Behavioral Health Board - Regular Meeting

Give us all. Amen. G

something but it's going for the voters in June. It just passed the Senate appropriation committee the Senate on housing. Yes, sir. That's not what you have there. Um, they had the hearing. Don't know if that passed or not waiting on I wouldn't attend that. Oh, look at that.

I'm looking for a lot of basket. I saw in that state why I passed on and then the sickle location with all of the new guidance and um still crazy to me that I'm hoping that it passed the house. So crazy to me.

How you doing? Our final version 30th really got to have it draft into the March when this goes toward California. Yeah, stay. So we can still make changes to the plan even since we spoke. I've been in the back of patrol car. What?

Yeah. What happened? What? Since the last time we spoke this morning in the back of For what reason? A gentleman picked up a baseball bat and I grabbed it. He said, "You have this." And I turned around by the time I turned around. I saw baseball bat swing on. So you're not in the back of a cop car. That's a good thing. Huh? So you're not in the back of a cop car now. No. Uh, I had him face down when the police showed up. Still on phone with dispatch. I was sit over here today cuz I have to leave early. Okay.

We were at your place of work the other day. I heard I heard the stories. You did? Yeah. Oh, yeah. I heard there's a lot of stories out there. Oh. Oh. Trust me, I know. Roughly I know. Oh, good lord. I certainly know. Yeah. Uh, one of my guy Well, well, that's where that stuff was. One of my guys almost looked at you for a similar incident recently. Really?

Yeah. The officer even told me he said he said because of who you are. He said I want to take you to jail. What the heck did that? I had no idea and I didn't really ask him. I said but I hope you do. I said because this will be the last day you serve duty. You threaten me. I said no. I'm guaranteed. Was that on did they have their little Oh, good. I'm already asking.

I want to talk to you real quick. Okay.

Oh, I didn't know you were here. I would feel like me outside. I'm in trouble. Billion.

Holy Bob, you want the appropriations committee also? Was it past appropriations? But I don't want to pass housing. I've got present committee on housing. Okay. We Okay. I didn't know if you wanted the appropriations appropriations committee. I better have it. Okay, then this will give you something to refer to on that. Okay, thank you.

I was highly impressed when when I saw the four billion set aside for veterans. Well, this this was in what was that? That was done in 2018, but it's back up for a vote. Yeah, that's a lot of money. Really? Mhm. Now, like I said, that that is statewide, but that's still a lot of money for 58 counties or 59 counties. Well, not every county had Yeah, that's true.

So, now that explains how we got our programs how I got my job. Okay. lobbyists when it expires didn't want to make it work. Yeah. How's that looking? We just started the second year of a three-year program. Okay. It's

one of those things to where you know somebody come up with some numbers uh for metrics and we know the reality of that regardless stillard regardless what the centric sher still needed it fits into that slot. I hope things go well for you on that. I really do. We're definitely inviting.

Well, you know, it's elemental health. It's not even Yeah, that's true. That is very true, Miss W. A little Oh, Laurel. I'm sorry. I called you the wrong person. I apologize. Could be Laurel, right? I called you Miss Wolf. Oh. Instead of Mrs. Johnson. I'm sorry. I apologize.

My hearing's gone. Burton. I said about

Oh, I was just gonna give so much of this to for purposes when I How's the husband doing? Healthy and well. That's good. Let's start, you know, But even just the regular dictators going We have somebody from the California state.

Yes.

Member There we go. Good lord. You feel hot?

Oh, no. It's funny. That's good. Have you seen enough of the signing?

I have not. Matter of fact, I haven't even seen pregnant. I've been by the shop two or three times. want to get me. I I haven't interested back. He just wants to come postponed it. I mean, not

okay. That's bad enough.

Jess, did you get the um the packets? Yes. More than one ways to get them to you. just briefly take a look at it whenever you get home. Oh, I will definitely see. I definitely will. Things are getting a little It's looking like it's going both human. So

Laura just that this is something that I have to share. Okay. Yes. Yes. Um feel right here.

I can I can

I just want to let you know I have to leave. You're right. You're right. People are in territory. Right. Excuse my tardiness. Like to call this meeting the order. Whatever 20 minutes seems way different. You're lucky. You are almost gonna have to run this. At 12:18, welcome to the monthly behavior health board meeting. We are the advisory board to the board of supervisors. We hold this meeting in the 4th Thursday of each month and runs from 12:15 to 2:15. You meet in person at 50 street. This is a public meeting. Everyone is invited to attend looking for a pen. Um members of the public may participate that's on the agenda can be found by searching planning behavioral health board online. We provide track or public comments early on the agenda. Public comments are limited to three minutes obtained to matters related to behavior. We ask you to make your comment and respectful ma'am. Please note this meeting is being recorded. Please contact myself or any of the board members who have questions about our work as a board. And Joe, if you'll take the role, please

here

Virginia Bass Johnson here price here. So we have a follow. We'll go around the room. Um staffing health and human services director. Good to see everyone. Hi Rosemary Schultz. She her ATC organizer associate board

Laurel Johnson analyst in DHS administration there deputy director of behavioral health. Thank you. I'm Oliver Gonzalez. I am a program manager for DHHS behavioral health and I I oversee the behavioral health service. Good afternoon. Emmy Bots, the Rogers behavioral health director. I'll go online starting with uh Jeremy. Yay.

Hi, Jeremy Nelson, deputy branch director for Children's Behavioral Health. Um, Eric, hi everyone. Eric Rushing, um, manager of mental health for Partnership Health Plan. Alex Alex Olivero. I'm a BHSA and quality improvement admin analyst. What's up?

Is this Did I hear my name? Yeah. Hi, Melissa Nelson, patient navigator here at AJ Senure. LBH PHP is here. How about stop?

Is there anyone else online who would like to introduce themselves? Yes. Hello. My name is My name is Colina Hosman. I'm a community health worker here through Care Network, Eureka, Providence Health. Justformational uh attendance only. Thank you.

Thank you. All right, that's everyone. Um um are there any adjustments to the agenda? Seeing none, we will go to public comments. Anyone in the room would like to comment um online? Is there anyone that would like to make a comment?

All right. Moving on to action items. We need to approve the minutes from 11:205. Do I have a motion? Make a motion to approve the minutes. Thank any discussion. All in favor of approving say I opposed. Minutes are approved. Um we need to approve to pay Cal BHB uh the invoice and it's for it's $1,000. Um, so do I have a motion? Does that sir?

Make a motion to be sent. Thanks, Don. Is there a second? I'll second. Very much. Um, all in favor of approving that invoice for $1,000 say I. I. Opposed. Awesome. Motion carries. And, um, lastly, approval to send the membership application for Dana Hulcom to the board of soups. And I have to say that it was my mistake that this did not get on the agenda oh two three months ago. Um I'm not sure what happened but uh Dana has been to several meetings. She did come and introduce herself. So anyone want to make a motion?

I'll make that motion to send application for super. Thank you. Thank you Vernon. Um is there any discussion of us? So um all in favor say I. I opposed. All right. Awesome. That motion carries and we are sending 14th member to be approved. This is great. I'm very proud of that. Discussion items. We have our amazing awesome behavioral health board member handbook online.

Uh I don't know if anyone's clicked on that link and looked at it, but everything's there. You can click and go to things. Did you want to say anything? You missed anything. There's you can pass around

the heart printed out, but it is intended to all be linkable. that's on um the internet on the behavioral health board site. So, but that's you see what it looks like if you were to print it for yourself or you don't visit. So, thank you so much to Laurel and the staff for putting that together. It makes it so easy to go to be able to go there, click on links as opposed to having to type in URLs for places. Um, and so any new member can choose to either get it online or have a hard finder out to you. Any questions about that? Nope. Awesome. Now, the moment we've all been waiting for.

My turn to shine.

Yes. Our BHSA presentation. Take it away. Good afternoon everybody. My name is Oliver Gonzalez. I am a program manager for behavioral health branch and I I do a lot of our I do our behavioral health services and reporting. Um this presentation is really going to be focused on something new that we call the integrated plan which is for fiscal years 2026 2029. Uh couple of things I wanted to kind of disclose ahead of time in in the beginning is that this is all relatively new information. Uh so much so that I'm actually condensing 400 pages worth of uh state lingo into 20 sites. So, so if you have any questions um as I present, by all means feel free to to interject. Um I really just want we really just want to have a conversation together about all of these new transitions and changes happening with the BHSA. The other thing is I know some of you are uh have attended our previous MHSA meetings, mental health services act meetings. Normally we would present a budget along with this information but given by how much is changing right now that budget is still very much in progress along with the plan that we're discussing today. So I I do apologize for not having a budget on hand to present to you right now but that is something that we will have in the coming months for you to see as well. So just wanted to give you guys that heads up. Um in today's presentation uh we

have really three core goals. uh we will discuss the transitions of the MHSA to the VHSA. Throughout the presentation, I'll be highlighting challenges with the implementation of the VHSA. So, really just going over those challenges and potential impacts on programs. And last but not least, we'll be talk there will be room for comments, questions, and input from the public. Um while we're on that note, we also have a demographic form uh that I have copies for. I hope each of you got a copy and if not we have some up front. Uh for those of us joining online, we also have a link that my colleague Alex Olivera has posted in the chat. Um it is absolutely voluntary and anonymous. So if there's sections or you don't want to take it, that's totally fine. Um and then the end of the form has which is the backside has a section for comments as well. So perhaps there's something additional you wanted to input or emphasize as a comment. By all means feel free to share that.

Yes. Um if you've already done these two forms, can you do that again? Yep. Absolutely. We don't have a limit. Yeah. Yeah. And we won't know who it came from because again it's anonymous. So

So there's that. Um and then I also have anformational packet as well that we have up front here. So I hope you got a copy of that. A lot of that packet really mirrors the information I'm going to be discussing today. Uh but again, just something to take home with you. And of course, I'll be sending you uh copies of these slides as well afterwards too. Okay. Um and my colleague Alex did uh put a copy of that packet in the chat as well for our virtual friends as well. And also for our virtual friends, uh the the virtual section uh demographic form also has a section for uh comments and feedback that I'm highlighting here as well. Uh so really to kind of also emphasize too uh we will be also taking notes of what is shared with us today. Um we have an email address bsa comments at co.humble.ca. us. So that's an email address that you could use to also get a hold of me um and or even share additional input and we ask that comments are specific to what we're discussing today which is the integrated plan. So with that in mind uh let's get started. So ultimately the uh mental health services act initiated in 2004 enacted in law in California in 2005. It was done under the form of proposition 63 and it placed a 1% income tax on income exceeding a million dollars in California. Um oftent times the MHSA was called the millionaire's tax so to speak. Uh for that reason um in 2025 we had a reform happened through the form of proposition one uh through the governor's office. And what proposition one did is it approved it was approved in 2005 2025 in May and it renamed the

mental health services act into the behavioral health services act. Um I'll discuss the elements and pieces that um are changed throughout this presentation. Uh but in essence what this infographic is showing is that that 1% income tax for the millionaires is collected by the state treasurer. It is then subdivided into two components. Um, one component is a 10% allocation to the state, specifically some state agencies like the Department of Healthcare Services, the California Behavioral Health Planning Council, uh, the Department of Healthcare Access and Information, the Behavioral Health Services Oversight and Accountability Commission, and the California Department of Public Health. Nailed it. Um, so, and then the remaining 10% goes to uh all 58 counties and two city jurisdictions. Um, one thing I really want to emphasize here in this infographic is that maybe some of you noticed under BHSA, the state allocation is 10%. Under MHSA, last year it was 5%. So that means that the state's going to be taking a an additional 5% to run their own internal programs. And that's something I'll be emphasizing throughout the presentation as well, since that ultimately means less funding for all 58 counties. Um, one other little fun fact also I wanted to share with you all is that um, really California is the only state in the US that really allocates tax revenue dollars to behavioral health services. The other state that does something similar is the state of Washington and that's a 0.1% sales tax. So just wanted to highlight that. It'll be on the test. Um so really the intended purposes of of the MHSBHSA is to expand best practices and recovery focused mental health programs, reduce long-term negative impacts uh resulting from untreated mental illness and prevent mental illness from becoming severe and

disabling. Additionally, we have some county requirements that we need to follow. So we need to be completing an integrated plan every 3 years. The most recent fiscal year uh plan that we submitted was 2023 2026 and that was the MHSA 3-year plan uh which was approved June 27, 2023. Uh we are also required to do two annual updates in the years between. Uh we are also required to do something we call that community program planning process the CPP for integrated plans and that's a fancy way of saying meeting with your community members and soliciting feedback and input such as it's meeting space. Yes. Curiosity. Um when we say um community members um I think it goes further than this space and we should be out there doing with the community. I know that we come here as the board but we don't represent I mean I'd like to say I represent the whole community but I think that there's a whole lot of community out there that doesn't have a voice. Absolutely. I agree with you on that one. And one of the things and we have this in our in our packet as well. Uh we have other community meetings happening throughout all of Homo County. For instance, I was in Fortuna yesterday. The day prior I was in Garmville as an example.

Uh we have a couple of meetings happening next week and some even happening in um New Lake in the fall in February. Uh we're also uh reaching out to local organizations and anybody who may be interested to have uh to really join these meetings and also having other meetings in addition in case they can't make those dates. Okay. as well. Um, and if there are any behavioral health board members that would like to attend or anybody in this space, be more than welcome to use. And D, if there's a place or a community you think would be good for a meeting, like make that suggestion because Oliver is real really robust about ensuring that we get I have Yeah, absolutely. We can definitely connect afterwards. Yeah.

So, what kind of meetings I guess um would we be able to or are being opened up to the public? Yeah, there are there just community meetings that we have dedicated to the behavioral health service design planning process. Okay. Is it just so people can get a better understanding or is it opportunity for input or kind of both? Both. Okay. I'm assuming this form is handed out at most of the meetings. Correct. All the same form. Okay. Okay. Thank you for the approach. Good question. Yes.

I'm going to address the elephant in the room. Is there any meetings planned or set for the unhoused to give their um need for mental health services? Yeah, a good question. Like the mission or the uh St. Vincent Paul free meal or somewhere where the unhoused may gather. Um because we do know that the unhoused citizens of our community is major utilizers of our mental health services.

Yeah, fantastic question, Vernon. So, I reached out to a couple of these agencies and I haven't heard back yet. However, if we can maybe touch base to see if maybe you have other points of contact that we that you can suggest to me, I'd be more than happy to get those from you. Okay. That way, I can reach out and connect with them too. We'll definitely do that. Perfect. Thank you. Yeah, absolutely. Then um I don't know if you'll get to this eventually, so bad about asking ahead of time, but what is the I guess overarching goal of having community input field um information about health services? Yeah. What are we hoping to do with

Yeah. So the MHS is a fun stream, right? And ultimately what we really want to ensure is that these dollars are responsive to local needs. Okay. Right. So, as we solicit feedback and input from community members, we want to see how we can address that feedback and incorporate it into our planning process either through our existing programs or moving or creating a new program or something.

Okay. Well, I don't know if you're on the behavioral health board email list, but I know that whoever is on there should have been forwarding from Joe talking about um at least one person's needs as far as services go. And I don't know, I find I find it important because I don't know if any of y'all have read the email about um kind of restrictions that people face when they become nonverbal during like episodes. And um I just have personal experience with somebody in my life receiving improper care for the same exact reason. And so I just I guess not only want to bring that up for you to gather information, but then also to just like um bring light to this person because they did email us a very extensive and well-written email for what they were describing. So, just want to give a shout out to Stacy and then I'm not going to try to there last but I think we all should have got so

and then it was yeah basically just um okay well I'm just going to say it but if there was a language sort of interpreter for people that are experiencing episodes during crisis since that was something that I was thinking about you response is the moment. Absolutely. You can continue.

Can I just make a comment? Thank you for saying that. I um I want to just like maybe differentiate between kind of the information that Oliver's here gathering and other information that gets lifted to this board and kind of the pathways for that. And um I'm glad you're flagging that because we've talked a lot in the past about what happens when when individuals from the community or someone on their behalf lifts concerns to the board. And we work really hard to kind of um direct those individuals to the right pathways within behavioral health to lift their concern and if needed file a grievance or a complaint so that they can respond directly to that versus kind of the broader conversation that Oliver is bringing which is what kind of services would be most helpful in our community? What kind of programs are we missing or could we build up or build out to better serve our community? I still I still think that it's really important to recognize that there was a member of the community reaching out to us and I think that we are all in a position of privilege where we can advocate on their behalf sometimes especially based on what this person was saying they have experience not being heard in mental health services. So I'm sure that it was kind of like more of a you know of an an ask for advocacy instead of fixed. Okay. I mean it was an email that we all received and nobody had mentioned it. So

just thought it was important to say something if we can. Yeah, we can finish presentation.

I think important before I had that conversation more thoroughly. Okay. So this is um the next slide that I have here is a bird's eye view of the behavioral health services. More specifically the three new buckets or elements uh that we're looking at here. I want to emphasize this slide goes over two specific figures. Okay. So that 90% refers to ultimately the overall funding counties will get right after the state takes its 10% cut. Okay. In addition, the other percentages you're seeing here on the left side, these percentages are specific to what each bucket under BHSA will be having. Right? So, the housing intervention section is going to be 30%, the full service partnership section is 35% and the behavioral health services and supports section is 35% in front. So, that adds up to 100% in total PHSA funding. But again, we're only going to be getting that 90% allocation from the state after they get app. So, I just wanted to emphasize the difference between percentages and why maybe you're thinking, wait, that adds up to 100%, but why doesn't this? It's because it's telling us to live percentages. Okay. So, so again, those are the three core sections. And what I'll do is I'm going to actually go over in in a little bit those three sections and how we're planning for each one of them. So this is again another kind of bird's eyee view, but in in essence what it's doing is it's grabbing our MHSA format and it's pointing to these three new buckets where each new format where each format fits into that bucket. Right? So

obviously our full service partnership becomes a standalone uh bucket that red box and then anything that's in the green bucket for like FSP, general system development, MHSA housing coordinator, certain counties have that uh housing and homelessness related outreach, all of that goes into the housing intervention section. anything that's um behavioral health services and supports at 35% that's any other outreach that's non-housing or any other services that we call community services and supports under the MHSA examples being our older adults program our um crisis residential treatment facility uh regional services those will be technically other CSS and will go under that 35% bucket as well we also have on the right side our prevention and early intervention under MHSA and how that would fit into those three buckets as well. So again, just wanted to kind of highlight how it shifts things around for us and molds it into that new format. So this is the section where I'll be giving kind of like a more specific lens of each section or bucket. So the first one is the housing intervention section that 30% requirement and the goals are to reduce homelessness among DHSA eligible populations. Uh it's emphasizing a permanent supportive housing and housing first principles. Uh so that would be low barrier and harm reduction. Uh county coord so there's a county coordination with managed care plans for us that's a partnership uh of humble partnership for humble county. So just wanted to emphasize that and I do appreciate partnership being present online for us um in today's meeting and they can fund rental subsidies, operating subsidies, support development of new housing units and even outreach.

Yes. They also help with uh relocation deposits. Yeah. Because they're assisting me in relocating with with a deposit. Absolutely. Great point because that I have a slide that goes over Okay, I'm sorry. I'm jumping here. I apologize.

No, no, you're good. But that was great information, Vernon. um as far as eligible populations go. So really it's for people who are chronically homeless, experiencing homelessness or at risk of homelessness and individuals existing exiting institutions or or jail settings where homelessness where there were homeless before entering and those transitioning from a medical transitional rent which I'll go in detail in a little bit. Priority groups are children, youth um in juvenile justice, child welfare or at risk of institutionalization and adults, older adults in or at risk of the justice system conservatorship or institutionalization as well. One thing I really want to emphasize here, and this is something that the states really kind of letting us know through all of their policy manuals, is that housing intervention funds, as I call them, AI moving forward, should not be limited to only full service partnership funds. Um, I'll go over those details in a later slide and the challenges that process for us as well. So this is kind of the slide where we're talking about the allowable housing settings under the housing intervention uh section. So we have two sections. One is interim settings and the other one is called permanent settings. We'll get started first with the interim settings. Uh examples include hotels, form hotels, uh non- congregate shelters, recuperative care, peer respite, short-term post hospitalization housing, and including even what Burton said where we can do that rental assistance as well. Um if the client qualify, so so here's where it gets a little bit complicated with the housing intervention bucket. uh they uh the state created a transitional rent benefit through our manage through managed care plans for us. It's partnership and what that means for us is that anybody who is deemed

eligible for BHSA housing should technically have a pipeline to access up to six months of this transitional rent benefit that's then offered by partnership or by the by the county's managed care planner. Um, after those six months are up, we as counties can then leverage the housing intervention section to to do an additional six months of transitional rent um or interim setting u coverage for a total of 12 months. If for whatever reason that individual does not qualify for that partnership, those partnership dollars, then we can leverage our VHSA housing intervention dollars for a full 12 months if the funds are available. So just wanted to give that heads up about interim settings. Just

who is the interim setting people? Yeah, great question. So ultimately where's the pipeline? I want to know. So that pipeline is currently being created as we speak. So there's some complex contracting happening with partnership right now. I know Raul Torres from home is helping with some of that too. So all of this is very much still under development.

Okay. Yeah, great question. Um, any other question for the interim? No. So, ultimately what we want to then do though is once those 12 months are up or funding, the bottom goal is permanent per permanent housing, right? And with permanent housing, uh we uh examples include permanent supportive housing, apartments, accessory dwelling units, shared housing, uh recovery or sober living situations, assisted living, and tiny homes. And one thing I really want to stress about permanent settings is there is no time limit to those. So we can we can in perpetuity as funding allows continue supporting with BHSA funding uh clients who are in permanent settings. So just really wanted to highlight that.

So yeah, do you know if this funding has any relation to the youth homelessness develop or demonstration project funding? Not that I'm aware of. I know that it's through um housing and urban develop uh program. So I'm not sure if you have any knowledge about where that sits now, but if it's completely under this then Yeah, great question. There's a lot of different housing initiatives living in different places, right? I mean, we even have another one printed in front of us too, right? But I'm not fully aware of that. Does anybody use

um yeah the YGP which RDF works on is one of them um because it it's through the federal government that housing development and yeah we're currently just you know catch everyone up we're currently at a standstill because the contract hasn't been drafted for our city to sign to get these housing agreements but heard maybe this week there was something happening. Okay. Okay. Cuz yeah,

but yeah, this is California. That's federal. I know it's like all interfer. Uh so this is where we talk to go go into challenges and we have here our friend our office worker jumping some hurdles here. He comes back in the presentation a couple times. A lot of hurdles here. Uh okay. So, um, one point I really want to emphasize here is, uh, this housing intervention dollars, these 30%, they're not these dollars. Uh, they come from our full service partnership bucket in essence. So, in our previous format under uh, MHSA, uh, our full service partnership program constituted roughly 65 to 70% of the overall funds, right? And what this uh BHSA uh refresh is doing is it's grabbing the housing piece of our FSP section, making an extendal loan section, and then making our FSP bucket, which is now in the extendal loan section only specific to service delivery. So, I just really wanted to emphasize that those these dollars, although they may look new, they're not. And one other thing that we have here is that our county uh fiscal team uh projects that uh Humbult's housing cost for our FSP already maximize if not exceed the 30% housing intervention requirements seen under the BHSA. So, I really just wanted to be really upfront with the challenges that we're seeing with that the intent of this bucket because the governor really wants to use these dollars in a really much broader way for non full service partnership clients. Um, and one thing that they've gone on record saying is that they're anticipating or expecting a low declination rate of access to these dollars, which unfortunately because

they're not expanding the dollars and in fact they're doing a 5% reduction, it's not a very practical statement to say and it doesn't reflect the reality of these dollars. So again, just really wanted to emphasize those two points. Um, in addition, we're also having some very tight deadlines here. So much so that a lot of the direction that we've been getting came two weeks ago. So, so we're very much flying this ship as we're building it in many aspects.

I'm sorry. I was trying really hard not to ask a question, but I have to. Yeah. So, uh FSA you talked about this uh should be could be going for sober living transitional housing. Correct.

Um so what cuz I do a lot of placement for people in sober living and what's been happening is I've been um having to take them to general relief. they sign up for general relief and um general relief pays $333 to sober living and then the client has to pay it back. So my question is if there's a way for our people not to have to do that, what is that process? That's

because if we have FSA funds that aren't being used is what I understood you to say. How do we how how can I how can I encourage or refer people that I work with to get other funding because it for one most people don't have the ability to pay money pay back sober living. Um and so I'm just kind of curious. Yeah, that's a really great question. And I think one of the things is right that that we're looking at is if our FSPs are currently maximizing these dollars, um it doesn't really give us a lot of latitude or if any at all to broaden where those dollars can also be used, right? Wow.

So, one thing that we're doing in behind the scenes is we're having internal conversations to see where our expenditures live and seeing where exactly they're going. So that way if if there is latitude for us to do that for like safe and sober or for just SD in general seeing if that could fit.

As for your other piece though of where other areas could be, I'm not entirely sure and I'm hoping maybe somebody here might be able to provide more information. I'm not going to answer that question, but I think just to clarify, Dette, um I think that what Oliver is flagging here is that we actually in Humble have expended housing funds beyond what most counties have done. And so even though these new buckets say, look, you have this 30% or 35% now that's in here, many counties are like, oh great, okay, well, I guess we'll have to spend more money on housing. We're already spending so much money on housing that there's not excess money to spend. So we are really having to look at how are we spending it? Do we have places to expand or not? Like how are we maximizing?

Okay. So when you hear in the media our governor state that counties aren't doing what they need to do and they need to spend this money more on housing. He's not speaking to Humbult County specifically. He's speaking to counties in general like we're not doing what we're supposed to do and in fact we're doing more than we could do in Humble County. So um some of the information that we hear um isn't actually accurate for Humble. Okay.

And that's happened to us a couple of different times with MHSA dollars. they've taken other dollars from us because we weren't building housing, but we actually were building housing uh with the Arcade Bay crossing project. So, I just want to like put some context uh to some of that because

we spend a lot on our misunderstand. So Oliver is there um I know that one of the biggest changes in the broad picture is that now this money has to go to substance use stuff too. So, in the housing thing, is there some kind of requirement or is the county making some kind of plan to make sure that there's a good balance between mental health clients and substance use disorder clients getting the benefit of these things? I mean, I don't know, that's that's going to be a big challenge, but I mean, is there a plan for that?

Great question. So, under the BHSA, technically, it's not a requirement per se. The way they drafted the BHSA is they made it so that moving forward counties have the flexibility to provide services or fund services to BHSA for standalone SUD uh clients. That's a flexibility and lat that the MHSA previously did not have. Right. So, so the way they formulated it is we have the flexibility to do it if the funding allows it, but it's not necessarily a requirement per se, at least in that front. Oh, I see. Okay. Thank you. Yeah.

Okay. So, the HI is 30% of it. Can you remind me of what the because 10% now goes to the state, correct? And can you remind me of what the other percentages are and for what they are? Yeah, great question. So I I actually go over it in other slides as well too.

And then I guess just really briefly I wanted to say that um they are doing a lot of work right now about like updating kind of what substance use disorder means when it comes to all these things. They're trying to consider a greater disabled as we don't know. So maybe if we keep up with the legislation around that that we could find ways to you know um receive funds from spots that were previously unavailable. Absolutely. question. That's an interesting topic that brought up a lot of times when we talk about substance use disorder. It's really hopefully the topic especially co-occurring disorders. We're not Gabriel Maf said it past why the addiction is why that's wrong and so like again that that seems to be a divide. So as an addiction spectrum it's like we don't want to compete with therapist. there's an equality to them. So I I see it all the time. You know, I'm I'm Miller with Burger French and Transitional House and that I see it, you know, I try to put band-aids on it all the time, but it's really mental health issues. About time we see mental health issues were really spewing over and like therapists and stuff. Hopefully when people talk again I can say hey coering disorders could like really mix the whole and that's that is where we go to get addition to people all riled up and thank you for stopping that. So we'll move on to the next H bucket of the BHSA and that is the behavioral health services and supports the BHSS and that's the 35%. So the purpose is to serve children, youth, adults and older adults. Uh it

focuses on early access stabilization and prevention of horse conditions and the word prevention has an asterisk here which I will address with us together in a moment. uh it's meant to prevent uh escalation to crisis, homelessness or justice involvement. What we can fund through the BHSS uh bucket, it's and it's a lot. So we can put we can do the outpatient mental health and substance use disorder services. So that one element that we kind of just mentioned, outreach and engagement, uh workforce education and training, also known as WAT, early intervention programs, which I'll go in detail in a moment, and innovation programs. You guys might might have this in mind where um under MHSA uh we had requirements to do workforce education and training and innovation pilots. Technically under the BHSA those are no longer standalone categories. They're all molded into the DHSS bucket. And again, it's more they're they're now intended that if the county has a flexibility to fund those two components, then by all means they can. they don't necessarily have to moving forward under the BHSA. Um for uh the BHSS early intervention at least 51% of these uh early intervention dollars on BHSS must be allocated to early intervention uh of these EI funds and minimum of that. So that 51% at least 51 of those percentages must be allocated to individuals who are 25 years of age and under. Uh, additionally the state gave us some two new definitions in that three two three weeks ago. One of them is called indicated prevention and the other one is called universal prevention. Uh, with indicated prevention, this is the main focus of the HSS early intervention. Uh, and it's meant to be targeted to

individuals at elevated risk as they've defined it. They've also defined universal prevention and this is the type of prevention that they don't want counties doing moving forward. Uh it is not allowable for us and is defined as broad populationwide efforts not tied to individual risk. Right? I'll go over the challenges of what this poses for us and contextualize what that means for programs in in the next slide. Uh but I just really wanted to share those two definitions because again it it's new direction that we just got not too long ago. So this slide I wanted to really just emphasize the programs within the behavioral health services support bucket. So there's multiple programs in this section and as we're preparing for it for early intervention programs current programs that we are transitioning to this bucket are the hope center HCASI parent partners our multi-ter system support MTSS with HCLE our warmline our humble early psychosis intervention program happy and the land leazison programation uh for CSS programs once under MHSA that would be our regional services older adults crisis residential treatment. Uh our innovation program that will be our resident engagement support team also known as REST. And last but not least, our workforce education and training wet. So that will be our reliance e-learning platform that we've utilized to train our workforce along as any other equity trainings that we are intending to plan in the near future as well. So as you can see, a lot will live under the BHSS bucket which will present some challenges. And once again our our friend jumping hurdles is back. So with uh the state transition to indicated prevention uh which is shifting to focus to at risk people um this poses some issues. Uh for

instance this means that we cannot fund our suicide prevention program under public health or our local implementation agreements uh as they currently stand. uh largely these are two universal uh uh prevention programs and with the way they've defined it we unfortunately cannot move forward in develop these programs. So that's our first challenge. Uh the second challenge as I kind of mentioned in the previous slide is this uh the HSS bucket has a lot of different programs and services cramped into one section. So in in that way it's really prescriptive in nature because it really dictates and tells counties what they should have which then also lowers the ability for counties to use those funds for other things. It's still a possibility but it does reduce that flexibility. Um and in addition guidance from the state has been very very slow uh with the most recent policy manual module 4 as we call it releasing in mid December 2025. So very much of a lot of this language is still actively being contextualized in terms of what that means for programs and program changes. So just wanted to highlight those uh challenges that we're having with this section. So now we're getting to our third and final bucket of the PHSA and that is the full service partnership bucket which is 35%. Uh Humble's FSP program is called comprehensive community treatment also known as CCT. This is the highest intensity VHSA service for people with severe behavioral health needs. It's oftentimes seen as the whatever it takes service delivery approach where whatever that client needs for stabilization and support the program does it uh including

housing. It focuses on individuals at risk of homelessness, hospitalization or justice involvement. How so under FSP? How is this going to under BHSA? house is going to differ. So all housing normally done through the FSB now will go under the housing intervention section because again they divided that those funds right. FSB programs can now serve folks who have standalone SUD diagnosis and incorporates the need to have low barrier access to medication admin administration treatment Matt services. uh the requirement there's also a requirement to implement evidence-based practices such as assertive forensic community treatment individual placement and supports also known as IPS and highfidelity wraparound services those are all evidence-based practices that the state is mandating to some degree uh with smaller counties having exemptions for some of them which I'll talk about in a moment so challenges within this bucket the FSB bucket having to reallocate the housing costs normally under MHSA FSP into that EHSA housing bucket uh is difficult with funding being limited. So again, really wanted to emphasize that original point from a few slides back. Uh the implementation of evidence-based practices requires more staffing and funding with an expectation to implement service delivery by July 1st, 2026. So we're dealing with some incredibly tight deadlines when it comes to this. Um thankfully in recent language the state has given us latitude to request exemptions to some of these requirements and some of these are being explored right now for instance for the act and then the individual IPS as well. So, so that those are things that we're actively exploring right now and we'll probably be requesting some exemptions for implementation at least because

again the workforce capacity that these require were really intended for larger counters. So here I have like a summary slide of the PHSA challenges that I just mentioned to you. So it is a major system redesign uh not a funding increase. It actually reduces again the overall county funding. Instead of that 95% that I mentioned, now we're only getting that 90%. Uh new requirements exceed the current local capacity, especially for small and rural counties. And that's something that I've been hearing from a lot of our um smaller county partners. Uh housing availability, staffing levels, and required services models all depend on one another. So they're all interconnected in some cheap way or form. So if we're struggling in one capacity, the struggle is going to happen in the other capacities as well. Counties must balance compliance with maintaining essential local services. Um so one really big point I wanted to highlight there and in addition their tight tight timelines and evolving state guidance guidance list in implementation challenges because again we're very much um building the ship as we fly. So I know it's really really tiny in this and I did provide a copy in the packet you have it should be at the very end of your packet. Um we also have this is kind of our program planning um uh mapping so to speak where we start we started developing the plan August October which is still kind of carrying over to today. We're meeting with community members and soliciting uh feedback and input for really spreading the word of like what the changes are happening through February. We have a live community survey to also advertise and solicit feedback from people who may not be able to attend one of our meetings. Um that that survey posts

February 15th and there's a flyer in your packet as well and I'll make sure to send that your way too afterwards. Um and we have to submit a um a copy a draft copy of our plan by March 31st to the state. That's the new requirement and a new deadline for us which is highlighted here in red. We will be pro creating a u a community engagement report and making it public for everybody to review. So that way people see what was recommended, what were the outcomes of our meetings together. and it's the same document that will be presented to our behavioral health leadership for uh for consideration to changes or additions to programs. Um we will aim to have a public hearing through the behavioral health board in May uh hopefully at the end of May. Uh so that's another step. And then if everything aligns perfectly by the end of June, we should have a finalized plan that would then be approved by the state and then would allow us to utilize those funds for the programs that we plan for. So again, those are all of our um logistics that I wanted to kind of go over with you. And by all means, this is your time now to share any questions, input, anything. Thank you for your time. Good job.

Great job as always. And uh I know that when I go to CalBHB stuff and hear from other counties, it it's a struggle for us, but we are really doing better than many. That's a lot. So proud of that. Anybody have Yes.

Oh, I I was curious if there was any other questions in the chat. questions. I saw some stuff like questions. No, we don't have any questions in chat with anybody for the remainder. Nothing else.

Yes. Um, so I work at the TA center and um, I just want to emphasize like and uplift like with so many youth and Oliver came to one of our bean meetings every year which we really appreciate to get the youth advocacy board's feedback. Um, yeah, I just want to uplift like the importance and the youth have said this like multiple times, maybe every time we've ever asked them about anything for brainstorming is just the importance of peer coaches and also parent partners. Um, it's been the most requested service and also the one that's gotten the most positive feedback any of the young people with. Just want to thank you Oliver. Um I just you you are so clear and excessive. So I think that really helps bridge this work and uh and keep it contemporary and keep our understanding up to date. Thank you for this and thank you for sharing this life. For sure.

Absolutely.

Oliver, another another, you know, thank you for a wonderful job. Um a very well thought out, very well executed. Um I'm speaking on behalf of our full service partnership. Um and what what is needed there in our full service partnership is peer coaches. Um they're getting the support of full staff but um their peer coaching uh peer support specialists uh is very much in lack. I know I spoke with Mr. Rockwell, the program manager there, and what could we do as behavioral health board to um uplift his uh services and his reply was we need peer coaches really badly. So if there's anything that in this that can bring peer coaches into our full service partnership, that would be a blessing. first if you Yeah, seems like more questions. If you haven't filled out your form,

yeah, I'll just collect those at the end of the meeting. Yeah. Or you can also do it here. Thank you so much.

I would also just like to acknowledge the work, Oliver. I know that moving from NHSA to BHSA, it just just doing the NHSA work was is a workflow. And then for all of the changes to come about the way it has and and like you saying, you just have some of your stuff just a couple weeks ago, you've done an excellent job. You're really great at communicating with the community. So, I just want to thank you for all your work. It's I know it's a lot. acknowledge that. Thank you. Thank you. All right, we will move on to communications. So, this is a time when a behavioral health board member can quickly and succinctly give us what's up with them.

You want to start, Vernon? I don't know about quickly. I have a bad habit of not being quick. So, help me uh with the time.

All right. Uh I got a couple things very important that uh is on the plate. Uh a new Senate Bill 417 is coming out. Uh it is known as the affordable housing uh bond act of 2026. This is going before the uh if it passes the housing uh committee, which it did pass the appropriations uh committee on the 18th. The housing committee met on the 20th. Um I do not know anything about if that passed the house or not, but this if it does go through as expected, it will be going to the voters June 2nd. Uh this brings another $10 billion uh to the state uh in bond act money. Um I'm going to touch on a very sensitive subject. I was involved with two cases with the Eureka Police Department uh in the unhoused over the last couple of weeks. Um and the charges have been turned over to the district attorney's office. As a board member, I would like to ask our executive committee to see if we can uh get the DA's office uh to come do a presentation of how they handle mental health and homelessness in their jurisdiction because I do know that the history of assaults uh this past Saturday night. So, we got we got some kids throwing rocks at people. Um, and the two teenagers were turned over to their parents. Another uh adult was turned loose with the automobile. Um, and I'm just curious of how these charges do come about and and and disposed of. I do

know the history of this is not good with the DA's office. Um, we're looking at the history. Um, the reason why I'm bringing it up to this board is because the these incidences are definitely playing a toll on the mental health of our unhoused citizens. Um, so thank you for your time. Um, and like to get some support on back and getting our DA's office here. Thank you. Margaret, do you have anything?

Um, yeah. Um, two things. Uh, one is, um, People probably know I live in McKenley. One community member here with an AOD back I mean an SUV background. I've been I just want to tell this board that I've been kind of concerned that in McKinleyville I can see that uh homelessness is really really increasing in just the last six months. you know, the county has a little office with some little services in there. Uh, but um I'm pretty comfortable talking to just about anybody and I have talked to some of these homeless people and they just keep telling me that one of the big barriers for them to come in and get some counseling or mental health services or or even SUV services is transportation. they, you know, they don't have money to buy, you know, tickets on the bus. They don't have, you know, etc., etc. So, you know, I don't know if through MHSA anything like that can happen, but I wanted to just kind of bring it to the board's attention that, you know, something as simple as transportation can be the difference between somebody really going way downhill and then having to have a much higher profile in mental health or SG services that could be abaded by more transportation. So I'm just raising awareness and you know McKinleyville's only I mean I drive here to these meetings McKinleyville's only like 10 miles from Eureka but those 10 miles can really make a big difference if you have to walk them or you know do something you know or beg for rides or etc. So that that's the

other one. And the other one is I just wanted to announce um um uh I think you know that I've and I used to bring Eric Thompson to meetings with me and I just want everybody and I told you guys when when he got real sick, etc. So anyway, he's had some more really serious health problems and um he made the painful decision recently with the help of his extended family to move to Rochester, New York where he has an uncle, a father who must be getting kind of old because he's in his late 50s. Um and uh he wanted me to tell the board that he's no longer in Humble County, but that he's thinking of all of us. I I'll kind of keep you know in touch with him and uh he was a very important person a few years ago by being in charge of the substance use committee by uh uh doing groups at the hope center etc. So we'll really miss him and hopefully he'll do some of that in Rochester, New York. He had to fly out on Tuesday and and I saw the news that planes were skidding off the runway in Rochester, New York. So, I hope his plane wasn't on.

Thank you, Bob. Hi, everybody. Um, turns out the VA is looking for 8 to 10 vets who want to participate in Battlefield Acupuncture. Um, it's an alternative uh medicine battlefield. So,

battlefield acupuncture. I've got the information here. The nurse at the VA price. I've got a contact information here. Um, who would sign me up for that? Uh but but if you know anybody who would be interested in that for reduction of trauma um I'll give this to Joe and also I have got some information here on contact information for me veteran peer support give that disseminate also I'm going to be starting some uh uh veteran peer support meetings for the local community here probably next month. Um, we've got a place to do that. So, we'll see how that brings off.

Thank you, Peter.

Hello, everybody. Um, a couple tidbits. One, um, Humble Bridge Wellness, our collaborative partnership with Department of Health and Human Services is is going well. We'd really like to, um, have twice as many wellness coaches out in our regions. Um, but we're tiny but mighty and responding to uh referrals. Um, those wellness coaches, what's the difference is it's not it's not grant funded. I mean, it's grant funed right now, but we'll be shifting their activities to what their children youth behavioral health initiative multi-payer fee schedule. So, there's certain things they can't do and can't do that we can recoup funds and we're doing time studies to look at how much of their salaries we actually truly can recoup. Um to my chagrin, case management is not one of those activities. So um so that gets challenging, but it's also very inclusive of the child. So balancing that work, but in lie of that, the county office uh has also become a provider for ECS at Calam work. So we're onboarding our wellness coaches as many health workers as well so that they can have a small case load of homeless fostering youth to work with and do preventative and case management types of activities. So um so that's exciting. So we intend on braiding those funds reaching more people sustaining positions that's their goal. Um and another offering we have some trainers in um in a program called be sensitive be brave. There's two sections of be sensitive be brave. One is um training school staff across the board on how to identify warning signs of mental health issues and how to make referrals. And

then the other module is around suicide prevention. So, we're offering that to districts as well as um at the county office and um and we're working with the Calpali social work program and providing that training there. So, so there's few things that are happening updates. Sean

very move on to sister. You have any question for us? I can provide a little update around the navigation set. What? That would be awesome.

Okay. Um, so, um, noting my frustration with Natalie Aoyo, I wish she was here today because me noting my frustration with her, um, actually helped. And um we had a couple of meetings with a couple of supervisors and city of Eureka staff and um Justin Zable and others and got some agreements in place and now our architect Jay Johnson for the county is now meeting weekly with um the Justin Zables architect and Justin has hired an engineer and they're working on the plans and and getting the permitting done. We were able to get an extension with our HAP funding that we were going to pay um the lease with. So, we're kind of switching. We're flip-flopping some of the funding that is going to be used for that. Actually, I've had to flip-flop it three times in the last five years. Um, but it does appear that the project is moving forward and um, the last timeline I saw and it was really rough, but it does appear that thing may be done, they say they want it to be done by the end of 2026. I think it'll probably be more like June or July 2027, but that's better than nothing. So, I feel a little better about that. Um, we don't have the 90%, this is the important part for this group. We don't have the 90% completion

of the plans yet. And I don't want to start the community meetings um and really do uh program planning until we get that 90% completion because we need that for our lease to be valid. Um so when that happens, we'll start community meetings and program planning around what all we'll have um at the navigation center. But movement. So I'm hopeful again. Yes. Thank you for that.

Yeah. and we drop.

Yeah. So um I was thinking about like given the BHSA presentation how as noted that's this is such a heavy lift such a huge transition for our systems and one of many like you if I just think about in this moment the past present and future things among others we just did mobile crisis benefit we did care court we just started SB43 um BHSA and other QI initiatives are including a number of PPPs that are going to be rolled out and have to be implemented over the next um few years. I wanted to just note too that the kind of the impacts are so far reaching. So, you know, absolutely Oliver's gift is huge and the change to how BHSA will work really impacts everybody throughout our systems. So the integrated plan now is going to require QI in all programs to collect and present data that they've never had to do in the past. There's the implementation like I mentioned of the EDP. So there's just like really broad work across the system that um that and all the other changes are um are creating for us. Um, so, so that's just continuing to say that because I feel like staff do this work sometimes without recognition for how much they're caring and it can be a lot especially because we still are pretty understaffed in many of our programs and parts of our system. Um, I also wanted to mention part of all these new initiatives um means continued and increasing audits. In March, we have three audits scheduled and all of that takes lots of time and effort and followup and if things aren't all exactly in place, then we have corrective action plans that we have to attend to. So, that's a lot of work as well. Um, and it's it's good. you know, it keeps us doing the work in ways that

are um legal and ethical and with integrity and making sure that we're providing good services to the community and that our practices are um in alignment with with how we want to serve. Um I think I mentioned here that we have a new medical director. Maybe I didn't. She came on four, five, six weeks ago now. She's really amazing and one of the things I love about her is that she's super compliance focused. And so she's just like poking holes in all the things to make sure that we're doing things right. And while that feels daunting, it's also really reassuring to me as a also compliance worried person. So anyway, it's a nice addition for us. Um, the other things I just wanted to mention is we're just starting work on our budget planning for next fiscal year and it is only January, but we start this work very early. And so we're looking at um how we're going to kind of create a budget for next year that continues to keep us fiscally solvent. We've talked about the the big deficit that we've had over the years and and really the great improvement that we made. And so I'm glad about that and just wanting to continue to do that work in responsible ways. Um and with that also comes um a renewal or re-execution of a number of contracts. And I just because I was interested double checked and in behavioral health we have about 150 contracts annually which is a pretty large number that we um use to do all the work and and that we have to manage and support and uh carry forward. So anyway, lots going on. Um, lots of good work and lots of hard work.

Thanks, deputy directors. I'm gonna start online with chair. So, I mix it up. Yeah, mixing it up. Jeremy.

All right. Well, um, in the children's world, a lot of a lot of the work right now that that we're primarily focusing on are some of the things that Oliver mentioned. Uh specifically with uh highfidelity wraparound is a new requirement for us to um offer wraparound to behavioral health behavioral health youth that are meeting that full service partnership level of need of service. And so that'll be um we have to have that service online really by by July of this year. So we're we're in the early stages of a lot of the planning. Um, we have outreach out to potentially some organizational providers that that we would be able to contract with that have staff to provide that service. Uh, but that that'll be a heavy lift. Uh, getting the wraparound program up and running. Um, along with that are are some other evidence-based practices that are are being mandated by the state that we also um lift up in in fairly short amount of time. I think I think these are also by midyear this year. So we have to um have the ability to offer functional family therapy, multi-sistic therapy and parent child interaction therapy. So those are three um youth focused evidence-based practices. The first two are more uh family systems work. Um both both have some juvenile justice and system involved youth components. Um and then PCIT is is focused on younger I think it's 0 to7 um age children and and services for them and their caregivers and working on the relationship issues between parent and child. So um also we have outreach out to organizational providers to see if they're interested in training training their staff. Uh so those programs may be some combination of county county staff running a program

or an ORC provider also running that program. Um so we're in the again early stages of planning. Um all of those practices the state is providing funding for the training and implementation side of it. So that is um that is helpful, but um certainly will be a a shift in in staffing and and having to focus on all the fidelity pieces and getting those practices up to um up to fidelity. So along with that just a lot of work to continue. There are regular services. Um uh one exciting thing is um environmental alternatives or EA family services um are in the early stages of opening up a a an STRTP program, a short-term residential treatment program. So that is um that is for youth that need that level of um residential treatment. Um, typically those are those are through child welfare, child welfare placements, but it could also be a probation placement. Um, but that'll be a local in um facility in Eureka. I believe they're focusing on uh about six beds for uh for females. And so um it's exciting to have that because right now whenever a youth needs an STRTP placement, they do have to go out of our county. And so that presents quite a bit of challenge as far as coordination and it's just difficult for coordination and then uh obviously the closer we can keep youth to home and to their their supports around here the better. So we're excited about that um that new facility. Um we're in the in the early planning stages of that as well. So I'm hopefully that will be up and running sometime this year. So lots of lots of work being done along with our regular services, but those are kind of the the big things right now. So, I can uh pass it back to you guys.

Thanks, Jeremy. It's nice to hear your voice. Thank you. Good stuff. That's exciting about uh TR. Jack, do you have any

um I don't think a lot. I mean, I think some of the things that we talked about the HSA already certainly on forefront of what I'm working on, what's happening with the housing and changes with the FSP and um I do uh was thinking we um got a we're working on a contract and we've we've started the process uh with um moving some individuals to the new long-term care facility called Windsor U, which I think is in Sacramento area. Uh, but this has been a really um they're kind of a new new facilities that are brand new and they have beds available, but they're also a big facility. So, they've taken a few of our folks. Uh, some of those individuals have been uh sitting on SV and other for quite a while. you know, lots lots of out there waiting for someone. So, uh, from from that perspective, public guardian perspective, it's been nice to see some movement there and and from the MRT perspective, uh, from the mobile, you know, response, uh, having bed availability up at SB has been noticeable recently. So, you go to the hospitals and you know, like we're probably How many beds does this western have, Jeff?

I don't know. I want to say somewhere 80 90 beds. They have different levels of care there. So, um they have some unlocked, some locked, some sniff, STP, and then some beds for forensic. So, I mentioned SD, but there's been a couple folks, I think, through the jail that have um that have uh been moved to two. So, Murphy conservatorships in the jail that was kind of big push. It was Murphy Conservatorships, but they're taking other folks from the city, too. So, wow. takes it from everywhere. The Windsor takes it from all counties or

Yeah, I'm sure Windsor has a contract with multiple counties. Yeah. So, not just sometimes we have someone that's been in care and they'll have a bad episode in in a facility 10 years ago and they'll never be allowed to be back in that facility because something happened 10 years ago. And so this is a relief for um folks that have been penalized like that over over time. So appreciate hearing that. Thank you for

Yeah, it's been uh just an interesting obser. I haven't been to Safari in a while or meeting with the SB. So I'm not sure, but it's just been very noticeable that the the CSU or or Oh yeah, we have some beds. We have a bed. Right. So when you go into St. and Josie are knowing that SV has a bed. You're kind of like, oh yeah, SV's got a bed. I'll see your person, right? If they don't, you're real a lot. It's been just noticeable last couple weeks and I imagine some of it might be staffing too, but I think uh I'm sure some of it's getting folks.

That's wonderful. That is really what

um just to piggy back off what Jack was saying um you know we are starting to feel the difference and seeing the difference of new beds, new facilities starting to open up as we felt that with Hyperion. um that's been a great resource for us for step downs from severance. So uh that's been helpful. We've noticed that and and now with this new contract we're noticing as well. So that's been good. That allows us to, you know, move people along in the continuum of care more quickly and open things up to keep people more local that are having a crisis. So that's been um enormously helpful. and also some of the work that Jessica Duke is doing as uh the the manager hospital administrator of environments. She's put in place um a process for how to deliver packets to these facilities in a way that gives them current information with, you know, that's more relevant than things that are buried into somebody's record. like maybe in in 1986 they tried to light their mattress on fire and so they you know some facilities will use that to like oh no this person is an arson risk and they won't accept them. So she's seen some movement um uh acceptance um now we kind of change that process on it. So she's really coming up with some really nice ideas around helping people to get the care that they need in the systems they need. Um so I just wanted to say that and um and then just a couple other short updates. We are we have implemented SB43. You know that's the expansion of the grave disability um criteria and so things are going okay. I just really um love the everybody coming together to work on solutions um for care for people and pathways of care has been wonderful with our SUD community

and others. So that's been great. And the training efforts uh both on law enforcement side and as well as our side and bringing people together has been great. So um you know that's that's off and running. And then lastly, uh we do have a new patients rights advocacy um entity. They're named Smith Waters Group. Um I met with uh Bill and Frank Smithwaters last week. Really great fellas and I'm really happy about the service that they're providing us. So, we're having a meet and greet this week with all of uh interested parties and uh the to learn about what they're doing and they've been around for a long time and provided have a great reputation of being great client advocates. So, we're uh they have some really stable staff. I've been with them for a long time, which is good indication that they're doing they're doing something right. And um so yeah, so Smith Waters Group and Bill where they see they're from Sacramento area and they have expanded out quite a bit um since uh SP 2275 was implemented, you know, with a probable cause in the emergency departments. Um so they've expanded pretty significantly. So they're in most of the partnership counties except for like Sacramento I don't think they're in Sacramento even though that's where they're based out of.

Uh but a lot of other counties they're going to northern the north state. That's great. Wonderful stuff. Um, safety committee updates. If any you have anything from Carter, I actually had to miss that meeting, but I know that that Oliver came and presented to

Oh, that's right. to that meeting. And I presume you did a since we're a short we're pretty short meeting. I presume you did kind of a condensed version for the Absolutely. for that. Did you get good feedback from in terms of the SUD inclusion stuff? Yeah, we had a couple of folks that from Bear River that attended um and also from uh Raphael was there too and yeah, they provide really good feedback for sure. Good engagement. Yeah, thank you for having me there.

All right. Uh we are at we have no committees that's chairman, vice chair's not here. I will say I have two announcements. Uh I'm still working on a March retreat for behavioral health board members with many of you might be available. And then um just found out today that CIT is going to be postponed until the end of May. So that's um both sad and a blessing. Is that the local training that you're speaking of? Okay.

The one that I'm the coordinator of. Yes. So, yes, Muna just found that out right before this meeting. So, I will send that info out. Um, and again, I'm as always very proud of the work we do in this community. We can always do more, but we are kicking butt a lot. Um, Nav Center, we already heard the great update. Care for No, I know that we've been helping um encourage people to go to their care court meetings with the judges. So, that's been good. I don't know if you have anything else to say on that.

Uh no, we've still petition been quite a few petitions and like in the 40s um and maybe about 20 that have been active. Um so, yeah, that's been coming right along. Wednesday. Um, yeah, two people from Fairport came to one of our T staff meetings and gave a really excellent presentation that answered a lot of questions. So, if anyone and all um, no, I just thought that it was so if you ever have questions about care for it was just it answered a lot.

Thank you. versus triage. Do you have still moving along? Yeah, there's not really an update. Is there any? Not that I know. If Nancy is on her, she can any updates on crisis triage. Nancy,

sure. For some reason, my video is disabled. Sorry about that. Disabled by the host. Not sure why. Anyway, uh yeah, Crisis Triage Center is moving forward right now. They're working with an architect and looking to hire the general contractor to get the ground broken uh on on building it. They're still hoping to be on track for to have it completed by June of 2027. Uh that timeline might get pushed out a bit, but it is on track and moving forward. Uh, same with the seer vir too much. It's so awesome. Thank you, Nancy. Does anyone have any future items? I got a note about something to executive committee about DA's office, but doesn't have any future items they'd like to see? I don't have a future item, but I remembered that point in time count is in the mornings. Um, if you if if you have time and you haven't signed up, please do so. Um, we still need some more volunteers. Uh, I'll be there bright and early at 7 a.m. Um, if you have time and are able to do it, there's a there's a training online that's like a little video or PowerPoint training that you need to take to know what to expect. Um, but it's very, very simple and Robert Worth will answer any question that you ever have. Um, last I heard we were lacking especially um folks in the east area. Um, we do

have one uh staff person that's going to go and we're still working on connecting uh with staff that work at Camo and other areas. Um, but yeah, we were, last I heard, we had 92 people signed up to volunteer and we really need about 120, but we'll manage with the 92 or, you know, we'll end up with a few more people. Um, but some folks sign up and then don't show up, too. So, if you have time and you're able and able to do that, it's it only takes an hour or so of your time. Um, we have asked for a lot of volunteers of staff because it's so important for our community to because the point in time count is used to allocate the funding, the state funding that comes to counties for homeless services. So important for for us to continue to have good numbers and accurate numbers um is good for funding from that pitch. All right. Well, there's nothing out. It's good to order. I will adjourn this meeting at 13:49.

Quick check in. I'm sorry. I have a quick check in. Do I have a moment? Um, please. Thank you. This is Colombina from uh case manager here with Providence Health. Just real quick, it was a followup. I didn't get the name of the gentleman who was discussing the VA acupuncture, please. That's Bob Dy. I work for Nation's Finest. Nation's Finest. Okay. And then real quick, the gentleman who was discussing about training school staff and connection with Calpaliy's uh social work program, please. Peter Stall. St L L S T O L L Peter. And you work with, sir?

The Humble County Office of Education. Okay. Thank you very much. Absolutely. Thank you. All right, everyone. Go out and be awesome. Stay awesome. You have a demographic survey. Okay. Thanks for It's given blue