2005-1413-Minutes for Meeting August 10,2005 Recorded 12/13/2005DESCHUTES COUNTY OFFICIAL RECORDS CJ 2005-M3NANCY BLANKENSHIP, COUNTY CLERK
COMMISSIONERS' JOURNAL 11/13/1005 03:24:25 PM
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DESCHUTES COUNTY CLERK
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❑ { Deschutes County Board of Commissioners
1130 NW Harriman St., Bend, OR 97701-1947
(541) 388-6570 - Fax (541) 388-4752 - www.deschutes.orc
MINUTES OF DEPARTMENT UPDATE —
MENTAL HEALTH DEPARTMENT
DESCHUTES COUNTY BOARD OF COMMISSIONERS
WEDNESDAY, AUGUST 10, 2005
Mental Health Department Conference Room
Present were Commissioners Michael M. Daly and Dennis R. Luke; Commissioner
Tom De Wolf 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:
Aw'u folaA__
Recording Secretary
Tom DeWolf, Chair
Y,
is R. Luke,
ioner
issioner
9
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. Pendina'
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.
,Y
To Bob Nickel
Response to preliminary A&D 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
Days in period:
Total Patient Days:
Number of Admits:
Ave. Daily Census:
Ave. Length of Stay:
Sage View Quarterly Report
f
2°d Quarter
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Days in period:
Total Patient Days:
Number of Admits:
Ave. Daily Census:
Ave. Length of Stay:
Sage View Quarterly Report
2°d Quarter
April 1 st — June 30th, 2005
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
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
Admissions by Age
30
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S
15
10
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18-25 26-35 36-45 46-55 55-65 65-75 76+
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
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3%
15%
Primary Diagnosis
°,
8% 8%
43%
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■ Bipolar
11 Schizoaffecth a DO
o Schizophrenia
a Mood DO
s Psychotic DO
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® PTSD
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- venni niciuues t patient eacn tor uogtntive Disorder, Delusional Disorder, impulse -
Control Disorder, Adjustment Disorder, Generalized Anxiety Disorder and Panic
Disorder w/o Agoraphobia
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Status at Discharge
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