Behavioral Health Board - Regular Meeting

Yeah.

Sorry. drop away still. So I decided to take some I'm like

at 4:15

and that was the final trip to McKinley. Think of the person who actually running around. So now

it's not for the entire month of August for 16 days [Music] because they get the choice. They want toss and I know you're friend now. many assignments. by Halloween.

Yeah, that's what I'm thinking. This class is a purely online class and you know $77. And then I have classes too.

Hey, I almost done high school. We all know he's going for at all because there doesn't have to be like

right free tickets.

Oh, yeah. I'll put it Thank you everyone for being here. It is 12:18 and I'm going to call this

behavioral health board meeting to order. Welcome. We are the advisory board for the board of supervisors. We hold this meeting on the 4th Thursday of each month and it runs from 12:15ish until 2:15. We meet in person at 507 F Street in Eureka. This is a public meeting and everyone is invited to attend. Members of the public may participate remotely. We don't see people there. The minutes in the agenda for all of our meetings can be found by searching online Humble County Behavioral Health Board. We provide time for public comments early on the agenda. Public comments need to be limited to three minutes and pertain to matters related to the behavioral health board. We ask you to make your comment in a respectful manner. If you have any questions, please contact me or any of the behavioral health board members. And with that we will move to roll call please. John Ber here excuse [Music]

here Emily Royal here

here price here So we do have a corn we will move around the room and then we'll go to zoom for introduction of staff and guests start. Hi everybody Rogers the end director. Hi, I'm Jack Brazil, one of the deputy directors for regular health.

I'm Paulie, deputy director. Hi, I'm I'm Josh. Uh, I'm here. Uh, this is my first time being here and it's it's nice to meet you all. Welcome. Uh I'm Amy Scott um with I'm a second year MSW internation been here before. I'm T Jess Weaver. Um, also on behalf of HTEC, this is my first time here and I'm looking forward to being introduced to this awesome.

Hello, Laurel Johnson, Department of Health and Human Services. I'm an analyst in administration. Hi, I'm Kelly Schwarz. I'm the public guardian. Sha Smith, I'm the assistant public guardian. Do you want to introduce? Hi, I'm Lorraine Zeller and I'm new to Costa Rica and excited to see what's happening. So, welcome. We will go online for we'll start with Sonia.

Hi everyone. Uh Sonia love boy she her. Um, our cameras are disabled, so we're not able to be on camera. At least mine is. Um, I am a program manager with Children's Behavioral Health and currently supporting the HC Tasty and Tay people in the room. I will pass to Jeremy.

Hi everyone. Jeremy Nelson. I'm the deputy branch director for Children's Behavioral Health and I uh can pass it to Oliver. Hey, good afternoon everybody. My name is Oliver Gonzalez. I'm a program manager for behavioral health and I oversee the new behavioral health services act and I'll go ahead and popcorn over to Sharon. Hi, Sharon Wolf, DHHS legislative analyst and all of our cameras are blocked by the host so none of us can turn them on just so you know but um glad to see everybody there.

I'll go. I'm Connie Beck, Health and Human Services director. Sorry I'm not in the room today. I have a cold and I don't want to share it with you guys. Good, good to see those that I can see though.

Hello, my name is Philippa Modskin and I am an LMFT and I am observing today. I was invited by Sean and I'm also an applicant for the uh port of behavioral um behavioral health board. So I'm observing today.

Hello everyone. My name is Manuel and I form part of the CalBHBC staff and I'm just here to observe and I can't see everyone on my screen so for popcorn um you guys decide who's next. Okay, I think you're the last one. So, thank you very much. Are there any adjustments to the agenda?

We will move on to public comments. We'll start in the room. Anyone have a public comment? I was um just gonna say that uh I appreciate the um effort that has been made um by staff and the chair and whoever else is involved to try to figure out how to continue having online access but not have deeply offensive um Zoom hackers uh be able to take over the meeting. So, it seems like that might be what's happening. Um, but thank you so much for trying to find a solution so we can continue to have that engagement. There are any public comments online. All right. Seeing hearing none, we will move on to action items. We need to approve the minutes from the 72425 meeting. We'll second awesome.

There any discussion changes? Not a call for the vote. All in favor of approving minutes say I. I.

Opposed. Those minutes are approved. Um members who are in the room have the annual report to thank you. I'm sorry for the Matt Hillerman has joined us. I know you haven't had time to go over it. It is on the agenda to vote. Um not sure. They didn't have it in the package. They do. I don't I'm out of that business. Now I think what I would Yeah, I somehow my name's on here for pres presenting this name Sean. So what I would say about the document when you read it, I haven't haven't seen these for the years that I was on the board of supervisors and we got to go through them. I think it's one of the best prepared. It's very clear and concise. Not just because I helped with appropriate, but um I really like how it went down and I think it really delineates things that were done this year and shows that the mental health board is doing things it's supposed to do and is growing and um and like keeps maturing to a different level and I think this is a really good report to it very

are you asking a process question about how Yeah. Whether we can approve it if it's not on the agenda. No, it's on the agenda for approval, but nobody's seen it for like the second round, but also nobody has offered to assist with working on it. So, yeah, that's I guess that's my uh my question.

You didn't have opportunities for but the the document itself was not part of the packet either. I mean just out of an abundance of caution I would say to do it next month or approve it but provide a feedback this month. Is it necessary to it this month for some structural relation to get it done just get it done.

Here you go. I mean it's unlikely to present a legal problem but it it was run by Christine messenger as far as is the format of this which is something different. Okay. They need some time to um create the ADA packet that will go online before it gets presented to Sue. So um so it's just here first time right out ahead of

um is there a a way that we can we can take a vote before the next meeting? Sorry, just so I understand, is it that we want to present it to our board um before like between now and the next meeting? Is that the reason to do it today to the board of supervisors? Yeah, there's a bunch of stuff that has to happen before it can go to But it's not on the agenda yet for board supervisors, right? Yeah.

So, it could come you we could work on getting it on the agenda. We're not six weeks out. Okay. And then it would be voted on outside here, but I mean, you're It seems like maybe um I forget, Laurel, what was the the time frame? You're you're gone for a month, right? It could certainly happen when I'm not around. Um you'd want at least like four weeks lead time very very minimum. um starting to get into the holidays, there's just a lot of things that the board is is dark. Uh there isn't a board meeting for whatever reason or another, holidays, as if Tuesdays, etc.

But we could we initiate the process to get it on board of supervisors with the plan to approve it at the next behavioral health board meeting. Yeah. Yeah. and then I could pull it if it out then has changed. Okay. Because it probably wouldn't get on before after next meeting anyway.

So we do have a meeting the first Tuesday in November which would allow us to look at this at our October meeting and then have it presented. Um my my suggestion would be to take board member comments on it if folks have it now. Um but to delay approval and then to put it but we don't really have a consent calendar but just put it on the October meeting and hopefully all the comments will have been received today or between now and then. I think. Okay. So then since it's an action item, how do we make it a fact? Does somebody need to make a motion to delay this action item till the next motion, please?

Perfect. Made that motion. I'll second. All right. Then move it to the October meeting.

I like the idea of the consent calendar. Some of these in the future actually could be useful for this board. Great. I just hadn't thought about that. All right. Very much. Sorry that took so long. Uh, last item is approval to send membership application for Josh Rose soups. And John, if you can do a little introduction on the step out for just a second. Sure. Uh Laura and I met with Joshua a couple weeks back and uh you press support uh the membership uh proving his application. Why don't you

introduce yourself?

Uh I'm Joshua Rose. Uh I moved up here uh six or seven years basically two weeks before the pandemic and um I am I do use the behavioral health services up here and they are fantastic but there are some spots that I'd like to advocate for working for while I'm here and yeah you guys have any questions for me later on I'll free to answer that. So since Mora is stepped out, I would make a motion as we approve Joshua's membership to those members. Secondly, all members say I that approve.

I any objections I send your application to congratulations. Thank you. And we'll move on to the presentation question. Sorry. Yeah. Um, thank you for respecting. So, I wanted to make sure because I that time you and I talked about that um, my membership was and so I don't know if it got renewed. It was sent to the board of supervisors. Okay. We don't always know when I'll double check and see if it has already been approved. It was it would have been on consent. So, I'll just look up to the Thank you. I'll give you like a thumbs up if it was.

Okay. Thank you. Okay. All right. I'll look at the obviously not I don't need any motions or second. I see. Okay. Let me let me revisit this. Where are we? Uh number six presentation. Right. Oh me. Very excited to have you. Sit. Where do you want me to stand? Um, I'm gonna sit if that's okay. I'm up to Okay.

Yeah. So that we can hear the audio on our YouTube video. Actually, I'm just excited to get to meet you since I get to work with. Yeah. Nice to see you.

So, I brought with me today uh Shalon L. Smith, who's the assistant public guardian, and we're really kind of a partnership these days. um we're yelling at each other through our office wall and just talking constantly. So um we do everything together. So that's why she's here today. So um I'm going to I hate powerpoints, but I did one just as an outline so we can talk about it. And then I think what Shalon and I will do is just kind of jump in with some anecdotal information and just talk a little bit about it so that it's not as dry because conservatorship isn't that exciting. And then if there's questions, we can take time for questions or you can jump in as well if there's something that you have a question about right then and there. Joe, so basically what we do is we are in charge of providing for safety um for individuals who are in the community cannot provide safety for themselves. Um, we work under the probate code and the welfare and institutions code and more and more the penal code. Um, and we file formal petitions in superior court and superior court supervises everything that we do. It appoints us as a surrogate decision maker for either someone's person or someone's estate or both. Joe,

conservatorship is a loss of rights. Um, our office has three major functions. So, we provide conservatorship services for probate and LPS cases and those are two different types of conservatorship and we'll talk a little bit more about that. And then our third role is that we serve as a representative pay for social security and we're currently the only um agency approved for that that isn't funded by a third party veter. Um once people are on conservatorship, we coordinate and collaborate with other county agencies and other agencies and facilities in the next That's just a fun picture of some of the stuff we look at when we go into someone's home. Next, those burners are

so uh part of our duties are to preserve and manage and maintain real and personal property for people. You know, um the title conservatorship needs to conserve, right? So a lot of times we have to preserve the status quo while providing safety. So our job in a general way is anything you would do for yourself we do on behalf of somebody else. So that could be selling real estate, that could be managing bank accounts, that could be paying bills, that could be hiring a care provider, that could be making a doctor's appointment. Sometimes we go grocery shopping. Sometimes we go buy a lady in a nursing home a robe and slippers. So, anything you would do for yourself, we do on behalf of other

including like end of life decisions, uh dining, those kind of things too. And even in this last year too, um, usually conservatorship ends at death, but there is a small section of the probate code that if there's no one to administer someone's estate after death, um, I can do that as the conservator. And so we did that this year on a couple of different cases and brought in a little bit of revenue that way through fees as well. So I think that brought us in about $15,000. That's what we need. So, do you want to talk about this? Okay.

Um, so there's two types of conservatorships, LPS and probate. Uh, we get referrals from various agencies. Um, for probate conservatorships, it's usually adult protective services, hospital that and then for LPS, it's uh behavioral health. And then we're also getting more and more referrals um from court, forensic referrals. Okay, I have a question.

Sure. Um, so sometimes, uh, because I work with attorneys, sometimes I have people that, um, have gotten out of custody or just came off the streets, whatever that that, um, need a referral, like I just got like two minutes in them, uh, need a referral to they have to meet criteria. It can't be just it has there has to be a mechanism within the office for them to be referred from. plus to

we don't we don't take referrals from the public for LPS conservatorship and so if there's a mechanism certainly for the court to refer that case to us within the code we're happy to take a look at it but we it's a violation first of all if somebody wants voluntary LPS conservatorship they don't qualify that's so I'm I'm sorry I'm getting it confused a bit about pay uh pay e services um that's a little bit different if somebody wants a pay the first step is they need to go to social security and tell them that and once social security requires them to have a payee we do provide voluntary pay services and then how long does it take to get it?

I wish I could answer that. Social security has been really short staff since the pandemic and I used to be able to give you a pretty good time frame. Now we I could tell you and it might be six months after that. Okay. So I I just don't know which Okay. Thank you.

Yeah. I'm Do you mind just saying what LPS is? free to get there. Sure. So, LPS conservatorship stands for lerman Peter short. Those are the names of the lawmaker who drafted the law in the late60s. It's the same laws that govern community mental health. So, the criteria for LPS conservatorship is grave disability and that's the only criteria. So, that means the inability to provide for food, clothing or shelter due to your mental illness. It's not. Yes.

I do apologize for the intrusion. With the expansion of the uh new definition of um brave and disabled, does what does that look like to your office? Because now brave and disabled is uh including a alcohol and drug addiction. It will as of the first of the year. Okay. So we'll be getting referrals for uh people that have substance use disorders and are chronically disabled orally greatly disabled due to that. Okay. Thank you. Um so it's not um danger to self, it's not danger to others. It's only gra disability.

They're good for one year. They can be renewed. They have to be they can be started by one psychiatrist. They're renewed by two annually. There's some due process rights that are built into that and a series of court hearings to get to that point. Um, LPS conservatorship is the only type of conservatorship in the state of California that allows for to give someone medications involuntarily to place them in a facility that has a locking door against their will. Um, and some other things along those lines. It provides for involuntary treatment. It's what a lot of times people refer to as a civil commitment in some states. Um, probate conservatorship is for anybody who has an inability to be cared for for some psychological or medical reason. And probate conservatorships can last forever. They can also be terminated if somebody's um circumstances change significantly, but there's no uh renewal built into that like there is for guest conservatorships. So you can have conservatorship of the person meaning that you just make decisions related to their person. So those would be medical or psychiatric decisions. Conservatorship of the estate which is money or both together. And that's probably the majority of what we handle. Next. Um so for probate conservatorships um there we usually get referrals from APS or the hospital. Uh there it's usually due to like dementia or some sort of cognitive decline where they're not able to care for themselves or manage their finances or resist fraud or next

So we can either be um appointed at for just their person or just their estate or both. Uh we would be making decisions on their placement if it's for person um healthcare decisions uh signing consents for medical procedures um filling out a polls for them and this also includes end of life discussions. Next.

Sure. So, OPS conservatorship, those referrals um come from uh psychiatric facilities. The code actually says that they have to come from the county 5150 evaluation facility. The board of supervisors has designated Humble County Behavioral Health as that facility and so all those referrals come through them. Um, this is a little bit misleading because not LPS can all referrals anymore come after an involuntary hospitalization. They certainly do stem from involuntary hospitalization when the holes that the hospital can enact on their own, have expired, conservatorship is the only option if someone continues to need treatment. So that's certainly a majority of how cases come to us. However, um the last two years we're getting more and more referrals um through superior court from the criminal justice system and those people are not starting an involuntary hospitalization. So they're coming um from the the referrals are coming from the courts and most of those individuals are incarcerated so they're coming out of incarceration and um being released to me um for treatment. Yes,

I do apologize for interrupting. Um, how many I'm really concerned about the unhoused population with mental illness. Um, that is looking at being concerned uh because of the court uh referring that. Can you tell me what the the size of the pie chart is homelessness? Well, I mean, because we're seeing nationwide a an uptick.

I don't think anybody's being referred just for being homeless. So, remember, they have to be homeless as and they have to be unable to access housing as the result of their mental illness. So, I've had people that I think meet criteria for conservatorship in the past who are flooredly psychotic, but they can tell me what their plan for housing is, right? they're okay with um and they're they can tell me their plan for getting food and they're okay wearing the clothes that they have and they're not gravely disabled. There are a good portion of people that are referred to me that are homeless but they've got a whole bunch of other stuff going on at the same time. That's one everything's compound but homelessness is a part of

it's a big piece of it. Yeah. Yeah. So, um, more and more forensic referrals, penal code changed, um, getting a lot of people, charges get dismissed, people come to me, um, which creates some unique challenges because a lot of times they're unmedicated. So, then they're going to require some stabilization and placement and, you know, they've been accused of crimes. So, then facilities are reluctant to take them because of that and we're putting them in with other vulnerable people. So, there's a lot of challenges around that. Um, I think there's a question. Yes. height.

Um does a referral ins insinuate um that they will actually receive conservatorship or is there an application process or like an evaluation process? So um for probate conservatorship there is absolutely an evaluation process that we go through. Um for LPS conservatorship those are um timesensitive usually because they go with legal holds. So those get filed um on the recommendation of a treating psychiatrist without a lot of scrutiny. Absolutely.

But then the investigation period happens while that person's on temporary conservatorship. So there is some but it it it um the cart kind of comes out or the horse comes after the card a little bit. We do an investigation. We contact family members to provide collateral request records and those um to be clear too those referrals are coming from people with licenses. Absolutely.

Yeah. So they're coming from psychiatrists, MFTts, LCSWS. Um they're which is you know higher in the food chain than Shalon and I. So we're we're relying on those people as our experts. I just saw that police was one of the people that believed they could file for a referral. No, they they I I don't know what Yeah. No, but I am getting a lot from the the superior for

um next. So, uh once someone's on LPS conservatorship, um we at the public guardians office approved placement and facilities. We can agree or disagree to the use of psychotropic medication on behalf of the client as recommended. Um, we're responsible for ensuring that our conservatives have access to food, clothing, shelter, and medical care. Um, I should mention Murphy conservatorships a little bit. Murphy conservatorships are a type of LPS conservatorship and meaning that they allow for involuntary treatment. However, you don't really have to be mentally ill to be on a Murphy contributorship. You do have to have been found incompetent to stand trial on a felony case and be considered a risk to the public. And those um again are renewed annually and can go on indefinitely. And they have the same rights as LPS conservatorship um but they're just a subtitle. Do we as Humble County see a large population in that area?

More and more. That's part of the group of folks that are being I I didn't see one. I mean, I've been in the office for 25 years. I saw one until about three years ago and now I think I have six. So, just to to put a little bit of that in perspective. Next, you want to talk about it? Yeah. Yeah.

So, um when we get a case, a lot of times they'll have a they'll have their own house and so we will go and we'll go and always with another co-orker, but we'll go into the home, check out things, take pictures. Um, a lot of times we're placing this client and especially like on the probates, they may never return back to their home. So, we um a lot of times we're selling those homes. So, we go and we search for valuables. We're searching for wills. We're searching for information about family members that might be contained in there. Especially when you're dealing with folks with dementia and they've already made it to a nursing home. Nobody knows anything about them. And so you're really trying to put a a puzzle together. My favorite thing is to go into somebody when you find a safe deposit box and going through the safe deposit box because it's really like putting a jigsaw puzzle together. Somebody's got a marriage certificate and a divorce decree or a birth certificate and somebody clipped a newspaper clipping of an obituary, you know? So you can really kind of like put the pieces of somebody's life together. Next. That's a picture of searching through fun stuff. Next.

Another picture of a next. You see the mold on the ceiling? There's been for quite some time. Yeah. Next.

More of like a hoarding situation. Next. I just like the mircat on top of that wall. Next. So, here's some data statistics about the populations that we serve and the amount of money that that we manage. Um, the case numbers in the office right now are actually a little bit higher than that. And that includes some disease cases that we're still trying to to finalize some things. Next, So, um, this about this presentation is a little bit old. The referrals, um, I think speak for themselves. You can see we get a lot more LPS referrals than we get probate referrals. Um, and actually, we don't end up with that many cases considering the amount of referrals that we get. Next, and that's it.

Absolutely. I've kind of you go. Um I guess I was just looking for clarification. Um what happens to or I guess in this example, what would happen to the funds that are generated by selling somebody's houses? So they would be used for the care and maintenance of the conservancy and then we account for those right. So the superior court reviews those um every dime basically as does social security if they receive social security benefits. The VA keeps track of that too. So depending on the source of the income, we get audited by multiple different agencies. Cool.

Um I guess my question when you're going in and you're meeting with these folks, are are they supported? Like how I guess this is like a you know really traumatic Sure. Sure. And so like if you guys aren't is there like therapeutic support that's also provided in these situations? So, it depends on the situation and the population. So, everybody who's on LPS conservatorship, which involves a mental health disorder, all of those folks have a mental health case manager who's going to help be that support. Yeah. And, you know, the majority of people on LPS conservatorship are going into facilities where additional therapeutic support is going to be provided. Yeah.

Um, as far as probate conservatorship, that's a whole spectrum of things. I've got people in probate conservatorship who live in their own homes who don't remember who I am. They just make their bills get magically paid. They're not traumatized at all. Yeah. And then I've got people in nursing homes that all they want to do is go home. So, you know, it it really kind of runs the gamut. Um and in facilities, they do their best they can to kind of support people. Yeah. Yes. Oh, I'll go ahead.

Okay. Okay. Um, I'm I've certainly met my fair share of folks who either have some stage of dementia or or are um struggling with a mental illness and and but can rally for the interview or for the moment where they're interacting with someone. I think we've all kind of seen that. How do you um effectively navigate that? How do you how do you address that? It's easier with dementia cases for sure because it's been my experience that people with dementia their capacity waxes and waines.

You know, it can. Some people, you know, it doesn't, but a lot of people it does. And so depending how how well rested they are, how much pain they're in, when did they eat last and what the situation is, they may completely differently from day to day. And so it's really kind of looking at their activities of daily living and um over a period of time to to come to, you know, a good decision about their level of functioning. um LPS conservatorship. We've all all of us that work in the mental health system have met people who can hold it together for a 25minut interview and then walk outside

and do none of those things that they just said that they were going to do for themselves in that 25minut interview. That's certainly um more challenging to manage and I don't really have a good solution for that. you know, we only take cases that are referred to us. So, they've already gotten past the scrutiny of the professional by the time they get to us. So, that person is saying, "Don't think this person is able to take care of their need." And I should say, too, that the code allows for us to look at a pattern of behavior when we're evaluating whether or not someone is gravely disabled.

So, you can look at their history. It's whether or not they're gravely disabled today, but you can take their history into consideration. And so I've been in court before where the judge will say, "I remember you and you told me four years ago that you would take your medication and you did none of those things. So I don't believe and and take that into consideration." Hi.

Hi. So just maybe like a from the behavioral health perspective on this too. One of the things that just because I was listening to your comment earlier too, the LPS uh act, right, is a very broad law that deals with just involuntary commitment in general. And that includes 5150, which is 72 hours, 5250, which is 14 hours, 27. And then conservatorship is the very sort of last step in involuntary commitment. Right? So 5150 is 3 days we can take your rights away. 5250 is 14 days. Right? And and LPS conservatorship is a year, right? And so when when we from the behavioral health perspective refer to the you know public guardian's office a lot of times it is because folks have had those 72-hour holds and those 14-day holds and they keep coming back to the psych hospital right so repeat u clients that we serve and so even when they can hold it together we sort of have like Kelly was saying history around those folks to know like yes pretty sure if we let you out of here you're not going to follow up or you're not going to take

yeah very few people are going to end up on conservatorship or in their first hospitalization something extraordinary has to have happened in that case well to clarify the 50 and 50 those are um those just need to be uh dangerous self and others and but well no I'm saying but like the the individual can't be those Correct. So, so when we say like law enforcement, like law enforcement could write 5150s, right? But they can't write referrals for the LPS conservatorship and so they can do the 72 hours, but not

I must have misread on the list of um certified officials that are able to refer for uh conservatorship. But yeah, I imagine that being placed on a two week hold would be plenty of time to be able to analyze a person's ability to so thank you for the No, she you addressed in a latter part of that. Thank you. Can you speak to the number of people we have conserved in this county compared to other counties? More. I can't tell you how much more. Considerably more.

Well, I'll just add yes, considerably more. And that's been a question for us for quite some time, right? Like why is that? We like one example is we have 300 three between three and 400. In Nevada County, very similar size, they have seven. So, it's substantially different. And so, that is, I think, a question that we have spent a fair amount of time internally. What? I I can't remember it now, but Paul pointed out to me the last time I spoke somewhere um the scores they do for the higher childhood as I think part of it Paul brought up and I thought that that was relevant as Miss I think that that contributes

Humble and Mendesino are the two highest counties in the state of Yay. [Music] So over the time because you've been doing this for a while. Um what trends have you seen? Um I'm certainly seeing right now a trend in uh forensic referrals. Um and by forensic what you hear

with the criminal courts accused of various different types of criminal offenses. Um and those are significant and that is new. We didn't used to get a lot of those. You get one or two a year and I I mean I got six last month. So that's a lot, you know. Um and those are challenging for a lot of different reasons. Um I think we're seeing on our probate conservator side of things. We're seeing a lot of uh results of long-term substance use and people being diagnosed with neurocognitive um disorders based on longtime use of meth or alcohol where they've had a stroke, a methind induced stroke and their brain is just cottage cheese and they can't care for themselves. I mean, it it's not funny at all, but Shalon and I like every time we get one, it's like the same guy. It seems like the same guy with a different name. They're all the same. It's like long-term meth user, history of homelessness, had a methind induced stroke and now cannot care for himself.

Well, that's I Yeah, but it's it's it's like the same guy is what it feels like. Yes.

Can you speak to funding for your work? Where does that come from? So, uh, the majority of our funding, we're a general fund program. Our money comes out of the social services budget. Um, we do get fees. We charge a fee per service. Um, it's sliding scale based on the income that someone has. So, we'll charge uh conservies based on their income. We get fees for that. Um, we charge representative pay fees for managing someone's social security. So we take a small amount every month. We also do um some medical reimbursement through um the medical administrative activities reimbursement program and we get some funding the state of California from that.

Placement costs though for LPS conservatorships. So individuals that are in residents treatment come out of behavioral health. Yeah. We don't pay for that. a lot of the probates um that are dementia that's like medical billable. So those are like skilled nursing for folks that would

the majority the so behavioral the LPS folks are unique and that behavioral health actually pays for their treatment. um the probate conservies, the treatment that they get is through generic services like medical, Medicare, those types of things or their own resources that they have are used to fund their treatment.

And I'll just flag, I'm sure we've said this for before, but these placement costs are substantially what contributes to our challenge, our budget challenges, and they they're increasing over time. Well, and it's it's it's a it's a scary time, right? Because we have all these unfunded mandates that have come through with care changes to the penal code that have increased the amount of referrals and people that qualify for conservatorship. So once people qualify for conservatorship, I have I'm ethically bound to to take care of them, which means I have to place them, which is going to cost money. And so like it's but no money came with any of these changes and I think that's even going to increase again um after the first of the year when the law changes. So

So when you place people could you talk a little bit more about where that has to be and sure what those facilities are there enough of those facilities in our community etc. No there's never enough of those facilities. We we're very fortunate that we have really been very lucky in this county in the last year to get both Lighthouse and Hyperion in our community and increase who we can place locally.

Um the issue is that this is not just going on in our county. It's going on all over the state. And so really placement has become a buyer market. What I mean is this is for profit healthcare. So facilities want the easiest person to take care of. LPS conservies aren't necessarily easy and so anybody that has like you know certain behaviors or challenges may languish there may not be a facility willing to accept them which brings another problem because then they're living at separ which is another issue but um so I feel like and I think if you look statewide I can't remember the numbers but we have like onethird of the psychiatric beds that we need in the state of California so we never have enough explanations. I just want to say like I wor from 2019 to 2022 I worked at Windong and worked very closely with Kelly and I can attest to every branch you say and it's very very sad and you know and disheartening to see like how it really is waiting for vir um it was just really but I also want to say you know you it was really nice to see the relationship you have a lot of your your clients they really it's just wonderful that you really focus on um giving them choices that they still have and and you know celebrating those rights that they still have and I really really there's some that you know we just know that would call you me by Kelly and I would I would see this and I would watch them and it was so sweet so endearing

that's kind of my favorite part about the job honestly because I've been there a long time and there's been people who've been conserved a long time so I have a relationship with people that goes back like 25 years and when you're making decisions for somebody, they their family even embraces you, right? You become kind of a member. And so that the relationships is really my favorite part. And it's not just the client, it's their families, too. I mean, incredibly attached to some of their family members. Nice to see that. Love it. All right. Well, thanks for having us. If there's something else,

thank you so much. Thank you very much. My pleasure. All right, it is now time for communications. This is the time when behavioral health board members tend to yak it up about all the stuff they want to share. You want to go Brennon?

Sure. You want to go first? I got quite a few things or well actually two. One is linked. Um um let me pull it up. We have a presented by Legal Services of Northern California hosted by Hope Center uh on Thursday, October 16th, 2025. No, you're right. Uh it's uh do you rent or do you know your rights? Uh if you would like to learn more about your rights as a tenant and the rights and responsibilities of your landlord, please join us Thursday, October 16th at 10:30 a.m. for a free presentation for Legal Services of Northern California. And we will be uh having this uh via Zoom if people can't uh uh be present. There will be a flyer sent out by Joe to all of the board members. And we have a question.

Oh, I was just going to ask you to repeat the date. It's the 16th. Okay. Yes, sir. October 16th. And second of all, um, if I mention Assembly Bill 348. Does anyone here know what I mean by Senate Bill 348? Assembly bill or

Assembly Bill 348. Um, I have a copy of that assembly bill here. It was passed by the state assembly September 4th with no opposition and it passed the state assembly uh September 3rd with no opposition and it was also in committees with no opposition. Uh this has to do with our full service partnership here in Humble County which is doing a wonderful job serving two around 250 to 200 225 people. um doing a wonderful job, but there is like I said new new laws coming out. If this is to be signed and this is a presumptive eligibility for the bill creates a process where individuals meet specific objective criteria and presumed eligible for a and full service partners partnership allowing providers to enroll them without waiting for full eligibility to be confirmed. targeted out individuals. Criteria of the presumptive eligibility focus on individuals with serious mental illnesses, otherwise known as SMIs, who are experiencing unsheltered homelessness, transitioning incar from incarceration to invol or involuntary treatment settings for 6 months or more. Um, I really think that this is a wonderful bill. I think that this is something our county is already doing uh to improve the quality of life. Um it does have a provision out. Let me pull it out. It does have an opt out with counties with these requirements exemption request of 200,000 population or less. our county falls underneath that uh

which our county is last population was two 132,380 in 2024 but there is also a provision this is where I'm asking for our county administration not to opt out on this there is a protective clause in this the bill would specify that the county is not required to enrolled an individual who meets that presumptive eligibility criteria if doing so would effect with constitutional medical obligations or court order or exceed full service partnership capacity or funding specifi as specified. Um, I would like to personally ask county county administration if if I can sit with those that are doing this wonderful work already and meeting meeting with Jack and and and our full service partnership uh coordinator to see where we can fill in the gaps as this policy may possibly move forward. I'm not I'm not a you know a person that can predict the future, but when you got 78 assembly members and not one opposed. Um and and 48 assembly members end of opposition, uh we can truthfully say that this is pretty much going to pass. Um I'd like to see how we can improve the quality of service along with the quality of life, building a stronger community and a more vibrant county that we all live in. Thank you so much. This is what I had to to say. I what I would like for this board to consider is to write a letter of support of this instead of an op out. Thank you so much for your time. If there's any questions, I'll be glad to address those.

I have a question. Yes, ma'am. Sorry, didn't raise my hand. Oh, that's okay. Um, so one of the things I'd like to see for better full partnership is at this time when we have people in custody with mental health or substance abuse, um, they are not eligible to do an assessment technically outside with an outside entity while they're in custody because their medical is different on the inside than it is on the outside and so many treatment providers will not do an assessment if their medical is not valid.

This full service this this bill will address that full service part of this bill aimed to ensure access to comprehensive voluntary services known as whatever it takes care provided through full service part of the children. They are prioritizing those that are coming out of the incarceration for 6 months or more and or programs alcohol and drug treatment program for 6 months or more. Now I may be misquing that. If so, please correct me. That's what this bill will provide. Thank you.

Thank you. anything, Natalie?

Yeah. Uh, today is the first day of the North Coast Stand down um at the Humble County Fairgrounds in Ferndale. There's shuttle service. There's resources for veterans over that 3-day period. Um, haircuts, pet veterinary support, um, referrals to other resources. I a lot of things. So, I'm happy to see that uh in progress. Um we got some good news with the passage of Senate Bill 105, which is the budget bill. Basically, um our our uh representative and president prom still through November in the Senate, Meg Magcuire, um was successful in getting in some budget trailer items specifically for our community, including $5 million for the uh behavioral health triage center of M River. Um so the site in Arcada. Um so it's a onetime $5 million um direct payment to the county and then another $750,000 for Sorrel Leaf uh field center. So uh both of those obviously very important in the Arab Hill space and um really really pleased to see that there were some other uh things that he did at the last minute for us and actually picked some teeth for them. So um big thanks to Senator McGuire for that. He'll be transferring the borch uh for leadership in the Senate to uh Monique Clement from the uh central coast um in November. So uh that was that was big news. Um beyond that things are humming along. I looked through our last um eight or nine

agendas and didn't see um those um reappoints in there. So, I did reach out to the clerk of the board staff to see when it's coming and uh when I find that out, I'll let know and I'll um right now it's showing that we have three vacancies on the behavioral health court, but I think it's because I think we might have fewer vacancies than we think because that might not include the reactants. But now I'm looking at you going, I don't know. No, that's right. Okay. So, there's three vacancies. Um we're nominating one. So, there'll be two uh seats we're still trying to fill. That's good for me to know because I talk about it a lot with people.

Yes, preferably. Yes. Yes, you definitely want um you great. Um so, um I will I will follow up though to figure out it's this meeting happens during their lunch break, so it's not a great time to get up and board staff at least. I can see that. I don't know reappoint is on October 7th. You did see that? I just found that just because it's noted on my calendar, not who we were official. October 7th. Yes. Great. That means that probably both of them are on for October 7th. Possibly. I only see his name, but it's just my

Yeah. I I actually was wondering if Dette's hadn't already been done as well, but I haven't found that. So, I can do you actually have access to a system that I don't have. This is my analyst writing on my calendar. So, it's not a system. It's a friendly reminder. I will say a lot of senior staff have access to what's going to be on the agenda whereas members don't. So, um Okay. Well, um I think that's all I have unless folks have questions for me. Thanks. Peter,

see everybody. Uh I'll give you an update on uh some work we've been doing with the state around the children behavioral health initiative. I've spoke about that before. That's our 4.7 billion dollar initiative in the state of California. It's doing some pretty revolutionary things that we've never seen done in any other state, which is um providing a fee for service, some billing accessibility with medical as well as private insurance companies, which doesn't affect the premiums and the um or co-pays or anything like that of the family. So, it's this innovative way for uh for insurance to be able to fund school psychologists, counselors, interventionists, as well as this new workforce uh in the state of California, which are certified wellness coaches. And certified wellness coaches is so cool because it's this intermediary place where I mean, I think of myself. I got my bachelor's in social work and had I had this type of position it might have guaranteed my pathway but um you know giving sort of the paraprofessional access and support for low-level interventions and coaching and then we can actually bill for those services as well. So and that's what we really lack in Humble County are sort of these tier one which are universal or targeted supports. So um so that's really exciting as we watch that workforce grow. We're in partnership with Kalpali and in their social worker department right now every uh every student they graduate is graduating as a certified wellness coach. So that then provides opportunity for our districts to capture that and build our behavioral health workforce in rural California. So that's really exciting. So, but there's so many uh there's so many work streams within the children to behavioral health initiative um that sometimes you can be

a little detached from the source. And so what was really wonderful is last week there was a whole delegate of um of folks that were representing representatives of the state coming and visiting Humbult County. Um and so we were able to take the director for the CYBHI Dr. or so he'll stood as well as 10 other folks that he had with him. Some of them um were from California Health and Human Services, one being uh and then Department of Public Health, one being our own Stephanie Weldon that I haven't seen for a while. So, just great to see her. Um she is the you know, she's the office of health equity and stigma sort works on stigma reduction efforts. She's the tribal liaison. Um, but we also had folks from digital platforms like Saloona or Bright Light Kids. If you've heard of these digital platforms that are free platforms that anybody can access um to get support uh around mental health issues and issues around mental health and wellness. So um there were folks from youth justice and various groups. So um to have them visit us was really great. And we just and had a road show and we went, you know, to our court community school and we went to Northern Humble and we went to Feathers Native American Family Services all the way up to Trinidad down to Scotia. And what was really great, I just want to share this with the group, is just seeing the transformation that's happening in some of our local schools as far as building out mental health and wellness and positive school climate a lot through the prevention early intervention work. And um uh so it was it was exciting. And then the next day we had a Humble County um integration symposium. And so some of you may be familiar with AB 2083, but that is our inner agency uh you know

mandate to work to improve uh specifically uh mental health and wellness services for foster youth, people identified. But we're really looking at as a county is really involving all student uh service delivery and building out our ecosystem of mental health supports for students in Humble County. So um we had representatives from all sorts of agencies uh public agencies public health behavioral health education um tribes uh and we we did a day long symposium talking about you know it's one thing to be in a cooperative stance it's another thing to be truly integrated in the ways that we deliver services so how do we how do we you know build those relationships the trust understanding all based on aou that's being signed through our inner district, our inner agency leadership team. So, I've said a lot there. Um, but it's pretty exciting and so I'm also going to send Joe a link so he can send it out to all of us. Mathematica is also there, their research group and they about a year ago did a case study about the uh the integration or the um the relationship of service delivery including tribes, agencies and education in Humble County. So it's really interesting read uh and gives us some uh orientation on where we're doing well and where we can improve. So, um, I'll make sure that everybody gets that. If you ever want to talk about it, feel free to contact me.

Dana,

hello. My name is um I didn't introduce myself earlier, but I am Dana Hula and I'm really happy to be here. Um, right now I I did a whole lot of work in the community for the last 15 years. I like to say I also have a whole lot of lived experience with a lot of different issues involving myself and also my family right now. I'm u just really honored to be here and I'm really really grateful to hear everything. I love listening and and learning and I love that I've been given the opportunity to really listen until January and try to figure out kind of where my place would be. But I'm very honored to be here. And I take this very serious and trying to educate myself so that I can do the best job that I could possibly do. Right now I uh with Patrick's Foundation Incorporated, I have a couple of different homes. Uh Raphael and I have been working very closely together with our ultimate dream of opening up a withdrawal management social model detox, but we're also very excited about uh pursuing the sobering station, too. So, we're currently working on that as well. Right now, the home that we have, we're doing some remodel. We have it's an old Victorian, so we have windows that we're repairing, kitchen that needs to be remodeled. So, it's a little bit on the back burner right now, but we're moving forward on that. So, that I've said enough and thank you so much for letting me be.

Yes. So, um as most of you know, I am I work at the hospital um as the coordinator for the California Bridge program in um the emergency department, St. Joe's, and Redwood Memorial. Um and the California Bridge program is having a northern rural regional collaborative um October 14 on Yukaya. They really want to get a lot of us that are just here in a remote region. Um myself, Dana, a few uh county members and um Andy Stockton went to the um harm reduction summit in UK and that was fabulous. It was so wonderful. It was just wonderful to connect with our our you know our partners that um our neighboring partners. Um there's so many um agencies that I didn't know that are popping up in that region and it was just nice to you know make that connection. As you know um withdrawal management in Humble County is we really need a lot of help with that. Um so for the past few months I've been sending um anywhere between 15 to 20 people out of the area just for withdrawal management and that is not sustainable. It is very very um traumatic on the patient. Um sometimes they don't even make it to their destination. Partnership transportation has called us several times saying you know the patient told us to pull over. They had to get out. They couldn't handle it anymore. and you know and we lose um we lose contact with that patient. We can't track them, you know, so we don't know those outcomes. Very very um very sad. So we're really hoping that uh you know we're able to move forward with the uh with the social model detox and the sobering center. We were hoping to go live in October, but as Dana said there's there's repairs that just you know things are happening. Um, so we're pushing it back and it's going to be maybe December, January, but

we're hopeful that, um, you know, we're going to be able to to, you know, make some impact and, um, so we're certainly moving forward with that. Um, we are still, um, I still am getting between four to six folks a week um, in the ED for, um, nitrous oxide poisoning. Um, and these smoke shops are still selling them. Um, and I've been reporting, you know, I've been keeping track, um, of every case and and reporting it to Andy and, um, EPD. So, um, you know, I don't know what else we can do, but they are not compliant with um, the ban.

So, is the nitrous oxide ban only on the small canisters or like the fulls size ones? because my husband brought up a point that they would just be selling the fulls size ones instead of the small ones.

Yeah. My understanding is that both of them, unless they are um intended for culinary use or medical use, those are not supposed to be in the smoke shops. Um and I'm told that both of those being sold smoke shops. We're also seeing other I don't want to call them designer because that makes it sound like it's glamorous, but designer drugs, you know, like Kratos that mimics opioids that are being sold in these smoke shops and they're not being regulated. Um, and they're getting in the hands of younger folk. So, that's a becoming a big trend and concern that we're seeing in the hospitals. So, we're trying to keep an eye on that. Um, and

it's good question about that. Um, did city Eureka pass the ordinance? Not yet. Not yet. Not yet. So, so it's not banned in Eureka, just so everybody knows. County incorporated part of the county. We can't, we don't have jurisdiction over the city. So, the cities each have to have their own ban. Arada did pass theirs. So, it's Arcada and the unincorporated parts of the county now that are covered. Um so the bulk of the shops that are in the city of Eureka are not subject to the ordinance. Also tribal smoke shops are not subject to the ordinance and never will be um if they're on tribal own property.

So those are the sideboards to that. So we will um I think there's some effort to reach out to tribes on an individual basis to ask if there's voluntary willingness to stop carrying those products. But that that is that I'm confused. And what about fortunities? Uh also an incorporated city. So they would have to do it. Oh, okay. Yeah. So the city of Eureka is in the county of Humb and the county of Humble passed the B or the city of the county of Humble passed the ban, but it does

work in the city of I don't know. has to have their own ordinance. Okay, that makes no sense as well. It's true of everything in the county. So all of our rules apply to the unincorporated communities. So like McKinleyville, Fields Landing, you know, Samoa, just Myrtletown. Um so anywhere that's not in the city limits of an incorporated city. Thank you for that that so that's why we're probably going to keep seeing it but I've been um bothering the city. Okay, good. Thank you. Thank you so

um and you know um I don't think Fortuna has even proposed one but it would be great to get the movement on it. In fact, I'll talk to Tammy this week. Thank you so much. Can I ask one more question about that? Uh what's the uptake like on the new um fentanyl that's narcan resistant? We haven't seen I haven't seen not one case yet of that. Um so yet it's always a yet. So that's not saying that it's not here. Um we just haven't seen it at the hospital. We're watching closely for any any new combinations. And I think that's that's it for me. So thank you. Oh, do you have a question?

Yeah. Is there a way to get in touch about the conference that you were talking about? Yes. Oh, right here. I have these and please, it would be nice to see everybody. To go here today. Thanks. Absolutely. Thank you, Sean.

Well, I have exciting things. I um actually sent um Michelle a video. I was hoping, but she's not here. So, um, uh, recovery happens happened. Um, it's estimated estimated over 600 people were there. Um, we got to honor the sheriff's department, county sheriff's, the city of Richmond Police Department, um, Providence, and Bay Fire,

uh, the ambulance. and really stand humble humble bay fighter. Um it was pretty exciting. Um because whether we all want to admit it or not, we're all part of recovery. And um and especially when I I I've noticed that a lot of people uh a lot of you know when you read the newspaper or the whatever you know Lost Coast um look at all of the calls that our our first responders get called on. Um, it's got to be one traumatizing, but it must look it must feel awful cuz they never really see the other side. And so, um, there was a lot there was a lot of tears, um, and, uh, gratitude on both sides. And really, it's not even a side. It's about a community. And so, um, uh, it turned out really well. Um, and so I'm just really grateful that I I got to be a part of something so much bigger than than ever envisioned in the beginning of 2017 that

so um so yeah, I just want to share my gratitude for the community that pulled that together. Um so um Virginia had you care for other than to leave early. I'm sorry, but I'm here because I'm here today and I am here. The behavioral health board also tapd at that event and just wanted to to let the board know that it was a successful event and thank the board for supporting us.

Yes. Awesome. Oh, so May 13 you were reopening. So that's for this year. Yeah. Okay. Thank you. You're covered. Thank you. Thank you. You might have just gone almost to it. I went almost that far back but not and did and then burns up on October 7th. October. So we'll be I just remember having the conversation and so many months have passed I was like maybe I should ask.

All right. Um news that I have recovery happens was awesome. Thank you very much for acknowledging first responders that often doesn't pass. We're acknowledged best way. Um, we have a behavioral health board flyer. Laurel helps facilitate this and we have business cards with an email that people can email us. So, there's some piles for people with all our names on it right now.

When you quit in three months, you know, so that is um that's a huge deal. Well, it's going to make my life easier instead of writing, you know, in people's hands. Hey, contact me. So, thank you very much for that DHS. Um, that's that's what I've got now. I think director Beck is still on on the line. It's time for your report. I am still here. Thank you. is um is our public guardian still in the room or did she leave? 11.

Okay. I always want to appreciate them because they they do a lot of really hard work for us. So, I appreciate that. Um, I was going to speak to what Natalie spoke of around Senator Maguire and I we are so fortunate to have him um or you know until we don't um he has brought so much so many funds to um Humble County and specifically around behavioral health. So, um I was even thinking as a board um your your behavioral health board may choose to write a letter um and thank him for his support. I always send him emails after and say thank you and sorry for the bad media like like on this one. But um I think that he would also appreciate just hearing from you if you wouldn't mind sending a letter. Um I don't know if that has to be agendaized or what, but you guys can figure that out.

Um then the other thing that I just wanted to say is um this morning I spent some time in a children's continuum of care meeting. It was called the Northern Region Continuum Project. And we were on this we were in this meeting with a number of other county um staff that do the same work that we do. And um just listening to and we had more staff on the meeting than other counties had um and participating. And then just the number of things that we have done over the last few years to build continuum of care um for not just children but adults too. Um I just want to recognize and acknowledge and give kudos to all of the staff that have been doing this work for I mean it really has taken years. I think Sell um we wrote the grant with Surell. I don't know, Jeremy. It's probably been six years ago or more. Um, and that's gonna finally get off the ground. So, I just, um, you know, we So, we have we're going to have

crisis residential for children and adults. We have an STRTP, which is a group home for children. Um, actually they we were even talking about regional center has a home now locally. We don't have to send kids that need regional center care out of the area. Um, I just I I can't say enough. So all those folks that are sitting in that room right there, you should look at them and say, "Wow, thank you so much for working so hard." Because we could just come to work every day and just go along and do work. and we do so much more than just work. So, I just want to appreciate it.

Thank you. Here to here. Yeah. Thanks. That's all I got. All right. And that goes back at you, Connie. Can I the gratitude? Uh, November mid November is Senator Maguire's passing of the torch. So for if somebody wanted to work on a letter for next month Yeah. October. Yes. For next month's agenda, then it would be there in plenty of time. I would bring a letter if somebody wants to work on it with me. Oh, good. All right. We'll bring a letter for

Okay. All right. Hit me up. Um, well, I too want to underline uh my appreciation for Senator's support and it's not just these things. It's been over time, like really for years he's partnered with us and every ask that we've lifted, he's done his best to respond to. So, I feel really grateful for that. But I the other thing it made me start thinking a little bit about is I often get asked by other county directors about just like, you know, what's the culture like in Humble County and what are your struggles or challenges? And they often ask, "Well, what is your board of supervisors like?" Like, that is a question. And I um I I'm really appreciate that. I can I feel like I can say now that I as a behavioral health director and behavioral health in general get so much support from our board of supervisors. And I don't know that that's always been the case. Like not pointing any fingers. I think partly over time, um it's hard to quite understand the complexities of behavioral health, right? But there's so many elements to it and what we see in the world when the stigma and discrimination is so impactful and it's really it can be hard to like lean into that especially in a position where you're feeling responsibility for things that happen in your community. But I just feel like our current board of supervisors and certainly for Virginia as well and and supervisor Royo and the other four are just all so inner present and compassionate and kind and willing to listen and willing to also speak up and speak out and support the work that we do in a way that feels incredibly supportive. So anyway, I feel grateful for that and want to flag that along with Senator Magguire's support. Um let's see. There's a couple other just random things that I'll say. Um, one is we have California, Cal HHS, the VHCS of the state coming in a week or two. It's October 2nd. Um, to look at our careport implementation, which is great and scary all at the same time. We have a team, a

few teams that will be there to meet with them and kind of share how we've implemented Careport in our community. We're going to have some of our partners including Laura and also Jacob Rosen who will come and speak a little bit about how they're working with us in the community perspective. So anyway, I'm looking forward to it. It's it's it's felt a little daunting, but I think it will be good to be able to interface with them and also share the challenges and our concerns and our strengths. I think that they're coming because they see us as having some strengths around positions and they share. So that's good. Um, I also wanted to that this is a little more in the weeds, but our focused audit that we've been for several years now, it feels like a decade. Um, both in our adults and children's system related to timely access to care has has been fully resolved. And so I again kind of as Conniey's mentioning, I just have so much appreciation for the hard work of our staff because it's just been such a heavy lift, such incredible amount of work and under really intense scrutiny from the state. Like sometimes I feel like that's more work than just the work itself and having to report out and be under scrutiny day after day. So um I wanted to mention that and then I guess I don't know. I guess that I I don't really have anything else except that I want to just point out that Jeremy Nelson has returned deputy director for children's and he's on Zoom. You can't see his face, but super happy to have him back. It's it's going to be um pretty amazing to have him stepped up into that role. I think that's it.

Glad you mentioned that because I saw his name up there. I was wondering he's giving himself a thumbs up. Good to be back. I am here. So that's it. All right. Do you have a question?

I have a question for our director. Um I know the behavioral and I know that the board board of supervisors attentively to when our directors and executive directors have to say in support or or in mainly when there's questions of um opting out of of certain bills. Um, are you familiar with Assembly Bill 348? Would you be willing to to sit with me and and and and discuss what this bill really looks like and to see where our county is going in that direction?

I I'm I need to probably take a deeper look at the bill. I'm a little bit familiar with it. I think you're much more familiar with it, which I really appreciate, but happy to have more conversation about how to have some meaningful dialogue about it going forward. Sure. Thank other deputy directors. Paul

um I'll just speak just a couple things. Um Mist is uh is doing really well. They're 247 and responding throughout the county and um we've brought on a new clinician um on that team. So she's getting fully trained and um so that's exciting. team's been collaborating well with our tribal partners and law enforcement entities and so it's exciting to see that team grow and then um also we are working on implementation of SB43 and uh so as you know we're be um going bringing that component of law into into play here in the county in January. So, we uh just met this morning to work on the uh law enforcement training that we're going to be rolling out in December, early December. Um so, that's been that collaboration's been done well. So, we have our our next steering committee uh is in a week or next week. So, we'll be continuing that work or rolled out. That's all.

Good job. I think of

um yeah I I too want to uh maybe just second what you were saying about public guarant that's I meant to do this while they were there but that's very typical that's how Kelly was just like no questions great see you guys but uh no they worked really hard and uh well another critical part of that team too is the county council's office right So, uh, we have staff meetings every week and the things that these folks talk about, it's like a law office, right? Like a a trust attorney reviewing files with, you know, uh, the guardian on on all different types of legal processes and eyes that get dotted and te's that get crossed. It's it's a pretty wide ranging big scope program in terms of what they do. So, anyway, they work really hard. I had show. So, I'll say that. Uh, the other thing, uh, this just kind of been on my mind. I went to a I went to Sacramento, uh, couple weeks ago. Um, they were, of course, expecting me and, uh, rolled out the red carpet.

But, uh, so we went there on transitional rent. Um so this is kind of a big deal in terms of this is connected to the behavioral service act funding that's going to change um the the rules and regs related to prop one um that are changing uh with mental health service act and behavioral health service act. So um it's connected in the sense that that partnership health plan is now offering a benefit for transitional rent. So, they're going to help individuals who qualify to pay for rent.

Um, and that's a six-month benefit and there's around that as fair market value of of rent. Um but then the idea is that behavioral service act take over those payments after the six months and um so that then starts to get into our uh bucket of of funding that's you know designated a lot for our full service partnership already um and how we're going to kind of navigate that coordinate that. So we're working on that. Um that's going to take some meetings for partnership to talk that through that coordination, but it's kind of a big deal in terms of uh ensuring that we are coordinating with partnership and all counties need to manage care plans and um and so we'll be working on on that. But just trying to figure out that change in law, it impacts. A lot of our full service partnership dollars right now currently go towards housing. Uh and uh we feel like we do a lot in terms of you know that that funding you funding for housing for homeless already. So how that impacts will be pretty pretty big. So Mr. Oh, sorry. Question. She has a question.

Um, I was just wondering really quick if you could touch on how that legislator um impacts the creation of this program or that is too. You mean like funding pool or like um how I believe it was proposition one SB something that you mentioned specifically the behavioral health agreement. Um yeah. Do you know exactly how like that legislature influenced the creation of this partnership transitional rent program?

Yeah. I I think the the partnership transitional rent um is a medic is a medical benefit, right? Um, so it it it's uh rolled out to any eligible medical beneficiary and again there's homelessness criteria tied to that

that though is distinct from but connected to uh mental health service act behavioral health service act. So once we get January 1st, we're going to change the name and uh behavioral service act. And uh those dollars used to be allocated in a certain way and now they're getting changed because of Prop One. And what the expectation is is that we're going to link those to the the Transitional Right Benefit to Health Service Act money in order to help keep people housed. Absolutely. Sacha, I was just wondering what you might do.

Thank you, Joe. Jeremy, you have anything for us?

Um, well, I've been back on the job for about 10 days now. So, um, a little bit of a whirlwind getting caught up to speed on on what's going on. I think several of the exciting things have already been mentioned. And I know Connie mentioned the the meeting we were in this this morning around um regional regional efforts to expand the the children's continuum of care and and see how counties can work together and that's that's just kicking off and that's exciting. Uh Peter already mentioned the work that was happening through the schools and with with the inter agency leadership team. So there's a a lot of collaborative work going on. Um getting back up to speed with some of the things going on with uh behavioral health and child welfare and probation to serve system involved youth. A lot of a lot of efforts to um just continue to improve those services. Um on the even on a smaller level, we're we have a project right now to expand um and enhance our our certified peer support services. So there's a lot of work being done to to uh again just to expand and improve on the services that we have and and just want to appreciate the work that um Martin Stefan and Sonia Levy Boyd there are two senior program managers and Martin was the interimm deputy director. I know the the two of them uh had had a lot lot of things on their plates and uh so it's been been um just great to get connected back with them and and with Emmy and Paul and Jack again and and the work that they're doing and Humboldt um just a lot of the great things going on. So I look forward to diving back in and working with all you all of you again.

Thank you Jeremy. It's great to have you back. Um, well, thank you everyone. SD committee update. Um, I don't know.

So, Danette had to step out. Emergency work, but um, nothing really to report. We had, as Danette said, we had a wonderful um, recovery happens. Uh, we also had a wonderful turnout for International Octoeness Day, which happened in um, Oldtown this year at the gazebo. Um, and I think there was between 150 to 200 people there. It was a nice turnout. Um, so yeah, we're hoping to get even bigger this year. I think there's talk about moving to the arcade of Baza and know reaching that population. Um, for this um month's SUD meeting um she has scheduled Binka Care to do the presentation. That's all. Thank you.

Very good. Thank you. Um so I think executive committee maybe we have a new um person that we put forward and then we'll have two two openings and we are really looking for some t that are interested. I'm gonna plug that until I get some want to give you my card. Um the only other thing I have is that I went to CIT train the trainer. So that's crisis intervention team train the trainer uh last week in Tempe Arizona that was 101 degrees. It was impressively hot. Um was very happy to come back home. There were 20 of us from all over the United States and we did have someone from Ontario. And again to reiterate what I usually say is we are doing really good work our you know mist 24/7 cet care all of that there are so many um places that are just starting people in Florida um Pennsylvania oh my goodness they they need a lot of help but it was awesome to be there and share the programs that we're doing um I learned a lot So, I'm gonna revamp CIT training and I'm super excited about that. And then, yeah, and I guess I'll say Montana, they've got it on us, but all right, we have we have boats.

We have the ocean. We have the ocean. That's true.

So, that's what I have. And I want to say a shout out. Thank you to Nami who paid for my tuition. Um my department paid for the trip. So that was a great collaboration also. Thanks. Um going to unfinished business. Guess I don't know if there's any updates on Nav Center airport. Lonnie, you got anything? Navigation center. All I All I've heard from city and well actually both both um the owner and the city is they're close.

That's all that's all I have. Is there any specifics on on what close may even look like to us? I've been begging for a timeline for a few months now. Vernon, begging. begging. Really? Is this almost in a breach of contract? Um, I'm ask a straightforward question. Well, not the way our not the way our lease is written. It wouldn't be in breach yet. We must be getting close to it.

We are waiting for a an amendment to be signed that will include a timeline for the a schedule for the work. Okay. Thank you. Yep. Thank you, Connie. Thank you, Connie. Um, here, I know we'll have a lot to talk about next month, but I don't know if there's anything. What are what's the number of referrals we're at right now, too? We had 14 last time.

Yeah, it's a little higher. I think we're uh 17 to 19, something like that. Um and I think we had two or three um with care plans just off the top of my head. We have a lot that are getting dismissed for one reason. Right. New program more to find out and crisis triage center. Any new drawings or have more money? You have more money. Yeah, more money. Good. Does anyone have any future items they'd like to hear about?

I know you're going to dislike me and I'm sorry navigation full uptick of that before too long. the um I' I'd be interested at some point down the line to invite the folks that are doing the um community class in the hometown on Tuesdays and Thursdays. What is that called? Are you talking about community connections? Um if they get to the point where they have data about that or anything to share out there. Um I know you're probably involved. Well, I I I stopped by. Yeah.

Yeah. I will ask uh Hannah Ozanian who runs that program if they have she's stats or it's a program in old Tom for community members to drop in and get connected to resources but also do like things that are fun and community building and she brought she invited me to stop by any time and I think that would probably extend to other folks as well. Beautiful. Thank you. That'd be cool to hear from you. All right. Nothing else. Is the time. What are we at?

Oh, yes. 1359. I adjourned this meeting at 1359. Thank you. appreciate you.

I'm going to Don't take it with anybody.