2013-1211-Minutes for Meeting October 23,2013 Recorded 11/5/2013COUNTY
NANCYUBLANKENSHIP,F000NTY CLERKDS
COMMISSIONERS' JOURNAL 11/05/2013 08;27;02 AM
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Deschutes County Clerk
Certificate Page
Deschutes County Board of Commissioners
1300 NW Wall St., Suite 200, Bend, OR 97701-1960
(541) 388-6570 - Fax (541) 385-3202 - www.deschutes.org
OF WORK SESSION
DESCHUTES COUNTY BOARD OF COMMISSIONERS
WEDNESDAY, OCTOBER 23, 2013
Present were Commissioners Alan Unger, Tammy Baney and Anthony DeBone.
Also present were Tom Anderson, County Administrator; Erik Kropp, Deputy
County Administrator; and, for a part of the meeting, Scott Johnson, Maggie
Machala and Kate Smith, Health Services; Judith Ure, Administration; Susan.Ross
and Teresa Rozic, Property & Facilities; and media representative Shelby King of
The Bulletin.
Chair Unger opened the meeting at 1: 34 p.m.
1. Health Services Grant Applications Requests.
Scott Johnson gave an overview of the grant process. (His memorandum is
attached for reference.)
Each CCO across Oregon has received some stimulus funds. The Central
Oregon Health Council has some funds available to expend now; and the Health
Council CCO group is soliciting proposals. This is a tri-county, regional effort.
There are two public health areas of interest: living well with chronic
conditions, in particular dealing with diabetes; and the maternal child health
project. The maternal child health project continues work that is already being
provided. The grant amounts have not yet been determined. The State is
changing how early childhood programs will be funded, so in this case they are
not competing with other providers. They are developing the plan and
concepts, as it is a work in process. They can use existing staff and maximize
resources.
Minutes of Board of Commissioners' Work Session Wednesday, October 23, 2013
Page 1 of 3
Regarding behavioral and mental health, new investments were provided
through the legislature. However, funds have to be pursued through grants, and
there is only a month to apply.
The work is within the County's mission and is already being done. They are
meeting with other community health program representatives to figure out
which grants to pursue.
Commissioner Baney wants to make sure crisis intervention and continuing
care remains available. The system of care needs to remain in place.
Deschutes County is jointly applying for competitive funds, with Crook
County.
UNGER: Move approval of the grant applications as detailed.
BANEY: Second.
VOTE: BANEY: Yes.
DEBONE: Yes.
UNGER: Chair votes yes.
2. Property & Facilities Update.
Susan Ross stated that regarding the State Police/9-1-1 Building, they are out of
parking. They are looking at the concept of using the property across the street.
It is fairly limited due to a Swalley lateral canal, a rock outcropping and
setbacks. (The group referred to an oversized map at this time.) About half
will be behind a fenced area, mostly for equipment, and the rest would be for
staff and public use.
3. Other Items.
Executive Session, under ORS 192.660(2)(e), real property negotiations.
Executive Session, under ORS 192.660(2)(a), employment of a public officer.
Commissioner Baney left the meeting at 4:15 p.m. Commissioners Unger and
DeBone briefly discussed upcoming meetings and events.
Minutes of Board of Commissioners' Work Session Wednesday, October 23, 2013
Page 2 of 3
Being no further discussion, the meeting adjourned at 4:20 p.m.
0~A
DATED this Day of
U Yv~ 2013 for the
Deschutes County Board of Commissioners.
aL Alan Unger, Chair
Tammy Raney, Vice Hair
ATTEST: 4~w
Anthony DeBone, Commissioner
Recording Secretary
Minutes of Board of Commissioners' Work Session Wednesday, October 23, 2013
Page 3 of 3
F_ S
Deschutes County Board of Commissioners
1300 NW Wall St., Suite 200, Bend, OR 97701-1960
\ (541) 388-6570 - Fax (541) 385-3202 - www.deschutes.org
SESSION AGENDA
DESCHUTES COUNTY BOARD OF COMMISSIONERS
1:30 P.M., WEDNESDAY, OCTOBER 23, 2013
1. Health Services Grant Applications Requests - Scott Johnson, Health Services
2. Property & Facilities Update - Susan Ross, Property & Facilities
3. Other Items
Executive Session, under ORS 192.660(2)(e), real property negotiations -
Susan Ross
Executive Session, under ORS 192.660(2)(a), employment of a public officer -
Mark Pilliod
PLEASE NOTE: At any time during this meeting, an executive session could be called to address issues relating to ORS 192.660(2) (e), real
property negotiations; ORS 192.660(2) (h), litigation; ORS 192.660(2)(d), labor negotiations; or ORS 192.660(2) (b), personnel issues.
Meeting dates, times and discussion items are subject to change. All meetings are conducted in the Board of Commissioners' meeting rooms at
1300 NW Wall St., Bend unless otherwise indicated. Ifyou have questions regarding a meeting, please call 388-6572.
Deschutes County encourages persons with disabilities to participate in all programs and activities. This event/location is
accessible to people with disabilities. If you need accommodations to make participation possible, please call (541) 388-6571, or
send an e-mail to bonnie.bakerLiMeschutes.ore.
hI
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Deschutes County Health Services
Memorandum
To: Deschutes County Board of Commissioners
Tom Anderson, County Administrator
From: Scott Johnson, DCHS Director
Date: October 17, 2013
Subj: Grant Applications Requests - BOC Work Session October 23, 2013
One of the changes we are experiencing with health reform is a shift toward competitive grant processes.
Our ability to serve the community and finance programs will hinge, in part, on our success in
competing for State funding with other counties. The purpose of this email is to inform you about three
related processes and to request your permission to apply.
A. Central Oregon Health Council - Transformation Funds - Available: $1.65 million
Each Coordinated Care Organization is receiving funds from the State of Oregon to stimulate
transformation efforts at the local level. The Central Oregon Health Council is soliciting
applications. To date, we are considering two proposals.
Living Well Diabetes curriculum - We operate a regional Living Well program. The
program includes a series of training for community members to help them manage chronic
conditions in their lives. It increases health and independence and reduces inpatient and
emergency hospital stays. This best practice program developed through Stanford University
is highly regarded in the community. We are seeking funds to expand our offering by
acquiring a Diabetes Curriculum and training master trainers to train additional instructors to
offer the curriculum in the region. All three Health Departments support this application.
2. Maternal Child Health project - the Health Council currently invests in a regional
transformation grant to offer public health nurse services to high risk families (pregnant
women and new moms with young children) in the community. This new project includes
nursing services through all three health departments. This past week Oregon Health
Sciences University and the Health Authority issued a report documenting great benefit of
these types of services for high risk families. We are seeking funds to sustain this work and.
possibly add additional health worker services through our WIC program. Long term, we are
awaiting additional information on new funding methods planned by the Oregon Health
Authority for "targeted case management" services. While we cannot be certain, we hope
existing County and State funds can match Federal funds and provide stable funding in the
future. This funding would provide a bridge to that new funding method.
With permission these applications will be submitted to COHC in November.
B. Addictions & Mental Health Division (AMH) - New Investments - $40 million (est'd)
The 2013 Oregon Legislature has provided over $40 million in new funds in 2013-2015 to
support community mental health system in Oregon and to invest in community mental health
programs. We expect release of the RFP this week with only 30 days to respond. Attached you
will find a Fact Sheet posted by the Health Authority. We are requesting permission to pursue
any grant elements that 1) support services we are responsible for in the community and that 2)
are consistent with larger health reform efforts. We will certainly evaluate carefully the
adequacy of the funding for the responsibilities they seek and our business plans to sustain the
work. Like most current funds, they hinge on the future of the CCOs and continued investment
of the State of Oregon. We expect all community mental health programs and other providers to
pursue this opportunity.
C. Community Health Grant - Crook County Health Fiscal Agent - $150,000 est'd
Information only.
We are jointly applying for competitive funds available through the State Health Division. The
three health department will work with COIPA (Central Oregon Independent Practice
Association) to advance tobacco prevention efforts in primary care settings. This project would
be a "public health primary care partnership", a priority transformation area for the CO Health
Council. There are no fiscal implications for Deschutes County.
Staff will be in attendance on October 23 when you consider this memorandum and the attached
information. Thank you for your consideration.
C, DCHS Management Team
Therese Madrigal, Brenda Johnson (Living Well)
Maggi Machala (MCH Project)
Judith Ure
20132015 Legislatively Adopted Budget - mental health investments
Oregon is investing in a coordinatedsystem of care for children, youth', adults and families by
strengthening partnerships, expanding services and supporting innovation. As the state
continues to transform its health care system, Addictions and Mental Health is working with
community partners to enhance behavioral health services and support health for all
Oregonians,
NEW INVESTMENTS
The 2013-2015 Legislatively Adopted Budget identifies specific services and system expansions
that focus on promoting community health and wellness, keeping children healthy and helping
adults with mental illness live successfully in the community. A component of each of the
following investments will be in place by January 2014.
INVESTMENTS IN CHILDREN AND YOUNG ADULTS
Funding will be used to develop statewide programs that emphasize prevention, early
identification and intervention, and training and technical assistance for health care providers.
INVESTMENT
IMPLEMENTATION STRATEGY
Early Assessment and Support Alliance (EASA) -
New and amended contracts with
$1.8 million
current partners AMH will distribute
Expands the EASA program statewide to provide
funds in three tiers, based on program
young adults with early identification and
readiness, with technical support
treatment for psychotic disorders.
provided by Portland State University.
Technical assistance for youth peer-delivered
Contract amendments with current
support - $530,000
partners - AMH will expand the existing
increases peer-delivered supports and services for
contract with the Oregon Family Support
young adults throughout Oregon.
Network, with Youth M.O.V.E. as a
subcontractor.
Technical assistance for family peer-delivered
Contract amendments with current
support - $530,000
partners - AMH will expand the existing
Increases peer-delivered supports and services to
contract with the Oregon Family Support
families of children with behavioral challenges.
Network.
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2013-2015 legislatively Adopted Budget - mental health investments
INVESTMENT
IMPLEMENTATION STRATEGY
Young adult community hubs - $2.25 million
New contracts - AMH will build on
As an extension of the EASA programs, provides
existing relationships with EASA providers
statewide outreach and supports to young adults
and other regional organizations.
with mental health challenges who do not qualify
for EASA.
School access to mental health services - $5
Request for proposal - AMH will partner
million
with Public Health and other state and
Enhances the availability of mental health services
local government agencies, inclusive of
to students by bringing professionals into schools
rural and frontier communities, to
and building on existing school-based
distribute funds.
infrastructure.
System of Care and Wraparound $4 million
Request for proposal - AMH will channel
Increases the availability of wraparound services
funding through Medical Assistance
in the state, providing intensive care coordination
Programs to build on existing contracts
for children with emotional and behavioral
with coordinated care organizations.
disorders.
Parent-child interaction therapy- $2.31 million
Request for proposal - AMH will contract
Replicates this younger-child service that has
for 10 new sites which will target diverse
demonstrated positive outcomes for children at
populations and children at risk of
risk. Enables programs to become self-sustaining
entering the child welfare system.
through billing insurance.
Trauma Initiative - $800,000
Through collaboration with other state
Trains health care providers to screen for
partners, AMH will train health care
traumatic experiences such as abuse, neglect, or
providers to screen for and respond to
bullying, and contributes to a trauma-informed
trauma.
IS-) of health care.
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2013-2015 Legislatively Adopted Budget - mental health investments
INVESTMENT
IMPLEMENTATION STRATEGY
Technical assistance for Collaborative Problem
Contract amendment with current
Solving - $80,000
partner - AMH will amend its existing
Builds on the current efforts to advance this
contract with Oregon Health & Science
practice, which reduces the use of seclusion and
University to provide greater outreach to
restraint in child programs.
rural providers.
Training for adolescent depression screening -
Contract amendment with current
$500,000
partner - AMH will amend its existing
Training for primary care providers in use of an
contract with the Oregon Pediatric
adolescent depression screening tool.
Society.
Oregon Psychiatric Access Line for Kids (OPAL-K)
New contract - AMH will contract with
- $1 million
Oregon Health & Science University to
Gives primary care physicians access to child
build the infrastructure for this new
psychiatric consultation for children up to age 18.
statewide service.
Juvenile Psychiatric Security Review Board - $3.3
• Capital improvements -renovate
million
facility for the Secure Adolescent
Addresses facility needs to serve additional
Inpatient Program
youths under the jurisdiction of the Juvenile
• Expand capacity and services in home
Psychiatric Security Review Board (JPSRB).
communities
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2013-2015 Legislatively Adopted Budget - mental health investments
STRENGTHENING COMMUNITY MENTAL HEALTH SERVICES
Helping people with mental illness live successfully and independently in the community.
INVESTMENT
IMPLEMENTATION STRATEGY
Mental health promotion and prevention - $3
Request for grant proposal - Existing
million
partners, including community mental
Folds mental health promotion and prevention
health programs and coordinated care
into the existing prevention system so
organizations, will be able to compete for
communities can identify early indications of
grants.
problems and foster mental health.
Crisis services - $ 3.7 million
Request for proposal - AMH will partner
Improves mental health crisis response services,
with community mental health programs
including mobile response and crisis respite
and encourage regional responses to
services, helping avoid hospitalization or
develop services based on statewide gap
incarceration.
analysis.
Jail diversion - $3 million
AMH will partner with city and county
Expands services to keep people with mental
law enforcement agencies to provide
illness from unnecessary incarceration in local
pre- and post-booking diversion
jails.
strategies, including crisis intervention
training, and build outcomes into the
entire jail diversion system.
Supported housing and peer-delivered services
Competitive application process -
for approximately 200 clients - $4.2 million
Applications will go out in October. AMH
Increases supported housing and peer-delivered
will partner with community mental
services for additional clients with major mental
health programs to provide rental
illnesses.
assistance for scattered-site supported
housing.
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2013-2015 Legislatively Adopted Budget - mental health investments
employment services - $1.5 million
Contract amendments with current
upported employment services
F
providers - AMH will distribute funds in
three tiers, based on program readiness.
Technical assistance will be provided by
Oregon Supported Employment Center
for Excellence.
Assertive community treatment/case
Through partnerships with CCOs, CMHPs
management - $5.5 million
and other community partners, AMH will
Increases capacity to provide case management
contract for at least four regional
and assertive community treatment to help
assertive community treatment teams,
people avoid hospitalization or shorten hospital
one or more of which will focus on people
stays.
involved in the criminal justice system.
FOR MORE INFORMATION
Contact: Emily Watson, Project Manager
503-602-9448
emit .e.watson state.or.us
Addictions and Mental Health
500 Summer Street NE, E86
t Ifealh Page S
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