* This transcript was created by voice-to-text technology. The transcript has not been edited for errors or omissions, it is for reference only and is not the official minutes of the meeting. [00:00:46] ALL GOOD AFTERNOON. UH, WE WILL CALL TO ORDER THIS HEALTH HUMAN SERVICES COMMITTEE REGULAR MEETING, JUNE 26TH, 2024. LET, UH, UH, ROLL CALL. WE'RE ALL HERE, SO THAT'S GOOD. AND THE AFFIDAVIT OF POSTING WAS POSTED ACCURATELY. LET'S RISE FOR A MOMENT OF SILENT PRAYER AND THE PLEDGE. I PLEDGE PIONS TO THE FLAG OF THE UNITED STATES OF AMERICA AND THE REPUBLIC FOR WHICH IT STANDS, ONE NATION UNDER GOD, INDIVISIBLE, WITH LIBERTY AND JUSTICE WORLD. ALL RIGHT, UH, DOES ANYONE HAVE ANY CHANGES TO THE MINUTES? SEEING NONE, WE WILL CONSIDER THOSE APPROVED. OUR FIRST ITEM WILL BE THE VETERAN SERVICE QUARTERLY REPORT. KURT IS UP FIRST. WELCOME. HELLO. HELLO. HELLO EVERYONE. I FEEL LIKE IT'S BEEN A VERY LONG TIME SINCE I'VE BEEN IN FRONT OF THIS COMMITTEE, SO I'M GLAD TO BE HERE. I'M KURT RUSH. FOR THE NEW MEMBERS THAT MAY OR MAY NOT KNOW ME, I'M THE COUNTY VETERAN SERVICE OFFICER, AND, UH, WE'VE GOT TWO ITEMS, UH, TO TALK ABOUT, UM, FAIRLY BRIEFLY TONIGHT. BUT, UH, THE FIRST IS THE EOS, UH, INITIATIVE THAT [a. Veteran Services Quarterly Report] WE'VE BEEN WORKING ON FOR THE LAST COUPLE OF YEARS. UM, THAT IS THE CEMETERY APPLICATION, UH, MARKING ALL OF THE VETERANS GRAVES THROUGHOUT THE COUNTY. UM, WE'RE AT A POINT WHERE WE'RE GONNA CLOSE THAT INITIATIVE. UM, ALL OF THE MAIN GOALS HAVE BEEN MET. UM, WE'RE STILL IN AN ONGOING PROCESS, AND WE WILL BE FOREVER OF COLLECTING, UH, GRAVE, GRAVE SITE, UH, LOCATIONS AS MORE VETERANS PASS AWAY WILL BE DOING THAT, UH, OBVIOUSLY FOREVER. UM, BUT, UM, THE BULK OF THE GRAVE SITES THAT ARE THROUGHOUT THE COUNTY HAVE BEEN COLLECTED AT THIS POINT. WE ONLY, I THINK, HAVE A FEW, UH, UH, CEMETERIES OUTSTANDING, SOME IN RICHFIELD, SOME IN, UM, UH, HARTFORD AREA, THAT THERE'S A CLEAR PLAN TO COLLECT THEM. WE HAVE SOME GROUPS THAT ARE GONNA GO OUT AND DO THAT. SO WE'RE GONNA CLOSE OUT THE INITIATIVE. UM, AND AS THE INITIATIVE HAS KIND OF WORKED THROUGH ITS PROCESS AND, UH, AND UNFOLDED, ONE OF THE LAST GOALS THAT WE HAD WAS TO SHARE THE INFORMATION WITH THE COUNTY VETERAN SERVICE OFFICER ASSOCIATION. AND I, I BELIEVE THAT THE GIS DEPARTMENT SEPARATELY SHARED IT WITH THEIR PROFESSIONAL ASSOCIATION. AND WE'VE GOTTEN A LOT OF INTEREST, UM, IN THE PROJECT THAT WE DID THROUGHOUT THE STATE, WHICH IS WONDERFUL. UH, AND OF COURSE, UM, IT, IT WILL HELP WITH SOME OF THE VETERANS FROM OTHER COUNTIES WHO CALL UP AND SAY, HEY, WE DON'T HAVE THIS IN OUR COUNTY. WHY DON'T WE HAVE IT HERE? UM, SO, UH, WE, UM, UH, DODGE COUNTY IS MOVING FORWARD ON IT. LAST, I, I HEARD FOND LAC CALLED ME TODAY, DOR COUNTY, UH, SEVERAL OF, UM, OF THE COUNTIES KIND OF WITHIN SOUTHEASTERN WISCONSIN HAVE REACHED OUT. SO, UM, WE'VE DONE A COUPLE OF MEETINGS WHERE WE'VE INFORMED THEM OF HOW THE PROJECT WORKS, WHAT THEY CAN DO TO START DEVELOPING IT. SO IT'S VERY EXCITING. IT'S KIND OF LED TO THIS, THIS DOMINO EFFECT, UH, WHICH IS WHAT WE HOPED. UM, SO IT'S REALLY NEAT. UM, SO THAT'S GONNA BE AN ONGOING, I, I DON'T WANNA SAY PROJECT, BECAUSE I, WE'RE NOT GONNA COMMIT A HUGE AMOUNT OF TIME TO IT, BUT WE ARE GONNA HELP PEOPLE AS NEEDED, UH, TO GET IT GOING. UM, SO THAT'S THE EOS PROJECT. AND THEN SECONDARILY, UM, WE STARTED THE GUITARS FOR VETS, UH, CHAPTER HERE IN WEST BEND. AND, UH, WE HAVE CURRENTLY FOUR STUDENTS. THAT'S OUR MAXIMUM. AND, UH, OUR FIRST STUDENT IS ACTUALLY GRADUATING THIS FRIDAY, UH, FROM THE COURSE. SO IT'S VERY EXCITING. UH, WE GOT THE GUITAR SENT TO US FROM THE MAIN GUITAR FOR VET, UH, PARENT ORGANIZATION, AND, UH, HE'LL BE GIVEN THAT GUITAR ON FRIDAY, ALONG WITH A T-SHIRT, AND A LOT OF THANKS AND APPLAUSE. AND WE'RE GONNA TRY TO PUT TOGETHER A FORMAL, LIKE GRADUATION EVENT FOR OUR FIRST CLASS , I GUESS YOU'D CALL IT, CLASS, UH, IN OCTOBER. UH, AND, UH, HOPEFULLY WE'LL BE ABLE TO INVITE, I DUNNO IF WE'RE GONNA INVITE THE GENERAL PUBLIC, BUT WE'LL IN INVITE, UH, STAKEHOLDERS TO THAT, TO THAT GRADUATION CEREMONY AS WELL. SO WE'RE VERY PROUD OF THAT PROGRAM. IT'S COMING ALONG WELL. UM, SINCE IT STARTED, WE'VE HAD A WAITING LIST, WHICH HAS BEEN PRETTY GREAT. UH, IT MEANS THERE'S A, A [00:05:01] GOOD AMOUNT OF INTEREST AND, UM, WITH A LITTLE LUCK, IT'S HELPING OUT THESE VETS TOO THAT NEEDS SOMETHING OTHER, YOU KNOW, MORE POSITIVE IN THEIR LIFE TO PUT THEIR EFFORTS INTO. UM, SO WITH THAT, I GUESS I'LL KIND OF PAUSE AND ASK IF THERE'S ANY QUESTIONS OR THOUGHTS OR ANYTHING LIKE THAT FROM, FROM YOU. UM, KURT, GOING FROM THE, YOUR LAST ON THE GUITARS FOR VETS, HOW DOES ONE GO ABOUT, UM, PARTICIPATING OR AT LEAST APPLYING TO PARTICIPATE IF THEY'RE INTERESTED IN HELPING WITH INSTRUCT? YEAH. OH, TO INSTRUCT, RIGHT. UM, THEY JUST REACH OUT TO ME DIRECTLY. THERE'S, THERE'S TWO WAYS TO DO THAT. OKAY. EITHER, UM, THROUGH, THROUGH MY EMAIL AND CONTACT HERE AT THE COUNTY, UH, OR THROUGH, UM, THERE'S A, I'M GONNA, NOW YOU'RE TESTING ME BECAUSE I'M GONNA HAVE TO REMEMBER THE EMAIL ADDRESS. I'M NOT GONNA REMEMBER IT. IT'S, IT'S A, A GUITARS FOR VET EMAIL ADDRESS. WE HAVE IT PUBLISHED. OKAY. UM, I BELIEVE IT'S WI DOT WEST BEND AT GUITARS FOR VETS@GMAIL.COM. IS IT ON THE, UH, VETERAN'S WEBSITE? IT IS. OKAY. AND WE'VE GOT IT. AND WE, WE'VE GOT IT PUBLICIZED AND, UM, IF ANYBODY HAS ANY QUESTIONS ABOUT THAT, THEY CAN CERTAINLY CALL OR EMAIL ME DIRECTLY AND I WILL GET THAT TO THEM. UM, BUT EITHER WAY, IF THEY REACH OUT AND SAY, HEY, I'M INTERESTED IN BEING AN INSTRUCTOR, I'M GOING TO CALL THEM ALMOST IMMEDIATELY. SO THAT WOULD BE, THAT WOULD BE GREAT. OKAY. IT'D BE GREAT. WE'D LOVE TO HAVE PEOPLE INSTRUCT. AND WE ALSO WANT VETS TO REACH OUT TO PARTICIPATE. UM, THEY MAY HAVE TO WAIT A FEW MONTHS ON THE WAITING LIST, BUT THAT'S OKAY. WE'LL STILL BE HERE. AND SO TO CONFIRM, THE WAITING LIST IS FOR THE VETERANS CORRECT. THAT WANNA PARTICIPATE, NOT INSTRUCTORS? THAT IS CORRECT. YEP. THE INSTRUCTOR, WE HAVE TWO, UM, WELL-TRAINED INSTRUCTORS RIGHT NOW. UM, AND GUITARS FOR VETS BEST PRACTICES IS ONLY TO DO TWO VETERAN STUDENTS AT A TIME. SO, UH, FOUR IS OUR MAXIMUM CAPACITY RIGHT NOW. THE MORE INSTRUCTORS WE BRING ON, OBVIOUSLY THE MORE VETS WE'LL HAVE IN, IN TRAINING. UM, BUT WE DON'T WANNA BURN OUT THE INSTRUCTORS 'CAUSE IT'S WEEKLY INSTRUCTION. SO IT, IT BECOMES A LOT IF YOU DO MORE THAN TWO STUDENTS. OKAY. AND THEN BACK TO YOUR, OUR FIRST, UH, PART ON YOUR EOS, UM, RELATED TO OTHER COUNTIES IN WISCONSIN. THAT'S GREAT. THAT'S WONDERFUL KNOWLEDGE. DO YOU HAVE THE ABILITY REGIONALLY TO LET OTHERS KNOW ABOUT IT AS WELL? OR NATIONALLY? UM, YOU MEAN WITHIN THE SERVICE OFFICERS? WELL, NO, WITH, I DON'T KNOW, WITHIN THE VETERANS ADMINISTRATION OF, UM, THE GIS OH YEAH. PROJECT. SO WE, WE, UM, I PRESENTED THIS, I'M SORRY, MAYBE I, I NEGLECTED TO MENTION IT. I PRESENTED IT AT OUR, UH, PROFESSIONAL ORGANIZATION. OH, UM, CONFERENCE, UH, LAST, LET'S SEE, IT'S SUMMER, SPRING. SO, UH, MARCH, UH, TIMEFRAME, MARCH OR APRIL. I, I PRESENTED THIS TO THE CONFERENCE. UM, AND THAT'S WHAT DREW A BUNCH OF INTEREST. I'M GONNA PRESENT IT AGAIN IN FALL. UM, SO WE'RE GONNA KIND OF KEEP THE, KEEP A LITTLE BIT OF A FOCUS ON IT. AND THEN, UM, CERTAINLY IN OUR PUBLICATIONS ON IT, WE'VE SHARED IT WITH THE VA AND WITH OTHER REGIONAL STAKEHOLDERS. I, I DON'T KNOW THAT A LOT OF THEM FROM THE US DEPARTMENT OF VETERANS AFFAIRS ARE REALLY IN A POSITION TO MOVE IT FORWARD. UM, BUT, UM, BUT CERTAINLY CV SSOS, MY COUNTERPARTS THROUGHOUT THE COUNTIES, THEY, THEY NEED TO BE THE DRIVING FORCE. AND QUITE FRANKLY, I THINK A LOT OF 'EM WILL BE, UM, ONCE THEY REALIZE HOW GREAT OF A PROJECT IT CAN BE. SURE. VALUE ADDED. THANK YOU. DOES ANYONE ELSE HAVE ANY QUESTIONS? PERKER? OKAY. OKAY. OKAY. THANKS SO MUCH. THANK YOU VERY MUCH. APPRECIATE IT. UH, NEXT ON THE AGENDA IS THE A DRC QUARTERLY REPORT. WE HAVE TAMMY. HI TAMMY. WELCOME. HELLO. HI, I AM TAMMY ANDERSON. I'M THE DIRECTOR AT THE AGING AND DISABILITY RESOURCE CENTER. UM, IN YOUR PACKET, I PROVIDED A VERY BRIEF OR HIGH LEVEL OVERVIEW OF A DRC [b. ADRC Quarterly Report] SERVICES. I'M NOT GONNA READ THAT TO YOU, BUT I AM GONNA GO THROUGH, UM, WHAT DOES AN A DRC DO FOR THOSE OF YOU THAT ARE, UM, NEW TO THE COMMITTEE OR JUST NEED A REFRESHER? UM, SO A DRCS, WE SERVE ADULTS WITH DISABILITY AND THOSE THAT ARE AGING ALL THE WAY THROUGH END OF LIFE, UH, PROVIDING RESOURCES AND THEN CONNECTING PEOPLE WITH PROGRAMS. WE ARE NOT LONG-TERM CARE CASE MANAGERS. UM, ALTHOUGH WE DO SERVE THE SAME CLIENTELE SOMETIMES, UM, FOR YEARS AT A TIME, ONCE THEY'RE KIND OF CONNECTED WITH A RESOURCE OR CONNECTED WITH A SERVICE OR A PROGRAM, UM, THAT IS WHERE OUR SERVICES END. SO TYPICALLY WHEN SOMEBODY CALLS OUR OFFICE, WALKS INTO OUR OFFICE, EMAILS OUR OFFICE, THEY'RE GONNA GET CONNECTED WITH ONE OF SIX INFORMATION AND ASSISTANCE SPECIALIST. AND, UM, THOSE FOLKS ARE GOING TO GET HELP, GET THEM CONNECTED, WHATEVER THAT MAY BE. IT MIGHT BE A ONE TOUCH WHERE THEY JUST NEED A PHONE NUMBER, UM, A CONTACT, SOME SORT OF RESOURCE ALL THE WAY THROUGH ENROLLING PEOPLE IN, UM, A LONG-TERM CARE PROGRAM, WHICH WOULD BE SEVERAL MEETINGS. UM, WE DO THOSE MEETINGS [00:10:01] IN OUR OFFICE, IN THE COMMUNITY, UM, IN PEOPLE'S HOMES, WHEREVER THEY'RE LIVING THAT, UM, BEST MEETS THEIR NEEDS. AND THEN WE ALSO HAVE, UH, SEVERAL STAFF THAT WORK WITH BENEFITS COUNSELING. SO THAT'S ALL THINGS, MEDICARE, MEDICAID, INSURANCE, UM, REALLY NITTY GRITTY, HIGH LEVEL, UH, THINGS WHERE THEY CAN KIND OF CUT THROUGH THAT RED TAPE AND HELP PEOPLE, UM, FIGURE OUT BENEFITS OR HELP WITH APPEALS, THAT SORT OF THING. WE OPERATE THE SENIOR DINING PROGRAM FOR THE COUNTY. SO WE HAVE SEVEN, UH, MEAL SITES IN WHICH WE SERVE, UH, CONGREGATE DINERS. AND THEN, UM, WE'RE DELIVERING ABOUT 200, A LITTLE OVER 200 MEALS A DAY TO THOSE HOME DELIVERED, UH, I'M SORRY, TO THOSE HOME BOUND SENIORS IN OUR COMMUNITY. THAT PROGRAM, UM, THOSE MEALS ARE DELIVERED SOLELY BY VOLUNTEERS. SO WE HAVE A BASE OF ABOUT 125 VOLUNTEERS. UM, SO WE'RE VERY GRATEFUL FOR, FOR THAT PROGRAM. UM, AND THEN WE RUN SOME HEALTH AND WELLNESS PROGRAMS FOR OLDER ADULTS. SO THAT'S OUR 60 PLUS POPULATION. UM, A VARIETY OF FITNESS CLASSES, PREVENTATIVE HEALTH CLASSES. THOSE ARE HELD EITHER AT THE PAC OR WE PARTNER PRETTY CLOSELY WITH THE COMMUNITY CENTER CENTERS AND, UH, SENIOR CENTERS THROUGHOUT THE COUNTY. AND THEN WE ALSO HAVE, UH, ONE PERSON DEDICATED TO DEMENTIA, UH, SUPPORT AND CAREGIVER SUPPORT. SO SUPPORTING THOSE PEOPLE THAT ARE CAREGIVERS IN OUR COMMUNITY, UM, AND THEN HELPING THOSE PEOPLE WITH COGNITIVE ISSUES, DEMENTIA, ALZHEIMER'S, THAT SORT OF THING. UM, SO REAL FAST, HIGH LEVEL OVERVIEW. ANY INITIAL QUESTIONS? UM, I DID, I'M JUST NOT SURE WHERE THIS, UH, COULD, COULD BE CHAIRED. UM, SO WITH THE, THE DINING PROGRAM, I THOUGHT I SAW IN HERE IN THE EOS, THE LOOKING TO EXPAND THAT AND YES. FORWARD FASHION. YEP. UM, SO WHAT WAS THE DRIVER FOR THAT? WAS THAT BY DEMAND FROM, UH, COUNTY RESIDENTS? UH, SO WE'RE LOOKING TO , UH, JUST HAD THIS CONVERSATION YESTERDAY IN A, IN A DIFFERENT MEETING. UM, I GUESS INNOVATE OR EXPAND, GET MORE PARTICIPATION, PARTICULARLY WITH OUR CONGREGATE DINERS. UM, THE SENIOR DINING PROGRAM HAS, AND THIS IS NOT JUST WASHINGTON COUNTY, THIS IS STATEWIDE, HAS KIND OF BEEN THE SAME. UM, WHAT THE STATE DIETICIAN HAD EVEN MENTIONED, SHE FOUND A MENU FROM LIKE 40 YEARS AGO. AND IT WAS PRETTY MUCH, YOU KNOW, THE SAME FOOD THAT GENERATION LIKES, LIKES, WHAT THEY LIKE. UM, SO WE'RE LOOKING REALLY TO INCREASE OUR CONGREGATE PARTICIPATION. WE LOST A LOT OF CONGREGATE DINERS, UM, THROUGH THE PANDEMIC. AND THEN THE STATE DID ALLOW FOR CARRY OUT MEALS, WHICH WAS PREVIOUSLY, UM, NOT AN ALLOWABLE THING TO DO. AND SO PEOPLE ARE GOING TO, AS THEY'RE ALLOWED, COME AND PICK UP THEIR MEAL AND LEAVE THE SITE, AND WE'RE REALLY LOSING THAT SOCIAL CONNECTION PIECE. UM, SO MOVING INTO, TO, TO ANSWER YOUR QUESTION, THE GOALS WE'RE EXPLORING A RESTAURANT SITE. THIS HAS BEEN IN THE WORKS FOR, UM, QUITE SOME TIME. WE, UM, RECENTLY HIRED A NEW NUTRITION AND WELLNESS SUPERVISOR. SHE'S BEEN IN PLACE ABOUT THREE MONTHS. UM, SO SHE ACTUALLY WAS OUT VISITING A RESTAURANT SITE IN ANOTHER COMMUNITY TODAY. AND WE'RE WORKING WITH THE STATE ON, UM, HOW THAT ALL WORKS. UM, THERE'S, THERE'S KIND OF TWO DIFFERENT PATHS YOU CAN TAKE, AND I WON'T GET INTO THE WEEDS ON THAT, BUT ESSENTIALLY THE DINERS COME TO A RESTAURANT THAT THE SENIOR DINING PROGRAM CONTRACTS WITH, UM, AND THEY PROVIDE THE FOOD, UM, JUST LIKE OUR CATERER WOULD. AND THEN, UH, RESIDENTS ARE MORE LIKELY TO COME TO THAT SORT OF A SETTING RATHER THAN OUR SENIOR DINING SITES THAT ARE SOMETIMES IN HOUSING UNITS OR CHURCHES, UM, MORE LIKELY TO COME TO A RESTAURANT SITE. AND WE'RE HOPING WE CAN SEE SOME INCREASED PARTICIPATION, UM, ONCE WE GET THAT PROGRAM UP AND RUNNING. UM, SO IS IT SAFE TO, TO ASSUME THAT THERE'S MAYBE BEEN AN INCREASE, WELL, LEMME REPHRASE THAT. SO BASED UPON SOME OF THE BENEFIT COUNSELING OR OTHER SERVICES, IF WE'RE, IF WE'RE SEEING, WELL, LET'S, FOR LACK OF A BETTER WORD, SHUT IN RIGHT, AND AND LACK OF SOCIAL INTERACTION, ARE, ARE WE SEEING MORE CALLS FOR, UM, BENEFIT SERVICES, MENTAL HEALTH SERVICES, UM, AND OR MAYBE EVEN, [00:15:01] YOU KNOW, THE, THE PHYSICAL WELLNESS SO THAT UNDER THE HEALTH AND WELLNESS, UH, PILLAR, UH, I WOULD THINK IT IF, DOES THAT MAKE SENSE? ARE WE SEEING, UM, DIFFERENT AREAS INCREASE? SO, SO I'M CERTAINLY NOT PREPARED TO, UM, TO GIVE THAT SORT OF DATA. I THINK WE DEFINITELY HAVE SEEN AN INCREASE, UM, IN OUR BENEFIT SERVICES, AGAIN, RELATED TO THE PANDEMIC AND PEOPLE, YOU KNOW, GOING THROUGH THOSE FINANCIAL STRUGGLES. UM, I CAN CERTAINLY BRING THAT SORT OF SORT OF DATA. UM, BUT I WOULD SAY YES, IF I WERE TO PULL NUMBERS, WHICH I HAVEN'T DONE VERY RECENTLY, YEAR AFTER YEAR, WE'RE SEEING AN INCREASE IN THE NUMBER OF CONTACTS WE'RE HAVING WITH CONSUMERS THAT ARE CALLING ABOUT A VARIETY OF THINGS. SO A POSITIVE OUTCOME OF THE SOCIALIZATION WITH THE DINING COULD BE, YOU KNOW, MITIGATING OR ABATING MENTAL HEALTH ISSUE INCREASES. DEFINITELY. SO ON AND SO FORTH. LONELINESS. YEAH. YEAH. AND WE, WE DO HAVE SOME PROGRAMS RUNNING AND I'M PART OF A STATEWIDE COALITION FOR SOCIAL ISOLATION AND LONELINESS. UM, SO IT'S A BIG, UM, A BIG THING THAT THIS, THAT THE STATE IS FOCUSING ON RIGHT NOW. AND WE'RE HAPPY TO BE A PART OF IT. 'CAUSE WE KNOW WHAT A CONCERN THAT IS. THE OTHER BENEFIT OF THOSE CONGREGATE DINERS IS WE, UM, WE DO LIKE A MONTHLY EDUCATION THAT MIGHT JUST BE SOMETHING, YOU KNOW, ON PAPER, BUT ALSO BRINGING IN SPEAKERS, UM, KIND OF FOCUSING ON THE TOPICS THAT THEY'RE INTERESTED, INTERESTED IN LEARNING ABOUT. UM, SO THAT'S ANOTHER WAY TO GET OUT TO THE PUBLIC. IF WE HAVE MORE PEOPLE CONGREGATING, WE CAN PRESENT KIND OF WHAT OUR SERVICES ARE OR WHAT OTHER SERVICES IN THE COMMUNITY ARE THAT THEY CAN CONNECT TO. YES. SO KIND OF CONNECTING THIS IN, UM, ONE THING I SEEM TO REMEMBER, YOU CAN TELL ME IF I'M WRONG ON THIS, IS THAT, UM, SENIOR POPULATION WE ALL KNOW IS, UM, SUSCEPTIBLE TO DEMENTIA RELATED DISEASES. UM, SOCIAL ISOLATION CAN INCREASE, ACCELERATE THE RATE AT WHICH HAD HAPPENS, AND SOCIALIZATION CAN HELP SLOW DOWN THE RATE AT WHICH THAT HAPPENS. IS THAT RIGHT? YEAH. SOCIAL ISOLATION IS TIED TO, UM, MANY NEGATIVE HEALTH OUTCOMES. NOT JUST DEMENTIA RELATED DISEASES, BUT ALL SORTS OF PHYSICAL RELATED DISEASES, MENTAL HEALTH, ALL SORTS OF THINGS. YEP, THAT IS CORRECT. CHAIRMAN ? YES. YEAH, GO AHEAD. THANK YOU. UM, MY FATHER-IN-LAW WAS A VOLUNTEER DRIVER FOR MEALS ON WHEELS SOME YEARS AGO. AND, UM, HE OFTEN COMMENTED HOW THE PEOPLE JUST WANTED TO TALK TO HIM. YEAH. AND THAT WAS BEFORE THE PANDEMIC, SO I CAN ONLY IMAGINE WHAT IT IS NOW. YEAH. IF WE'RE EVER IN A REAL JAM IN THE OFFICE AND THEY'RE LOOKING FOR SOMEBODY TO DRIVE MEALS, I'LL GLADLY GO OUT. IT KIND OF KEEPS ME IN THE GAME. AND JUST THAT, UM, THAT DAILY CHECK-IN FOR THAT PERSON A MONDAY THROUGH FRIDAY DAILY CHECK-IN IS REALLY IMPORTANT. THANK YOU. YEAH. THANK YOU. ANY OTHER QUESTIONS, COMMENTS? I THINK WE'RE GOOD. OKAY. THANK YOU, TAMMY. THANK YOU. OUR NEXT AGENDA ITEM IS THE DRUG TREATMENT COURT FOUR YEAR REPORT AND THE PRESS RELEASE. AND WE'RE LOOKING FOR ANDY FREEMAN, THE DIVERSION PROGRAM MANAGER TO JOIN US. WELCOME, ANDY. HELLO. THANKS FOR HAVING ME. YES, THANK YOU. YEAH. UM, SO, YOU [c. Drug Treatment Court Four Year Report and Press Release] KNOW, THANK YOU FOR THE INTRODUCTION. UH, YES. AND ANDY FREEMAN AND, UH, GLAD TO BE HERE. UH, JUST AFTER MY FIRST YEAR, UH, WHICH IS GREAT. I'M GLAD TO BE SEEING YOU GUYS AGAIN. UM, WANTING TO COME AND, UH, PROVIDE AN UPDATE ON DRUG TREATMENT COURT. UM, AND NOTICE OF THE PRESS RELEASE, WHICH COVERS AT LEAST THE FUNDING SOURCE, WHICH I BELIEVE WAS SHARED HERE PREVIOUSLY, UH, THAT WE OBTAINED ANOTHER FOUR YEAR, UH, FEDERAL GRANT TO CONTINUE THE OPERATION OF DRUG TREATMENT COURT. UM, I BELIEVE IT SAYS IN THE PRESS RELEASE, UH, THIS IS FOR AN INCREASED AMOUNT. AND OUR HOPE IS THAT THIS ALLOWS US TO, UH, HOPE OUR INTENT TO EXPAND THE PROGRAM AND ENHANCE, UH, VARIOUS TREATMENT OR ANCILLARY SERVICES WITHIN THE PROGRAM. UH, WITH THAT INCREASED FUNDING OVER THE NEXT FOUR YEARS, UM, THE, UH, PRESS RELEASE AND THE INFORMATION, AND IT GIVES, UH, PARTICIPANT OUTCOME INFORMATION THAT IS ACCURATE UP TO DECEMBER 31ST OF 23. UM, AND, UH, SO ONE, TO SHARE THAT IN IN [00:20:01] GENERAL, LETTING BOTH YOU GUYS AND THE COMMUNITY KNOW, UH, THAT WE'VE HAD A FAIR AMOUNT OF GRADUATES, OUR GRADUATES BOTH MAINTAIN SOBRIETY AND THOSE AREAS OF THEIR LIFE, WHICH THE, UH, HAVING HEALTH INSURANCE DRIVER'S LICENSE EMPLOYMENT, SAFE AND STABLE LIVING, UH, THOSE ARE SPECIFIC MEASURABLE AREAS THAT JUST IN GENERAL REFLECT OVERALL INCREASED STABILITY AND WELLNESS IN MULTIPLE AREAS OF LIFE, UH, INCLUDING THE RECOVERY. UH, SO WANTED TO SHARE THAT WITH EVERYONE AND, UM, WE'RE, WE'RE GLAD TO HAVE ANOTHER FOUR YEARS. YES. AND CONGRATULATIONS ON THE PRESS RELEASE AND THE ANNOUNCEMENT OF A, THE GRANT, IT WAS FOR A MILLION DOLLARS, IS THAT CORRECT? CORRECT. WHAT HAS IT BEEN IN THE PAST THAT THIS IS MORE, UH, PREVIOUS? THE PREVIOUS FOUR YEARS, UH, WAS 500,000. OH, AWESOME. UH, SO IT'S DOUBLE SO DOUBLED. THAT'S GREAT. THAT'S GREAT. JULIE, DID YOU HAVE ANYTHING YOU WOULD LIKE TO ADD? UM, I JUST WANNA ADD, UM, WELL, OBVIOUSLY KUDOS TO ANDY AND THE TEAM. UM, IT'S, YOU KNOW, UM, AND CERTAINLY, UH, JUDGE MARTINS AND JUDGE ERNO WHO'VE BEEN THE LEADERS IN THIS, UM, INITIATIVE FROM THE JUDICIAL SIDE. UM, UH, I THINK IT WAS LAST MONTH OR THE MONTH PRIOR WHEN I BROUGHT TO YOU, UM, THE, UM, DATA ON THE OPIOID SETTLEMENT DOLLARS. UM, I HAD MENTIONED THAT WE WERE, UH, HOLDING OFF, UM, FOR A WHILE ON THE RECOVERY HOUSING TO WAIT TO SEE IF WE GOT FUNDING FOR DRUG TREATMENT COURT, BECAUSE THAT IS ONE OF OUR TOP PRIORITIES. UM, SO I'M VERY PLEASED, UM, WITH ANDY'S WORK AND THE WORK OF THE TEAM TO BRING THOSE DOLLARS IN FOR ANOTHER FOUR YEARS AND TO BE ABLE TO SERVE MORE, UM, INDIVIDUALS IN, IN THE COURT AS WELL. UM, AND I ALSO JUST WANTED TO, UM, JUST CALL OUT IN A LITTLE KUDOS TO ANDY, BUT HE DID MAKE THE FRONT PAGE OF THE PAPER, SO YEAH. UM, IF YOU SAW THAT YESTERDAY, YES. YEAH. CONGRATULATIONS. AND I WOULD JUST LIKE TO ACKNOWLEDGE, UH, JUDGE GERNATH AS WELL FOR HER LEADERSHIP AND, AND JUST, YOU KNOW, BEING THERE CONSTANTLY MOVING AND CHARGING FORWARD WITH THIS. THIS IS GREAT. THANK YOU. SUPERVISOR GITZ. YEAH, THANK YOU CHAIR. UH, SO ANDY, I, I'M NEW TO THIS AND, UH, WHILE I, I'VE SEEN SOME OF THE PRESENTATIONS IN THE, IN THE BOARD IN THE PAST, YOU KNOW, LOOKING AT THE, UM, FOUR YEAR SUMMARY AND THEN EXTRAPOLATING THAT FOR THE NEXT FOUR YEARS WITH DOUBLE THE FUNDING, ARE WE ANTICIPATING, YOU KNOW, SERVING MORE CUSTOMERS, CLIENTS, BECAUSE I THINK IT SAID 41 CLIENTS SERVED AND THERE'S THERAPY AND, AND, AND OTHER, UH, UM, YOU KNOW, METRICS. BUT I'M ASSUMING WITH INCREASED DOLLARS, THE INTENT OR GOAL IS TO SERVE MORE. THAT IS OUR INTENT, UM, COMES DOWN TO THE QUESTION OF, UH, OUR WHAT IS THE COMMUNITY NEED, UH, OR WHAT'S THE NEED WITHIN THE CRIMINAL JUSTICE SYSTEM. UM, OUR GOAL CERTAINLY IS TO, IN EXPANDING THE FUNDING, UM, IS TO BE ABLE TO SERVE AN INCREASED NUMBER OF CLIENTS. UM, I, I HOPE THAT WE REACH CAPACITY AGAIN, THAT THAT MEANS WE'RE ABLE TO MEET EVEN MORE CLIENT'S NEEDS. AND, AND YEAH. AND AS, YEAH. UM, MAYBE ANOTHER WAY TO LOOK AT IT TOO IS, SO IF WE WERE CONSTRAINED, LET'S SAY, LET'S MAKE AN ASSUMPTION WE WERE CONSTRAINED BEFORE WITH LIMITED FUNDING MM-HMM. . AND NOW WITH SOME ADDITIONAL FUNDING, UM, IS IT AN OPPORTUNITY TO REVISIT WHAT THE SERVICES ARE AND DETERMINE, YOU KNOW, ARE, ARE THE AVAILABLE RESOURCES BEING BEST UTILIZED IN TERMS OF, UM, YOU KNOW, MEETING CLIENT'S NEEDS OR THE COMMUNITY'S NEEDS OR, YOU KNOW, SOME FACETS THAT, I MEAN, DOES IT GIVE US AN OPPORTUNITY TO PAUSE AND REVISIT WHAT THE CHARTER IS AND WHAT THE DESIRED OUTCOME IS? YES, ABSOLUTELY. UM, AND I'M TRYING TO THINK HOW TO MEANINGFULLY RESPOND TO THAT VERY LARGE QUESTION , UH, QUITE HONESTLY, UM, YES. SO, UH, PART OF, UH, IN, IN THE DATA THAT'S, UH, UH, PROVIDED IN THE PACKET AND IN THE PRESS RELEASE, UM, THAT COMES FROM A FOUR YEAR, UH, MORE COMPREHENSIVE PROGRAM EVALUATION, UH, THAT LOOKS AT EVERY ASPECT OF THE PROGRAM AND OUR OUTCOMES. UM, AND AS PART OF THAT, WE EVALUATE OURSELVES AGAINST BEST PRACTICE THE NEEDS OF OUR CLIENTS. AND, UH, THEN THE IMPACT THAT WE'RE HAVING. UH, WE REVIEW THAT, UH, BOTH AS A A TEAM AND WITH THE WASHINGTON COUNTY DRUG TREATMENT COURT COORDINATING COMMITTEE. UH, AND THAT IS OUR OPPORTUNITY TO EVALUATE WHERE ARE THE NEEDS OF OUR CLIENTS THAT ARE NOT BEING MET THAT WE WILL NOW BE ABLE TO TARGET WITH ADDITIONAL FUNDING, UH, SO THAT WE CAN BETTER HELP THEM. UM, AND ALSO WHAT'S A REALISTIC CAPACITY, UH, FOR US BASED ON FUNDING AND INCREASE STAFFING. UM, AND DO WE REASONABLY EXPECT [00:25:01] THAT WE'LL BE ABLE TO MEET THE NEEDS OF THE CRIMINAL JUSTICE SYSTEM BASED ON THE INFORMATION THAT WE HAVE? UM, SO MANY OF THOSE CONVERSATIONS HAVE ALREADY TAKEN PLACE, UH, WI WITHIN THAT COMMITTEE. UM, AND THIS NEXT FOUR YEARS IS AN OPPORTUNITY CERTAINLY TO DO EVERYTHING YOU DESCRIBED. AND IF I MAY ALSO ADD ONTO THAT, UM, JUST TO SORT OF PUT IT IN A DOLLAR AND CENTS. SO THE PREVIOUS GRANT FOR 500,000 CAME OUT TO $125,000 PER YEAR. UM, AND SO THAT WE, WE APPLIED FOR THAT IN 2019. AND SO WE ALL ALSO KNOW WHAT'S HAPPENED SINCE THAT TIME IS, UM, INFLATIONARY COSTS AND THE COST, UM, NEEDED TO, UM, PAY QUALIFIED INDIVIDUALS TO DO THIS WORK. AND OUR COMMUNITY PARTNER ELEVATE, WHO PROVIDES THE CASE MANAGEMENT SERVICES FOR THIS PROGRAM, HAS SEEN, YOU KNOW, THAT SAME, UM, YOU KNOW, ISSUE THAT WE'VE SEEN AT THE COUNTY, RIGHT. ABOUT NEEDING TO, UM, ENSURE THAT WE'RE MEETING THE, THE COST OF, UM, OF SALARIES TO HAVE QUALIFIED INDIVIDUALS. SO HAVING THAT ADDITIONAL OR DOUBLE THE MONEY, I THINK GIVES THEM A LITTLE BIT MORE CAPABILITY OF ENSURING THAT THEY'RE ABLE TO BRING ON QUALIFIED STAFF. UM, BUT THERE'S ALSO SIGNIFICANT COSTS THAT GO INTO DRUG TESTING AND DRUG TESTING SUPPLIES, UM, AS WELL AS, UM, YOU KNOW, THE TREATMENT SERVICES AND, AND THOSE TYPE OF THINGS. UM, I THINK IT'S A LITTLE KNOWN FACT, UM, 'CAUSE ELEVATE DOESN'T ADVERTISE IT GREATLY, BUT THEY ALSO DO FUNDRAISING AND RECEIVE OTHER GRANT DOLLARS TO HELP OFFSET THIS PROGRAM. UM, SO THEY ARE, YOU KNOW, SORT OF BRINGING SOMETHING TO THE TABLE AND, AND HELPING TO MEET, MEET THE, THE COST OF WHAT THIS PROGRAM IS, BECAUSE IT DOESN'T, THE $250,000 A YEAR DOESN'T COVER ALL OF THEIR COSTS. UM, BUT IN ADDITION, WE DID, UM, PUT IN OUR GRANT THAT WE WOULD SERVE MORE CLIENTS OVERALL AS WELL. SO JUST WANTED TO GIVE YOU THAT DETAIL. THANK YOU, SUPERVISOR BOSER. UH, ONE THING I'D WANT TO ADD INTO THE DISCUSSION ABOUT THE FIRST FOUR YEARS IS THERE'S A LOT OF RAMP UP TIME. AT THE BEGINNING THAT WAS INVOLVED, JUDGE MARTINS AND THE INITIAL TEAM HAD TO GET FULLY TRAINED MM-HMM. ONCE THEY GET THEIR FIRST, THEIR FIRST PERSON IN THE PROGRAM. I BELIEVE IT WAS ABOUT 18 MONTHS LONG, THE AVERAGE PROGRAM LENGTH. SO IT WAS ABOUT TWO YEARS IN BEFORE WE EVEN HAD OUR FIRST GRADUATE. WHERE AS WE START THIS NEW FOUR YEAR CYCLE, WE PROBABLY HAVE A FEW PEOPLE IN THE PROGRAM WHO ARE ALREADY CLOSE TO GRADUATING. SO I THINK WE'RE GONNA PROBABLY MAYBE REASONABLY SEE SIX TO EIGHT A YEAR GRADUATES. IS THAT KIND OF A REASONABLE ESTIMATE IN YOUR EYES? IT WOULD BE DIFFICULT FOR ME TO, UH, ESTIMATE AN AVERAGE NUMBER OF GRADUATES PER YEAR, UH, BECAUSE OF WHAT YOU JUST DESCRIBED, THE, THE NUMBERS FLUCTUATING SO MUCH IN THE BEGINNING, FIRST FOUR YEARS, UH, BECAUSE OF RAMP UP. UM, SO I DON'T HAVE A MEANINGFUL DATA DRIVEN, UH, ESTIMATE TO GO OFF OF, SO THAT'S WHY I HESITATE. BUT, UH, YOU, YOU, YOUR POINT IS ABSOLUTELY CORRECT THAT NOW THAT THERE'S FULL PROGRAM ENROLLMENT, WE SHOULD SEE OR WOULD EXPECT TO SEE, UH, CONTINUED GRADUATION AND, AND, AND PROGRAM AND CLIENT, MOST IMPORTANTLY IS CLIENT SUCCESS. YEAH. UM, BY THE WAY, I WANT TO THANK YOU FOR THE METRICS IN YOUR REPORT. I THINK THEY'RE EXCELLENT AT GETTING A PICTURE OF WHAT'S HAPPENING. WHAT I WOULD LIKE TO SEE IF WE CAN DO IS START FIGURING OUT WHAT METRICS FOR POST-GRADUATION MM-HMM. , WE WANNA TRY TO FOLLOW UP ON, YOU KNOW, UH, YOU KNOW, THIS PROGRAM IS GREAT IF WE HAVE 15 GRADUATES AND FOUR YEARS FROM NOW, NONE OF THEM IS USING IT ALL HAS ANY CONVICTIONS. YOU KNOW, ON THE OTHER HAND, FOUR YEARS FROM NOW, IF ALL 15 OF THEM HAVE NEW DRUG VIOLATIONS MM-HMM. AND, YOU KNOW, HAVE EMPLOYMENT ISSUES AND, YOU KNOW, THAT REFLECTS VERY DIFFERENTLY. SO I THINK HAVING SOME POST-GRADUATION TRACKING TO THE EXTENT THAT WE CAN, AND I KNOW THERE'S SOME PRIVACY ISSUES AND THERE'S ONLY SO MUCH DATA WE CAN GET, BUT ANYTHING WE CAN DO TO TRACK PEOPLE POST-GRADUATION AND WHAT THEIR SUCCESS IS, I THINK ADDS TO THE CREDIBILITY OF THE PROGRAM. SO, YEP. YEAH. THANK YOU. ABSOLUTELY. UM, YEAH, I CAN I RESPOND? OH, ABSOLUTELY. I WAS JUST GONNA BUILD ON WHAT HE HAD TO SAY. YEAH. OH, SURE. GO AHEAD. SORRY. UM, I HAD JOTTED DOWN A FEW QUESTIONS ABOUT THE METRICS TOO. I REALLY APPRECIATE THE DASHBOARD VERY MUCH SO, BECAUSE IT REALLY DOES GIVE YOU A QUICK GLIMPSE AT, AT WHAT'S GOING ON. AND, AND I REALLY APPRECIATE THAT. A COUPLE, IF WE DIG INTO IT JUST A LITTLE BIT, UM, I AM CURIOUS ABOUT, UH, UH, WHAT SUPERVISOR BROSSARD SAID, HOW LONG DO WE FOLLOW POSTGRADUATE TIME? HOW MANY YEARS, HOW MANY MONTHS, HOW LONG [00:30:01] OF THESE 15 FOR EXAMPLE, ARE, OR DO WE FOLLOW ONCE THEY GRADUATE? I'M TRYING TO THINK OF THE RIGHT QUESTION TO ASK, UM, BECAUSE FOLLOWING THEM AFTER, UH, WOULD BE IN DIFFERENT WAYS AND WE'D GATHER DIFFERENT INFORMATION, UH, DEPENDING ON HOW WE'RE FOLLOWING THEM. UM, UH, ONE THING, UH, YOU MENTIONED WAS, UH, POST-PROGRAM RECIDIVISM, WHICH IS A, UH, ONE OF THE PRIMARY BENCHMARKS OF DRUG TREATMENT COURTS DIVERSION PROGRAMS. UM, SO CERTAINLY FROM A, UH, DATA STANDPOINT USING WHAT'S AVAILABLE IN THE WISCONSIN CIRCUIT COURT ACCESS SYSTEM, WE WILL AND, AND ARE CURRENTLY FOLLOWING CLIENTS, UH, AFTER PROGRAM COMPLETION FOR ONE, TWO, AND THREE YEARS TO SEE IF THERE'S A NEW CRIMINAL CHARGE, WHICH WE DEFINE AS A RECIDIVISM EVENT. AND WHEN WE HAVE A HIGHER ENOUGH NUMBER OF INDIVIDUALS THAT HAVE ONE, TWO, AND THREE YEARS POST DISCHARGE, UH, WE WILL CONDUCT A COMPREHENSIVE RECIDIVISM EVALUATION, UM, IN PARTNERSHIP WITH OUR RESEARCH AND EVALUATION SPECIALIST. UM, SO THAT'S ONE WAY. UH, SECOND WAY IS AN AREA WITH THE INCREASED FUNDING WE'RE FOCUSING ON ENHANCING, WHICH IS, UH, OUR AFTERCARE CONTINUING CARE SERVICES. UM, I WOULD SAY RIGHT NOW, UH, ELEVATE THE TREATMENT PROVIDERS INVOLVED ON OUR TEAM HAVE DONE A FANTASTIC JOB IN PROVIDING SERVICES TO CLIENTS AFTER DISCHARGE ON A VOLUNTARY BASIS, UH, BECAUSE IT'S ON A VOLUNTARY BASIS. UM, I, I BELIEVE THERE'S SURVEY DATA, UM, THAT'S, UH, UH, AVAILABLE. UH, BUT IN TERMS OF SPECIFIC METRICS, I DON'T HAVE THE ABILITY TO SPEAK TO THAT RIGHT NOW, UNFORTUNATELY. UM, AND ELEVATE ALSO HAS DONE A LOT IN THE LAST FOUR YEARS IN TERMS OF OFFERING, UH, SEMI-ANNUAL EVENTS TO PARTICIPANTS, GRADUATES OF THE, UH, DIVERSION PROGRAM. SO OWI DIVERSION PROGRAM, DPA DIVERSION PROGRAM AND DRUG TREATMENT COURT, UH, JUST TO HELP THOSE INDIVIDUALS STAY CONNECTED, UH, AND, UM, ALSO TO CONTINUE TO ENGAGE WITH THEM. SO, MM-HMM, . SO I, I WAS GONNA ADD TO ASK WHAT THE RECIDIVISM RATE WAS, UM, AND ESPECIALLY FOR OUR 15 GRADUATES, IF THAT MIGHT BE SOMETHING YOU COULD PUT ON THE DASHBOARD, UM, IF THAT'S, IT WOULD BE HELPFUL FOR US TO KNOW. I THINK, UH, MAYBE THE PUBLIC AS WELL. UM, I DON'T KNOW WHAT OUR, OUR CURRENT RECIDIVISM IS. AND SINCE YOU'RE FOLLOWING ONE TO THREE YEARS POST-GRADUATION, DID YOU SAY ALSO THAT SOME OF IT'S VOLUNTARY WHEN YOU'RE FOLLOWING THEM? UM, WE USE INFORMATION THAT'S PUBLICLY AVAILABLE, UH, THROUGH THE STATE COURT SYSTEM TO TRACK RECIDIVISM. UM, SO THAT IS, WE, WE, WE LET CLIENTS KNOW THAT WE TRACK RECIDIVISM IN, IN THE BEGINNING IN TERMS OF WHAT KIND OF FOLLOW UP WE DO. UH, BUT IN TERMS OF REQUIRING ANY SPECIFIC KIND OF, UM, IT'S NOT A CLIENT CONTACT. YEAH. OKAY. YOU'RE JUST GOING OFF OF COURT RECORDS. SURE. YEAH. IF I CAN JUST ADD TO, I THINK AS ANDY HAD SAID, UM, FOR, TO BE ABLE TO ARTICULATE A STATISTICALLY SIGNIFICANT RECIDIVISM RATE, EITHER POSITIVE OR NEGATIVE, UM, YOUR N THE NUMBER OF PEOPLE HAS TO BE MUCH LARGER, AND YOU HAVE TO BE ABLE TO FOLLOW 'EM FOR A LONGER PERIOD OF TIME. SO, YOU KNOW, WE CAN TALK ANECDOTALLY, BUT I AM ALSO HESITANT TO PUT THAT INFORMATION OUT INTO THE PUBLIC WITHOUT, YOU KNOW, HAVING A, A FULL EVALUATION COMPLETED. AND WE'RE JUST, FRANKLY, TOO SOON IN THE PROGRAM TO BE ABLE TO DO THAT. UM, THERE IS, THERE ARE SOME DOLLARS EARMARKED IN THIS GRANT FOR OUR EVALUATOR TO START DOING SOME OF THAT, BECAUSE AS WE GET OVER THE NEXT FOUR YEARS, WE'LL BE ABLE TO, YOU KNOW, START LOOKING AT THAT DATA, BUT THE N ALSO HAS TO BE MUCH LARGER. SO YOU'RE LOOKING FOR A LARGER AGGREGATE NUMBER TO BE ABLE TO NOT BE SO IDENTIFYING. UM, CORRECT. OKAY. THAT'S HELPFUL TO KNOW. THANK YOU. UM, AND I, I WAS CURIOUS IF THE GRANT, UM, ALSO HAD, LIKE, IS IT OUTCOMES DRIVEN? I'M ASSUMING THEY'RE LOOKING FOR, YOU NEED TO CHECK THIS BOX, THIS BOX FOR, UM, OUTCOMES BASED INFORMATION, AND THAT WOULD BE SOME OF THOSE STATISTICS YOU TALKED ABOUT FROM A LARGER AGGREGATE NUMBER? YES. OKAY. EXCUSE ME. YES, ABSOLUTELY. OKAY. UM, NOT ONLY IS IT A GRANT REQUIREMENT, UM, MYSELF, THE ENTIRE TEAM, UH, I BELIEVE FIRMLY BELIEVES IN, UH, PROGRAM EVALUATION AS AN ETHICAL APPLICATION TO MAKE SURE WE'RE DOING THE BEST THAT WE CAN FOR, FOR OUR CLIENTS IN THE COMMUNITY. AND THERE ARE STATE AND NATIONAL BEST PRACTICE STANDARDS, UM, AND MEASURES THAT WE USE TO E EVALUATE, UH, HOW WE'RE DOING, WHETHER OR NOT WE'RE ON TRACK, UH, AND IF WE'RE HAVING THE IMPACT. SO, UH, SOME OF THEM WE REPORT ON [00:35:01] FOR FUNDING REQUIREMENTS, OTHERS WE DO, UH, TO HELP US EVALUATE OURSELVES AND SOME CHANGE OVER TIME. FIRST FOUR YEAR MEASURES ARE NOT ALWAYS, UH, YOUR, YOUR, YOUR ACTIVE NEXT FOUR YEAR PROGRAM MEASURES. SO THAT'S ANOTHER PART OF THAT FOUR YEAR EVALUATION AND, AND ADJUSTMENT. PERFECT. SUPERVISOR GALL, I, I, I DON'T, I DON'T WANT TO MAKE A AN ASSUMPTION, SO I'M GONNA ASK A QUESTION. IT SAYS, TOTAL CLIENT SERVED 41 GRADUATES, 15 ARE ALL CLIENTS SERVED POTENTIALS TO BE GRADUATES? SO ARE THE 15 OF 41 THAT'S A GRADUATION QUOTE UNQUOTE RATE, AND A THIRD KIND OF DROPPED OUT, OR A THIRD WERE SUCCESSFUL AND TWO THIRDS DROPPED OUT, OR WERE THERE OTHER SERVICES? THE REASON WHY I ASK THAT IS I'M JUST THINKING, YOU KNOW, WE TALK ABOUT THIS ADDITIONAL FUNDING AND I WOULD SUSPECT THAT THERE MAY BE MORE DEMAND THAN SU UH, SUPPLY MEANING AVAILABLE SPOTS FOR, FOR THIS. AND THEN IF SO, HOW, HOW THEN DO YOU, YOU KNOW, DETERMINE BEST FIT? SO IF YOU HAVE A, A LARGE DROPOUT RATE, UM, HOW DO YOU REFINE THAT SELECTION PROCESS TO MAYBE BETTER ENSURE THAT WE, THERE'S MORE GRADUATES, NOT, NOT TO MAKE THE NUMBERS LOOK GOOD, BUT TO, TO SERVE THOSE RIGHT. THAT TRULY WANT TO BE SERVED AND HELPED. UM, OR AT LEAST THAT'S, THAT'S JUST WHAT COMES TO MY MIND. YES. UM, PHENOMENAL QUESTION. UH, SO THE INFORMATION, UM, OF, OF THE TOTAL SERVED, UH, THERE ARE, UH, THREE SUBSETS, UH, GRADUATED, NON GRADUATED, WHICH WOULD INCLUDE, UH, CLIENTS THAT WERE TERMINATED, UH, ADMINISTRATIVE DISCHARGES, BOTH COMBINED AND ACTIVE CLIENTS. UM, SO I BELIEVE THE, UH, 15 OUT OF, UH, 41 TOTAL SERVED, UM, IT, IT'S NOT 15 OUT OF 41, IT'S 15 OUT OF, UH, OUR TOTAL NUMBER OF DISCHARGES AT THE TIME. I BELIEVE OUR GRADUATION RATE AT, UH, AS OF DECEMBER 31ST 23 WAS AROUND 55, 50 6%. UM, CURRENTLY, UH, AS OF JUNE 1ST, UH, WE'VE HAD 18 GRADUATES, AND OUR GRADUATION RATE IS AT ABOUT 58%. UM, AS FAR AS, UM, ENSURING WE'RE SERVING AN APPROPRIATE TARGET POPULATION, UH, THAT IS ABSOLUTELY SOMETHING WE FOCUS ON. THERE ARE, UH, UH, A NUMBER OF BEST PRACTICE MEASURES, UM, THAT DESCRIBE WHAT KIND OF POPULATION AN ADULT DRUG TREATMENT COURT IS SUPPOSED TO SERVE, UH, VERSUS OTHER KINDS OF DIVERSION PROGRAMS. SO ALSO ONE OF THE REASONS FOR OPERATING BOTH A DIVERSION PROGRAM STRUCTURED AS A DPA AND, UH, AN ADULT DRUG TREATMENT COURT. UH, I'M SURE, UH, MANY OF YOU, UH, MAY HAVE HEARD, UH, THE DESCRIPTION OF THE DIFFERENT POPULATIONS. UM, ADULT DRUG TREATMENT COURT IS, UH, TARGETED TO SERVE INDIVIDUALS THAT ARE CATEGORIZED AS HIGH RISK, HIGH NEED, HIGH RISK TO RECIDIVATE HIGH TREATMENT NEED, UH, AND DPA, UH, DIVERSION, UH, WHICH IS MAYBE MORE MODERATE INTENSITY OF DRUG TREATMENT COURT IS HIGH INTENSITY, UH, IS MEANT TO BE FOR INDIVIDUALS THAT ARE LOW OR MODERATE RISK TO RECIDIVATE, UH, BUT WHO ALSO MAY HAVE SIGNIFICANCE. SO FROM LOW TO HIGH TREATMENT NEEDS. UM, AND WE, WE ABSOLUTELY EVALUATE THAT. UM, THERE ARE, UH, STANDARDIZED, UH, SCREENINGS TOOLS THAT WE USE AS PART OF A SCREENING, UH, AND ASSESSMENT PROCESS TO MAKE SURE WE'RE SERVING, UH, THE CORRECT TARGET POPULATION. UH, AND THAT'S ALSO SOMETHING WE REPORT, UH, TO OUR FUNDERS. AND, UM, THEY EVALUATE US ON IS, ARE YOU SERVING AN APPROPRIATE TARGET POPULATION BECAUSE IT WOULD IMPACT, UH, YOUR, YOUR OUTCOMES SUPERVISOR, VASER. THANK YOU. YEP. SO, I'M GLAD YOU BROUGHT UP THE HIGH RISK POPULATION 'CAUSE WE KNOW WE'RE GOING TO HAVE SOME DROPOUTS. THIS IS A VERY HIGH RISK POPULATION. OBVIOUSLY WE DON'T WANT 'EM TO GET TOO HIGH. UM, BUT I THINK TO SUPERVISOR GALA'S POINT, KNOWING THE RAW NUMBER OF DROPOUTS IN THE SAME TIME PERIOD IS HELPFUL IN KINDA GAUGING THAT, UH, GRADUATION RATE AND SEEING HOW OVERALL SUCCESSFUL IT'S GONNA BE. BUT WE'RE NEVER, WE'RE NOT GONNA HAVE EVER BE ANYWHERE CLOSE TO A HUNDRED PERCENT WITH THE HIGH RISK POPULATION WE'RE WORKING WITH. WE KNOW WE'RE GONNA HAVE PEOPLE WHO ARE GOING TO BE NON-COMPLIANT TO THE POINT WHERE WE HAVE TO DISMISS 'EM FROM THE PROGRAM. SO, UM, BUT IS THAT SOMETHING WE CAN ADD, IS THE NUMBER OF ADMINISTRATIVE DROPS IN DROPOUTS THAT WE'VE HAD SO FAR SO WE CAN KIND OF SEE THAT COMPARED TO THE GRADUATE GRADUATES? IT IS, UM, CERTAINLY, UM, WHAT, WHAT, WHAT I'M HEARING, UH, IS, UH, [00:40:01] PROBABLY MORE INTEREST IN THE PROGRAM'S MEASURES THAN MAYBE I WAS AWARE OF. THERE WAS, UH, WHICH I CAN'T TELL YOU HOW MUCH I APPRECIATE. YEAH. PEOPLE ALWAYS TOLD ME, ANDY, LESS OUT OF MORE PICTURES, WHICH IS WHY INFOGRAPHIC. UM, BUT, UH, IF THERE IS AN INTEREST FROM, UM, COUNTY BOARD COMMUNITY, UM, THAT'S SOMETHING I'M, I'M MORE THAN HAPPY TO WORK ON. UH, OUR RESEARCH AND EVALUATION SPECIALIST, UH, AND MYSELF HAVE TALKED, UH, ABOUT DEVELOPING, UH, POWER BI DASHBOARD FOR YEAH. UH, PROGRAM MEASURES. UM, AND THAT'S SOMETHING I WOULD, UH, LOVE TO, UH, PRIORITIZE IF THERE'S, UH, AN INTEREST THERE. YEAH. YEAH. I THINK THE DATA LENS CREDIBILITY TO THE PROGRAM, AND, YOU KNOW, FOR THE COMMUNITY'S SAKE, I, I KNOW THAT NOBODY IN THE DRUG TREATMENT PROGRAM WOULD EVER SACRIFICE QUALITY TO ACHIEVE A STATISTICAL OUTCOME. RIGHT. YOU KNOW, UM, WE'RE HOLDING THESE PEOPLE TO THE REQUIREMENTS OF THE PROGRAM AND TO A CERTAIN EXTENT, HAVING A DROP, HAVING SOME DROPOUTS ADDS CREDIBILITY TO THAT TOO. THIS IS NOT A CAKEWALK. THEY HAVE TO MEET VERY STRICT REQUIREMENTS, AND WE DO ENFORCE THOSE. YEAH. AND ANDY, I WOULD SAY KEEP THE PICTURES, JUST ADD A COUPLE MORE. SO , AND IF I COULD, UM, ADD SOMETHING TO THAT SUPERVISOR, UM, SICE, UM, THERE IS AN ENORMOUS AMOUNT OF DATA THAT WE DO HAVE. UM, AND, AND ANDY AND I HAVE TALKED QUITE A BIT ABOUT SORT OF LIKE, HOW MUCH DO YOU GIVE PEOPLE, RIGHT. ESPECIALLY THE GENERAL PUBLIC. BUT I DEFINITELY KNOW, UM, YOU KNOW, LIKE I SAID, THIS IS A HIGH PRIORITY PROGRAM FOR THE COUNTY, AND SO WE CERTAINLY CAN COMMIT TO COMING BACK AND, AND GIVING ANOTHER REPORT, UM, OVER TIME AND GIVING THIS COMMITTEE A LITTLE BIT MORE, UH, MEAT OF, OF THE DATA. UM, SOMETIMES IT IS SO MUCH THAT YOU, YOU'RE TRYING TO MAKE SENSE OF IT. AND SO TRYING TO GET THAT RIGHT BALANCE, I THINK OF WHAT'S THE, WHAT'S THE INFORMATION WHERE YOU GET A GOOD SENSE OF WHAT'S HAPPENING, UM, OR, YOU KNOW, BEING WHERE VERY OVERWHELMED WITH JUST CHARTS UPON CHARTS, RIGHT? SO, UM, I CERTAINLY THINK, UM, I APPRECIATE THAT AND THINK THAT WE CERTAINLY CAN BRING SOME MORE OF THAT DEEPER INFORMATION BACK TO YOU. THANK YOU, JULIE. AND, AND NOT TO BELABOR THIS, AND AGAIN, IT'S NOT GETTING INTO THAT. I KNOW COMMITTEE'S NOT SUPPOSED TO GET INTO SAUSAGE MAKING, LET'S CALL IT THAT. UM, AND, AND, AND THERE ARE PROBABLY SOME EXPECTATIONS FOR PRIVACY RIGHTS AND THAT TO SUPERVISE THE BOSSES. SO I GET ALL THAT AND, BUT TODAY I'M JUST THINKING AHEAD, RIGHT? MM-HMM, . SO IF THIS PROVES TO BE SUCCESSFUL AND WE WANT IT TO REPEAT ITSELF, BUT LET'S SAY THERE'S NOT A GRANT AVAILABLE AND FOUR YEARS OR 2028, WELL, GUESS WHAT? IF THE COUNTY'S GONNA CONSIDER FUNDING IT SOME, SOMEHOW, SOME WAY, UM, IT'S GONNA WANT TO BE ABLE TO, TO THAT, THAT NARRATIVE TELL THE STORY. OKAY. SO WHAT IS IT THAT WE'RE DOING? WHY WE'RE DOING IT? AND HOW HAS SUCCESSFUL HAS IT BEEN FOR THE LAST EIGHT YEARS, PRESUMABLY GOING FORWARD FOR, UM, SO THAT, THAT'S THE PART THAT'S IMPORTANT. YEAH. I, I A HUNDRED PERCENT AGREE. THANK YOU. UM, IF I MAY ADD, YES. UM, SUPERVISOR GALT'S OPENED A GOOD CAN OF WORMS. I'VE GONE TO THE DRUG COURT ON SEVERAL OCCASIONS. IF ANYBODY HAS TIME AT TWO O'CLOCK ON A THURSDAY AFTERNOON, GO AND WATCH. IT'S VERY MOVING. AND THEN, YOU KNOW, TO YOUR POINT, IF WE'RE TALKING ABOUT FUNDING THIS AT SOME POINT IN THE FUTURE, WE GOTTA KNOW ABOUT IT. WE GOTTA KNOW WHAT GOES ON. SO I URGE YOU TO MAKE THE TIME SOMETIME. THANK YOU. ANY OTHER COMMENTS OR QUESTIONS? OKAY. THE ONLY OTHER ONE I HAD IS JUST HOW DO WE COMPARE TO OTHER COUNTIES? AND WAUKESHA IS ONE THAT COMES TO MIND. 'CAUSE I KNOW THAT EARLY ON IN 2020, I THINK WE, WE WERE USING THEIRS AS SOMEWHAT OF A MODEL, IF THAT'S ACCURATE. NO, UM, I UNFORTUNATELY, I, I, I, I TRUST YOUR RECOLLECTION. UH, UN UNFORTUNATELY, UM, NOT BEING HERE IN 2020, I, I'M NOT SURE, UM, IF THERE WAS A PARTICULAR COUNTY WE WERE USING AS A MODEL. UM, MY, MY UNDERSTANDING OF, UM, COMPARING OURSELVES TO, UH, ANOTHER MEASURE IS, UH, THAT, UH, GIVEN THE SIGNIFICANT, UH, DIFFERENCES IN COUNTIES, UH, NOT JUST, UH, SIZE DEMOGRAPHICS, UM, BUT ALSO IN THEIR PROGRAMS, UM, EVEN THOUGH THERE ARE ESTABLISHED, UH, BEST PRACTICE STANDARDS, UH, COUNTY PROGRAMS, A NUMBER OF PARTICIPANTS, THEY SERVE TREATMENT RESOURCES IN THEIR COMMUNITY, [00:45:01] UH, THE STRUCTURE OF THEIR PROGRAM AND TEAM CAN VARY WIDELY. UM, MY UNDERSTANDING IS THAT IT'S BEST TO COMPARE, UH, OUR, UH, I WOULD SAY GRADUATION RATE OR RECIDIVISM RATE, UM, IF WE'RE GOING TO COMPARE OURSELVES TO SOMETHING, IS TO THE, UH, AVERAGE OF, FOR EXAMPLE, ALL DRUG TREATMENT, ADULT DRUG TREATMENT COURTS IN WISCONSIN, UM, OR ALL ADULT DRUG TREATMENT COURTS NATIONALLY. WOW. UM, THAT'S ALSO INFORMATION THAT IS SUMMARIZED AND, AND AVAILABLE, UM, BY EXPERTS THAT ARE OVERSEEING THE PROGRAMS OR PROVIDING THE FUNDING AT A STATE AND NATIONAL LEVEL. UM, AND THAT IS ABSOLUTELY SOMETHING WE CAN DO. EXCELLENT. THANK YOU. YOU'VE BEEN VERY INFORMATIVE AND HELPFUL FOR US. ANY ANYTHING ELSE? ALL RIGHT. THANK YOU VERY MUCH, ANDY. THANK YOU. THANK YOU. OUR, UM, LAST AGENDA ITEM IS TO UPDATE THE HUMAN SERVICES FEE SCHEDULE. UM, I KNOW THAT JULIE WILL ADDRESS THIS ONE. YES. SO, UM, UH, JUST TO BRING YOU UP TO SPEED, WE GENERALLY SET OUR FEE SCHEDULE DURING THE BIENNIUM BUDGET, UM, TIMEFRAME. UM, [d. Update Human Services Fee Schedule] AND THEN ANYTIME WE WANT TO MAKE, UM, ANY ADJUSTMENTS OUTSIDE OF THAT, UM, WE DO BRING IT TO THIS COMMITTEE FOR ACKNOWLEDGEMENT AND UNDERSTANDING. SO, UM, WE CURRENTLY HAVE AN INTOXICATED DRIVER PROGRAM THAT THE COUNTY IS STATUTORILY REQUIRED TO RUN FOR ANY INDIVIDUALS WHO HAVE AN OWI, UM, WE CONTRACT WITH ELEVATE WHO PROVIDES THAT, UM, PROGRAM FOR THE COMMUNITY. UM, THE WAY THAT THEY GET THEIR FUNDING IS STRICTLY BY THE PAYMENT THAT THE INDIVIDUAL MAKES, UM, WHICH IS REQUIRED BY THE COURT SYSTEM, UM, THAT THEY HAVE THIS ASSESSMENT TO DETERMINE, YOU KNOW, WHAT THEIR, WHAT THEIR TREATMENT NEEDS MAY OR MAY NOT BE. UM, AND SO IN THEIR, THE WAY THAT THEY RUN THIS PROGRAM IS ALL BY THEIR FEE THAT THEY CHARGE THE INDIVIDUAL WHO HAS BEEN CHARGED WITH AN OWI. UM, AND SO THEY ARE ASKING TO UP THEIR RATE, UM, FOR A NUMBER OF REASONS. THEY WENT TO AN ELECTRONIC, UM, SYSTEM WHERE PEOPLE CAN JUST PAY THAT ONLINE, UM, VERSUS HAVING TO DEAL WITH SORT OF PEOPLE SENDING IN CHECKS OR COMING IN AND PAYING. UM, AND SO THERE, THERE IS A FEE ASSOCIATED WITH RUNNING THAT SYSTEM AS WELL AS, UM, THEY'RE JUST SEEING, OBVIOUSLY INCREASED COSTS FOR THEIR, UM, STAFF. AND SO THEY'RE JUST, THEY'RE LOOKED ACROSS THE STATE TO SEE WHAT OTHER IDP PROGRAMS WERE CHARGING. AND SO TO HELP COVER THEIR COSTS, THEY WANT TO ALIGN THEIR RATE WITH, UM, SORT OF WHAT THE STANDARD IS. GOT IT. I WOULD ASSUME INFLATION HAS GOTTEN THAT TOO. SO ANY, ANY QUESTIONS AT ALL? IS THIS A MOTION OR, OKAY, I'LL MOTION. AND SO I THINK THE ANSWER IS YES, THIS IS JUST A PASS THROUGH TO THOSE QUOTE UNQUOTE, UM, ELEVATE. RIGHT. BUT THOSE THAT ARE REQUIRED TO PARTICIPATE IN THIS PROGRAM, THAT INCREASE IN FEE FROM WHATEVER, TWO 60 TO TWO 90 YEP. UM, THEY PAY THAT. THAT'S CORRECT. RIGHT. SO WE JUST NEED PROCEDURALLY TO DEMONSTRATE THAT INCREASE. GOT IT. YEP. THANK YOU. CORRECT. BECAUSE WE ARE THE RESPONSIBLE ENTITY FOR THIS PROGRAM, WE HAVE TO GET AN, UH, HAVE THE FEE, UH, POSTED AND APPROVED. OKAY. MOTION TO APPROVE. SECOND. ALL RIGHT. BY SUPERVISOR BOSER AND SUPERVISOR GALATZ. UM, ANY OTHER QUESTIONS OR COMMENTS? ALL RIGHT. ALL THOSE IN FAVOR? AYE. AYE. OPPOSED? ALL RIGHT. THAT PASSES. OKAY. OUR NEXT MEETING DATE IS JULY 24TH. SAME TIME, SAME PLACE AT FOUR O'CLOCK. THIS MEETING IS ADJOURNED. * This transcript was created by voice-to-text technology. The transcript has not been edited for errors or omissions, it is for reference only and is not the official minutes of the meeting.