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2005-1231-Minutes for Meeting June 08,2005 Recorded 11/1/2005HUTES COUNTY OFFICIAL Y BLANKENSHIP, COUNTY ISSIONERS' JOURNAL IIIIIIIIIIIIIIII 11111111..,_. CLERKCS C Z00�•1131 i 1/01/2005 01:30:37 PM DESCHUTES COUNTY CLERK CERTIFICATE PAGE. This page must be included if document is re-recorded. Do Not remove from original document. 2 p { Deschutes County Board of Commissioners 1130 NW Harriman St., Bend, CIR 97701-1947 (541) 388-6570 - Fax (541) 388-4752 - www.deschutes.ore MINUTES OF DEPARTMENT UPDATE — MENTAL HEALTH DEPARTMENT DESCHUTES COUNTY BOARD OF COMMISSIONERS WEDNESDAY, JUNE 89 2005 Commissioners' Conference Room - Administration Building - 1300 NW Wall St.., Bend Present were Commissioners Michael M. Daly, Tom De Wolf and Dennis R. Luke. Also present were Mike Maier, County Administrator; Susan Ross, Commissioners' Office; and Suzanne Donovan and Scott Johnson, Mental Health Department. No representatives of the media or other citizens were present. The meeting began at 3:1 S p. m. Please see the agenda and backup documentation (copy attached) for information on the items discussed. Much of the meeting was used to discuss budget issues. No formal action was taken by the Board at this meeting. Being no further items addressed, the meeting adjourned at 4: 00 p. m. DATED this 8th Day of June 2005 for the Deschutes Coun Board of Commissioners. Tom DeWolf, Ch , Cofnmissioner ATTEST: Dennis R. Luke, Commissioner Recording Secretary r Deschutes County Mental Health BOCC Monthly Meeting - Proposed Agenda 3:15- 4:00, Wednesday, June 8, 2005 Location: Deschutes County Mental Health (Courtney) DCMH Monthly meeting 1. School -Based Services -Options -SUSTAINING ALL SERVICES REQUIRES $175,000 ADD' L 2. ALD Equity - PLEASE MAKE THIS A TAKE HOME ISSUE FOR LINDEN, C.O. LEGISLATORS a. LPSCC letter in; City of Bend letter also likely b. Can BOCC rep call and reiterate the importance of this? 3. End of year approvals will be needed. a. Critical: $450,000 retro for acute care region. Awaiting paper work. May be last meeting (June 29). Will be very important. b. County Financial Assistance Contract 05-07 to Pilliod for review. c. Horizon House agreement (County/CORHA) - DCMH on site support. Final changes have been made based on Pilliod review. (June 29) d. Renewal of DCMH subcontracts (A&D providers). 4. Express System Pilot - DCMH designee will authorize payment from state to vendors (some services); tested in 05-06; implemented in 06-07. 1 am designating R. Tamminga, G. Canfield oversight. 5. Jail Needs Assessment - concern: little attention to alternatives a. "Everything is less expensive than jail beds" -consultant b. Recommend consultation and a 2nd report that looks at other programs that lessen demand; link to fall conference; other consult for adults? c. Can't public safety financing projects include diversion and early intervention? 6. Audits a. State certification audits this week (ABED, MH) - will share results when we receive b. Givans audit helpful 7. Pendinq a. 4pm July 7 - Wyden, Smith's @ official opening of Healing Health Campus (Sage View and Horizon House). Will make remarks re. mental health issues. County attendance will be important (I will be out of town). b. Federal grant application: $1.5 m. 3 -year, 3 -county grant for meth treatment. c. Federal grant app. for Family Drug Court. d. Federal Indirect Rate - critical policy matter. Status? e. MHO Business Plan - Fall 2005. f. Strategic Plan Phase II - Fall 2005. g. Children's System of Care Reform - Fall 2005. 2005 / BOCC monthly June FJ Deschutes County Mental Health Meeting with County Board of Commissioners June 8, 2005 Topic: School -Based Mental Health Services - REQUEST FOR COUNTY HELP What we know: • MH services available in all Redmond schools thru $69,000 grant (4hours/school/week) • MH Service available to OHP children (Bend, Redmond clinics) • BLp eliminating MH funding to County ($183,000, 2004-05) • Amount needed to continue mh school-based help for children $205,000 • Critical issue: Loss of service to low income children / families in Bend and LaPine Critical issue: Loss of school services increases no-shows; eventual cuts in OHP revenue • Critical issue: up to 3 lav offs of outstanding, highly productive DCMH clinicians. Other important matters: • A LONG TERM SOLUTION - Recommend County call for a long term plan this fall; joint effort to sustain the FAN including schools based mental health and health services • Decision on use of County FAN grant $54,000 • Decision on County investment in DCMH 2005-06 school services • Federal appropriation for FAN?; benefit for FAN health and mental health services Help needed: Option DCMH County Benefits in Bend & LaPine Problems in Bend & LaPine Help help communities communities and for DCMH Same level of help as 2004-05 All BLp schools one day / week A $22,750 $182,250 Help for low income & OHP n/a Help for LaPine, Kids Center (22 of 22) Save 2 staff from lay off Layoff: 1 County staff Help in 4 high schools, LaPine No service: 4 schools B $22,750 $121,250 schools, most elem, MS FAN Inequity; mixed help FAN kids children ages 5-13 and Kids ages 5-13, depends on school Center FAN services No shows increase at Bend clinic (18 of 22) Risk loss of OHP funds long term Save 1 staff from lay off Layoff: 2 County staff Help in 4 High schools (priority) No service: 8 schools C $22,750 $60,500 Service in 9 others (OHP high or Inequity; limited help for children location from clinic) ages 5-13, depends on school (14 of 22) Little help low income, non OHP Kids Center tx cut for non OHP Risk loss of OHP funds long term * In reinstatement of staff to full-time, 4 have requested reduced hours. Savings totals $22,750. We recommend using those savings to help sustain school based services. Children / Schools / BOCC Report 6.08.05