* 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. [00:03:09] GOOD AFTERNOON TODAY, MAY 28TH, WE'LL CALL TO ORDER THE HEALTH AND HUMAN SERVICES MEETING. UH, WE ARE ALL HERE. ROLL CALL IS, UH, ALL HERE. UH, AFFIDAVIT OF POSTING WAS POSTED ACCURATELY. AND, UH, WE'LL RISE FOR A MOMENT OF SILENT PRAYER AND THE PLEDGE OF ALLEGIANCE. PLEDGE ALLEGIANCE TO THE PLAY OF THE UNITED STATES OF AMERICA, AND TO THE REPUBLIC FOR WHICH IT STANDS, ONE NATION UNDER GOD, INDIVISIBLE, WITH LIBERTY AND JUSTICE FOR ALL. ANY CHANGES TO THE MINUTES? OKAY, SEEING NONE, WE WILL CONSIDER THOSE APPROVED. OUR FIRST, UM, DISCUSSION ITEM IS WASHINGTON COUNTY CONDER UNIT UPDATE. YES. UM, SO THANK YOU. UM, SO, UH, TODAY, UM, WE HAVE MARIN AND KATHY WHO ARE GONNA PRESENT TO YOU. UM, THIS IS ONE OF OUR CREW, ONE OF FOUR CREW TEAMS. UM, AND THEY'RE GONNA PRESENT, UM, THE, UH, OVERALL PICTURE OF THE CO RESPONSE UNIT. AND THEN AT THE END WE'LL TALK A LITTLE BIT ABOUT SOME DATA THAT I HAVE PUT, UM, AT YOUR SEAT. UM, THAT WAS A LATE ADDITION TO THE PACKET. SO THANK YOU FOR ALLOWING US TO SPEAK, INTERVIEW TODAY. I'M DEPUTY PIERCE. I AM A DEPUTY WITH THE WASHINGTON COUNTY CONDER UNIT. I AM MARIN. I AM THE CLINICIAN, HALF OF THE CONDER UNIT WITH KATHY. WELCOME. THANK YOU. SO, A LITTLE BIT [00:05:01] ABOUT SOME DEMOGRAPHICS OF THE PEOPLE THAT WE SERVE. I'M SURE TO YOU GUYS, THIS IS NOT GONNA BE NEW INFORMATION. ROUGHLY A POPULATION OF THE COUNTY IS ABOUT 137,000 PEOPLE. THAT IS INCLUDING ALL OF THE SMALLER MUNICIPALITIES WITHIN WASHINGTON COUNTY. THE POPULATION OF JUST THE SHERIFF'S OFFICE JURISDICTION IS ABOUT 50,000 PEOPLE. UH, WITHIN THE SHERIFF'S OFFICE, WE HAVE 93, UM, SWORN DEPUTIES, AND THAT INCLUDES BOTH OF OUR COMMAND STAFF, UM, DETECTIVES, ALL THE WAY DOWN TO THE PATROL LEVEL. UM, AND THERE'S SIX FULL-TIME DEPARTMENTS WITHIN THOSE MUNICIPALITIES THAT WE CAN ASSIST WITH. UM, MUNICIPALITIES CAN REQUEST US OUT TO ACTIVE CALLS VERY SIMILARLY TO HOW MUNICIPALITIES LIKE GERMANTOWN, HARTFORD SLINGER WOULD REQUEST, UM, MUTUAL AID FOR ANY OTHER CALL. UM, THEY HAVE ALL REQUESTED US SOME REQUEST US MORE FREQUENTLY THAN OTHERS. UM, AND HOW THAT MUTUAL AID REQUEST WOULD HAPPEN WOULD EITHER BE BE BY OUR RADIOS OR BY THOSE MUNICIPALITIES CALLING DISPATCH AND DISPATCH GETTING AHOLD OF US AND REQUESTING US OUT. A LITTLE BIT OF INTRODUCTION TO THE TEAMS. UM, IT IS A PARTNERSHIP THAT CONSISTS LIKE, UH, JULIE SAID OF FOUR TEAMS. IT IS A MENTAL HEALTH CLINICIAN THAT HAS A MASTER'S LEVEL DEGREE IN SOME SORT OF MENTAL HEALTH RELATED FIELD. AND THEN A PLAIN CLOSED DEPUTY, MEANING THAT THE DEPUTY IS ASSIGNED TO THIS UNIT DON'T NECESSARILY WEAR LIKE THE TYPICAL BROWN AND TAN THAT UCR PATROL DEPUTY IS WEARING. THAT'S DONE INTENTIONALLY. UM, I CAN TALK MORE ABOUT THAT IN A IN A SECOND. UM, BUT WE'VE GOT TRAINING SPECIFICALLY IN CRISIS INTERVENTION AND CRISIS NEGOTIATION. SO ALL OF THE DEPUTIES AND WE'RE WORKING THROUGH GETTING THE CLINICIANS, UM, THROUGH THE 40 HOUR BASIC NEGOTIATION TRAINING THAT IS HOSTED BY THE FBI. UM, SO A LITTLE BIT BY WHY WE'RE PLAIN CLOTHES IS, UM, A LAW ENFORCEMENT OFFICER'S UNIFORM IS SPECIFICALLY DESIGNED TO BE SOMEWHAT INTIMIDATING. UM, THE REASON FOR THAT IS YOU WANT THAT PERSON'S PRESENCE TO BE ENOUGH TO TRY TO STOP THE BEHAVIOR THAT, THAT YOU'RE TRYING TO INTERVENE ON. UM, THAT'S NOT WHAT OUR INTENTION IS. WE ARE TRYING TO COME ACROSS AS BEING A LITTLE BIT, NOT A LITTLE BIT TO BE MORE APPROACHABLE AND TO HELP PEOPLE FEEL MORE COMFORTABLE IN SPEAKING WITH US. SO THAT'S THE REASON WHY WE'RE IN PHONES. UM, MORE ON THAT LATER. UM, TEAM DETAILS. WE WORK 7:00 AM THROUGH 10:00 PM EVERY DAY OF THE WEEK. WE ARE AVAILABLE. UM, OUR UNIT CONSISTS OF TWO SEPARATE ROTATIONS. UM, SO A DAY SHIFT WOULD BE 7:00 AM TO 5:00 PM SECOND SHIFT WOULD BE 12:00 PM TO 10:00 PM. UH, REFERRALS ARE TYPICALLY MADE THROUGH LAW ENFORCEMENT CONTACTS AND, UH, WE WILL BE SPEAKING A LITTLE BIT MORE ON THAT LATER. UM, IT DOES BEG THE QUESTION, WHAT HAPPENS WHEN WE'RE NOT HERE? UM, OR IF WE ARE HERE, WHAT HAPPENS WHEN WE'RE NOT AVAILABLE? UM, AND DEPENDING ON THE NATURE OF THE CALL, LAW ENFORCEMENT AGENCIES CAN EITHER CONTACT A CS AS THEY NORMALLY WOULD IF IT'S AN EMERGENCY, OTHERWISE THERE IS A CRU REFERRAL FORM THAT ALL OF THE AGENCIES, INCLUDING OUR OWN, HAVE BEEN GIVEN. THEY CAN FILL THAT OUT AND THERE'S A GROUP CRU EMAIL ADDRESS WITHIN WASHINGTON COUNTY THAT GETS SENT TO OUR ENTIRE GROUP. AND THEN THE NEXT TEAM WORKING TYPICALLY PICKS IT UP AS, UM, AS SOMEBODY THAT THEY'LL END UP FOLLOWING UP WITH. SO HOW ARE WE DIFFERENT US VERSUS THEM? I DON'T FEEL LIKE IT'S NECESSARY EVERY SINGLE MODALITY OF, BUT THERE IS A FEW DIFFERENT WAYS THAT A COS RESPONDER UNIT CAN BE INTEGRATED. SO A LOT OF DEPARTMENTS CAN HAVE SOMEONE DISPATCH AND CLINICIANS, THERE IS AMBULANCE. UM, THERE IS SOME DIFFERENT PARTNERSHIPS WHERE A CLINICIAN HAVE THEIR OWN DESK, THEY CAN BE PICKED UP AND THEY CAN GO TO HALLS AS NEEDED. SO WITH A, A PARTNER ALL OF THE TIME. UM, AND ALSO TRAINING IS A LITTLE BIT DIFFERENT BASED OFFICERS OR DEPUTIES IN THAT UNIT. SO OUR MODALITY IS SPECIAL IN THE FACT THAT KATHY AND I ARE PARTNERED TOGETHER ALL OF THE TIME. IT IS THE SAME WITH OUR FOUR OTHER UNITS. SO THERE'S ONE CLINICIAN PARTNERED WITH ONE SPECIFIC. OUR DEPUTIES ARE THE R TWO INTO A CHAPTER. THEY WILL WRITE THE CHAPTER 50 WORK. THEY WILL SOMETIMES, LIKE DEPUTIES, THE CLINICIANS ARE RESPONSIBLE FOR MAKING ALLS. WE ARE RESPONSIBLE FOR EVERYTHING WITHIN THE AVATARS, AND WE'RE RESPONSIBLE FOR THAT CLINICAL INTERVENTION AS WELL. SO DO THAT ASSESSMENT FOR SOME OF GUIDANCE OF LIKE, OF EMOTIONAL [00:10:01] REGULATION. THAT'S WHAT WE PROVIDE ON SCENE. BUT TYPICALLY THE BIG, OUR UNIT IS KATHY AND I ARE TOGETHER 14 SCENES. A BIG PART OF OUR UNIT THAT IS SPECIAL AS WELL IS YOU'RE GONNA BE HEARING THIS AGAIN AND AGAIN THROUGHOUT THE PRESENTATION. SO WE FOCUS A LOT ON THE FOLLOW UP COMPONENT OF, SO WHENEVER WE MEET WITH, I ALWAYS LIKE TO TELL ABOUT THIS TIME MEETING WITH YOU DID LAST TIME. SO WE, A LOT OF FOLLOW UP WAS INHIBITED WITH THINGS WITHIN. WE CAN ALSO THEN CONNECTED WITH A LOT OF THE TIMES THAT FOLLOW UP AND STUFF BEFORE POSITIVE REPORT TO FOLLOW UP TO IT. SO AGAIN, SOME OF THE BENEFITS OF ALL. SO WE ARE ABLE TO OB ASSESS INDIVIDUALS. WE'RE ABLE TO ASSESS INDIVIDUALS UNDER THE RADAR CALLING INTO CRISIS. SO IT MIGHT BE SOMEONE WHO CALLING 9 1 1 DOESN'T HAVE LIKE A FOREFRONT MENTAL RESCUE CALL OR SOMEONE WHO ISN'T NECESSARILY GOING TO BE CALLING INTO CRISIS. WE CAN GO OUT AND WE CAN ASSESS THAT INDIVIDUAL AND DETERMINE, BECAUSE WE'RE ALSO A PARTNERSHIP DEPUTY IS ABLE TO PROVIDE THEIR OWN INDIVIDUAL PERSPECTIVE OF A . SO THEY'RE ABLE TO GIVE A LITTLE BIT OF A LAW ENFORCEMENT PERSPECTIVE ON NOT ONLY LIKE THE CALL, ALSO GET THE WHOLE HOW TO HELP AND MIDDLE GOING ALONG THE LINES OF COLLABORATION AS WELL. WE ARE WORKING VERY DILIGENTLY WITH COMMUNITY PARTNERS, CONNECT WITH DIFFERENT, AND CONNECT WITH INDIVIDUAL CLIENTS, WHICH A BENEFIT OF OUR UNIT IS WE GO OUT AND WE CAN DO THAT. WE ALSO HAVE ACCESS TOM TO FIT A CLIENT. SO WE HAVE ACCESS TO RECORDS AND ONE ANOTHER'S CHARTS SO WE CAN GET A FULL PICTURE OF WHAT SOMEONE MIGHT NEED. SO THAT CAN LOOK LIKE, HEY, WE KNOW THAT THIS, WE ALSO KNOW THAT THEY'VE HAD A LOT OF LAW ENFORCEMENT CONTACT OVER THE PAST MONTH. SO WE CAN TAKE ALL OF THAT INTO ACCOUNT THROUGHOUT HOW WE CAN BEST ASSIST. AND WE ALSO HAVE THE ABILITY, LAW ENFORCEMENT AND KATHY CAN SPEAK A LITTLE BIT MORE ON THAT AND WHAT THAT LOOKS LIKE. SO A LOT OF, WELL, NOT A LOT OF TIMES SOMEWHAT FREQUENTLY, WE WILL GET PEOPLE WHO WILL CALL THE SHERIFF'S OFFICE WANTING TO MAKE A COMPLAINT. UM, ONE THAT COMES TO MIND IS A WOMAN WAS CALLING THE SHERIFF'S OFFICE BECAUSE SHE WAS UNDER THE BELIEF THAT SHE WAS BEING RECORDED AND THAT THERE WERE, UH, CAMERAS THAT WERE PLACED ILLEGALLY IN HER HOME. TYPICALLY SPEAKING, THAT'S GOING TO BE A PATROL DEPUTY GETS SENT OUT TO THAT. UM, BUT THAT IS NOT SOMETHING TYPICALLY THAT THEY WOULD GENERALLY CALL A CS FOR BECAUSE THEY'RE NOT A DANGER TO THEMSELVES. THEY'RE SOMEBODY ELSE. UM, IN CALLS LIKE THAT, WE CAN RESPOND TO THAT. THERE'S, IT'S PRETTY CLEAR THAT THESE THINGS ARE NOT HAPPENING IN THOSE KIND OF SITUATIONS. UM, BUT FROM A LAW ENFORCEMENT PERSPECTIVE, WE CAN GUARANTEE THAT THEY'RE NOT HAPPENING. BUT WE CAN ALSO MAKE SURE THAT PATROL CAN CLEAR FROM THAT FASTER TO RESPOND TO MORE SPECIFIC PATROL FUNCTIONS. AND WE CAN STAY WITH THAT PERSON AND TRY TO REGULATE THEM AND GIVE THEM THE ASSISTANCE THAT THEY TRULY NEED. ANOTHER BENEFIT OF OUR UNIT IS WE FILL A GAP OF CARE ON SCENE FOR VICTIMS. I'M GONNA, WE'RE GONNA BE TALKING ABOUT PRESENTATIONS. UM, WE ALSO ARE WORKING TO MINIMIZE OUR USE OF, SO WHAT THAT LOOKS LIKE IS OUR UNIT GOING OUT, US WORKING TO DO THOSE EMOTIONAL REGULATIONS WORK ON THOSE COVID NOT ONLY IN THE MOMENT, BUT ALSO PRACTICING THOSE IN OUR FOLLOW UP CONTACT TO POTENTIALLY PREVENT OR ARRESTS OR WHY THAT ASPECT OF FOLLOW UP IS SO IMPORTANT WHEN IT COMES TO THIS. THERE'S ALSO QUICKER CONNECTIONS TO SERVICES. SO BECAUSE I'M A HUMAN, I CAN MAKE THOSE DIRECT REFERRALS ON THAT PERSON'S BEHALF. I'M ALSO WORKING WITH THIS PERSON ALREADY. SO I, I HAVE THAT RAPPORT, HAVE THAT RELATIONSHIP, SO I HAVE A LITTLE BIT MORE INSIGHT OF WHERE I CAN MAKE THE PROPER REFERRAL AND I CAN HAVE THOSE CONVERSATION WITH LIKE A CCS MANAGER, A A, THE CS SUPERVISOR AND I IMPRESSION OF WHY IT FELT LIKE THIS COULD BE FIT OR SOME ISSUES [00:15:01] THIS, SO I CAN KIND OF ON BEHALF, WHICH A LOT OF THE TIMES CAN MAKE THINGS A LITTLE BIT QUICKER TO GET PEOPLE INTO SERVICE. SO HOW ARE WE DIFFERENT? OUR SERVICE, WE'RE GONNA TALK ABOUT A LOT OF THESE THINGS, BUT ESSENTIALLY WE ALWAYS SAY OTHER THAN JUST, SO THAT CAN BE THINGS ASSISTING AUTOMATIC EVENT, A TRAUMATIC ACCIDENT, SUPPORTING VICTIMS OF VIOLENT CRIMES, DOING THAT FOLLOW UP PIECE WITH CATERING TO THEIR, WE ALSO DO DEATH NOTIFICATIONS AND WE ALSO ASSIST IN, WELL, AND WE'RE GONNA BE SPEAKING MORE ABOUT SOME INDIVIDUALS. SO SPECIFICALLY ON THOSE DEATH NOTIFICATIONS. UM, THE REASON WHY IT'S IMPORTANT THAT OUR TEAM DOES THAT, OBVIOUSLY, LIKE I WAS SPEAKING ABOUT BEFORE WITH THE UNIFORMS, THAT'S A PRETTY HIGH EMOTION EVENT FOR PEOPLE. UM, AND WE WANT TO NOT TRAUMATIZE THEM FURTHER BY HAVING SOMEBODY WHO'S COMING IN AND INFORMED, THAT'S DESIGNED INTENTIONALLY TO BE INTIMIDATING. UM, ALSO THE PARTNERSHIP WITH HAVING OUR CLINICIAN THERE. IF THEY BECOME SO EMOTIONALLY DYSREGULATED DURING THAT EVENT, WE HAVE THE ABILITY TO ADDRESS THAT RIGHT AWAY. UM, ONE SPECIFIC INCIDENT THAT COMES TO MIND, UM, MARIN AND I WERE DISPATCHED TO IT. IT WAS AN OUT OUT-OF-STATE LAW ENFORCEMENT AGENCY THAT CONTACTED THE SHERIFF'S OFFICE TO PROVIDE A DEATH NOTIFICATION TO A WOMAN WHO WAS LIVING IN OUR COUNTY. UM, SOME OF THE DETAILS AROUND THAT INCIDENT, UM, WAS THE DEATH WAS ACTUALLY A, A MURDER SUICIDE, AND THE SCENE WAS PARTICULARLY GRUESOME. UM, SO BEFORE WE WENT OUT AND SPOKE WITH THIS INDIVIDUAL, WE DID OUR BACKGROUND DIGGING AS WE WOULD DO ON ANY CALL. WE FOUND THAT SHE HAD SOME PRIOR MENTAL HEALTH CONCERNS. SO WE KIND OF GAME PLANNED HOW WE WERE GOING TO ADDRESS THOSE THINGS. UM, WE PROVIDED THE NOTIFICATION TO THE INDIVIDUAL AND STAYED WITH THAT PERSON WHILE THEY CONTACTED THE REQUESTING LAW ENFORCEMENT AGENTS. GOT A LITTLE BIT MORE INFORMATION ON THAT INCIDENT, WHAT HAD OCCURRED, UM, AND KIND OF HELPED HER THROUGH THAT PROCESS OF UNDERSTANDING THAT THEY, WHY THEY COULD NOT ANSWER A LOT OF THE QUESTIONS THAT SHE HAD BECAUSE IT WAS AN OPEN INVESTIGATION. SO HELPING HER UNDERSTAND FROM THE LAW ENFORCEMENT PERSPECTIVE WHAT WAS HAPPENING WITH THAT CASE. UM, WE PROVIDED, UH, CARE IN THE IMMEDIATE OBVIOUSLY TO WHAT SHE WAS GOING THROUGH. WE STAYED WITH HER FOR A COUPLE OF HOURS UNTIL SHE HAD SOME OTHER FAMILY MEMBERS THAT COULD ARRIVE TO SUPPORT HER. AND THEN WE PROVIDED THAT FOLLOW UP CARE TO CONTACTING HER IN THE DAYS AND WEEKS AFTERWARDS TO MAKE SURE THAT SHE WAS DOING OKAY. AND IF NOT GETTING HER CONNECTED TO THE RIGHT PEOPLE. WE ALSO ASSIST ON SCENE. UM, SO OFTENTIMES THE WAY THAT WE ARE WORK FOR CALLS IS, OR WE'VE WORKED PRETTY DILIGENT CREATIVE PARTNERSHIP WITH MES. SO IF ME IS ON A SCENE, ANYONE, I GUESS THIS ROUND WELL, UM, AND WE HAVEN'T BEEN CALLED OUT TO THE SCENE YET, THEN THE ME'S OFFICE WILL CALL WHATEVER NEEDS ON SCENE. A LOT OF WHAT KATHY, SO WE'RE ABLE TO PROTECTIVE INVESTIGATION QUESTIONS ABOUT LONG. IT MAY TAKE, THIS IS HOW LONG PEOPLE ARE GONNA BE IN YOUR HOME, THIS IS WHAT IT MIGHT LOOK LIKE AFTER. WHILE SHE'S DOING THAT. WE CAN ALSO WORK TO A LOT OF LIKE THOSE, WE CAN HAVE CONVERSATIONS ABOUT WHAT THE PROCESS ULTIMATELY LIKE, WHAT THE LOSS OF SOMEONE'S WON. BUT WE ARE, WE ARE NOT STUCK ON TIME. SO WE CAN SIT WITH THAT INDIVIDUAL AND ON SCENE ALSO MAKE PHONE CALLS WITH IF THEY WANT FOR, IF THEY NEED TO PULL, IF THEY NEED TO CALL THEIR JOB, WE CAN. THEN WE ALSO DO A LOT, I'M GONNA SAY IT. UM, WE DO THAT, FOLLOW UP WITH THOSE. SO WE HAVE FOLLOWED UP WITH AT NOT SPOUSE. SOMETIMES WE'LL FOLLOW UP WITH SPOUSE'S [00:20:01] MOM, SOMETIMES WE'LL FOLLOW UP WITH SPOUSE'S SISTER AND WE'LL CATER EVER THEIR NEEDS. UM, SO WE, THAT CAN LOOK DIFFERENT. THAT CAN BE CONNECTING, LOOKS LIKE CONNECTING THEM, BUT WE ARE PRETTY, UM, SO CRISIS NEGOTIATIONS. UM, SO I'M, I AM A NEGOTIATOR ON OUR SWAT TEAM, UM, AND HAVE THE NEGOTIATOR PRIOR TO BEING ASSIGNED THIS UNIT. BUT LIKE I SAID PREVIOUSLY, ALL OF OUR DEPUTIES ARE ALSO TRAINED IN THAT THEY'RE JUST NOT ACTIVELY ON THE TEAM. SO HOW IT LOOKS LIKE WHEN CRU GETS REQUESTED, UM, THE SWAT COMMANDER AND OR NEGOTIATIONS TEAM LEADER CAN REQUEST US. UM, WHAT DOES IT LOOK LIKE ON SCENE SPECIFICALLY FOR CRU? WELL, THE DEPUTY CAN SEARCH OUR LAW ENFORCEMENT DATABASES AND GATHER INFORMATION ON THE SUBJECT AND POTENTIAL HOSTAGES. UM, THE CLINICIAN CAN PROVIDE OR SEARCH AVATAR, UM, WHICH IS THEIR DATABASE, UM, COLLECTION TOOL, UM, AND FOR COLLATERAL INFORMATION AND PROVIDE SOME INSIGHT INTO THE MENTAL STATE OF THE SUBJECT. UM, THE REASON WHY THAT'S IMPORTANT IS, UM, IF SOMEBODY HAS PRIOR CONTACT WITH HUMAN SERVICES AND THEY HAVE A DIAGNOSIS, UM, OR LIKE YOU CAN SEE THAT THEY'VE BEEN CALLING A LOT MORE LATELY, THAT MIGHT HELP US DETERMINE IF THERE IS, IF AND WHAT THAT PRECIPITATING FACTOR WAS THAT LED TO THAT INCIDENT IN THE FIRST PLACE. SAME THING WITH THOSE LAW ENFORCEMENT CONTACTS. DOES THIS PERSON HAVE A HISTORY OF, YOU KNOW, SOME KIND OF UNHINGED BEHAVIOR OR IS THIS BRAND NEW? UM, THE CLINICIAN CAN ALSO PROVIDE A LOT OF SUPPORT TO FAMILIES, NEIGHBORS, AND HOSTAGES ONCE THEY'RE RELEASED. UM, AFTERWARDS. UM, THE CRU CAN PROVIDE IN, IN DEBRIEFS. UM, AND THAT CAN LOOK LIKE A COUPLE OF DIFFERENT THINGS. THERE'S, THERE'S A COUPLE OF DIFFERENT DEBRIEFS THAT TYPICALLY HAPPEN AFTER, UM, AN INCIDENT LIKE THIS. UM, ONE IS MORE OF LIKE THE LAW ENFORCEMENT NUTS AND BOLTS. THIS IS WHAT HAPPENED AND IT'S VERY FACT DRIVEN. AND THEN THERE'S ALSO DEBRIEFS THAT ARE MORE LIKE, HEY, HOW ARE YOU DOING, UM, AFTER THE FACT, LIKE JUST CHECKING IN WITH YOUR PEOPLE THAT ARE ON SCENE AND WE CAN PARTICIPATE IN BOTH OF THOSE. UM, AND AGAIN, LIKE EVERYTHING ELSE, WE FOLLOW UP AND WE ASSESS THE NEEDS AND GET CONNECTED AND GET PEOPLE CONNECTED TO THE RIGHT RESOURCES AFTER THE FACT. UM, AN EXAMPLE OF THIS IS THE OZAKI COUNTY INCIDENT THAT HAPPENED JUST RECENTLY IN FREDONIA. UM, I WAS THERE AS A NEGOTIATOR ON FRIDAY. UM, BUT WE DID HAVE ONE OF OUR CRU TEAMS THAT WAS ALSO THERE. UM, LIKE I SAID THAT THE CRU DEPUTY THAT WAS THERE WAS DOING A LOT OF THAT BACKGROUND, UM, INFORMATION GATHERING. AND OUR CRU CLINICIAN DID A LOT OF WORK WITH, UM, SOME, SOME NEIGHBORS THAT NEEDED TO BE EVACUATED THAT WERE HIGHLY EMOTIONAL. UM, THERE WAS SOME FAMILY THAT ENDED UP SHOWING UP ON SCENE AND OUR CLINICIAN WAS REALLY INSTRUMENTAL IN CONNECTING WITH THE FAMILY AND GETTING A LITTLE BIT MORE BACKGROUND INFORMATION AS TO WHAT MAY BE GOING ON WITH THIS PERSON FROM A MENTAL HEALTH STANDPOINT, AND WAS ABLE TO PROVIDE THAT INSIGHT TO US AS WE WERE TRYING TO GET THIS TO COME TO A, A PEACEFUL RESOLUTION. UM, SO THIS IS JUST, THIS IS A VERY SPECIFIC INDIVIDUAL. OBVIOUSLY WE'RE NOT GONNA NAME NAMES. UM, THIS PERSON HAD 22 PRIOR CALLS WITH THE SHERIFF'S OFFICE, UM, IN A REALLY SHORT AMOUNT OF TIME. I CAN'T REMEMBER THE EXACT TIMEFRAME THAT THAT HAPPENED IN, BUT HE WAS, UH, PLACED ON A CHAPTER 51 FOLD TWICE. UM, THERE WAS A REFERRAL TO OUR TEAM AND UNFORTUNATELY IT WAS NOT MARIN AND I THAT DEALT WITH THIS INDIVIDUAL. UM, SO I CAN'T SPEAK TO A LOT OF DETAILS, BUT THERE IS A PRETTY CLEAR INCREASE IN PSYCHOTIC BEHAVIOR AND PARANOIA THAT THIS INDIVIDUAL WAS, UM, WAS SHOWING. UM, SO THE DEPUTY MCARDLE AND CLINICIAN ABBY FOLLOWED UP WITH THIS PERSON 23 TIMES BETWEEN OCTOBER OF 23 AND MARCH OF 24. AND WHAT THOSE FOLLOW-UPS LOOKED LIKE WERE, UM, DEESCALATING AND PROVIDING SUPPORTIVE LISTENING. AND THE PURPOSE OF THAT DEESCALATION AND SUPPORTIVE LISTENING WAS TO GAIN RAPPORT WITH THIS PERSON WHO WAS VERY MUCH OF THE MINDSET THAT NOTHING WAS FROM HIM. IT WAS EVERYBODY ELSE AROUND HIM THAT, THAT HAD THE ISSUE. IT WAS NOT HIM. SO THOSE 27 FOLLOW UP CONTACTS WERE TO GAIN ENOUGH RAPPORT WITH HIM TO GET HIM TO SEE THAT, THAT SOMETHING WAS NOT RIGHT AND GET HIM CONNECTED TO RESOURCES. UM, THE RESULT OF THAT WAS REFERRAL TO PSYCHO PSYCHIATRY, CASE MANAGEMENT AND THERAPY SERVICES ALL THROUGH WASHINGTON COUNTY. ME. SO THIS IS A CASE THAT I WAS CALLED TO, UM, FAIRLY EARLY IN MY HIRING ON THIS CR UM, THIS WAS A SITUATION THAT I WAS ACTUALLY CALLED OUT TO . UM, [00:25:01] IT WAS AN ELDERLY COUPLE WHO HAD BEEN BROKEN TWICE. SO ONE AFTER ANOTHER COUPLE ENDED UP BEING AT GUNPOINT. IT ENDED UP BEING, UM, THEY CALLED 9 1 1. LAW ENFORCEMENT SHOWED UP AND OBVIOUSLY THEY NOT IN A GOOD PLACE. WE WERE HAVING A VERY D TIME, A VERY DIFFICULT TIME SPEAKING TO DEPUTY LEE'S INTERVIEW PROCESS. SO I WAS CALLED OUT, ESSENTIALLY WE SUPPORT THESE. AND SO I ENDED UP GOING TO THEIR HOME. UM, I SUPPORTED WIFE AND SP LAW ENFORCEMENT. I WAS THERE FOR A PRETTY GOOD, UM, WE SPOKE A LOT ABOUT WHAT ESSENTIALLY SHE, WAS SHE COMFORTABLE AT HOME? DID SHE WANNA GO ELSE? WHO CAN I CALL ON HER BEHALF? WE ENDED UP HAVING KEEPER, BUT THIS IS A VERY UNIQUE, ACTUALLY HELPED PROVIDE SUPPORT, UM, AT THE SENTENCE OF THE INDIVIDUAL. SO I WENT TO COURT WITH THE COUPLE, WITH 'EM. I WAS ALSO ABLE TO HAVE A LOT OF CONVERSATION BEFORE COURT. HOW DO THEY FEEL ABOUT GOING? WHAT DO THEY FEEL LIKE, WHAT CAN I DO TO ASSIST? UM, I ALSO CONNECTED THEM WITH RESOURCES ON THE BACK END AS WELL. THE WIFE WAS, SO I ALSO WORKED IN CONNECT HER TO HELP HER WORK THROUGH. SO JULIE HAS FOR US, BUT THIS, IT LOOKS PRETTY, IT LOOKS SO WE HAVE SERVED OVER A THOUSAND PEOPLE, UM, SINCE THE CREATION OF OUR UNIT. UM, YEP. WE HOPE TO CONTINUE TO SERVE MORE, BUT JULIE'S GOT A LITTLE BIT MORE ON THAT. YOU WANNA SHOW YOUR PICTURE? OH, YEP. AND HERE'S OUR PICTURE. SO THIS IS, THIS IS ALL OF US. UM, WE DID NOT PLAN TO STAND THIS WAY, BUT IT JUST SO HAPPENED YOU HAVE TO MATCH. IT JUST SO HAPPENED THAT ALL OF THE CRU CLINICIANS ENDED UP ON THE LEFT SIDE AND BLUE SHIRTS AND ALL OF THE CRU DEPUTIES ENDED UP ON THE RIGHT SIDE STANDING IN THE EXACT SAME WAY. , WE DID NOT PLAN THAT. UM, DEPUTY LEMACK IS AT THE END. MARIN HAD USED HER COMPUTER SKILLS AND PHOTOSHOPPED HER IN, UM, BECAUSE SHE WAS A NEW HIRE EARLIER THIS YEAR AND THAT PICTURE WAS TAKEN LAST YEAR. SO, UM, BEFORE WE STEP AWAY, DO YOU GUYS HAVE ANY QUESTIONS FOR US SPECIFICALLY? THANK YOU VERY MUCH FOR YOUR TIME. UH, OKAY. SORRY. OH, NO, I DON'T WORRY. I'M SO SORRY. . I JUST WANNA, I WAS JUST WAITING TO SEE IF ANYONE ELSE FROM THE COMMITTEE HAD SOME, SO, UM, THANK YOU VERY MUCH. THAT WAS VERY HELPFUL, ESPECIALLY THE CASE STUDIES AND AND SUCH, THAT'S ALWAYS HELPFUL TO BRING A, A REAL EXAMPLE HOME AND FOR US TO UNDERSTAND WHAT, WHAT YOU'RE DOING AND, UM, FAR BEYOND, YOU KNOW, THE, THE, THE ASSISTANCE AND THE SUPPORT OF YOUR BEING ABLE TO BE AT A SENTENCE HEARING THAT'S, UH, THAT'S SEEN IT REALLY FULL CIRCLE AND AND BEING SUPPORTIVE THERE. SO THANK YOU FOR THAT AND THANK YOU FOR ALL THAT YOU DO. I GUESS THE QUESTION THAT I HAVE RELATES BACK TO, UM, SOME OF THE TRAUMATIC IN, UM, EVENTS THAT YOU WITNESS WORK IN AND WORK THROUGH. UM, WHAT KIND OF COUNSELING AND DEBRIEFING IS AVAILABLE FOR YOU AS CLINICIANS? YEAH. SO TYPICALLY, TYPICALLY WHAT I LIKE TO SAY, BECAUSE WE, WE GET THAT QUESTION A LOT, AND I THINK PART OF THE BENEFIT OF THIS TEAM EXISTING, SPECIFICALLY TEAMS EXISTING IS WE HAVE A TENDENCY TO DEBRIEF A LOT AS A UNIT ITSELF. SO I HAVE A HIGH RELIANCE ON MY COWORKERS TO TALK THROUGH, LIKE, HEY, WHAT I WENT THROUGH WAS, WAS A PRETTY TRAUMATIC SCENE. IT WAS PRETTY DIFFICULT. IT WAS VERY EMOTIONALLY HEAVY. ARE WE ABLE TO TALK ABOUT THAT? AND MY COWORKERS ARE VERY GOOD AT BEING ABLE TO TALK THAT THROUGH WITH ME. IT'S ALSO PART OF THE BENEFIT OF KATHY BEING STUCK IN THE CAR WITH ME. UM, WE DO A LOT OF DEBRIEFS INDIVIDUALLY AS WELL IN WORKING THROUGH WHAT WE'VE GONE THROUGH. UM, WE, WE HAVE A HEAVY RELIANCE ON OUR PARTNER TOO A LOT OF THE TIME AND A LOT OF THE, OUR OTHER TEAMS HAVE SAID THE SAME THING, LIKE FIRST AND FOREMOST, LIKE IMMEDIATELY AFTER SEEING ITS RELIANCE ON ON ONE ANOTHER THROUGH THE SHERIFFS. I KNOW THAT THERE IS A DEPUTY, [00:30:02] BUT IN TERMS OF LIKE INTEGRATED CLINIC HERE, MORE THAN WELCOME TO GO TO, DO YOU HAVE ACCESS TO THAT? AND THOSE, THOSE TYPES OF DEBRIEFS, UM, UH, DONE WITH THE ASSISTANCE. OKAY. I WAS GONNA ASK ABOUT THAT. IF YOU HAD A A P THAT YOU COULD LEAN ON AS WELL. UM, AND A AT THE DEBRIEFS THAT YOU DO A AS A GROUP, IS THERE, UH, A PSYCHOLOGIST OR SOMEONE FACILITATING THAT THAT WASN'T INVOLVED? OKAY. YES. OKAY. GREAT. ANY OTHER QUESTIONS OR COMMENTS? YES, I HAVE ONE TOO, JODY. OKAY. SUPERVISOR BOSSERT. I JUST WANT TO THANK YOU AND ALL YOUR TEAM MEMBERS FOR EVERYTHING YOU'RE DOING. UM, I'M GONNA EQUATE THIS BACK TO SOMETHING FROM MY OLD HR EXPERIENCE. YOU KNOW, WE USED TO DO SAFETY PLANNING AND ACCIDENT, BUT WE NEVER KNEW HOW MANY ACCIDENTS WE PREVENTED. LIKEWISE, YOU DON'T KNOW HOW MANY SUICIDES OR CRITICAL INCIDENTS YOU'VE BEEN IN, BUT YOU KNOW YOU'RE PREVENTING 'EM AND YOU KNOW IT THROUGH THE GOOD WORK YOU'RE DOING. SO I THINK ON BEHALF OF THE WHOLE COMMITTEE, THANK YOU FOR THE GOOD WORK TO DO. MM-HMM . CHAIR SCH. UM, THANK YOU MADAM CHAIRMAN. MM-HMM . UM, LOOKING THROUGH ALL THE DATA, THERE'S ALL KINDS OF DATA ON WHO CALLED YOU, BUT I KNOW THAT THE FOLLOW UP BUILDING RAPPORT, YOU KNOW, REVISITING IS A HUGE PART OF WHAT YOU DO TOO. AND WHAT, WHERE A LOT OF THE BENEFIT COMES FROM. IS THERE A PLACE WHERE YOU RECORD THAT? HOW MANY FOLLOW UP VISITS YOU'RE MAKING? SO TYPICALLY THAT IS RECORDED IN RECORD SYSTEM, WHICH IS AVATAR. SO THOSE WILL GO IN AS LIKE, LIKE A PROGRESS NOTE FOR US, WHICH MY SUPERVISORS HAVE GOING THIS WAY 'CAUSE THEY'RE BEHIND ME, HAVE ACCESS TO, IT'S JUST THE PROCESS OF ESSENTIALLY LIKE TALLYING UP HOW MANY FOLLOW UPS WE DO HAVE. WE ALSO RECORD ALL OF OUR FOLLOW UP IN THE SHERIFF'S OFFICE RMS PROGRAM TOO. SO EVERY CONTACT WE HAVE WITH SOMEONE, THERE WAS SOME SORT OF NOTE THAT WE WRITE ON OUR CONTACT WITH THEM. JUST THE PROCESS OF IT ALL BEING ADDED UP. IT'S THERE. THANK YOU. ANY OTHER COMMENTS? OR JULIE, DID YOU LOOK TO COMMENT? YES. UM, GOOD. SO THANK YOU SO MUCH FOR THAT GREAT PRESENTATION. AND SO, UM, JUST TO, UM, I GUESS LEVEL SET WITH EVERYONE, THE PROGRAM STARTED IN FALL OF 2023 WHEN WE MADE OUR FIRST HIRE. UM, BUT WE WERE NOT FULLY STAFFED UNTIL FEBRUARY OF 2024. SO, UM, WE, WE, 2024 IS WHAT I WOULD CONSIDER TO BE OUR FULL YEAR OF IMPLEMENTATION. UM, AND TO SUPERVISOR, CHAIRMAN, SLYS, UM, QUESTION, WE HAVE A, A LOT OF DATA, UM, THAT WE'RE TRYING TO WADE THROUGH AND SORT OF DETERMINE WHAT IS THE, UH, SUCCINCT, UH, DATA THAT WE CAN PRESENT ON A REGULAR BASIS TO GIVE US SNAPSHOT OF WHAT, UM, THIS TEAM IS DOING AND THE IMPACT THAT THEY'RE MAKING. UM, ONE OF THE THINGS THAT, TO YOUR QUESTION, UM, SUPERVISOR SCHEFF AROUND, UM, THE FOLLOW UP IS CONNECTED TO PRODUCTIVITY. UM, AND SO WE'RE, LOOK, WE'RE WORKING ON LOOKING AT THAT DATA AND WHAT THAT MEANS AND, AND HOW DO WE MAKE SURE THAT WE'RE CAPTURING EVERYTHING SO THAT WE CAN SHOW, UH, A GOOD PRODUCTIVITY NUMBER. UM, BUT THE DATA THAT YOU HAVE IN FRONT OF YOU IS REALLY TO JUST GIVE YOU A HIGH LEVEL OVERVIEW OF THE TYPES OF REFERRALS THAT THEY'RE GETTING, UM, THE PLACES WHERE THOSE REFERRALS ARE COMING FROM. UM, AS YOU CAN SEE, MOST OF THE REFERRALS AROUND 70% ARE COMING FROM LAW ENFORCEMENT. AND A SIGNIFICANT, UH, PERCENTAGE OF THAT IS DIRECTLY FROM THE SHERIFF'S DEPARTMENT. AND WITH ANY NEW PROGRAM, YOU KNOW, YOU HAVE YOUR IMPLEMENTATION PHASE AND YOUR PILOTING PHASE, UM, AND PEOPLE HAVE TO GET TO KNOW THE PROGRAM AND WHAT DO THEY DO AND WHAT IS THIS ALL ABOUT. BUT ONE OF THE, UH, BIG AREAS OF FOCUS FOR US, OBVIOUSLY IS THAT PARTNERSHIP WITH OUR OTHER LAW ENFORCEMENT JURISDICTIONS AND HAVING THEM MAKE THOSE CALLS AND THOSE REFERRALS TO THIS TEAM TO SUPPORT THE INDIVIDUALS THAT THE SHERIFF'S DEPARTMENT, UM, AREN'T CALLED OUT ON. UM, AND SO WE'VE SEEN THAT START AND WE'VE SEEN THAT GROW A LITTLE BIT. I THINK THERE'S STILL A LOT OF, UH, ROOM FOR US TO, TO SEE MORE, UH, PARTNERSHIP AND MORE REFERRALS. UM, BUT WE DEFINITELY ARE SEEING THAT HAPPEN. AND I, I KNOW FOR ME, ONE OF MY FIRST WORRIES WAS WILL ANYBODY EVER REFER, RIGHT? UM, SO WE ARE GETTING SOME OF THOSE CALLS AND SO WE, WE SEE THAT AS SOME GOOD POSITIVE PROGRESS. IF YOU SORT OF EVEN JUST LOOKING AT THE 2024 DATA, UM, AND THE 2025 DATA, UM, I MEAN, WE'RE ON TARGET TO DOUBLE THE NUMBER OF [00:35:01] PEOPLE THAT THEY'RE INTERACTING WITH IN 2025, UM, OVER 2024. SO I LOOK FORWARD TO CONTINUING TO BRING FORTH, UM, INFORMATION AND DATA TO THIS COMMITTEE, UM, TO SHARE THE SUCCESSES THAT THEY'RE HAVING. I APPRECIATE YOUR COMMENTS SUPERVISOR BOSER, BECAUSE IT IS, IT IS HARD TO, UH, MEASURE THE OUTCOMES OF A PROGRAM LIKE THIS BECAUSE, UM, IT'S, IT'S APPROACHING THE NEEDS OF THE COMMUNITY IN A WAY THAT CRISIS INTERVENTION HAS NOT DONE BEFORE. UM, WE'RE NOT NECESSARILY ALWAYS WAITING FOR THAT REALLY, REALLY HIGH LEVEL CRISIS. WE'RE TRYING TO, UM, INTERACT AND, AND INTERVENE BEFORE SOMETHING BECOMES, UM, A MUCH LARGER PROBLEM AND PROVIDING A LOT OF THAT BASELINE SUPPORT THAT PEOPLE IN THE COMMUNITY NEED, BUT DON'T ALWAYS KNOW WHERE TO GO TO TO RECEIVE THAT SUPPORT SUPERVISOR, MR. SO, BUT, YOU KNOW, JUST PROMPTED ME, BUT WHY COULDN'T WE, RIGHT? SO IF WE KNOW THERE ARE, WHAT ARE THEY, SOMETIMES IN LAW ENFORCEMENT, THEY CALL 'EM, UM, REPEAT CALLERS, RIGHT? EVERYBODY KNOWS THEM BY NAME, BY PHONE NUMBER, BY ADDRESS, BY ET CETERA. SO IS THERE ANY WAY FOR THIS RESPONSE TEAM BECOME MORE PROACTIVE IF THEY KNOW OR HEAR SOMETHING, UM, WHAT HAPPENING OUT IN THE COMMUNITY, WHETHER IT BE, UH, SCHOOL COUNSELORS, YOU KNOW, SLINGER AND SOME OTHER SCHOOL ISSUES, IF, IF, UH, SCHOOL OFFICERS, WHATEVER THE TERM IS FOR THEM, HERE'S SOMETHING, DO THEY COME TO THIS COMMITTEE, SORRY, UH, THIS, UH, RESPONSE TEAM AND SAY, HEY LOOK, THIS MIGHT WARRANT A VISIT, UM, WHICH I KNOW WE'RE AHEAD OF THE AGENDA ITEM, BUT I I HAVE SOME QUESTIONS ON OUR NEXT AGENDA ITEM, HOW THIS TEAM CAN WORK WITH, YOU KNOW, THE, THE OTHER PIECE. SO I, YOU KNOW, IT CAN BE DONE HOLISTICALLY. I THINK TO YOUR POINT, WHEREAS IN THE PAST WE'VE SAID, NOPE, THIS IS YOUR DOMAIN, THIS IS YOUR DOMAIN OR YOUR LANE OR YOUR LANE. WHY ARE THE LANES PREACHING TO THE CHOIR? UM, I KNOW I WHOLE, I WHOLEHEARTEDLY AGREE AND I THINK THAT THAT'S JUST PART OF, OF THE, UH, UH, FOR LACK OF A BETTER WORD, THE, THE TRUST. YOU KNOW, PEOPLE HAVE TO SEE SOMETHING HAPPEN BEFORE THEY, EITHER THEY KNOW WHAT IT IS AND THEY KNOW WHAT, WHAT THE POSITIVE OUTCOME CAN BE. I THINK OUR LAW ENFORCEMENT PARTNERS ARE, ARE ONE OF THOSE, RIGHT? WE KNOW IF YOU EVEN JUST FOLLOW ANY OF THEIR FACEBOOK PAGES, YOU SEE THE CALLS THAT ARE COMING INTO THEIR JURISDICTIONS EVERY SINGLE WEEK. UM, AND, AND I THINK THERE'S A LOT MORE OPPORTUNITIES FOR THE CREW TEAM TO, UM, INTERVENE WITH THOSE INDIVIDUALS. UM, AND THEY'RE WORKING ON THAT PARTNERSHIP AND THEY'RE, THEY'VE GONE AND PRESENTED TO THOSE, UM, THOSE OFFICERS AT THOSE DIFFERENT JURIS JURISDICTIONS. UM, AND WE JUST HAVE TO CONTINUE TO, YOU KNOW, SIT, KEEP OUR, YOU KNOW, POUNDING THE PAVEMENT ON IT AND KEEP TALKING TO OUR COMMUNITY PARTNERS AND HAVING THEM MAKE THOSE REFERRALS. OUR SCHOOL, UM, RESOURCE OFFICERS, OUR TEACHERS, YOU KNOW, THERE'S A NUMBER OF DIFFERENT, UM, PLACES IN THE COMMUNITY THAT COULD BE MAKING REGULAR REFERRALS. AND SO WE'RE, WE'RE PLEASED THAT WE'RE SEEING SOME GROWTH. WE WANNA SEE CONTINUED GROWTH. UM, ANYTHING THAT YOU GUYS CAN DO TO HELP US TO TALK ABOUT IT IN YOUR COMMUNITIES, I THINK IS, WOULD BE SUPPORTIVE AS WELL. SO, SO JUST TO BUILD ON YOUR COMMENT, 'CAUSE THAT WAS GONNA BE A QUESTION ABOUT IN SERVICES TO THE VARIOUS MUNICIPALITIES. IS THAT BEEN DONE, HAVE, HAVE, HAS THE TEAM REACHED EVERY MUNICIPALITY IN WASHINGTON COUNTY? I I THOUGHT THEIR PRESENTATION WAS EXCELLENT, YOU KNOW, THAT THEY, THEY COULD PUT TOGETHER A BINDER, UM, OF JUST A FEW OF THE CASE STUDIES, UM, AS EXAMPLES, UM, YOU KNOW, JUST KIND OF THINKING ABOUT DOING THOSE KINDS OF PRESENTATIONS. 'CAUSE THEY DID SUCH A GREAT JOB. YEAH, THEY DEFINITELY HAVE DONE THOSE. THIS PRESENTATION IS, UM, PRETTY MUCH ONE OF THOSE PRESENTATIONS THAT THEY WOULD'VE GIVEN IN THOSE PLACES. UM, THE PLAN, UM, FROM THE LEADERSHIP TEAM, THERE ARE TWO LIEUTENANTS AND MY TWO, UH, SUPERVISORS IN THE AUDIENCE HERE. THEY'RE CONTINUING TO WORK ON THAT PLAN AROUND HOW DO WE CONTINUE TO GET THAT WORD OUT AND HAVE THOSE CONVERSATIONS. YES. UM, SO WE'LL CONTINUE TO DO THAT. GREAT. ANYTHING ELSE FOLLOW UP? OKAY. ALRIGHT. THANK YOU VERY MUCH AGAIN. APPRECIATE IT. OUR NEXT AGENDA ITEM IS THE RIVERBEND UPDATE. YES. SO, UM, AT OUR LAST COMMITTEE MEETING, UM, WHEN WE GAVE YOU THE BIG OVERVIEW OF WHERE WE ARE WITH RIVERBEND, UM, AND SOME DECISIONS WE MAY NEED TO MAKE IN THE FUTURE, UM, THE REQUEST WAS THAT, UM, WE COME BACK EACH MONTH AND GIVE AN UPDATE ON THE PROGRESS THAT THEY'VE MADE ON THE IMPLEMENTATION OF THEIR 90 DAY ASSESSMENT CENTER. I KNOW I DIDN'T SOUND SUPER PROMISING LAST TIME, UM, ABOUT WHETHER WE WOULD ACTUALLY START ON, UH, MAY 1ST, BUT THEY [00:40:01] DID ACTUALLY, UM, START TAKING REFERRALS MAY 1ST. SO I FEEL, YOU KNOW, GOOD ABOUT THAT. WE MADE A LITTLE BIT OF PROGRESS. WE OBVIOUSLY, THE, THE DATA IS, YOU KNOW, ABOUT THREE WEEKS THAT THEY HAVE OF DATA TO GIVE US. UM, BUT THIS IS THE REPORT THAT THEY'VE GIVE PROVIDED TO US THAT THEY, THAT I HAVE IN YOUR PACKET TODAY. UM, SO THEY DID GO LIVE ON, ON MAY 1ST. UM, AS OF LAST WEEK THEY HAD RECEIVED ABOUT 20 REFERRALS FROM EIGHT DIFFERENT COUNTIES. UM, THEY HAVE ONLY ACCEPTED AND STARTED ONE YOUTH. UM, AND THAT INDIVIDUAL STARTED YESTERDAY. UM, THE OTHER 19 REFERRALS, UM, HAVE BEEN DENIED OR IN VARIOUS STAGES OF THE REFERRAL PROCESS. SO I WOULDN'T SAY ALL 19 ARE DENIED. UM, BUT I DON'T KNOW HOW MANY ARE DENIED VERSUS HOW MANY ARE POTENTIALLY MOVING FORWARD. UM, AND I HAVE ASKED FOR THAT DATA TO BE STRATIFIED OUT THAT WAY. SO I HOPE TO PRESENT SOME MORE, UM, UH, IN-DEPTH DATA TO YOU WHEN WE MEET AGAIN, UM, OR AT OUR NEXT MEETING. UM, THERE'S A LIST OF THE VARIOUS COUNTIES THAT HAVE MADE, UM, THE REFERRALS. UM, AND THEN WE HAVE ALSO ASKED FOR THEM TO HAVE AN ONGOING, UH, ROBUST MARKETING PLAN. UM, AND SO SOME OF THEIR EFFORTS ARE LISTED, UM, BELOW AS WELL. THEY, UM, HAD DUTCH COUNTY COME OUT AND DO A SITE TOUR. UM, DANE COUNTY IS INTERESTED IN CONTRACTING FOR BEDS. UM, AND WHAT THAT MEANS IS THEY, WE CALL IT BUYING A BED. THEY ESSENTIALLY WILL PAY FOR A BED FOR THE WHOLE YEAR, WHETHER THEY HAVE A YOUTH IN THAT BED OR NOT. UM, A LOT OF LARGER COUNTIES USE THAT STRATEGY. UM, SO THEY'RE INTERESTED. UM, WE HAVE SHARED THE PROGRAM DOCUMENTATION WITH ALL OF THE COUNTIES. THEY ARE WORKING ON AN UPDATED, UM, MARKETING BROCHURE. UM, AND THEIR ADMISSION COUNT COORDINATOR IS, UM, WE'RE FIELDING REFERRAL AND PROGRAM QUESTIONS. UM, AT THE END OF JUNE, WE ARE GOING TO BE HOSTING THE JOINT SOUTHEASTERN REGIONAL BEHAVIORAL HEALTH AND CHILD WELFARE MEETING HERE. UM, AND SO WE ARE HOPING TO, UM, PROVIDE A TOUR AND TO, UM, UH, TALK ABOUT THE PROGRAM AT THAT TIME WITH SOME, UM, LEADERSHIP IN OTHER COUNTIES. SO I WOULD SAY IF YOU WANT A HIGH LEVEL TAKEAWAY, WE'VE MADE A FEW STEPS, UH, PROMISING STEPS FORWARD. UM, BUT YOU KNOW, WE, WE STILL HAVE TO SEE WHAT THE, THE, THE PROOF IS IN THE PUDDING AND THE, THE REAL OUTCOMES OF THIS. AND IF THEY TAKE THESE REFERRALS AND WE ACTUALLY HAVE KIDS IN THE, IN THE BEDS. SO WHAT DO YOU ANTICIPATE, UM, JULIE, AS FAR AS IF WE'VE GOT ONE YOUTH, THIS IS A FAIRLY SHORT TIME SPAN THAT THE ONE YOUTH WAS ACCEPTED WITH THESE OTHER 19 1 1 WAS DENIED. UH, HOW ARE WE TALKING DAYS OR WEEKS? HOW LONG IS THE PROCESS? SO THAT IS WHAT, I DON'T KNOW. WE'VE ASKED THEM TO GIVE US SOME MORE INSIGHT INTO THAT NUMBER. UM, BECAUSE WHEN IT LOOKS LIKE 19 DENIALS, RIGHT? BUT THEN THEY SAY NO, THEY'RE NOT DENIED. THEY JUST ARE IN SOME PROCESS OF THE REFERRAL PROCESS. UM, SO I NEED MORE INFORMATION FROM THEM, OF WHICH I'VE NOT RECEIVED. WE ASKED FOR THAT, UM, FROM THEM AT THE END OF LAST WEEK AND HAD NOT RECEIVED IT YET. UM, SO THAT'S PART OF WHAT I'VE, WHAT I WANNA BE ABLE TO SHOW FOR NEXT MONTH'S REPORT IS SOME MORE DETAIL ON THAT. UM, SO THAT WE CAN SAY, UM, YOU KNOW, X NUMBER HAVE BEEN DENIED AND FOR WHAT REASON, RIGHT? UM, AND THEN ALSO, YOU KNOW, WE HAVE, YOU KNOW, FIVE KIDS THAT ARE IN THE PROCESS AND WE ANTICIPATE THEM BEING ENROLLED IN, YOU KNOW, A WEEK OR TWO WEEKS. THAT'S THE LEVEL OF INFORMATION THAT WE WANT. UM, BECAUSE A CONCERN THAT I WOULD HAVE, AND THE CONCERN I HAD WHEN I FIRST RECEIVED THIS INFORMATION WAS GREAT. 20 REFERRALS, RIGHT? SO THERE, IT, IT ANSWERS THE QUESTION THAT WE, WE KNEW, UM, IT'S NOT EVEN A QUESTION. IT ANSWERS WHAT WE KNEW WAS A NEED, RIGHT? SO WE KNOW THERE'S THIS NEED THROUGHOUT THE STATE, UM, BUT THE PROGRAM HAS TO BE ABLE TO STEP UP AND MEET THAT NEED. AND SO IF WE MAKE, IF YOU GET 20 REFERRALS AND THEN YOU DON'T TAKE ANY OF THE KIDS, WELL THEN WHAT'S THE POINT? RIGHT? UM, AND IN, IN THIS, IN THE YOUTH JUSTICE AND CHILD WELFARE FIELD, IT'S SOMETHING THAT WE, UM, EXPERIENCE ACROSS THE BOARD WHEN WE'RE TRYING TO FIND PLACEMENTS FOR KIDS. UM, ALL SORTS OF REASONS WHY THEY WON'T TAKE KIDS. UM, AND, AND USUALLY IT'S, YOU KNOW, BECAUSE OF EXCESS BEHAVIOR, UM, COMPLEX NEEDS. UM, AND SO, BUT AT SOME POINT SOMEBODY HAS TO TAKE THESE KIDS, RIGHT? UM, SO WE WANNA HAVE A LITTLE BIT MORE INSIGHT INTO WHAT THEIR DECISION MAKING PROCESS IS. HAVE THEY SHARED THEIR ADMISSIONS PROCESS, IF THAT'S A TERM TO USE HERE, OR ACCEPTANCE PROCESS? THEY THEY HAVE, BUT IS IT DOCUMENTED? LIKE, YES, BUT THEN THERE'S ALWAYS, THERE'S ALWAYS. SO ESPECIALLY WHEN YOU, WHEN YOU DO START TO HAVE MORE CHILDREN, UM, IN [00:45:01] THE FACILITY, THEY START TALKING ABOUT THE, THE, AND THIS IS A WORD THAT THEY USE IN, IN THEIR INDUSTRY CALLED MILIEU. AND IT'S SORT OF LIKE THE, THE, THE MAKEUP OF THE KIDS, RIGHT? SO IF YOU HAVE A MAKEUP OF FIVE KIDS AND THIS PERSON'S COMING IN WITH THESE SPECIFIC NEEDS AND BEHAVIORS, IT WON'T MIX WITH THESE FIVE KIDS. AND SO WE'VE SEEN SOME DENIALS IN MANY PROGRAMS BASED ON THAT, AND THAT IS NOT SOMETHING THAT THEY EVER WRITE DOWN. SO, SO THIS IS A LITTLE BIT OF LIKE, WE KIND HAVE TO SEE LIKE HOW, HOW WIDE ARE GONNA KEEP THEIR SCOPE OR HOW NARROW ARE THEY GONNA BE? OKAY. I APPRECIATE THE INTEREST IN GATHERING MORE DATA. UM, YOU KNOW, THERE'S A DANGER IN BEING TOO SELECTIVE. THERE'S A CERTAIN AMOUNT OF SELECTIVITY YOU NEED TO HAVE TO MAINTAIN THE INTEGRITY OF THE PROGRAM, BUT IF YOU'RE TOO SELECTIVE, YOU SORT OF KIND OF DESTROY THE PROGRAM THROUGH LACK OF INITIATIVE, I GUESS. SO I APPRECIATE THE INTEREST IN GETTING MORE DATA. I WANT TO SEE THAT DATA TOO. AND LET'S, LET'S FIND OUT WHAT WE DON'T KNOW. MS YELLS, MS. DCO, REMIND ME WHAT THE, I GUESS FOR LACK OF A BETTER WORD, BREAKEVEN BED OCCUPANCY AVERAGE IS, RIGHT? WE, WE TALKED LAST TIME THAT THERE'S LITTLE SOMETIMES NO BED CAPACITY, SO PEOPLE ARE, WHAT ARE THEY DOING? AND WE'RE PAYING FOR THAT. SO WHAT DOES THAT BREAK EVEN NUMBER, UH, FOR IT TO REALLY BE VIABLE? SO I THINK YOU'D HAVE TO LOOK AT IT IN TWO WAYS AND DEPENDING ON WHAT THE VIABILITY IS, RIGHT? SO IN ONE SCENARIO, IT'S THE COST THAT WE'VE ALWAYS PAID, BUT NOW, IF YOU RECALL FROM THE LAST TIME WE TALKED, NOW THEIR COST HAS INCREASED, RIGHT? SO, UM, WE COULD LOOK AT THE NUMBER OF BEDS FILLED FROM OUTTA COUNTY RESIDENTS TO COVER THE INCREASED COST BECAUSE OUR COSTS HAVE ALWAYS BEEN X. AND SO THAT'S ABOUT TWO TO THREE BEDS AT ANY GIVEN TIME BEING FILLED FROM OUTTA COUNTY. THE OTHER, THE OTHER SCENARIO OR QUESTION TO ANSWER IS, IF WE ONLY AT ANY GIVEN POINT HAVE ONE TO TWO KIDS THERE, AND, BUT WE'RE PAYING WAY MORE, RIGHT? THAN THE, THAN OUR COST WOULD BE IF, IF WE WERE IN ANOTHER COUNTY, RIGHT? BECAUSE WE'RE PAYING THE BASE COST OF ABOUT $900,000 AND LET'S SAY WE ONLY HAVE, YOU KNOW, TWO TO THREE KIDS THERE ALL YEAR. WELL, THAT'S NOT A $900,000, UM, YOU KNOW, SERVICE. AND SO THEN ARE WE TRYING TO, YOU KNOW, DO WE WANNA, AND, AND THIS IS, I SAY, DO WE, WE WOULD LIKE TO OFFSET THE COST. WE WOULD LIKE TO HAVE THE BEDS FILLED. IF THERE ARE ALL OUR KIDS, GREAT, THEN, YOU KNOW, WE, WE HAVE, WE PAY FOR THE COST OF, OF THOSE KIDS. IF THEY'RE ALL SOMEBODY ELSE'S KIDS FROM OTHER COUNTIES, YOU KNOW, THEN THAT REALLY SHOULD OFFSET OUR COSTS AND HAVE OUR, OUR BASELINE DOLLARS BE A LOT LESS. UM, SO THERE'S REALLY TWO, UM, SORT OF COSTING DATA POINTS TO LOOK AT. ONE IS THE JUSTIFICATION OF THAT THOUSAND OR A MILLION DOLLAR EXPENSE YEAR OVER YEAR WITH LITTLE TO NO COUNTY USAGE. YOU'RE RIGHT, WE, EVEN IF WE GET EXTREME CASE AND IT COMES UP PERIODICALLY, YOU GOTTA SPEND 200, $300,000 FOR THE YEAR THAT'S STILL CONSIDERABLY LESS THAN 900 MM-HMM . OR WHATEVER THE FUTURE AMOUNT'S GOING BE. SO FOR IT TO, FOR IT TO REALLY GROW, WE NEED NORRIS TO STEP UP AND REALLY GET TO, I THINK SUPERVISORY BOSS'S POINT IS, WELL, IF THERE'S NO BEDS IN THERE, WELL SOONER OR LATER THE REST OF THE COUNTY IS GONNA SAY, WELL, WHY WOULDN'T WE GIVE YOU A REFERRAL? YOU REJECTED THEM ALL ANYWAYS. SO WHAT IS IT THAT, IS THERE A MISSION PROCESS? I THINK THAT EVERYBODY ASKING AND, AND YOURSELF INCLUDED, IT'S LIKE, WELL, WHAT IS IT THAT YOU'RE TRYING TO AVOID NOT HAVING TO WORK? DARE I SAY . AND, AND THAT IS DEFINITELY, I MEAN, SO WHY IT'S SO IMPORTANT, I THINK IN THIS FIRST THREE TO SIX MONTHS OF THEIR IMPLEMENTATION BECAUSE THE, YOU KNOW, THE CHILD WELFARE USE JUSTICE FIELD IS, IS SEEMS BIG, BUT IT'S SMALL, RIGHT? WE ALL KNOW THE FACILITIES, WE ALL KNOW THE, THE, THE PARTICIPANTS WE ALL KNOW. AND ONCE, UM, AN ENTITY GETS SORT OF A BAD RAP WITH SOCIAL WORKERS AROUND, WELL, THEY NEVER TAKE OUR KIDS, THEY STOP REFERRING, RIGHT? UM, SO YOU'RE A HUNDRED PERCENT RIGHT. AND SO THIS THIS PERIOD OF TIME AROUND SUCCESS, YOU KNOW, HA REALLY HAS A ALSO A LOT MORE TO DO WITHIN JUST THE, THE STRAIGHT LIKE NUMBERS THAT ARE IN FRONT OF YOU AS WELL. JODY, CHAIR, , THANK YOU CHAIR. UM, [00:50:01] YOU SAID LIKE DANE COUNTY MIGHT BUY A BAT OR TWO FOR THE WHOLE YEAR. HAVE YOU ANY IDEA HOW MUCH THEY WOULD PAY FOR THAT? AND IF THEY WANT TO DO THAT, THEN CAN OUR SERVICE PROVIDER TURN AROUND AND DENY THAT? YOU KNOW, 'CAUSE IT'S THE SAME THING. YOU CAN'T DO A BLANKET AUTHORIZATION, RIGHT? YEAH. UM, I CAN'T RECALL OFF THE TOP OF MY HEAD, BUT THE, THE DAILY RATE IS SET THROUGH, UM, A RATE SETTING PROCESS WITH THE STATE. AND SO I WANNA SAY IT'S LIKE IN THE BETWEEN FOUR AND $500 A DAY, UM, IS THE DAILY RATE. UM, SO, YOU KNOW, TIMES 365 IS WHAT THEY WOULD, WOULD PAY FOR THAT. UM, AND THAT IS THE, UM, UH, THAT'S THE CRUX OF THE ISSUE AROUND BUYING A BED, RIGHT? BECAUSE IF YOU BUY A BED, YOU ANTICIPATE THAT WHEN I HAVE A KID THAT NEEDS TO GO THERE, THEY'RE GONNA GO THERE. UM, AND SO THEY'D BE HARD PRESSED TO SAY NO. UM, WE, WE DON'T GET INTO THE BUSINESS OF BUYING BEDS FOR WASHINGTON COUNTY. IT DOESN'T MAKE SENSE, UM, BECAUSE OF OUR NEEDS. UM, SO I, I DON'T KNOW IF THERE'S EVER BEEN A NO TO SOMEBODY WHO'S BOUGHT A BED. I KNOW I WOULD NOT BE VERY HAPPY. . MM-HMM . MY QUICK MATH SAYS 164,000 FOR ONE BED AT 450 BUCKS A DAY. MM-HMM . SO YOU KNOW THE 900,000 . YES. . GREAT DISCUSSION. ANY OTHER QUESTIONS OR COMMENTS? THANK YOU FOR THE UPDATE, JULIE. THAT'S HELPFUL. AND WE WILL GET ANOTHER ONE BY THE MONTH. YES. OKAY. EXCELLENT. WE'LL KEEP YOU POSTED. OKAY. THANK YOU. UH, OUR NEXT ITEM IS A RESOLUTION, UH, FOR GRANT APPLICATION AND TRANSFER FROM OPIOID FUND FOR ADDITIONAL HUMAN SERVICES DEPARTMENT POSITION. UM, I'LL TAKE A MOTION AND A SECOND TO DISCUSS SUPERVISOR BOSSERT. SUPERVISOR BAILEY SECOND. ALL RIGHT, JULIE. OKAY. UM, SO I RECOGNIZE THAT THIS ALL SOUNDS A LITTLE COMPLICATED. EVEN THE RESOLUTION IS A LITTLE COMPLICATED. UM, SO, UM, LET ME START WITH SAYING, UM, I DON'T BELIEVE EVERYBODY WAS ON THE COMMITTEE, UM, A NUMBER OF YEARS AGO WHEN WE DID OUR NEEDS ASSESSMENT FOR OPIOID SETTLEMENT DOLLARS. UM, BUT WHEN WE KNEW THIS MONEY WAS COMING, WE COMPLETED A NEEDS ASSESSMENT IN THE COMMUNITY TO SORT OF IDENTIFY AND PRIORITIZE WHERE THE NEED IS AND WHERE THIS MONEY SHOULD BE SPENT. AS WE'VE DISCUSSED AT LENGTH, UM, OBVIOUSLY A WOMEN'S SOBER LIVING WAS THE TOP PRIORITY. UM, YOU KNOW, WE CAN, UH, CHECK THAT BOX, UM, THAT HAS OPENED AND IS SERVING WOMEN IN HARTFORD. UM, AND THEN A NUMBER OF DIFFERENT AREAS, UM, SORT OF CAME IN, UH, WHAT I WOULD SAY LIKE SECOND PRIORITY, UM, HOUSING, TRANSPORTATION, CHILDCARE, UM, FOR PEOPLE WHO ARE IN RECOVERY OR, OR, UH, TRYING TO, UM, GO THROUGH RECOVERY, YOU KNOW, ARE AT THE TOP OF THE LIST. BUT THERE'S ALSO VERY LIMITED SERVICES FOR PEOPLE WHO ARE CHILD WELFARE INVOLVED AND ALSO, UM, STRUGGLING WITH A SUBSTANCE USE ISSUE. AND SO IT'S BEEN SOMETHING WE'VE BEEN TALKING ABOUT INTERNALLY, UM, WITH OUR TEAM FOR A WHILE. AND THIS GRANT APPLICATION BECAME AVAILABLE, UM, RECENTLY THROUGH VITAL STRATEGIES. AND SO WHAT THEY'RE OFFERING IS, UM, THEY'RE OFFERING UP TO A HUNDRED THOUSAND DOLLARS IF WE MATCH IT ONE-TO-ONE WITH OUR OPIOID SETTLEMENT DOLLARS FOR, AND THEY LIST THEIR GRANT APPLICATION A NUMBER OF, UM, INTERVENTIONS, UM, FOR WORKING WITH FOLKS WHO HAVE A SUBSTANCE USE INTER, UH, ISSUE. UM, SOME OF THEM AROUND HARM REDUCTION THINGS. BUT THERE'S ALSO THIS, UM, PRIMARY PREVENTION AREA, UM, OF WORKING WITH PEOPLE WHO ARE AT RISK, UM, FOR ENTERING THE CHILD WELFARE SYSTEM BECAUSE OF THEIR SUBSTANCE USE ISSUE. UM, OUR, UH, CHILD WELFARE, UM, INTAKE SUPERVISOR HAS BEEN TALKING TO ME AT NAUSEAM FOR A WHILE ABOUT THE NEED OF THE CALLS THAT THEY GET RIGHT, OF PEOPLE WHO, UM, YOU KNOW, USUALLY CALLS THAT COME INTO CHILD WELFARE INTAKE ARE BECAUSE SOMEBODY IN THE COMMUNITY IS CONCERNED ABOUT THE WELLBEING OF CHILDREN. UM, BUT THEY DON'T ALWAYS RISE TO THE LEVEL OF A SAFETY ISSUE WHERE INTERVENTION OR REMOVAL IS, IS NOTED. AND SO THERE'S VERY LITTLE, UH, AT, TO PROVIDE OR OFFER TO THOSE INDIVIDUALS, UM, WHO ARE AT RISK FOR REMOVAL, BUT NOT QUITE THERE YET. AND IT'S PRIMARILY BECAUSE THEY'RE STRUGGLING WITH THE SUBSTANCE USE ISSUE. SO WE, UM, ARE WORKING ON PUTTING TOGETHER A PROPOSAL TO HIRE, UM, WHAT, RIGHT NOW WE'RE CALLING A FAMILY SERVICES COORDINATOR. IT'S SORT OF IN THE CONCEPT OF A NAVIGATOR THAT, UM, [00:55:01] WE COULD TAKE REFERRALS FROM OUR CHILD WELFARE TEAM, BUT ALSO FROM ANYBODY IN THE COMMUNITY WHO, WHO IS WORKING WITH A PARENT, UM, WHO IS STRUGGLING WITH A SUBSTANCE USE ISSUE AND NEEDS, UM, CONCRETE SUPPORTS, UM, AND NEEDS SOME CASE MANAGEMENT AND NEEDS ESSENTIALLY LIKE RESOURCE AND REFERRAL, UM, TO, UH, TREATMENT FOR HOUSING, FOR CHILDCARE, FOR ALL OF THOSE THINGS. SO THE WAY THAT THIS GRANT WORKS IS THE EXPECTATION, AS I SAID, IT'S ONE, IT'S A ONE YEAR GRANT. UM, WE WOULD HAVE TO MATCH IT ONE TO ONE, BUT THEN WE WOULD NEED TO SHOW, UM, OUR EFFORTS TO, UM, CONTINUE THE PROGRAM OR CONTINUE THE SERVICE PAST THE FIRST YEAR. SO WHAT WE'RE ASKING FOR IS UP TO A HUNDRED THOUSAND DOLLARS TO MATCH FOR THIS GRANT. AND THEN CONTINUED FUNDING FOR YEAR TWO AND THEN YEAR THREE, UM, FOR THIS POSITION SO THAT WE CAN PILOT THIS AND SEE WHAT KIND OF IMPACT THAT WE CAN MAKE, UM, WITH FOLKS WHO ARE AT RISK, UM, FOR ENTERING THE CHILD WELFARE SYSTEM. UM, I SAY UP TO, BECAUSE THE POSITION PROBABLY WILL COST OUT AROUND 90 TO 95,000, AND SO THEY, IF WE JUST ASKED FOR COVERING THE POSITION, IT WOULD BE, YOU KNOW, ABOUT 45, 40 8,000, AND THEN WE WOULD DO 48,000. BUT THERE'S GONNA BE COSTS FOR, UM, LAPTOP, CELL PHONE TRAINING, MILEAGE, YOU KNOW, ALL OF THOSE TYPES OF THINGS. AND THEN WE MIGHT EVEN ALSO BE ABLE TO PUT IN A REQUEST FOR SOME, UM, I'VE GOT A LIST OF THINGS FROM OUR SUPERVISORS, BUT AROUND, UM, SORT OF WHAT WE CALL CONCRETE SUPPORTS AROUND, UM, BUS TICKETS OR TAXI TICKETS, YOU KNOW, THOSE TYPES OF VOUCHERS THAT WE MIGHT BE ABLE TO PROVIDE AS WELL. SO WE'LL, WE'LL TRY TO GET UP TO THE, THE A HUNDRED THOUSAND, YOU KNOW, TO HAVE THAT MATCH. UM, BUT IF WE DON'T, IT'LL BE A LITTLE BIT LESS. AND THEN THE YEAR TWO AND THE YEAR THREE WILL BE THE COST OF THAT POSITION CONTINUING. UM, YOU KNOW, BASED ON WHAT WE BUDGET FOR COLA AND PERFORMANCE EVALUATION. SO WE'RE ANTICIPATING AROUND ABOUT $300,000, UM, ASK OF THE OPIOID SETTLEMENT FUNDS, AND THEN WE'LL USE THAT GRANT MATCH AS WELL, UM, FOR THREE YEARS. SO I'LL STOP THERE TO SEE IF THERE'S QUESTIONS. I THINK YOU DID ASK THE ONE COMMENT WITH THE MATCH. MY QUESTION WAS GONNA, IS IT THREE YEARS OR FOUR? BUT YOU'RE SAYING THREE YEARS. SO REALLY THAT A HUNDRED PLUS THE MATCH AND ANOTHER 200 REALLY FOR SPEND OVER THE THREE FULL YEAR PERIOD MM-HMM . THREE. YEP. THREE FULL YEAR PERIOD. OKAY. ANY OTHER QUESTIONS, THOUGHTS, COMMENTS? WELL, UM, I, I DO, SO I, I CAN'T HELP BUT SOCIAL WORKER COMES TO MIND WHEN I THINK OF THIS POSITION. AND AM I ON BASE OFF BASE THERE? YES. UM, I THINK, UH, THE JOB DESCRIPTION I REVIEWED LAST WEEK IS A MASTER'S PREPARED SOCIAL WORKER. OKAY. SO HOW DOES THAT, AND YOU'RE SAYING THAT THE NEEDS ASSESSMENT SAID THIS IS SOMETHING THAT THERE'S A VOID OR THERE'S NOT ENOUGH OF, SO IS IT NOT ENOUGH OF, OR A VOID? THERE'S A VOID, SO THERE'S NO, UM, SO, UH, COUNTY HUMAN SERVICES IS PRIMARILY THE ONLY ENTITY THAT PROVIDES, UM, SORT OF CHILD WELFARE SERVICES. UM, AND WE, ALL OF OUR RESOURCES ARE IN WHAT I WOULD CALL MORE OF THE DEEP END OF THE POOL. WHEN PEOPLE GET, UM, ENGAGED IN CHILD WELFARE, THEY'RE COURT ORDERED, THEY'RE INVOLVED IN THE COURT SYSTEM, CHILDREN ARE REMOVED, CHILDREN ARE IN FOSTER CARE. YOU KNOW, WHEN THINGS HAVE GOTTEN SO BAD IN A FAMILY SYSTEM THAT THEY NEED THAT DEEP INTERVENTION. BUT WE ALL KNOW, RIGHT, THAT THERE'S MANY THINGS THAT ARE HAPPENING SOMETIMES FOR YEARS LEADING UP TO THAT POINT. UM, AND THERE'S JUST NOT A LOT OF, UM, SUPPORTS IN THE COMMUNITY TO HELP PEOPLE TO CONNECT TO THE RESOURCES THAT MIGHT INTERVENE FOR THEM AND, AND CREATE AN OPPORTUNITY FOR THEM TO NOT GET INVOLVED IN THE CHILD WELFARE SYSTEM WHILE THERE ARE RESOURCES FOR SERVICES, RIGHT? SO THERE'S TREATMENT SERVICES, THERE'S SOME HOUSING RESOURCES OUT THERE, THERE'S SOME CHILDCARE RESOURCES OUT THERE, THERE'S, UM, SUPPORT GROUPS, THERE'S CHURCH GROUPS. PEOPLE DON'T ALWAYS KNOW WHERE TO GO TO GET THAT SUPPORT TO, UM, SORT OF CREATE THAT PLAN AND NAVIGATE THAT SYSTEM. SO WHEN I THINK ABOUT IT, I THINK OF A NAVIGATOR. UM, MY TEAM DOESN'T LOVE THAT TERM, UM, SO THEY DON'T WANNA USE IT, BUT THAT'S WHAT MY BRAIN THINKS OF. UM, BUT AS SOMEBODY WHO ENGAGES WITH THAT PERSON WHO'S AT RISK AND WANTS TO, UM, GET SOME HELP WITH THEIR SOBRIETY, BUT NEEDS THAT, THAT ONGOING ADVOCACY AND SUPPORT, UM, AND CONNECTION TO THE RESOURCES IN THE COMMUNITY [01:00:02] SUPERVISOR BAER, I ACTUALLY LIKE THE TERM NAVIGATOR. I THINK IT FITS. IF YOU'VE EVER BEEN IN A CAR ON A ROAD TRIP AND YOU'RE TRYING TO FIGURE OUT WHERE YOU WANT TO STOP TO EAT, AND YOU GOT THE PERSON IN THE PASSENGER SEAT ON THEIR CELL PHONE FIGURING OUT WHERE WE CAN GO THAT'S NEARBY WHAT RESTAURANTS, YOU KNOW MM-HMM . SAME WITH GAS, HOTEL, WHATEVER IT MIGHT BE. I THINK THAT FITS WELL IF YOU'RE SOMEBODY WHO'S APPROACHING THAT CRISIS POINT, UM, AND THAT MAY NOT BE THE RIGHT WORD, BUT, UM, YOU KNOW, YOU'RE APPROACHING THE POINT WHERE YOU'RE GONNA NEED THAT. YOU'RE GONNA BE IN THAT DEEP END OF THE POOL. NAVIGATOR CAN HELP STEER YOU AWAY FROM THAT DEEP END OF THE POOL, GET YOU ON THE RIGHT TRACK, CONNECT YOU TO THE RIGHT. I THINK IT'S A PERFECT TERM. I LIKE THIS PROGRAM. I THINK IT AGAIN, IS THAT PREVENTION, JUST LIKE WE SAW WITH THE CRITICAL RESPONSE UNITS, I'M ALL IN FAVOR OF THIS AND KEEP CALLING IT NAVIGATOR AS FAR AS I'M CONCERNED. , I'LL, I'LL TELL THEM THAT. . WELL, I, MY, MY, MY CONCERN ISSUE, YOU KNOW, WE HEARD IN OUR LAST BOARD MEETING THAT WE MAY HAVE A , UH, GOVERNMENT AND OR TO SERVE, THIS IS FUNDING FOR PRESUMABLY THREE YEARS. HIGHLIGHT WORKS, WELL, MAYBE A CONTINUED FUNDING, BUT OPIOID DOLLARS ARE ONLY GOING THROUGH WHAT, 20 38, 20 36. MM-HMM . 30, 36 OR THREE SEVEN. YEAH. CONTINUE WOULD BEYOND THAT, THAT MEANS WE'RE CARVING OUT SOME OF THOSE MONEY. SO I GUESS WHAT I'M GETTING, I'M NOT SAYING THAT WE COULDN'T DO THAT, AND THEN AFTER 2038, WHAT DO WE DO THEN? YOU KNOW, THEN IT'S GOTTA COME OUT OF LEVY OR SOME OTHER GRANT OR FUNDING PROGRAM. SO BY SIGNALING TODAY THAT THIS IS WHAT WE WANT TO DO AND PROVIDE FOR COMMUNITY, ARE WE PREPARED TO SIGNAL TO THE COMMUNITY THAT WE WILL FIND A WAY TO PAY FOR IT DOWN THE LINE? SO I DON'T THINK THAT'S BEEN ESCAPED BY ANYBODY HERE NOR YOURSELF, RISCO, BUT IF WE'RE TELLING A COMMUNITY, WE'RE HELPING FILL THE VOID AND THE COMMUNITY SAYS THERE'S A VOID, BUT WE'RE NOT GONNA FUND IT PAST THESE OPIOID DOLLARS, THEN WHAT, WHAT DO PEOPLE GO TO THEN? IS IT BETTER TO NOT HAVE ANYTHING FOR THREE YEARS? OR, AND AGAIN, I'M BEING A LITTLE FACETIOUS THERE, BECAUSE NOW YOU HAVE HOPES AND WELL, THEIR SERVICES NOW I DON'T HAVE 'EM. NOW, WHERE DO I GO NOW? DO WE OVERLOAD OUR CRISIS RESPONSE TEAM? BECAUSE WHAT, WHAT THAT TEAM DESCRIBED, THERE WAS SOME THINGS THAT OVERLAP HERE MM-HMM . SO I COULD SEE HOW THEY COULD WORK TOGETHER IN SOME, SOME WAY, OR AT LEAST REFERRALS OR GET AHEAD OF A GAME. UM, HEY, WE JUST, YOU KNOW, WENT TO A HOUSE AND THERE APPEARS TO BE MORE THAN JUST AN ADULT DRINKING PROBLEM THAT APPEARS TO BE A YOUTH DRINKING PROBLEM. WELL, DO WE REACH OUT THEN TO THE YOUTH AND, AND WHAT PROBLEM ARE WE TRYING TO SOLVE FOR? AND WILL THIS HELP SOLVE THAT? THAT THAT'S WHAT I, I KEEP COMING BACK TO IT. AND THEN HOW DO WE MEASURE SUCCESS? SO IF THE BOARD HAS TO AGREE TO PAY OUT OF THE LEVY, HOW DO WE MEASURE SUCCESS? SO I, I WOULD HOPE THAT DURING THE, THE THREE YEAR PILOT, YOU USE THE TERM, SO I'LL USE THAT WORD, YOU'LL DEFINE WHAT SUCCESS MEANS, MAY NOT HAVE THAT WRITTEN OUT TODAY, BUT I WOULD ASSUME OVER THE COURSE OF SIX MONTHS OR SO, AS WE SEE HOW THE PHYSICIAN WORKS AND INTERACTS AND, UH, WORKS WITH OTHER RESOURCES WITHIN HUMAN SERVICES, CHILD WELFARE, UH, EVEN THE CRISIS RESPONSE TEAM, THAT SOME SUCCESS CRITERIA CAN BE, UH, QUANTIFIED. SO WHEN, AND IF IT COMES TIME FOR THE BOARD HAVE TO DECIDE, ARE WE GONNA SPEND, YOU KNOW, 150 OR $170,000 A YEAR AT THAT POINT IN TIME, CAN WE MAKE THAT DECISION? THAT, I GUESS THAT'S WHAT I WANNA MAKE SURE THAT WE'RE ALL WELL AWARE OF IT. I, I AGREE. OKAY, FINE. GET THE $300,000 PRESENTLY WE GOT THE OPIATE MONEY, BUT THAT'S EASY. IT'S THE HARD PART THAT COMES AFTER IT. MM-HMM . YEAH. I, I THINK THOUGH, THAT'S NOT A REASON NOT TO DO IT NOW. IT'S, AND IT'S, YOU KNOW, THE FINANCIAL CRISES WE'RE TALKING ABOUT IS THE POTENTIAL REVOCATION OF ACT 10 AND WELL BEYOND THAT, , THERE'S OTHER FUNDING ISSUES. YEAH. IT'S NOT JUST ACT 10. YOU GOT THE BUDGET TOO WITH THE GOVERNOR THAT, YEAH. UM, AND I DON'T WANNA GET TOO POLITICAL, YOU KNOW, BUT WE KIND OF KNOW WHAT THE SITUATION IS, BUT WE CAN ONLY DEAL WITH WHAT'S IN FRONT OF US TODAY. WE HAVE THIS OPIOID MONEY, WE HAVE IT PRESUMABLY THROUGH 2038, SO IT MAKES SENSE TO FUND THIS AT LEAST TILL THEN. UM, I KNOW IN THE PAST, WITH A LOT OF OUR HUMAN SERVICES STUFF, IT'S FUNDING DEPENDENT. IF THE [01:05:01] FUNDING GOES AWAY, THE PROGRAM HAS TO, AND THAT MAY BE THE APPROACH THAT COMES IN 2038. SO, AND, AND I, I AGREE AND I THINK THAT, UM, IN THE ACTUAL, UH, RESOLUTION, I THINK IT'S STATED SOMEWHERE ABOUT THE SUSTAINABILITY, THAT THAT'S ALWAYS A CONCEPT AND A, UM, A TARGET FOR, FOR RUNNING ANY OF THESE PRO PILOT PROGRAMS. UM, AND WE WILL COME UP ON A BUDGET YEAR OR THREE BEFORE 2038 TO BE DEALING WITH THAT. IS THAT ACCURATE TO SAY? YES. OKAY. UM, AND IF I MAY JUST, UH, COMMENT, UM, I, I AGREE WITH YOU. UM, AND I THINK THAT WHAT THE TOUGH THING ABOUT PREVENTION IS, IS THAT THE, THE, THE THEORY OF, IN THE, IN MY, MY WORLD, RIGHT, IS THAT IF YOU PUT THE INVESTMENT IN PREVENTION, YOU KNOW, THEN YOU'RE NOT GONNA SEE. SO YOU INVEST IN, YOU KNOW, REDUCING KIDS FROM, UM, COMING INTO THE CHILD WELFARE SYSTEM. SO THEN YOU'RE GONNA HAVE AN IMPACT ON THE CHILD WELFARE SYSTEM AT THE END. UM, THAT'S A THEORY. IT SHOULD WORK IN THE PERFECT WORLD, RIGHT? UM, AND SO WE, WE COULD SEE THAT, UM, FOR SURE. ALSO, I MEAN, OUR COUNTY'S GROWING LIKE GANGBUSTERS THESE DAYS, IT FEELS LIKE. AND SO WE ALSO DON'T KNOW WHAT, WHAT WILL LOOK LIKE IN 2036 AS A COUNTY, UM, BUT I, I, UM, I THINK THAT THAT'S WHERE I, I HOPE THAT THE WAY THAT OUR COUNTY HAS, YOU KNOW, BEEN IN THE LAST 10 YEARS, THE FRAMEWORK OF THE WAY THAT WE DO OUR BUDGET AND THE WAY THAT WE LOOK AT THINGS, UM, THAT, THAT CONTINUES. BECAUSE IF YOU, IF YOU GET INTO, AS A COUNTY, UM, BOARD SUPERVISORS OF A, OF A BUDGET CRUNCH, AND WE GO BACK TO SORT OF THE PROCESS OF PRIORITY BASED BUDGETING, YOU KNOW, THIS IS NOT A REQUIRED, YOU KNOW, UH, SERVICE, RIGHT? IT'S A REALLY NICE TO HAVE. UM, AND SO IF, IF WE DO THAT PROCESS IN 10 YEARS BECAUSE WE'RE, YOU KNOW, IN A REALLY BAD FINANCIAL PLACE AND THERE'S, YOU KNOW, THE OPIOID MONEY ISN'T THERE, YOU KNOW, THAT TYPE OF THING, THAT, THAT, THEN THAT WOULD BE A POSITION THAT WOULD RISE TO THE LEVEL OF NOT BEING A PRIORITY AND I THINK COULD MAKE A GOOD DETERMINATION. YOU KNOW, LET'S JUST, LIKE NONE OF US, WERE ALL HERE, RIGHT? I MIGHT BE HERE IN 2036. I DON'T KNOW. SO, I MEAN, THAT'S MY ONLY COMMENT ON THAT. YEAH. ON THE PRIORITY BASED BUDGET THING THOUGH, UM, THE MANDATED SERVICE ISN'T THE ONLY CRITERIA THERE. EVERYTHING WAS RANKED AS A PRIORITY ONE THROUGH PRIORITY FOUR. WE DON'T NECESSARILY KNOW WHERE THIS WOULD FALL. MM-HMM . IT MIGHT BE A PRIORITY OF THREE OR FOUR. THAT MIGHT SEEM LOGICAL, WHICH FOR THOSE OF YOU WHO MAY NOT BE FAMILIAR, SO THE PRIORITY ONES WERE THE MOST IMPORTANT THINGS. PRIORITY FOURS WERE THE NOT QUITE AS IMPORTANT THING, AND WE LOOKED AT EVERYTHING THAT WAS PRIORITY THREE OR FOUR. AND IF IT WASN'T MANDATORY, IS IT SOMETHING WE CAN TRANSITION OFF OF TAX SLIP? SO THAT'S WHY THINGS LIKE OUR PARKS ARE NOW SELF-FUNDED BECAUSE THAT WAS NOT, NOT A PRIORITY ONE OR TWO ITEM. UM, BUT WE DON'T KNOW IF THIS WOULD BE A PRIORITY ONE OR TWO OR A THREE OR FOUR. MM-HMM . IT LENDS ITSELF MORE MAYBE THE PRIORITY FOUR, BUT, YOU KNOW, WE MIGHT REINTRODUCE PRIORITY BASED BUDGETING IF THIS BUDGET CRUNCH HITS THAT THAT'S NOT A BAD THING IF WE DO THAT. SO. YEP. ONE LAST COMMENT I PUT IN MY, MY HR AGAIN IS, OKAY, THE HARD FOR THE POSITION, I, I KNOW IN THE ENVIRONMENT THAT YOU'RE TALKING ABOUT, IT WILL BE HARD FOR THE POSITION NOT TO KIND OF INTERMINGLE OR COMMINGLE WITH OTHER FUNCTIONS WITHIN THE DEPARTMENT, BUT THEN TRYING TO BACKTRACK OR EXTRICATE THAT WHEN TIME COMES, IF IT COMES THAT, THAT, NOPE, IT'S THREE OR FOUR, WE'RE NOT GONNA FUND IT. WELL NOW YOU, HOW DO YOU FILL THAT IF OTHERS DON'T HAVE CAPACITY? SO, AGAIN, HOW DO YOU, HOW DO YOU SET THE POSITION UP TO MEET THAT VOID? BUT ALSO, EVEN THOUGH I SAID EARLIER, NOT GET OUTTA YOUR LANE IN A CASE LIKE THIS, IT, IT MIGHT BE PRUDENT TO KEEP THAT POSITION IN ITS LANES AS MUCH AS POSSIBLE VERSUS TAKING A, A TASK OR FUNCTION THAT PERSON A, B OR C OR STAFF MEMBER A, B, C WAS DOING HERE. NEXT THING YOU KNOW, UH, YOU'RE TRYING TO, BECAUSE THEY NOW FILL THEIR PLATE WITH SOMETHING ELSE. AND THEN HOW DO YOU REDISTRIBUTE TO ITS RESPONSIBILITIES? MM-HMM . THAT I AM SURE IT HASN'T ESCAPED YOU, BUT SOMETIMES, SOMETIMES WE THINK ABOUT, OH, WE GOT A NEW, UH, RESOURCE. WELL, COULD THEY PICK UP THIS AND, AND ANYWAYS? YEP. SO THERE'S CONSEQUENCES. YEAH. THERE'S ALL AS I'M TRYING TO GET AT. YES. NO, THAT'S A VALID CONCERN. MM-HMM . GOOD DISCUSSION AGAIN. [01:10:01] ANYTHING ELSE? ANY OTHER QUESTIONS FOR JULIE? I, I JUST HAVE ONE THOUGHT ABOUT, UM, THE CASELOAD IDEA OF PROJECTED CASELOAD. CAN YOU GIVE US SOME IDEA OF WHAT YOU THINK THAT MIGHT BE? YEAH, I MEAN, SO THIS, UM, POSITION ISN'T MEANT TO KEEP, UM, PEOPLE IN THEIR CASELOAD FOR YEARS ON END, RIGHT? LIKE, UM, LIKE WE SEE IN CHILD WELFARE OR, UM, SEVERE PERSISTENT MENTAL HEALTH CLIENTS OR CLTS RIGHT TILL EIGHT 18 YEARS OF AGE. UM, YOU KNOW, SO, AND WE WERE THINKING, YOU KNOW, BETWEEN A TWO AND FOUR MONTH INTERVENTION. UM, SO WE FEEL LIKE THEY COULD HAVE A CASELOAD AT ANY GIVEN TIME AROUND 20. UM, 15 TO 20 IS PRETTY TYPICAL FOR, YOU KNOW, VARIOUS PROGRAMS AROUND A CASELOAD. UM, SO IN A GIVEN YEAR THEY COULD SERVE, YOU KNOW, 30, 40, 40 FAMILIES ON THE HIGH END. IT REALLY DEPENDS ON, YOU KNOW, THE LEVEL OF, UM, INTERVENTION AND ADVOCACY THAT THEY, THAT, THAT THAT PERSON NEEDS. OKAY. THANK YOU. ALRIGHT. UH, ANY OTHER QUESTIONS BEFORE WE TAKE A VOTE HERE? JULIE, AGAIN, THANK YOU FOR THE PREPARATION AND THE RESOLUTION AND THE DISCUSSION AND CLARIFYING SOME THINGS FOR US. UM, I'M GONNA SAY ASK, UH, ALL THOSE IN FAVOR OF PASSING THIS MOTION FOR THE GRANT APPLICATION AND TRANSFER FROM OPIOID FUND, UH, FOR ADDITIONAL HUMAN SERVICE DEPARTMENT POSITION. ALL THOSE IN FAVOR SAY AYE. AYE. OPPOSED? IT PASSES UNANIMOUSLY. ALRIGHT, OUR NEXT MEETING DATE IS JUNE 25TH AND THIS MEETING IS ADJOURNED. SIT HERE WAS HER RED. I DON'T WANNA BE LIKE, OH, SHE WAS ON YOUTUBE ACTING STUPID. * 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.