the budget
during the discussion about a potential supplemental RFP.
VI. NEW BUSINESS:
a. Law Enforcement Assisted Diversion Program (LEAD): Ariel Speser shared the following
information. LEAD is a collaborative community safety effort that offers law enforcement a credible
alternative to arresting and jailing people for criminal activity that stems from unmet behavioral
health needs or poverty.
LEAD diverts individuals who are engaged in:
• low-level drug crime,
• prostitution and
• crimes of poverty
Away from the criminal legal system,
➢ connecting them with case managers to provide crisis response,
➢ immediate psychosocial assessment,
➢ long-term wrap around services,
➢ substance abuse disorder treatment and housing.
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In Seattle, the LEAD program is partially funded by the King County Mental Illness a nd Drug
Dependency (MIDD 2) and Trueblood Phase 3 Diversion Grant.
Lisa Daugaard helped create the LEAD program in 2011 and has since worked in several different
areas within the criminal justice system, including with the Washington Public Defender Association
and the Seattle Community Police Commission, first as a co-chair and then as a Commissioner.
Lisa received the MacArthur Fellowship this year for her criminal justice reform work in LEAD and
other programs in Seattle, King County, and greater Washington.
Anna and Ariel are working on having Lisa Daugaard present about LEAD here in Jefferson County
in the late spring. We are bringing this to the Committee to see if there is an interest in being a
fiscal sponsor, in case we need to rent a large venue. Ariel said LEAD is considered a best practice
around the country, but might need to be tailored to individual communities.
The Committee asked Member Speser if she would do some research about how LEAD has been
working in smaller communities like Jefferson County and she said yes. Staff Kirkpatrick thought
she heard Port Angeles has a LEAD Program. Chief Evans said the PT Police Department does
LEAD informally because they have Jud Haynes on board and they are very interested in hearing
more about the program. Sheriff Nole said he would also be interested in learning more.
Staff Mc Enery said there needs to be more conversation between law and justice because they
would be applying for the grant. Member Speser said we are just helping to gather community input
and feedback to see if this could be a model for our community.
Staff Mc Enery shared her conversation of the LEAD Program from Kimberly Hendrickson from
Kitsap County. Kimberly said she sees LEAD Case Management dovetailing in with the Navigator
work. Kitsap does the Navigator program in four different cities in Kitsap County. It works well with
some individuals but not everyone. Having a Navigator connect an individual with resources in the
moment, the next day or next week is effective. But over the long haul , there are individuals who
need ongoing case management or on going treatment. Long term vs. short term.
The Navigator has a very broad scope, but a LEAD counselor can focus on individuals with mental
health and substance use disorders that keeps cycling thru the criminal justice, it’s a harm
reduction program. Law Enforcement partners with an agency to provide field based case
management. Kimberly sees it as the missing link for the Navigator program.
Staff Mc Enery has invited Kimberly Hendrickson to speak about the LEAD Program at the next
Mental Health Field Response Team meeting scheduled for Thursday, January 23 rd 2020 from 1pm
to 3pm here at Public Health.
Member Beathard asked what the Mental Health Field Response Team Meetings are about.
Staff Mc Enery said she shared about it at the last meeting. The meetings began in 2018 because
of a Washington State grant opportunity for a local Navigato r. The team decided not to apply for
the State grant, (because funding was connected to already having a Navigator position in place).
But Chief Evans in collaboration with Julie Canterbury from the MCS Counseling Group applied to
the 1/10th of 1% fund for a Port Townsend Police Department Navigator position and it was
granted.
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Now the Mental Health Field Response Team focuses on:
• Networking about services that support people with mental health and substance use disorders
in Jefferson County. (Many services are new since our last meeting and funded by the 1/10 th of
1% fund.)
• We would like to explore interest in applying for a Justice & Mental Health Collaboration Grant,
(like the Pacific County Jail Screening & Referral Program received) to support additional
services at the Jefferson County Jail by looking at gaps/needs.
• Explore grant opportunities for additional Navigator positions for our community.
For more information, check out the National LEAD website: https://www.leadbureau.org/
NEW BUSINESS-Continued:
b. Co-funding a Shared One-Tenth Online (OTO) Data Platform w/Kitsap/Clallam/Jefferson- that
Staff Mc Enery reminded the Committee that in March of 2018 Siri Kushner approached this
Committee to discuss helping to fund a regional One-Tenth Online (OTO) data platform that allows
only permitted parties to enter and view their own evaluation data.
Philip Ramunno shared with the Committee that Kitsap County is already utilizing the platform and
he has worked out a lot of kinks; Clallam County coming online this fall. Philip has 52 projects
across the three County’s and wants Jefferson County to join so that there is a regional shared
space where all one-tenth evaluation data can be centralized. A future function of OTO could be a
public-facing regional or county data dashboard/report that would be subject to proper vetting to
ensure appropriate confidentiality and statistical reliability.
While the platform now exists in an initial phase, the vision for this platform is to reduce reporting
burdens to contractors, reduce evaluation costs through streamlined data management and to
create a centralized regional evaluation approach that provides a more cohesive picture of the
impact of the funds at both the county level and regionally.
Please see the following attachments for additional details.
➢ Jefferson County One-Tenth On-line (OTO) Powerpoint
➢ One Tenth On-line 3rd Quarter-Reporting Steps
➢ One-Tenth On-line (OTO) Evaluation Worksheet
➢ Kitsap Export/Blank
Philip Ramunno is requesting one-time additional funding to meet with all 11 Jefferson County
contractors for the 12 funded projects to revise evaluation plans so he can set them up for
reporting to the One Tenth Online system. Philip said this process involves m eeting with each
project (1 additional hour each), overhauling their evaluation worksheets (3.5 additional hours
each), and then developing the reporting forms online (2 hours each). This amounts to a one -time
cost of approximately $6,630 for the existing 12 projects.
Please see the attachment called Jefferson County One-Tenth Scope & Fiscal Spreadsheet
for additional details.
A discussion ensued about the new One-Tenth Online (OTO) data platform and whether to go
ahead with it or not. Member Westerman said she doesn’t know why we wouldn’t move forward,
she likes the idea of a regional data system and long term it could save us a lot of money.
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Commissioner Sullivan asked for Staff’s recommendation. Staff Mc Enery’s said the following are
positives: it is a regional three County data system, the platform will have a public interface on-line
for the community and can support Vendors to be more efficient by taking less time when reporting
data.
Staff Kirkpatrick said Kitsap County has been underspent in their evaluation budget, so for just a
small increment more in funding we may not see a big cost incurred but will see a more consistent
data report back to the Committee. Staff Mc Enery said in Kitsap County they do Vendor
evaluations, but in Jefferson County the Committee has always relied on the data to tell us if the
Vendors are reaching their outcomes, are effective and making a difference in the community.
The Committee requested staff check in with the Vendors about the One-Tenth Online (OTO) data
platform. Staff Mc Enery said we have a December 11th in-service meeting scheduled with all of
the Vendors about the new OTO data platform.
Member Speser made a motion to approve the contract as presented, (with Kitsap County
Epidemiologists for One-Tenth Online (OTO) data platform) pending approval from the Vendors at
the January meeting. Member Westerman seconded the motion and was passed by the
Committee.
Philip said that Kitsap and Clallam did ultimately decide OTO data platform was a worthwhile
endeavor.
c. 2018 Annual 1/10th of 1% Data Presentation- Phil Ramunno the Epidemiologist from Kitsap
County shared outcomes from the final report for 2018 of the Jefferson County 1/10th of 1% Report.
Please see the draft Jefferson County 1/10th of 1% Report for details.
VII. OLD BUSINESS:
a. Discussion about a 1/10th of 1% Supplemental RFP: Staff Mc Enery said we talked about the
budget and being 13% ahead in tax revenue. A discussion ensued about a potential recession that
could reduce consumer spending.
Member Dean said some of the minutes from 2018 were not posted on the County website. Staff
Mc Enery said there has been some issues with posting on the website and she would follow up.
Member Westerman said she would like to know how many families /children are not getting
services from Jumping Mouse and NFP because of a lack of funding. She would like to think about
extra funding for those.
Staff Mc Enery said just a reminder that we are having the CHIP presentation at the January 7 th
meeting which could help guide us when thinking about putting out a Supplemental RFP and she
will continue to put the topic of a Supplemental RFP on the agenda.
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Vlll. STAFF UPDATES:
a. Update/Mental Health Field Response Team Meetings: Staff Mc Enery said we are continuing to
meet on a quarterly basis, the meetings are very well attended, we hear updates from the 1/10 th of
1% Vendors and other community agencies and will have a presentation on LEAD at the January
23rd meeting.
PTFF- The Film Ernie & Joe Film was shown @ The American Legion on 9/21/19 @ an Interview
Panel followed. Panelists included Chief Michael Evans, Jud Haynes, the PT Police Department
Navigator, Valerie Phimister from NAMI and Ernie from the film.
Chief Evans said the film was excellent, very moving, can’t speak highly enough about the movie
and recommends it to everyone. Staff Mc Enery said NAMI is hoping to show the film at the Rose
Theatre.
lX. VENDOR REPORTS: None
X. Public Comments: Gabbie Caudill from Believe in Recovery shared that she has done a lot of
research into LEAD for her graduate program and with the last Sheriff. Gabbie doesn’t feel like we
have the resources here for this program and doesn’t feel like it’s a good fit for this community. She
asked the Committee to consider putting money into the Navigator program, or more funding into
the Jail rather than creating another program like LEAD.
Member Kirkpatrick said we do have a number of people who are frequent flyers; who cycle
through the justice system. These individuals get arrested and released, (over and over) and the
tax payers are picking up the cost. Jefferson County doesn’t have a lot of capacity for diversion
unless we take people to the jail or the emergency room, but we need to look at diversion
programs that keep people out of those systems. Its more cost effective and it’s not always the
best place.
Lori Fleming said there is an issue with raising money for counseling for kids in Brinnon during the
summer.
Member Beathard said Jumping Mouse works with children at the Brinnon School District through
the summer. Julie Canterbury of MCS Counseling said they would like to counsel children through
the summer, but only asked for funding for the school year.
Julie went on to say that DBH was providing additional days of service because they had more
funding and that MCS Counseling has the capacity to add more days. Staff Mc Enery asked Julie if
she had approached Chimacum and Port Townsend about requesting funding for additional
counseling days. Julie said she is meeting with Port Townsend now. Staff Mc Enery said we would
be happy to support you in those efforts.
• Future Agenda Items:
➢ CHIP CHA Presentation- January 7-2020
➢ ASO-BHO Update- January 7-2020
➢ Updated BH Advisory By-Laws & Representation- January 7-2020
Meeting adjourned Next BH Advisory Committee meeting: Tuesday, January 7, 2020