HomeMy WebLinkAboutFY25 Annual ReportF Y 2 5
A N N U A L
R E P O R T
D E S C H U T E S C O U N T Y H E A L T H S E R V I C E S
W H E R E W E A R E N O W
E x e c u t i v e S u m m a r y , l o o k i n g b a c k a t F Y 2 4 a n d l o o k i n g f o r w a r d t o F Y 2 5
Throughout Fiscal Year (FY) 2024, Health Services has focused on building internal
resilience while responding to a number of health threats to the community.
Resilience efforts targeted readiness to respond to emergencies, enhancing financial. vitality,
and building positive organizational culture aimed at supporting and retaining workforce.
Public Health reestablished a Medical Reserve Corps comprised of over 140 public health
volunteers poised to respond to needs and emergencies in the community. Public Health also successfully
found a home for its innovative Perinatal Care Coordination Program in the regional global health budget,
ensuring vital health screening and referral services to new mothers and families are sustained. Behavioral
Health achieved a rebased Prospective Payment System (PPS) reimbursement rate, and thus ensured that
Certified Community Behavioral Health Clinic (CCBHC) programs will continue to provide critical integrated
care to those struggling with co-occurring mental and physical health conditions. Finally, through
our partnership on the Kingwood Campus with County Administration, Facilities, Properties and County
Commissioners, Health Services expanded the full array of Behavioral Health, Public Health and Intellectual &
Developmental Disability services to northern Deschutes County.
Resilience efforts included heavy investment in staff as well. Health Services completed an all-staff engagement
survey, collaborated with staff on the development of the Health Services Culture Framework, and expanded
staff training and development opportunities. Efforts are intended to help create a culture in which staff feel
supported, expand interpersonal tolerance and resilience and have access to tools that enhance collaborative
problem-solving and effective communication. The goal of this effort is to ensure staff has a high level of
satisfaction and effectiveness as they provide the highest quality of care to those we serve.
Health Services has very much been on the forefront of many community struggles this year. Many of those
we serve are impacted by a changing climate, economic insecurity, decreasing availability of low-income
housing and an emerging overdose crisis. We have seen homelessness, substance use related fatalities, and
acuity of service population increase, placing added pressure on staff and already stretched community
resources.
Several developments give rise to hope. Legislative investments following the passage of Measure 110 (M110)
expanded outreach, engagement, harm reduction and treatment services to address addiction. M110 reform
investments followed, offering additional resources to ensure more effective diversion of people from arrest
into treatment. State dollars to address homelessness resulted in additional shelter beds for some of those we
serve, and collaborative activities to address encampments helped Health Services staff become more adept at
responding to those experiencing homelessness. Finally, Health Services rolled out the non-law-enforcement
(LE) Community Crisis Response Team (CCRT) this year, successfully addressing 80 percent of crisis calls
without requiring LE presence.
In response to the overdose crisis, Health Services stood up an Overdose Surveillance and Response Team,
which has completed targeted prevention efforts aimed at youth, adults and families; improved surveillance
with real time OD data; and improved our efforts to ensure lifesaving supplies and treatment referrals make
their way into at risk communities. We believe these efforts are mitigating the loss of life communities
experience while dealing with surging fentanyl presence in the supply. Meanwhile, we are seeing significant
improvements in the data with respect to syphilis, a sexually transmitted infection that climbed precipitously
last year and is beginning to show a response to Public Health disease management efforts in the form of
declining numbers.
Against this background, Health Services continues to demonstrate excellence and has been recognized
throughout this year for innovative, meaningful practice, bringing increased recognition, revenue and
opportunities to train and present on model programs. Some examples include:
$1 million award to Behavioral Health to pilot our successful Aid & Assist program, which has outperformed
nearly every A&A program in Oregon.
Statewide recognition of Public Health Healthy Schools Program, which has been invited to present and
consult on this evidence-based model to entities such as Oregon Nurses Association, Oregon Health
Authority, other Public Health Departments and the Oregon Department of Education.
Award conferred by the City of Redmond Police Department to the CCRT for excellent partnership in
service to individuals in crisis.
National Health & Human Services Administration for Strategic Preparedness and Response Award for New
Medical Reserve Corps (MRC) Leader awarded to the MRC Coordinator (Carissa Heinige) for the achievements
of Health Services MRC. These and other achievements are the cumulative reflection of the commitment,
expertise, creativity and courage of Health Services staff. I am grateful to have the privilege to write about them
this year as every year.
Janice Garceau, Health Services Director
T A B L E O F C O N T E N T S
P A G E 0 3
A l e t t e r f r o m t h e D i r e c t o r ..............................................
S t r a t e g i c P l a n ....................................................................
O r g a n i z a t i o n a l C h a r t .......................................................
B e h a v i o r a l H e a l t h I n f o r m a t i o n .....................................
B e h a v i o r a l H e a l t h C o n t i n u u m .......................................
B e h a v i o r a l H e a l t h K e y S t a t i s t i c s ...................................
B e h a v i o r a l H e a l t h A d m i n i s t r a t i o n .........................
A c c e s s a n d I n t e g r a t i o n , H o m e l e s s O u t r e a c h ........
C o m p r e h e n s i v e C a r e f o r Y o u t h a n d F a m i l i e s ......
C r i s i s P r o g r a m ............................................................
I n t e l l e c t u a l a n d D e v e l o p m e n t a l I n f o r m a t i o n .......
I n t e l l e c t u a l a n d D e v e l o p m e n t a l D i s a b i l i t i e s .........
I n t e n s i v e A d u l t ..........................................................
O u t p a t i e n t C o m p l e x C a r e .......................................
M e d i c a l T e a m .............................................................
P u b l i c H e a l t h I n f o r m a t i o n .............................................
P u b l i c H e a l t h K e y M e t r i c s ..............................................
P u b l i c H e a l t h A d m i n i s t r a t i o n ..................................
C l i n i c a l & F a m i l y S e r v i c e s .......................................
C o m m u n i c a b l e D i s e a s e s , & P r e v e n t i o n
M a n a g e m e n t ..............................................................
P r e v e n t i o n & H e a l t h P r o m o t i o n ...........................
E n v i r o n m e n t a l H e a l t h , P r e p a r e d n e s s &
E n g a g e m e n t ...............................................................
A d m i n i s t r a t i v e S e r v i c e s .................................................
D i r e c t o r 's O f f i c e .............................................................
P e r s o n n e l H i g h l i g h t s ......................................................
F i n a n c i a l H i g h l i g h t s ........................................................
2
4
5
6
7
9
1 0
1 2
1 5
1 8
2 1
2 2
2 5
2 8
3 1
3 2
3 4
3 5
3 7
4 0
4 3
4 6
5 0
5 3
5 4
5 5
P A G E 0 4
O R G A N I Z A T I O N A L
C H A R T P A G E 0 5
BOARD OF COUNTY
COMMISSIONERS
LOCAL MENTAL HEALTH AUTHORITY, LOCAL
PUBLIC HEALTH AUTHRITY
County Administrator
Public Health Advisory Board
Behavioral Health Advisory Board
Local Developmental Disabilities
Planning Committee
Behavioral Health Services
Holly Harris, Director
DCHS Compliance Officer
Jillian Weiser
Health Services Director
Janice Garceau
Administrative Services
Cheryl Smallman, Business Officer
Chris Weiler, Operations Officer
Jillian Weiser, Compliance & Quality
Assurance Officer
Public Health Services
Heather Kaisner, Director
Environmental & Community
Health
Preparedness & Engagement
Prevention & Health
Promotion
Communicable Disease
Prevention & Management
Clinical & Family Services
Richard Fawcett, MD.
Health Officer
Intensive Adult Services
Comprehensive Care for
Youth and Families
Medical Team
Access and Integration
Intellectual/ Developmental
Disabilities
Sam Murray, MD.
Medical Director
Outpatient Complex Care
Services
Crisis Services
Business Intelligence
Operations
Compliance and Quality Assurance
Local Mental Health
Authority (LMHA)
Governance
The LMHA appoints a
Mental Health Director and
designates the Community
Mental Health Program
County Commissioners and Judges are
the Local Mental Health Authority
(LMHA) for the CMHPs and Community
Developmental Disabilities Program's
(CDDPs) in their counties
$53.6M
Behavioral Health operational Budget
275.82FTE
Behavioral Health
To Promote and Protect the Health and Safety of Our Community
Janice Garceau
Holly Harris
4%
Budget supportedby General Funds
The Community Mental Health Programs (CMHP) is designated by the Local
Mental Health Authority (LMHA) to provide services mandated by ORS 430.610.
Behavioral
Health Director
Health Services
Director
Local Mental Health Authority: County Commissioners - BoCC
Local Mental Health Agency (LMHA): Deschutes County Behavioral Health Division is authorized
by the BoCC to perform Public Health LMHA requirements and responsibilities on behalf of the
county (Behavioral Health is a division of Health Services)
Local Mental Health Administrator: DCHS Behavioral Health Director, authorized by the BoCC to
oversee the Local Mental Health Agency
Local Mental Health Delegations of Authority
Community-based Services not Provided Elsewhere such as School Based HealthCenters or Co-occurring Outpatient Mental Health and Substance Use DisorderTreatment, Supported Housing & Employment, Rental Assistance, IntegratedBehavioral & Primary Care, etc.
Justice System Related Services and services that impact rights, such as Aid &Assist or Civil Commitment and Psychiatric Security Review Board Monitoring.
Mandated Services
Core Services
Safety Net Services
Services Required by Rule/Contract such as Jail Diversion or Housing Supports,Older Adult, and Intensive Services provide by programs like AssertiveCommunity Treatment (ACT), First Episode Psychosis (EASA), Stabilization Center,Wraparound services to children, Crisis Services such as 24/7 Mobile Crisis Teamsetc.
What We Do
As the designated CMHP, Deschutes County Behavioral Health ensures a system of
comprehensive, coordinated, services to meet the mental health needs of the community. We
provide accessible, timely, community-based behavioral health services to Deschutes County
residents regardless of ability to pay.
OAR
Behavioral Health Programs
How the System is Funded:
A 24-hour program that responds by
phone or face-to-face. Services may
include assessment, intervention
planning, information and referral
services. In addition, we provide brief
crisis stabilization through individual
or group treatment.
Intervention Planning
referral Services
Civil Commitment investigation and
monitoring
24/7 Crisis Coverage
24/7 Mobile Crisis Services
Stabilization
Forensic Diversion
Co Responders
community based intensive treatment
supports to adults with an SPMI
diagnoses.
Exceptional Needs Care Coordination (ENCC)
Aid and Assist
Rental Assistance
Supported Employment
Coordination of Residential Spectrum
Two Housing Property Support
Outpatient SPMI BH
Older Adult BH Care
Integrated Care with Mosaic Medical
Psychiatric Security Review Board
ACT
CHOICE MODEL
Homeless Outreach Services & Harm
Reduction
Provides intake, referrals, and care
coordination for individuals of all ages,
in addition, provides training and
technology support to clinical staff.
Screenings
Assessment
Referrals
Treatment Recommendations
Case Management
Brief Therapy
CCBHC Coordination
Rapid Engagement
CANS Assessments for DHS
Administrative Support for Behavioral
Health Teams
Individual and group treatment services
to adults children and families with
mental health and or alcohol and drug
concerns.
Referral Services for continued care
Individual, Family and Group Counseling
Integrated Care with Mosaic Medical
Co-Occurring Substance Use Treatment
Psychiatric Care and medication
management
Veterans Services
Parent Child Interaction Therapy (PCIT)
Care Coordination and Skills Training
Crisis & Stabilization
44.70 FTE
Intensive Adult Services
57.8 FTE
Outpatient Complex Care
42.85 FTE
Access & Integration
25.25 FTE
Intellectual/Developmental
Disability Services
48.85 FTE
Comprehensive Care for Youth &
Families
49.02 FTE
Provides specialty mental healthcare
for individuals ages 0-25 and their
families through an array of integrated,
intensive outpatient care teams.
Generation Parent Management Training
Oregon (GEN-PMTO)
Parent Child Interaction Therapy (PCIT)
Young Adults in Transition
The Drop
Behavioral Health Resource Network
Affirming Care (True Colors)
School Based Health Centers
System of Care
Early assessment and support alliance
Wraparound
CCO
Coordinated Care Organizations are the Managed Care Entities (MCEs) tasked with managing Medicaid dollars to
ensure the provision of required healthcare services to OHP members in their region. CCOs contract with CMHPs for
behavioral health services to their members. CCO contracts are negotiated annually, Deschutes County includes Fee
for Service Revenue, Capitation and Program Allocation lines of reimbursement.
OHA
The Oregon Health Authority provides Medicaid and State General Fund dollars to CMHPs through County Financial
Assistance Award (CFAA) contracts for services to indigent uninsured and key strategic investments such as block
grants or pilot projects.
Grants Deschutes County receives local, state and federal grant funds. Most grants are time limited and cover distinct costs.
Some grants, such as CCBHC and federal CAHOOTS funding provide enhanced Medicaid payments intended to
expand services.
Supports people with intellectual and/or
developmental disabilities (I/DD), to
enable them to live as independently as
possible. Services are aimed at greater
access to social interaction, community
engagement, and employment
opportunities.
Screening and investigating allegations of
abuse for adults with I/DD
coordinating protective services to avoid
occurrences of abuse
Applications and eligibility for services
Case Management services- assessment,
service plans, authorizing/referring to chosen
services and support
monitoring authorized services
Statutorily or contract required services, grant
funded and fidelity programs.
ServiceTypes CommonProblemsAddressedCOMMUNITY BEHAVIORAL HEALTH SERVICE CONTINUUMHigh Risk High Need High Complexity Oregon State Hospital St Charles Sageview and/or EmergencyPsychiatric Services (PES) BedsSagebrush Academy Day Treatment Deschutes Recovery Center (DRC) Moderate Risk High Need High Complexity Deschutes County Health Services (DCHS) Behavioral Health24/7 Mobile Crisis Response & Stabilization CenterYouth Villages, Intercept & Intensive In Home Behavioral HealthTreatment (IIBHT) DCHS Specialty Intensive Community-Based Services DCHS Complex Outpatient Care Intellectual/Developmental Disability ServicesPrivate/Non-Profit agency and/or private practice providersLow Risk Moderate NeedModerate ComplexityPrivate/Non-Profit agency and/or private practice providersPrimary Care BH ConsultantsLow Risk Low Need Low Complexity Persons immediate danger due to acutepsychiatric symptoms and risk of harm to self orothers: persons in need of residential care dueto severe mental illness impacting ability to livesafely without supports in community Persons with severe and debilitating mentalhealth conditions often accompanied bypsychosis or co-occurring medical diagnosis orsubstance use disorders; often experiencehomelessness; may have frequent involvementwith law enforcement due to poorly managedacute symptoms. Children with serious emotional disturbance ormental illness and multi-system involvement(foster care, Juvenile Justice); often at risk forloss of home or school placement.Persons with serious mental illness without psychosissuch as Complex PTSD or major depression; history ofpsychiatric hospitalizations, frequent ER visits, co-occurring physical/substance us conditions; may be atrisk of losing housing, employment, or independence. Person with Post Traumatic Stress Disorder, eatingdisorder, moderate depression or anxiety, some familysupport; struggles to maintain high level of daily functioningand compliance with treatment and medications. Self-referred after loss or life circumstance, has familyconnection, sense of purpose in life, history of stability,current functioning decline (job instability due to symptoms,other destructive behavior, poor insight).Life change resulting in trouble sleeping, self-doubt, mild mood changes; no thoughts ofsuicide or self-harm; trouble managing healthdue to stress; takes medications asprescribed.Overall good life satisfaction, goodrelationships, productive and connected toothers; experiencing minor anxiety; talkingwith others helps.Provider Types HospitalsDetoxResidential Community MentalHealth Safety Net ProgramsCommunity Mental Health Safety Net ProgramsNon-Profit Outpatient Specialty CareNon-Profit Outpatient Specialty CareCommunity Outpatient ProvidersCommunity Outpatient ProvidersCommunity Based SupportEntitiesPrivate/Non-Profit agency and/or privatepractice providers Family, Friends, Religious Organizations,Support Groups, etc.P A G E 0 8
B E H A V I O R A L
H E A L T H K E Y
S T A T I S T I C S
S T A T I S T I C S P A G E 0 9
P A G E 1 0BEHAVIORAL H E A L T H A D M I N I S T R A T I O N & C C B H C
Th i s p r o g r a m re p r e s e nt s t h e a d m i n i s t r a t iv e a n d m a n a g e r i a l f u n c t io ns f o r
t h e B e h a v i o r a l H e a l t h D i v i s io n, a s w e l l c o n t r a c t s a n d t h e b u d g e t a r y l o g i s t i c s
o f p as s -t h r u a r r a n g e m e n t s , a n d B e h a v i o r a l H e a l t h F r o n t O f f i c e .
P r i m a r y C o n t a c t : H o l l y H a r r i s , D e p u t y D i r e c t or f o r B e h a v i o r a l H e a l t h
W e b s i t e : ht t p s ://w w w .d e sc h u t e s .o r g /h e a l t h /p a g e /b e h a v i o r a l -h e a l t h
B r oad H e a l t h G o a l s : S a v i n g L i v e s
R e d u c e d m or t a l i t y a n d s u i c i d e r a t e s.
R e d u c e d s u b s t a n c e a b u s e .
R e d u c e d h o s p i t a l i z a t i o n .
R e d u c e d in c a r c e r a t i o n .
R e d u c e d h o m e l e s s n es s .
I n t e n d e d B e n e fi t s f o r C o m m u n i t y M e n t a l H e a l t h
E x p a n d a r r a y o f ad di c t i o n s a n d m e n t a l h e a l t h
s e r v i c e s .
I nt e g r a t e p r i m a r y c a r e s c r e e n i n g a n d c o o r d i n a t io n .
R e c e i v e e n h a n c e d M e d i c a i d p a y m e n t r a t e b a s e d o n c o s t s .
H ea l t h c ar e I n t e g r a t i o n F o c u s
F o c u s o n r ed u c i n g c o s t l y , n e g a t i v e h e a l t h o u t c o m e s u p s t r e a m .
I nc r e a s e c oo r d i n a t i o n w i t h p r i m a r y c a r e
C o n d u ct r o u t i n e B M I s c r e e n i n g s - h y p e r t e n s i o n , d i a b e t e s , e t c .
E n h an c e s y s t e m s t o s ta b i l i z e i n d i v i d ua l s o u t s i de o f e m e r g e nc y
d e p a r t m e n t a n d h o s p i t a l t h r o u g h P e e r s , S t a b i li z a t i o n S e r v i c e s , a n d
P sy c h i a t r y .
P A G E 1 1
FY 24 High lights an d A ccomplishments
Implemented a paid internship program and stipends for providing
internship supervision.
Implemented a 10% differential for south county employees to improve
recruitment and retention of south county workforce.
Opened the “The Drop” in Redmond to serve youth and young adults in
North County.
FY 25 Challeng es & Oppo rtunities
Continued workforce retention and hiring challenges.
Cost of living and housing challenges for new and existing employees.
Rising houselessness for our service population.
FY 24 Funding Chang es
Received $2 million pass-thru funds to support secure residential.
FY 25 Program Changes
No Changes.
FTE Changes and Detail
B E H A V I O R A L H E A L T H A D M I N I S T R A T I O N & C C B H C
P R O J E C T C O D E : H S B H G E N
P A G E 1 2ACCESS A N D I N T E G R A T I O N
T h i s p r o g r a m a r e a co ns i s t s o f t h e A c ce s s T e a m an d C l i n i c a l Ad m i n
S u p p o r t T e a m (C A S T ).
P r i m a r y C o n t a c t : A m b e r C l e g g , P r o g ra m M a n a g e r
W e b s i t e : h t t p s ://w w w .d e s c h u t e s .o rg/h ea l t h /p a g e /b e h a v i or a l -h e a l t h -a c c e s s
A cc e s s T e a m
M a i n e n t r y p o i n t f o r m o s t o f D e s c h u t es C o un t y 's B e h a v i o ra l H ea l t h
p r o gr a m s . T h i s t e a m p r o v i d e s s c r e e n i ng , a s s e s s m e nt , p l a c e m e n t
r e c o m m e n d a t i o n s , c a r e co o r di n a t i o n , c a s e m a n a g e m e n t , a nd r e fe r r a ls f o r
m e n t a l h e a l t h a n d su b s t a n c e u s e d i s o rd e r s e r v i c e s .
C l i n i c a l A d m i n i s t rat i v e S u p p o r t T e a m
P r o v i d e s c r i t i c a l a d m i n i s t r a t i ve a n d l o gi s t i c a l s u p p o r t f o r d a y -t o -d a y
o p e r a t i o ns an d p r o j e c t s , w h i c h r e d u c e s a d mi n i s t r a t i v e b u r d e n f o r c l i n i c a l
s t a f f . T h i s T e a m h e l p s m a n a g e a n d r u n r e p o r t s , a s s i s t s w i t h w o r k g ro u p s a n d
m e e t i n g s , o r g a n i z e s pr o j e c t s , o ver s e e s f i s c a l p r o c e s s e s , a n d t r a c k s s c h e d u l e s .
P A G E 1 3ACCESS A N D I N T E G R A T I O N
F Y 2 4 Highlights and Accomplishments
F Y 2 5 Chall enges & Opportunities
The Access Team participated in and completed the OHA sponsored
Rapid Engagement Pilot. The pilot increased awareness of how
administrative burden, and lack of flexibility in rules, has negatively
impacted clients and clinicians. Advocacy work through this pilot is
resulting in some changes to overly prescriptive rules and laws while
recognizing there is more work to do.
The CAST team met all administrative expectations this year despite
staffing shortages and stepping in to help cover other team’s
responsibilities, such as, Operations and Front Desk teams when they
were short-staffed.
Addition of a temporary admin support specialist for our HOST/COAST
teams has ensured more equitable distribution of duties and provided
needed coverage for the Mike Maier building.
Severe staffing shortages affected the Access team’s ability to meet the
Access to Care timelines of 7 days consistently in 2023. However, the team
is currently staffed at an adequate level, so we anticipate improvements in
this metric in FY25.
New CCBHC criteria requirements, which will affect clinical and admin
staff, will need to be incorporated by January 1, 2025.
The CAST team will continue to navigate helping with Front Desk
coverage, where needed, due to staffing shortages coupled with an
increase in administrative duties due to grant requirements.
P A G E 1 4 ACCESS AND INTEGRATION
PROJECT CODE: HSACCESS & HSINTEGRAT
FY 24 Funding Changes
FY 25 P rog ram Changes
FTE Changes and Detail
No Changes.
Access Team- No Changes.
CAST Team- TBD.
C h i l d , F a m i l y , & Yo un g A d u l t O u t p a t i e n t (C F Y A )
An o u t p a t i e n t t r e a tm en t p r o g r a m t h a t s p e c i a l i z e s i n t h e c ar e a n d t r e a tm e n t
f o r c h i l d r e n t h r o u g h y o u n g a d u l t s .
S c h o o l B a s e d S e r v i c e s
H e a l t h c a r e c l i n i c s t h a t o f f e r a r an g e o f m e d i c a l a n d m e n t al h e a l t h s e r v i c e s
l o c a t e d i n a s c h o o l . D C H S o p e r a t e s s e v e n S c ho o l -B a s e d H e a l t h C e n t e r s i n
pa r t n e r s h i p w it h L a P i n e C o mm u n i t y H e a l t h an d M o s a i c M e d i c a l .
E a r l y A s s e s s m e n t a n d Su pp o r t A l l i a n c e (E A S A )
T h e E A S A t e a m o f f e r s s u p p o r t s e r v ice s t o i n d i v i d ua l s a g e s 1 2 -2 7 , w h o s u f f e r
f r o m t h e k i n d o f p s y c h o s i s t h a t w o u l d le a d t o s c h i z o p h r e n i a if l e f t
u n t r e a t e d .
W r a p a r o u n d (W R A P)
C om m u n it y-b a s e d s u p p o r t f o r c h i l d r e n a n d y o u t h w h o s e m e n t a l h e a l t h
n e e ds h a v e n o t b e e n m e t t h r o u g h u su a l s e r v i c e s , a n d t h e i r f a m i l i e s .
Y o u n g A d u l t s i n T r a n s i t io n (YA T )
T h e YA T t e a m o f f e r s s up p o r t a n d s e rvi c e s f or a g e s 1 4 -2 4 w h o s u f f e r f r o m
m e n ta l h e a l t h a nd /o r b e h a v i o ra l c h a l l e n g e s . T r a n s i t i o na l t r e a t m e n t a n d
i n t e r v e n t i o n h e lp s y o u n g ad u l t s t o g r a d u a t e s c h o o l , l i v e a h e a l t h y , p o s i t i v e
l i f e a n d b e a c o n f i d e n t a n d b e n e f i c i a l m e m b e r o f o u r c o m m u n i t y .
Th e D r o p
T h e D ro p s e r v e s y o un g a d u l t s a g e s 1 4 t o 2 7 . Of f e r i ng Pee r S u p p o r t , g u e s t
s p e a k e r s , g a m e s , d i s c u s s i o n a n d s o c i a l i z a t i o n , a nd l i f e s k i l l s i n t r o d u ct i o n s.
Th e B e h av i o r a l H e a l t h Re s o u r c e s N e t w o r k (B H R N ) T e a m
P r o v i d e s su b s t a n c e u s e d i s o r d e r t re a t m e n t , pe e r s u p p o r t , h a r m r e d u c t i o n
a n d r e c o v e r s e r v i c e s t o Y o ut h a n d Y o u n g a d u l t s .
9 0 1
U N I Q U E C L I E N T
V I S I T S
A T T H E D R O P
C E N T E R
4 6 %
P A G E 1 5COMPREHENSIVE C A R E F O R Y O U T H A N D F A M I L I E S
C o m pr e h e n s i v e C a re f o r Y o ut h & F a m i l i e s p r o v i d e s s p e c i a l t y m e n t a l
h e a l t h c a r e a n d s u b s t a n c e a b u s e t r e a t m e n t f o r i n d i v i d u a l ’s a g e s 0 -2 7 a n d
t h e i r f a m i l i e s t h r o u g h a n a r r a y o f i n t e g r a t e d , i n t e n s i v e o u t p a t i e n t c a r e
t e a m s : E A S A , Y A T , W r a p a r o u n d , 2 Y o u n g Ad u l t D r o p -i n C e n te r s , 7
S c h o o l B a s e d H e a l t h C e nt e r s , B H R N C o -O c c u r r i n g S e rv i c e s , a n d C h i l d ,
F a m i l y & Yo u n g A du l t O u t p a t i e n t .
P r i m a r y C o n t a c t : S ha n n o n B r i s t er -R a u g u s t , P r o g ram M a n a g e r
W e b s i t e : ht t p s ://w w w .d e sc h u t e s .o r g /h e a l t h /p a g e /c o m p r e h e n s i v e -c a r e -
y o u t h -a n d -f a m i l i e s
P A G E 1 6COMPREHENSIVE C A R E F O R Y O U T H A N D F A M I L I E S
FY 24 Highlights and Accomplishments
FY 25 Chal lenges & Op portuni ties
Expansion of services in Redmond bringing a Drop-In Center,
Wraparound, Early Assessment and Support Alliance (EASA), and Young
Adults in Transition services to a rapidly growing.
Awarded a $250K EASA Stimulus grant which was utilized to contract for
shelter care beds with the Bethlehem Inn, resulting in the hospital diversion
of 10 encounters through housing stability and intensive care coordination
for young people experiencing their first episode of psychosis.
Contracted with The Loft, to ensure shelter care beds were available to
young adults resulting in diversion of legal involvement, hospitalization,
and increased community stabilization.
The grand opening of the Kingwood campus in Redmond will see an
increase in local support to North County clients. Having Intensive Youth
Services in North County will decrease transportation barriers and expand
support to Children and Families.
Opportunity to create a Comprehensive Child & Family clinic at the Wall
Street Services Building by moving staff from Courtney to Wall Street
Services. This move will consolidate resources to one primary Bend
location, decrease transportation barriers, and maximize resources
currently spread between multiple sites.
Children’s residential services in Central Oregon continue to be a major gap
in our community’s continuum of care. Continued work with Oregon
Health Authority and key stakeholders in 2025 is necessary to support this
need.
P A G E 1 7COMPREHENSIVE C A R E F O R Y O U T H A N D F A M I L I E S
P R O J E C T C O D E : H S I N T Y O U T H
FY 24 Fund ing Changes
FY 25 Program Chang es
FTE Changes and Detail
August 30, 2024, the 4-year, $4 million System of Care Expansion Grant will
end. While this program is fiscally sustainable through the Wraparound Per
Member Per Month payment structure, there is an unintended impact to the
overall Perspective Payment model as a CCBHC resulting in a loss of income
based on a fee for service billings. The PMPM model only funds client with
Oregon Health Plan, who are capitated to Pacific Source. There is an
opportunity to begin capturing Fee for Service payment for Oregon Health
Plan members not capitated billing H2021. This has not been an option in
years past, but recently approved under the 2024 Fee Schedule.
No Changes.
P A G E 1 8CRISIS
T h e C r i s i s p ro g r a m p r o v i d e s 2 4 /7 c r i s i s s e rv i c e s i n c l u d i n g f a c e -t o -f a c e
e v a l u a t io ns i n t h e c o m m u n i t y a n d c l i n i c , a s w e l l a s d i v e r t s i n d i v i d u a l s
w i t h a s e r i o u s a n d p e r s i s t en t m e n t a l i l l n e s s (S P M I ) f r o m t h e h o s p i t a l a n d
c r i m i n a l j u s t i c e s y s t e m wh e n a p p r o p r i a t e .
P r i m a r y C o n t a c t : A d a m G o g g i n s , Pr o g r a m M a na g e r
W e b s i t e : h t t p s ://w w w .d e s c h u t e s .o r g /h e a l th /p a g e /cr i s i s -s e r v i c e s
2 4-H o u r C r i s i s P h o n e L in e
A v a il a b l e 2 4 /7 t o a n y o n e w h o is ex p e r i e n c i n g a cr i s i s /n e e d s c r i si s s u p p or t .
W a l k -i n C r i s i s S e r v i c e s a n d S t a b i l i z a t i o n S e r v i c e s
P r o v i d e s i m m e d i a t e a c c e s s t o i n d i v i d u a l s e x p e r i e n c i ng a c r i si s . B ri e f
s t a b i l i z a t i o n o p e n t o p e o p l e o f a l l a g e s .
2 4/7 C o m m u n i t y C r i s i s A s s e s s m e n t T e a m (C C R T)
A t e a m t h a t p ro v i d e s c r i si s i n t e r v e n t i o n se r v i c e s o u t i n t h e c o m m u n i t y .
C o -r e s p o n d e r P r o g r am
A c l i n i c i a n a n d o f f i c e r r e s p o n d t og e t he r t o m e n t a l h e a l t h r e l a t e d c a l l s .
C i v i l C o m m i t m e n t I nv e s t i g a t i o n s
A C e r t i f i e d C i v i l C o m m i t m e n t I n v e s t i g a t or m o n i t o r s i n d i v i d u a l s p l a c e d
o n a t w o -p h y s i c i a n i n v o l u n t a r y h o l d a n d a l l c i v i l c o m m i t m e n t s w i t h i n
D e s c h u t e s C o u n t y .
C a s e M a n a g e m e n t
L i a is e s w i t h t h e h o s p i t a l a n d B r o o k s R es p i t e f o r d i s c h a r g e p l a n n i n g t o
h e l p c l i e nt s w i t h b a s i c n e e d s a n d c o m m u n i t y r e s o u r c e s .
P e e r S u p p o r t
P e er S u p p o r t S p e c i a l i s t s a r e i n d i v i d u a l s w i t h l i fe e x p e r i e n c e o f m e n t a l
h e a l th a n d /o r s u b s ta n c e u s e d i s o r d e r s w h o a r e i n r eco v e r y . T h e y o f fe r
s u p p o r t a n d e n c o u r a g e m e n t t o i n d i v i d u a l s s t r u g g l i n g w i t h a m e n t a l h e a l t h
c o n di t i o n .
F o r e n s i c D i v e r s i o n P r o g r a m
A t e a m o f P e e r S u p p o r t Sp e c i a l is t s a n d C a s e M a n a g er s d e d i c a t e d t o
s u p p o r t i n g i n d i v i d u a l s w i t h a s e r i o u s a n d p e r s i st e n t m e n t a l i l l n es s (S P M I )
wh o ar e f r e q u e n t ly h a v i n g c o n t a c t w i t h l a w e n f o r c e m e n t a n d t h e c r i m in a l
j u s t i c e s y st e m .
1 3 4 2
P E O P L E S E R V E D
T H R O U G H C R I S I S
W A L K -I N
2 9 %
1 2 9 1
N U M B E R O F
E M E R G E N C Y
D E P A R T M E N T
D I V E R S I O N S
1 8 4 %
3 4 0
N U M B E R O F
P E O P L E D R O P P E D
O F F B Y L A W
E N F O R C E M E N T
3 2 %
W o r k f o r c e r e c r u i t m e n t h a s been a n
o n g o i n g i s s u e f o r o u r d e p a r tm en t .
P o s i t i o n s w i l l o f t e n b e l e f t o p e n f o r
s e v e ra l m o n t h s a t a t i m e a n d w e w i l l
ha v e v e r y f e w c a n d i d a t e s a p p l y f o r a
p o s i t i on .
T h e C o m m u n i t y C r i s i s R e s p o n s e T e a m
(C C R T ) t e a m ’s o p e r a t i o n a nd
d e v e l o p m e n t w i l l c o n t i n u e t o b e a
p r i o r i t y .
Fu n di n g i s a n o th e r c h a l l e n g e a s s e v e ra l
o f o u r g r a n t s a r e s e t t o e x p i r e i n F Y 2 5
i n c l u d i n g I M P A C T S , C i t y o f B e n d , a n d
C o -R e s p o nd e r G r a n t . W e a r e l o o k i n g
f o r w a y s t o r e -a pp l y f o r g r a n ts a n d
f i n d i n g s u s t a i n a b l e s o u r c e s o f f u n d i n g .
P A G E 1 9CRISIS
FY 24 Hi ghlights and Acco mplis hmen ts
FY 25 Challenges & Opportunities
T h e D e s c h u t e s C o u n t y S t a b i l i z a t i o n C e n t e r w a s a w a r d e d t h e 2 0 2 3
N o r t h w e s t C I T C o m m u n i t y R e s o ur c e o f t h e Y e ar , ce l e b r a te d t h r e e y e a r s
o f o p e r a t io n , a n d t h e i r 1 0 ,0 00 t h e nc o u n t e r.
T h e C o m m u n i t y C r i s i s R e s po n s e T ea m (C C R T ) t e am w a s l a u n c h e d o n
M a y 1 s t , 2 0 2 3 , a n d c o n t i n u e s t o s u c c e s s f u l ly r e s p o n d t o c r i s i s i n t h e
c o m m u n i t y w i th o u t l a w e nf o r c e m e n t . A n e s t i m a t e d t o t a l o f 8 3 .5 % o f
c a l l s f o r s e r v i c e w e r e r e s o l v e d w i t h o u t la w e n fo r c e m e n t .
The civil commitment and investigation program continues to function
but struggles with ongoing funding to meet current work demand. At this
time, we are underfunded for this mandated service given our current
needs.
P A G E 2 0CRISIS
P R O J E C T C O D E : H S C R I S I S
FY 24 Funding Chang es
FY 25 Program Changes
FTE Changes and Detail
The IMPACTS grant has automatically granted an extension through 2025.
The SAMHSA co-responder grant will be ending in September 2024.
The SAMHSA Co-Responder grant will be coming to a close in September.
DHS
The Department of Human Services – Office of Developmental Disability Services provides
Medicaid and State General Fund dollars to CDDPs (Community Developmental Disability
Programs) to provide eligibility determination, case management, abuse investigations,
licensing and certification for foster homes for persons with IDD within the community.
Case Management: Case management services are provided to all eligible kids and adults.
Adult Abuse Investigation: Investigative authority for I/DD Adults in Deschutes, Crook and Jefferson
Counties.
Foster Home Licensing : Adult and child foster licensing, certification, renewal and monitoring.
Case Management
Case Management is fully funded when:
Rapid Response to changing needs or crisis situations.
Services are coordinated with community partners.
Assurance that individual needs and goals are being met.
Long term relationship with their Service Coordinators.
Prevention and protection from abuse and neglect.
Timely access to medical supports, employment, and housing.
In order to participate in the match program the following must be met:
Actual expenses are more than State base rate (FY25 expenses must be >$4,690,825.
Reach service goals (# of encounters): 11k encounters per year.
Have enough CGF (approximately 41% of A).
Have enough CGF for uncovered indirect costs.
Match Program
$7.8M
I/DD OperationalBudget
48.85FTE
Intellectual and Developmental Disability
Services (I/DD)
To Promote and Protect the Health and Safety of Our Community
Janice Garceau
Holly Harris
12%
Budget supportedby General Funds
Community Based Care
Behavioral
Health Director
Health Services
Director
People with intellectual and developmental disabilities (I/DD) often need community-
based long term supports and services to support their needs and to live as
independently as possible. This includes person centered case management, voluntary
choice of services, services that span lifetime, and assistance for clients to access all
services they are interested in.
How the System is Funded:
Core Services
IDD Funding Model
DHS conducts a “workload model” study each biennium.
Study measures the scope, frequency and duration of all tasks performed by (CDDPs) using caseload
data paired with forecasting of population growth to determine funding needed.
P A G E 2 2INTELLECTUAL D E V E L O P M E N T A L D I S A B I L I T I E S
I /D D pr o v i d es s u p p o r t t o p e o p l e w i t h i n t el l e c t u a l an d /o r d e v e l op m e n t a l
d i s a b i l i t i e s (I /D D ), t o en a b l e t h e m t o l i v e a s i n de p e n d e n t l y a s p o s s i b l e i n
t h e le a s t r e s t r i c t i v e e n v i r o n m e n t . S e r vi ce s a r e a i m e d at g r e a t e r a c c e s s t o
s o c i a l i n t e ra c t i o n , c o m mu n i t y e n ga g e m e n t , a n d e m p l o y m e n t
o p p o r t u n i t i e s.
P r i m a r y C o n ta c t : P a ul P a r t r i d g e , P r o g r a m M a n a g e r
We b s i t e:
h t t p s ://w w w .d es c h u t e s .o r g /h e a l t h /p a g e /i n t e l l e c t u a l d e v e l o p m e n t a l -
d i s a b i l i t i e s -p r o g r a m
I n t e l l e c t u a l/D e v e l o p m e n t a l D i s a b i l i t y S e r v i c e s A v a i l a b l e i n De s c h u t e s
C o u n t y:
I n t a ke , e l i g i b i l i t y d e t er m i n a t i o n , r e f e r r a l
Ca s e ma n a g e m e n t a n d s e r v i c e c o o r d i n a t i o n f o r a d u l t s a n d c h il d r e n
I n d i v i d u a l i z e d p l a n n i n g a n d s u p p o r t
P r o t e c t i v e s e r v i c e i n v e s t i g a t i o n s a n d s u p p o r t (f o r a d u l t s)
V o c a t i o n a l s e r v i c e s
R e s i d e n t i a l s e rvi c e s
F a m i l y s u p p o r t
Co m p r e h e n s i v e i n -h om e s u pp o r t s
F o s t e r c a r e
E m p l o y m e n t F i r s t
1 0 0 %
I n d ivi d u a l S e r v i c e
P l a n s R e n e w e d
o n Time
P A G E 2 3INTELLECTUAL D E V E L O P M E N T A L D I S A B I L I T I E S
FY 24 Highlights and Accomplishments
FY 25 Chal lenges & Op portuni ties
The I/DD program completed a diversity, equity and inclusion plan
reflective of last year’s self-assessment. The plan includes strategies to
improve access to services for our entire I/DD community.
Engaged in an ongoing project to analyze all our critical workflows in an
effort to assure continued improvements toward the service of our mission.
Began transition to a new service location in Redmond to better serve our
residents in the northern end of Deschutes County.
Continuing and refining community partnerships that will lead to
improved access to mental health treatment for individuals with I/DD who
experience a co-occurring mental health diagnosis.
Continue the analysis and creation of visual workflows for our critical work
processes as part of our ongoing quality assurance efforts.
Operational adjustments continue as we stand up a new office location on
Antler Avenue in Redmond, and a new Bend location spring 2024.
P A G E 2 4INTELLECTUAL D E V E L O P M E N T A L D I S A B I L I T I E S
P R O J E C T C O D E : H S I D D
FY 24 Funding Chan ges
FY 25 Program Changes
FTE Changes and Detail
No Changes.
Rebalanced workload-$282 thousand and anticipated 1 FTE Admin
Support.
P A G E 2 5INTENSIVE A D U L T
T h i s p r o g r a m p r o v i d e s in t e n s i v e ou t r e a c h , e n g a g e m e n t a n d c o m m u n i t y -
b a s e d t r e a t m e n t a n d s u p p o rt s t o i n d i v i d u a l s w i t h s e v e r e an d p e r s i s t e n t
m e n t a l i l l n e s s an d s u b s tan c e u s e d i s o r d e r s .
P r i m a r y C o n t a c t : K a r a C r o n i n , P r o g r a m M a n a g e r
h t t p s ://w w w .d e s c h u t e s.o r g /he a l t h /p a g e /i n t e n s i v e -a d ul t -s e r vi c e s
A s s e r t i ve C o m m u n i t y T r e a t m e n t (A C T )
A C T i s a c o m m u n i t y -b a s e d p r o g r a m t h a t p r o v i d e s i nt e n s i v e c o m m u ni t y b a s e d
b e ha v i o r a l h e a l t h t r e a t m e n t t o a d ul t s w i t h S e v e r e a n d Per s i s t e n t M e n t a l I l l n e s s
(S P M I ). A C T ’s h i g h i n t e n s i t y s u p p o r t s s e r v e s i nd i v i d u al s w h o a r e mo s t a t -r i s k
f o r p s y c h i a t r i c ho s p i t a l i z a t i o n a n d f o r w h o m t r a d i t i o n a l o u t p a t i e n t s e r v i c e s
h a v e n o t be e n s u c c e s s f u l .
Co m m u ni t y O u t r e ac h a n d S t a b i l i z a t i o n T e a m (C O A S T )
C OA S T is a g r ou p o f s p e c i a l t y p r og r a m s t h a t p r o v i d e s e r v i c e s to i n di v i d u a l s
w i t h S P M I d i a g n o s i s .
Co m m u ni t y S u p po r t S e rv i c e s (C S S )
C S S O u t p a t i e n t T r e a t m e n t T e a m pr o v i d es a b l e n d of c o m m u n i t y a n d o f f i ce
b a s e d s e r v ice s , fo c u s e d o n i n t e n s i v e t r e a t m e n t a n d s u p p o r t s f o r i n d i v i du a l s
l i v i n g w i t h a S P M I .
H a r r i m a n H e a l t h C a r e - P e e r S u p p o rt S p e c i a l i s t s o n t h e C S S tea m w o r k i n
c o o rd i n a t i o n w i th t h e c o -l o cat e d a n d in t e gr a t e d M o sa i c M e d i c a l p r i m a r y
c a r e c l i n i c , t o i m p r o v e m e d i c a l a n d beh a v i o r a l h e a l t h o u t c o m e s f o r p e o p l e
w it h SP M I .
I n t e n s i v e F o r e n s i c S e r v i c e s
T h i s p r o g r a m s e r v e s i nd i v i d u al s u n d e r t h e j u r i s d i c t io n o f t h e S t a te P s y c h i a t r i c
S e c u r i t y R e v i e w B o a r d . I n d i v i d u a l s r e c e iv e m o n i t o r i n g s p e c i f i c t o t h e
c o n d it i o n s o f th e i r c o m m u n i t y r e le a s e a s we l l a s t r e a t m e n t , c a s e ma n a g e m e n t
a n d o t h e r s e r v i c e s a s i n d i c a t e d .
H o m e l e s s O u t r e a c h S e r v i c e s T e am a n d H a r m R e du c t i o n P ro g r a m
H O S T t e a m p r o v i d e s s t r e e t o u t r e a c h a n d c a s e m a n a g e m e n t s u p p o r t t o
h o u s e l e s s i n d i v i d u a l s w i t h S e r i o u s M e n t al I ll n e s s a n d /o r S u bs t a n c e U s e
D i s o r d e r s . HR P pr o v i d es s y r i n g e e x c h a n g e , N a r c a n a n d o t h e r s u p p l i e s a n d
su p p o r t s t o p e o p l e w h o u s e d ru g s , w i t h t h e g o a l o f r e d u c i n g h e a l t h a n d s a f e t y
r i s k s a ss o c i a t e d w i t h s ub s t a n c e u s e .
P A G E 2 6INTENSIVE A D U L T
F Y 24 Highlights and Ac complishme nts
F Y 25 Challenges & Opportunities
Continue to be a model in the state for Aid and Assist programming and met
statewide metrics for community consultation timelines.
Launched an outreach psychiatry pilot program – low barrier access for
houseless population.
Continue to see positive client health outcomes though our integrated and
embedded Mosaic Health clinic.
Shelter, housing and residential placement options continue to be limited for
our clientele.
Continue to struggle to support an increasingly acute client population.
Staffing hard to fill positions continues to impact services.
1 7 4
O v e r d o s e R e v e r s a l s
f ro m D C H S
H ar m R e du c tio n Ser v i c e s
P A G E 2 7INTENSIVE A D U L T
P R O J E C T C O D E : H S A D L T I N T
FY 24 Fundi ng Chan ges
FY 25 Program Changes
FTE Changes and Detail
$1 million in state funding dedicated to an aid and assist community
navigator pilot program.
No Changes.
P A G E 2 8OUTPATIENT C O M P L E X C A R E
Th e s e p ro g r a m s p r o v i d e e v i d e n c e b a s e d , i nd i v i d u a l a n d g r o u p t r e a t m e n t ,
i n c l u d i n g c o u n s e l i n g , c a s e m a n a g e m e n t a n d p e e r s u p p o r t s e r v i c e s t o
a d u l ts , c h i l d r e n a n d f a m i l i es w i t h m e n t a l h e a l t h a n d /o r a l c o h o l /d r u g
c o n c e r n s , wi t h a f o c u s o n i n t e g r a t e d c a r e .
P r i m a r y C o n t a c t : Kr i s t i n M o z z o c h i , Pr o g r a m M a n a g e r
W e b s i t e : ht t p s ://w w w .d e sc h u t e s .o r g /h e a l t h /p a g e /a d u l t -o u t p a t i e n t -s e r v i c e s
Ad u l t O u t p a t i e n t In t e g r a t e d C a r e (A O P I C )
L o c a t e d a t o u r C o u r t n e y C l i n i c i n B e n d , o u r A O P I C t e a m p r o v i d e s
o u t pa t i e nt me n t a l h e a l t h c a r e w i t h a f o c u s o n p r o v i d i n g t r e a t m e n t i n
pa r t n e r s h i p w it h M o sa i c m e d i c a l t o s e r v e p e o p l e w h o a r e e x p e r i e n c i n g c o -
o c c u r r i n g me n t a l h e a l t h , c h r o n i c m e d i c a l , a n d su b s t a n c e u s e c h a l l e n g e s .
Ad u l t O u t p a t i e n t C o m p l e x C a r e (A O P C C )
L o c a t e d a t o u r C o u r t n e y C l i n i c i n B e n d , o u r A O P I C t e a m p r o v i d e s
o u t pa t i e nt me n t a l h e a l t h c a r e w i t h a f o c u s o n p r o v i d i n g t r e a t m e n t i n
pa r t n e r s h i p w it h M o sa i c m e d i c a l t o s e r v e p e o p l e w h o a r e e x p e r i e n c i n g c o -
o c c u r r i n g me n t a l h e a l t h , c h r o n i c m e d i c a l , a n d su b s t a n c e u s e c h a l l e n g e s .
S o u t h C o u n t y H ub (S o C o )
L o c a t e d i n L a P i ne, p r o v i d e s o u tp a t i e n t m e n t a l h e a lt h a n d s u b st a n c e u s e
t r e a t m e n t t o a l l a g e s i n S o u t h D e s c h u t e s C o u n t y a nd N o r t h K l a m a t h C o u nt y.
S e r v i c e s i n c l u d e c ou n s el in g , p s y c h i a t r i c c a re , c a s e m a n a g e m e n t , p e e r
s u p p o r t , s up p o r ted e mp l o y m e n t , a n d c a r e c o o rd i n a t i o n . O u r S o C o H u b
pa r t n e r s w i t h L a P i n e C o m m u n i ty H e al th C e n t e r t o s up p o r t c li e n t s i n
m e e t i n g t h e i r h e a l t h a n d w e l l n e s s g o a l s .
N o r t h C o u n t y H u b (N o C o )
L o c a t e d i n R ed m o n d , p r o v i d e s o u t p a t i e n t m e n t al h e a l t h a n d s u b s t a n c e us e
t r e a t m e n t s e r v i c e s t o p e op l e o f a l l a g e s w i t h a f o c u s on i m p r o v i n g h e a l t h
a n d w e l l be i n g . C o m m u n i ty an d o f f i c e b a s e d s e r v i c e s a r e of f e r e d t o r e s i d e nt s
o f N o r t h e r n D e s c h u t e s Co u n t y . A m u l t i di s c i p l i n a r y t e a m a p p r o a c h i s
u t i l i z e d t o s u p p o rt p e o p l e i n m e e t i n g t h e i r t r e a t m e n t g o a l s . M o s a i c M e d ica l
pr o v i des o n s i te m e di c a l c a r e , w o r k i n g i n p a rt n e r sh i p w i t h o ur N o C o s t a f f .
P A G E 2 9OUTPATIENT C O M P L E X C A R E
FY 24 Highl ights and Accomplishments
FY 25 Chal lenges & Op portu nities
Our North County Outpatient Clinic moved into a beautiful new building on
Kingwood Ave. Mosaic Medical is collocated within, strengthening our
integration efforts.
Most clinical staff are now dually credentialed and able to provide co-
occurring mental health and substance use treatment. Many staff also have
specialized training in CPT and EMDR to treat individuals who are living
with the impacts of trauma.
Our joint AOP and Mosaic client numbers have increased this year from 130
in January 2023 to 167 in December 2023. Continued improvements in care
coordination through collaborative consults and process improvements.
South County Hub is supported by a new supervisor and is fully staffed after
years of staffing issues, this is a major accomplishment.
Client access to care has been an ongoing issue due to staffing issues and the
number of people who are needing services.
High level of acuity and complex needs of the population we serve coupled
with a lack of access to needed resources including higher levels of care and
housing.
P A G E 3 0OUTPATIENT C O M P L E X C A R E
P R O J E C T C O D E : H S A D U L T , H S N O C O , H S S O C O
F Y 2 4 Funding Changes
F Y 2 5 Program Changes
FTE Changes and Detail
Awarded the Veterans Behavioral Health Peer Support Specialist grant. This
grant will provide funding for our VBHPSS to continue outreaching and
supporting veterans in our community.
Promoting Integration of Primary and Behavioral Health Care (PIPBHC)
grant ended December 2023.
No Changes.
S t r e e t P s y c h i a t ry O u t r e a c h
P r o v i d e r s ro t a t e on e t i m e a m o n t h f o r h a l f a d a y p a r t n e r i n g w i t h t h e
h o m e l e s s o u t r e a c h t e a m t o b r i n g p s ych i a t r i c s e r v i c e s d i re c t l y t o C h i n a H a t .
M u c h o f t h e w o r k i s b u i l d i n g r a p p o r t a n d w o r k i n g t o i d e n t i f y p e o p l e
s u f f e r i ng f r o m s e v e r e m e n t a l i l l nes s a n a s s e s s m e n t, m e d i c a t i o n i f i n d i c a t e d ,
a n d c o n n e c t i o n t o s er v i c e s .
Ad d i c t i o n M e d i c i n e P r o g r a m m i n g
U s e k n o w l e d g e a n d e x p e r t i s e o f o u r s t a f f t o e n h a nc e o ur S U D S e r v i c e s
a g e n c y w i d e .
P A G E 3 1MEDICAL T E A M
Th i s p r o g r a m i n t e g r a t e s p s y c h i a t r y i nt o a l l D e s c hu te s C o u nt y B e h a v i o r a l
H ea l t h c l in i c a l s e r v i c e s a n d s o m e M o s a i c M e d i c a l C l i n i c s . T h e M e d i c a l
Te a m c o l l a b o r a t e s w it h p r i m a r y c a r e t o p r o v i d e i n t egr a t e d , h o l i s ti c c a r e
a n d s up p o rt s h e a l t h p r o m o t i o n , h e a l t h l i t e r a c y , a n d h ea l t h m a i n t e n a n c e
f o r c l i e n t s .
P r i m a r y C o n t a c t : C h a nd r a M o l a , P r o g r a m M a nage r
W e b s i t e : ht t p s ://w w w .d e s c h u t e s .o r g /h e a l t h /p a g e /
FY 24 Highlig hts and Acco m plishmen ts
Implemented street psychiatry outreach in partnership
with the HOST team.
Added a board-certified addiction medicine psychiatrist.
Restructured our LMP staffing model to include the
leadership of a psychiatrist embedded with all teams by
the end of the fiscal year.
FY 25 Cha llenges & Oppor tunities
Expanding our addiction medicine programing.
Anticipate continued staffing challenges for nurses and psychiatric nurse
practitioners due to wage gaps compared to community partners.
Further integrating services with Mosaic Medical.
FY 24 Funding Chang es
May request to convert current contract dollars to a 1.0 FTE.
FY 25 Program Chan ges
Plan to transition current
contracted telehealth
services to in-person
Psychiatrists and Psychiatric
Nurse Practitioners.
Public Health
To Promote and Protect the Health and Safety of Our Community$18M
Public Health
Operating Budget
Budget
Janice Garceau
Heather Kaisner
Prevent, investigate and protect people from communicable diseases.
Ensure safe food and water.
Promote health and prevent chronic disease and injury.
Prepare for and respond to natural or human caused emergencies
and emerging health threats.
Ensure equitable access to preventive health services.
Create and ensure conditions that equitably improve health and well-
being for all.
Foster policy, systems and environmental change to prevent and
reduce unhealthy behaviors and reduce healthcare costs.
Convene community engagement to sustainably prioritize change
across multiple sectors and systems of care.
Local Public Health Authority: County Commissioners - BoCC.
Local Public Health Agency (LPHA): Deschutes County Public Health Division is
authorized by the BoCC to perform Public Health requirements and
responsibilities on behalf of the county (Public Health is a division of Health
Services).
Local Public Health Administrator: DCHS PH Director, authorized by the BoCC to
oversee the Local Public Health Agency.
23%
Budget supported
by General Funds
What We Do
Local Public Health Delegations of Authority
Public Health
Director
Health Services
Director
95.68FTE
Public Health promotes and protects the health of everyone who lives, works,
and plays in Deschutes County:
Public Health Sections
Statutorily or contract required services and grant funded programs
How the System is Funded:
Provides Environmental Health, Local and Regional
Epidemiology. All hazards emergency preparedness and
resiliency for emerging health hazards. Provides both direct
COVID-19 recovery services, health preparedness education,
technical assistance, and equitable community outreach.
Lead work with community partners to
promote and ensure practices that
improve health and well-being and prevent
negative conditions that are harmful to our
community both socially and financially.
Public Health clinical services including family
planning and STI testing and treatment.
Family-focused services including home
visiting nurses, perinatal care coordination
and Women, Infants and Children (WIC)
nutritional support.
Prevention & Health Promotion
FTE 17.40
Clinical & Family Services
FTE 33.03
Preparedness Engagement &
Environmental Health
22.70
Communicable Disease Prevention
& Management
FTE 12.30
PH Administration
FTE 10.25
Provides Public Health Advisory Board (PHAB) Coordination,
Ambulance Service Area (ASA) Administration and Legislative
Advocacy, leadership, support, and oversight for local public
health programs and services and assures statutory, fiscal, and
programmatic requirements are met. Works to diversify and
leverage resources to meet community health needs and assure
the effective and efficient use of resources.
Prevent and control the spread of
communicable diseases and mitigate
health threats through surveillance,
education, investigation, outbreak control
and immunizations. Include
communicable-disease/STD/HIV/TB and
Immunization Programs.
OHA
Grants
The Oregon Health Authority provides Federal Grant and State General Fund dollars to local
public health authorities through the Intergovernmental Agreement (IGA) for the Financing of
Public Health Services. The IGA sets forth the duties, functions and responsibilities of the local
public health authority.
A limited number of Public Health services collect fees through licensing, birth and death
certificates, and insurance billing for clinical preventative services.
Deschutes County Public Health receives local, state, and federal grant funds. Most grants are
time limited and cover distinct costs and programs.
Fee for
Service
CGF Local resources applied to help cover costs of mandated or other county service priorities not
covered by other revenue sources.
P U B L I C
H E A L T H K E Y
S T A T I S T I C S
S T A T I S T I C S P A G E 3 4
B r o a d P u b l i c He a l t h G o a l :
P r o m o t e a nd p r o t e c t t h e h e a l t h o f p e o p l e i n D e s c h u t e s C ou n t y t h r o u g h :
P r e v e n t i n g t h e s p r e a d o f c o m m u n i c a b l e d i s e a s es an d o u t b r e a k s .
F o o d a n d c o n s u m e r s a f e t y .
C l e a n a n d s a f e d r i n k i n g w a t e r .
E n s u r i n g a c c e s s t o e s s e n t i a l p r e v e n t a t i v e h e a l t h s e r v i c e s .
H e l p i n g n e w p a r e n t s a n d b a b i e s g e t o f f t o a h e a l t h y s t a r t .
E du c a t i o n a b o ut h e a l th y l i f e st y l e s.
R e d u c i n g an d pr e v e n t i n g h i g h -r i s k b e h a v i o r s a m o n g y o u t h .
R e s p o n d i n g t o p a n d e m i c s , c l i m a te i m p a c ts , a n d o t h e r e m e r g i ng h e a l th
t h r e a t s .
P u b l i c H ea l t h M o de r n i z a t i o n :
A s e t o f f o u n d a t i o na l c a p a b i l i t i e s a n d p r o g r a m s t o e n s u r e a c o r e s e t o f
p u b l i c h e a l th s e rvi c e s i s a v a i l a bl e i n e v e r y c o u n t y i n O r e g o n . D e s c h u t e s
C o u n t y Pu b l i c H e al th c on t i n u e s to m o v e t o w a r d f u l l i m p l e m e n t a t i on o f
P u b l i c H e a l t h M o d e r n i z a t i o n a n d r e c e i v e d i n c r e a s e d S t a t e f un d i n g i n t h e
F Y 2 4 -2 5 B i e n n i u m . T h i s p u b l i c h e a l t h t r a n s f o r m a t i o n f o c u s e s o n e n s u r i n g
a l l c o m m u n i t i e s h a v e t h e s a m e h e a l t h p r o t e c t i o n s t h r o u g h a s u s t a i na b l e
p u b l i c h e a l th s y s t e m r e ad y t o r e s p o n d t o c u r r e n t a n d f u t u r e p u b l i c h e a l t h
c h a l l e n ges .
P A G E 3 5PUBLIC H E A L T H A D M I N I S T R A T I O N
T h is p r o g r a m p r o vi d e s l ea d e r s h i p , m a n a g e m e n t a n d o v e r s i g h t f o r l o c a l
p u b l i c h e a l t h (P H ) s e r vi ce s a n d a s s u r e s t h a t t h e c o u n t y m e e t s s t a t u t o r y ,
f i s c a l a n d p r o g r a m mat i c r e qu i r e m e n t s. P H A d m i n i s t r a t i o n w o r ks t o
d i v e r s i f y , l e v e r a g e a n d a s s u r e e f fe c t i ve an d e f f i c i e n t u s e o f r e s o u r c e s t o
b u i l d f o u n d a ti o n a l p r o g r a m s a nd c a p a b i l i t i e s a s w e l l a s m e e t c om m un i t y
p r i o r i ti e s a n d r e s p o n d t o e m er g i n g p u b l i c h e a l t h i s s u e s .
P r i m a r y C o n t a c t : H e a t h e r K a i s n e r , D e p u t y D i r e c t o r f o r P u b l i c H e a l t h
W e b s i t e : h t t p s ://w w w .d e s c hu t e s .o r g /h e a l t h /p a g e/p u b l i c -h e a l t h
Stable funding for Public Health to prevent and respond to emerging issues
and threats continues to be a challenge; especially as COVID funding comes
to an end.
Continued increase in complicated syphilis cases yet no increase in resources
to tackle this growing epidemic.
Increased collaboration and coordination among multiple internal teams and
external community partners to respond to the growing fentanyl crisis.
Recruiting and retaining clinical public health positions, such as RNs and NPs
continues to be a challenge.
P A G E 3 6
FY 24 Highlights and Accomplishments
F Y 25 Chall enges & Opportunities
Opened the North County Public Health Campus to provide public health
services in Redmond, including Reproductive Health, STD screening, WIC,
and Immunizations.
Successfully applied and received an increase of 685 thousand in
Modernization funding with a total of $2.66 million awarded for the FY 24-
25 biennium.
Transitioned the Emergency Preparedness & COVID-19 Recovery Section to
a sustainable Preparedness, Engagement & Environmental Health Section
focused on core public health foundational capabilities and programs.
FY 24 Funding Changes
F Y 25 Progra m Cha nges
FTE Changes and Detail
PE51-03 ending: $176 thousand in FY24.
Re-structured Public Health to better align and sustain core programs and
services. Moved from five to four Public Health Sections, including:
Communicable Disease Prevention & Management.
Clinical & Family Services.
Prevention & Health Promotion.
Preparedness, Engagement, & Environmental Health.
P H A D M I N I S T R A T I O N
P R O J E C T C O D E : H S P H G E N
C l i n i c a l S e r v i c e s
P ro v i d e s f r e e o r l o w -c o s t b i r t h c o n t r ol (f o r a l l a g e s & g e n d e r s ), a n n ua l
e x a m s f o r w o m e n a n d S T D p r e v e n t i o n , t e s t i n g & t r e a t m e nt f o r a l l .
F a m i l y Su pp o r t S e r v i c e s
P ro v i d e s d i r e c t n u r s in g s u p p o r t a n d r e f e r r a l s t o p r e g n a n t a n d p o st p a r t u m
w o m e n , ca r e g i v e r s , a n d t h e i r f a m i l i e s t o i m p r o v e b i r t h o u t c o m e s , a n d
f a m i l i e s o f c hi l d r e n w i t h s p e c i a l h e a l t h c a r e n e e d s t o i n c r e a s e ac c e s s t o
h e a l t h s e r v i c e s a n d i m p r o ve f a m i l y r e l at i o n sh i p s .
P e r i n a t a l C a r e C o o r d i na t i o n
P ro v i d e s p r e g n a n t a n d p o s t p a r t u m i n d i v i d u a l s a c c e ss t o a n d e n r o l lm en t i n
p r e n a t a l c a r e , m e d ic a l i n s u r a n c e a p p l i c a t i o n as s i st a n c e , n u t r i t i o n r e s o u r c e s,
b e h a v i o r a l h e a l t h a n d d e n t a l c a r e c o o r d i n at i o n , m e d i c a l tr a ns p o r t a t i o n , a n d
m a n y o t h e r s e r v i c e s .
W o me n , I n f a n t s & C h i l d r e n (W I C )
P ro v i d e s n u t r i t i o n e d uca t i o n , br e a s t f e e d i n g s u p p o r t , a c c e s s t o h e a l t h y
f o o d s , a n d r e f e r r al s to o t h e r n e e d e d r e s o u r c e s f o r p r e g n a n t a n d p o s t -
p a r t u m w o m e n a n d t h e i r f a m i l i e s .
P A G E 3 7CLINICAL A N D F A M I L Y S E R V I C E S
T h es e p r o g r a m s a r e f o c u s ed o n p r o v i d i n g s a f e t y -n e t p u b l i c h e a l t h
s e r v ic e s t o i n d i v i d u a l s a n d f a m i l i e s s e e k i n g r e p r o d u c t i ve h e a l t h c a r e ,
p e r i n a t a l e d u c a ti o n a n d c a r e co o r d i n a t i o n , n u r s e h o m e v i s i t i n g , n u t r i t i o n
e d u c a t i o n , b r e a s t f e e d i n g s u p p or t , a n d r e f e r r a l s t o ne e d e d r e so u r c e s .
P r i m a r y C o n t a ct : A n n e K i l t y N P , P r o g r a m M a n a g e r
W e b s i t e : h t t p s ://ww w .d e s c h u t e s .o r g /h e a l t h /p a g e /c l i n i c s -an d -s e r v i ce s
P A G E 3 8CLINICAL A N D F A M I L Y S E R V I C E S
FY 24 Hig hl ights and Acc omplishments
FY 25 Challenges & Opportu nities
C li n i c a l & F a m i l y S e r v i c e s s u c ces s f u l l y m o v e d t o t h e n e w N o r t h C o u n t y
C a m p u s a n d of f e r s a l l s e r v i c e s i n a b e a u t i f u l n e w b u i l d i n g s e r v i n g n o r t h
D e s c h u t e s C ou n t y a n d r e g i o n a l p ar t n e r s .
T h e n e w P u b l i c H e a l t h v a n s t a r t e d p r o v i d i ng m o b i l e W I C a n d
R e p r o d u c t i v e H e a l t h c l i n i c a l s e r vi c e s , i n c r e a s i n g a c c e ss t o m o r e
c o m m u ni t i e s a n d t a r get p op u l a t i o n s .
F a m i l y C o n n e c t s O r e g o n e x p an d e d t o u n i v e r s a l , n o -c o s t n u r s e h o m e
v i si t i n g t o a l l f a m i l i e s a n d c ar e g i v e r s o f n e w b o r n s .
P C C st a f f h a v e r e t u r n e d t o p r e -C o v i d e m b e d m e n t a t l o c a l O B c l i n i c s ,
o f fe r i n g i n -p e r so n , w a r m h a n d -o f fs f r o m O B s t o P C C s t a f f f o r p e r i n a t a l
c ar e c o o r d i n a t i o n .
T h e P u b l i c H e a l t h va n w i l l c o n t i n u e t o i n c r e a s e s e r v i c e s a n d e x p a n d t o
n e w l o c a t i o n s , i n c r e a s i n g a c c e s s a n d r e v e nu e .
P ro v i d i n g f u l l -t i m e f r o n t d e s k s u p p o r t a t t h r e e l o c at i o n s a n d f u l l -t i m e
v i t a l r e c or d s s u p p o r t a t t w o l o c a ti o n s w i th 4 .0 F T E
F a m i l y C o n n e c t s i m p l e m e nt a t i o n h a s t a k e n l o n g e r t h a n ex p e c ted . W i l l
c o n t i n ue w o r ki n g w i t h O H A , S t C h a r les an d c o m m u n i ty p a r t n e r s
t o w a r d s f u l l i m p l em e n t a t i o n .
P A G E 3 9CLINICAL A N D F A M I L Y S E R V I C E S
P R O J E C T C O D E : H S P H D I R E C T & H S C L I N I C A L
FY 24 Fundi ng Changes
FY 25 Program Changes
FTE Changes and Detail
N e w f u n d i n g f r o m P a c i f i c S ou rce t o h e l p s u p p o rt P C C t h r o u g h a p e r
m e m be r p e r m o n t h r a t e , S t a r t i n g M a r ch 20 2 4 .
I n c rea s e d F a m i l y P l a n n i n g r e i m bu rs e m e n t r a t e o f $1 9 5 /f a m i l y p l an n i n g
v i s i t f r o m P a c i f i c S o u r c e C o m m u n i t y S ol u t i on s . S t a r t i n g M a r c h 2 0 2 4 .
O r g a n i z a t i o na l ch a n g e s i m p l e m e n t e d i n t h e s e c o n d h a l f o f F Y2 4 r e s u l t e d
i n P H F r o nt D e s k an d V i t a l R e c o r d s r e p o r t i n g t o A d m i n is t r a t i v e
S e r v i c e s – O p e r a t i o n s i n st e a d o f u n d e r t h e P u b l i c He a l t h l e a d e r s h i p
b r a n c h o f t h e o r g a n i zat i o n .
P A G E 4 0COMMUNICABLE D I S E A S E P R E V E N T I O N A N D M A N A G E M E N T
T h e s e p r o g r am s p r e v e nt a n d c o n t r o l t h e s p r e a d o f c o m m u n i ca b l e d i s e as e s
an d m i t i g a te h e a l t h t h r ea t s t h ro ug h s u rv e i l l a n c e , e d u c a t i o n , i n v e s ti g at i o n ,
o u tb r ea k c o n t r o l a n d i m m u n i z a t i o n s . M o r e o v e r , w e a s s u r e a c c e ss t o p u b l i c
h e a l t h s e r v i c es a n d c o n d uc t co m mu n i ty o u tr e a ch pr ov idi n g i m m u n i z a t i o ns ,
i n f e ct i o n p r e v e n t i o n c o n s ul t a t i o n a n d c o mm u ni c a b l e di s e a se t e s ti n g a n d
tr e a t me n t .
P r i m ar y C on t a c t : R i t a B a c h o , P r o g r am M a n a g e r
We b s it e : h t tp s ://w w w .d e sc h u t e s .o r g /h e a l t h /p a g e /c om m u n i c a bl e -d is e a s e -
p r o gr a ms
C o m m u n i ca b l e di s e a se s (C D ) a r e t h o s e c o n d i t ion s t h at c a n b e s p r e a d to o t h e r s
t h r ou g h ai r , t o u c h, o r c on t ac t w it h c o n ta m in a te d b o d y f l u i d s . A t D e s c h u t e s
C o u n t y H e a lt h S e r v i c e s , w e w o r k t o p r e v e n t t h e s p r e a d of t h es e di s e a s e s i n ma n y
w a y s . T h e C o m m u n i ca b l e D i se a s e Pr e ve n ti o n a n d Ma n a g e m e n t te a m i s m a d e u p
o f t h e f o ll o wi n g p r og r a m s :
G en er a l C o mm u ni c a b l e D i s e a s e P r og r a m
W o r k t o R e d u ce t h e ri s k o f s p r e a d o f C D b y t r a c k i n g i n f e c t i ou s d i s e a s e s t o th e ir
s o u r c e a n d n o t i f y i n g p eop le w h o h a v e b e en e x pos e d .
I n fe c t io n P r ev e n t i on P r o g r a m
W o r k s w it h C o n g r e g a t e c a r e f a c i l i t i es s u c h a s l o n g -t e r m c a re f a c il i ti e s a nd
s h e l t e r s t o m i t iga t e t he sp re a d o f i n f e c ti o u s d i s e a s e s t h r o u g h e d u ca t i o n a n d
t e c h n i ca l a s s i s t a n ce .
E pi d em i o l o g y
E v a lu a te s h e a l t h r i s k s w i t h i n o ur c o m m u n i t y t h r o u g h s u r ve i l l a n c e a nd d a t a
a n a l y s i s .
H I V a n d S e x u al l y T r a n s m i t t e d D i s e a s e P r ev e n t i on P r o g r a m
W o r k t o r e d u c e m or b i d i t y a n d m o rt a li t y a s s o c i at e d w i t h H I V a n d s e xu a l ly
t r a n s m i t t e d d is e a s e s , a ls o li n k s p e o p l e t o s e r v i c es f o r di s e a s e p r e v e n t i o n a n d
m a n a g e m e nt .
I m m un i z a t io n Pr og r a m
P r e v e n t s d i s ea s e , d i sa b i li t y a n d d e a t h f r o m va c c i n e p re v en t abl e d i s e a s es in
i n f a n t s , ch i l d r e n , a d o l e s c e nt s a n d a d u l ts t h r o u gh su r ve i l la n c e , c a s e i n v es ti g a ti o n
a n d c o n t r ol m o ni t o r i n g of i m m un i z a t ion l ev e l s , p r o vi s i o n o f v a c c i n e a n d
p r of es si o n al a n d p u b l i c e d u ca t i o n .
R W C a s e Ma n a g e m en t
E m p o we r s p e o p l e l i vi n g w i t h H I V /A I D S t o e f f e ct i v e l y m a n a g e t h e i r H I V a n d
i m p r o ve t h e i r o v e r a ll h ea l t h a nd q u a li t y of l i f e . L o c a l c a s e ma n a g e r s h a ve a
t h o rou g h un d e r s t a n d i ng o f t h e s e r v i c e s a n d p r o g r a ms av a il a b l e t o h e l p cl i en t s
m a n a g e c h a l l e n g e s a n d cr i s e s r e la t ed t o h e a lt h , h o u si n g , t r e a t m e n t , c o v e r a g e f o r
h e a l t h c a r e, a n d r e f e r ra l s f o r n ee d e d s e r v i c e s .
T u b e rc ul o s i s (T B ) P r o g r am
O ve r s e e s , m a n a g e s , a n d f ac i l i t a t e s a c t i v i t i e s a n d i n t e r ve n ti o n s n ee d e d t o i d e n t i fy
a n d p r o p e r l y t r e a t a l l i n d i v idu a l s w i th T B t o s t op i t s s p re a d t o o th e r s .
P A G E 4 1COMMUNICABLE D I S E A S E P R E V E N T I O N A N D M A N A G E M E N T
FY 24 Hig hl ights and Acc omplishments
FY 25 Challenges & Opportu nities
D e v e l o p e d a n d p r e s e n t e d I n f e c t io n P r e ven t i o n (I P ) t r a i n i n gs
(r e s p i r a t o r y p r o t e ct i o n , c l e a n i n g a n d d i s in f e c t i o n , h a n d h y g i e n e a n d
o t h e r I P t o p i c s ) t o L o n g T e r m C a r e F a c i l i t ies a n d o th e r c o m m u n i t y
o r g a n i z a t i o n s t h a t c a re f o r v u l n e r a b le p o p u lat i o n s .
S u c c e s s f u l i n t e g r a t i o n o f t h e R y a n W h i t e P ro g r a m w i t h S T I /H I V
i n v e s t i g a t i o n , o u t r e a c h a n d p r e v e n t i o n p r o g r a m m i n g a n d s t a f f .
C o n d u c t e d 6 6 o u t rea c h tes t i n g e v e n t s i n C Y 2 3 p r o v i d i n g r a p i d tes t i n g,
e d u c a t i o n a n d r e f e r r a l s (3 1 3 H I V , 2 6 0 H e p a t i t i s C & 2 9 9 S y p h i l i s ).
1 0 0 % o f t he 2 0 2 3 s y p h i l i s a n d H I V c a s e s w er e i n t e r v i e w e d a n d
o f f e r e d p a r t n e r s e r v i c e s .
9 6 2 t o t a l n o n -CO V ID c o m m un i c a b l e d i s e a s e c a s e s (5 6 7 S T I /H I V ; 3 9 5
C D ) r e p o r t e d a nd m an a g e d in 2 0 2 3 , 6 6 t o t a l o u t b r e a k s m a n a g e d (5 5
C O V I D ; 1 1 n on -C O V I D ).
S u c c e s s f u l l y c o m pl e t e d 2 t u b e r c u l o s i s c a s e m a n a g e m e n t i nc l u d i n g
d a i l y d i r e c t l y o bs e r v e d t h e r a p y a m o u n t i n g t o 3 3 7 h o u r s o f s t a f f
h o ur s .
4 7 2 p e o p le su b s c r i b e d t o t h e r e s pi r a t o r y s e a s o n w e e k l y O P I r e p o r t i n
2 02 3 , c o m p a r e d t o 3 82 i n 2 0 2 2 a n d 3 6 1 i n 2 0 2 1 .
I n c r e a s i n g p o p ul a t i o n , i n c r e a s i n g c omm u n ic a b l e d i s e a s e d e m a n d s a n d
u ns ta b l e f u n d in g s t r e a m s .
R e s p o nd i n g t o t h e u n p r e d i c t a bl e an d g r o w i n g d e m a n d s o f t h e e v e r -
c h a n g i ng c o m m u n i c a b l e di s e a s e l a n d s c a p e , i .e . co m p l i c at e d , t i me
c o n s u m i n g c a s e s l i k e t u b e r c u l o s i s , s y p h i l i s , H I V .
V a c c i n e Hes i t a n c y is a g r ow i n g c h a l l e n g e .
D e v e l o p i n g n e w c o l l a b o r a t i v e r e l a t i o n s h i ps w i t h c om m u n it y p a r t n e r s
a n d fo s t e r i n g e x i s t i n g o n e s .
P l a nn i n g a nd co m m u n i t y c o l l a b o r a t i o n
f o r e mer g i n g c o m m u n i c ab l e d i s e a s e s
(em e r g i n g v i r u s e s , m e a s l e s, E .c o l i ,
E b o l a , t i c k -b o r n e d i s e a s e s , e t c .) s o m e
o f w h i c h m a y be a s s o c i a t e d w i t h g l o b a l
c l i m a t e c h a n g e .
P A G E 4 2COMMUNICABLE D I S E A S E P R E V E N T I O N A N D M A N A G E M E N T
P R O J E C T C O D E : H S C O M M D I S
FY 24 Funding Changes
FY 25 Program Changes
FTE Changes and Detail
O u r P r o g r a m r e c e i v e d $1 3 ,7 5 1 o n e -t i m e s u p p l e m e n t a l f u n d i n g f o r
R y a n W h i t e w h i c h h e l p s t o o f f s e t i n c r e a s i n g c o s t s o f t h e R y a n w h i t e
p ro g r a m .
A c o n t r a c t w i t h J e f f e r s o n C o u n t y t h r o u g h P E 10 e n d e d o n D e c e m b e r
3 1 s t .
W e r e c e i v e d o n e -t i m e $4 3 ,1 4 0 i n C O V I D -1 9 B r i d g e f u n d i n g t hr o u g h
J u n e 2 0 25 .
C O V I D -1 9 v a cci n e a c t i v i t i e s /de l i v e r y h a s t r a n s i t i o n e d t o t h e
C o m m u n i c a b l e D i s e a s e P r e v e n t i o n a n d M a n a g e m e n t T e a m .
T h e r e g i o n a l E p i d e m i o l o g i s t h a s t r an s i t i o n e d t o t h e C o m m u n i c a b l e
D i s e a s e P r e v e n t i o n a n d M a n a gem e n t T e a m .
T h e r e w a s a c h an g e i n t h e n a m e o f t h e s e c t i on f r o m P u b li c H e a l t h
A d v a nc e me n t & P r o t e c t i on s t o C o m m u n i c a b l e D i s e a s e P r e v e n t i o n a n d
M a n a g em e n t .
A d o l e sc e n t H e a l t h
E d u ca t e s y o u t h , f a m i l ies , a n d y o u t h -s e r v i n g o r g a n i z a t i on s o n a v a r i e t y o f
t o p i c s a n d r e s o u r c e s a v a i l a b l e t o i m p r o v e ad o l e s c e n t h e a l t h r e l a t e d t o t o p i c s
s u c h a s p e e r p r e s s u r e , r e s o u r c e a c c e s s , s o c i a l m e d i a u s e , s e x u a l h e a l t h ,
h e a l t h y r e l a t i o n s h i ps , a n d v i o l e n c e p r e v e n t i o n .
H e a lt h y S c h o o l s
L o c a l p a r t n e r s h i p b e t w e e n D e s c hu t e s C o u n t y a n d B en d -L a P i n e S c h o o l s
p r o v i d i n g p u b l i c h e a l t h s e r v i c e s d i r e c t l y w i t h i n s ch o o l s u s i n g c o l l a b o r a t i v e ,
s y s t e m i c , a n d i n t eg r a t i v e a p p r o a c h e s s o t h a t s t u d e n t s , f a m i l i e s , a n d s c h o o l
s ta f f h a v e a c c e ss t o h i g h q u a li t y h e a l th p r o m o t i n g p r o g r a m s .
S u b s t a n c e M i s u s e a n d P r o b l e m G a m b l i n g P r e v e n t i o n
P u b l i c H e a l t h e x p e r t i s e t o e n s u r e p o l i c i es , s y s t e m s , a n d e n vi r o n m e n t s a l i g n
t o p r e v e nt a n d r e d u c e p r o b l e m g a m b l i n g , t o b a cco , a l c o h ol , c a n n a b i s , a n d
o v e r t h e c o u n te r o r p r e s c r i p t i o n d ru g m i s u s e a m o n g y o un g p e o p l e a g e s 1 0 -
2 5 y e a r s .
Me n t a l H e a l t h P r o m o t i o n a n d S u i c id e P r e v e n t i o n
P u b l i c H e a l t h e x p e r t i s e t o e n s u r e p r o a c t i v e p o l i c i e s , s y s t e m s , a n d
e n v i r o n m e n t s a r e i n p l a c e i n o r d e r t o p r e v e n t s u i c i d e d e a t h a n d at t e m p ts
an d t o p ro m o t e c o m m u n i t y r e s i l i e n c e a m o n g a l l a g e g r o u p s .
Y o u t h E n g a g e m e n t P r o g r a m
F o s t e r s y o u t h -a d u l t p ar t n e r s h i p s a n d y o u t h -l e d p r o j e c t s t o e n s u r e s t ud e n t
v o i c e a n d lea d e r s h i p i n m e nt a l h e a l t h p r o m o t i o n a n d a d v o c a c y f or S c h o o l
B a sed Hea l t h Ce n t e r s .
P A G E 4 3PREVENTION A N D H E A L T H P R O M O T I O N
P r o g r a m s i n t h i s s ec t i o n l e a d w o r k w i t h c o m m u n i t y p a r t n e r s t o p r o m o t e
a n d e n s u r e p r a c t i c e s t h a t i m p r o v e h e a l t h a n d w e l l -b e i n g a n d p r e v e n t
n egat i v e c o n d i ti o n s t h a t a r e h a r m f u l t o o u r c o m m u ni t y b o t h s oc ia l l y a nd
fi n a n c i a l l y .
P r i m a r y C o n t a ct : J e s s i c a J a c k s , P r o g r a m M a n a g e r
W e b s i t e : W e b s i t e : h t t p s://w w w .d e s c h u t e s .o r g /h e a l t h /p a g e /s t a y in g -
h e a l t h y -p re v en t i o n
P A G E 4 4PREVENTION A N D H E A L T H P R O M O T I O N
FY 24 Hig hlights and Acc omplishments
FY 25 Challenges & Opportunities
Almost all Bend-La Pine Schools middle and high schools (11 of 14) have
begun implementing Sources of Strength, up from one school the prior year.
Sources of Strength is a suicide prevention program that also prevents
substance use and violence.
Opioid Settlement dollars were allocated to support prevention, surveillance,
and response to this concerning community threat. An internal response team
is monitoring and actively addressing.
Addition of a Supervisor to support overdose prevention, surveillance, and
response work and substance misuse and problem gambling prevention as
well as the overall workload in Prevention and Health Promotion.
100% of health teachers in Bend-La Pine Schools are now using effective
prevention programs as a result of the Healthy Schools program services. This
is up from 31% in 2021.
Prevention requires long-term investment to realize cost savings and
improved community health (e.g. reductions in costs for healthcare, criminal
justice, education, social welfare, etc.).
Funding has historically been stratified across few stable resources and
multiple short-term grants. This results in frequent staff turnover, instability
of program delivery, and requires staff to spend time on resource
development instead of program implementation.
Oregon suicide legislation has significant gaps; all legislation are unfunded
mandates, specific to postvention legislation it does not include Community
Colleges, does not include youth who have parents who have died by suicide,
nor youth who have attempted suicide.
Overdose postvention legislation has been based on suicide postvention
legislation, which has not been evaluated for effectiveness and is also an
unfunded mandate.
Changes in some OHA program requirements are allowing for integration of
service areas across Prevention where prior requirements were very siloing.
An example is fiscal support from Tobacco Prevention for Healthy Schools
programming.
Prevention requires long-term investment to realize cost savings and
improved community health (e.g. reductions in costs for healthcare,
criminal justice, education, social welfare, etc.).
Funding has historically been stratified across few stable resources and
multiple short-term grants. This results in frequent staff turnover,
instability of program delivery, and requires staff to spend time on resource
development instead of program implementation.
Oregon suicide legislation has significant gaps; all legislation are unfunded
mandates, specific to postvention legislation it does not include Community
Colleges, does not include youth who have parents who have died by
suicide, nor youth who have attempted suicide.
Overdose postvention legislation has been based on suicide postvention
legislation, which has not been evaluated for effectiveness and is also an
unfunded mandate.
Changes in some OHA program requirements are allowing for integration
of service areas across Prevention where prior requirements were very
siloing. An example is fiscal support from Tobacco Prevention for Healthy
Schools programming.
P A G E 4 5PREVENTION & H E A L T H P R O M O T I O N
P R O J E C T C O D E : H S P R E V E N T
FY 24 Fundi ng Changes
FY 25 Program Changes
FTE Changes and Detail
The Garrett Lee Smith Grant sunsets June 2024 without known
renewal opportunity.
Threats to DCHS-Behavioral Health (BH) reserve funding also
threatens Prevention funding as BH has contributed important
financial resources for substance misuse and suicide prevention.
P A G E 4 6EVIRONMENTAL H E A L T H , P R E P A R E D N E S S & E N G A G E M E N T
T h i s p u b l i c h e a l t h s e c t i o n e m b o d i e s a c o m p r e h e n s i v e a p p ro a c h t o
m o d e r n i z i ng pu b li c h e a l t h, in c o r p o r a t i n g f o u n d a ti o n a l c a p a b i l i t i e s s u c h a s
e m e r g e nc y p r ep a r e d n e s s , e p i d e m i o l o g y , h e a l t h e qu i t y p r o m o t i o n ,
c o m m u n i t y p a r t n e r s h i p de v el o p m en t , a n d c o m m u n i c a t i o n . T h e s e e f f o rt s
c o n t i nu e t o b e i n t e g r a t e d a c ro s s a l l p u b l i c h e a l t h p r o g r a m a r e a s . T h e
E n v i r o n m e n t a l P u b l i c H e a l t h P r o g r a m s t a n d s o u t f o r i t s d e d ic a t i o n t o
c o m m u n i t y p r o t e c t i o n , e n s u r i n g t h e s a f e t y a n d c l e a nl i ne s s o f v i t a l
r e s o u r c e s l i k e f o o d , a i r , a n d w a t e r . Th r o u g h a c o m b i n a t i on o f p r e v e n t i o n
e d u c a t i o n i n i t ia t i v e s a n d r e g u l a t o r y i n s p e c t i o n s a t l i c e n s e d f a c i l i t ie s , t h e
p r o g r a m a ct i v e l y s a f e g u a rd s p u b l i c h e a l t h , r e f l e c t i n g a c o m m i t m e nt t o
p r o a c t iv e h e al t h p r o m o t i o n a n d d i s e a s e p re v e n t i o n .
P r i m a r y C o n t a ct : E m i l y H o r t o n , P ro g r a m M a n a g e r W e b s i t e :
h t t p s ://w w w .d e s c h u t e s .o r g /h e a l t h /p a g e /
E m e r g e n c y P r e p a r e d n e s s a n d R e s p o n s e
Mo n i t o r s a n d s t r e n g t h e n s t h e a b i l i t i e s o f D e s c h u te s C o u n t y a n d o u r
h e a l t h c a r e s y s t e m s t o p r o t e c t t h e p u b li c ’s h e a l t h i n d is a st e r s i t u a t i o n s , s u c h
as d i s e a s e p a n d e m i c s a n d e p i d e m i c s , c h e m i c a l a n d r a d i o l og i c a l r e l e as e s ,
s e v e r e w e a t h e r , a n d n a t u r a l d i s a s t e r s .
A ss e ss me n t an d E p i d e m i o l o g y
A s s e s s i n g t h e e f f e ct i v e n e s s o f p u b l ic h e a l t h pr o g r a m s a n d t h e i r o u t c o m e s , a s
w e l l a s c on t i n u o u s l y e v a l ua t i n g h e a l th r i s k s w i t h i n o u r c o m m u n i t y t h r o u g h
d a t a a n a l y s i s .
C o m m u n i t y P a r t n e r s h i p D e v e l o p m e n t a n d O u t r e a c h
F o s t e r i n g c o l l a b or a t i v e r e l a t i o n s h i p s a c r o s s d i f f e r e n t s e c t o r s o f t h e
co m m u ni t y a n d e n g a gi n g in s t r a t e g i c p l a n n i n g w i t h c o m m u n i t y -b a s e d
o r g a n i z a t i o n s a n d p a r t n e r s t o a c h i e v e p u b l i c h e al t h ob j e c t i v e s .
H e a lt h R i s k a nd C r i si s C o m m u n i c a t i o n s
D i s s e m i n at i n g i n f o r m a t i o n r e g a r d i n g l o c a l p u b l i c h e a l t h r i s k s a n d a d v i si n g
i n d i v i d u a l s o n t h e n e c e s s a r y s t e p s t o sa f e g u a r d t h e m s e l v e s a n d t h e i r
f a m i l i e s .
F oo d S e r v i c e , P o o l a n d T o u r i s t F a c i l i t y L i c e n s i n g a n d R egu l a t o r y
I n s p e c t i o n s
R e g u l a t o r y o v e r si g ht e n c o m p a s s e s 1 ,1 4 0 f o o d s e r v i c e f a c i l i t i e s, 1 4 9 l o d gi n g
e s ta b l i s hm e n t s (i n c l u d in g m o te l s , h o t e l s , r e s o r t s , R V p a r k s , a n d
cam p g r o u n d s ), a n d 3 0 1 p u bl i c p o o l s a n d s p a s . I n s p e c t i o n s e m p h a s i z e
e d u c a t i o n a n d d i s e a s e p r e v e n t i o n t o e n s u r e s a f e t y s t a n d a r d s a r e m e t .
S c ho o l L u n c h I n s p e c ti o n
I n s pe c t i o n o f 6 1 s c h o o l f o o d s e r v i ce k i t c h e n s .
F oo d H a n d l e r a n d M a n a g e r T r a i n i n g
F o od h a n d l e r t r a i n i n g a n d c e rt i f i e d f o o d m a n a g e r t r a i n i n g o f f e r e d t o l o c a l
b u s i n e s s o w n e r s a n d t h e i r s t a f f .
D r i n k i n g W at e r E d u c a t i o n a n d R e g ul a t o r y M a n a g e m e n t
A d m i n i st r a t i o n a n d e n f o r c e m e n t o f d r i n k i n g w a t e r qu a l i t y s t a n d a rd s f o r
t h e 1 85 Des c h u t e s C o u n ty p ub l i c w a t e r s y s t e m s . T e s t e d 1 7 1 p r iv a t e w e l l s
s in c e 20 2 2 .
C h i l d c a r e F a c i l i t i e s
I n s pe c t i o n a n d o u t r e a c h o f 1 6 5 C h i l d c a r e f a c i l i t i e s , i n c l u d i n g p re -s c h o o l,
H e ad s t a r t a n d P r e -K .
P A G E 4 7EVIRONMENTAL H E A L T H , P R E P A R E D N E S S & E N G A G E M E N T
FY 24 Hig hl ights and Acc omplishments
E s t a b l i s h m e n t o f a D e s c h u t e s C ou n t y M e d i c a l R e s e r v e C o r p s a n d
e m p l o y m e n t o f a f u l l -t i m e co o r di n a t o r .
E s t a b l i s h m e n t o f e n v i r o n m e nt a l a c t i o n pl a n s a nd a c t i v a t i o n gu i d e s f o r
s m o k e , h e a t a n d c o l d w e a t h e r r i s k c o m m u n i c a t i o n s , s h e l t e r s a n d
c o o r d i n a t e d s e r v i c e p r o v i de r res p o n s e .
T r a n s i t i o n o f C o v i d -1 9 S i t u a t i o n E m a i l s i n t o P u b l i c H e a l t h M o nt h l y
N e w s l et t e r w i th a v e r a g e re a d e r s h i p o f ove r 2 6 ,0 0 0 p e r m o nt h .
A w a r d e d t h r e e n e w g r a n t s f r om th e F o o d a n d D r u g A d m i n i s t r a ti o n
(F D A ) t o m e e t R e t a i l F o o d R e g ul a t o r y p r og r a m s t a n d a r d s , w h ich
e v al u a t e s q u a l i ty an d e f f i c a c y o f t h e f o o d i ns p e c t io n r e g u l at o r y p r o g r a m .
A s p a r t o f P u b l i c H e a l t h M o de r ni z a t i o n , e n h a n c e d o u t b r e a k
i n v e s t i g a t i o n a n d d i s ea s e p r e v e n t i o n c a p a c i ty i n v u l n e ra b l e p o p u l a t i o n s ,
s u c h a s c o n g r e g a te set t i n g s (e .g . h o m e l e s s s h e l t e r s ), c h i l d c a r e s , a n d A d u l t
F o s t e r H o m e s
FY 25 Challenges & Opportu nities
L o s s o f e n g ag e m e n t s t a f f i n F Y 2 5 – t r y i n g t o m a i n t a i n c o m m u n i t y
p a r t n e r s h i p s a n d e n g a g em e n t w i t h l e s s s t a f f a n d n o d e d i c a t e d o u t r e a c h
w o r k e r s .
M R C c o o r d i n a t o r i s a c ti v e l y ma n a g in g v o lu n t e e r s t h o u g h a c a m p a i g n
a n d c o m m u n i c a ti o ns s e r v i c e c a l l e d b l u e -s k y o p e r at i o n s, a nd i s a l s o
i n v o l v e d i n t ra i n in g a n d m i s s i o n s e t d e v e l o p m e n t .
F e e s a n d r e v e n u e s no t k e e p i n g p a c e wi t h i n c r e a s e d e x pe n s e s ; r e l y i n g
i n c r e a si n g l y on T r a n s i e n t R o o m T a x a n d M o der ni z a t i o n f u n d i n g .
E x per i e n c e d a 3 5 % in c rea s e i n T e m p o r a r y R e s t a u r a n t L i c e n s e s i s s u ed i n
F Y 2 4 a n d a n t i c i p a t in g t h i s t o c a r r y o n i n t o F Y 2 5 .
S t a b i l i z a t i o n o f E n v i r o n m e n t a l H e a l t h s t a ff i n g t h i s y e a r by h i r i n g m o r e
e n t r y l e v e l E n v ir o n m e n t a l H e a l t h S p e c i a l i s t s ta f f w h o a r e t r a i n e d b y
e xp e r i e n c e d R e g i st e r e d E n v i r o n m e n t a l H e a l t h S p e c i a l i s t s (R E H S ).
A w a r d e d f o ur m o r e F o o d a n d D r u g A d m i n i s t r a t i o n G r a n t s f o r C Y 20 2 4
t o t a l i n g $5 0 ,0 0 0 , t o c o n t i n u e q u a l i t y i m p r ove men t w o r k a n d
i m p l e m e n t b e s t p r a c t i ces .
P A G E 4 8EVIRONMENTAL H E A L T H , P R E P A R E D N E S S & E N G A G E M E N T
FY 24 Hig hl ights and Acc omplishments C ontinued
I m p l e m e n t e d i n d o o r a i r q u a l i t y e v a l u a t i o n s o n H V A C a n d c l e a n a i r
s p a c e s f o r v u l n e r a b l e po p u l a t i on a n d b u s i n e s s e s , u p o n r e q u e s t .
I m p l e m e n t e d a s a f e d r i n k i n g w at e r p r o g r a m f o r p r iv a t e d o m e s t i c w e l l
o w n e r s to e v a l u a t e f or b a s i c b i o l o g i c a l a n d ch e m i c a l h a z a r d s , a n d
i den t i f y p o t e n t i a l h a z a r d s a s s o c i a t e d w i t h w e l l l o c a t i o n .
A s w e f a c e t h e c o n t i n u e d do w n s i z i n g s o f l i mi t e d d u r a t i o n e m p l o y e e s ,
w e a r e a c t i vel y r e i m a g i n i n g o u r o u t r ea c h , e n ga g e m e n t, a n d c o m m u n i t y
p a rt n e r s h i p d e v e l o p m e n t ef f o r t s , p a r t i c u l a r l y w i t h OH A -f u n d e d
C o m m u n i t y -B a s e d O r g a n i z a t i o n s (CB O s ). M a i n t a i n in g t h e p r o g r e s s
m a d e i n t h i s a r e a i s c r u c i a l a m i d s t t h e s e c h a n g e s , a n d w e a r e c o m m i t t e d
t o f i n d i n g i n n o v at i v e s o l ut i o n s t o e ns u r e c o n ti n u e d m o m e n tu m a nd
i mp a c t .
W e a r e s h if t i n g o u r i n s pec t i o n f o c u s t o a "R i s k -B a s e d " a p p r o a c h t o
c u l t i v a t e a c u l t u r e o f p r e v e n t i o n . B y e m p h a s i z in g r i s k a s s e s s m e nt , w e
a i m t o m i n i m i z e f o o d b o r n e i l l n e s s e s w h i l e a l s o g a t her i n g v a l u ab l e d a t a
t o f u l f i l l a k e y e l e m e n t o f t h e FD A ’s V o l u n t a r y N a t i o n a l R e t a i l F o o d
R e g u l a t or y Pr o g r a m S t a n d a r d s . T hi s s t r a t e g i c s h i f t r e c o g n i z e s t ha t
i mp l e m e n t i n g r i s k -b a s e d i n s p e c t i o n s i n f o o d s e r v i c e e s t a b l i s h m e n t s i s a
b e s t p r a c t i c e . I t n o t o n l y e n h a n ces f o od s a f e t y b u t a l s o im p r o v e s
r e g u l a t o r y co m p l i a n c e . T h i s d e m on s t ra t e s o u r c o m m i t m e n t t o
p ro a c t i v e m e a s u r e s t h a t e n h an c e b o t h s a f e t y a n d s t a n d a r d s a d h e r e n c e
i n o u r c o m mu n i t i e s .
I n c r e a s e d p r e s e n c e i n b e n e v o l e n t o rg a n iz a t i o n s a n d n o n -r e g u l a t e d
f a c i l i t i e s t o e v a l u a t e t h e hea l t h a n d s a f e t y o f v u l n e r a b l e p o pu l a t i o n s ,
c o l l a b o r a t i n g w i t h B e h a v i o r a l H e a l t h a n d C o m m un i c a bl e D i s e a s e
t e a m s .
P A G E 4 9EVIRONMENTAL H E A L T H , P R E P A R E D N E S S & E N G A G E M E N T
P R O J E C T C O D E : H S E M E R P R E P & H S E V I R O N
FY 24 Fundi ng Changes
FY 25 Program Changes
FTE Changes and Detail
M R C G r a n t f u n d i n g t h r o u g h M R C s t r o n g g r a n t e n d s J u n e 2 0 2 5 .
P l a n n i n g f o r t r a n s i t i o n i n g s t a f f i n g r a n t f u n d e d p o s i t i o n s in t o o t h e r
f un d i n g s t r e am s .
L i k e l y i n c r e a s e i n f e e s t o c o r r e s p o n d wi t h C o n s u m e r P r i c e I n d e x a s w el l
a s p ro p o se d i n c r e a s e d f e e s f o r M o b i l e F o o d U n i t s (M F U s ).
C o n t i n u i n g i n c r e a s e s i n T e m p or a r y F o o d V e n d or l i c e n ses .
A w a r d e d f o u r h i g h l y c o m p e ti t i v e F D A g r a n t s t o ta l i n g $5 0,0 00 .
A pp l i e d f o r t h e A S P I R E G r an t t h r o u g h t h e N a t i o n a l I n s t i tu t e o f
E n v i r o n m e n t a l H e a l t h S c i e n c e s t o r e d u c e c h i ld r e n ’s e x p o s ur e t o
p a rt i c ul a t e m a t t e r f r o m s mo k e a n d c o n t a m i n an t s d u r i n g w i l d f ir e s e a s o n
($3 9 ,4 9 0 ).
P A G E 5 0ADMINISTRATIVE S E R V I C E S
P r o v i d e s o p e r a t i o n a l a n d f i s c a l s u p p o r t , a s w e l l a s o v e r s i g h t o f a s s e t s a nd
c o m p l i a n c e . Th i s i n c l u de s b i l l i n g , c r e d e n t i a l i n g , c o n t r ac t i n g , f i sc a l
s e r v ic e s , h e a l t h i n f o r m a t i o n t e c h n o l o g y , m e d i c a l r e c o r d s e rv i c e s ,
i n f r a s t r u c t u r e , w o r k fo r c e d e v e l o p me n t , e q u i t y , l a n g u a g e a c c e s s , s a f e t y ,
c o m p l i a n c e , q u a l i t y a ss u r a n c e , d at a a n a l y t i c s a nd p r o j e c t ma n a g em e n t .
P r i m a r y C o n t a ct : C h e ry l S m a l l m a n , B u s i n e s s Of f i c e r , C h r i s W ei l e r ,
O p e r a t i o n s Of f i c e r & J i ll i a n W e i s e r , C o m p li a n c e a n d Q u a l i t y A s su r a n c e
O ff i c e r
B u s i n e s s I n te l l i g e n c e
C o n d u c t s f i s c a l a n d a n a l y t i c a l a c t i v i t i e s , a s w e l l a s i n i t i a t i v e s a n d q u a l i t y
i m p ro v e m e n t e f f o r t s t o i m p r o v e t h e e ff i c i e n c y , e f f e c t i v e n e s s , a n d f i n a n c i a l
s ta b i l i t y o f t h e d e p a r t m e nt .
F is c a l S e r v i c e s
C o n t r a c t S e rvi c e s
D a t a a n d A n a l y t i c s
A c c o u n t i n g a n d G r a n t
M an a g e m e n t
O p e r a t i o n s
Ma n a g e s a co m p l e x an d d i v e r s e s e t o f b u s in e s s s u p po r t s e r v i c e s a n d
e n s u r e s t h e d e p a r t m e n t h a s t h e t o o l s, e q u i p m e n t an d f a c i l i t i e s n e c e s s a r y t o
s e r v e t h e c o m m u n i t y s a f e l y .
P ro j e c t M a n a g e m e n t
M e d i c a l R e c o r d s
H e a l th I n f o r m a t i on T e c h n o l o g y
D e p a r t m e n t w i d e S a fet y a n d
C o n t i n u i t y o f O p e r at i o n P l a n n i n g
B il l i n g a n d C red e n t i a l i n g
B e h a v i o r a l H e a l t h F r o n t O f f i c e
P r oc u r e me n t
I n f r a s t r u c t u r e
A s s e t M a n a g e m e n t
F l e e t V e h i c l e M a n a g e m e n t
P H F r o nt O f f ice
C o m p l i a n c e a n d Q u a l i t y A s s u r a n c e (C Q A )
C o m p l i a n c e a n d Q u a l i t y As s u r a n c e : P r o v i d e s a u di t i n g a n d o v e r s i g h t o f
d e p a rt m e n t w o r k t o a s s u r e e t hi c a l c o n d u c t a n d c o m p l i a n c e w it h l o ca l ,
s ta t e , f e d e r al , a nd p r o f e s s i o n a l s t a n d a r d s a n d r e g u l a t io n s ; i n c l u d i n g
i n c i d e n t r e p o r t s , p o l i c ie s & p r o c e d u r e s , p r i v a c y , l a n g ua g e a c c e s s ,
d o c u m e n t a t i on t r a i n i n g , c ha r t a u d i t s , a n d d e p a r t m e n t H R s u p po r t .
C o m p l i a n c e a n d Q u a l i t y
I n c i d e n t R e p o r t i n g
L a n gu a g e A c c e s s
A u d it i n g
P ro t e c t i v e S e r v i c es
P o l i c i e s a n d P r o c e d u r e s
H R R e s o u r c e P r oc e s ses
D E I
W o r k f o r c e D e v e l o p m e n t
P A G E 5 1ADMIN S E R V I C E S
P R O J E C T C O D E : H S A D M I N -H S 1 O T H E R
FY 24 Highlights & Accompli shments
FY 25 Challenges & Opport unities
C o m p l e te d f u ll cr e d e n t i a l i n g w i t h Me d i c a r e f o r 4 0 LP C s a n d L M F T s b y
t h e 1 /1 /2 4 s t a r t d at e – n e w p r o v i d e r t y p e s f o r M e d i c a r e .
C e n t r a l i z e d d e p a r t m e nt f i n a nci a l t e c hn i c i an s i n t o s i n g l e t e a m , r e s ul t i n g
i n i m p r oved p r o c e s s i n g t i m e s a n d c o n s i s ten c y .
S t a f f i n g a c r o s s a l l a r e a s o f A d m i n i s t r a t i v e S er v i c e s h a s n ot k e p t p a c e
w i t h o t h e r s e r v i c e a r e a s , r e s u lt i n g i n a b so r p t i o n o f wo r k lo a d w i t h o ut
a dd i t i o n a l b a n d w i d t h .
U n d e r s t a f f i n g a n d t u r n o v e r at b o t h P u b l i c He a l t h a n d B e h a v i o r a l
H e a l t h f r o n t d e s k s .
R e d u c e d q u a l i t y i m p r o v em e n t a n d p e r f o r m a n c e m an a g e m e n t c a p a c i t y
i s r e s u l t i n g i n d i f f i cu l t y t o a n t i c i p a t e, p r e v e n t , a n d i m p r o v e q u a l it y
i s su e s .
P A G E 5 2ADMIN S E R V I C E S
P R O J E C T C O D E : H S A D M I N -H S 1 O T H E R
FY 24 Fundi ng Changes
FY 25 Program Changes
FTE Changes and Detail
E n d o f P a c i f i c S o u r c e W or k f o r c e D i v e r s i t y G r a n t (J u n e 3 0 , 2 0 2 4 ).
C o m p l e te d b u i l di n g r e n o v a t i o n s : N o r t h C o u n t y a n d W y a t t .
R e p u r p o s i n g a S e n io r Q u a l i t y A n a l y s t f r o m c o m p l i an c e o v er s i g h t i n t o
p ro j e c t m a n a g e r t o a s s i s t w i t h g a p i n c a p a c i t y f o r s t r at e g i c p l a n n i n g ,
p e rf o r m a n c e m a n a g e m e nt , a n d q u a l i t y i m p r o v em e n t .
FY 24 Hig hl ights and Acc omplishments
L a u n c h ed c o m p r e h e n s i v e w o r k f o r c e s t ab i l i z a t i on s t r a t e g i e s :
r e o rg a n iz e d l e a d e r s h i p t e a m ; f o r m a l i z e d w o r k f o r c e e n h a n c e m e n t-
c h a rt e r e d c o m m it t e e s ; l a u n c h e d s t a f f e n g a g e m e n t s u r v e y , D C H S
c u l t u r e i m p r o v e m e n t p r o j e c t , n e w s u p e r v i s o r t r a i n i n g a n d
o n b o a r d i n g i m p r o v e m e n t s ; s u p p o r t e d k e y w a g e a n d t u i t i o n
r e i m b u r s e m e n t i n c e n t i v e s .
A c hi e v e d i n t e g r a te d B e h a v i o r a l & P u b l i c H e a l t h r e s p o n s e t o ur g e n t
c o m m u ni t y n e e d s : co l l a b o r a t i o n o n mu l t i p l e p r o j e c ts t o a d d res s a n d
e n d h o m e l e ss n e s s i n D e s c hu t e s Co u n t y ; l a u n c h o f D C H S O v e r d o s e
S u rv e i l l a n c e , R e s p o n s e , an d C om m u n ica t i o n - H e a l t h I n t e l l i ge n c e
B r i e fi n g .
S u p p or t e d , l a u n c h e d an d /o r c o m p l e t e d k e y H e a l t h S e r v i c e s
i n fr a s t r u c t u r e p r o j e c t s : R e d m o n d C a m p u s , L a P i n e C o m m u n i t y
H e a l th I n t e g r a t i o n , W y a t t L e a s e a n d C o u r t n e y a n d W a l l S t r e e t
S e r v i c e s c l i n i c r e n o v a t i o n p l a n n i n g .
P A G E 5 3DIRECTORS O F F I C E
T h i s p r o g r a m p r o v i d e s a g e n c y -w i d e l e a d e r s h i p a n d o v e r se e s p r o g ra m s
a n d a c t i v i t i e s w i t h b r o a d p u b l i c , c o m m u n i t y p a r t n e r , i n t e r -a g e n c y a n d
c r o s s -j u r i sd i c t i o n a l i m p a c t a n d i n v o l v e m e n t , i n cl u d i n g s t r at e g i c
p l a n n i n g a n d c o mm u n ic a t i o n , f i s c a l v i a b il i t y a n d a c c o u n t a b i li t y a n d
w o r k f o r c e d e v e l o p m e n t .
P r i m a r y C o n t a ct : J a n i c e Ga r c e a u , D i r e c t o r o f H e a l t h S e r v i c e s
FY 25 Challenges & Opportu nities
K e y C h a l l e n g e s i n c l u d e r e s p o n d i n g to i n c r e a s i n g t h r e a t s t o o u r
s e r v i c e p o pu l a t i o n a n d c o m m u n i t y b r o u g h t o n b y a c h a n g i n g
c l i m a t e , p o p u l a t io n g r o w t h , a d e a r t h o f a f f o r d a b l e h o u s i n g ,
p r e v e n t a b l e d i se a s e o u t b r e ak s , an d t h e F e n t a n yl cr i s i s .
E m e r g i n g O pp o r t u n i t ies i n c l u d e :
C o n t in u e d b e n e f i t s o f i n t e g r a t i o n a n d c o l l ab o r a t i o n a c r o ss s y s t e m
p a r t n e r s : P r i m a r y Ca r e I n t e g r a t i o n , c o o r d i n a t e d r e s p o n s e s t o
h o m e l e s s n e s s a n d a d d i c t i o n , B e h avi o r a l H e a l t h p a r t n e r s h i p s w i t h
l a w e n f o r c e m e n t an d t h e J u s t i c e S y s t e m , a n d c o l l a b o r a t i o n w i t h
s c h o o l s t o r e d u c e s u i c i d e a n d s u b s t a n c e u s e r i s k .
C o n t in u e d g r ow t h o f n o n -t r a d i t i o n a l w o r k f o r c e : P e e r s a n d
T r a d i t i o n a l H e a l t h W o r k e r s , a n d t h e re-es t a b l i s h men t o f t h e
P u b l i c H e a l t h M e d i c a l R e s e r v e C o r p s o f v o l u n t e e r s .
FTE Changes and Det ail
P E R S O N N E L
H I G H L I G H T S
S T A T I S T I C S P A G E 5 4
4 2 3
T o t a l F T E
D i r e c t o r 's O f f i c e 2 .0 0
A d m i n S e r v i c e s 5 3 .5 0
B e h a v i o r a l H e a l t h 2 9 1 .8 2
P u b l i c H e a l t h 9 9 .9 3
1 4
N u m b e r o f p o s i t i o n s
r e a l l o c a t e d i n F Y 2 4
3 8
N u m b e r o f n e w
p o s i t i o n s c r e a t e d i n
F Y 2 4
F I N A N C I A L
H I G H L I G H T S
F I N A N C I A L S P A G E 5 5
FY24-25 Req uirements
FY24-25 Resou rces