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2019-217-Minutes for Meeting April 23,2019 Recorded 6/18/2019eUT E S COG I BOARD OF ca < COMMISSIONERS 1300 NW Wall Street, Bend, Oregon (541) 3 88-65 70 Recorded in Deschutes County CJ2019-217 Nancy Blankenship, County Clerk Commissioners' Journal 06/18/2019 9:58:21 AM ��v'TES CdG II I I I II II IIII II I I II I VIII III III 2019-217 FOR RECORDING STAMP ONLY 1:00 PM TUESDAY, April 23, 2019 BARNES & SAWYER ROOMS Present were Budget Committee Members Mike Maier, Bruce Barrett, and Bill Anderson, Commissioners Phil Henderson, Patti Adair, and Anthony DeBone. Also present were Tom Anderson, County Administrator; Erik Kropp, Deputy County Administrator; Wayne Lowry, Finance Director; Andrea Perkins, Budget Analyst; and Kathleen Hinman, Human Resources Director; and Sharon Keith, Board Executive Assistant. Several citizens and no identified representatives of the media were in attendance. This meeting was audio recorded. CALL TO ORDER: Chair Bruce Barrett called the meeting to order at 1:02 pm This meeting is a preparation for this year's budget hearing. Due to the complexity of the Health Services Department, there have been two additional budget preparation meetings for the Health Services Department. The District Attorney's Office has also presented an additional request for consideration for the budget as well. Health Services Department Budget Presentation: Dr. George Conway presented the fiscal 2020 Department Budget. Presentation materials are attached to the record. Janice Garceau presented the budget process BOCC BUDGET MEETING APRIL 23, 2019 PAGE 1 OF 3 overview. Dr. Will Berry presented the role of community mental health programs in Oregon. Ms. Garceau reviewed the services provided for the behavioral health program. RECESS: At the time of 2:26 p.m. the Board took a recess and the meeting was reconvened at 2:35 p.m. A review of services provided by Health Services was continued including several client stories. The second portion of the budget preparations from the Health Services Department regarding public health programs is scheduled for Tuesday, May 14. DISTRICT ATTORNEY OFFICE County Administrator Anderson presented information proposed by the District Attorney on the request for 12 new positions due to a surge of activity in the department. Mr. Anderson along with Bill Anderson, Bruce Barrett, and Mike Maier conducted a tour of the district attorney's office building. A report was shared with the Committee and is attached to the record. Mike Maier presented data on general fund spending per capita for district attorney's offices in the counties of Clackamas, Lane, Marion, Jackson, Douglas, and Deschutes. Chair Barrett recommended requesting the services provided compared to the various counties. Commissioner Henderson has spoken with law enforcement regarding the increase of crimes in the county and the impact of digital evidence with these crimes. BOCC BUDGET MEETING APRIL 23, 2019 PAGE 2 OF 3 Commissioner DeBone commented on the space in the building that is used as storage that could be utilized in a more efficient manner. Mike Maier suggested services from a consultant for a best practices report might be beneficial. g ': g of Eat Being no further items to come before the Board, the meeting was adjourned at 4-:26 p.m. ATTEST-- ............. €. ,�rte 90-I BOCC BUDGET MEETING APRIL. 23, 2019 PAGE 3 OF 3 Deschutes County, Oregon Budget Committee Meeting April 23, 2019 First of Two Health Department Briefings 1. Call to Order 2. Introductory Comments • DA Materials • Health Department 3. Health Department Discussion 4. 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Q rb Q O Pa a) �... tA cn o _s e QO Q o o Pp Lrbo c s n r) c o ro ry � O O' o -Q Q � 3 '��' °w � (09 � •� rp a rb � cn' Q `o �• � ry._ 0 a Q O R 14 O IM o � o q, s W E°, L E o` 0 O 33 003: m M o D a 2 PI'9 m � D ,`r P9'1 O p Q 0 Q® r)j � rT3 PD c Q O 1 O, O Q ® n L � < �' Ln � 3 U)® (A p O j cz 1 '�5 rt ru Vl Q �. 3 N Q Vl � (� S Q rb Q O Pa a) �... tA cn O o e o Q o o Pp Lrbo c c 3 ®* ry � O O' o -Q Q � n0 '��' °w � (09 � •� rb � cn' yOn � `o �• � ry._ �a > Q O LA b' a rp zz- 4/22/2019 Day 1 (April )o Behavioral Health • Program Overviews • Budget knowns and unknowns • Program Overviews • Budget knowns and unknowns trendsDay 3 (May 28): FY 2020 Proposed Budg m-1 - Fiscal . 1 o - Health services Behavioral Health Divisi®n CMHP Role Mental Illness Costs The CMHP System Behavioral Health Programs Behavioral Health Funding Q&A 4/22/2019 2 Role of Community Mental Health Programs (CMHPs) in Oregon Our Purpose in Context Oregon State Hospital - 1878 4/22/2019 c 4/22/2019 1955 -,US Population: 166 Million • Patients cared for in state psychiatric facilities: —560,000 300 � / 100,000 persons New Developments Changed the Treatment of Mental Illness • Scientific and medical changes • Social and cultural changes • Legal and policy changes • Deinstitutionalization was built on a promise that treatment resources would be moved from hospitals to the community • Community Mental Health Programs were established... but few resources materialized u 195,S: FIi* ailtlps: i IR: i�' 9`S 1 � MedSia E t9 ili ,vr enacted k i s+ s <J c ; t, r r" s YEAR, io 4/22/2019 5 • US Population: 319 Million Patients cared for in state psychiatric facilities: — 15,000 • 95% decline, bringing per capita beds to 14 / 100k (same as 1850) 14 � / 100,000 persons Oregon Population Growth 4/22/2019 R Oregon Psychiatric Beds Psychiatric Beds per 100,000 Oregonians 350 { 98% decrease in 300 number of civil f psychiatric beds per 250�� 100,000 Oregonians 200 from 1955 - 2016 150 100" 50 d qY 0 _ y -'z 1955 2016 L, Where did everyone go? M 4/22/2019 IU 4/22/2019 Sources: Mw York Times, PBS Aiahbnal Coalitionfor the Homeless, Human Rights hatch m 4/22/2019 9 Institutionalization in the United States (per 100,000 adults) r. Vo 1 ti Total Rate Prison Rate -- Mental Hospital Rate c'�l�e (�regonixn Oregon Has Nation's Second Highest Rate of Unsheltered Homeless People, According to New Federal Report The federal Department of Housing and Urban Development is presenting its annual report on homelessness to Congress. December 18, 2018 20 4/22/2019 10 u Total inmate,: papulation 2005 • 19,318 j 7'otai Psychiatric ` Inpat�enfi population 1 2004 • 1,026 ODDS OF RECEIVING TREATMENT IN JAIL VERSUS HOSPITAL FOR THOSE WITH SERIOUS OREGONLIVE c�he Oregonian MENTAL ILLNESS: 3:1 Suicide watch at Multnomah County jails cost $900K in overtime, report says Updated Jan 9, 2015; Posted Jan 8, 2015 4/22/2019 11 Orcgoll. u alt I h m m 4/22/2019 12 Key Ta ke-Away Po i nts • Development of psychiatric medications and desire for the mentally ill to live in less restrictive environments led to deinstitutionalization. • Intent was for dollars to follow into community mental health programs to support mentally ill individuals in communities. • Funding did not follow at levels adequate to meet the need. • Trend data shows that individuals with mental illness have since experienced a dramatic increase in homelessness and incarceration. The CMHP is now standing in the gap left by the closures of deinstitutionalization. M 4/22/2019 13 Costs Associated with Mental Health Disorders Health, Educational and Employment Outcomes Human Cost • One in four families has at least one member currently suffering from a mental or behavioral health disorder (world Health organization, 2003) • People with serious mental health disorders die 25 years younger than the general population (National association of Mental Health Providers) • Up to 40% of high utilizers of health care have depression or anxiety (Melek & Norris, 2008) • 20-25% of the homeless population suffers from severe mental illness compared to 6% of the general population (National Institute of MentalHeolth) • 17.3% of prison inmates with severe mental illness were homeless prior to being arrested, compared to 6% of undiagnosed inmates (Raphael & Stoll, 2013) 23 4/22/2019 14 Children & Youth: Getting Upstream of Poor Outcomes 4/22/2019 MENTAL DISORDERS ARE THE MOST COSTLY CONDITIONS IN THE UNITED STATES Pulmonary conditions Cancer Trauma Heart conditions Mental illnesses $- $50 $100 $150 $200 Annual Cost (Billions) $250 Source: Roehrig C, Mental Disorders Top The List Of The Most Costly Conditions In The United States: $201 Billion. Health Affairs 35, no. 6 (2016)1130 —1135. 30 15 4/22/2019 MENTAL HEALTH CONDITIONS INCREASE MEDICAL COSTS Stroke CHF Cancer COPD IHD Asthma Diabetes Mellitus Chronic Pain Hypertension Arthtitis Percentage Increase in PMPM Medical* Spend when there is a Comorbid MH Condition 0% 20% 40% 60% 80% 100% 120% 140% 160% 180% W Anxiety M Depression 'Note: Does not include any BH spend Source: Melek S, Norris D. Chronic conditions and comorbid psychological disorders. Milliman Research Report. July, 2008. WHAT IMPACTS HEALTH OUTCOMES? 10% i1 y Health Care 5% ° e Environmental Exposure 15% source: Schroeder, Steven A. Social We Can Do Better— Improving the Health of the American Circumstances People. N Engl J Med 2007;357:1221-8 32 16 Lack of Investment in Behavioral_ Health Care Behavioral Health Representation in Medicaidlinsurance While only 6% of medical claims are directly attributed to 720 mental health 94% conditions,'a study Medical Costs Non -BH Conditions Melek, Millimon Report, 2017, JAMA, 2017 Key Ta ke-Away Po i nts • The primary function of a CMHP is to be the safety net for people in communities who have serious mental illness. • CMHPs attempt to provide lifelong support, which used to be provided by asylums. • CMHPs attempt to reverse trends towards incarceration and homelessness for those with serious mental illness. • CMHPs attempt to reverse trends towards early death. 0 4/22/2019 17 Key Ta ke-Away Po i nts • CMHPs address mental health disorders which, if left untreated, increase health care costs. • CMHPs attempt to reduce poor academic and health outcomes for children and youth with mental health disorders. • CMHPs receive disproportionately less resource than the health care costs associated with mental health & substance use disorders. CMHP System Deschutes County Behavioral Health Rules, Roles, Responsibilities & Programs 35 36 4/22/2019 CMHP System Structures and Requirements DCHS Behavioral Health Division • Oregon Statutes (ORS) & Rules (OARs) • Define mental health authority, roles, required services & planning and practice requirements • Oregon Health Authority (OHA) & Department of Human Services (DHS) • Allocates Medicaid, Indigent & I/DD dollars • Oversees service contracts, ensures quality & fidelity • Oregon Performance Plan (OPP) • Ensures community based services to for people with SPMI — requires Crisis, housing, supported employment and other community supports • Local Mental Health Authority (LMHA) • Entity charged with ensuring BH services available in community — includes a planning role • Coordinated Care Organization (CCO) • Administers contracts for Medicaid services • Required to ensure access to full array of BH care • Ensures quality and compliance with an array of metrics 38 4/22/2019 19 How is County General Fund Applied? H C h ro n i c, • Intensive Adult Services (ACT, COAST, CSS, Psychiatric Services, I/DD Services) Intensive Youth Services (WRAP, YAT,,EASA) Grants &;CGF Crisis Services 24/7 crisis response and safety net services Fees, Grants Minimal CGF Services Offered • Walk -In Crisis • 24/7 Mobile Crisis (MCAT) • Forensic Diversion Mental Health Court Family Drue Court • Civil Commitment Investigations • Co -Responder Program • Stabilization Center — In Progress 40 4/22/2019 20 Crisis Services Service Provided Accomplishments • 1,324 individuals served • MCAT calls up 38.42% (2018) • Law Enforcement calls to MCAT up 48%(2018) • 2,866 services provided • Crisis Response — 3,841 crisis contacts made in last 6 months. 100% contacted within the 24-hour emergent access to care timeline. Crisis Client— "Suzie" • Adult Female: Law Enforcement involvement, homeless, hospitalization due to acute psychotic symptoms. • Multi -system involvement: Law Enforcement, ED, State Hospital, Courts, DCHS Crisis Team, Mental Health Court, Forensic Diversion, DCHS Clinic Services. • At risk for incarceration, homelessness, injury to self or others, lack of placement options. • Receives Mental Health Court & Forensic Diversion services, Peers, Psychiatry, Intensive Case Management, Individual and Group Counseling. 4/22/2019 21 Intensive Adult Services Assist acutely mentally ill individuals to improve their quality of life and achieve Intensive Adult Services Services Offered • Assertive Community Treatment (ACT) • Community Support Services (CSS) • Community Outreach and Stabilization Team (COAST) • Older Adults Mental Health Services • Harriman Health Care Service Provided Accomplishments • 841 individuals • Deschutes County Downtown Clinic served Since 2014 integration of primary care, attendance to medical appointments • 15,206 services increased from 13% to 72%.' provided M 4 4/22/2019 22 Supported Employment Client • 48 year-old male, diagnosed with schizophrenia in late 20s. • Losses: Psychotic break led to hospitalization, loss of career, divorce and estrangement from family. Unstable employment history. • Physical Health Risks: Complicated diabetes has led to poor health outcomes and difficulty managing mental and physical health. • Integrated Care Plan: Since entering services in 2017, he is working, able to pay child support, and looking to move into his own apartment. • Physical Health Care: Receives primary care at Harriman Health Care to monitor diabetes. Intensive Youth Services Assist children, families and young adults dealing with serious mental health disorders_ achieve and/or maintain Services Offered • Early Assessment and Support Alliance (EASA) • Wraparound • Young Adults in Transition (YAT) • The Drop 4/22/2019 23 Intensive Youth Services Service Provided Accomplishments • 529 individuals ' The Drop (Youth drop-in center) — over 770 unique visits in 2018. 35 new youth engaged in served mental healthcare. Remaining participants already in care or received a referral 9,721 services • IYS — Over 75% of clients successfully meet provided trPatmPnt csnalc in tha>Intanciva Yniith Carvirrac Intensive Youth Services Client — "Sara" • Fourteen Year-old Female • Referred to IYS after being hospitalized; multifaceted intellectual/developmental, physical and behavioral health needs, history of aggression and self harm. • Risks: extremely limited placement options, aggression and self harm. • Received intensive Care Coordination with over 25 Team members —family, therapist, I/DD staff, primary care, child welfare, legal counsel, nursing staff, school staff and others. • Ultimately stabilized and supported in transitioning to program in New Jersey that can meet special needs; IYS continues to coordinate care. 48 4/22/2019 24 Outpatient Complex Care Provide assessment, treatment and referral Services Offered • Access (Assessment & Referral) • Outpatient Complex Care Hubs (Bend, Redmond & LaPine) • School Based Health Centers • Mediation Gc. Outpatient Complex Care Service Provided • 6,702 individuals served • 2,900 Access clients • 40,600 services provided Accomplishments • 99.8% of individuals seen within access to care timelines E 4/22/2019 25 Outpatient Complex Care Client • South County Client: 33 year-old, isolated male. • Complex Health and Mental Health Needs: Schizoaffective Disorder, Alcohol Use Disorder, obesity, chronic pain, other chronic health conditions. • Significant Risk: Thoughts of suicide and harming others, suicide attempts, serious health risks. • High Utilizer of High Cost Services: Seven contacts with Urgent Care or ED in 18 months. • Integrated Care Plan: Will receive comprehensive, whole health care in one location in his community — increases treatment compliance, decreases risk, increases social connection and supports. Intellectual & Developmental Disability Services Coordinate services for adults and children with intellectual or Services Offered • Eligibility • Case Management • Adult Protective Services and Abuse Investigation 4/22/2019 26 Intellectual & Developmental Disability Services Service Provided • 632 individuals served • 9% increase over last year • 8,341 services provided Accomplishments • Case Management Encounters exceeded contract base expectation by 34% Intellectual & Developmental Disabilities Client • Arlene: 29 year-old, female, served by I/DD for over 10 years. • Service Needs: Employed by sheltered workshop which closed. • Risk: Loss of skills and social connection, loss of growth opportunities and ability to earn. • Collaboration: I/DD Service Coordinator — Provider Agency (Opportunity Foundation Employment Specialist) — Supportive employment site —Target. • Results: Stableart-time employment, increased learning and skill development, decreased isolation, community has positive experience of individual with I/DD needs and increased awareness of I/DD population. 1W 4/22/2019 27 Medical Team Service Provided Accomplishments • 1,440 individuals ' Implementation of Clinical Case Review for served adverse outcomes to improve practice • 10,739 services provided 4/22/2019 Current Status, Challenges & Opportunities Ahead 5 WN Behavioral Health Challenges: Preparing for Growth • Rates of serious mental illness have remained relatively constant for at least the last 50 years (NIMH) • We can predict • A certain percent of any community will experience serious mental health disorders • As a community grows this number grows in direct proportion • Deschutes County is currently growing at a rate of 3.3% per year (Deschutes County Coordinated Population Forecast 2018) Major Depression — 4.5 % lifetime prevalence Deschutes County Adults with One Major Depressive Episode 10000 9000 ,54 ; k increase of 8000 1,055 individuals ,__ in Deschutes 7000taa��� i s� County With s000 L��»�����;, major depression 5000 4000 3000r�� 2000n 5 t 1000 2018 2022 sa 4/22/2019 29 Bipolar Disorder— 2.8% of population... Deschutes County Residents with Bipolar Disorder 6000 5000 4000� 3000 ya 2000 a 1000 2018 2022 '`° Increase of 756 individuals in Deschutes County with bipolar disorder SED Children — 6.4% with global impairment Deschutes County Children Experiencing Serious Emotional Disturbance (SED) 3000 2000 b5 t \2 1000 omm . ., -- 2018 2022 4, Increase of 351 children in Deschutes County experiencing SED csc 4/22/2019 30 Behavioral Health Response —Steps Taken • Leverage Resources • Pursue grant opportunities • Negotiate improved contract with CCO • Advocate for CCBHC continuation & Prospective Payment Model • Maximize on County Investment in Services • Increase Effectiveness & Efficiency • Working Supervisors • Stratify Risk • Enhance and refine Service Models Leveraging Resources Federal Grants • SAMHSA CCBHC Expansion Grant — continues CCBHC funding for 19 position and maintains clinical and reimbursement innovations • SAMHSA Co -Responder Grant — embeds a clinician with law enforcement and provides peer support engagement services • Bureau of Justice Administration - provides key funds for Crisis Stabilization Center case management and psychiatric services State Grants • Opioid State Targeted Response to the Opioid Crisis • Veterans Behavioral Health Peer Support Grant • Promoting Integration of Primary & Behavioral Health Care Grant • Parent Child Interaction Therapy (PCIT) Grant E 4/22/2019 31 Increasing Effectiveness & Efficiency • Increase Primary Care Coordination • Reduce E® utilization and hospital readmission • Enhance Service Models to address: • Access to care • Outreach and engagement • Managing service population — right level of care • Supervisor to staff ratios • Use of evidence based interventions Funding Knowns •Savings */A •CCBHC Prospective Payment L -..j CCBHC Expansion (10/2018 to 9/2020) • CCO Contract • No additional/new CGF need to maintain existing service levels 64 4/22/2019 32 4/22/2019 Funding Unknowns • Possible CCBHC Demonstration Continuation • Likely continuation of CCBHC Prospective Payment through June 30, 2019 • Advocacy for CCBHC Prospective Payment to continue through BE 19-21 • CCO 2.0 Value Based Payment & New Contract • Pros — possibility of increased revenue / share in savings • Cons — likely share in risk • Oregon State Budget • Possible shortfalls = uncertainty about Service Element dollars 33 1:Y 20 Proposed Budget • 3.40 additional staff are mostly grant funded • 3.5 new staff funded through grants • 1.0 Supervisor funded through repurposing BHS II position • CCBHC Administrative Support Specialist position eliminated • .10 unused FTE in COAST (Intensive Adult Services) eliminated • Eliminated $95,000 in underutilized nursing contracts • Plus $15,000 in Law Library carryover to support mediation • No additional General Fund requested to maintain existing service levels 6, Summing Up • CMHP occupies critical safety net role in community • CMHP services are intended to reduce health care costs and prevent poor outcomes for our community members • DCBH offers broad array of required, evidence based services • DCBH primarily serves high risk and high need individuals • Primary challenges: • Growth • Fiscal uncertainty • Multiple oversight entities = high administrative burden • DCBH in good fiscal shape this year — no increased CGF ask to maintain current service levels 68 4/22/2019 34 Questions / Discussion 4/22/2019 35 •N— • A L u N v_ a, a a) c 4- 0 4- O� .3 U Ln > v LLJ F O O + v v LL. 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H �I N Y Y Y Y Y Y Y U U U U U U U f0 L fC L f6 L f6 L fC L l6 L f0 L O O O O O O O M M l0 ro 00 V M M ct l0 O N 0 Q d N N Ln o 0 o 0 O O 00 O O 00 bbA R > > > > > >>. O> O > o > O> O > o O m MMN M M -1 N N N N N T NC L 4� � o +, N C E O• gai i0 0 ° E i` m c •SN... w W O> N N L 7 c O> > D U U O m c E �s aJ •�, +`+ vi in v v� LJ in i1 Ln v Ln v +, > QJ i G vi a, a, L t L V � a.+ +1 ... y c o +� Ln 4-1 > .,_, � > +- +N+ +N+ +N+ co � -C O- N U aJ i' � a) c 4- aJ c +�+ C C +�+ c +N./ c C O OO o o > a1 v E Q H cr H a 1- I- N U a C a C a a a N aJ 2 ° 2 5 2 2 r S- U M _ 4 4- 0 0 ,N O ,N 4- O 4- O> 4- O> 4- U O p L VI U QU L VI L U L L M U L L M U v L U . CL . wO a) O aJ aJ O a! = aJ u Ol I z a .c a .c a a a- a cr a a W F— c c •0 V LM LL No ool O o O Ln O M O M 01 Ln M lD 00 Ln -1 lD VI N +, U d L U U 4 - cu E UJ E `n 0 E b U N � N H W N d ♦ j L 'L c0 C]n 0 4- � m iW m i =C d! H E CU n to 0 =o E co _ = o E L v Maj a1 U > N N O C E a) o L Q _ _ ai iOai •L on C ° o N 4 ai C a W Ln = E � oaj cp r E v �; f- U E E •F O on m a) = O LnO = Lu Lu U ++ = -0 t U +�+ CLai aj G } 0 0 0 0 0 j _ E E CL LL T-1 N N c -I w _0 N on 3 O V w- = +• OE U on L -O aJ }' 3 +, vi _ a'J Q +LN. F- L ° ^•• 7 0 N w _ NE -0 4- N a) aN ai LL. a) U A O E—+L' O 4-1 O WO=U O O + +' L C ++ -0 = 'C :. LL i•H -1 N r-1 Ln C O -O vOi 0 N +'' •> :� O _C" Q aJ v ,� L L _ N N C N OC M m Q C +a)CL a) m 1? N 2 O oCn - N C — v (O LO U N N — N aJ fC aJ L U �- O U NLU -a U = _ U� = __ 3 u C �W N — a, > 4- E ai a Ln U c^ ai 2 ` = w 3 E C 0) co E' 0— j L N O O U 2 •+-- S W a S 1- N E v E h0 v = L a) 'U to W tl F- F 2 +-+ a1 i Ov O O 3 � +� ON -0 N 2 +J aJ L a) 4- 4+ 4.1 .t., a O O aJ a o N Sz aJ N +_ N 4- U 4-1 N U E O F- a) c ±+ tv v 3 u a� Q= •M C 0 2 > O > Ln tL cc J d o tV = O E Q ai bo fa ++ N= o +, N a a= W a E- 0 U M cEo t .E 3 > co ° to 0 2 W 2 W W W n � L O L on c=o a m m n. vii � a '> � � o c `� � F- M s v W % L L 3 •� 075 Y U 0 i M LJ +� G1 v C U °' E c 4-1v aa) c m ° >- • Z C N O E -0 3 SZ O E F- cLo a Ln `� o a, o ° ° U v tw N ,� >_ = N a, U o E on L 0- a N C O on 3 N w__ ++ L1 C aJ 'O E+, v- E>' E 0 v v U >z m +, O on N E +� a, +, L o 0) -O O L- 00 Q CL W LL,2 >—co = 0 E O 4- o 0 L O_ •- aiUt CL 3 O N E U 0? to O> Ln O 'H G. 3 L N 03v U 2 N 2 N E S '" O O ca :cc' = CL -Q on s ai Y on co cv N ,o 0 0. 'A a, o :P E N � - `n L t V C �� C6 CU +� m i +-+ o Y m UA U U a1 m a1 = v mai c c=a a 3a'vOi v w==0 v� T,U w 0-c m m fn L N N O Lq C Q a s .Q; v N a1 0 0 0 0 co ri • A °� m> m u 0 U c V S O a a) + O" CL 0 CC O cr. • • 0. F- i CL • • • • • No ool O o O Ln O M O M 01 Ln M lD 00 Ln -1 lD VI N U d L U U 4 - cu E UJ E `n 0 U N � H W N d U � m iW m i d! H E to 0 CL � E 3I E 41 m m c U U U U U ca L ca L 4- = Q) L i N =1 m L p > i Y O Q' . ca ,� U ,Ln O. m O ai W n .� L N O E c L O N p N � c i - ca y 0 lA O = N a0A O bOA U Lcu — LL tu a, aJ cu M O r-4 3 cu ° O E to a L ,O O L L- QJ L U ' j 0 4- m 3 uJ p an `N° 3 E c -Ln O L O J O O cL6 -a .> 4-�ie O � w '� v N � Q ObD 41 O aJ Ln 'L a)fa N Co L O CL V1aJ c I� aA C 'Ca Q O O 1 Y L � aJ ON ' -a i •��` L L O La-•� .c - m c aj L L 4' °- Q E p r-4 — a-+ 4� > i••, N U Ca �D 4- O U1 'i 4S U U aA L O N L aJ +� cLa O = V O L LZ +, LZ = L O Ln to aA p O O � 4- ca Ln. .N N m Q MC O wc cr O L ,N lV "O aJ +•+ ++ O- u Ln 0 C ca ca U O M 0 aJ = Q p in '4- 4- 41 N Q L F aJ aJ N 'lA to O N O L Vi m to L L Q O N O O '� Q L- ++ 'L U mc L +� ._ ° a0 •Q . ° N 'C Ur °cu E M O N = � O p_ L aJ L 4- V Q U OL L 0_0a) L O p v O UQ) c N 0 N EL Q - m vii m Q-0 ate•+ E a-+ •N 'L t6 t o O w -° V H U c c ca aJtLO O r-1 •� cu ++ Q to E0 ° O 4-1 LS2 M p WN aJ _ to U _ to L .� U ca L aA ra 4- w N E L L " CL m V O m =3 N c .L { , ,O � , O aJ N O '5- 4- u aJ N E v 'O O m (J O +' C aA a) E 7 'O co c '� 3 O i ai > w o Co o n o X O_ — o= o v f6U a) aJ 4+ Ln ca ate-+ U_ N > N= ate, c p 2- E c v CU° v '� ° o ° O LL °J aJ +.r GJ o LL N O a) aJ U p - .� C to — N = 4- +- a — aJ C U U Q' U fL6 3-o o +_ A c O m OLu = o Q ca U Ln U z Ln U LL 4a C c C E s s s' V U M, a,o E txo O LL n CL 0 o du LLL. 40 3I 41 m U U U U ca L ca L ca L ca L 000 O O O W n n 1p o6 Q O a0A bOA tu M O r-4 Ln cu Ln cu aJ O � 3 >- Ln E o m v c O L O CL V1aJ c U � •��` 4.1 L aJ a v L -� V •@ Ste' C V a (U L E M O � �- Ca, G .N :3 cr U) lV "O aJ +•+ ++ O- u Ln U Q o v a v Q CL L o v o `� ._ ° a0 ° L bo L aj U V Q U OL a) O p v O p w 0 zaa=a La V LM 75 a i c� G LU a. D N N _ N z w N N _ H N a z LU w N TN y U LU F- 0 Y. F- 0 N 0 N N N _ 0 a V) N N _ LU U U N Vi z J N N a1 C V) ai v 0 s L 0 lF E f0 � v O- ++ O L 3 m a) O m O O O 4J w a! O C aJ � 3 c v N m L v v O_ N E V) 'V1 O O +' O O C m ai O N aJ M (A a ccC oul �� Q) o E v U aJ }' w N m C N +_+ � L v Ln 4r- N N v ILAA E ai co tin (O -0 L4n O L V% �v > C N O O +' N "O 0- C > `^ c+, — 7 Ln 'O O m O — :3 4- Qj O E d-+ M L Y O U -a }, f0 aJ L Cn X a CU O N QE to v H C O Ov -0 a1 CQ v > _ _ E�,E as O i+ U U >, W C !, Ca 4, d .0 c �'! O E al. co W 'aI Q t fn v a `-' o .a L CL •L O ° ul vOi uf'. Cn 3L O o Q } 'N- L C L- 0 O a) f6 N W 4 d > > U Q •- N Vf O_ - 7 C _U E a7 tuE Vf u to O O LA v U ,C V O O a) > 4- O C C W O O fo U U m a) LU O Lno ca c m .V) Q w m > = U LL C Vj a aO+ U 4- ++ f0 0 N 0 0 0 0 0 0 0 0 0 + O 0 0 0 W a) O I, N O f1f C N N U. r i i oo 6 N N N o c,i rm = � a) C oma m t Q)o 4- w c a O O c O oc� �NVL1 � M0000000000 �c oOoa000r`No.4 °�,' o c ° Ecn LL.-;c-io66 6r. Lr; 6m n�_ a) o L L E a% }+ fd O CA L tw + v L L a1 LZ mN U f0 i ai >N CA W la u N _ ffo C m -,oVf Q + "O_ O N `L }' a) E > N c a z J - Q Q F- N F - J Q C=O Q Q N LU0 _ _ u�LnwLU to ai -_ a) a Q N N L aJ = N W W Q VI v L O W= J J N w _ E 3 U �n E ~ O a N== F cr H m " M+1 a Z= = J J J O J a do c OL .� c6 .�_ ,a CO J cr� W a W O W > a= f6 a) > p > Q z N= 0 0=° _ LL O o o z a a a V)"� m �' a o � ~ m fo v 14- .� Qj io O u o W W w O w» 0L " E = o m a Q Q m m m U a m N t- m ra v 4+ a> O _ Vf ,0 Q +L+ U O m O OC > - +' E H =m •- C O V O IAm 0 o o ° a m -C M .L v c N N 0= O V,N W Oc E cQj O L fa a N W ++ Z v .. V) a v H E° 41 c L on v; °.c avu�viwaovio ELo ,n O O 41 � ++ f0 N; W o u L •L O x N c a) t6 fCL a a CL o +. M U M c E = c ' O L O� O Q Q 'L u v C v N � N u1 y� Un -6 CL O�(DLn0. Qxoac ra v ar �'V) n Ln oC o = O V) a1 C V) ai v 0 s L 0 lF E f0 � v O- ++ O L 3 m a) O m O O O 4J w a! O C aJ � 3 c v N m L v v O_ N E V) 'V1 O O +' O O C m ai O N aJ M (A a ccC oul �� Q) o E v U aJ }' w N m C N +_+ � L v Ln 4r- N N v ILAA E ai co tin (O -0 L4n O L V% �v > C N O O +' N "O 0- C > `^ c+, — 7 Ln 'O O m O — :3 4- Qj O E d-+ M L Y O U -a }, f0 aJ L Cn X a CU O N QE to v H C O Ov -0 a1 CQ v > _ _ E�,E as O i+ U U >, W C !, Ca 4, d .0 c �'! O E al. co W 'aI Q t fn v a `-' o .a L CL •L O ° ul vOi uf'. FN - Z W J U p- ro Ol N H H 0 0 o O o O N 00 00 Itt N O^ 01 �q O 10 o O o O O w O Lr) W 00 ci lD e -i 1l M ri o O o 00 Ct Ol 00 I- N d: O rj , r-1 I, N N vi aJ On _ m U C f6 CL aJ U _ E L L U aJ E � n'Y _ _ O aJ _ On > — O > o = .N m Iz v N N = N V O a) 'L c U = U U O C v E ++ N O O O QJ Q mN a H On Z > O . CL y C v aaJ L 'c 3 0 V, O •->� 7 aai =o '> Q 4- 0 aj a O N D (6 lD O N N OA aJ 4- 0p = -Q O QJ M aJ U OL 0 t:3)m i m N L 4- 4-1 aJ Y _ •aj N ra = ice+ U V aJ c = '5aJ a a1 N .- E N m -O aJ N C � C U U t�/f x 0yi Q Q CL x cc m 0 0 0 0 0 0 a, 76 a.., L O +1 > C O ° aJ •L -Q U m U OO 'a Q- U aJ t C E Q X � aJ CLC' a O E OA O LA N = 4� v m m 4- Q! 7 = a U M v c N � coo � s v •3 c O_ N V O m O 'a a0 > 4- O O L +, = O CL -a m N N Zt v d M M U a N L v �- Ln U — .O V d4 N Ln aJ fa V) at > N L L c > O > > +O > O M 0 00aj ++ 00 >` aJ ++ +_' a G a, j (O Q • N = m O N o -0v a°J •4� N •- -a N £ N Q a 7 GN O U aLJ fl• O aJ =3 O' W M _ O C -a = dO O w Q m t c U = L O aJ E -a m CL o O rain vii LnH � 0 _ a E = L � o E '> U L U O u O N V O N Q 43) aj 4- Q ++ Q) M N L Q = O . � U N N 4- fN i U _ f6 c a) Nuoto N O aJ -00) v v E U U a+ m aJ 4- i0+ t = N N O +, C +J = E = a+ U M QJ m y_ L E 0 GJ N = o v L .� N Q. 5 + ai cu u U C E c c v ca aJ w O M L U 4- _ __ O cNif N O O O O 4- um L Y = N aJ U O L d U O N O = 4.1 U O tw t9 m > S iJ > iJ N L O U U O QJ bD vN E E ,_ m N Ln = u N N N O C N aiU O > a) O = O aJ N a E O l0 L " E " E m > (u > O N N aJ cN0 CL N ;a aJ t6 — f6 L v ar a, -0 m a p O aJ x N a cmc �' o°Jc CM L �a v +, 0 0 M = N 3 N o `—' _ wO w +1 =N N U O c Q 3 'a =a a) L1 CL N N H a1 _ _O aJ —_ *' c N � � N U L m aJ LJ -� N U aJ °' a, aJr > OD c � m t L N Q! O aJ aJ > -N _N _ (6 O O 4- O > > O _0 += CL c Lo W 4- m m U O O E E aJ aj N O E 4• N Q O N - E c m co w c b=A aJ O i O 3O' _ O = L .� a - Q CL O O N -P V) Vf v c C: +: v cL a i U O O M aJ = O > L V) u p O v E cLa ami f6 U E L o O O M 41 Q a) c E U aco ;;W o N � W O a 0 0 0 L Q -a �_ E a� a = v = aJ aJ O L N z N U L U f6 d U U i = fL0 E aJ v aJ to O U cu cf6J LU W Q a vi aJ On _ m U C f6 CL aJ U _ E L L U aJ E � n'Y _ _ O aJ _ On > — O > o = .N m Iz v N N = N V O a) 'L c U = U U O C v E ++ N O O O QJ Q mN a H On Z > O . CL y C v aaJ L 'c 3 0 V, O •->� 7 aai =o '> Q 4- 0 aj a O N D (6 lD O N N OA aJ 4- 0p = -Q O QJ M aJ U OL 0 t:3)m i m N L 4- 4-1 aJ Y _ •aj N ra = ice+ U V aJ c = '5aJ a a1 N .- E N m -O aJ N C � C U U t�/f x 0yi Q Q CL x cc m 0 0 0 0 0 0 a, 76 a.., L O +1 > C O ° aJ •L -Q U m U OO 'a Q- U aJ t C E Q X � aJ CLC' a O E OA O LA N = 4� v m m 4- Q! 7 = a U M v c N � coo � s v •3 c O_ N V O m O 'a a0 > 4- O O L +, = O CL -a m N N Zt v d M M U a N L v �- Ln U — .O V d4 N Ln aJ fa V) at > N L L c > O > > +O > O M 0 00aj ++ 00 >` aJ ++ +_' a G a, j (O Q • N = m O N o -0v a°J •4� N •- -a N £ N Q a 7 GN O U aLJ fl• O aJ =3 O' W M _ O C -a = dO O w Q m t c U = L O aJ E -a m CL o O rain vii LnH � 0 _ a E = L � o E '> U L U O u O N V O N Q 43) aj 4- Q ++ Q) M N L Q = O . � U N N 4- fN i U _ f6 c a) Nuoto N O aJ -00) v v E U U a+ m aJ 4- i0+ t = N N O +, C +J = E = a+ U M QJ m y_ L E 0 GJ N = o v L .� N Q. 5 + ai cu u U C E c c v ca aJ w O M L U 4- _ __ O cNif N O O O O 4- um L Y = N aJ U O L d U O N O = 4.1 U O tw t9 m > S iJ > iJ N L O U U O QJ bD vN E E ,_ m N Ln = u N N N O C N aiU O > a) O = O aJ N a E O l0 L " E " E m > (u > O N N aJ cN0 CL N ;a aJ t6 — f6 L v ar a, -0 m a p O aJ x N a cmc �' o°Jc CM L �a v +, 0 0 M = N 3 N o `—' _ wO w +1 =N N U O c Q 3 'a =a a) L1 CL N N H a1 _ _O aJ —_ *' c N � � N U L m aJ LJ -� N U aJ °' a, aJr > OD c � m t L N Q! O aJ aJ > -N _N _ (6 O O 4- O > > O _0 += CL c Lo W 4- m m U O O E E aJ aj N O E 4• N Q O N - E c m co w c b=A aJ O i O 3O' _ O = L .� a - Q CL O O N -P V) Vf v c C: +: v cL a i U O O M aJ = O > L V) u p O v E cLa ami f6 U E L o O O M 41 Q a) c E U aco ;;W o N � W O a 0 0 0 L Q -a �_ E a� a = v = aJ aJ O L N z N a m c c0 0 m .65 .c O -0 bo 4- C U m Q E O •L a CL a .O c a X a C tb O Ln a an E a CA m U O 3 O N H O c a Ln0 a a N a a bn C t 4- a H Ln c a U U m C -- O 4-10 7 a m O a o a v O O O ° Z Z • I • c 0 m v � O r' a > > L v +J .N (� H O N V) O O O N O L O L a in '- L N > = 00 > N O 00 00 -0 crO 4O L i L!1 V1 - > a U 0- to a m cr f0 f0 a a 4 O 7 bo m L a 4- N m N .5 N m U N C C a > m V) V) 3 Ql N 00 3I O p O ci O N O O� c -i �n N r- Ln a) to o 0 41 U cq 1, 4' U 00O0 M 00 Ol I� V1 Ol N ri 00 M r -I C}' Ln M . tD 01 ++ O O 4+ O N OM > > > 0 O O 00 Ln O 0) O a > = a1 O O o m r, r.1�0 0 to 0 O Ol I� Lf1 V) 00 Ql 0 N 00 �-1 c -I N �, Ln a Q Q Q a m pi " v O O °' U O M U 4- O 2 aaL+ N !6 m N ai O 41 CL '� i V)LIO C V) aL> > v v v o Q CY 06 c = 0 O O t bn of +� a CO C 3 i +� F (n vii L OIn V •� v > Q +I cL6 >• — a o O a�� L n3 N a N CL CA> GJ Qjc o -� a a Ev a a t > o c a c0 cLa a c a Q. o +1 -O +J 4- L on O L U O O O L O t bo � L ++ N a a L c O � U �, L a >. � Q o= 3 3 3 3 f6 —> +1 O c 0 a �, v Ln Ln vi u N .0 o a) �' 0 0_ +r U N L c O > O O a c a C a c s a N> '� U C i c0 7 cr a to s rl CC C O .N CA E- .0 -- •� .0 to O a f6 fn 7 cr N 0 t v 41 > c6 L C b L: t,V N m a7 tio Oo c a a a s >Tj ° ' > In °> Q c a mt n bn tin o v -0 O a Z U OatB Ou N+ U a U s U 4 O c O LLa v O aI- U3 y' O- Q- O .c n. 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LnLn Q O � 0 N v U � � c .c CL "I ai -O U N '> to 3 v ai O > L O O E i-- aJ N 0 N E a''o v O aj GC V, > O Q UJ N tL- N E > tLo a :2 L a tw t 0 O Q z (7 L 0 Q W 0 CL O v W' o O ms's U. 0F- � U a - O N 4-1 N m O 2 N ON 'F- v U i U 41 3 ++ L U N aJ N = N m NAa U � � O � LJ N U ++ c =33 cr m � � Q N ��, a) _ v O N C C L t0 N U U 0 v -0 L O y_ L O C: m O C = a1 -O "O 4-1 U 7 Q aj Ln N C U N crm m � � Y _0 C a1 00 .0 m F- T c a, 3 O m ULn �N YC m It} a) �" 3 0 o a c aj c a, N 3 0 O 4- 'L m N V 4:-, E o NL N - v aJ _N +r 5 U aj u C +1 t0 t6ai cuL Q .� U _ 4-1 L of U CL O E D v p 0 Z) N m -9 6 to = U M c ai a) is •to c v C aJ 0 N 0 (1) v0i U ca > N 4J .� +L U to 0 •O aL+ N 4-1 m U fV — 0000 a Uu O O O N maE'u 4" C m 0 (.DN t\ n d. 0100 r I O O U O 00 C �aaj t>o -0 =ns 06 �_z N,_ cM i U U m Q. i m N 0 N a-+ M ML N N 4- L tp T aJ O- -0 UF W - W G m X E E aJ N> aj aj U = vi o c -I U 5; v a v O .� u u M Q M Li - o to WZ H H LJJ L U • • • 0 v > a ~ t v ; i Q E 0 sem. Q O to 0 L L L O Ln N N Q � v 3 E OO .5 N m cu .> v v E U +' +� CL CL E a N L 0 0 O � 'N o q N CL CL GJ Ln c-0 @ O m o kD E Ln rn 1O (Do > ci � I I 1 � L L O 4+ 4- m m -� m m QJ N `0 3� L L m O O >m > Q N TN L � •- y y G o 0 0 Q O O o Ln v _o > >o m ri r4� a. n m U E " o0 O) E E N to f6 O. Q I I O O 4-. Q v E Ebo eC 4- 4- O +' O O O m0 O C N y v N > L � Q O Q Q in mLn w O O O U i! -- 00 v rn N o m ° o M :�] > (O E LL e 1 O O C U u � LL C M �YUY LL 00 C6Y Qj L > M N O bD U ++ 0 0 0 0 0 0 L O V U > > > tE/I U U Ln -0 N .Q to -0 O dA m m m C + U Ei-+ U +J 7 � L E O N ai m L •> N E O `L L NN E °y' pp +� N UU W a r- E +� = L N c 0 ++ U 4•j ObD o L v O O Q C O C O U E o R Z Z N N Qj L O u i N E - OD '' N � s. o toto Q b0 O •i c% O L L i, i L v V'.. u Q a Q- v oa ++ O � L 3 ° N o N N N 'N <N p,± v ia, LL U � U L{. L L N N OO .5 .> v v CL CL 0 0 q CL CL Ln O m o kD `I Ln rn 1O (Do ci � I I 1 � L L 4+ 4- m m -� m m QJ N L L m O O >m > N TN y y G o 0 0 O o Ln v _o > >o m ri r4� a. n " o0 O) E E O. Q I I O O E Ebo eC 4- 4- O O O m0 O C � Q Q in mLn w O O -- 00 v rn o m ° o M LL e 1 O O V u � LL a �YUY LL 00 C6Y bD ++ 0 0 0 0 0 0 L > > > Ln -0 N .Q to -0 m m m Ei-+ � L ai m O `L E °y' pp = L 4•j ObD o N N Qj L O u i N E - OD '' N � s. o toto Q b0 O •i c% O L L i, i L v V'.. u Q a Q- v 0- L1 ++ O O 3 ° 3 3 N N N p,± v ia, •U U � U 0 O U O O a-+ LF- L 41 O a 66 OPMN% 0 aj V) V m U O v Z u %%m/ Q) C U t f0 t O E N a) U W t LL N � L W a `� i C LL 0 N•, 0 0 0 0 0 0 O O' O O O O O O� Z UV1 LL c1 Ln r, N r4 4 a) ca a Ln O z LU z L ` 0 O i N LL 1000000,4 0 0 0 0 0 0 0 0n LL r -I Ln r -I N r•I ci l'1 U = Ln c L w > U C x •O c 0- U o Qaj > d .O L c O Q z L a) C . in uj ++ VE CL O aL L O c C O N N bA i 4- O M Q 2 }J J ®U V N f- H w io a 3 E �JaQV,Q o +, Q ';' v V N w w< C Ln O In L- /i N NQUl(nwa W •� _wa O_ '= j U 2 J S _j a N w O .o Q Z c c '� O N S S F m O d 2 J J O aj E > -0 aj O ++ z > Q > Q > Q to = Lu -+ Q ON; W! O D LLJ UJ LU L U � O. c cn _ O a Q m m m a N F- I `^ c n3 N 3 ° C a oo N aj o n O QJ L O o L 4- 4- m 7 � aJ aJ Q U N O c c' E o M-0 O O O z ° S v, Q • 1=10 c a d-+ E V) M O = ++ c a) O U Z5 •� c O = 0 N -0 4- c O f6 •N m C O v a. E o 4� L O_ O- =3 E O 0n O ns QJ U M c f6 N � L a1 Q > x � N � U O ate-+ Q m E _ L O O Q. > N _t La1 i— m w o o 0 0 0 r -i 0 r -I � 0 w � M N �4 00 Lf, 00 m I, O 00 N 00 O is a L1 in U U d L v U t0 E v v a) ° Ln CU U N Ln L to H N U W ~ f- U > as aj V) m U v u Q) U t O E N a) t N � L N a C � � C UV1 a) a Ln O z z L ` 0 O O_ i 0n :3 C: Ln c L w > U C aj •O c 0- U o Qaj > d .O L c O Q z L a) C . in uj ++ VE aL L O c C O bA i 4- O M Q }J N c c C:tw io 3 E o +, v C Ln In L- O v O_ '= j 0n bD O .o Q ,N c c '� > o O aj 3 aj aj E > -0 aj v v ca +, Q aj E o = M a) c cn CA O to O ECL 4(-1j E `^ c n3 N 3 ° C a oo N aj o n O QJ L O o L 4- 4- m 7 � aJ aJ Q U N O c c' E o M-0 O O O z ° S v, Q z z , y k � 7 o LF- q � � f \ \ � f / E @ g m 2 �/ 4- 4- f0 Q) ( k E o $�fw/ ƒ�/§ §CU Ln m y� 0 c § f k 2 / m o m o o C E u 7 M 2 / § _ o / / / Eo \ / \ ro S u m / a 3 » \ E\/\ m r uu •& d� 3 R o o o e > 0 Ln _ » a � u m � cu [ � 2 f 14L 0/ ® / '�aj u W aj/� 5 E < e m % 2 o :\2ƒ : E / aCL ) /�/ \ k k -0 : o c °2 ± _ y 0 C: / y \ C : u ) a)u ƒ I caƒ rH O O O O O N O N O r� O 11 1.0 CO Ol l0 O 0l Ln Lr LD I, N V-A O !6 .6 v N U N Q_ L U U 4L m E v v cn O � CX U C 1) H U ZLLI H W ~ U > a N is c v_ ca � � U O E O_ 3 L to � N O C U > L O L OU 0 Q o O m L N L N L O +-� N a) 0 aNi O N ti E CL O E_ bA c t CL N Ln v; c0 U N L C � i4.. a) U '_^ LLI O v N U L N *' C 1-- L a f0 O N "O L m -" v N O O O C v_ U CA m v ++ N QJ O m N N 3 N O O 4- L O L O 4— O L 4— i W L2 4-1 L 2 a•� U L M =3 O 1 .4+ fl \ CL N L -D L a c on \ O 4J 7 LL E M N N vaiQ uW"� L U 0 0 0 0 0 0 0 O C N = m o E •° c .N 3-0 LL 4 N Ln -1 r 4 e'1 0 m L � Q E E m U m U U c O O > m O > -a >- U 3 M- v v- (L)O � -0 N N U N f6 W L L O 4- = N ai d M ?N U O_ m E O -o C ca J NO N Q L to 4- O i CU O N C LL -Q. O E -0L > o a-a-� O ++ m i••+ O E OL L- 3 -4 000000 w = 4= 7 C v E o E `0 -0 O +� C O 0 0 0 0 0 av a 3 N cu LL rl N Ln -1 --1 e-0 a Jo J +, G N E Ln 2 � O M O F—O N J N J 2 U N E _2 J U o U to W Q 0 7 C LU a Q N U> u (A 4- (n = W Q N : L "O I— W J N W Q O CL m dN = ~ m L O. ai `•~ = J O C O N CL O I- O O m O N = O > > �- O m czc Q Qcl� W Q O +' m Lu I- 0 m D Q W CO W LD W= 0_ N Q H NC i a E 'p 0- O O_ N 4- L Q 1Z C O •E 1p w !r � N U � U HL I N L +' � Q > X f6 � Qj H v OO—> f� o M V L �:. LLQ a) N CL'moE_ to L c-. Q; 'a Q' bo = G �' O 0 'O_ > Z L V Cl LUNU Q y GSC O Wo t �`• at-af-m rH O O O O O N O N O r� O 11 1.0 CO Ol l0 O 0l Ln Lr LD I, N V-A O !6 .6 v N U N Q_ L U U 4L m E v v cn O � CX U C 1) H U ZLLI H W ~ U > a • • • • I • • N c v_ Q- � � U O E m 3 L � N O U > L O L OU v Q o O N L N L O +-� N 4- 0 O N ti E E_ t CL N Ln I_ c0 h0 •� N L C � i4.. L '_^ Y a-+ O v N U L N *' 'O L a f0 N "O L m -" v N O O C v_ O m v ++ N QJ U m N N 3 N O O 4- L O L O 4— O L 4— i L2 4-1 L 2 a•� U L M =3 O 1 .4+ fl •v L CL N L -D L a c on \ 4J 7 O E M N N vaiQ uW"� U U v N •.0 C N = m o E •° c .N 3-0 N o m N ai Ln c Ln 0 � Q E E m U m U U c .- O > m O > -a >- U 3 M- v v- (L)O � -0 N N U N f6 L L O 4- = N ai d M ?N U O_ m E O -o U 'U = J NO N Q L to 4- O i CU O N C Z,O -Q. O E -0L > o a-a-� Q ++ m i••+ O E OL L- 3 C = f6 w = 4= 7 C v E o E `0 -0 O +� C O N +1N 'O E.QL av a 3 aa) 1 cu L E oC = � a Jo J +, • • • • I • • ~ g // / LAI ƒ 0 * q a © Lr) 2 t R r§ ® t u y ¥ m / / / § \ / \ / § E 2 - \ L/u/kt// & u -MS c o� \ L -E u w > u / o « $ § u oE u z / / LA / \ k C: 7 / 7 o « »rn \ / \ �/0 Q \ * tkc E� /> »-0 o :/ &2 � 2 -u » -0 } E 2 Ln b� k J § q �@ Ln § CU a ; - / . ( ( # \ : ƒ : 4 /0 f ® ® k k k § E e 0 0 t o �u � C: £ y: t : g @ g G % k U y 0 , y \ § cu ° e u -a e CL 61 I o ƒ E ƒ c � O o aU O a) C a) O C bA c a) C m _U _M a) a) a m ui LL bA O -0 U Oy,A m U C LM aJ �•w)LL,�- V f0 L OD O H LL v LU V) N OLf) O U a i� O U 'C tw a O LLL c4 N d j •F L L =4- •� µ- C 0 O N N Ln a) U_ 3 O m '. ui 3 ^�/ CL LL L O -s- xc0 Qj m m LL ri f V M�r hA a, W a) U 2 E'0 U O � } L N � E _ O c 4- E n3 #A co N a, L G M C: CLO V ° 4� u N E O = a C OU L Ln m Ln W O 0 ? N � a M m E �; Y Ora m d+ 7 H- - M a) E O Ln O aL+ N W a + 7 p v _ 2 O U = O Ln ° a) u C C C< LL < < O u c n3 ° n3 c LJ G O o� a a a 4� s "J •O IA 2 2 F- cn M O F'00. r- m m (A o ^' LL .. = O O V a) a) ,,, .N : dA aJ C p •� 4-1 N >.v a) O +0 N E fl 0) O a) m W C� U v v Q ° U E 0 C U c L O +' 1 O > _ O O O to a) O O U U m U n3 Q v v 0 c U D V too '_ 2 O �' E o cii 3' a O Ln u vOU CL a� A Z c O O N -u 'a O a) 7 0 aEi �' a) O Ln 4 a) to N a) Ln U ++ N O L Ln OIn �- •°) u l = ami c0 E `- CL E ui M U a = u �, u +, on +� U L dA o n3 cn M Qj a) E 'O vN oa a) O a) .E O_ 'O �' O m in Eo a ca Q m v .c o Z t'� t�' 00 c Ui O 4-1 �:: a) 0A N �O •u cu E° (u O_ a) X LL • 0. >- a i LSI � o aU O 0 ( v c C _U _M a m bA O -0 Oy,A _ ca E X c UA C f0 L OD O v U 'C tw LO j •F L L µ- ++ C N Ln a) U_ Qj m m a) U 2 E'0 U O � } L N O c 4- E #A co N L G M C: CLO ° 4� O O C a) O M +' r E M m E �; L m d+ 7 H- - M a) E O a) V) O aL+ N U a + 7 U = O Ln ° a) O c n3 ° n3 c LJ b O s "J •O t a) U UO r- +1 (A = O O V a) a) ,,, .N A X dA aJ C p •� N >.v a) O +0 r' 0) O a) W C� U v v E 0 C U c L O O O O to +r �n U Q v v 0 c U D too '_ 2 O N E Q _2 CL - Ln O0oo oN u vOU r-� A O O O N -u 'a O a) 7 0 � 00 O Ln 4 a) to N (1)m Ln ++ N O L Ln > �, c0 E `- CL E U L M U a = u �, u +, on +� U L dA o n3 cn M Qj a) E 'O vN a) O a) .E O_ 'O O m Eo v U M+,_ v > N `n a� c c U a) 0A N �O •u cu E° (u O_ a) X m ° o- w L E v U d jd N N m O C +, 0 Oaj U {n N F .1.1.N O 4• Q O Y v O w~ N Cr M= Cs•' O U O O } L O to CLU cin O a Z N a v > aam a d D' i c c c m m H u U CL .0 tw C E N tw a s a o tw N } U. LL L a) c L.L a0) 0 o O +� U O v O o O � y cam.) O a) M d 0 aj O m O L L Q Ute+ 4- CA � +c '^ +� -0 M E C O - o O a, t v cuM U U O C E Q ac O ai � 0 L=3N cr i C ai O y = U �Q a > M C 0 C N O' vi a) a) o +J O a) t0 a1 a) C O V, L CU ai O C C H a a o in u OA ai n_ V1 u-0 Q- v +-� tti F a) Z 3 m v - 3�+ — C ci C: m U 0 vI E M Q. Q 00 -0 CLa 0 vi N E U aiNO f6 LA 0 (U CL o > m co a-+ -O C a) D LL C a tw O U >, OO E d-�L u*- °� ca a a a) c 0- v o 4- o o L + , tZ O C U N a1 C4— a) = 0 U O a) U -6 +, o +� :. C +0+ m L L ,' Q- i Y VCL E N 7 a) 00 O 0 ut 'L -0 a O L LL 0 0 M H oA C `}- O m to m m O N O S2 4 J U v) O O *' '> CLO U N 0 N O Ln 0 0 0 0 ONO o L C Q v - 4 `' 4+ 4- O `^ -0 L ut U m O 00 N O M O O N i 0 a) a) CL O Q CL O M O L}L N M rl +�� U +� ri N O -a Q) E a) a) N c a y 0 ai a+ a C N 6 0 m;N C t a) 't0 N f0 > O 00 � _ E u U-0 N .: m a-% : C 0 _ 'i N V '.. W +�+ ham•+ Gl a) p ami C s d v i tT O u1 O 000 00 �O c on c iW to E O 00 N 0 0 0 O a) _ o E +J N LL N M i M cI N N 0 w O •N -O a) 7 two L C ++ 4 -C 1 N C E x `- fa m on O U v L ,,- a) > .c C 0'j Ln E C Qj 0)a O E 0by = m U U O U c tS aJ 0o � i � c N� C O a) Ln a o c O ea .�ea ca Qww N N + D O U V1 v) W U L a) � m c0 M -0 L O Q Z w w w +t 0 c v- Ln O C 'E a O ca 0>G C .0 M d V)H-- W J J v) 06 M of �p U .� m ,� O - CO cco: LU ON O w p N 2 Z ate'' a) t o L O aa00G:d can _ to 0 O 0 E o ° �3 W W O O W o. N 0 -6 .O U +—N+ Ln Ln LL -2 Q. d"+or- '+ZZ� LLI wwQ > CO .c -a ." c O �W. m a a z z v) Ln h 0 a)(v - LL � p u of y v U 0 0 f0 a) 4=13E C D w E w U • a ca 0 ,, a a) a Q -- O + U a) O . L "- >. a) t0 c _O O .C: L >, +' a) a 3" C a) to v c °_A v c CL �; o Z +� a) cE v Q- o 0 C 0 t0 +, 0 NC v = ii v O O 0 o 0.00 v) c E wo cu 7 a) 7 }. v :3 o u z *5;•- LL 0 L a) c L.L a0) 0 o O +� U O v O o O � y cam.) O a) M d 0 aj O m O L L Q Ute+ -0 M E C O - o O t cuM U U O C Q ac O ai � 0 L=3N cr C m O y = U �Q a > M C N a) a) o +J O a) t0 a1 a) C O V, L ai O C U 0 H a a o in u OA ai V1 u-0 O v +-� LE F a) Z 3 m v = o ci C: m E 0 vI E M 00 -0 t0 0 vi II O E U aiNO f6 LA 0 (U > N O � a-+ -O C a) +1 H m L C a tw O U >, OO E .0 u*- °� ca a a a) c 0- v o 4- o o L + , tZ O U N a) > C4— a) = 0 c O O a) U -6 +, o +� 0 C t0 � v HO f6 Q- 0 ,' Q- i a VCL E N 7 a) 00 O ut 'L -0 a C 0 0 M H oA C `}- O m to m m O N 0) A 4 J U v) .N CLO O +) i N v M 0 .� Y 0 a) v o Q v c O -0 N ut U m O C v i 0 0L a) CL O E CL O M O a) S a1 +�� U +� L Q) C 0 N c vi y 0 ai a+ a C N 6 0 m;N C t a) 't0 N f0 > O 00 � _ E u U-0 N V) N U cn v) — +�+ ham•+ Gl p ami C s d v to E H E O u 0 two x 41 - M C ''' a••� Q a� o ao � � o L J ' N L cO � G � Y L f0 p 0 3 L }J 2O C L � U a I C: O p N c -I OJ N v � � O � to N C O p O_ O co � > OD C N a' :3 r- O E E N N 4- N N O O +� � _ U O4-1 3 �° m O N U O C i µ- f0 LUJ U1 a) > m Vf O -0 N L 4J -r- Q C 4.1 N E-0 a O O p -0 -a C N w N -0 C L T v L v s tt c O 4- O U O m dA C C U C m N a� L ::3 U O 2! 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N m i t N (n Q z D� 2 m i U Q v0 z H N 4' V } c Vf V N J J� CO E _ U O '�'' +, U D G G c W w 0 W L >- fL fp CL .� N C2 '^ — c N OC 0 a Q= S N LL +� (U -aO ti _U z F- w= U U= JUn O 0� p a0-+ wLnv m m a Fd- V",-0 im (n Lu o 'A � � � p v > � N a� "a 4- �,o.Qozan aLA E- t u Q o i i •Vf N Q E C N N M N m aj W O C -MO U •� Q 7 J m ao E v v E U C `� E 'C O O O U — Oat 0 EZ •• 4- O v o.�s O' a '> O uwi v a ° N 0 tn C 4- o += LID F2 :6 CL CL CL ° p tw ami N w •i a m Q _ Q +, ''N'' N s' o Z o o Q 0 u> O a (n t a F- Q O �u uj f 0 x c O 4- O U O C N C N a� L ::3 U O 2! U N � c v O c CU U Q U U C von c cc� G Q) v U 4 C 4-1 O E Cn N m a"' :3V ate+ O c a1 L CL > U ,; N C QJ v cr •- E N L UUP m +� C an L cu C m U LL o an M CL +J c ❑' U i _0 E CL N = C - 0 0 Qj U c U L Qi CU •L j O aJ � N > C m Cn o 0 0 o O m J U 1� � -4"i O > •s 0 N 0 CP O4-1 rl ri l0 lL) -i ci U i •O O C a1 U U a c U 0 ,.1 c a, E a, (U v E (n + c O X u E > tA C G a1 C fi+ C ~N m O - O X. 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O 'N tco L c3a O L v s ° > E c +' c O t O +� c 0000 N O E > i 0+ 'L tiA = °c 0 +_+ 4 }E+ c L °�' y co 4-0 M -p '� Q 00 O L � c O U c 3 O ca >. � p "a a a) O ca O 0 v`J c O N Vf c C o c i° a) p H Vf OM w Q E s 0 U m O U O c C t6 O a) = +J :3H O a f° O O U O_ a) L v +, aJ O w Vf a) m U N N N N Ln O -O U a) O dD °> = LJ V V) N v= +�., _��-0moac�� Ln V) = — Q_ O m � +' O +; 'c aJ co c 0 0 +O a) L�I1 lmD lD O �°(Ij '' V v mc cn -0 ci ci lD V1 U 'O Y 7 Uro oU +•+ aai O N N m O ate) w v U'u Q vOi • • • • _ Z I- a) O N = v IA °txo a ar c c ba c m� 2 s t aO (Ny ca u `n Q E l o c wo o Lei OCL p y O N N CL D. � VO N LL LL WD CA v io +r a) v u O 4� E E ++ E (J aJ a) OA E i) m a) ai bn M OA L m 4-- Q O C a) a) N s -a = U U U m m () 0 0 0 d' Ln lD • • • s O s HLM •V a ca c O •� i N Q \V m Lm •0 m s a� m v N N z W m N U m U U N N U F - Z O N N N N 0 N aJ N U 'a N 7 4 - LA � O vi bA � _O _ .L C (O a C O .0 L y., Q. m N 0) U7 .c =3 N c U Q. O 3 Q tiA C aJ Cp CL c U t cu � m O i O }� v U U 4- N ?� v W V, O c L L .. H m E_ 4 - v � LL � � U -a t � C m m 4- O vi U *' U O W tw l7 .c N c U7 p N E O N U LL ,Uc N L L *'• N c CL Ln 0 0 0 to O O I, O O O N m O LL O p C r I l0 06 cu _ U N + U O U 2 a) = aJ aJ U '5 N +� U L H o O uj O 0 N c vi v LL O v C .L m M V -4 Ln n O O O O O O Ln n c L a! c 0 E c 0L N Q a-— -:: LL O l0 00.. _. c O N +� N m L O U E c C N a) a) O O i t Z Q a) 0 40 S tw o c E mm. y c G U V 1 O twE E- to Q .0 Y U m ns 6 a 0O a) ' m a O rq Q N bA m N Nz J a LL �Q a) Q NQ S L U w J O LU d Ln N �wQ 0 •o cr- > H 2 U d ~ w m H d' 25 LU `+- t6 c cn LA w LL i }i ,0 z z �- Q J : W Q N a Q F- c WI' 0. Q Q E c co i f6 c m v N N C 4- c v CJC C tw L Q, 0 L U Z �i 0 L CL d I N Vt cc Ic L~i. • G- I- Q - N N a, N aJ 'a N 7 � O vi O p � _ .L C (O C O .0 L y., Q. m U7 .c =3 c U Q. O 3 Q C aJ Cp CL c U cu m O i O }� U U 4- N ?� V, O c L O m E_ v � � � U t � 2 � m 4- O vi U *' U O tw l7 .c N c U7 p N E O N ,Uc N L *'• N c CL O U O �X O m = U p C 2 Co _ U N + U O U 2 a) = aJ U '5 N +� U L H o O O 0 c vi v O v C .L 4� U c L a! N = L E c 0L Q a-— U Lr - O c O N +� N m L O U E c C N a) a) O O Z Z Q 0 40 tw o c E mm. y U V 1 twE E- .0 Y r ns 6 a d. ' m a O rq Q bA N LL �Q DISTRICT ATTORNEY - Comparative information Cases per DDA Mscussmn (DA report) Clackamas 404,961 315 draft C' Lane County 370,600 0 Lane County 370,600 C- Marion 339,200 0 Jackson 216,900 Jackson 216,900 o Q Deschutes 182,930 0 Douglas 109,405 v Klan-iath 67,916 D Benton 90,951 u Clatsop 38,632 228 MEMEMEMEMEMEMMEMEMM 590 414 MEMEMEMEMEMEMEM 462 JiMMERIMMEMIMMEMEM 392 Jefferson 23,190 111111MEMISIMEM 290 Source: DA 3/4/19 Staffing Analysis Report Clatsop 38,632 Jefferson 23,190 DDA per capita (100k) 8 Clackamas 404,961 Lane County 370,600 Marion 339,200 0 C Jackson 216,900 Deschutes 182,930 D 0_ Linn 125,047 0 Douglas 109,405 0 Yamhill105,722 a, Benton 90,951 p Klamath 67,916 Clatsop 38,632 Jefferson 23,190 DDA per capita (100k) 8 g s 8 10 10 9 9 12 16 Source: DA 3/4/19 Staffing Analysis Report plus additional info gathered for lower 4 countles. 17 Dated 4-10-2019 v 0 0 r 0 Q 0 0 U Arrest activity per capita (100k) Clackamas 404,9611 &99 2,235 Lane County 370,600 47713 Marion 339,200 2.921 3,1 fiA Jackson 216,900 6,743 6,250 Deschutes "182,930 4,301 INSENEEM 3,235 Linn 125,047 5,000 4,371` Douglas 109,405 a 8850131 . Yamhill105,722 3,197 2,611 Benton 90,951 2.184 2,869 Klamath 67,916 2654��v 2,463 Clatsop 38,632 333 s Jefferson 23,190 116 3,346 Q3 2018 Annualized E 2017 Source: Oregon State Police Uniform crime reports Dated 4-10-2019 0 C- 0 D 0- 0 C) U1 0 U 2018 State Court Felony and Misdeamnor trials (bench and jury) per capita (100k) Clackamas 404,961 61 Lane County 370,600 Marion 339,200 Jackson 216,900 Deschutes 182,930 Linn 125,047 Douglas 109,405 Yarnhill 105,722 Benton 90,951 Klamath 67,916 Clatsop 38,632 Jefferson 23,190 W: 2018 State court Felony and Misdemeanor trials (bennch and jury) per DDA Clackamas 404,961 Lane County 370,600 Marion 339,200 Jackson 216,900 Deschutes 182,930 Linn 125,047 Douglas 109,405 Yamhill 105,722 Benton 90,951 Klarnath 67,916 ClatSOID 38,632 Jefferson 23,190 R Source: Oregon State trial court statistics by county 2.018 2.3 6.5 7.4 2.1 3.0 ITI] 5.3 W15 Dated 4-10-2019 32 M, N� 25 68 74 80 26 25 78 2018 State court Felony and Misdemeanor trials (bennch and jury) per DDA Clackamas 404,961 Lane County 370,600 Marion 339,200 Jackson 216,900 Deschutes 182,930 Linn 125,047 Douglas 109,405 Yamhill 105,722 Benton 90,951 Klarnath 67,916 ClatSOID 38,632 Jefferson 23,190 R Source: Oregon State trial court statistics by county 2.018 2.3 6.5 7.4 2.1 3.0 ITI] 5.3 W15 Dated 4-10-2019 GENERAL FUND SPENDING PER CAPITA FOR DISTRICT ATTORNEY OFFICES COUNTY GF SPENDING' POPULATION PER CAPITA Clackamas $ 9,982,407 412,672 $24.19 Lane 7,185,130 374,748 $19.18 Marion 10,057,406 341,286 $29.47 Jackson 5,986,699 217,479 $27.53 Douglas 2,294,237 109,405 $20.97 Deschutes 7,464,140 186,875 $39.95 1. Actual adopted 2018%19 county District Attorney budgets, minus support enforcement expenses 2. 2017 U.S. Census Bureau numbers.