2005-1342-Minutes for Meeting June 08,2005 Recorded 11/22/2005COUNTY
TES
FICIAL
NANCYUBLANKENSHIP,F000NTY CLERKDS VV 2005.1347
COMMISSIONERS' JOURNAL 1112211005 04;44;43 PM
II IIII IIII IIIIIIIIIIII (III III
Z 05-13 2
DESCHUTES COUNTY CLERK
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G
p 2{ Deschutes County Board of Commissioners
1130 NW Harriman St., Bend, OR 97701-1947
(541) 388-6570 - Fax (541) 388-4752 - www.deschutes.ora
MINUTES OF DEPARTMENT UPDATE —
MENTAL HEALTH DEPARTMENT
DESCHUTES COUNTY BOARD OF COMMISSIONERS
WEDNESDAY, JUNE 89 2005
Mental Health Department Conference Room
Present were Commissioners Michael M. Daly and Dennis R. Luke; Commissioner
Tom DeWolf was out of the office. Also present were Mike Maier, County
Administrator; and Scott Johnson and program managers of the Mental Health
Department. No representatives of the media or other citizens were present.
The meeting began at 4:15 p.m.
Please see the agenda and backup documentation (copy attached) for information
on the items discussed.
Commissioner Luke indicated that he will communicate with Doug Nelson of the
Bend -La Pine School District regarding school-based mental health services.
No formal action was taken by the Board at this meeting.
Being no further items addressed, the meeting adjourned at 4: 50 p.m.
DATED this 10th Day of August 2005 for the Deschutes County Board of
Commissioners.
ATTEST:
Recording Secretary
Tom DeWolf, Chair
Milia,6l N�,Paly, Coryfnissioner
R. Luke, Commissioner
Deschutes County Mental Health
BOCC Monthly Meeting - Proposed Agenda
August 10, 2005
Location: Deschutes County Mental Health (Courtney)
1. Legislature
a. Awaiting final $ information. Only new resources may be meth tx funds. We
will likely pursue a Drug Court through the Criminal Justice Commission
b. Equity: Note to Nikkel attached. Pressing for action. No response yet.
C. Parity
2. Strategic Plan drafted by September
a. 4 years: 2006-2009
b. BOCC meeting to discuss draft in September please.
c. Referred to BOCC for adoption in October?
3. MHO Business Plan drafted by September?
a. You'll have a narrative report and financials to consider
4. Children's Serices: School - Based Mental Health Services
a. BOCC had requested meeting with schools to plan for FAN and school
services (mental health / health) beyone 2005-2006.
b. Please request meeting with Bend LaPine.
5. Children's Services: System reform - intensive services
a. October 1 start. Coordinated through ABHA. About $2.5 million.
b. Alternatives to residential and day treatment.
c. Focus on OHP kids and child welfare kids.
d. Central Oregon system development. Close work with Crook and Jefferson.
e. Trillium and Cascade Child Center will be our primary providers
f. Coordinator based in Deschutes County.
6. Acute Care for indigent
a. $900,000 amendment coming to help indigent in Crook, Jeff, Deschutes.
b. Central Oregon regional council.
c. Sage View update.
7. Jail Needs Assessment & LPSCC Work
a. LPSCC work group - recommendations in September?
b. Focus on Drug Court, Mental health court and ....
8. Audits - "Audit Action Plan"
a. Significant: Alcohol & Drug provisional approval (only 6 months) expires
December 31, 2005. State views need to improve chart work. Training and
documentation priority.
b. Action Plan on all 6-7 audits will be drafted in September.
9. Pending'
a. Dr. Hyde passing - possible memorial
b. Walden 9am 8/12 re. meth (@ MAC center)
c. Federal Indirect Rate - critical policy matter. Status?
d. Federal grant application: $1.5 m. 3 -year, 3 -county grant for meth treatment.
e. Federal grant app. for Family Drug Court.
f. MHO Business Plan - Fall 2005.
g. Strategic Plan Phase II - Fall 2005.
h. Children's System of Care Reform - Fall 2005.
To Bob Nickel
Response to preliminary ABED equity plan
July 28, 2005
Bob, First and foremost, I want to thank you for your leadership on the A&D equity issue. I
also want to thank for the opportunity to comment on your preliminary plans.
I know you're well aware of Deschutes County's concerns. Since the mid 90s, we've met
with State officials on numerous occasions to ask for a formula for State treatment funds.
We had 97,000 people in the County when these discussions started, we'll approach
150,000 in 2005-07. Just since January, you've heard from our County Commissioners, the
Bend City Council, our Local Public Safety Council and our area legislators.
As the session winds down, I understand "new" treatment resources are very limited. At
the same time, I urge you to finalize the formula and begin implementation in 2005-2007.
1 reviewed your preliminary plan. My suggestions follow:
1. Focus on new or flexible resources first including the new meth treatment funds.
Provide data to the Criminal Justice Commission on need and inequities in the current
state system. Ask CJC to fund the gaps through allocation of Drug Court treatment
funds. ID any other available 2005-2007 dollars (unspent funds, fund balances,
ineffective programs) and immediately dedicate those to the valleys in the new formula.
2. With respect to SE 66, begin rebalancing this biennium. I believe it is reasonable to
start making changes now. As proposed, set the minimum at 50k/75k and use a formula
based on 70% population, 30% prevalence. Regularly update both pop and prevalence
data. Work with PSU to set pop projections prospectively for each budgeted year
(historical figures can be 2-3 years out of date).
3. Merge the SE 60 and 66 funds into a single fund that benefits people in all counties. At
a minimum, reopen a funding process to allow other Counties to make application. For
the most part, SE 60 does not benefit Central and Eastern Oregon residents in need of
treatment.
4. Publish a comprehensive analysis of our current ALD treatment system, including all
public treatment funds. Circulate a report to help educate decision makers, treatment
providers, advocates and the public at large. Present the report to the Governor's
office and the 2007 legislature.
5. Fully implement a funding plan (all public tx funds) with a rational, transparent formula
in 2007.
In short, I'm asking that you begin implementing a formula this biennium. I recognize
some of these suggestions are fairly ambitious. At the same time, accomplishing this task
puts us all on common footing, helps people in underserved parts of our State and starts
a more powerful and united dialogue about the need for more treatment in Oregon.
Bob, we have appreciated your leadership on mental health equity. We're also mindful
that we can't always rely on new funds to make progress.
Thanks again for the invitation to comment on your plan. Please let me know if we can
be of any further assistance. Scott
F
Days in period:
Total Patient Days:
Number of Admits:
Ave. Daily Census:
Ave. Length of Stay:
Sage View Quarterly Report
4 k �T�j i b ,s n y k z fitST �y Po gn �yL
AN O
}tfraik
off
2nd
Quarter
.I�
April 1st —June
30th, 2005
Above Moderate Income YTD
90 days
YTD:
129 days
551 days
YTD:
745 days
79 patients
YTD:
114 patients
6 patients
YTD:
6 patients
7 days
YTD:
7 days
Admissions by Age
30
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.,
25_°,
'� �� FP
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9
20�
Above Moderate Income YTD
Patient Days: Indigent Contract:
25 Admits; 190 Patient Days; 7.6 ALOS
ABHA:
14 Admits; 95 Patient Days; 6.8 ALOS
Commercial:
1 £ i r
Readmissions within 72 Hours: 2
j ..
Readmissions within 30 days: 4
Premature Discharges: 12
Admissions by County:
xr e�Q✓r`1 fyt• �Y':
0 ti vw>"a4,}�,F.Mdty
7q K
18-25 2635 3645
46-55 55-65 65-75 76+
Crook: 5 Admit
Age
Gender: 39% Male
61% Female
Status: 91% Voluntary
9% Involuntary
Patient Income Level: 80%
Low to Moderate Income YTD
20%
Above Moderate Income YTD
Patient Days: Indigent Contract:
25 Admits; 190 Patient Days; 7.6 ALOS
ABHA:
14 Admits; 95 Patient Days; 6.8 ALOS
Commercial:
19 Admits; 128 Patient Days; 6.7 ALOS
Readmissions within 72 Hours: 2
Readmissions within 30 days: 4
Premature Discharges: 12
Admissions by County:
Deschutes: 60 Admits
83%
Jefferson: 5 Admits
4%
Crook: 5 Admit
4%
1 Admit each (1 % each): Harney, Klamath,
Lane and Union
moo,
3°
3%
15%
Primary Diagnosis
8% 8%
43%
■ Depression
■ Bipolar
o Schizoaffectixe DO
O Schizophrenia
■ Mood DO
■ Psychotic DO
■ Amphetamine Dep.
® PTSD
■ Other*
*Other includes 1 patient each for Cognitive Disorder, Delusional Disorder, Impulse -
Control Disorder, Adjustment Disorder, Generalized Anxiety Disorder and Panic
Disorder w/o Agoraphobia
50
Status at Discharge
m
30
3�4
20
^
^
{y�
V
B
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fa ISO,
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AT ST. CHARLES
Patient Satisfaction Survey Results 2005
Percent Favorable
Admissions
April
May June Ett}5
Return Rate
86%
61%
95% 1%
Percent Always and Usually Helpful or
Valuable
100
Community Meetings
50
57
78 66
Solutions for Wellness
83
83
821
Family Therapy
75
86
801 81
Chemical Dependency Groups
75
73
83„ ,6
Recreation Therapy Groups
83
85
77 81
Psychotherapy Groups
67
85
88
Meetings With Your Doctor
83
71
78r :,-76
Nursing Staff
83
92
100 , 1
Mental Health Technicians
83
93
100,: 9,5
Case Managers
100
93
93 {J4
Recreation Therapists
60
86
88!;. 83
Percent Favorable
Admissions
80
92
89
Food
83
92
Communication
100
100
94�-7:
Cleanliness/Attractiveness
100
100
100
Use New Skills
67
92
94 89
Prepared for Discharge
50
100
771
Doing Better
100
100
94' 97
Recommend
67
100
100 F '
Return Again
100
100
1001 " 1OU
Overall Quality and Care
100
100
100
Cleanliness & Attractiveness
2005
Never Clean (0.00%)
Sometimes Clean (0.00%)
Usually Clean (16.70%)
Always Clean (83.30%)
Overall Satisfaction
June
Poor (0.00%)
Fair (0.00%)
Good (17.62%)
Very Good (23.52%) Excellent (58.86%)
Return Again?
2005
0% 20% 40% 60% 80% 100%
■ Definitely Yes Probably Yes
Probably Not ■ Definitely Not