Behavioral Health Board - Regular Meeting

was before I say for sure a glitch and once I know for sure INE so she was available and I think it's important I think there's a lot of misformation going I yeah I thinking need to come here explain that decision but I don't I don't want it too we could use I'm to so I just would like you said you want this will do we have a minute is we have a lot of people that work in all the entities right and just circle [Music] know I go to all fa know I think it's important too for like maybe to have um The Entity what so that's what I'm trying to yeah I think it's you know it's important

that there's a lot of like also to follow up on I've been to these meetings a lot as a staff fromone experence not only the director [Music] did tell you about the message I yesterday the eagle has landed you notic that yes which is good it's what I we will work

hey imagine that [Music] righty we are at 126 likeor 16 Joe could you do the roll please [Music] that right I don't see [Music] so now introduction of Staff will go around starting right hi thank you hi everybody nice to see you Emy B behavioral good afternoon everybody my name is Oliver Denis program manager for the menal sources I'm Alex chers I use B pronouns

and coach at the transition division kayy Emory Deputy Branch director of children's be real he Pauli deputy director hul I'm the coordinator of H County J decaprio substance Navigator are we doing all us no we go back we already did and if we oh and Natalie just arrived um going to zoom staff you can start and poporn each other thank you hi this Shar wolf a legislative analyst with DHHS starting with Christine popcorn hi Christine M DHHS communication popcorn or do we not have audio it looks like oh wa we couldn't hear you Christine nothing you're muted she's can you hear me now I'm not I can hear her fine so I think it's on your guys can is that working it's that little box below I think the there's a volume on it is that it oh hang tight we'll figure out the uh

situation no problem and I just want to encourage everyone if you're in the room to speak up and out project your voice so that everyone can hear it's showing on [Music] I like your background Sonia it's not my picture but I wish it was I know I wish I was there right now that looks delightful can someone try to talk can you hear us can you hear me is that a yes I know we can hear each other on

Zoom can just put it in the chat [Music] there are youall able to you try to speak real quick can you hear can you hear us is that a yes I know right yes all right hi Christine messenger DHHS Communications popcorn to Sharon hi Sharon wolf legislative analyst um and I'll apologize ahead of time I'll need to leave the meeting at one o'clock for a different meeting conflict but good to see you all and I'll popcorn to Sonia hi everyone Sonia lovey boy she her pronouns I supervise the humbo county transition a youth collaboration and I'll have to Kelsey hello everyone Kelsey REI they them pronouns youth organizer with the humbal county transition age youth collaboration and also with the humbal Juvenile Justice and delinquency prevention commission um all pass to uh Marcus hello I'm Marcus I'm Tay and Y member in Humble County all popcorn to myself hi I am Melissa Nelson patient navigator at agis treatment centers here in Eureka and I will give it to did Gina go yet no okay Gina no um I'm Gina Turner

I'm a medical office assistant fori I'm here just to take notes for ol ofer Edie sorry about that I'm Eddie Morgan I'm the executive director of Tri count Independent Living which is mission is to help people with disabilities live independently and U I think I was the last one so I think we're good to go I think was I the last one yes I was thanks so much thanks for your patience everyone Peter Peter stole has just joined us as well as I guess Paul snuck oh no you were here sorry are there any adust ments to the agenda looks like all right hearing none we will go to public comments we ask that you take three minutes and keep your comments um to bhhs behavioral health uh issues anybody in the room want to make a public comment um online on Zoom is there anyone who would like to make a comment all right earing you do that's us oh no Eddie I'm sorry I was just saying I was good to go doesn't mean I didn't put my hand up thumbs up great thumbs up thanks sometimes I get confusion we talk staff who are staff on the behavioral health uh uh department and those who

are on staff of auxiliary uh organizations that work very closely withy that doesn't uh matter so much but sometimes I get confus confused about those who are also been a member at the same time as the staff member of some I get confused to a member who's a Behavioral Health Board member versus a Behavior Health Board member and a staff and an associate or auxiliary Vision decided what to call them we talk there not that big of a deal I get confused Who belongs to what kind I'm sorry what of Who belongs to what yes get that okay let's chat later thanks make that definition so now we're moving on to action items um I hope every everyone's read the minutes from 11212 24 does anyone want to make a motion make ation approve I have a correction minut let's make the motion and second first and then we can go to second right thank you Sean and Tim and margarit you have so it's just a small correction um under number nine um floting me um what is the correction is that it says that um I visited FEA house and and they are also opening two more facilities including a six-bed women's facility they already opened the women's facility it opened in June and uh I am not aware of another facility that they're opening so they do have another men's facility besides the one that Thompson and I visited and uh they already have an open woms facility so the correction is that they

opened a facility six bed woman's facility okay any other Corrections um I would yes you Le thank you any other so with those two Corrections um we take the vote all in favor of approving the minutes with corrections say I I oppos stand decides all right those are those corrected minutes are approved now to other citing action items um we'd like to approve sending the membership application for Peter stole to the board of sups the executive committee met um with Peter Sean Tim and myself and we are excited and wholeheartedly uh would like to it was unanimous it was unanimous and Hearty welcome and and glad you come with so if anyone would like to make a motion in a second and then we can have an introduction second I'll make a motion we need the first motion and second I'll make a motion to thank you Sean second if I did and with that Peter would you like to give us a short introduction of yourself sure uh nice to see you all some faces not as much but um I Peter Peter it's pronounced stall the record um but it's okay I'm and I am the director of prevention and intervention services at the Humble

County Office of that uh I am trained at school and counseling psychologist came to Humble originally to do my post at um the Counseling Center at Hsu and then I I came to Humble for a year 24 years ago so um I uh started working with the humble M North soua as a behavior specialist the first Behavior specialist actually in the county in in 2005 and I've been with the organization ever since and so there's been some some big changes over time with uh my charge and the work that I've been doing we've been in Partnership for some time with children's Behavioral Health most notably for the past six years with humble purges to success which is transitioning humble purges to Wellness a collaboration that continues to happen and there's some um some support that has come from Department of Health and Human Services for the school climate transformation work we've been doing with multi- syst support uh historic practice social learning those types of things for our school environment also oversee um school safety crisis response mental health Foster homeless youth that all resides in our department but of course we do a lot of cross- collaborative work um I've been very interested about this board for some time uh and knowing that it would be really great to have some interface with education and represent some of the work we're doing and um not to take too long but I also want to highlight some of some of the work that we're focus on right now um the county offices and with our in agency leader team and our ilt work with ab20 83 if you're familiar but really looking um expanding the the landscape of children's Behavioral Health in Humble

County by creating Integrated Systems that are responsive to all students but really focusing as well on homeless Foster J Justice invol you in our community so um really into the idea of breaking down the barriers of our silos and integrating our work having strong collaborative relationships and Communications so I feel honored to be here and uh happy to engage any thank you Peter so with that I will ask for the vote all in favor of recommending Peter stall to the Su oppose stand asides the eyes have it eyes have it conratulations it was it all right next next on our agenda our agenda is another exciting uh recommendation the executive committee met with Alex um and would like to recommend wholeheartedly I will move that we uh not Tim shut up I will move that we um support to have Alex uh recommend that she go to the board of super prac is one of our members all right first and second and and with that Alex if you wouldn't mind giving us a brief introduction of yourself thank you yeah sure hi I'm Alex children I them or am pronouns I'm the peer coach supporting the hum County transition youth collaboration um I'm also a co- failor for the alternatives to Suicide peer support group and an

advisory council member for the soral elite um Healing Center um and I also have um L and several systems including plastic care um had been Hess um I've received services from children's Behavior Health since 2015 I've also received services from the transition youth division um from Wild Souls Branch uh various other systems in the county um so I've had um experience of suicidal c i was gate and navigating the systems thereof and so I'm really excited to be able to share my Liv experience and my experience is navigating our local Behavior H system um in a way thatly make things uh more accessible more user Ben for the next person thank you and all I can say is that um I would someday like to work for you your interview is amazing we were so impressed with all that you do and um so with that I would like I just want to say oh you bring so many different experiences and skills I don't remember the last time we had someon he in a long time but a young person has all of those skills and experiences so glad yeah so very excited I'd like to take the vote all in favor recommending Al opposed and stand aside all right so with that and excitedly oh conie Beck is either waving she my glasses look like these recommendations will go to the Board of Supervisors and I hopefully they will quickly uh confirm them and then we will have a full board and just to let you all know we've had three other applications and they've been notified that we had these positions to fill from

education and Tay so we are now totally compliant with what the state wants for a Behavioral Health Board and I'm very proud of that so yay thank you celebrate these things and with that we will move on to the man of the hour the mhsa stakeholder meeting hey good afternoon everybody my name is Oliver Gonzalez I am a program manager for a behavioral health branch and I oversee the mental health services as for us here locally um thank you for the behavioral health board for hosting this meeting I really appreciate the opportunity um in today's meeting um what I hope to accomplish is H three things so the first one is share with you information about what the mental health servic is and what it does locally here for us in Humble secondly is going over some really really brief proposition One updates and lastly but more importantly getting your input feedback or even questions about our planning process or just overall our the programs we intend to fund in the 2025 2026 annual update but before I officially get started with uh bombarding you with information um we have a demographic survey that survey is in your packet which I hope you did pick up on your on on your entrance here um this survey just kind of lets us kind of document

who we've um contacted through our meetings it's voluntary and Anonymous um for the folks that are joining us virtually we actually have an electronic format to this survey that my colleague Gina has probably already dropped in the chat I can probably do that again um and the end of the survey for you has a portion for comments so if for some reason maybe you think of something and you don't have a chance to share it in today's meeting verbally or maybe you think about it after the fact this is your spot for you to fill that out and additionally there's contact information as well here at the survey but also throughout the packet as well and and again this packet right here this community packet is for you to keep it's just to have very condensed information of plan but you're more than welcome to also go to our website and and have that plan and um I believe I forwarded to this group ahead of time too so so there's that and I'll make sure you all get copies of the PowerPoint presentation slid at the end of well um and then for our folks joining us virtually uh we are going to also include some contact information uh for you as well so that way you can reach out if you have any questions concerns or any any comments or recommendation isues as well I also have our contact information here as well which will also be shared for folks joining virtually um in the in the chat but also the packet has that too so so that's there for you as well to get a hold of me through email um if you have other thoughts after our meeting that you want to share with me okay so with that let's get talking about the mental health services act or I'll just call it as the mhsa for short um it was established back in 2004 through a proposition 63 which established a 1% income tax exceeding a

million dollars for all of Californians who have that income of greater than a million dollars one fun fact that I like to tell people is that that's going to be on the test at the end of this meeting I promise but it's it's that there are only two states in all of the US that utilize tax revenue to fund Behavioral Health Services the other state that does this is the state of Washington and they do it in the form of a 0.1% sales tax and something about their sales tax is that the counties have to opt in to do it so they have the ability not to do it with us it's for all 58 counties in California so again on the test so how is that money kind of gathered and how is it distributed so essentially that 1% income tax for greater than a million dollars the state treasurer collects it and then it gets subdivided to all 58 counties and two City jurisdictions like Bly being one of them essentially we all counties as we see in the I got a laser point um so 95% of the funding is distributed to the counties using a really fancy formula that takes account population density and then 5% gets allocated to State agencies such as the Department of Healthcare Services the California Behavioral Health Planning Commission Health Care access and information Mental Health Services and oversight Comm uh mental Services oversight and accountability commission and the Department of Public Health and I'm really proud that I just got those right question just how did you said Oakland and what other City Berkeley okay so and I'm curious if the Cy still get the same cut it's just interesting

that those two are carved out yeah because their City density was deemed large enough to be considered um they have a city density of greater than 150,000 people alone they kind of considered it as own they kind of consider it as kind of his own independent County in a way yeah great question so that's kind of the mhsa and how the the funding kind of gets allocated but what do we intend to do with this funding so we want to expand best practices and Recovery focused mental health programs we want to reduce the long-term negative impacts resulting from untreated mental illness and we also want to prevent mental illness from becoming severe and disabl okay um with that funding we have to follow very strict very specific requirements um and this just condenses some of like the bigger picture stuff but it's a lot so much so that it's almost like 300 pages of them of regulations but essentially we need to complete a threeyear plan every three years with our last plan for 2023 2026 being approved by our Board of Supervisors on June 27 2023 then we have to do two annual updates for years in between so that means that we did two annual updates with this one being the second one um for 2025 2026 and we also require a community program planning process which is essentially meeting with Community Community Partners and getting that uh feedback for for programs and planning and you may be wondering who would that be right who are the people that we meet with and that's literally everybody in our community anybody that has any ideas of our Behavioral Health Services and our planning process is welcome to join us anybody who has learned experience lived experience again we want to reflect the

demographics of our County and this is a plan that is very Community Driven we want to make sure that our planning is responsive to community needs so with that in mind I'm going to get started talking about our actual planning of the mental Services act for annual update 2025 2026 our mhsa right now has a estimated fund in our budget of $1.2 million and I say estimate because everything is in draft form meaning that it it can be changed or adjusted accordingly it's not really set and stone until it passes in July 1st but we'll get to that later our mhsa is consisting of four separate categories we have community services and supports which takes 73% of overall funding we have our Innovation category which takes 5% of funding our prevention Early Intervention which is 19% of overall funding and our Workforce Education and Training which is flexible in terms of how much funding we can allocate and right now we have about 2% of overall funding planned for that category and you may be wondering why are those specific percentages like that it's because of State regulation they kind of dictate how we should be allocating funding to each funding bucket so with our biggest uh uh uh service category community services and supports these are the services that have wraparound Services essentially so for instance um I'm not going to go in great detail with all of them I'll highlight for instance our very first one which is comprehensive Community treatment also known as our full service partnership and also go over our travel support crisis residential treatment and our and the new one that we're proposing called care but essentially what full service

partnership does and like I kind of mentioned it's our wraparound Services it it provides intensive community services and supports uh such as housing medical educational social it takes 82% of overall CSS funding um and it's estimated to to help 300 individuals annually one thing about FSD that I really like to highlight to folks is that the state likes to kind of use a term called the whatever it takes approach whatever it takes to get that individual St stabilized in a safe place and house is what the program does essentially and which would explain why it takes such a big chunk of of the CSS funding then we have our crisis Residential Treatment Facility I really wanted to highlight this one because some of you may know it as Hyperion it actually opened later at the later part of last year I think it was around October 2024 and it accounts for 10% of Cs funding provides crisis treatment to dhf behavioral health clients it is contracted with Willow Glen and we have 10 bets available for DHHS clients up next is another kind of new addition to this plan and it's called tribal support So based on previous stakeholder input we've been contacted by the Euro tribe specifically to uh want to become an organizational provider for us so that's setting up infrastructure to build medical and all of that and that this These funds are intended to help that organization become an or provider and support them with uh creating medical billable services that serve their Community uh historically we've actually used funding like this before with two fethers who became our first or Pro Native American or provider so I really

wanted to highlight this because it's a really important need and it's something that previous Community Partners have mentioned to us important and then for the last program that wanted to highlight under CSS is a brr crisis alternative response of Eureka also known as care this is estimated funding roughly 1% $112,000 and it's a partnership and collaboration effort between the county of of humbl City municipalities and other organizations it's intended to provide person and Family Center Care they can deescalate and resolve crisis before more restrictive interventions become necessary so again more at the at the human centered right approach of wanting to be direct before any other restrictive more intensive interventions come into play okay so up next we have our Innovation category which I said earlier that it takes about 5% of overall mhsa we only have one Innovation program it's called resent engagement and support team known as rest for short uh we have estimated a little less than $450,000 for this upcoming fiscal year and what made it Innovative was that it creates an increased case management and beer support for people who are experiencing homelessness or at risk of becoming homeless uh it estimates to serve around 100 individuals annually and this was a project that was uh approved by the OAC back in June 2021 one thing I really want to highlight about Innovation projects is that when approved they can only be funded through Innovation for five years after those five years are over they need to that program needs to have a different funding source to keep itself aoat so one way that I really like to describe Innovation is that it's like a like seed money essentially to help us try something new and something new for instance could be wow I see this other County doing this other thing this

other really cool program let's bring it here at the local level that's the heart and soul of the innovation I think I I thought your hand go first I'm sorry I just need to back up for a second because something you just said a few months ago kind of um I I just have to question okay so you said something regarding um uh doing whatever it takes yes um what does that look like that is a great question because I I I see a lot of barricades and so like I you know I just want to is this a future thing that we're doing or is this or you know like what does that look like yeah that's a great question um this is a question that would actually have one or more Deputy directors Jack answer he not here but one thing that I can say about the whatever takes approach is for instance like if you have somebody who got referred into our system of care right and needs transational housing or emergency housing like I Hotel State as an example that is one intervention as an example that our full service partnership fund as an example right so again it it really is rooted into how fast we can be ultimately um that's really the extent I I can personally discuss with you at this point because again I'm not one of the service providers for that but if you like I can reach out to our deputy director Jack he has more information that we can share yeah I just I just want to know more about what that what that looks like in the future um and I do actually have um some slides about how it can look like in the future because that is something subject to be adjusted yeah that's I I love that word that's why I'm asking questions yes a lot of things have been like

very not black and white but just this is the way it is so like when you said that it was like Yay we're finally like because not everybody fits the same criteria looks the same as everybody else and so um like yeah really good question and um and I'll address some of that too in later slides at the end too okay thank you I think I sorry sorry for interrup when you give us a number like 100 um is that an aggregate number is that these number of people have actually contacted and used our services that's just a estimate sometimes it can be around 80 or 90 per per year it's just it's just kind of like a goal that we try to aim for the next disc schol year okay some places might say our membership is this but it changes it shifts that number is Big average number but you're talking about this aggregate okay thanks answer I know this is a a remake for you um but when you say innovative ideas is from other counties like stand against stigma in in uh Shasta County which is a speakers Bureau um they have touched 5,700 individuals throughout Shasta County by their public speaking um with some of this $444,500 look if we were able to get into the Innovative would stand against it great question so ultimately that funding that you see right there is specifically for that program right however if there's like a a proposal or a need for an additional Innovative program that gets suggested and approved by a behavioral

health uh director right that is something that could be integrated into our plan um when it comes to Innovation projects it can get a little tricky in terms of the approval process but ultimately again the starting point is getting that feedback from the community right so I know you've shared with us in the Hope Center right a very similar recommendation too that will be reflected on our reporting so that leadership gets to see that and hopefully maybe it will get implemented in some capacity in in this plan and if not in this plan it could potentially be somewhere else um but I just really wanted to highlight that that piece that that of that necessity for input right which you're providing right now okay thank you I can just add a little to that um the rest program really came from um all of the stakeholder engagements that you had throughout the county and all of the input that was coming in from around the county around the need for people to you know help them from falling into homelessness so so that's where the idea came from so it came from the community input which was really great and that image um s OAC that process for approval was pretty rigorous I was surprised with how in the weeds that committee got and what they were asking uh of us as far as evidence and you know to substantiate our our proposal so uh they don't take it lightly and it's um you know I was impressed with with the outcome too can I add just a comment as well um I I think it's also important to underline that when you say the approval process can be rigorous it really is most rigorous at that stage like we as a community may say oh this is something we really want and I'm like yeah let's lip that up but then the the the approval process at the state level is

where the scrutiny really gets pretty intense I also think it's important to flag that Innovation is a category that won't be quite the same with bhsa and so because of the changing and and I know Oliver is going to talk about this later there we may or may not use innovation in the same way because we have decreased funding in other categories and so we'll have again as a community need to decide like do we really want to do another Innovation pro project or there other really critical funded funding areas or program service areas that are losing funding because of the changes to bhsa so just like bigger picture I think it's important to say when you say they about the rigorous uh are you talking about the state yeah the the oversight committee has really composed of a lot of subject matter experts so they had really good questions and and we had to go back and do some some uh some work and and bring it back to them I think twice but does that seem helpful it was helpful yeah it it felt good that um you know there were some things maybe that uh needed to be clarified and and tightened up and they were all over that so we tightened it up so I I appreciate that thank you so on sustainability of an innovation project so at the end of five years sometimes do Innovation projects move into the CSS category or did they have to say after five years this is how we're going to keep going just the latter part after after five years is how we keep going and it's all kind of like what PA and are mentioning it's all integrated in that proposal we give to the state to justify The Innovation project it's almost like making like an

argument as to why we really need it and we need to try that out and any other questions really good question okay so what I'll do then is I'll move on to our prevention early intervention category Pei um our Pei category these are the services and programs that do Outreach access and linkage to Services Suicide Prevention stigma discrimination reduction there they Services uh tailored to make uh mental illness from becoming for not becoming severe or disabling I'm not going to go over the big list because I have another slide here that that has other additions to Pei however I am going to highlight of course the one that you see highlighted here at the very end and a couple others so for instance we have our local implementation agreements known as lias so these are this provide the opportunity for Community Based organizations to apply for funding for projects that meet the pii guidelines kind of like kind of uh to kind of draw parallel with innovation in some capacity it's a mini version of seat money for one year funding for again local organizations to try something that that they want to develop at the local schol level with the idea of after that one year of funding ending they'll have other sources of funding to keep it uplo um a couple of organizations that are currently approved under the local implementation agreement are B riverband of run ranera centr PUO humbl mat Valley Northern United humbl and Southern humble Family Resource Center so uh and one thing that I really want to stress and highlight here too is our application process is hopefully going to be opening up in February that's what we're aiming for at least for local implementation agreements so and that's

an award of up to $24,900 so um I'll when it clears Board of Supervisors and all of that I'll make sure to blast it to everybody but you're want to give you a heads up in case you know any organizations that may potentially be interested as well up next we have one of our newer programs that we're uh we're wanting to fund in this 2025 2026 and update it's called the humbled early psychosis Intervention Program known as he for short it is 10% of Pi funding around $50,000 and is a it is a program that is with a transition hu behavioral health program it's kind of integrated with Behavioral Health and it is a youth meeting program youth meeting program criteria will be offered group therapy individual therapy Family Support Services peer support services medication referrals and case management um and one thing that I'd like to describe too for this program it's here it is H considered a first fic psychosis program um An Early Intervention Program under our mhsa language just to add really quickly Dana Taylor our supervisor over that program um is looking forward to making some time with this group to present specifically about that program so I think that might be a month or two depending on you able to time it too by the way and public comments section and may that I normally do we might be able to work up of each other some yeah that cool come on okay now we have our last category of uh mhsa Workforce Education and Training known as wet and short it we have that estimated of

$218,000 about 2% and this is a a category that um essentially helps us train back um in in our Behavioral Health System of care for instance it finances our relias e-learning system platform which is an online platform that helps us with uh training distribution and we're also aiming to uh continue using this funding to uh fund consult ation with a Native American consultation more specifically about how staff can engage with Native American groups right and and how to again just uh do Equity trainings in general as well so so that's one section that we wanted to add to the workforce Education and Training compartment additionally there's a tiny portion too for the superior Regional partnership which is like a state partnership uh for us with Cal Mesa and essentially they help us with uh Recruitment and Retention strategies as well and that can be like in the form of uh loan repayment graduate stiens and peer scholarships so I wanted to give that a shout out as well so now we're getting to the section of proposition one okay and one thing that I really want to preface about prop this proposition one slides which are very brief and there's only like maybe four of them is that these are just kind of a refresher kind of to refreshen the uh the need to have a conversation around prop one uh there is a lot of information at the moment that I'm going through um the Department of Healthcare Services is actually providing our this information in the series of volumes so far they've released two volumes each volume is 150 pages long so it's a lot of information and some of and some of these volumes are still in draft form they haven't

been finalized yet so so again the really the need is is to kind of have a refresher of what prop one will do to the mental health services act um and ultimately to highlight that need that there's going to be more future conversations to come as we get more information and we get to plan a transition to that new format so with that in mind that proposition one will rename the mental health services act to the Behavioral Health surer dhsa in the beginning I mentioned a state allocation of 5% right and the counties get 95 this is going to double that allocation so now the state is going to get 10% and then all 58 counties and two City jurisdictions will get 90% of funding and then ultimately it is going to restructure the behavioral heal the mhsa into new categories with new reporting requirements so here we have a a slide that kind of goes over how the new structure will will be bhsa and one thing that I really want to emphasize and highlight here is that this goes live July 1st 2026 so we have plenty of time to plan and prepare but I really wanted to highlight that so so the annual update that I presented to you is obviously still going to go in our same current format in the new bhsa format we have three distinct categories we have the housing Intervention which is 30% we have our full service partnership which is 35% and we have the Behavioral Health Services and supports bhsf which is 35% one thing about as as you notice our fsp full service partnership is pretty big as is in this current format so making at its own category makes a lot of sense it actually takes roughly that percentage that it lists there but you

may be wondering where is the funding coming from for the housing interventions remember that whatever it takes approach that that I mentioned earlier for fsp it's unbraiding that fsp housing funding to its own independent category with the intent of having counties utilize that money in a more broader way of course that comes to some concerns as you notice we are getting less funding so if we're going to be making this funding the funding criteria more accessible in general how many more people can we truly serve with this new format additionally I kind of touch based on what M and Paul were mentioning about the Behavioral Health Services and support category the bhss category has a lot of things built into it it early intervention Outreach and engagement Workforce so Workforce Education and Training is built into that Capital facilities and techological needs Innovation projects are built into this section as well right so it's cramming everything that doesn't fit in the fsp category and housing category into this 135% session so again with the combination of less funding and cring everything into one subcategory raises the big concern again is there going to be enough funding to do Innovation projects in the near future right so one One update that I have for for yall is around the early intervention component because the way the language was presented in the very beginning was that anything having to do with prevention we couldn't really do in this new format so those access to link linkage to Services Outreach all those were not originally included however based on the new

language that we just got literally like three weeks ago they're expanding that language to include some of that so one quote that they have here is designed to prevent mental illness and substance use disorder from becoming severe and disabling I really want to highlight that substance use disorder because that's a new addition to the Early Intervention delivery yes um so recently I've come across a lot of people that have autism does that fall into that category it does not they don't for was not and are you talking more about which category are you specifically referring to um so um if a person um let's say they're a mental diversion and um and we [Music] are noticing signs of autism um but they're also on Mental Health you know they have mental health challenges um and so I'm I'm questioning because uh I think it gets goes unnoticed and and it's more and more to me anyway it's noticeable in our community and so like I'm I'm just trying to see how um where that is that one of those things that is uh innovator I think right now with the language that we have right under thisne new format at least it might not fit count autism falls under a different system of care through the regional

center system and so the way California has mental health behavioral health and intellectual disabilities or other disabilities that they're separated with systems and so it it it is a challenge because people have multiple diagnoses but others want to add to that I say that our youth surveying programs integrate a lot of our work with the regional center so there's a lot of crossover but if autism is maybe diagnosed in adulthood there might be a little bit less of that and maybe room for improvement there also just to note we can serve folks who have autism um but that usually isn't something that we can amarate with the the services we provide right so um you know folks may have autism and depression we can work with a depression and still work with that individual okay than want to know about that Innovation so again this just a general update on what early intervention will entail and how it was recently updated by the state um and here is a another slide that kind of goes over specific aims to early intervention everything highlighted in yellow is new language but didn't exist in the mental health services act originally so for instance we have now self harm being uh implemented uh we have a suspension exposion referrals to Alternative or or or Community Schools that's they just expanded language wise and this last one overdose of course because of the SGD component that they just added in early intervention and last ly this language already existed in some capacity but they're highlighting it here because originally when prop one came into play they forgot to include this language and it panicked a lot of people so that is mental illness in Children and Youth

from social emotional developmental and behavioral needs in early childhood so again it just got highlighted in yellow to really stress that it is part of this intent for early intervention um but that was really kind of like the main again kind of like a starting conversation I guess of proposition one and then kind of a refresher that it's incoming right um and that there will need to be a need for bigger conversations in the future when we get more information and we begin to plan for this new format um this slide right here that I have here which is the very last one I I promise is our planning cycle for the mental health services act annual update so we start our plan in September we start developing it and then in December through February we're meeting with Community Partners making sure that you know we're getting as much feedback from everybody if possible then we generate something called a stakeholder report which our leadership is reviewing it and then that could make changes to our planning and what we include for programs and our budgeting and then in May is when we have something called a 30-day Comon public comment period where we blast our near final plan for everybody to read in our community and then on the very last day we have something called a public hearing which normally the Behavioral Health Board hosts and um and that's kind of the final L for input you have a you get a presentation for me as to how our meetings went and then if everything goes well by July 1st 2024 five we'll have a fully executed plan that will go to Board of Supervisors for approval entally um and in the middle of all of that too by the way we're expected to get more finalized language around proposition one uh which again have been really slow in getting that language I was hopeful

that we could start those conversations last year but unfortunately we just started getting that language so I the kind ofal talk I heard someone say that it's like drinking out of a fire house it's a lot of information it is 150 pages per volume and we only have two volumes right now and we're expecting five to six volumes so and and and fun fact those volumes are not in final form yet so I'm gonna have to go back and reread them when they finalize them which is hooray yay so so with that in mind that concludes my presentation thank you so much for listening and I would like to open the floor to you H to again share any feedback any additional questions you may have or any recommendations again thank you so much for here gonna open our chat too okay they're just commenting on the sound start okay I have to say that I'm happy that substance abuse is being included in this now that's a long time coming in a good thing uh but I am really concerned about the fact that the money has been reduced and yet a huge category has been added for you know that uh did you feel that um um during the um uh meetings that went from September

on about that the substance of these Community was pretty well represented and ideas were coming from that end of things that's a great question so I haven't met specifically yet with Su specific uh groups or advocacy groups so if you have anybody online or groups that I can reach out to please let me know because I'm still reaching out to people um so I would really like any points of contact thank you and Rafael I just had a question about the community services and support so the funding that's listed for to support care and the tribal support what exactly is that money being used before and how how is it being used good question so for care specifically it is intended for to help with additional staffing needs for Behavioral Health so it would be going towards their Staffing okay so it's only that 112 there's other monies from a different plot of money yeah that 112 is actually par we had conversation with them around their staffing needs and so that's what's allocated out of this fiscal year for mhsa and we have a similar amount so the total will be about double that for a year of support fora that makes sense yeah and then your second prival support So You' mention the EUR tribe wanting to be an or provider so how would that 87,000 doar support that so right now that's your mark that we have right now to be responsive to them we are still engaging in conversations with them to figure out how what the need is that just gives us the flexibility to just be responsive okay I just wanted to say I appreciate

your thoroughness and your professionalism um with your reping and um you know like I uh a lot of questions get got answered and um I just wanted to tell you that I appreciate all the hard work you put into this because you can tell that that it's not just Willy neilly step for you're going out there it's been thoroughly um thoroughly checked out so I just want to tell you how much I appreciate the hard work you're putting in amen thank that's sorry ditto to DTE and sorry if I'm pointing these questions at you you were the Pres so for the Innovations funding for the rest team is rest working with people that are currently experiencing homelessness or people that are already in housing and I realize the deputy for that bur's not here so I'm not sure yeah I think it's a combination but really the intent is to make the housing successful so either supporting as they're trying to access housing or newly house I think it's likely I think Jack had recently said it's slightly more newly housed individuals that that are are giving those services that was my impression and so I just was wanted to be clear if they're actually providing Outreach in the community to people that are experiencing homelessness some more hands no some questions that we already addressed don't have we don't have any other questions uh please fill out your service as possible add any additional comments that you may have this return to me by the end of the meeting time um I also implore the same thing for our folks joining virtually to click that link and do that um but again thank you so much for having having me here I really appreciate the opportunity it's an

honor we don't have I can email it to you all with the PowerPoint thank you that wonderful thank you thank you Oliver thank you thank you doie next on our agenda is discussion um the hctc recommendations review which again um I think that my hope would be that we could put this off until our new member is approved um who we can just directly discuss but does any I I don't know that we have any other feedback at this time I never doie um happy to do that if that's the consensus of the group but I I know we have well actually maybe we don't have as many people online to talk about this now can't really tell um it seemed like there were a good number of folks from that were here to L on this that clear that they weren't going to do it today I just didn't know if um if people planned to come today to talk about this because it was on the agenda then hope would be that we like after their thought were were you able to review the meeting that you weren't at I sent you a a link to that meeting with what we had talked about I think it was two or three meetings ago maybe um were you able to review that who watched the whole meeting no the part oh that where hctc had some comments about the recommendations that were made uh a few years ago and what our response had been to that I didn't watch okay I think it

had been mentioned that um I would interface with you about that and see if you had other input since you're on the JJ DPC committee as well okay my point was just if they're here and they have something to say on the comment is anybody opportun from a anybody um online who would like to make any comments or in the room well I'm going to defer to Alex in the room but I don't think we were really ready I think lost I lost radar of this to bring it up again at this meeting but with Alex hopefully joining the board and maybe a t subcommittee starting um or something more focused on the T A Range that would be a great place to start it but we also do have Marcus one of our yeah members here um online as well so I don't know if Alex you have anything else to add yeah I'll just add so I did see it on the agenda um and so I came with like some ideas um but I think that if this were table to Maxim month that would give us over time to more fully bring our recommendations a reminder of which ones we like to highlight especially and so I'd be okay with tbling it already got some thoughts about which recommendations to prioritize you advocacy board has done some work around this as well um yeah I also want to check in with um Marcus if there's any other CL want to add to not Marcus no I have no I have nothing else to add thank you all right so we'll just on the agenda next

wonderful all right with that it's time for communications we'll just go around with board members and I know that Vernon you have something thank you for the time and opportunity to share a new brief that was published December 20 uh December 2024 from the Health Center for Health healthc Care strategy um it is entitled what we measure matters creating centering lived experience in developing Behavioral Health quality measures um I think that this was a very short but a very robust document uh I did bring 15 copies today uh for people to take a look at um there are three three key takeaways that you would probably get from the entire reading partnering with people with lived experience in developing Behavioral Health quality measures can help improve service quality and provider and payer accountability best practices are emerging for particip partnering with people with lived experiences in shaping Behavioral Health policy program design and quality measures there are unique factors uh important to people with lived experience that should be considered in developing Behavioral Health quality measures so if you would please just take the time a little bit to reach that um I would like to implement the last year's May is mental health matters month uh uh theme reimagining mental health uh

reimagining mental health to me would be with more consumer involvement thank you so much for your time thank you do you have any Communications no but just a thought Vernon it seems to me that's really an important issue the incorporation of lived experience and a more thorough and consistent manner not that we haven't had that over the years but it's been a little or one person commenting on things and I don't know what that would look like to have um subcommittee and an ADW who develop um more thorough and effective ways to communicate lived experience input into the work that the county does do KY sense yes this this this addresses that on page number four okay I'll read it then thanks on page number four promising momentum for engaging people with li experience and that starts on page number four thank you very much good question thank I have nothing else to say John do you have any communication no Kelly I always have something to say no first of all thank you for having me this was my first meeting as a board member so I'm happy to be here in this capacity yeah um but I just wanted one of the hats I were is coordinating the crisis intervention team trainings for humble delor counties um and so so we tentatively have our next Humble County CIT training scheduled for the week of April 14th through 18th here in Eureka at the waringer building we had one minor um we had to make some changes

with our post certification for the law enforcement continuing education units um so we're just waiting for final approval to so there's a small chance we might have to push it out a little bit further than that but at this point we're aiming for our 40-hour TR to be that week and then we plan to host a second training in July so I will make sure to distribute the registration Flyers um once we have the dates solidified who who comes to these it's primarily um aimed for law enforcement and other crisis responders all about c yeah but I will say we our County we've kind of expanded the model to include delnort County and so we've been hosting four trainings per year for the last year and a half two going on two years um pre prior to that we were only hosting one training per year which made the spots limited so we've been able to open it up to more and more service providers which has actually been really valuable in terms of building collaborative relationships between law enforcement and service providers in the community is there any room for First Responders par Medics come with an ambulance in little situation abut that they should be involved in the training they're yeah I mean they're invited we don't currently have representation on our steering committee that would actually be a good thing for which I will bring back to the yeah the CIT right in the middle of that absolutely and you have a question I yes um last time you and I talk I think you were saying that there's not currently cap or the ability for you know what I'm going to say CEUs for professionals but you you dis referenced it for law enforcement that will that be an option going forward so when

DHHS was the lead entity leading CIT there was an analyst assigned to support with getting the cus processed through whatever t uh when I went to do that when without an an support was overwhelming and tedious and I wasn't able to complete it and so if I had support from somebody at DHHS to do that maybe we could talk I would love to offer that again because we because we do have plenty of clinical staff attending the trainings now and we prior we had the you know clinicians nursing and substance use disorder counselors that had cus available so I would like to work on that again and I probably have more capacity to do that now than I did initially yeah okay so let's just talk more about it sure okay thank youie yes I do I have a quick comment I just want to very much support the lived experience comments that we're doing it's it's part of our philosophy at Tri County more than 51% of our board members have to be people with disabilities and I'm going to be a little Shameless here and uh we have a open position for a systems change person and I'm very much looking for somebody that has had lived experience uh so we can better assist in the in the meetings like this and moving forward with our community so that whole concept of lived experience is very important to us and we're very much looking forward to supporting it so thank you thanks Eddie moving on Communications tette yes I have a lot of thoughts um I'd like to talk about

um so I guess we're we're g to have a conversation after the meeting but I want to talk about it like um I um am hoping to be able to start having um these art programs in the area rather than having people go out to the facilities um and interrupt everybody's uh um confidentiality at the programs I would love to start having um the programs or who you know program and maybe uh uh somebody that wants to share their experience rather than being un off fishful in a in a program um come to uh come to this meeting so that they can share about their program and then if there's somebody that lives there that wants to share their story then they can tell of their experience um so I I I I um you know I continuously say this like we have a lot of people in programs um and uh sober livings Etc that um that have people walking through their their place and they are have mental health challenges maybe you know concerned about who these people are what they're you know what I mean and so um I um I would like to um have a discussion at some point about changing um just having people go through programs and having discussions with people off the off the it's it's really an ethical thing it's not okay and so um you know I Contin I've continuously uh talked about this in other situations um but I need to say it out loud that we need to change that pattern

it is not okay for us to be going through facilities um and you know and it's not okay and so I I think that we have a lot of people that work um with a lot of these entities that can you know that have seen stuff that's go you know the how the housing is or whatever but I think it's really important if we're doing um the shared experience thing that we invite the people here to share what their um goals are and um maybe a su someone that's successful or what or peer peer from there I'd rather I think it's important that we do that rather than Break um people's confidentiality there's no one's business who's in treatment and even though um even though we think it's okay it's not okay it's an ethical confidentiality thing and so um I just wanted to say that out loud because it's it's not okay and um I have continuously tried to detour uh detour this and so I'm just saying it in in the open it's not okay for us to be just wandering through treatment programs and sober livings and thinking that it's okay um we have many people in these places that have mental Hol challenges they they don't know who you are we you know like um the second thing I want to talk about is um a lot of sorry it's hard for me to say because I think people are judging me but the other thing I want to say is a lot of times with um with our people uh

people just show up on their doorstep and start directing them to do stuff um and unfortunately the the thing is is many people don't understand that our clients um our people our patients our peers our community um like if we're trying to get them to make better choices um they're not going to just follow direction of somebody that shows up at their door Rand randomly um that they don't know and here's your medications or we're taking you like like we need to be thoughtful about how um what that looks like you know in our community like I have I have I've had several experiences um not with mental health here but um with other entities where people just show up randomly at clients doors for medications these CL these people don't know who they are so why would they want to take the medications you know what I mean and so um I think it's important about people building Rapport and not everybody is going to act right when you first have contact with them and a lot of times uh if somebody doesn't act right the first time I I hear the word of they're non-compliant you know we're not going to work with them anymore because they refuse this time and so I think we need to revisit how we think about um the reality of life you know like um anyways um that's about it thank you thank you can I say something I really honored and appreciate what you said and one of the things that struck me as you were talking is a little bit of History we

used to have an ISD board we still a committee not and they were like an equal and they had in other words when we merge together Our concern when that happened is that Su would lose that larger workload and and participation and that it would might become a committee uh that doesn't have a voice or as much voice and active participation yes so what's sticking in my mind right now to go with the executive committee we put things in the agenda as ongoing you know whether it's care court or something like that and when something's up there they're there and we can add it to it seems to me to have Su presentations about different programs or different issues on our agenda on a regular basis might facilitate that so that you can bring those voices and those experiences here what I hear you're saying yes it's do that on a uh regular basis so that you know you got another 10 minutes you got another 10 minutes however you think it works margar uh so that we we know more I know there's a lot of stuff I don't know I think it's important that that the manager or whatever of the program or their um or their what's the word director whoever they choose to to represent the the treatment program they could come here with somebody that wants to be here we don't need to go into their house like I I I don't know my house is My Sanctuary so like I I I feel like when we're just showing up in people's heing I know it's treatment but

it's still where they're learning how to live life and in in real life people don't just show up at your door I'm trying to honor that what I'm saying yeah and so I think we really need to um we really need to think about how um we interact with people we have to build Report with people before we they they're going to gain our trust and sometimes I tell you what I work with a guy four years ago the first time I the first day I met him he threw a cup of coffee in in my face and what I what I what I knew what at that point I knew that this person has has had a lot of trauma and so four years later he's housed he's taking his meds you know what I mean like I just want you know I just like I'm starting to to um there's a lot of correlation you know I I don't think I've ever really shared my story but um I was homeless 29 years ago um and uh was told I would never work and so like when I think about how like people would say you need to do this I'm like who the hell are you you know what I mean and so you know people just show up randomly uh and and and start telling people what to do you know instead of like walking beside them and showing them and a lot of our people in um in in this area it are com from Outlaw families and so just being BL come from Outlaw families so um we you know people were trying to encourage them to do the right thing but everything they've been told for 40 50 60 years

is this is not okay so we have to give people an opportunity to make small choic small um small good choices you know and walk beside them as they're as they're doing it rather than and um you know and honestly like four years ago I could have just stopped working with that guy and just you know like we're done but when we're working with mental health challenges and people that have never you know and intellectual disabilities as well you know that it's it's important that we build report before we start like you know may I name what I think it is that you're describing yes it's being trauma formed it's kind of like the basics of like giving people choice and and treating them with dignity I agree that there's some room for improvement yeah so that's all I have to say I was really sitting here going keep fine and Virginia apologizes she had to go to work and she's she wanted me to apologize for her for leaving early um Natalie do you have communication sure yeah a couple things um yeah one is you know thinking about how to be more um responsive to people with experience I I think that's part of why I was like well if people have anything to stay on this topic like yeah can we out you know it's it's I apologize for kind of jumping into that role but I I think um I'm trying like so many of these meetings are wonky and people have to come in the middle of the day and it's like um I just you know want I guess I want people to feel like they can participate um even if they don't know exactly what the right way is so I've been thinking about that with a lot of the I get to and how to make it a little bit like easier for people to know when and how to jump in anyway um something I since I spent like 90% of my life in meetings how can for more

people especially when they're the buing um I am I've been some of you may have seen in the that I'm doing a series of doing series of interviews with Healthcare Providers and CEOs and hospitals and theion big yeah about healthcare provider Recruitment and Retention and so this isn't specifically related just to be he there are a few folks who are behal health related who talk to me but mostly this is um like uh like Family Medicine providers um and me kind of started this series uh because constituents bring up to me but they can't even find like a primary care provider um and particularly people with uh private pay insurance can't so those are the people who have a lot to say about it so anyway I started doing the series of interviews like more than six months ago and so I uh it like you know hard to find a time to fit in like 80 hours of interviews over many months I have and then I'm I sumarized um what I heard I did a shorter presentation for Board of Supervisors the other day I'm going to do a longer one on Monday January 27th so I'm having a um an event from 6:00 to 8:00 pm um it is almost entirely full with pre registration so there's a few spots left I I can send the registration link um to send out to girl Health Board if You' like um so I'm encouraging people to register um we're not going to be able to let more people at the door help just because of the space just think you about holding an event during cold and flu season indoors um the Vue can accommodate 225 people and we're really close to that so um but it will

also be live streamed so aess humble's going to live stream it on their YouTube page so their YouTube page is youtube.com suble um it'll be live streamed and it'll be a chance for people who are watching the live stream to participate in the like there's a few audience participation questions an online platform that I think will be pretty pretty streamlined for people to to use um so there's a chance to ask questions and get feedback now even if you're not able to do our so um I can make sure to get the registration link out to so this is again like centered around healthcare provider Recruitment and Retention but it was no small feat to get like all the hospitals CEOs and major Clinic CEOs to to agree to come so the big feature I think my presentation is the kind KCK off but then we have these eight panelists who are like Star Fel and red redward Ro and all the all the you know not all but many of the local Hospitals and Clinics will be represented Research Center and then our own Public Health officer as well so it should be a good event if um everyone here cares about healthare access um for our community and so um I hope that our there will be a series of these um human resources that the county is already planning another one for April and I don't know exactly what the subject matter will be and then I'm also working with congressman hman and Senator Maguire and Senator member Rogers on doing uh more of a a town call that they lead around reproductive Health Care um and um matural care so all topics that are getting people really fired up right now good um and um anyway so that's what I've been devoting a lot of energy to and I don't honestly know where it goes from there because um the one thing I

will say is I'm looking at models for other communities that have like a health care consorti made up of both elected officials and people in that sector so that they can work on addressing some of the more systemic issues that are barriers and so kind of rolling over in my mind whether we can create something like that whether there's with and capacity to do that and willingness on behalf of some of these um heare providers um I will say partnership is down partnership he has been really a great partnering discussion partner so if anyone wants to kind of especially folks who are really in the loop on this has have feelings that You' like to share with me about how to make this continue going um I just now I feel the pressure of having taken on the topic and being the only elected official who was like yes supervisor what are we G to do now I don't know so trying to come up with something better than I don't know um so maybe you all have thoughts that you want to share with me um and I'm also feeling the weight of not only this moment like that we're in right now collectively but also the weight of like wow people are really having a lot of challeng just around our house and I'm sure all of you deal with it all the time and it only um you know like uh the the the challenge that we face as as big so you know I'm preaching to the choir but so that's one thing uh Vernon also reminded me uh very kindly that I had agreed to bring a uh peer support um resolution uh recognizing peer support week um in May so for mental health month and so I'm working I'll work with him and our cour Clerk on that um and if you'd like we can like review the language here um before it goes on

because there's some time between now and then so I work with you to just sure have the language there there's in tweaks but I think would be great state one um I think that's all I have for right now thank you nalie Mar have anything communic yeah two things uh one is I already shared this um by sending it out to the SDR committee but samsa just came out with new guidelines for what they're calling special needs SUV treatment and so that involves uh I didn't see anything about um autism I wondered about that when you were talking to that but it involves things like people with certain um handicaps like not being able to hear uh also uh people who only speak another language excuse me um such as like Spanish speakers or whatever and and I think it' be good for um all of us to look at that um document because it gives some really concrete ideas on how to not reject a person like that into an SUV program but think about practical ways and and affordable ways to accommodate people who have special needs which you know I think is a really important thing so that's one thing uh then that gave me the second thing that I want to talk about I think everybody here that uh at least for a few months I was on a mission to get to know different providers here so I've gone out to different providers um I just want to assure everybody based on what she said that I went to um Melissa's program and I saw no clients I just saw

I just met with staff of course you pass clients when you were just walking but I there and then I went to the um two feathers place and two clients walked into the meeting and said we want to hear what you have to say and we want to tell you what we're experiencing and I thought that that was the most valuable part of the visit that I had actually but I'm I'm really feeling like um it will this is a good time and I'm glad you said what you said to that this is a good time to just think about the fact that you know our board and the SB committee Etc kind of has a mission to you know look at what we're doing and see how it could be improved and all that and at the same time we don't want to offend anybody we don't want to get into anybody's face confidentially and we certainly don't want to mandate anybody to talk to us so it may be just a good time to figure out alternative ways I like the idea of having lived experience people come Etc but um you know I think I think we need to talk about it more just to see how we want to do all that and I'm not going to schedule anymore until we know because I I sort of feel like I don't want to be doing anything that might be perceived as objectionable thank you I know that that last Su uh meeting didn't go because the Michelle got in a car accident or something like that I hope she's okay yeah um maybe something to also discuss in that

meeting thank you made a note of that you have anything um rate down wonderful yeah know we are really excited about it um you know it's a combination I guess all the c um you know we're not really using the uh the vent in all uh you know uh mindset that we were because uh some areas have tested the supply and you know there's not what we like the lethal dose of fentanyl that we once believed or that was true is not not um what is around anymore and so we're seeing less um less cases ofine um so it is it's a good thing you know it's a good thing so yeah we're seeing a lot of overdoses in the hospital um still uh you know uh working on looking to expand withdrawal Management Services locally in the area um we are still you know just looking and searching and planning on that more will be uh revealed hopefully in the future so that's all thank you okay that is all of us and I'm going to pass um reports do you Jes she a message she the message see what that says but another shout out to Natalie for the healthare presentation it was wonderful also been looking back last year at the wonderful work that is happening in our community around Behavioral Health kudos to the staff doing all the work thank you thank you

director Behavioral Health Board director what you got okay well um I'm just really appreciating the conversation today and Denette what you looked at just around kind of having uh respects and treating people with dignity and thinking about experience right of people um struggling with mental illness or issues so thank you for saying that out loud um let's see there's a few things that might be worth saying one is um um we're continuing to do Equity work that feels really valuable and it's it's kind of growing in some great ways um I think I've referenced a little bit of it here but one of the things I think I'll just flag today is in our work with pman and Associates we've they also facilitate locally um mobile crisis benefit um implementation and they've been doing some sessions with counties and tribes together and so we recently went to a meeting out at UI Jess Paul kayy and I and Jack Jo by phone and talked a bit about just how do we better coordinate care especially in the mobile crisis arena with between tribes and counties and so that work I I'm feeling really positive about and we have another meeting later at the end of this month um with people from USS some other local tribes um cman and Associates and also some dhca people so like technical assistance people to help us just think together about how we partner and coordinate services and do that work um better together so I wanted to flag that um I want to just recognize because it it's an ongoing issue that we continue to struggle with budget deficit and how

do we do all the work that we need to do with limited resources and um one of the things I feel like it's important to say is that we're you know now in 2025 and yet we're still working on understanding fiscal year 20324 which is a while ago and so it's just I I feel like it's a challenge for us as we talk about mhsa changing and and think about the new initiatives rolling out that are unfunded or underfunded and um continuing to want to do all the things for our community that that's needed and recognizing we don't have resources to do all the things for our Community that's needed which is partly why we partner but it still sometimes I feel like we continue to fall short and I going to say that um and the third thing I thought I would mention which is kind of a mixed bag it's a positive thing but I I want to add an element to it is we have many projects that we're lifting up that are very exciting and successful we talked about Hyperion um we're working on the mobal crisis or Behavioral Health crisis triage Center in partnership with mad which is amazing we submitted an application for a new um ree so there's lots of things that were coming together as a community to do we also recently opened the doors for a an adult residential facility Lighthouse and that's awesome amazing and we have referrals and people um residing there at this point um and it really helps our system of care locally and we had some push back from that community and I want to talk about that not be for no other reason than to just acknowledge that in our community we really still struggle with stigma and discrimination and we still have you know pockets and and and people who I think don't fully

understand you know the experience of people with mental illness or easily make assumptions not ill intentions necessarily but easily make assumptions about what does it mean to have mental illness or what does it mean to have substance use issues like not recognizing the underlying trauma I think that that's where our community sometimes loses track is that people suffering have trauma right and so how do we how do I'm saying it to this group because I feel like you all are allies in this work and how do we do this work better together to make sure that we're sharing with the community in ways that increases understanding and compassion and kindness and just like furthers what I think I experience in pockets of really great um support and kindness to these populations um and there's more work to be done so I just want to say it and thank you all for the work that you do do with us because I see it and feel it every day and there's more for us to do together so thank you I just want to say you all really took it on the chin I'm sorry yeah I'm really sorry that that all happened the way it happened um and I want to say because a couple of us were there that this group this person everyone from thhs was so amazing I could not have done that I could not imagine being there for two hours and 21 minutes yep and taking that and just having a kind response and facei to all of that that was incredible I will hold that in my mind for a long time as a goal I could not do well thank you for that and for like being there to speak about people respect and kindness I've heard such good things yeah um about y'all and about take present yeah yeah there was like a silver lining but

I'm deeply sorry that that would that that was allowed to happen that way obviously nothing I could have done about it but still so anyway appreciation for you all thank you thank you thank you thank you do you have anything well just some of the normal stuff that's still moving forward like our diversion contract with the Department of State hospitals are still moving forward so we have two contracts in the works one for a permanent diversion program in felony in competence U here locally and also a community based restoration program so we're excited about that um getting those up and running and most likely be contracting out the community based restoration program um we uh we've had a um as you know we mentioned that we had a focus audit previously so we still haven't received our corrective action plan for that or our final report whatever that might be but we did get a corrective action plan on our Network adequacy um timeliness um component of our service so we're we're actively working with the HCS on um on uh our corrective action plan so we submitted one last week and we'll um see um uh we're meeting with them regularly so hopefully we can resolve that um corrective action plan quick quickly and and continue on with public so but other than that I don't think I have anything else and and that corrective action plan will at some point will be able to read like what happened and the response and all of that sure yes abely so I keep I know it's been a while

feels like been forever forever yeah yeah our Qi Department's been very busy continues to be very busy any con is heading up that department right now um you know we are looking for an additional manager to take over kayle's uh vacancy that she had in that program so but Amy's doing a great job of trying to manage all of uh the changes that have come from our state uh and our dhcs so it's a lot of work but they've been very busy and and active but uh they it' be nice to schedule a time for them to come and do an overview at some point to the board on activities that Qi beened part of over the last year so I might be good in that meeting or in that presentation I can definitely talk about Audits and reviews and findings and changes that have come from that all right put that on the list thank you um all right we have 15 minutes did Kaye have I don't have anything to add but I think everything kind of Ro to the surface today but does anyone have a questions thank you I wonder if we should put you on there as a regular reporter sure that would be awesome okay so s committee uh didn't meet last time I don't know if there's anything to report nothing okay um at this time we have no other committees other than executive that are going but I hope that soon we will be having

a children family and some point and old people want oh I'm sorry me elderly silver the silver the silver hair committee we have some people sorry if it was inappropriate my apologies I'm here to keep you alive thank you um chairperson I have nothing other than I okay I have something I just want to continue to say our Behavioral Health Board our county is doing a really good job when we look at other counties across the state we just have to remember that and I remind people or when people complain to me I always bring that up so I'm appreciative of what you do and vice chair do you have anything no just another comment along that line I as I think back 10 15 years ago the discussion the information shared the uh the things that are going on it become uh more complex more sophisticated um deeper into issues uh than we've had before as as a board those kind of discussions and I really appreciate that I remember decade ago we trying to find where to do that more U and substantive discussions about things and I let you know I really see that in my and um navigation Center Care Court do we have we have anything on navigation Center think anything may I just add something about care Court just from a provider or perspective yes just

um that have to be a Euro Tribal member where I work uh was the first care Court participant so I've had some experience walking through the process uh and there were some cakes for sure but I I really appreciated DHHS and the staff from behavioral H Ben beach in particular um and also Heather Cooper from County Council um learning to navigate how like because the tribes are required to be notified when a tribal member's been um petitioned to court so um I was able to attend the hearing for the individual and um I have some concerns in general about some of the petitions that are being made in regards to uh people that probably need a higher level of care and and I get that care courts going in a direction where we're going to hopefully catch people sooner before they become so destabilized that it's hard to bring them in but I've had some discussions with Kelly Schwarz at the public Guardians office and about we're not there yet obviously but down the line I see care Court really having the potential to have more Upstream interventions um I fear though that people that do need like conservatorship being funneled through care Court first to see if they can do it or not is creating like an extra barrier to people getting the care that they need and so the person that's been petitioned and referred to care Court immediately destabilized once they were released from custody and it I just wanted to put it out there there's great work being done I really from uh you're a tribal employee I really I appreciate the communication from DHHS staff um and I'm

interested to see how it continues to yeah yeah we got five petitions so far from Court since December 1st so yeah Kelly Kelly was first yeah yeah so yeah we're we're learning a lot we're fine-tuning we're creating policy and procedures to help the process but you know it's it's just another element here in play for us um and hopefully it won't be a barrier for the appropriate level of care of course we want to make sure we're getting most the appropriate level of care the least restrictive is best when it's appropriate well and good feedback like thanks for the feedback we can we need that so future items I've noted several does anybody else have any future items for the greater good yes yes hope you knew what you were signing up for having me join the port you just wait well do your future items include I heard the topic of like a peer lived experience ad hoc committee or something like around um how to include lived experience I just wanted to put out there that something I would be interested in participating in if it was something we chose to Berard has brought up again and again and so touch based with them and I'm you know part of that conversation as well to find the right way sure you know um so that we hear and listen to Little exps okay got it I would like to

um ask or so a new life uh Discovery um director can come the next month to this meeting they were uh scheduled to do the substance but um they would they would like to come and share what they a a topic that keeps coming up so so when you um when anybody has something that they want to be on an agenda it needs to come to the executive committee so you can email me email Joe say I like this the agenda it goes to the executive committee and then we create the agenda so and we have some quarterly like thingses that are are mapped out so whenever you have something like oh I I want to hear this set send an email I mean send it to Joe and then not saying it'll immediately get on there sometimes we're already scheduled a few months out but it will be you know noted adding to that we want more people to come with requests uh because we're trying as an executive committee figure out well what would be a good reason what do people know what they not heard about and I again the last decade so I don't remember very many people are all saying why don't you have a presentation so bringing that information to us is cool yeah so we got some uh veterans that services that want to present and new life so just need to get those on the agenda anything else just say in May potentially having the public hearing I don't know K if you want to B shoot for the happy presentation the same day maybe yeah Dana Taylor yeah okay so yeah I did make a note of

that um having a thought would you all regarding httc recommendations for Behavioral Health Board we have a slideshow that we presented to the Behavioral Health Board before would be helpful for us to did like a presentation about that do you remember that been a while and there's so much things you're involved with it sometimes is kind of overwhelming for us all to to take in but I think it would be good if I hear you saying let's have another Day presentation and maybe bring uh core activities or priorities uh to us if we have 20 30 minutes we hear what's happening and get us engaging that make any sense sure so I don't always make sense Kelly had a comment did you have oh I just when it came up earlier as a brand new Behavioral Health Board member I would love to hear what the recommendations are and so I would appreciate a presentation if it was about the recommendations is that what you're saying yeah okay so how about this report is fine too but let me get back to on that um if that's okay and I I have a note uh recommendation recap and I do believe that we talked in the in our meeting uh that we will have an orientation soon as the or Retreat we called it with excellent Snacks by the way um once you two are approved we'll do another retreat with a certain number of people okay kind of do a recap yeah I want underline it's really important if we can get together for a couple hours and get to know each other yeah I just believe if I don't know you and you don't know me always was our

conversation going so yeah it's a cool thing to do okay that because I am committed to ending this meeting on time a few minutes before at 1412 thank you so much everyone you know I have