2019-412-Minutes for Meeting September 11,2019 Recorded 9/30/2019BOARD OF
COMMISSIONERS
1300 NW Wall Street, Bend, Oregon
(541) 388-6570
Recorded in Deschutes County CJ2019-412
Nancy Blankenship, County Clerk
Commissioners' Journal 09/30/2019 $:20:07 AM
2019-412
FOR RECORDING STAMP ONLY
10:00 AM WEDNESDAY, September2019 BARNESZ SAWYER ROOMS
Present were Commissioners Phil Henderson and Anthony DeBone. Commissioner Patti Adair was
absent. Also present were Tom Anderson, County Administrator; Erik Kropp, Deputy County
Administrator; David Doyle, County Counsel; and Sharon Keith, Board Executive Assistant. Several
citizens and identified representatives of the media were in attendance.
This meeting was audio and video recorded and can be accessed at the Deschutes County
Meeting Portal website http://deschutescountyor,iqm2.com/Citizens/Default.aspx
CALL TO ORDER: Chair Henderson called the meeting to order at 10:00 am
PLEDGE OF ALLEGIANCE:
Commissioner Henderson noted that Commissioner Adair is absent today as she is
attending the 9/11 memorial service at the Pentagon in Washington DC.
CITIZEN INPUT: None Offered
CONSENT AGENDA: Before the Board was Consideration of Approval of the
Consent Agenda. Commissioners Henderson and DeBone acknowledged the
revisions to the Item #6 meeting minutes.
BOCC MEETING SEPTEMBER 11, 2019 PAGE 1 OF 5
DEBONE: Move approval of Consent Agenda
HENDERSON: Second
VOTE: DEBONE: Yes
ADAI R:
HENDERSON:
Consent Apenda Items:
Absent, excused
Chair votes yes. Motion Carried
1. Consideration of Board Signature of Resolution No. 2019-039, Appropriating
New Grant Funds and Increasing FTE in the Health Services Fund
2. Consideration of Board Signature of Document No. 2019-669, a Bargain and
Sale Deed to the Ross Family Living Trust, Richard D. Ross and Susan C. Ross
Trustees
3. Approval of Minutes of the July 29, 2019 BOCC Meeting
4. Approval of Minutes of the August 5, 2019 BOCC Meeting
5. Approval of Minutes of the August 7, 2019 BOCC Meeting
6. Approval of Minutes of the August 19, 2019 BOCC Meeting
ACTION ITEMS:
7. ANNUAL READING OF PROCLAMATION Declaring Suicide Prevention
Month
Community Health Specialist Whitney Schumacher and St. Charles nurse
Leanna Lees and Central Oregon Coordinator for Youth Line Mel Butterfield
presented the suicide prevention awareness program.
Commissioner Henderson read the proclamation into the record. This
proclamation was adopted in 2018 recognizing each and every September as
Suicide Awareness/Prevention Month. The Board expressed support of an
annual reading.
DEBONE: Move approval
HENDERSON: Second
BOCC MEETING SEPTEMBER 11, 2019 PAGE 2 OF 5
VOTE: DEBONE:
ADAI R:
HENDERSON:
Yes
Absent, excused
Chair votes yes. Motion Carried
8. Consideration of Board Signature of Document No. 2019-428, Iris
Teleheath
Dr. Will Berry presented the renewal of the contract for tele -psychiatry
services. Commissioner Henderson asked for clarification on the hourly
compensation levels.
DEBONE: Move approval of Document No. 2019-428
HENDERSON: Second
VOTE: DEBONE: Yes
ADAI R: Absent, excused
HENDERSON: Chair votes yes. Motion Carried
9. Consideration of Board Signature of Document No. 2019-665, a First
Addendum to a Lease Between Deschutes County and J Bar J Youth
Services
Property Manager James Lewis and Community Justice Director Ken Hales
presented the lease addendum which adds 144 square feet to the current
lease.
DEBONE: Move approval of Document No. 2019-665
HENDERSON: Second
VOTE: DEBONE: Yes
ADAI R: Absent, excused
HENDERSON: Chair votes yes. Motion Carried
BOCC MEETING SEPTEMBER 11, 2019 PAGE 3 OF 5
10. Consideration of Grant Application to Cambia Health Foundation
Kathleen Meehan Coop presented the grant application for funding to
continue to provide Goldilocks Clean Slate Program services. The Cambia
Foundation is a Pacific Northwest organization that focuses on the
connection between the social and medical health.
Commissioner DeBone explained the process of the grant application
program in Deschutes County where it is a beneficial portion of the grant
process.
DEBONE: Move approval
HENDERSON: Second
VOTE: DEBONE: Yes
ADAIR: Absent, excused
HENDERSON: Chair votes yes. Motion Carried
11. Consideration of Board Signature of Document No. 2019-709, Collective
Bargaining Agreement with Deschutes County Sheriff Employee
Association
Commissioner Henderson gave a summary of the changes to the contract.
An executive summary from the Sheriff's Office was submitted to accompany
the agenda item. Commissioner DeBone commented that the matter is on
the agenda, but no representative from the Sheriff's Office is present at the
meeting. The Board acknowledged the work done.
DEBONE: Move approval of Document No. 2019-709
HENDERSON: Second
VOTE: DEBONE: Yes
ADAIR: Absent, excused
HENDERSON: Chair votes yes. Motion Carried
BOCC MEETING SEPTEMBER 11, 2019 PAGE 4 OF 5
COMMISSIONER UPDATES:
Commissioner DeBone reported on the AOC meetings he attended in Salem
on Monday, September 9. Commissioner DeBone attended the State
Interoperability Council meeting yesterday discussing statewide
communication systems. He also met with Jason Miner regarding Deschutes
Land Use
• Commissioner Henderson noted he was not present at the meetings last
week and hopes for those items to be added to the agenda for next week for
discussion.
OTHER ITEMS:
• County Administrator Anderson reported on upcoming Joint Meetings with
the Cities of Redmond, La Pine, and Sisters. Various invitations for
presentations from the Commissioners have also been requested from the
Redmond Kiwanis and Bend Rotary.
Being no further items to come before the Board, the meeting was adjourned at 10:47 a.m.
DATED this Day of _ 2019 for the Deschutou Board of
/h'ACommissioners.
PHILIP G. HENDERSON, CHAIR
J-Alca�
BOCC MEETING SEPTEMBER 11, 2019 PAGE 5 OF 5
Deschutes County Board of Commissioners
1300 NW Wall St, Bend, OR 97703
(541) 388-6570 - www.deschutes.org
BOCC MEETING AGENDA
DESCHUTES COUNTY BOARD OF COMMISSIONERS
10:00 AM, WEDNESDAY, SEPTEMBER 11, 2019
Barnes Sawyer Rooms - Deschutes Services Center - 1300 NW Wall Street - Bend
This meeting is open to the public, usually streamed live online and video recorded. To watch it online, visit
www.deschutes. org/meetines. Pursuant to ORS 192.640, this agenda includes a list of the main topics that are
anticipated to be considered or discussed. This notice does not limit the Board's ability to address other topics.
Meetings are subject to cancellation without notice.
Item start times are estimated and subject to change without notice.
CALL TO ORDER
PLEDGE OF ALLEGIANCE
CITIZEN INPUT
This is the time provided for individuals wishing to address the Board, at the Board's discretion, regarding issues
that are not already on the agenda. Please complete a sign-up card (provided), and give the card to the
Recording Secretary. Use the microphone and clearly state your name when the Board Chair calls on you to
speak. PLEASE NOTE. Citizen input regarding matters that are or have been the subject of a public hearing not
being conducted as a part of this meeting will NOT be included in the official record of that hearing.
If you offer or display to the Board any written documents, photographs or other printed matter as part of your
testimony during a public hearing, please be advised that staff is required to retain those documents as part of the
permanent record of that hearing.
CONSENT AGENDA
1. Consideration of Board Signature of Resolution No. 2019-039, Appropriating New
Grant Funds and Increasing FTE in the Health Services Fund
Board of Commissioners BOCC Meeting Agenda Wednesday, September 11, 2019 Page 1
of 3
2. Consideration of Board Signature of Document Number 2019-669, a Bargain and
Sale Deed to the Ross Family Living Trust, Richard D. Ross and Susan C. Ross,
Trustees.
3. Approval of Minutes of the July 29, 2019 BOCC Meeting
4. Approval of Minutes of the August 5, 2019 BOCC Meeting
5. Approval of Minutes of the August 7, 2019 BOCC Meeting
6. Approval of Minutes of the August 19, 2019 BOCC Meeting
ACTION ITEMS
7. 10:10 AM ANNUAL READING OF PROCLAMATION Declaring Suicide Prevention
Month -Jessica Jacks,
8. 10:20 AM Consideration of Board Signature of Document No. 2019-428, Iris
Telehealth - Lori Hill, Behavioral Health Manager
9. 10:35 AM Consideration of Board Signature of Document 2019-665, a First
Addendum to a Lease Between Deschutes County and J Bart Youth
Services. -James Lewis, Property Management
10. 10:50 AM Consideration of Grant Application to Cambia Health Foundation -
Kathleen Meehan Coop, District Attorney's Office
11. Draft Decision Denying a Marijuana Production Proposal at 60148 Stirling Drive,
Bend. - Isabella Liu, Associate Planner Pulled
12. 11:45 AM Consideration of Board Signature of Document No. 2019-709,
Collective Bargaining Agreement with Deschutes County Sheriff
Employee Association - Cary Colaianni,
LUNCH RECESS
OTHER ITEMS
These can be any items not included on the agenda that the Commissioners wish to discuss as part of
the meeting, pursuant to ORS 192.640.
Board of Commissioners BOCC Meeting Agenda Wednesday, September 11, 2019 Page 2
of 3
EXECUTIVE SESSION
At any time during the 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, ORS 192.660(2)(b), personnel issues; or other executive session categories.
Executive sessions are closed to the public, however, with few exceptions and under specific guidelines,
are open to the media.
ADJOURN
To watch this meeting on line, go to: www.deschutes.org/meetings
Please note that the video will not show up until recording begins. You can also view past
meetings on video by selecting the date shown on the website calendar.
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) 617-4747.
FUTURE MEETINGS:
Additional meeting dates available at www.deschutes.org/meetingcalendar
(Please note: Meeting dates and times are subject to change. All meetings take place in the Board of
Commissioners' meeting rooms at 1300 NW Wall St., Bend, unless otherwise indicated. If you have questions
regarding a meeting, please call 388-6572.)
Board of Commissioners BOCC Meeting Agenda Wednesday, September 11, 2019 Page 3
of 3
11 E S COG
2
o Deschutes County Board of Commissioners
�w 1300 NW Wall St, Bend, OR 97703
(541) 388-6570 - Fax (541) 385-3202 - https://www.deschutes.org/
AGENDA REQUEST & STAFF REPORT
For Board of Commissioners BOCC Wednesday Meeting of September 11, 2019
DATE: September 3, 2019
FROM: Jessica Jacks, Health Services,
TITLE OF AGENDA ITEM:
ANNUAL READING OF PROCLAMATION Declaring Suicide Prevention Month
BACKGROUND AND POLICY IMPLICATIONS:
In Deschutes County, approximately 55 people die by suicide each year. Each person's death
by suicide intimately affects at least six other people and several hundred friends and family
members are forever changed by this loss. Deschutes County is dedicated to partnering with
local behavioral health and health care organizations, state and local agencies,
military/veterans organizations, educational institutions, and the community at large, to reduce
the frequency of suicide attempts and deaths, and the pain for those affected by suicide deaths
through:
1. Recognizing suicide as a significant public health issue in Deschutes County and
declaring suicide prevention a countywide priority;
2. Supporting the continued development of accessible behavioral health services for all
areas in our county, implementing national best practices in reducing suicide risk for
people of all ages and backgrounds;
3. Acknowledging that no single suicide prevention effort alone will be sufficient or
appropriate for all populations or communities; and
4. Encouraging initiatives based on the goals and activities contained in the National
Strategy for Suicide Prevention, Zero Suicide of the National Action Alliance for Suicide
Prevention, and The Way Forward by the Action Alliance's suicide attempt survivor task
force.
ATTENDANCE: Whitney Schumacher, Deschutes County Suicide Prevention Coordinator;
Jessica Jacks, Deschutes County Prevention Supervisor; 3 Central Oregon Suicide Prevention
Alliance Leadership Group Members
LEGAL COUNSEL
BEFORE THE BOARD OF COMMISSIONERS OF DESCHUTES COUNTY, OREGON
PROCLAMATION
RECOGNIZING SEPTEMBER
AS NATIONAL SUICIDE PREVENTION MONTH
WHEREAS, in the United States, one person dies by suicide every 13.3 minutes,
with 44,193 deaths in our country during 2015;
WHEREAS, in Deschutes County, approximately 29 people die by suicide each
year; white males aged 25-64 make up the majority of this number. Suicide rates
among persons 10-24 years of age have increased since 2003; each person's
death by suicide intimately affects at least six other people and several hundred
friends and family members are forever changed by this loss;
WHEREAS, many of the people who have died by suicide never received effective
behavioral health services, for many reasons including the stigma of using
behavioral health treatment and the stigma associated with losing a loved one to
suicide;
WHEREAS, far too many Deschutes County residents die by suicide each year;
WHEREAS, Deschutes County is dedicated to partnering with local behavioral
health and health care organizations, state and local agencies, military/veterans
organizations, educational institutions, and the community at large, to reduce the
frequency of suicide attempts and deaths, and the pain for those affected by
suicide deaths, through:
1. Recognizing suicide as a significant public health problem in Deschutes
County and declaring suicide prevention a countywide priority;
2. Supporting the continued development of accessible behavioral health
services for all areas in our county, implementing national best practices in
reducing suicide risk for people of all ages and backgrounds;
3. Acknowledging that no single suicide prevention effort alone will be
sufficient or appropriate for all populations or communities; and
4. Encouraging initiatives based on the goals and activities contained in the
National Strategy for Suicide Prevention, Zero Suicide of the National Action
Alliance for Suicide Prevention, and The Way Forward by the Action
Alliance's suicide attempt survivor task force.
NOW THEREFORE, BE IT RESOLVED that the Deschutes County Board of
Commissioners: do hereby designate the month of September 2018 and each
year thereafter, as "Suicide Prevention Month" in Deschutes County and urge
Deschutes County residents to learn how they can help because Suicide
Prevention Is Everyone's Business.
Dated this 12 day of September 2018 by the Deschutes County Board of
Commissioners.
ATTEST:
Recording Secretary
Anthony DeBone, Chair
Philo -6. ftnderson, Vice Chair
Tammy Baney, Cooffiissioner
EIS �G
Deschutes County Board of Commissioners
1300 NW Wall St, Bend, OR 97703
(541) 388-6570 - Fax (541) 385-3202 - https://www.deschutes.org/
AGENDA REQUEST & STAFF REPORT
For Board of Commissioners BOCC Wednesday Meeting of September 11, 2019
DATE: September 5, 2019
FROM: Kathleen Meehan Coop, District Attorney's Office,
TITLE OF AGENDA ITEM:
Consideration of Grant Application to Cambia Health Foundation
MEMO
Date: 9/5/2019
To: Board of County Commissioners
From: Kathleen Meehan Coop, Management Analyst
District Attorney's Office
CC: John Hummel, District Attorney, Deschutes County DA's Office
Re: Agenda Request — Wednesday, September 11
2019 Cambia Health Foundation
Consideration of Board Signature for a grant application to the Cambia Health Foundation to fund the
activities associated with enhance the impact of the Clean Slate program.
We are requesting an opportunity to present our collaborative grant proposal to the Commissioners on
Wednesday, September 11. Kathleen Meehan Coop will be presenting.
B-C1\/gro lnd
The DA's Office in collaboration with all five local law enforcement agencies and regional medical
providers (Mosaic Medical and La Pine Community Health Center), launched the Goldilocks program in
November 2017. Over the past year and a half, with grant funding from the MacArthur Foundation and
the Central Oregon Independent Practice Association, the program has reached 229 individuals and have
had 36 graduates to date.
An initial program evaluation was commissioned at the program's 18 month milestone to provide the
team with a snapshot of the program's initial effect and recommendations on how it could be even
more impactful. One of the key finding is that to maintain a better connection with program participants
and to provide a more holistic level of service the Clean Slate needs a case manager to assist with
coordinating participant care. The final version of that evaluation will be available by mid-September.
Plan
Our goal with this proposal is to continue the Clean Slate program, but to improve some procedures and
partnerships to enhance the services we provide in order to increase the likelihood that the participants
will become healthy and not recidivate. The Cambia Health Foundation's goal for their Organizing grant
is to assist communities in moving programs that currently provide coordinated care, as the Clean Slate
program does, to programs that are focused on the whole person and community systems. Many local
organizations work with the same vulnerable populations and by improving and expanding our program
partnerships we will be in a better position to help these individuals address their substance use
disorders and become active and productive community citizens.
For additional information about the program please see the attached draft grant application. The
proposal must be submitted by noon on Monday, September 16, 2019.
Staff ng
Grant funds will be used to cover the hours needed for our existing on-call, grant -funded SUD counselor
(BHS10.1 FTE) who completes the participant screenings at the Clean Slate Orientation, as well as for
the new case manager (BHS10.2 FTE), who will work with the Clean Slate team to improve care
coordination for program participants. Our current on-call, grant -funded admin support technician, is
currently working out of class, would be re -classed under the gran to an admin support specialist and
would continue to be funded through the grant at a 0.2 FTE.
Budget
We are still working on the exact details of the 18 month budget, but we anticipate that it will be right at
the grant maximum of $50,000. Our primary cost centers will be staffing, and off-site room rental at the
Central Oregon Collective.
Cambia Health Foundation
Organization
Deschutes County District Attorney's Office
Contact Information
1164 NW Bond St., Bend OR 97703
541-388-6520
www.dcda.us
Annual Budget
$7,500,000
Point of Contact
Kathleen Meehan Coop
Management Analyst
Kathleen.meehancoop@dcda.us
541-317-3175
How did you gain knowledge of the grant program?
Applied last year and checked the website
Which grant are you applying for?
We are interested in applying for an Organizing Grant
Budget
Personnel $38,000
Rental Space $12,000
18 months (January 1, 2020 -June 30, 2021)
Headline Clean Slate = a healthy new beginning
In November 2017, Deschutes County took a bold step in addressing criminal justice
reform by moving low level drug offenders out of the criminal justice system and
into a person -centered medical care model. Prior to arraignment, individuals cited
only for the charge of possession of a controlled substance (PCS) are eligible to
engage in the Clean Slate that provides them with the opportunity to have their
arrest removed from their permanent record by participating in their personal
health care with a primary care physician and not being cited by law enforcement
for another charge over 12 months. Successful participants graduate from the
program without an arrest record allowing them to avoid the burden of the
unintended consequences of an arrest record.
Why is a program like Clean Slate needed in Deschutes County? Currently 47% of
our drug offenders commit another crime within 12 months of their initial citation,
and 63% are arrested for another crime within three years. Our criminal justice
system is not working to stop drug crimes, nor is it helping these individuals
address their substance use disorders. In addition, we are beginning to learn that a
significant number of our program participants have co-occurring chronic health
conditions; many of which have gone untreated for years. As a community we
cannot realistically expect a person with a substance use disorder to successfully
address their addiction if they are also suffering from an untreated chronic health
issue. This is especially true with individuals that are also living in temporary
housing and are unemployed, which is the situation for many of our program
participants. Given these barriers, without assistance to acquire healthcare and gain
access to additional social services the likelihood these individuals will 1) not
reenter the criminal justice system, or 2) live a healthier life, is unrealistic. Our
community is wasting resources continuing to implement the traditional criminal
justice practice that we know doesn't work to meet our goals to have a health
population and less crime.
Having implemented Clean Slate for 18 months, the program team commissioned an
evaluation to determine what was and was not working. Even though this initial
data set is too small to prove program impact, the evaluation does provide a
synopsis on our current program efforts. We are pleased that program data
indicates there are trends toward improvements in participant health and
recidivism. It also notes that to have an even greater impact the team needs to make
a few adjustments. The priority areas include: 1) increasing the number of eligible
participants that attend the orientation meeting, 2) enhancing integration,
communication, and data sharing with current and future partners, 3) enhancing
and maintaining a closer relationship with program participants, 4) re-evaluating
how transportation is provided to vulnerable populations across the county, and 5)
upgrading how social service options (housing, meals, and employment) are being
provided and offered. By adjusting some of our current practices and engaging new
community partners, Clean Slate can move from a coordinated care system program
to a whole person & community systems program, which will enable us to more
effectively and efficiently reach our ultimate goal of creating a healthier and safer
community.
Our priority objectives will be achieved through
• Hiring of a part-time case manager to improve communication and care
coordinate for program participants.
• Having all partners agree upon a shared definition of program and
participant success.
• Coordinating regular meetings (at least quarterly) with current partners to
address challenges more quickly.
• Providing current data to all team members working directly with program
participants more frequently.
• Inviting new partners or expanding the relationship of exiting partnerships,
with organizations and agencies such as Deschutes County Health Services,
Vet Center, Legal Aid, Central Oregon East Transit, and a multitude of social
service program organizations,
• Maintaining current program staffing levels.
• Identifying integrated methods to easily protect and appropriately share
participant and program data.
How does and will Clean Slate change health care? To start, Clean Slate quickly
provides individuals from a vulnerable population with access to a primary care
physician. The appointment is scheduled for them, they are provided with a bus
pass and an appointment to sign up for OHP if needed. They are also incentivized to
attend that appointment because missing it means that their case will be charged
and they will enter the criminal justice system.
The program's health impact will be improved with the addition of a case manager.
By having a dedicated person focused on coordinating another level of care for
program participants they will gain access to social services that will aid them in
achieving their overall health goals - whether that is housing assistance, food
access, employment or transportation. In addition, that person will serve as an
additional reminder that the community cares; a critically important component of
the program.
Participants frequently comment that they didn't know that the community cared
about them until now. Understanding that their community wants them to be
healthy makes a tremendous impact on the. participant's desire to make a change in
their life. When they can see that their "neighbors" want them to be succeed through
the actions of the law enforcement officer giving them a Clean Slate card with their
citation, learning about the details of the program from the District Attorney, and
not being removed from the program due to one bad UA; they are more motivated
to get clean. They don't want to let the community down.
Improvements in data sharing will help us
• Better understanding of the levels of care being provided
• When/where we lose participants
• Reduction in ER visits
• Whole person health improvements
• Long term tracking of recidivism