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HomeMy WebLinkAbout2020-11-11 BHAC MINUTES1 Behavioral Health Advisory Committee Meeting (Mental Health-Substance Use Disorders) MINUTES November 10, 2020 3:00-5:00 PM FINAL I. Call to Order/introductions: Called to Order by Greg Brotherton Board Members: X Greg Brotherton—Chair X Ariel Speser—Vice Chair X Chris Ashcraft X Patricia Beathard X Jill Buhler-Rienstra X Anne Dean X David Fortino X Patrick Johnson X Sheila Westerman Staff: Anna Mc Enery, Vicki Kirkpatrick, Yuko Umeda, & Veronica Shaw Guests: Jud Haines, Jim Novelli, Denise Banker, Joe Nole, Brian Leeson, Jolene Kron, Heather McCray-Wolfe, Jackie Henderson, Tonya Ferguson, Miranda Berger, Lori Fleming, Brian Richardson, Amanda Tjemsland II. Approval of draft agenda of November 10, 2020: Member Fortino(M)/Member Speser (S)/Approved with no changes. III. Review and adoption of the draft minutes of September 1, 2020 and October 16, 2020: Member Johnson(M)/Member Westerman (S)/ Approved with no changes. IV. Public Comments: None V. Budget: Veronica Shaw presented the budget YTD Year to date actual is $487,331 which is better than originally budgeted. Expenses year to date, actual $448,000. Resulting in expenses at 71% of our total budget. Staff Shaw reported that October came in higher than what was originally budgeted. We originally budgeted $48,800, and it came in at $57,000; so we are 6% higher in actual revenue. Many people are doing online shopping during the Pandemic and the additional sales tax from that is helpful. Staff Mc Enery reported that the funding amount the Committee came up with was $650,000. She added that the school programs; MCS Counseling and the Jumping 2 Mouse Brinnon Program are being backed out of the overall totals, because we are dealing with two different allocation periods. Staff Shaw reported that the amount needed to be backed out would be around $104,009. Member Westerman asked for clarification about the idea of “backing out” some programs. Staff Shaw explained that the MSC Counseling program and the Jumping Mouse Brinnon Program are on a school year calendar. It’s all one pot of money and it comes in on a calendar year cycle. So, if those programs were not backed out we would be looking at allocating over $750,000. In 2020, the percentage going to administration, contract services and data evaluation services is just over 10%, or $65,956. VI. Island County Behavioral Health Outreach Program Presentation/Jackie Henderson Director of Island County Human Services Jackie Henderson walked us through her PowerPoint called Taking it to the Streets. (The link to the document is below.) Commissioner Brotherton thanked Jackie Henderson for the presentation. He noted that Jefferson County is different in a lot of ways. We don't have a *Human Services Department, and we outsource a lot of these services, but the problems are universal. *(Actually, Jefferson County does have a Human Services Department & it’s under Public Health. It includes the Developmental Disabilities Program and the Behavioral Health- 1/10th of 1% Program.) Commissioner Brotherton asked if there were questions: Member Westerman asked for an explanation of de-stigmatizing harm reduction. Jackie Henderson explained that some people in their community think that individuals with substance abuse issues need to be totally clean and sober in order to be successful. Island County Human Services believes that if we can get people to use less alcohol and drugs, it’s a good start. There has been a lot of criticism about this issue. Island County has worked with the community and families to help them understand that we may never get to the point where the individual is going to be clean and sober, but maybe we can get the individual on a path of using less. That is what destigmatizing means. 3 Sheriff Nole asked how many hours the Transition Coordinator works in the Island County Jail? Jackie Henderson explained that the Transition Coordinator works 20 hours a week in the Jail and the Mental Health professional works 40 hours a week in the Jail. Sheriff Nole asked if all the funding came from the 1/10th of 1% sales tax? Jackie explained that the funding is blended. Some funding comes from Regional Behavioral Health, some from the designated marijuana account, but the vast majority of funding is from the 1/10th of 1% sales tax. Approximately a million dollars a year is collected from that tax in Island County. Staff Mc Enery asked if Island County puts out RFP’s with any of their 1/0th of 1% funding? She asked if any local services are funded with 1/10th of 1% funding? Jackie Henderson responded that Island County has put out targeted RFP’s to local housing providers. Local Mental Health agencies and/or Substance Abuse agencies are all funded through Medicaid. Island County works very closely with all of the agencies, but do not fund them with 1/10th of 1% funding. VII. Presentation On Jefferson County 1/10th of 1% Dashboard/Amanda Tjemsland Speaker Amanda Tjemsland, the Epidemiologist from Kitsap County presented about the on-line dashboard that has been created for Jefferson County. Amanda asked the Committee and attendees the following questions. What else is Jefferson County looking for? What information is missing? What is not as informative and could be taken off Vendor’s evaluations? What data is missing and what more would you want to see on the on the dashboard? The dashboard will look at the number of individuals served in 1/10th of 1% programs over the years. The 1/10th of 1% programs have really remained consistent in Jefferson County because a good portion of Vendors have been participating since 2013. Amanda then shared the following:  The map shows where people being served are located. The majority are in Port Townsend, with 283 people being served.  You can see the budget awards over time. As indicated in the notes, we show how much of the budget was spent by each of the programs.  Each program will have a summary and then later we can go into more depth. 4  For first year programs, only a summary was provided because there's nothing to compare it to, (no ability to make a graph that shows change over time).  Amanda noticed while doing the evaluation, that most of the people participating in Behavioral Health Court stay in the program for at least a year, if not more.  Amanda showed the number of individuals served, the number of graduates for the Therapeutic Courts, so it paints a picture over time. The summary highlights the trends for each of the 1/10th of 1% programs.  OlyCAP has seen an increase in total clients; then a slight decrease in new clients. This is to be expected because it was a new program in 2018.  The Recovery Cafe had 180 visitors and 164 drop in visits in 2019; 11 individuals attended at least one of the 17 recovery circles. They had 567 hours of volunteer service and 14 referrals were made from the Recovery Cafe to community services  The PT Police Navigator program has one year's worth of evaluations; so next year, there will be something to compare it to. The Navigator program had 62 contacts and none of them led to an arrest. Out of those 62 contacts, 255 referrals were made, so approximately four referrals per contact.  Over half of those who reported their housing situations were homeless. The most common mental health symptoms were delusions and psychosis.  Staff Mc Enery and Amanda recently met with the 1/0th of 1% Vendors, to go over some of this data and get input on what they thought was valuable.  There will be some changes the dashboard map to clarify where the service is delivered.  We also want to show where residents live who are receiving services, along with their zip code. So, when you hover over the zip code on the website, it will show how many people in that area are receiving services. VIII. Staff/ Updates Staff, Mc Enery reported that Public Health sent the 1/10th of 1% RFP on the designated date. It's due back on November 23rd by 4:00pm. She will be working with the RFP Panel to schedule interview meetings with the Vendors; then she will schedule a December BHAC meeting, so members can respond to the Panel’s funding recommendations; then vote on the funding allocations. Staff Mc Enery asked Sheriff Nole if he had an update on the Mental Health Field Response Navigator Grant. Sheriff Nole reported that the Sheriff's office is applying for a grant through the Washington State Association of Police Chiefs and Sheriff, (WASPC) for a County Navigator with the help of Staff Mc Enery and Jud Haynes. 5 The Sheriff thanked Staff Mc Enery and Jud Haynes for their deliberate assistance in moving this grant forward. The Sheriff said we have had a number of Zoom meetings to work on the grant. The due date for the Navigator grant is November 18. Jud Haynes commented that there is a relatively short turnaround for the Navigator grant. His experience as a Navigator with the City Police helped him to realize the importance of not just replicating the Navigator Service for the County, but adapting it to the needs of the Sheriff Department. Sheriff Nole explained that that the Washington State Association of Police Chiefs and Sherriff, (WASPC) grant is only $640,000 for all of Washington State This grant it only for seven months beginning December 1. Then in April of 2021 you can reapply for another year, and then it's on a yearly basis. Staff Mc Enery thanked Sheriff Nole for his leadership. Staff Mc Enery reminded everyone that the Department of Health has an upcoming Resiliency Workshop for direct service and professional staff. This workshop is for those of us are those who are in the trenches. The focus of the Resiliency Workshop is to help professionals address their stress, learn how to support their fellow employees, while understanding the impacts of behavioral health in our communities. We are hoping that a lot of Jefferson County participants will reserve the date of December 11th for the workshop. Staff Mc Enery reported to Commissioner Brotherton, that she’s received quite a few letters of support for the Sheriff’s Navigator grant, but if the BOCC would like to send a letter of support, she could send him a template as an example. Commissioner Brotherton requested that Staff Mc Enery send him the template before next week. He will speak with his fellow Commissioners to see if they want to send a letter from the full Board. Member Westerman asked if it would be appropriate for the Board of Health to also send a letter in support? Staff Mc Enery said it would be wonderful to receive a letter of support from the Board of Health, it's just that our due date is November 18th. Member Westerman said the Board of Health would not be meeting before the due date. Staff Mc Enery said there could be another opportunity in the Spring, because WASPC is hoping to put out another grant of 8 million for Navigators in Washington State. 6 IX. DISCUSSION ITEMS Member Speser shared that the Intergovernmental Coordinating Committee (ICC) is identifying ways that the community can build resiliency to recover from COVID, by convening six working groups who focus on different sectors of the community. All six of the work groups have submitted their initial proposals to the ICC; they have involved community members and stakeholders. The group that is most pertinent to the BHAC, is the Human Services Group. The other five ICC groups are as follows: children and families, jobs and economy, food resiliency, broadband, culture and events. All of the groups interconnect with the community and each other. The process is planning to conclude by the end of the year. The ICC includes an elective representative from each of the four local governing bodies, the Board of County Commissioners, the Port Townsend City Council, the Jefferson County PUD, the Port of Port Townsend and four Administrators from each governmental body. The ICC is working on making a master plan, essentially, a blueprint to be used if our local governments were to receive additional COVID relief money. The Committee is asking how would that money be spent? How should it be prioritized? Where can there be connections? If we don't get any more funding, what are some initiatives that the community can start now or in the new year, in order to build resiliency. They will continue to meet until the end of December and then vote to approve the final plan. Ariel shared that the intent is to create a living document that gives the community direction for how we come together and work on recovering. X. Public Comments No public comments were made. XI. Adjournment of Meeting The meeting was adjourned.