Behavioral Health Board - Regular Meeting

Now, I will say this, Sergeant Omi was amazing when I was speaking to him on the phone. He's never treated me with nothing but respect. Um, and I felt like I was heard. Has uh have you talked with Ross? Is he just dismisses it? When's the last time you talked to him? I spoke with him about on the 21st. Okay.

Have you he done the best that they could do? Turn it over to the DA's office and he asked him straightforward question straight out. What do I want to be done? Um, and you know, I I said, you know, I can take that two different ways. So, I'm just going to take it productively and proactively. what I'd like to see done is these two children prosecuted um either in adult or juvenile court. I said, "Now, I can take that nonproductively, nonproactively, and say that that was an insult, but I'm not going to take it that way." Good job.

That's exactly the way I laid it down with him. But he was very dismissive with it. Do you have any input on the agenda? And are you going to be able to

Great. It's not just us. No, I don't think it will be. But I do have to say that my um second grandchild, should he come early, I may not need it. I don't blame you there. Um hey, good afternoon dear. How are you doing? Everybody, my friend is here. Seriously,

that's for you. Did you have any feedback on that? Oh, um, sorry. No. Um, I just trust you to make the decisions. Oh, no, no, no. I And I haven't called to schedule interviews yet, but I will do that at some point, but we have the 13th in mind. Are you available anytime that day? I mean, preferably later in the morning, but yeah, I'm not super stoked to get up hella early on my day off. So, I mean, I I just have to pick my kid up at 3:30, but Okay. Mid middle of the day. Yeah.

Yeah. I'll see if people are available. You want to do like Ramones or something in Oldtown? Well, Ramones is the behavioral health boards meeting. That's That's our office. That's our office. Yeah, I like their food. I like their coffee. Oh, yeah. Works for me. Mhm. Was excellent. The what? Their goodies. Everything there. Good.

I used to have years ago when Mist first started, I had an office at second and B and so I was in it's like at least twice a day. I had the coolest office. It was a corner office on the third floor facing the bay.

May sit next to you on the spot. Think you're going to hang in there, Vernon? We're trying my best. I will be much quiet, but I mean there are a couple of questions there. communications. That's the reason why I'm sticking around because I definitely going to start the hall for legisl and moving is very stressful.

Oh, yeah. Or did you say you're going Mhm. Um got a new apartment in the coming bill. Been accepted. Um lady has moved out. They're cleaning it up now. Okay. Um sorry, I'm texting. I just don't know what to go to. Yeah. Yeah. With mental illness really. I mean anybody of move is stressful than other layers stress stressors you know makes up for the saw her yesterday. Yeah. Oh good.

I have an excellent therapist always like her but I haven't that's what makes her so excellent. Right. You can have disagreements and still come back around. He said, "I want to tell you this because I think I can." I said, "Tell me just this this like you right now, but at this I hear you. Sometimes you need somebody to write. I apologize. I'm coughing and I have cough drops.

I only have two left. Oh, I just bought a whole bag from going to say Costco. The co-op needs to be if I run out

good. Yeah. don't always I um it's been busy so about an hour I love it burn I'm doing better at this again like stuff I love doing yeah so kicks on I start coughing a little bit I think I'm or something. That's what I Yeah. Yeah. Like nobody else wanted to work with me, but you showed I'm not scared.

I don't know why people are scared, but All right. So, yeah,

Josh is gonna be Um, yeah. All right. What are we doing today? That's right. Okay. This little little thing. I haven't seen that one before. Yeah, I like we have that in our back here.

In the what? With the table. Oh, okay. Awesome. believe Nami shelf lately shelf. Yeah, back here.

I didn't even know what there was an shelf. Come on real quick. I just reluctantly put them. We just need you. So, we get a couple Okay. Right. I hope Excuse me. Hello.

Hi. Good afternoon, sir. Good afternoon. Let me ask you a question, Rapio. Yes. Have you received any of my emails? You know, if you're sending them some projects, probably know. Hello. How are you? Good to see you. Good to see you. Let me make sure you email. Yeah. Right. Um, my question would be, are you still interested in legislative committee? Yes, absolutely. I'm bringing that up today. the executive

and I'll let you know what you let me know what dates are that we're going to

I'll send Okay. Yeah, that sounds good. Okay, I guess

Maria. Yeah, I know. Where that is kind of near the Yes, ma'am. Another one. Another one of these.

I'm so sorry. I'm probably dead. I'm Thank you. Thank you. Murray. I fell into her last when she was working. Do you have any other units available for vouchers? There will be a twobedroom and another one bedroom. Okay. I have a veteran who likes to live in. They're evicting one person with Okay. I need a one.

Yeah. So he's getting his on Tuesday available for 30 days. Okay. Yeah. Okay. See? Yeah. One bedroom apartment. So Vernon, you know, if you're ever coming directly from home, I could give you a ride. I'd rather appreciate that because because I, you know, I live about half a mile from where you live. Okay. Are you already there? No, ma'am. I I'll be there. I move out of my apartment on the 15th and I move into this the other apartment in Mville on the 16th.

I used to I'll just keep the the view overnight. Oh, there you go. their own property and follow up. I will keep that on my my for it too. Just Yeah.

Shante really serve. What about you? Busy times heavy.

There you go. Got to help us snacks.

Lunch. I mean, I can never get a snack before I come here because I'm never hungry. notification. 26 26

right is a heavy duty meeting day. Yeah. I'll wait for right after this other be. Oh, that's right. Paul's going to be out of you to work evidently. I should have got for you.

Good to see you. Oh,

yeah. She was like she would have all the fun All right, I guess. All right, it is close. And that's going to be late.

Yes. So, right now we have a few people going to be late, but that's okay. We can start anyway. And my name is Laura Montana. I'd like to welcome you to the monthly behavioral health board meeting. We are the advisory board to the board of supervisors. We hold this meeting on the fourth Thursday of each month and it runs from 12:15 to 2:15. We meet in person at 5:07 in Eureka. This is a public meeting and everyone is invited to attend. Members of the public may participate remotely. The minutes and agenda can be found by searching Humble County Behavioral Health Board online. We provide time for public comments early on the agenda. Public comments are limited to three minutes and pertain to matters related to behavioral health. We ask you to make your comment in a respectful manner. Please note this meeting is being recorded. Please contact myself or any of the behavior health board members if you have questions about our work as a whole. And on the agenda number two is intentions and uh the presenter of that is not here. So we will do that next month. Joe the roll call. here.

Here

Johnson here. Rice here. Peterson here. Rose so I think we have two members who are going to be late. They've notified us. Go ahead. Now for introduction of staff and guests go around Jendelle Nelson Matthews from uh sorry nation's finest. things. I'm Saul Lopez. I'm site director of region's finest. Yes. Welcome.

Christine's here. Hi Christine. Christine Messenger VHS communications emergency deputy regist Rogers behavioral health director right now we'll go on to read the names but there's Emanuel Well, you'd like to introduce yourself if you're uh on Zoom online.

May go. Could you repeat that? If I may go. Yes, please. Uh hello everyone. My name is Manuel and I am with the CalBHBC. That's the California Association of Local Behavioral Health Boards and Commissions and I am here to just observe. Um, thank you very much. Thank you.

Hi, this is Sharon Wolf. I'm trying to do the video here. Um, DHS legislative analyst. I'm sorry. It It won't let me do the video. I'm so I'm not being rude. It won't let me do it. But anyway, legislative analyst from DHHS. Happy to see everybody in the room. Thank you. today.

Andy, would you like to introduce yourself? Um, hi, I'm Andy. Um, I'm a uh intern at TA and an advanced year MSW student at Calpaly Humble. And I'm just here to Yeah. Um, learn about uh behavioral health systems in Humble.

Thank you. And Scott, did you want to introduce yourself? Okay, you don't have to. That's fine. Um, just so you all know that uh we have turned off the video for people online because we've had some issues in the past. Well, welcome everyone. Are there any adjustments via event? Seeing none, go on to public comment. Is there anyone in the room or line that would like to make a public comment? All righty. Hearing nothing, we'll go ahead to action items. Need to approve the minutes from the 122 meeting.

Second, Bob and Sean. Um, all in favor of approving the minutes that you all read. I know say I opposed. Awesome. Those minutes are approved.

Quick comment. I see that we have something in the chat and a nonverbal participant. So, we might want to monitor the chat if there's anything in there. That's okay. That was shar. Okay. Thank you. Yep. Okay. Now, the moment we've all been waiting for. Paul's presentation on racist services. Thanks for the intro. Yeah, sure.

Yeah, not much more exciting than crisis continuum for home counties. Um, just really I I recycled the same presentation last year to the board. Um, so but I did update some of the data that I that I received um for 2025 numbers. So, and feel free to stop me at any point if you have any questions. All right. Um, just to orient everybody to our crisis continuum. Um, we do have a a tollfree 800 number that uh is our documented enlisted crisis line. We also have a local number that uh folks said use their parish the 7715 number that also dubbed as a crisis line. So we kind of treat them bulb as the crisis line but we uh we do operate that 247. Calls come into 720 Wood Street uh during regular business hours. So those might be received by our reception staff or our folks at same day services and access. Um and then if uh they're busy, the calls will roll up to the crisis stabilization unit on the second floor. So they have staff there 247. So they might handle that call. Um so we do have that crisis line that we have that. And we also have uh clinics and other sites around this around the count. So we've got uh a site in Willow Creek, Fortuna, um McKinleyville and uh in Sohan and Garberville and all of those clinics are sight certified sites. So we provide services out of

those sites. We do have mobile response teams. So, we've got um we've got two different types of teams. We have a team that goes into emergency departments. That's the mobile response team. Um Jack and Jeremy oversee those programs. And we have a children's uh team and an adults team. And those are made up of clinicians, uh case managers, and peer coaches as well as parent partners on the children's side. So those folks go into the emergency departments to perform services um and evaluations. And then we have our our more mobile teams, our NIST team, mobile intervention services team and they um they're responsible for responding out in the community throughout the county. So they go to Shelter Cove, they go to Will Creek, uh they go up to Hoopa, uh Oric, Kimville, wherever that uh call um comes from where there needs to be a mobile response. Well, they go out there. Um and then we also have what we consider subacute programs. We'll go into those in more detail in future slides. And uh uh the subacute might be uh crisis stabilization unit or a crisis resident in perior. And then of course we have the highest level of care that's our huge psychiatric careers. So we have kind of a a rich array uh of a of services delivery for our county which is nice. So all of our sites um have um teams in them typically and so somebody can walk into that site and request for services.

So really we're try to operate at where there's no wrong door to come in to get into services. It could be a phone call, it could be a walk into any one of our clinics uh programs. Um we want to get them linked into services as soon as possible. And a nice thing about that is uh that the state has done is they removed any kind of administrative barrier towards reimbursement for those types of of services. Previously used to have to have a diagnosis for instance uh you know where we have to determine whether somebody had a serious mental illness or not um give them that diagnosis or provisional diagnosis and pair that with the service before we could submit you know a claim to the state for reimbursement. But now through Cal AIM changes that have come down over the last several years, they've allowed for um us to not have a a bonafide diagnosis on a claim anymore. So somebody we could just say something's going on and there's a code for that and we're not quite sure, but we're going to assess and figure it out later. Uh that'll that'll enough for us to get paid for in the crisis services. on the front end. So that's kind of nice. No wrong door. And the same is true on the managed care side. So managed care plan, which is managed by partnership health plan, nor the mild to moderate, but they're also operating the same way. If somebody comes in there um and they are severely mentally ill, need to come to us, they can still provide an initial service and then link them to us and still get paid for it and not have to worry about which door they came in and do that the right diagnosis or whatever for reimbursement. So, Calame's been great in that way for systems and for uh people that need care.

Um, and you know, we have a nice uh uh group of of growing providers um in our provider network. So, I'll start with uh uh the slides got mixed up. Sorry about that. Um so, our crisis calls come in through those two numbers that I mentioned earlier. Um we also get calls from our 911 dispatchers. Uh we also get calls uh transferred from 988 as uh call centers that we have in our area. They transfer them to our phone if we need to um deploy somebody to intervene in in inter some interventions. So those are working well. our dispatchers. We have great relationship with our all our dispatchers, whether it's the sheriff's dispatcher or the city's dispatcher or CHP's dispatch. There's a lot of different dispatches out there, but they're all um work together really seamlessly, I would say, from my perspective um to um get folks to the right um place for care or services. So, we do have good relationships with our dispatchers and and some of our teams will explore that in a second. So, like I said with our mobile response, uh we have uh we have MRTs that go into the emergency departments. Now, they're coming in there because law enforcement brought somebody in on a hold and they're getting uh uh medically cleared first to determine whether there's a medical condition that's contributing to their presentation of symptoms. And once they rule that out because you know somebody could maybe have an issue with their thyroid for instance or maybe might have a tumor that they're not aware of that could be impacting their brain in a way that is

making them behave in ways that people might think that they have schizophrenia for instance. So we need to rule those things out first and then we have a team that comes in to evaluate them to see if they're meeting criteria for a danger to themselves, danger to others. for bravely disabled. Um and then if they are meeting that criteria then we can move them to the next level of care. So that team is pretty um is pretty active. Um I can give you some numbers um that we've been um working with. So last year, MRT um um saw 469 um unique clients in emergency departments. Most of those are primarily at uh Providence, Eureka, but we do have a fair number in Fortuna and the Mad River as well as Gerald Felt down in Sohan, but and a total of 1353 cases that they um that they've seen throughout the year. So, some of those folks were repeated coming back into for re-evaluation. Children's they had over 100 115 evaluations unique clients but also had 202 evaluations that they did um in 2025. our uh MIST team, our mobile intervention team, the um one that goes around the county. Last year they uh saw 94 unique individuals and deployed to and uh 284 total deployments over last year. Our Mist team is con uh constructed of a

clinician uh of a case manager and peer coaches. Um, and right now we're we're uh we have funding for two teams, but we're only have enough staff for one right now. So, that one team has been providing 247 coverage for mobile responses around the county. So, um I've been backing them up on some nights and uh and doing some deployments. So, uh, we're continuing to try to recruit for the other second team. Um, but right now, that team is amazing. I can't, um, say enough about it. They're doing great work collaboration with our law enforcement partners, uh, particularly the sheriff's department. So, um, they, uh, call us and talk with the team regularly. The team has uh police radios that they also um use and and can coordinate services with law enforcement um out on scene and um have done that. They also the teams have vehicles, four-wheel drive vehicles that are equipped with Starlink. So if they're way out in uh you know shelter cove uh they can throw up the Starlink and plug in the system and communicate effectively and also get into the electronic health record and anything else resources. They have printers in the vehicle. They can print out materials people. Um they have um supplies if people need you know a jacket or um some socks. um you know they they have they food they have all that stuff in the vehicles they go fully equipped. So um they've been doing a great job and they're doing a lot more outreach now. And some of those peer support specialists that we have are our

specialists. They've gotten trained um and become certified as peer um support specialists which is really great. Department of Healthcare Services is now allowing us to bill for those services for specialists and they give us a fair rate for those rate services. So that we have peers do you have

right now? Well, the the team has four positions for pure coaches, but we have two peer coaches on staff right now for uh for mixed we're recruiting. So if you have folks with lived experience that are interested in doing crisis work um let me know or point them to our website for an application. And so anyway team great uh you know the both of these teams try to focus on providing services to the individual in the least restrictive environment as possible as long as it's safe to do so. If it's not safe to do so, then of course we're going to continue with moving them on on a hold or reestablishing the hold and getting them off to a separate virus or crisis stabilization or county hospitalization. So yeah. So, is Mist called like by the police when there's like potentially a mental health component to a a call? Does that connect with the Blue Envelope program too at all?

I'm familiar with the Blue Envelope program as well. People have mental health with the police department. Yeah. So they can have like a an envelope on them that or a paperwork on them or a wristband or a necklace that says I have autism or I have like a disability so that like when police interact with them they know that they need additional support that it's not Yeah. So law enforcement agencies are aware of that program but it's not how it ties in with missed I think law enforcement would know that before contacting. Okay.

Yeah. And I know Commander Lef France has um provided some trainings around that around um helping law enforcement to work with individuals that might um you know be autistic for instance or on the spectrum and um also kind of those psychiatric advanced directives that are similar to what you're talking about. Our teams are are asking if individuals have things like that so we can not have to rein, you know, do a bunch of work that is unnecessary as far as case management goes. Those documents are incredibly helpful and we encourage them to be put in place especially for folks that frequent our crisis um services. Yeah.

Yeah. Good question. Thank you.

Um we're trying to law enforcement's been relying on mist a lot more on calls um that they go out. We kind of have we've worked out when to respond and when we might respond around safety issues. So, we have certain criteria around deployment, making sure we're checking these things that that things are safe for them to deploy to. And of course, I'm always training the team to just be uh guarded, careful. Uh you don't know what you're walking into. There might be a dog in the neighborhood that's not friendly. You never know. But things like that, we do a lot of training in that area. So, they're always um being cautious about it and in communication with me on things that might be a little unusual, but the law enforcement's been really helpful with us and they really enjoyed being able to pass some things off to us and we've enjoyed it too. And I think the folks on the other end um have responded positively to receiving services or at least an intervention from somebody not in a uniform um and in a squad car. So um you know we've got some feedback about that and that's been positive. So we're excited to continue with this work. Um we totally with all of between miss adult and MRT have provided uh 1,839 um services responses to um folks in 2020 and we anticipate that to to grow. Um about 35% of those contacts are reconts of the same client maybe at a later time. We're not entirely new. And just a few other um notes around the data for um hospitals. Um the doctors in Humble County

have done about 533 1799s in the emergency department. If you're not familiar with the 1799, that's that's the doctors and emergency departments version of a 15we. It's a legal 24-hour home um that they can put somebody on if they think that there might be an issue because of their mental health or some issues creating a situation for them that's dangerous or for somebody else that's dangerous. So they're greatly the same. So when they have a question or concern about that, they'll go ahead and write them 179. Those um notifications come to the uh crisis stabilization unit. that's kind of our hub for deployments and then those go to E for uh deployment for that morning for that day um or um to mist if there's uh somebody that is in the community uh they get deployed to but um so anyway uh 533 1799s um we've had 615 5150s of people that came into the EGS on holds And still around 40% of those we've been able to do safety planning with them to to not result in a continued hold into u out of county treatment or treatment into SV. We've been able to put together a good solid safety plan with them and link them to needed services. tell that it's still those crisis services are still uh really important um when folks that initially come in a hold. The other thing I'd like to say about um the 5150s and u and who can write and resend those year we will be expanding out who can write and resend holds um to include some or organizational providers. So

we're in we're in contract negotiations with the city of Eureka's care team and we're also in contract with Sorrel Leaf. So these are two or providers for us that will be doing some crisis work and those clinicians in those programs will have um the designation to be able to write and reset holds in uh coming this year. So, we're anticipating another board of supervisor resolution to uh to support that and enact that. So, keep on um keep that on eyes out for that. The other expansion is happening within the emergency department. So, we're um allowing nurses as well as licensed clinicians in that are um connected to the emergency departments to be able to write. So that includes licensed clinical social workers like myself, licensed marriage family therapists like Annie and um licensed professional counselors other discipline that would be able to do that. And then uh with Camo um up in Hoopa, we've also expanded for licensed individuals at Camo psychologist to be able to do those at Kamo. they have two psychologists out up there collaboration with them to expand that out. So, we're excited about that expansion and that collaboration um with these entities and those individuals. Um let's see. Um, I would like to note that um, PPD has been doing an amazing job at educating our law enforcement throughout the county, both the sheriff's department and other um, divisions. Uh,

you know, whether it's Rio or Fortuna or Ferndale. um those trainings have been open for all of those officers uh to come in to get the same training uh around uh writing holds and working uh with us. So, it's been a great um collaboration and they've been doing a wonderful job and thank you Laura for all the work you've been doing on that. So, we've noticed a difference there. Okay, we're gonna keep going on now to to the subacute. Like I said, our crisis stabilization, our four four beds there. Uh we consider that as a subacute. Um we also have Hyperion or 10 bed crisis residential run by Will and Glenn here. Lighthouse. Uh maybe not entirely subacute. However, for the right individual um coming off of separans um that needs additional support and care um that's not as intensive. Uh we uh have done uh transfers to Lighthouse. That's a 16 bed uh adult residential run by Willen Glenn. Um there's other board care facilities like TRTF. Of course, we you all know about Waterfront. Uh Crestwood Pathways as well as Crestwoods MHRC is another great subun. And uh while B just isn't um you know residential in any way um they do provide great uh service for those that um have addiction and and need narcotics treatment. So I put them in there too because uh they're an important aspect of our so our subject's been dealing built out and it's been really felt uh on separate virus before we get a lot of folks on separate virus that are ready for

discharge but we didn't have any place to get uh put them uh as far as transfer and a transition to lower level of care locally. So, uh, Willow Glenn's been a great addition. And we have noticed we're not getting as many log jams on SVE for, um, where we're holding beds, uh, just because we can't find a placement. That still does happen for some folks, but it's getting better. We can feel and see the difference. You know, this last year, we've had way more acute days build compared to previous years, which is great. Um, and because we're able to get folks to the right level of care more appropriately, more consistently.

Any questions about subcute? Yes, Paul. Um, does the county um contract with it's a place in Myrtletown? I think it's called Windsong. Yes. Do you is and is that considered a Wong is part of TRTF? Oh, it's part of TRTF, right? Yes. Uh we definitely a lot of our folks that are in LPS conservatorship might be um going to rone so have those numbers but I know in 2025 we had about 66 admissions to Hyperion which is great. In the CSU we've had just under 200 admissions to CSU

and is Hyperion and Windong do they have those kind of things a time limit? Yeah. uh Hyperion is uh 30 days, but there can be uh times when that can be extended more 60 to 90. Um but you know, they really have to make sure they're documenting the reasons why that is for that but when um TRTF is very different. It's like long term like longer term. So people could stay there for Definitely. Definitely. Yeah. if they people that have been in song for like five years. Yeah.

All right, I'll keep going here. So then we um have our acute care locally. So we have separated bed um youth psychiatric hospital. Um we also have a lot of uh out of county um um psychiatric health facilities or puffs um throughout the state. about half of the state or half of the counties around the state have an operator pub. That's uh growing given all of the B chip dollars that the governor um and DHS have have offered up to build out infrastructure throughout the state. So, we're starting to feel that as well where some some of those places are coming online now. Um and as well as other acute care hospitals, psychiatric hospitals around the state. So those are starting to uh come online now. And then of course Crestwoods uh MHRC's we have a a lot of contracts with them uh to provide that subacute um step down when folks stabilize off of SV um and uh we utilize them quite uh quite regularly.

Are they dual diagnosis?

Yeah. Yeah. Crestwoods doing a a great job of of bolstering uh under Dr. Woods. He's been out trained in all of his staff at Crestwood um on dual diagnosing on also um continuing uh MAT treatment in some of the facilities. They're hoping to develop that more locally. Um all of their staff are trained and certified in DP and other types of evidence-based practices that are we know are effective. Yep. With trauma-informed u focus and and uh so they've been doing a lot of great work with regards to trading and they do provide groups they have uh you know they administer medications uh they do everything stop short of u you know involuntary medication uh you know when folks start getting to that dangerousness then they're most often coming to the virus. Well, when you have to use an outofcount psychiatric health facility, uh are there some counties relatively close to us or do people have to go pretty far away?

Yeah, they're going four plus hours out. So, uh uh reading uh we have RestPad is a a a psychiatric health facility in Reading and we also contract with their um their facility in Red Bluff and Redluff also treats children. So, uh we use them quite often. They're probably our main go-to for kids. So, uh, yeah. Uh, Reading, um, Red Bluff, Santa Rosa, San Francisco, Sacramento, those are, um, uh, Bay Area. Those are our kind of our main go-tos. We We have been doing more in San Jose um, and then some further down the valley, but that's getting kind of far. Yeah. Yeah.

Thank you.

Um we've also had another contract with the state hospitals. So um and uh we have several contracts with state hospital. Um but we've been able to through our work with Cal Mesa to broker um beds and availability for counties. They've done a wonderful job to help us with that. You know, we're finally getting folks that have been really needing the ongoing care that we're not able to provide speed or folks that are really ill. We've been able to get them beds at the state hospital to see hopefully some things that they can do might be make a difference so that we can have that person back into our county. So, that's been great. But there are definitely I didn't list them here, but they're definitely um part of that acute care continuum. Um we uh are we had 275 admins last year at SV. Um our average length of stay was 11 days for folks that are on LPS conservatorship. For folks that are LPS conservatorship, we've those length of stays uh take up to 51. But I think for 2025, this is really um there's a few people that we've had that were really challenging to find placements for. So, we've just had them on the unit uh provide continuous care, but those numbers affect the length of stay numbers. So, I would just want to put an asteris about the use of what happens.

I'm looking Paul. Yes. You want to?

Yeah. So, so the um when you like typically you'll be show up at the university department and so the same mobile mobile response team. So we have a children's mobile response team does evaluation if it looks like that they do need remain that levelization. Um at that point then the search begins for possible movement. take that youth finding youth beds is more challenging. We don't have a hospital in county that accepts youth and so when a youth does need that level they do have to go out of county. So that is like Paul said breast pad but u our mobile crisis team they have man um that's connected with that unit and they're working but not hospital as far as safety planning and um after care planning so when they do come back services better than as far as therapy medication. So that's that's a part of the response team's job is that linkage back to the county request through the whatever hospital that you have.

Yes. And is that like include transportation and stuff for family like supporting in that way? Yeah, we've definitely done that. A lot of times um families aren't able to trans make a transport themselves will arrange for transportation or they have times helped um the gas cars to help families without transportation cost. So that's all part of that coordination case management. I can't imagine though the trauma that would cause a child that's already suffering from mental health to be put in the ambulance go into it just my heart 700 like and then maybe their family can't just the trauma that would cause a child

almost their family is the source of the trauma right right but I don't know I mean there's I'm sure there's a lot because there's still I'm reading things that say that um that mental health is affecting five and six year olds, you know, like and so just picture your child. Well, that's one of the things that I and ambulance just being stopped already.

I was going to mention it in that a bit later on, but the um the contract that we're working on, the sore relief is for the crisis residential in county. It's kind of in that it's in that subacute level, but that would be an option if the youth is maybe on that borderline where we're thinking they might need hospitalization, but it's that would be an option that if they could safe safely safety plan and go to cry residential that might prevent them, you know, go out of county to hospital. So that's that'll be a great resource once that line option

gets closer. Um but yeah, it certainly isn't ideal when we have to send the youth three, four, five hours away or separate from the tool, their family, all their connections and stuff. A lot of that work when they are at the hospital is regularly checking into the hospital. How are they doing? What what do they need to be able to come back safely but then get connected to services here so they don't have to keep going through that? I think to your comment, Dette, that um kids at any age, infants can demonstrate mental health challenges. So, we're looking at the full spectrum, but you're not regularly going to see a five or six year old on a whole that's being transported out of county, right? Like, usually it's an older kid that is in a situation to be placed on hold. Not saying that's okay, like that's still there's still trauma there, but it's not that age that we're really looking at regularly. I just like you said that I pictured this little kid just Yeah.

Well, and like I said earlier, it's like we try to treat um in the least restrictive environment as possible. So, um we're really trying to make that happen as especially with with children and kids and um but there's sometimes when things are so they're just such higher risk, it's just not possible to do that safely. So, um this is a good segue to future state. So, you know, we um have our uh crisis triage center that we um are having regular meetings about and design um you know, we're anticipating things to start picking up there um at that campus and um and breaking ground this year. So that port is going to be our uh sobering center, our uh CSU that will also be able to take uh from kids uh as well as uh crisis residential and SUV dual diagnosis residential treatment. So looking forward to that. The about 43 bed uh slashcots um you know um for uh for our county but our crisis continue. It's really going to be great for treat and we have sorrel leaf that Jeremy mentioned. So they um they're building when you go over the new overpass you can see the the roof and and the building now it's looking really great. So we're look thinking about Octoberish maybe everybody fingers crossed on that. Um and we're looking at 12 beds uh for crisis residential with them and of course they'll also be operating their mobile crisis team. uh more robustly as time goes on, but that's going to provide a great option like Jeremy said for youth. Yes.

Sorry. Will that just be ch will that be sadly to be transition age too? 7 to 17. 717.

717. the uh additionally uh you know with our prop one award I'm from the state um 43.5 45.3 something 40 so million dollars uh for SB which is going to be right across the street from the court in a public health and that parking lot. So we're looking forward to that. We're meeting with the design team monthly. Uh that's going really well. We're excited about that and what that's going to mean for us because on the design we're um going to finally be able to exercise our waiver that we have from the state to treat minors on SV uh without them co-mingling with other adult uh

clients. So that's been kind of the the the sticking point for us on on SB and the C issue. We have waiverss for both to treat minors there,

but it really causes some disruption in the whole flow for uh adults too um when we have to exercise that waiver on either junior. So and we have historically done that but it you know it does um increase our cost of out of county hospitalization for both youth and adults for anyone. So, uh, this will allow us to treat two, four, up to four probably, um, youth on SV. That's not 16 plus four. It's within that 16. That number is going to stay the same, uh, 16, but we'll be able to mute up to four of those beds um on either unit for miners um once that's built. So, really looking forward to to that happening. Uh, so that's about 60 beds in addition in our prices continuum. I just just seemed like not too long ago we were like sitting around Evie and Jeremy were like we need to plug these gaps in these the service continuum and here we are starting this plug. So super exciting. Um, and I just want to mention too that you know the the expansion of the LPS act this is you know that landmarks 1966 put in due process to folks that are on the phones that are bigger than themselves for others. Um we've seen a number of of legislation in the last several years that start to try to chip at and change the LPS act. So, um, that's been impacting our system in a lot of different ways and, um, in in in a good way, opening up, um, pathways for treatment for folks. Um, but on the challenging way, that's a lot of administrative cost and restructuring

and and things that we have to do um to adjust to those changes to the LPS act. And often times legislation will make the change but the infrastructure infrastructure is not there to support that change. So you know SB43 is a good example of of that. Um you know again kind of expanding the criteria for great disability includes your SUV and uh and other health issues um that are creating somebody at risk. Uh however, the pathway of treatment for a locked uh facility to treat SUV doesn't exist right now. So we've uh been working together with the with the steering committee and the subcommittee to really find pathways there. That's been great. Um and we've been doing a wonderful job. So I just wanted to highlight that too around the changes. Yes, sir. I just wanted to clarify. This came up in a meeting I was at earlier today about um there's not currently a place for people that are strictly substance use disorder 5150 SB43 expansion to go outside of the emergency department. Is that what I'm hearing?

I would say at this point that's yes. Uh however um as DHCS starts to relax this hard line between um SUV issues and behavioral health issu mental health issues where you can treat somebody that has a co-occurring SUV disorder on a puff for instance. um you know uh hospitals and facilities aren't as nervous about um getting recouped or getting some kind of uh corrective action plan by DHS around uh doing that treatment. So they're more likely to treat somebody with dual diagnosis if it's within their scope or capable and capacity to provide that treatment

if it's not dual that's primarily substance use. That's what I'm cuz I was in a meeting this morning where somebody says, "Well, there's SB43. Can't they can just conserve that person because and I'm like, no, that's not how it's actually working." But that's the perception in the community is that, oh, SB43 is going to help all these folks that are gravely disabled due to alcohol use disorder. I'll say that we've had one individual that um was put on a hold like that, but they were they were more dual diagnosis. Yeah.

Um and uh you know, we had staff uh actually do an assessment and emphasize that dual suspect which allowed for that person to get accepted at a psychiatric um hospital in the state with that. Um, so again, there's a little bit, you know, folks are starting to get a little more comfortable, but there's no designated facility for SU severe SPD treatment that I'm aware of at this time. Okay. Does waterfront have a a reserve bed for S?

So, yeah, we in our work group and steering committee, what we've each HRC, Waterfront, and Crossroads all agreed to hold a vet aside in case somebody does come in that way. and we were able to talk with an individual and this uh create a safety plan and they're ready for treatment where we can safely um lease in that home and quickly get them into one of those things. So we've done a lot of work around that um recently and um that's been wonderful with that work group um and with those agencies to actually create a pathway that's um that's quick and um and may work.

And my next question is have we used um those agencies for beds yet or is that something that has passed yet? Um not for SD43 yet. But we have the documents in place now. In fact, next week we're having our kind of our last steering committee for SB43 where we're going to go over all of that and just kind of tidy that up.

Um, and make sure everybody's aware of what the process is and what what documents we're using and all that stuff. So, but yeah, not yet. Well, doesn't SB43 require that the the person would have to be in a locked facility if you keep them on that hold and that hold is still there. Yes. But if somebody's willing to be treated voluntarily, then we can do that. So work around.

Yeah. It's a workaround and and I think a lot of the counties um are doing that working with individuals around um around care in a voluntary basis because we know that through evidence right uh through uh the uh research that's done known to us around effective treatment volunteer is the way to go. It's not mandated shooting treatment is not the way to go, but we're we're doing our best to work with that as much as we have resources to it's a big challenge.

It is. Well, that concludes. If there's any other questions, I'd be happy to answer. Thank you. Any updates on jail mental health? Um we're continuing to provide services um and uh we um are offering incentives um for people to come work in the jail. Uh so we have uh openings for clinicians, we have openings for uh SUD counselor and a case manager.

Um the incentive is uh is uh $10,000 actually. So, uh, 3,000 after the first, um, 6 months and then, uh, a year after that, uh, an additional $7,000. So, we're still working to then trying to promote that and see if we can get some more coverage. We still have our doctors and nurse coverage there, four, five days a week. Um, but we still are having some staffing challenges right. Yeah. Community Corrections Partnership just approved some additional funds for contractors during this

I was just a few days ago. All right. Yeah, that's great. I love hearing things like that.

Are there any any questions online? questions. All right, seeing hearing none. Thank you so much, Paul. Appreciate stats. Love those numbers. I know. Hey, thank you for presenting the EPD stats. Did I even share those? Yeah,

let me just let me just share those. I I did get nervous and miss that. But EP there's their c set numbers are pretty impressive. Um where are they? They dropped off. Sorry. Thank you for providing me those numbers that I didn't present. But I would say the uh uh Commander of France did do a presentation to the the does that quite regularly annually I think and in those numbers really the there were um quite high about 1700 calls for services um and a large number of those were in uh September, October and November of 2025. So, they're still doing a lot of diversion from away from 5150 households um and doing some of this proactive policing um and engagement with folks and getting them to treatment. So, uh, Cara's been right there with them doing a lot of this work and I think those, um, that's a great addition to our community and we're really looking forward to contracting with the city to to provide that service for us.

Yep. Working together. Thank you, Julie. And, uh, Joe, hopefully you can send those slides out. Thank you. All right, it is now time for the behavioral health board members. Your time to say whatever's up with you, ask questions. Not that they'll be answered now, but for the greater good. Um, we'll start with you, Miss Vernon.

I would like uh to bring to the board and county staff uh we would will be doing an ad hoc committee for legislation. Uh Mr. Roell and myself. And if anyone else would like to uh be a part of that, please let me know. Uh if you're going to be working with Mrs. Wolf and Mrs. Stark in regards to getting the date set, we're not going to make this a long committee. Um we're just going to be looking at about 20 bills uh that are on the floor now between uh Assembly and Senate here in California. Um so that's one thing. The second thing is I have some questions for county staff. There's a new bill that has hit the floor that is medical enhancement care management for peer support. It just got introduced Friday. Uh, and it looks like, let's see if I can figure out here. There is 1,442 people in Hanbul County receiving uh this type of uh the ECMS. Um, if this is expanded, what type of numbers are we looking at? What for the smaller counties? Well, there will be an option to opt out. Um, but my the way I'm looking at it, the only the larger county, large county in the superior region is B County that has more than 200,000 people. Um, I'm just wondering how that would roll out and what it would look like uh here in in Humble County.

like it doesn't have to be answered today because I mean like I said I have a comment on it. Okay. Yes. Um so it's already here. Um and I have to tell you um I feel really uncomfortable with some of the ECMS in it that are calling from like say San Francisco. Um, there ECMs that are working with our people here, but they're not even here. They've called me on several occasions to reach out to try to find their clients.

And um, if I'm doing all their work and they're getting paid for it, I'm uncomfortable with that. So, I think that we need to figure out we need to I don't know how to take a look at it or figure it out. But um yeah, apparently people that are going to hospitals, I'm not sure if all of them, but they're getting linked up with ECM service for people that aren't even working in this area. Um and literally I had at least four of them call me

um to go find their clients. like I'm not doing your job. This is actually Assembly Bill 2138. So, so I think there's some consideration into that bill is what I'm saying like we need we need all the information on I can. So if if we can track that would be nice to to to track. Um I I have I I personally am tracking it through legis scan through state of California and that's all I have. Thank you. Thank you.

Can you tell me what the Sorry, could you repeat what the example is of county? But county uh has more than 200,000 people. So they're not have the option to opt out. But all other counties in the superior region is under 200,000 and most of them are opting out and that does not give our peer support specialist a verified chance. Thank you. Yes,

Billy. I don't really have anything except for a resource that I'll share with Joe to push out. the Euro tribes uh MMIP program has released the flyer for the upcoming uh MMIP awareness day and walk in May. So I'll distribute that for folks that are interested in maybe Nation's finest to talk about their cool game of throws fundraiser that they're doing coming up soon. That's all I have. Thank you. Margaret, do you have anything?

Yeah, I do. Um, I just wanted to say that I recently, so there's somebody here from the Crown BHC thing. I I recently took the course they offered that, you know, now they're offering again about um behavioral health boards and, you know, it's kind of crazy that I'm taking it in a way because I've been on this board before and but I thought, well, okay, I'll take this. And one of the things I was really struck about was our obligation to report to the board of supervisors. And this time that I've been on it, it's been a little bit less clear to me how exactly we're going about doing that other than an annual report. Um, in the past times when I was on it, we were doing more visits to programs um, in both mental health and substance use disorder programs. But at least the substance use disorder committee decided this past year that we wouldn't do a lot of visits directly to agencies. We'd have instead them do like we do here, have people report at our committee. Um, so, um, but it was interesting to me and, uh, I just have to say, even though this is getting more and more ancient because I've been retired now for 10 years from Sacramento County substance use, um, but it's just so different than what they did. I mean, we had PE, everybody on the board had to go visit two agencies a year and, you know, like that. and there were many more community members on the board than we have in ours. So, the differences are significant. But, but anyway, the course was really good and if anybody hasn't taken it already, I'd really advise you to take it because it it doesn't take long. There's usually few participants enough that you can talk to the it's on

Zoom. You can talk to the person giving the course and ask them questions. And um I learned a lot from the questions actually. And then the second thing I I just wanted to kind of compliment the mental health people in the county for two contracts that you talked about recently. I had two people that I know personally, not clients or anything because I don't have clients now. Um but one was at Hyperion. Oh my goodness. Hyperion is a beautiful facility. We sat in this lovely garden and I mean it it's just lovely and small and I think people really like being there. I mean that's what really struck me is people like being there because you don't like being in a program that you're assigned to. And the other program much bigger that I went to see more recently was Windong and I was impressed with that facility too. um they're careful about people visiting and signing in and making sure that people want to see the person and all that, but the facilities there's a beautiful garden out back with a gazebo and etc. So both those things I think are places where people with mental health issues must feel very comfortable and glad to have that as part of their treatment. So you got to keep those two places because I think people would love them. Thank you for sharing that.

Uh in Crescent City on 321 coming right up is the Veterans Cafe. They have that about every three months. It's a place uh where uh veterans from the Oregon South and these are kind of come and have a chat and sit and um there's there's always food brought by volunteers and there's usually a training 11 to 1 that's happening on 3:21. Um it is a game of throws a little bit about that. be our fifth uh year going for Rose. I said we have a maybe we get a flyer that way to

Yeah. Okay. Yeah. So far we've raised about $3,000. Oh, it's a foral permit.

Yeah. Sorry. Yeah. So far $3,000. It's always fun. Uh all the all the proceeds of our local our facility really help better for our veterans. Uh we're currently trying to raise money to make more bottom bunks. So we're expanding. We have some construction starting pretty soon here. But two of the offices returning to b recently. So we have more B and B available for veterans that are elder or disabled. Yeah, we're doing right now.

Thanks. And I just it sorry to figure like working closely with Nation's finest, I've learned that a lot of veterans that don't qualify for VA healthcare are getting a lot of care through Nation's finest because they're offering behavioral health services there. So a lot of times the veterans will not come to the county because it's not as a welcoming environment for their, you know, for it's easier to go through veterans agencies. So I just wanted to like plug that in terms of the fundraising piece for nation's finest. They are filling a gap in our community for behavioral health.

Yeah. But for our CBHI program, our clinician is filling that gap for both our transitional housing and our emergency shelter. also other referral they do. I I feel like a lot of times I I used to think this that well they're veterans they should get their care at the VA and that's not always the case. So it's just you know veterans are getting care all the places in the community. So

there's a whole lot of issues with veterans and veteran care. Uh, as an example, we have 28 or 30 beds built. Uh, 24 because we're housing them. We're houses. Yeah. Yeah. So, we need more more beds in our Yeah. Bash has been doing great housing our future beds, which is awesome.

All right. Thank you, Hey, so I've been um I've been on vacation for a few months, so sorry I've been coming back. Um but uh so Beth Jansen and Melissa Nelson um Beth from the county and Melissa from Regis are co-f facilitating the um SUT MAT provider monthly meeting which is happening right now. So we unfortunately we can't be there. Um, so they're going to reschedu it. Um, or have the next time make sure that next time they schedule it, it won't be falling on the same day. Um, so we're excited about that. Um, I heard that they had a really good turnout, a great opportunity for all of us SVG and MAT folks to get together and network and um, collaborate. Um, so we'll know more. Also, we're going to start um next month is um we're going to start the planning for tableabling season like international overdose awareness day every happens and other things. So, um we have more to talk about with that. Oh, and um Katie go slaughter myself and handard watching and and serving the uh smoke shops that are still selling the canisters of nitrous oxide. So, and we are um monitoring them and reporting to the sheriff's department. Um they're still doing it. So, still very frustrating. So, we'll know um we'll have more information on that next.

Thank you.

Thank you. Um so uh uh hopefully next month we'll be starting our first um first meeting for recovery happens in home this month. Um I have uh there's a couple of things that I'd like to talk about. I've start we started a grief group up at Bear River. is um this I get confused first and third Tuesday of the month um at at the Fair River social workers office. Um that's at 5:00. Um it could last up to 7:00, but there's food involved and so and it's not a place that's like a counseling. has a room, a safe place for people to um um also uh uh March 14th, um Lolita Elementary Schools, uh we're doing a fundraiser show. Um and you ask, what does that have to do with substance abuse and behavioral health? reality is that substance abuse and a lot of substance abuse and behavioral health doesn't start at the age of 18 years old. And so, um, we're doing a fundraiser. I have some flyers if we'd like, um, and it started out as a little fundraiser and it became quite big. So, um, uh, so that they could have some things for their elementary school kids, you know. basic needs. Sorry.

Um other than that, our next um we had did not have a substance abuse group. Um last month, yeah, this month, this month we didn't have it because it was a holiday.

Um my notes just went around. Sorry. Yeah, I was noticing. Um, sorry about that. Anyways, um, and then, uh, yeah, thank you. Now I can remind myself. Um, so, and we also, um, I wanted to say, I don't know if I shared this last month, but we also did the Boston Fair efforts. And so, um, uh, they we were quite impressed. They wanted they wanted to be a part of this. Um, I am I I'm in hope um that we um will hopefully start doing educational groups once a month for the community. Um we have a place to be able to do it that's not going to cost us anything to do. Um and I would like to do it. I would like to be able to do it. Um, but I don't, you know, going to take a moment for us all to get on the same page. Um, I know that we've been talking about it, um, in many ways over the past few years on the board. And so, um, Bear River has offered us a place to do it. Um and so um if we can have like family education or whatever or stuff like that for people in the community, not just people that work in the field, people in the community and talk about things.

Thank you. Thanks. That's all for Peter. Good afternoon. Yeah, just a couple things. I'll be brief. Um, but you know, speaking of ECM, we were talking about ECM earlier. Um, I'm proud to say that we are one of the maybe the first county office in state of California to pursue that along with our partners down in Plaster. So,

um, you know, ECM is interesting because the dynamic that we were talking about, we've heard about that too, that, you know, there's not just people that are from San Francisco, but there are people from Colorado that have case loads of 60 doing ECM. Of course, that is not our um our goal. Our goal is to have face to face contact uh for our wellness coaches to uh to you know to expand the service for homeless and foster youth. So um we you know the the wellness uh coaches are regional ones in our county. So we're hoping each of them would probably have a case load of maybe six to eight max per month working with. And the other thing that we really are wanting to do as a county office is maybe even start a collaborative of ECM providers in the area so that we're communicating with each other and not feeling that we're

fighting each other for clients. You know, let's keep in mind the interesting thing about ECM as I understand partnership is that the client can choose the provider. So that kind of, you know, and with children that sort of brings families into that and and consent and the whole thing. So we're starting to negotiate it, but I think that next week we'll be submitting our first uh bill. So um so that's super exciting. And another thing that I just want to hold up uh is we um we're building our our training uh our trainers um of be sensitive, be brave. I've mentioned it before, but it's a great suicide prevention training. Um, if we ever wanted to do that here, we could. Um, but if if you have organizations that would be interested, be sensitive, be brave, maybe we could do some community work as well. But, you know, as somebody who, you know, and I know many of us, right, that work for public entities, we do our mandated reporting and various other mandated trainings. I honestly think that in the whole county we should all be doing suicide prevention training and teaching people how to have those conversations. So um we have some great collaborations right now with health and uh I just wanted to say that I think that that's our very

thanks for today. Uh well, Vernon uh had me, but he did ask for the first support proclamation again. So, that'll be the third week in May. I've already got it all in. Um so that's awesome in progress. um hearing, you know, thoughts about events and youth and um I I'm on this juvenile justice and delinquency prevention commission board or mission and um we were hearing from teens that they just struggle to find information about events that are

where alcohol is not like the focus. Yeah. Um, like we were talking about all these great events that have happened recently that youth could go to and they're like, "We don't need your button for those."

Um, so I don't, you know, I think there's also just different ways people get their information. But, um, I did reach out to Los Coast Office and North Coast Journal and said, "Hey, can we make it easier for your community calendars to reflect events that are for different target audiences?" Because that seems very easy um because people are submitting those as community events. But um previously particularly the Lasopus didn't have a way of showing if events were for like teens and youth um and for and then I'm also on the first private commission. So I said and also little kids like zero to 5 year olds. So they did they just were like oh we just changed our form. So um that request was very easy. North Coast Journal said I think maybe lower a visit at a different time when you have more capacity but loco just changed it. It was lightning fast. So, um, uh, so if anyone wants like now there's a landing page where you, you know, of course these are like submitted by the community. No one's going to be vetting them to make sure like that really is for whatever, but um, still it was an easy ask and a way that local media were happy. So that get to know. So as those become more populated, there will also be a landing page. There already is one for events that are for teens where it's like the calendar address and then back slash teens. um do send that out if it's useful because it's not that intuitive unfortunately but you could make a QR code and put it out there again these are like selfidentified by the community members submitting but um so I thought that was cools it's just easy to get something done

um and I think beyond that have.

All right. I have a few things. Um, LBH the next training they're doing is the 17th and 18th and it's online and it's I've done two of them so far in my career on the BHB. Um, what I love about it is that other counties share and you can talk and that's where I've often how awesome we are in Humble County. So, it's a nice reminder. So, I would unplug that. Um, May is mental health month on May 9th. There's going to be uh the the mayor has this is her initiative

and so there's going to be an awesome speaker that we saw at CIT International. wake up your friend sir. So May 9th um I believe it's 10 11 to one but I'll have more information on that. Uh board members, if you haven't sent in your form 700, we will be having uh a little bit of time to do that at our March 14th get together, but also if you do it ahead of time, then we'll have more time to have fun. And uh our retreat date, which if you did not get my little sheet um

is March 14th at the Warfinger downstairs from 9:00 to noon. So I hope that you can be there. It's in the morning. Everyone can attend. Um, I sent uh I have a couple more uh flyers with uh which every board member if you can look at it and give me information if you want to add something to the agenda, please do so before the end of this meeting. And I think that's all I have. It's very helpful to have a stress ball. It's like what does the March 14th start here? I'll send this down to you.

Not in the 12. All right, Joshua. Okay. Jeff, I think Jeff had something before they do. Jessica, I am on Zoom. Hello.

Oh my goodness. Um yeah, I just wanted to share that transition age youth is hosting their open house on March 20th and you can come to learn about the history of Kay, what resources they provide. Um it's mainly targeted at community members, service providers, and community partners. But yeah, we're going to be offering refreshments and having video presentations and it's going to be nice. So that is on March 20th from 2 to 4:00 p.m. at 4:33 M Street. Eureka, it's right off of Fifth Street.

You can send the flyer to Sure. Thank you. I can send the flyer to Oh, I think Amy has the flyer, so Amy will be able to help me. All right. Okay. Well, thank you guys. All right, it's time for reports. uh from DHHS director. Is anyone here on behalf of them? Her she's not here, but I do have something to say on her behalf, but I'll just say it once we go to the Yes. And now time to go to behavior.

Hey everybody. Um yeah, kind of wasn't able to make it today and she just wanted me to say that the navigation center architect meetings are continuing. Awesome. That's always the question. Yeah, exactly.

Okay. So, let's see. For me, I don't feel like I have a ton to say. I'll just um remind the group that we're in budget prep season. We had our budget kickoff last week and we're just continuing in behavioral health in particular. Um just working with our fiscal team around what our budget will look like next next year. Our landscape is better than it has been, although we still have continued work to do. I'll just say that. Um, we're also continuing equity work. I report on that every once in a while here and we'll be renewing our contract for next fiscal year with um, Stepping Stone. They've um, partnered with us for a number of years now. We're looking at how to kind of move the equity work out to the staffing level a little bit more as opposed to just the leadership level, which I think will be good. We recently have initiated some equity at lunchtime little presentations. It did one on um on uh divergence.

Yes. Neur neurody divergence. Yeah. Just looking at some um like broader areas to work with staff on per request. So that was nice. Um, the BHSA transition thing is gigantic and I Oliver was here recently and talked about that and I just I can't say clearly enough how much work this is, how big this transition is. It's really asking us to report out in all areas of our system. Our integrated plan is now going to be looking um at data and finances across our system whether or not they're funded by um EHSA. Our um initial draft is due to the state by the end of this month and it will eventually come to the board of supervisors. So people will be able to hear the details of that. But that's what we're working on. And just to add to the work, we have an MHSA audit in March which will be looking at how things um you know went with a review of MHSA um as we're now transit transitioning transitioning to VHSA. The last thing I wanted to mention is that um maybe some of you have heard and this is actually what I thought um Vernon was going to lift but he didn't. that were the mobile crisis benefit as it is is um and you know DHCS is considering changing how that benefit works which could be pretty impactful. They're looking at making it an option as as opposed to a mandate which would change the um fee structure related to that which could be pretty like I said pretty impactful. Um our county and many other counties have submitted letters of opposition. Um the sheriff did that as well and we're just really looking at ways that we can advocate for that to continue as a mandate because of the

need but also because of the funding that comes with it as a mandate versus service. So I think that's all. Thank you. Oh, question just clarifying. Yeah. Would it go back to the previous way of billing where you build? No, it would still be it just is that they wouldn't supply the match in the same way whereas right now the match is completely covered. Okay. And I think there there actually are some changes in funding anyway. So, it's it's already um looking to be a little less uh beneficial for us in terms of the structure. But the and the non-mandate would get more challenging. Okay.

Thanks. Uh Jeremy, do you have anything?

Um just a few things I I I think I shared last time, but uh children's behave continuing to work on uh lifting up evidence based practices that the state is mandating. So uh there are three three clinical ones are functional family therapy, multi-yic family therapy and parent child interaction therapy. Uh so those are practices that were we're in the early stages of getting consultation on and working with our contractor providers to see if they're interested in training staff. But state is uh essentially paying for training staff and implementing these practices. So, uh, ECIT is an early childhood program. Then FFT and MST are family based models. Uh, so we're excited about adding those to our our menu of services. Uh, wraparound is also another mandate. So, we're we're also in the early stages of implementing a behavioral health wraparound program. We already have wraparound in the county, but right now that primarily serves child welfare youth. So this would be in addition to that would serve kind of higher high-end that aren't necessarily the child welfare system but need that wrapped around some of the services. So lots of work planning and getting ready for those practices. U we've had some hiring recently. Some few new staff started there's recruitments going for some of our vacant positions busy with contracts. Um, and then kind of going off what Paul's presentation, I think a couple of big ones. The U environmental alternatives is we're contracting with them for a local short-term residential treatment program, STRTP. So that it's essentially what used to be a a youth group home. U, we don't have one in county currently. So youth that aren't placed in the group home where STRB

right now child welfare end up going out of county this would be a local option pretty that level service and then the sor leaf project is another one same way them our target for that is still this fall October I think is when they're hoping to have construction completed and everything ready to open so that'll be another level of service that really helps you stay local and sort Lots of things going on. Positive. Thank you. Anything else, Paul?

Uh, just a couple things. We had a virtual um site visit by the Department of State Hospital to uh talk about our our felony um IST per diversion program. And um so we met with them and and talk with them for a few hours. And so that went well. So you define what that is. Lauren and I both looked at each other like I had to write it down before I forgot.

So we um do you remember when we had a um a pilot program with the state hospital um to provide a diversion program for uh individuals that have mental health issues that attributed to their um possible criminal activity or offense. Um so if they get into treatment um and complete that that those those um charges would be dismissed and they wouldn't have to go through the justice system and and go to state hospital or whatever. Did you felony ISC incompetent to stay on trial. Okay. Wasn't sure if that was or

never heard of a their charges would be rife if they went through the program though. That's That's fascinating. Yeah. Diverted.

It's pre-trial diverse. So, um yeah. So, that's um and we have a a similar um little misdemeanor incompetent extent trial program diversion. Um but we're talking about the the specific contract we have with the state hospital for the permanent diversion program now uh for belly. So um yeah that's um that's a lot of work um I think uh for us but it's really targeting um the um number of people that have typically gone to state hospital from counties so from this county. So the state put a cap on how many people from our county um could go to the state hospital um before they would penalize us. Um, so they're encouraging us to um provide treatment other than just being in the jail. So this is uh you know typically done at an outpatient setting um in the community. So it's it's that program or that focus. So um that they wanted to see how we're doing. Uh they accepted our implementation plan um and that's going around for signatures right now. So, um, so anyway, wanted to mention that that we had that visit. Um, Deanna Bay and I and some of our support teams have been working on a Prop 36. Um, we're doing some Prop 36 work. Um, and this is another type of uh, you know, let's get treatment instead of going through criminal justice system if somebody's got an SUV um, is issue at play. So, we're um working on creating this um project to really focus in on that population. Um so, this will definitely be a collaboration with

public defenders, uh district attorney, uh probation, us. So, we're doing some work on creating um some processes now. Um we're going to be submitting something this week uh for that. So, just wanted to recognize that work for Prop 36 is happening. Also, um we had a um a request for an um a meeting with the Council of State Government's um Justice Center to talk about the work that Humbult's been doing with the stepping up initiative that is part of the sequential intercept mapping effort that we've had in the county. Uh but they were they heard through the uh through the their main um what was convention? What was it? Uh that they had back east where they highlighted certain programs and one of the programs that they highlighted was missed. Um as well as some of the other stuff that the sheriff's doing. Um so they wanted to talk to uh Captain Christian and I about what how that was going how what's working for us because other other jurisdictions and places around the country don't seem to be it's effortful. So they wanted to see what's going on what what what special sauce do we have in Humble that's making this more having us more success in this area. So that was good. uh Captain Christian and I both shared our experiences and um and the things that we think are are contributing. So um I thought that was interesting uh kind of humble getting recognized more on a national level um around this effort between behavioral health and justice. Uh also, um just I just want to recognize and the board to know this the

tremendous amount of work and impact that the state changes from DHCS and down to counties of how it's affecting you know our system in particular quality improvement because quality improvement in the department is kind of like all roads lead to QI. like Qi is a hand in everything um with regards to our system of care and all of these changes are kind of process changes that are uh are significant and take a lot of analytical work and and project planning and collaboration to come together and changing the processes and systems. So they're really um feeling that impact from all of the exchanges stemming from California and um you know Jeremy mentioned EDPs I mean that's another example deal where QI has a a piece of this but also the reporting that goes to the state um has increased and then our collaboration with managed care plans has increased and the expectation there so that's between us and partnership

and client flow um which traditionally hasn't been a lot of good communication and information flow back and forth. So now we're tasked with doing that between our agency, our people's behavioral health plan and the managed care plan. So all those things are really significant and I just wanted to just make sure you all were aware that there's things under foot that are significant changes to our system that um that uh we're dealing with that maybe you're typically not aware of because Paul um when you were talking about the the Prop 36 stuff. So, is that almost like having um uh an SUD court kind of like a mental health court in some ways? I suppose it's if somebody is incarcerated and they have SUD issues um and they want to get to treatment on Prop 36 and they fall into the criteria from Prop 36, then uh what's our process for assessing them for the right level of care and getting them off to that to that level of care? So it's that process that

and is it is it still a thing where if they do whatever is decided that they that their charges are dismissed or no I believe so. Yes. So that would be a lot like mental health court right it's dis it's almost dismissed so it's any you know there's certain uh certain charges you know and that this qualifies for. So yeah, it's believed that those if they complete that then those things would be drawn. So it's again another effort towards treatment rather than incarceration. Thank you.

It's a lot. Thank you for doing this job. uh heard from Yeah, there's not much to uh SUD committee didn't meet. So, no, it fell on a um Michelle Thomas takes our notes and she let us know since it's fell on a holiday that we wouldn't meet this month. So, okay. Uh no other committees except for membership and there's two applications we'll be vetting in the next two weeks. Are we trying to start more committees again or no?

We still have to fill our mandate of having the children and families committee as well as the older adults. Never remember what it's called. Older adults. Yeah, I think it's called Yeah. So, we still need to have those have those. So, I guess we might talk about it at the retreat. Yes, I am. Um, vice chair, do you have anything? I do. Oh, good.

Um, I just I've been trying to follow the comments in the chat and I see some conversation about our meeting being inaccessible due to us not checking the chat. So, I'm wondering if maybe we can discuss that in the future to figure out a solution for how we include people on Zoom in the chat. Yes. Um at a later date. I was going to make a note. We can chat about that in the executive committee. I think that's

I Yeah, I just wanted to acknowledge so folks on Zoom know that we're reading your messages and that we want to be responsive and figure out a solution for that. or I do vice chair. So, got it. Okay. And I'd be happy to join him soon and just read along and but we've done times. Yes. Let's pass the duty on there too.

Well, I also just recognize that we have specific topics that we have room for comment at certain periods and so like the chat's been ongoing the whole time. So, I don't know that we would be able to respond to every comment in the meet throughout the meeting, but that's what I'd like us to discuss is I do think that it's like when when people are asking questions and like there's a presentation like that, I think that's when a lot of them came up. Sure. And so, if somebody was on, they could monitor like during Yes. Awesome. So, yeah, maybe we can discuss in the executive comm meeting and then bring it back here. All right. Thank you.

No, no. Yes. Thank you. I don't have anything more other than I'm grateful. Well, to everyone who shows up and I'm excited for this retreat. All right. Unfinished business care nav center. We've heard about crisis triage. We heard about nav center. Just wanted to plug the really awesome article and was it lost cause outpost about care and the props to the team. So well done. Yep.

I don't think that there's anything else to report on that. Doing a great job. Uh other than chats being dealt with, are there any future items anyone has? Maybe coming out of our retreat or however we're going to discuss it. Uh the future item of like okay, what committees can we reestablish and how will we get membership?

All right. Is there there's nothing else to greater good then I will adjourn this meeting at 13:55. Thank you everybody. Thank you everybody. Have a safe rest.

You too. So it was literally yesterday. doing an internship here.