2023-48-Resolution No. 2023-010 Recorded 2/17/2023REVIEW .fin /
V Y
LEGAL COUNSEL
Recorded in Deschutes County
Steve Dennison; County Clerk
Commissioners' Journal
CJ2023-48
02/17/2023 9:18:56 AM
iiiiimiuiiounuiuuii
For Recording Stamp Only
BEFORE THE BOARD OF COUNTY COMMISSIONERS OF DESCHUTES COUNTY,
OREGON
A Resolution Increasing
FTE Within the 2022-23 * RESOLUTION NO. 2023-010
Deschutes County Budget
WHEREAS, Deschutes County Health Services presented to the Board of County
Commissioners on 2/8/23, with regards to adding 2.00 regular FTE positions, in support of Mobile
Crisis Intervention Services funded by the Oregon Health Authority, and
WHEREAS, Deschutes County Policy HR-1 requires that the creation of or increase in
FTE outside the adopted budget be approved by the Board of County Commissioners; now,
therefore,
BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF
DESCHUTES COUNTY, OREGON, as follows:
Section 1. That the following FTE be added:
Job Class
Type
Duration if
Limited Duration
FTE
Behavioral Health Specialist I (1160)
Regular
1.00
Administrative Supervisor (9067)
Regular
1.00
Total FTE
2.00
Page 1 OF 2-Resolution no. 2023-010
Section 2. That the Human Resources Director make the appropriate entries in the
Deschutes County FTE Authorized Positions Roster to reflect the above FTE changes.
DATED this 0 V day of February 2023.
ATTEST:
Recording Secretary
Page 2 OF 2-Resolution no. 2023-010
BOARD OF COUNTY COMMISSIONERS OF
DESCHUTES COUNTY, OREGON
EBONE, Chair
— 'A�� /
PATTI ADAIR, V
1�� (:��
PHIL C ANG, ComiCssioner
L
f0
U
N
0
M
w
E
L
4-
wL
W
Q
f0
i
I
p1
01
Ln
M
Ln
N
M
'
Q)
LA
N
IN
T-1
M
N
P'
N
O
N
}
L1
LO
,
N
O
N
U-1
n
N
O
O
�
�O
M
ct
d
Cl
d
Ln
O
00
M
00
00
N
d'
01
00
00
Ol
N
�
00
i\{
N
CTl
\
U-
n
N
O
l/}
N
Ln
m
lfl
r-I
M
d
N
M
1�
d
N
M
M
N
Ln
Ln
M
N
N
Ln
O
N
N
N
N
m
N
l6
H
i/}
411.
WL
":
+.
Ln
Ln
00
00
m
Ln
-1I
N
N
O
1l-
m
N
00
00
Ln
CO
It
00
CD
O
r I
N
lfl
O
M
N
O
fV
LLA-
>
•°J
U
U
Q
"
v
u
O
=
I-
CL
41
C
DO
V)
M
to
C
—
+'
06
+�
O
H
0)
N
o
U
O
�
Z
1
�'
W
Ln
U
GC
5
LU
OC
Start Date 3/15/23; Step 2; Per Holly, no shift differential
FY23 FY24 FY25 FY26
BHS I (A310) 28,290 103,687 110,397 118,913
Supervisor, Administrative (N414) 33,218 121,538 129,464 139,560
61,508 225,225 239,861 258,473
61,508 225,225 84,951 0 371,684
2,878 10,539 3,975 0 17,393
389,077
38,908
427,984
428,569
585
BOARD OF
LA
MEETING DATE: February 8, 2023
SUBJECT: Acceptance of a grant from the Oregon Health Authority for Mobile Crisis
Intervention Services, and authorization to add 2.0 FTE within the Health Services Fund
RECOMMENDED MOTION:
1) Move approval to accept Oregon Health Authority's one time Mobile Crisis funding.
2) Move approval of Resolution No. 2023-010 to add 1.0 regular FTE Behavioral Health
Specialist I position and 1.0 regular FTE Administrative Supervisor position within
the Health Services Fund effective March 15, 2023.
BACKGROUND AND POLICY IMPLICATIONS:
Oregon is moving towards an enhanced behavioral health crisis system aligned with
national best practices under the directive of HB 2417. A Community Mental Health
Program (CMHP) Workgroup has been convened to plan the timeline and process of
enhancing Mobile Crisis Intervention Services (MCIS) in every county, so Oregon is
successfully able to reach this future state of mobile crisis system across the state. CMHPs
in Oregon already have a foundational mobile crisis service system, on which the enhanced
system can be built. CMHPs are not required to have separate adult mobile crisis team and
child Mobile Response and Stabilization Services (MRSS) team but rather use training to
establish competencies for both models to serve all ages in a culturally, linguistically, and
developmentally appropriate way.
In addition to existing Service Element funds specifically for crisis services, and enhanced
Medicaid reimbursement rates, OHA will disperse funds to assist CMHPs to meet the new
or enhanced components of the future state of Mobile Crisis Intervention Team, services,
and reporting requirements across Oregon. An additional $11 million funds will be
distributed to CMHPs based on the funding strategy/formula identified by the CMHP
Mobile Crisis Workgroup in collaboration with OHA.
Deschutes County Health Services (DCHS) has been allotted $428,569 of these additional
one-time Mobile Crisis funds. Funds are specifically to help improve and enhance mobile
crisis intervention teams and services to meet the new standards of MCIS (in accordance to
OAR 309-019-072, SE 25 and SE25A). Of this funding, DCHS proposes to use $372,215 to
support two new regular FTE positions, a Behavioral Health Specialist 1 - Qualified Mental
Health Associate (QMHA), and an Administrative Supervisor through October 2024.
Additional funding will support client stabilization supplies ($17,393) and indirect ($38,961).
The addition of a QMHA to the mobile crisis team response will allow us to expand our
ability to respond to certain calls without law enforcement to include overnight hours.
With the addition of staff through this and previous funding, and the enhanced
administrative burden and data reporting, DCHS will also need to add an Administrative
Supervisor. This position will be responsible for all of the administrative and training
support necessary to provide 24/7 services. Fleet management, technology assistance,
data reporting, workflows and policies will all be managed by this position.
OHA has indicated the IGA for this funding should be received in the next two weeks.
DCHS is requesting approval to add these positions, effective March 15, 2023, and is
recommending that these positions be regular rather than limited duration. We anticipate
OHA will continue to provide funding to sustain these positions, however, should funding
discontinue, DCHS will consider the future of these positions within the budgeting process.
BUDGET IMPACTS:
The one-time funding will support the cost for 1.0 FTE Behavioral Health Specialist I and 1.0
FTE Administrative Supervisor through October 2024. Staff will be placed in existing space
at the Crisis Stabilization Center, and staff will be using existing equipment, such as laptops
and cell phones, for positions that will not be refilled. A budget adjustment is not required
for Fiscal Year 2023 as vacancy savings will be utilized for these positions.
ATTENDANCE:
Holly Harris, Deputy Director, Behavioral Health
Adam Goggins, Acting Manager, Behavioral Health
Dan Emerson, Budget Manager