Behavioral Health Board - Regular Meeting

Tommy does one for family members. I forget what it's called, but we have it here in the past. It's a special one for family members. They have family, right? It's a Nami does a training for story. Yes, ma'am. Just like you guys. We had it here a few years. I was Did you see who was that with Jacob? Was it Jacob and it? Yeah. Yeah. because I was on the radio too now. Been a busy month. Yes, it's been busier. You told me yesterday. That's awesome. Hey, are we going to do this tomorrow Zoom meeting? Maybe maybe you want to do Zoom or just cover my Are you going to be in town? Okay. My um caller will be Gina California ends at uh 10:15. Yeah, it's so much fine. I just have to go down there. I just the travel time. Yeah. Whenever we get now that you know which building you're in just there I don't know what the steps go on the cement window. Yeah I think it'll be easier to work. Oh yeah that's what I thought then I got the thing I thought I wonder I just put it in the calendar. Okay got it. So be on my schedule.

Okay. Serious. All right. Welcome everyone. It is 12:15. You are at the behavioral health board monthly meeting. We are the advisory board for the board of supervisors. We hold this meeting on the fourth Thursday of each month and it runs from 12:15 to 2:15. We meet here 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. The minutes in the agenda can be found by searching online for Humble County Behavioral Health Board. We provide time for public comments early on in the agenda. Public comments need to be limited to three minutes and pertain to matters related to the behavioral health. We ask you make your comment in a respectful manner. Please note this meeting is being recorded and if you have any questions um contact any behavioral health board members. And with that, I will ask for Joe to take the role. John Burger here. Story Baker. She's here. Yeah. I'm sorry. My My ears are plugged up. Okay. And if I can't hear well here Kelly Johnson here price here here and we have a

All right. So now we'll go to introduction of staff and guests and we will just go around the room. Vernon, you're just there and start with on that side of the room. So, oh that would be you, Leah. Oh, okay. I'm Leah Naggie. I'm a family leazison with Humble County Health. I also mentor in parent partners and I'm also currently the president of Nami Humble and I'm glad to be here. Glad we make a meeting. Thanks. Eric, do you want to introduce yourself? Sure. Um, my Eric Thompson. I'm a concerned citizen. I was on the board for 10 years a while ago. Um, it's good to see everybody coming in. I think we're doing a lot of good work. I notic this uh it's been advers when we're trying to help our fellow fellow citizens. Thank you. I'm an analyst at the US. I'm Michael. I'm behind you. Oh, I'm too introduce yourself. I'm Brenda Montene. I'm a center participant. We will go online and if you can just popcorn to each other starting with Nancy. Hi, I'm Nancy Stark. I'm the legislative and policy manager for uh for the county

health and human services. I'm going to popcorn to our guest Connie Stewart. You're muted. Hi, I'm Connie Stewart. I'm the executive director of initiatives for Calpaly Humbult and I am working um with Nancy and DHHS and Mad River Hospital to build the behavioral health triage center. Happy to be here. Chicken popcornet to Oliver. Good afternoon everybody. Uh I'm Oliver Gonzalez. I'm a program manager at behavioral health and I oversee the mental health services act. Good seeing everybody. Um, I'll popcorn over to Sonia. Hello everyone. Sonia Levy Boyd. She her. I supervise the Humble County Transition Age Youth Collaboration in the pair coaches at the potato division. And I'll pop over to Kelsey. Hello everyone. Kelsey Rey, they them pronouns, uh, youth organizer with the Humble County Transition Age Youth Collaboration. And I'll pass it over to Joe. Hello, Joe. They them. I'm a member of the youth advocacy board with HC Tacy and I have been for about a year now. Popcorn over to Gabriel. Hello. Uh Gabriel he him. Um I am a youth advocacy board member and a JJPC commissioner. Is there anyone left to popcorn to? I I think it's Dana. Would you like to introduce yourself? Hello, my name is Dana Hulcom and currently I work at the Humble County Correctional Facility with the medication assisted treatment program and I'm happy to be here. Thank you for allowing me to be here. And then go down this side. Maybe Kelsey, I'll popcorn to Kelsey.

Oh, thanks Dana. I think she did introduce. I feel like everyone has already online has introduced themselves. So, we're back in the in the room. Um, yeah. Hi, good afternoon. Amy Boxel Rogers. I'm the behavioral health director. Please say everyone. Hi, I'm Jack Brazil. I am the deputy director for behavior. I'm one of the deputies. I think that's everyone here. Unless you want to introduce yourself, Laura. administrative secretary for I could not hear you Kelly Johnson. Are there any adjustments to the agenda? Hearing none, we will move to public comments. Does anyone have a public comment in the room? Leah Maggie, of course I always do. So, I just wanted the mental health board to kind of know what I've been up to. So, Jacob Rosen and I were on KET TV with James Hall on on headline Humboldt to or Humboldt headlines anyway to talk about we mentioned the CIT training that was last week and also the upcoming mayor's initiative on Sunday May 4th from 11 to 4 at uh the Warfinger building. It'll be exciting. It's free. There's a professional panel and then a lived experience panel and then a speaker named Joe Roberts who wrote a book called Broken Like Me and um it's going to be exciting. Um let's see, the family advisory board that I head up once a month is active and we have been working on brochures. We've made a total of three. Um the third one is called um

the we call it the jail brochure because uh navigating the jail system is very complicated and families need all the support they can get. Um, oh, and I was kind of excited because, um, I'm going to present Families in Focus, which I did in Reading for Toronto University, and it was accepted to be presented at the International CIT training in Anaheim in August. And I'm going to get my cohort, Kelly Johnson and hopefully Chief Greater Work to join me in that. Um, it's bringing focus to the importance of families and communication with families. Um yeah, and the only other thing, um Gretch and I are going to start a a group for folks in the community who have mental health challenges, who aren't part of DHS or mental health or anything. They can just come in like my family support groups and and uh get support and we'll start that at Uplift probably um sooner rather than later. And uh you'll be seeing flyers for that. I'll try and get flyers to Joe that the family advisory board has developed so far. One's families in crisis, one is just family resources and then the jail one. So anyway, thanks guys. Thank you. Hey, I'm Rhonda. I'm a three two at the Hope Center and I wanted to come just to announce to everyone that our May calendar is out with all of the community events. There's lots of fun stuff going on. If you have any questions, please call the hope center. Hi. Um, last month I came in told you guys I was going to show up every month for a year and tell you about my experience of being a mental health patient here in Humbled. Um, last month I told you that uh at the tail end of

perry menopause I was pretty much abandoned by my primary and um nobody would help me. Uh that led to an incident where I was taken to St. Joe's where they decided putting me in fourpoint hard behavioral mechanical restraints was a good idea. Restraints cause severe injury and death. And uh this is well practiced at St. Joe's. They um are quite good at it. They get nine nurses all ready at the ambulance door and with the restraints and a gurnie and they do a very unprofessional transfer of view. I landed on my right side on the gurnie. Later they decided to put me in a self-adjusting hospital bed. Same kind of unprofessional transfer. I landed on my right side again and my right enter and right side of my body was very severely injured. Um, last Thursday I was coughing and I broke a rib and I ended up back at St. Joe's and what a great experience it was. They fixed me up and I was there at 1:00. I was out of there by 5. My rib is mending great and I was just really impressed with the doctor and the staff. I did hear a group of nurses gossiping at the nurse's desk about how they had a girl in restraints in there last night and she got out of them and then she just sat on her bed and stared at the wall. Probably nobody went in there and talked to her. I was in there for 30 hours most of the time. Um I was all by myself in seclusion in restraints. The one person who did get me out of them was a student nurse named Amy. I am looking for her. And um the nurses kept on saying, "Can't you take you out of those without doctor's orders?" And he's really busy with people who are actually sick. So uh they decided besides putting restraints on that they would forge the restraint orders and records. And I have

brought these in for you to have a little fun with forgery on YouTube. And um it' be nice if you took a look at those for me. I Oh, I want to thank Assemblyman Brown for uh writing and passing this uh Brown Act so I can make this comment every month. All right, you guys have a great meeting. Thank you. Thank you. Is it all done for public comments? No, we're not done. You have Yeah, I have a public comment. Um I understand through Leah that there's a couple groups that are doing mobile outreach programs for the homeless in Eureka and um it seems to me that mental health is probably the best organization suited for doing outreach programs because they offer medication management and The outreach programs that are existing tend to be kind of buddy buddy systems that kind of go around the homeless person and find out that they probably don't want to be there but they have no other place to go and that kind of around the options. But um the um mental health could take action in really helping the homeless people to take medication. And um I I really do think through my experience with mental health that medications are really a good answer to mental health crisis and what people are going through. So, I'm hoping that we can really have a discussion about how mental health can possibly work in conjunction with these 12 programs to get the homeless off the streets

and get them in a healthy place. That's it. Thank you. else in the room moving to online to to Zoom. Does is there any public comments? All right. Hearing none, we will move on to action items. And everyone's read the uh minutes from 327 meeting. Anyone want to make a motion? Move. I'll second that motion. All right. Uh, all in favor of approving those minutes say I. I. Opposed. Stand a sides. All right. Those minutes are approved. And with that, it is time. The moment you've all been waiting for. Behavioral Health Racist Triage Center presentation. Not sure who's starting. Connie, are you starting? Or Nancy? Um, or Emmy, do you want to start? We We didn't We didn't prehearse. I I'm happy to start, but uh but I did want to know if Emmy wanted to set the stage. Well, I didn't prepare anything to set the stage, but I will just underline what you said, Connie, which is this is a pretty incredible partnership between you and and uh County Behavioral Health and Mad River Community Hospital and St. Joe's is Providence is supporting as well as as well as others. So, I feel um pretty excited and I'm glad you're going to share the details with this group. So, thank you for that. Oh, wonderful.

So, so um and and thank you for um having me at this event and I mean at this meeting and I'm happy, let me just say I'm happy to come back anytime um and um give you updates on what's happening with this amazing project. Um many of you might remember and actually our last speaker kind of talked about um you know ending up at the emergency room um with with acute challenges and uh being strapped to a gurnie and having other issues happen. Um and um so the community, the hospitals were concerned and um and wondering like how do we apologize for my language, but this is what people were saying. How do we get people out of the emergency room? And um a group of us c including the county realized that was the wrong question to ask. The right question was how do we address families in crisis um who are having acute care crisis um and treat them with dignity? And once we asked that question um the answer became clear that we needed to create a a center where there were where people could be triaged and treated with respect and and and treated. Nancy, you want to turn to the next slide? So, um, the response to that was everyone leaned in. Um, Mad River Hospital stepped up to the plate and agreed to provide land for the creation of the behavioral tri crisis triage center. The county agreed to put up $2.6 $6 million in match money and we went after a state grant from the behavioral

health continuum. Nancy, help me out. Infrastructure behavioral health continuum infrastructure program. Infrastructure program. Thank you. I knew I was missing my eye there. So, um, so, um, BHCIP, um, and, uh, we were able to get about 12.4 $4 million um from them. Um and then uh Providence St. Joe has um agreed to help with a $2 million donation. And then we have a private foundation that has given us uh $2.5 million. And Senator Maguire has also helped by giving us some money in the budget. And so he's given us $500,000. And very soon there'll be some advocacy work to do because the city of Arcada is considering writing a grant on our behalf. Um and they and that will be coming up in the next couple of um a couple of months. Um so the um so um a group of us went down to Orange County to see a project called Be Well. And Be Well is a single building that has a triage center in it. Um and we all all were very excited about what we saw there. Um and put together this partnership. Um and so um currently the plan for the building is about 2100 square ft um and it will serve children, youth, adults um and provide a calm uh place for confidentiality, compassion and it will treat people um and all individuals with dignity. It will also be an amazing place for workforce um and um we're hoping it will it will be a soothing place for people who are

working um helping those of us who are having crises in our community. So um Nancy I think um I think uh that's enough for this slide unless I'm missing anything. Let's go to the next slide. Um so um you know the goal of this facility is that families in crisis will see receive prompt care. Um and um the space is designed to provide uh space for both substance use disorder issues and mental health or um um disorder I mean mental health recovery. It's also um designed um for both um res I mean we'll have residential spaces in there as well as um a crisis stabilization unit and a sobering center. So the idea will be that you will you know there will be multiple ways of seeking treatment and then our goal will be to work with clients to make sure that they are transition seamlessly to outpatient care um so that there's not a cycle of um them um not getting support um on on their journeys. Um so um you know here are some of our guiding principles. You know as I've said repeatedly and can't be say enough. A safe confidential healing place for both youth and adults. A place where uh workforce can have a team-based approach with our clients. A place that's connected to nature. And I'll I'll just pause and tell you this story. when um the foundation came up um to to determine um whether they were going to support

the project or not and we walked them on site. It was unbelievable. A rainbow appeared right right on the site. So um so when I say uh connection to nature, it was just incredible to have this rainbow appear right as the foundation was visiting and the foundation was like that's a sign we need to give money to this project. Um um so um you know we will we will be able to also treat people um you know with cultural humility. The site is located directly next to United Indian Health Services. Um it you know it will be designed as a client centered place. Um and um you know it will have a continuity of care including a sobering center, a crisis stabilization and residential care and then that connection to outpatient which we know is so critical. So, um, have I covered everything on this? Yeah, let's go to the next slide. We'll get you closer to pictures. Um, I think I've even covered all of this. So, that but let's go into a little bit of detail. So, we'll have um eight crisis stabilization um beds for adults or chairs, I should say, for adult for for folks and we'll have four crisis stabilization for children and youth. uh 10 recliners for the sobering center and um 19 crisis residential beds uh for for crisis residential and for dual diagnosis there. Yes. Yes, absolutely. These slides will be sent out and I uh Kelsey, if you would like me to do a presentation in front of HC Tacy, I

would love to. Um um I really um HC Tacy had a meeting with us before we applied for the grant and it I can't tell you how valuable that input was to the design and our thoughts around this building. Um you can skip this slide. I think you all know where Mad River Hospital is. Um so let's go to the next slide. So if you are familiar with land uh with Mad River Hospital, this slide I mean this building will be placed in the corner of the the the place um away from the residents across the street and right next to the horses the in the next uh who are on the next property over the fence. So, um, and then, uh, this we I now I'm like, why did we leave the slide just site circulation? We just want you to know we're thoughtfully considering how pedestrians can get to this corner and how people can drive uh directly to this corner of the facility. So, we will be doing some rerouting um so that folks um can find the facility and also safely get there whether they're walking, biking or whatever mode of transportation they're taking to the site. Uh there is also bus stops right outside in front of the site as well. So, so um the site is being designed to take inpatient. So, you can you or your family member can bring you into the site um or you know we unfortunately if someone has to bring you there as well, there'll be the ability to do that. And I'll show you one of the things I'm most proud of soon um about this site. So, uh, here's a

little bit more about how we considered the site. And actually, um, you know, we have a wonderful architect. We hired the same architect that built the or that designed the B Wells uh, building that we went to in Orange County. And um, and she came to us immediately when we thought we could put the building a certain direction. And she was like, uh, no, because the views, I need to consider the views in this building. And so, um, she asked Mad River to, um, agree to move some facilities in order to be able to best site this building. And to Mad Rivers's credit, they're willing to move those buildings um, a and provide uh, this ideal space for us. So, um, next slide. Here's uh some detail and I will uh you know as I said I will send you the slides so you can study um this in more in more detail. There is a there are a couple of little minor errors. So consider this a draft slide deck but um I think it's close enough to um to be able to share it with folks. But it um it'll show you under this um all of the space allocation. As you can see, there's a lot of residential space compared to some of the other spaces. We've we've made those residential areas very very um uh very very thoughtfully designed them. So there's living rooms and other areas for so it's not just like you're in a your room, right? you you can come out and socialize if you want to or you can go into your room if you want to. So, it's sort of like an apartment almost. Um the the residential areas there. It was um when we went down to be well, it was

something that struck us all how um how um how much dignity was put into the residential spaces. Um so next um here are all as I as I mentioned you know um we we really worked with the architect about like how should we design this building. So on the left side are some of all of the different kooky um arrangements we made before we all said you know what let's just make this building so the residential side has its own wing um and you know and and then um and you sort of progress through the building. Um, next slide. Unless unless Nancy you want to say anything else about that or that, we'll get to the pictures of the actual building. Um, which uh we're starting to give you a little hint. And this is like what potentially the um the building could look like. It will have its own parking spaces on the Mad River complex. And um and uh this is our dream with solar panels and everything so it can be a green building. Um so uh next slide and uh here's uh and and like I said I apologize because I know the these pictures are smaller but here is the thought that went into the um floor plan. And um when you get the slides and actually can go through them um you'll see that you know we have a lot of confidential spaces um put throughout the building. A lot of places where you can go in um and have one-on-one meetings with staffers um you know there's public spaces too.

So if your family wants to come in a and and they will be treated with dignity too while you're while while while while a client is being um being um helped as well. There's spaces for their families too as well. So, um, and there are showers and laundry rooms and, um, and other, um, facilities built in, little kitchenets and and, um, all sorts of places. There's also, um, and you'll see it in the next picture really well, this bay um, on the left hand side, and that's um, for privacy. And Nancy, why don't you go to the next picture so um we can show kind of the on this slide if you excuse me in this slide do I just wanted to point out that there was a lot of thought given to having um a separate CSU crisis stabilization unit for children and adolesccents and really what does that look like for the child or youth and the family members who might bring a child or youth to the crisis stabilization unit and really what does that look like from a regulatory p perspective of really having that separate space. Um so that that's the point I that's the one thing I wanted to point out here. We'll move on to the next slide. Oh well I was going to say since you said that let let's pause for a second and I mean we spent months on this this so I shouldn't just brush over it. um you know each um each of the crisis stabilization um areas has um a an outside space as well. So um clients while they're sitting down, they can also, you know, go to the outside. There will be lockers for people to put their spaces. We recognize

people may show up with shopping carts. So, we've thought about where people can park shopping carts while they're seeking um aid, too. Um and um and so um you know, and then we also designed staff lounges um for you know, so staff can get some respit too if they need to have a moment or or um that. So, um, so anyway, um, we're we're very excited about, um, about, you know, having this patient area, residential area, and a and, um, outdoor area, um, all in one building. So, let's go to the next slide. I'm trying. It's not advancing very well. It's It's okay because it wouldn't have been working for me either. So, I'm I'm glad to see someone else suffering with the next live issue here. So, hold on. One second. I'm trying. and if you don't I can try to take over too. Yeah, I can I can do it if you want me to. Okay. Oh, request sent. Okay. Share screen. Sorry, it's just not advancing for some reason. Okay. I am going to this screen and I'm hitting

share and I am then making this bigger and I am going to present mode. And now I have to go toggle up. Okay, not that far up. So, hold on. Let's technology issues. Here we are. We're going to get there. Didn't realize I was going to end up having to go back to the beginning, but we we're getting there. Nice summary. Okay, this slide was worth the wait. Here is our inspiration board for um what the um our architects were looking at. So you as you can see they were thinking about materials that are in nature up here. Um thinking about windows and light a lot and and you know the fact that we were near water. So this was their inspiration for designing and this is just a draft rendering um there you know as we're and believe me there's there's going to be a lot of opportunities to help um in in the next phase but this is just the initial here's what we want to start showing the community so that they can comment and reflect Um so um I'm going to start with the um with the bays like unfortunately we can't afford two. So so one is going to disappear but the idea is to have a bay where um if let's say you're in

crisis and you're not coming of your own will like you need to come to the sobering center. Um the idea was not to have um you coming in where everyone can see you, right? So you can come into this bay and be treated with respect and then go directly into the sobering center um without um you if any of you have been in the emergency room lately kind of this hi we're all here and we're all in crisis you know um attitude. Um, we, you know, like I said, we're interested in treating people with dignity here. So, um, and as you, if you, if I scroll back to the floor plan, um, you know, the you start with the sobering center and then you go into the crisis stabilization centers and then the residential center is on the right side. Um, so that is that is our thought process. It's kind of a journey through the building. I'm done. Any questions, comments, thoughts, please share. Start over there. I have Oh, no. You can go. You can go. Right there. Um, when the youth are in the crisis stabilization unit, I'm assuming there's still a 24-hour limit. Is that correct? So, if they need a longer hospitalization, would they still go out of county for treatment? Paul, do you want to answer that? Yeah. Well, hopefully, um, we'll get funded for a new SB. when we have a new SB, we're designing that to have the capability to accept and treat minors on

separate virus so we could treat them locally. Okay. But until then, yeah, we would need to send them out for for additional higher level repair. And would it be similar to like how it is now with the emergency departments where they would stay until they find a bed? So, they would go over the 24 hours if needed. Yes. Okay. Thank you. We're also looking forward to Sorell Leaf coming online for the crisis residential for adolescence. All right, we're going to go we're coming around the table here, Raphael and then Bob. Yeah, I have a question regarding the sobering stations. Um, is there going to be um MAT services provided there? Um, is there going to be are we going to be doing cows and seaw wall? Um, is there going I I just have a lot of questions about the sobering station. I just if there's uh because right now Mad River does not do any MAT is they they put people in cabs and send them to us. So I'm just wondering who is going to be heading the BT component. Um, I'm waiting for Paul to answer that question, but I will just say that Mad River is has um provided the land. They will not be running the facility. So, um the count that's when we talked about the partnership, the county will um will ultimately be deciding um on services and the service provider in this building. I can just add I mean we'll be contracting out first. That's the intent of the county role and so we'll be working with contractors to provide services and talking about what those might look like. Got it. Awesome. the program been developed yet. Right. Not

at all. But just like the the skeleton of these are the types of services and beds. Yeah. Thank you so much. Thank you. Yeah. And I and I like like I said earlier there is don't think this is I I we wanted we want to come often and early to talk to you all because there's still a lot to design with this um and still a lot of flexibility um and so you you know what kind of services what they look like how they are carried out there we'll be seeking a lot of consultation on that um and I'm really glad to See Connie back. Hi Connie. And hi Paul. Well, do we have a projected I know it's early in all this, but a projected date for opening. Um I we well we have told the state that we hope at the end of 2027. Um we still have more money to raise. So, um, but we are doing really well. As you heard, we've gotten almost 21 million. So, 20.4 million, I think, as some of NY's last count. So, so we're we're we're raising money fast. Um, I think we're um conservatively 4 million short. So, um, and I think I know where 1 million of the four million is coming from. So, I'm feeling pretty good about how fast we're raising money, but um the goal is the end of 2027. I know that sounds that sounds so far away for our need. I know that, but um it's pretty fast in building time. Another question here, Vernon. Uh yes,

ma'am. Is there any positions available uh for peer coaches or peer support specialists? I I think again Vernon that will be part of what we determine through the contracting process so that whoever we're contracting with they will present how they propose to run the services or the programs there and that that concern be brought beyond at that time. Sure. Yeah. Yes. Thank you. One of the things that I think is important is the the programming is such a moving target because like sobering centers there wasn't an ability to claim for sobering centers in the past and now there is there there is a funding mechanism through PAL which we didn't have before. Um and and we haven't even researched what that looks like. what what does that look like now for sobering centers throughout right through throughout the country? We just have no idea. So, um, we've been scrambling to figure out the building. And I wasn't sure, Connie, it did you mention the architect and their experience in Yes. in building these type of buildings because I think that that was really helpful for us because we would say, "Oh, we want these things." And they would say, "This is kind of how we've done it in the past." And if we said something that was totally offthe-wall, they would say, "That's really you're really off the wall." They were really good about that. So, super helpful. Yeah. And I and I talked to Connie a little bit about how they um how we had to go to Doug and um ask him if we could move one of his buildings or two of his buildings actually to because of the space and the view issues um for for ideal space. So, we were we're really grateful to have knowledgeable architects on this journey with us. uh

they specialize in building buildings like this. Yeah, for sure. Um I'll just add that just to the question about what will programming look like, we'll really look to the experts in the areas and I want to just flag that Dr. Bayan was part of our initial look at Bwell. And so, you know, we all have so much confidence in her that I think that um whoever we end up contracting with will get to bring those innovative ideas, unique approaches to how we do this work. Let's go to questions online. Kelsey, um I'll go to Joe first. first. They had their hand up first and then Dana. Okay. Hey, I was wondering a few things. One, do we know if the staff who are going to be at the center are going to be trained in how to address specific minority groups that come to the center? Well, um, oh, I was going to say I I can let Emmy um, answer that question, but let me also just say at CalPoly Humboldt, um, you know, our, um, our social work programs and behavioral health programs have cultural humility built into them. So uh we are and we are increasing even for nursing um our um education pathway in cultural humility. Um so um you know I want you to know that you you know and I'm going to let Amy talk to that but I want you to know Calpaly is dedicated to trying to teach those skills better as well. Yeah. I mean, I would say again, we're contracting out for these services, but our our values are how we engage with

contractors, right? And how so we'll put out RFPs, we'll be engaging with contractors to find somebody who's a good fit, but always conveying our own values around equity, that work, and ensuring that the culture that we're talking about here is being promoted and supported. Okay. I want to emphasize that there is a very large increase in transgender individuals seeking um urgent mental health support because of a lot of the laws and regulations that are currently being passed. And there are a lot of free trainings available that HTTC provides and Clear Humble provides. And if possible, I would like that to kind of be something that the staff are trained on, especially with the current political environment. Also, I was wondering if there's anything specifically to try to help ensure that you will be able to staff this program due to the national mental health um field staffing shortage. Um let me just say that there is an another initiative which we are working on about be specifically about behavioral health workforce. Um and we have hired a consultant to help us uh better understand how many uh clinicians we're going to need in the future. Um and also um both Calpaly Humble and College of the Redwoods have been having discussions about um health and mental health workforce. Um and one of the projects and I'm happy to come talk to you about that project as well is the health care hub. Um and Calpaly Humbult and CR will be creating a healthc care workforce training center in Arcada. so

we can consolidate and uh better coordinate health care um education needs in the region. So there is an entire init there are entire initiatives and also um we have an additional grant the K16 grant uh to create creating health pathways in our high schools um to encourage uh youth to go into healthc care um fields. Um, Kalpali is about to announce um dual D um dual enrollment opportunities for high school students and um to get a jump on college as well and also we're working on dual um enrollment for CR and Calpaly as well. So, I I mean I I I know I'm here supposed to be talking about the behavioral health thing, but I do want you to understand we know we have a workforce uh shortage in our region and we are also all hands on deck working on that as well. Awesome. I was just wondering because I know that's a problem a lot of programs are facing currently. Exactly. and and um Nancy um maybe we can share that h that pathways career pathways map with um that we just have created um um that we're working on um to better educate um youth about their opportunities in healthcare and what the journey and the pathway would be to uh to becoming uh um having a healthcare career. Okay, I'll pass it back to Kelsey. Thanks, Joe. Um, I just was going to say there's a lot of details that, um, I think we all have a lot of thoughts about. Um, so I just wanted to know what is the process going to look like for getting input from community members and

young people and, um, everyone. Kelsey, I am going to, if you don't mind, um, I have ideas on the process, but more importantly, you have ideas on the process, I'm sure. And really, honestly, um, it, you know, um, we are going to try to take community engagement very seriously. We have time. So, um, you please help me. I mean I know a few pl I mean I do know I'm going to call HC Tacy but you will know other places where I should be doing presentations or we should be having workshops and t you know where we can put a big plan in front of us and talk about it. Um I am happy to by Zoom or you know when I'm in town in person appear anywhere to talk about this pro um thing. I want as much input from um from folks as I we can get as we move forward. That's great to hear. Thank you so much. I look forward to getting an email so we can brainstorm on on some things. Absolutely. Thank you so much, Dana. Looks like your hands raised. Yes. I just I I have a comment. I just want to say that you have a beautiful, beautiful vision and I appreciate what you're doing. I'm super super excited and I just want to tell you congratulations on what you're doing. It is absolutely amazing. I'm I'm believing that Raphael and I are going to be right behind you. But I'm so excited for you and it it's a beautiful vision and you've did incredible work. So, I just wanted to say congratulations. Thank Thank you. Well, first of all, and I just want to I mean reiterate all of the partnership between the county and Mad River and and St.

Joe's, you know, $2 million from St. Joe's. So, you know, when you see people Thank I mean, that took a lot of folks um to come up with this vision. AC Tacy, like I said, that was a critical meeting we had early on with HC Tacy on on designing the building. Um and you know every time we come in front of this board too you guys have such uh important things to say. Um I feel very honored um to be a cheerleader for this kind of work in our community and um am I get very emotional that um I have had the blessing to be trusted to to work on these things um in the community. So I thank you. I thank you for acknowledging that, but thank you all because really I feel like I just am your cheerleader and I you know and that's uh that's what I'd like to be able to do for the next few years and until we finish this project. Well, you're you're very very humble and and the fact that you have Mad River willing to to move buildings is it it says says a lot about what you've what you've been able to accomplish. But it when you Yeah. When you see if you ever see Doug Shaw or anyone who works at Mad River, I mean, you would not believe um how kind and generous they have been. Um um I'm just amazed at every day when I talk to him about how much um how committed he is to this building. Thank you. Thank you. Another question. Oh, so I got a couple questions. I think Gabriel had a question online earlier, though. I want to make sure people got a chance to ask. Gabriel, are you there? Do you have a question?

I think it it got answered. I Yeah, I messaged him about it, but I think it got answered already. Thank you. Okay, great. Um, so my questions I I think I heard you say that the trash center would be 2100 square feet. On the slide it said 21,000 square feet. 21,000. Sorry. I tend to drop a zero every now and then. Or add one or add one. Huh. Okay, great. Um, and then I'm also wanting to clarify. So I heard us talking about having um two separate CSUs. So, just to clarify, are young people going to be in a CSU, a crisis stabilization unit that is separate from adults at all times? Yes. Okay. Yes. State law requires that. Yeah. Thanks. I have a question. Um, how would transport by the client be taken care of? uh will that be done through the cops or is there a c certain program for getting the clients to the PSU unit? I I think that there people can be brought there are lots of different ways. So it could certainly they could be brought by law enforcement, they could be brought by family, they could be brought by themselves. Um I don't know, Paul, do you want to add to that? Yeah. No, I would agree. So there's multiple ways. is I mean our crisis teams can transport. I mean law enforcement can transport but that might not be the best solution. Um EMS could even transport. So there's lots of options and we'll definitely when we're putting these things out to bid be those into the the request that they're are able to provide some kind of transportation. Well, I found that um transportation is extremely important

for somebody in crisis and um realistically it'd be great if there was some sort of dial around or something that went to well the the mobile crisis teams are are active not 247 yet. I don't know why I'm speaking for you but maybe you can speak to that. So I know you mentioned the mobile crisis teams, but they anybody can call and Y right. Yeah. And they can transport if it's safe to do so. So the person's willing to go, they can that there is some conversation and we'll have some negotiations I know with with different cities depending on where folks are coming from because discharge back to folks's own community is going to be really important. So those kind of conversations still need to be happened and happen happening and worked out before you know we open facilities because I know that th those are concerns that were brought up by city of Arcada, right? And and um you know if someone's having to come from all the way from Garberville, how do they get back to their home if they're if they're transported by law enforcement or others? So there's a lot of conversation that still needs to be had around um the programming piece and discharge is really important too, right? We want everyone to have a a very positive experience. If it's ever SGD related, would I have the money in my budget to help public with transportation with city cap? Yeah, they don't have to they don't have to be a patient, but if it's STD related, if they need to go to clinic or if they need if they need to come to town and they need to get back to Garberville or they need to get back to Hoopa, we can certainly Yeah, that's actually very helpful. Yeah, thank you for sharing that. But it has to be SD related.

Yeah, I was going to say that's helpful. Very helpful. Um, I got a few more questions. I'm wondering if, um, you can talk a bit about what the intake process might look like. I'm especially curious, um, if people will be able to, um, voluntarily come into the center, if people will be able to self-reer rather than getting a referral through a psychiatrist, for instance. Yeah, I think the I mean the the Sobering Center I mean there's kind of a flow to this too. So people can go in at at any point. They can they can go into the sobering center. They can go into the c one of the CSUs or into one of the residential uh facilities. So they can you know they can go into whichever level of care that they might qualify for or need. So I think that um you know it's really and each one of those will have their own unique uh intake process. So of course uh you know the silver eines would look really different with an intake compared to the residential but each of those programs will have protocols around intake and same with discharge and care. We know that it's so important to have warm handoff to to the next level of care. So there'll be warm handoffs at every opportunity we have to do that. So we'll definitely be um working that into the RFPs for each of those providers, whoever they may be as important elements to consider. Yeah. So I have a couple I know um a several folks my age who sometimes have difficulty wanting to get um treatment but not being able to burn. I'm curious if like that's something I can do for each of these individual programs to show up and say, "Okay, I think I need residential treatment or Yes. totally."

Yes. Cool. Um I'm also curious what is the length of stay on the crisis residential side? Uh typically crisis res is 30 days. Um there are some allowances for over so we're looking at anywhere from 30 to 90 days in any of the residential sites. Um the last question for now is um so I've been at facilities where um as we heard earlier today restraints were used or where sedatives such as holl are used. I'm curious if um those are things that will be practiced in any of the programs at the center. Yeah that I'm not sure about that level of detail at this point. I'm not I can't answer that for this. I mean these these levels of care are very different than seervirons. So a separates is very acute. So I would classify these as subacute crisis. I mean they could be needing acute care um and and they could certainly transfer from the triage center to providers. Thank you. Are there any any other questions? Certainly seems to me like um this group might want to consider doing a ad hoc recommendations or research. This is early mid 25 and end of 27. we have some time, but seems like we might consider doing that if anybody's interested in doing that.

I have one more question. Um, is there going to be room for peer advocacy? Um, I think it's too early. It seems like definitely that would be something that would be recommended. Is that what you were asking? That's what I was asking. Yeah. Oh, yeah. I I would say that the there is a a real push in the throughout the state around an emphasis around having peers as a integral part of mental health behavior health systems. Right. So I I would be surprised if there wasn't uh some element of peer support or a peer coach level of positions and involvement in each of these programs. But it has to be a assigned employment um position. I mean maybe maybe not. I mean we have volunteers come up and provide some uh services on cyber virus. Oh. So I imagine that that's an an option but that would be a program byprogram decision. Yeah. I guess if you think of questions or or that you have, would it be okay to email those to Joe and then those could maybe be forwarded to you, Con Bonnie, or Yeah, I would I would I would recommend that um that they go to Joe first and then to the county to to first to make sure they're not there. I I can only answer questions about the building and the money. um all the the other questions about programming need to go to the county. So um so I that would just be my thing would be why don't you internally ask them first and then if if you need to come to me um I'll answer

and just a reminder that none of the program questions have been decided. Yeah. Yes. I have a thought if if we can maybe add it to number 10 as an unfinished business item so we can get updates each month that or have opportunity to ask questions. Would that be all right with folks? Yep, that sounds all right. Well, thank you so much, Honey Stewart and Nancy. Thank you. Thanks for having me. appreciate all of your your hard work you guys. Thank you. Tony, before you go, I would just like to say I just want to acknowledge you and the work that you've done in this process because I don't believe that we would be here without you being there to pull us all together and to work on the collaboration between all of the entities. Um, I know we wouldn't have the amount of money that we that we have currently because of all of the work that you did there, but I was just sitting here thinking about you keeping us on task when we were down at Be Well, visiting the center and the work that you required us to do. it would make us stay focused for hours putting together all all of the things so that we could write the the application. So, um really great job to you and Nancy and Paul. I know that there's just been a ton of work that's gone into this and and I just appreciate it so much. Well, and and

thank you to the to you, Connie, and uh and also thank the board of supervisors. I mean, they voted unanimously to allow us to move forward on this project. Um, and and and put up to I mean, the budget wasn't that much better than it was now when they found the matching money in cash. And I don't I honestly think if they hadn't come up with that match in cash, we would have not gotten the grant because um so many people who tried to do an inind match um did not get it. So um you know I I if you see the board um they were just wonderful too and and and your CEO too. So everybody's helped. Thank you all. Take care. I know you have a busy agenda. Take care. Exciting. Communications. This is the time when the behavioral health board members can What about number seven? Oh. Oh, gee. Actually, inadvertently. Thanks, Kelly. Why don't you? So, we're going to be uh electing officers in May. Was that like a Freudian slip or something? Probably. And so, this would be the time we um make nominations or if anybody would like to nominate themselves, that's okay. What are the officer positions? So, the officer positions are chair, but I am right now. first vice chair and second vice chair. At this time,

um Sean Burgerer has said that he would accept a nomination for second vice chair. Ellie Johnson has said she would accept a nomination of vice chair and said I would accept the nomination to stay as chair. Woohoo! Done. Right next to I will every every time. So, is there anybody that wants to make another nomination or say no, we don't want Laura anymore or anything like that? I have a question though. Your term's not over yet, right? No, not Okay. I nominate to keep you as chair. I nominate you to be second by you. You to be second vice and you to be first. I'm not sure if that's how that works. So you got to help him do someone else from someone. I'm nominating Laura to remain in the chair position. Okay. And I'm nominating Sean to be second vice chair. I nominate you. Yes. I'm nominating Kelly to be first. I'm going to leave. Somebody's got a second. Okay. No, I don't. Are there any other open positions within is there anyone else that wants to put in for one of those positions? So those are the only two just for clarification those are the only two positions that are are up for nomination is the the chair and vice chair.

Correct. Chair Vice and second and second by and any board member can nominate any other board member. Correct. Sorry. I nominate Laura to stay in her position and Kelly to be second. Okay. So, we have the nominations and and you'll do the seconds for all those. Cool. All right. So, we will vote in May. Okay. Oh, you don't vote this time? It's just discussion at this point. So, did you do want to campaign? Bring a sign to bring posters. All right. I think that's all we need, right? Now, it's time for communications. We're gonna start on that side and I need to use the restroom. So, Kelly, will you in practicing for your second vice chair? Um, yes, I do have communications. Uh, we're going to be doing um tableling this year. I do have materials from last year. Uh would anyone have county staff have anything new to add this year uh to these brochures or flyers? I have DHHS crisis services, crisis continuum care, behavioral health general information, concerns and grievances and behavioral health program contract contact information and adult outpatient adult symptoms.

Do you have the QR code? I do not, but yes, I do. Oh, you do? Yeah. Thank you. So if they update the forms, they'll be updated on my website. Oh, okay. Never mind. Thank you. And here show me the form, please. You see, they'll put a date. So when you look on the website, you can see if there's something one or not. Okay. All right. I just want to have all information to get to the community. That's great. Thank you. Thank you. Would you like me to have Jamie or or Laurel take a look at all of what you have there and and provide an updated Laura Laurel Johnson was kind enough to give me the information last year. Yeah. Uh and I that would be nice this year if if she could look through all of what you have been provided and then we can go from there. She just walked out of the room, so I'm giving her a job while she's gone. She Yes, Laurel. Yes, Laurel. She was in here. She was here and she also just walked out. They both did. Oh, I wasn't. I'm sorry. No, that's really good. But yes, she can help you. Okay. Make sure you got all the documents. Sounds great. Uh, becoming brave has been finalized. Uh that will be uh we have brochures out wire out on the table. Um that was also sent out graciously by Joe McManis our secretary. Um that will be May 31st and 1st that is a Saturday and Sunday. There is 15 spots 13 spots available but that does not include dignitaries. That would

mean, you know, director Beck, director Rogers, any of the deputy directors are more than welcome to be there. There's spaces there available or spots available for them also. Um, so I believe that's it. Thank you. Great work. We're in on getting that becoming brave training. I'm planning to participate. I'm really really excited about it. Yes, I this is a long time coming, so I'm very thankful for this. I'm thankful for Arcade the House partnership of standing standing standing against stigma working together collaborating in Hut County. Uh and I'm just thankful that he's able to come up from Shasta County. Great. Thanks. So I just want to report out on the crisis intervention team CP training that we held last week. We had 35 graduates. About a third of the class was from Eureka Police Department, another third from Euro Rock Tribe, including one officer, but the rest were like wellness court and social services staff. We had two board members, Raphael and Danette, um, sit or participate in the full 40hour course. We had our our chair was nominated and won the responder of the year award. I like to read what the nominator wrote about her. So I think it's super relevant to this work that she says here as well. So Laura's level of commitment to CIT appears to be inexhaustible. When Laura sees a problem, she goes after it, looking for solutions, putting in the work, and making things happen wherever she goes. Laura is always the first to be willing to help, get involved, and push for solutions. Laura's efforts in CIT and in

all aspects of local mental health services are felt and deserve. So I had to keep the nomination secret from the whole steering committee because I just wanted to know and I just you know Laura was my by my side through the whole training and support so much with putting it on and um although I'm the lead facilitator and coordinator. It takes a lot of folks to um put it on and DHS has been a big support with CIT as well. And so I um yeah, I'm excited to see kind of how it is. I feel like it was probably our I always say this, I feel like it was our most successful training thus far. And I don't know, Raphael, if you want to contribute anything or Yeah, absolutely. I I I was I was really happy to report in my uh to my team that I think um this training should um be made available to everyone no matter what your level of training. Um it certainly gave me a much um higher respect for law enforcement. Um but I also learned a lot of things that I just, you know, didn't know and um just hearing so many stories of, you know, everyone's lived experiences too. But I think it was it was wonderful. I was very impressed. It was awesome. So, thank you so much for putting that on. Thank you. And I I can't believe I forgot this one. This one was also by my side the entire NAMI is a huge part of CIT and I recently joined the NAMI board, which has been really cool because we've been working together on grants to get NAMI members to attend the CIT international conference and to become trained as CIP coordinators. So we're really looking at like how we can continue expanding and secession planning so it's not just one agency that's responsible for CIT moving forward.

So I think all the years that PHS kind of led CIT it was too insular, right? And so I think we've done such a good job of like branching it out and getting buy in from all the partners that are we're continuing to bring in new partners as well. So, thank you to everybody that attended and supported presented and um that's all. Can I do communication real quick? It's for the behavioral health. It's just the board doing communication. We're just on a time crunch a little bit. I just wanted to say I'll be on Cayman radio May 9th 8 to 9 call and show. Thanks Margarit. Yeah. Um, this is I think a question for Paul and Amy and Connie more. I've been getting uh through community contacts I've had a lot of questions about what concerns specifically for our county. We are with the trickle down of various uh things that are happening at the federal level. things like big employment cuts in DHS, um the doing away of the Department of Education, those kind of things. And uh since I'm not directly working with the county right now, I don't know how to respond to those things. I even had a call from my pastor the other day saying, "Gee, you know, I have people coming in to asking about services, etc." And and uh the other one is social security. So, I realize we're really in a big time of flex right now and we probably don't know all the answers to that, but um I was hoping that maybe at our future meetings as things become

clearer about that that maybe during the county employees parts of the report, they could really share that so that people won't be anxious about things they don't have to be anxious about. I do tell people that a lot of funding comes from state and local and you know like that too. But still in our two behavioral health fields um SGD and mental health a lot comes from up above and a lot has to be processed from up above. So, um, you know, I'm just expressing my concern and letting you know that those questions are coming out to just ordinary community members who like know that I'm on the board and I don't quite know what to say. We can we used to have a legislative uh update on the agenda and I'm not sure if that would be a good thing to bring back. I don't know. So, I'm gonna put that as a possible agenda item. Thanks, Bob. Did you have any updates? I do. On the May 17th of next month here, Nation's finest is having a game of throws. Um, I'll give this to Joe the Droier for you. But it's $60 per team at the event and it's in the fair. No, it's in fortunes at the memorial building that we're good at that make the team proud. Thanks. I'm gonna save mine for the ST committee update. Okay. Um, all right. I've got some T updates. So, in um May, we'll be doing some events for May is mental health matters

month. So, every Wednesday at our drop in center at 43 Street, we will be doing t-shirt making. This is in preparation for the mental health walk center is putting on um later this month. So, um you can check on the calendar that was brought to this meeting. Um our lead peer coach uh Jessica at the T division will be having a mental health hike on Friday for young people ages 16 to 26. Um so you can come and contact if anyone in my agency is interested in signing up they'll be going out to trillion balls and going for mental health. Um, I'll also shout out that um that public health in collaboration with the two spirit and LGBTQI plus oversight body um they are putting on a clearing mental health youth summit at Humble County Office of Education at the Squire Conference Center on um Saturday May 31st. Um Kelsey is a good person to contact for more information about that, but just wanted to shout that out as a learning opportunity um for supporting mental health of trans, queer, or two spirit youth in our community. Um I also have a reflection. I'm not sure how to make this actionable yet, but um just listening to the public comments from last meeting and this evening, I've been reflecting on how the behavioral health board in the past has done public hearings around um county behavioral health services to get community feedback. I've been thinking about um feedback about the treatment that someone received earlier that they mentioned at St. Joseph's. And so I've been sort of reflecting on whether thinking about this award as being an adviser body to the board of advisors, wondering if there's anything that we could do sort of support that relationship building, support that feedback, getting back um I don't know, trying to think about what we can do um within sort of our role of advisory body and also sort of as our county to maybe address some of these concerns. Um

because I would really love for people to be getting be kind of cheap and be able to get that out there. And I'll also add something else um that um some of our young people um and myself and potentially some peer coaches are going to be participating in a training for um lawyers and judges and some folks from probation. um in May and that's going to be around um how to better support to spirit and LGBTQIA young people um when they're representing them. Um so we're excited about um them being able to share some information. Also, Queer Humble is going to be part of that uh training as well. Awesome. Is there any board member online? Oh, okay. Um, guess we will go on to DHHS director reports. Um, based on what Margaret was saying, I think I'll talk a little bit about the budget. Um, we are I'm doing a presentation for our budget for next year on May 5th to the board of supervisors. Um in that we will be talking about um the number of positions we've re reduced and and some of the services that have been reduced based on what our current state was and then just preparing for um other things that might come up. Uh we don't have a lot of information about what's going to happen in the budget and we probably

won't for a while. There's the state budget, the May revise comes out in May about the first week in May. will hear a little on the May revise, but that doesn't take an and the state is 60 billion dollar short or something in the state. And then that doesn't take into consideration any cuts that come from the federal government, which could be between June and November. And if Nancy is still on here, I would just say, Nancy, if you have anything to add here, please do. Um, we are are watching everything that's happening. And, um, to say that I don't have anxiety about it would be like I would be not telling you the truth. Um, I think that we are all in the same way. just uh trying to move forward with the good work that we do knowing that there may be some roll backs of some of the services or andor work that we do. We may have to do it differently. Um, I don't even I can't even commit to what that might look like because I just have no idea with all of the chaos going on what's actually going to stick because it feels like they're like lobbying. There's there's a lot of lobbying going on, but whether it sticks or not is still really unclear. Um, I I do want to say, you know, I I think that and some folks say, "Oh, it's all going to be okay." I think that it's

not all going to be okay. But I I a and I think that some of us will figure out how to make it through and try to do the best we can in the work that we do to provide support to our community because that's that's what we do here. Um, and we're going to continue to do that. Um, but I to to say nothing's going to happen or everything's going to be all right. I I can't I can't say that. But I do know that we have a lot of experts in our field that will continue to try to support the community as as much as we can. Uh in addition to that, uh do you want me to say my update around navigation center? No, that's later unless you're leaving. Okay. Um and then I was going to respond to somebody else's something. Oh, Kelly mentioned CIT, and I would just like to add to that that um uh the under sheriff and the sheriff were at the community corrections partnership meeting this last week and was asking about possible training dollars or some type of one-time dollars to pay for staff time to be at CIT because they're struggling with budget issues. Also, We should know. So I mean I'm I'm talking about salary time. Yeah. It's there's a mechanism for law enforcement agencies to Would you let me? That would be really great. Yeah. Um because they were noting how difficult

it is for them to be able to send folks and the more we always have that reforcement for law enforcement is that's why it's so important that it's postcertified. Sorry, I'm just we had two county staff attend the training this year. One probation officer and one directional that we need. I think it's probably good to share that with them. And I'll just say that sometimes it's multi-layered when you send staff. Like it's the salary and it's the time away from the direct service and it's covering like there's multi-layers and the both of those departments usually send a lot of people uh jail and probation and they both communicated with me why. So it's just the fact that we rarely have anybody from the sheriff's office patrol. Um, and that's a problem considering they work collaboratively with behavioral health with NIST and they respond to crisis calls and they say they're supportive of CIT and they don't send people to CIT. We will continue to have those conversations. That's why I Thank you. Yeah. Appreciate Directors. Um, I was also going to just flag the private presentation and that that continues to be an area of focus for us over time. Um, and I I'm I'm glad for the questions around like federal funding and impacts. And I want to just say there's so many places of concern right now at like little places where we recently lost some of a block grant like nothing substantial but impactful to our community and our partners and then you know we have MHSA transitioning to BHSA and the pretty substantial changes around prevention early intervention and

Oliver and I were just talking this morning about how it's such an unknown still and the impact acts that that will have on current programming are for sure and just not clear. And so I I want to keep saying that to this group because I know that it will have impact on our current programs and community and and so we'll need to, you know, ask for support and grace and ideas and leaning in to just like work together to pick up where we're having losses in the funding because we do want to continue to do the work and how do we do it differently is is what you would start doing. Um I I I'll just say and Jack and Paul can add anything here that they want, but we're I feel like we're starting to have more um audit reviews scrutiny and some of it I've already talked about like we've talked about um the audit around timeliness and access to services. We've had in a recent EQRO review. We're having another one coming up. So just like I don't know I feel like we're getting kind of in um a rhythm of audit which is always challenging especially when we're underst staffed and not only do staff need to participate but then they need to produce things and follow up and so anyway I just I want to acknowledge that and appreciate the hard work that staff always do around those and we always get compliments from reviewers on what how well organized how responsive what a good job our staff do. So I'm I'm just really grateful for that. Um, and then the last thing I'll say is the May is mental health month matters stuff is happening. Yay. It makes me really happy. And um, I know there's lots of events. I get to be on the professional panel for the city of Eureka, which I'm excited and terrified about because I never like to do those things. But anyway, happy to participate and just

really appreciate being by so it would be good. Who wants to go first? Uh, I'll go real quick. Uh, we're excited that um the department state hospitals diversion grant is going for the board. Um pretty soon, I think early May, um the state hospital is um granting us with some money to build out our diversion program as a permanent fixture uh as well as a community based restoration program. So, um we're excited about that. That's good news. Um and um we're also things that are happening quietly that are kind of a big deal but not a lot of folks know about is we're having um integration with our health information exchange which is really great because you know if somebody goes into emergency room say in Sacramento we might not know about it but um you know having an information exchange that will allow us to know about it so then the psychiatrist could follow up quickly with that individual when they get out of the hospital, things like that. So, it really helps with the coordination of care, but we're getting closer to integrating that into our electronic health record. So, we're excited about about those advances and technology and what that means to client care. Looking forward to having that folks. Paul, can you expand just a a little bit about the IST and what that really means for our incarcerated population and the amount of time that they've currently been spending in jail and what that is going to how that's

going to change based on this grant or we hope we are hopeful that it will make a difference. Yeah. Um that's a really great point. So right now there's such a backlog for state hospital um admissions from correctional facilities or anywhere even in in behavioral health for except for virus if somebody needs a state hospitalization admission will wait a year or longer. So, the same thing is true for people incarcerated that are deemed incompetent to stand trial because of a a felony they committed um you know while they were in the midst of a mental health crisis for instance. So, they'll um they'll submit for that person to be admitted to the state hospital, but they'll wait in custody for a long time until there's an opening. So, the state hospital has been really trying to work to reduce their um the number of people they have and they're really kind of pushing um down into communities throughout this state to build programs like our jailbased um you know restoration program, but do it in the community. So, uh, diversion is an effort to, um, to help, um, get folks treated, um, in the least restrictive environment as possible. Um, as well as the community based restoration program is that will be similar is, you know, treating them here locally instead of letting them languish in the in the correctional facility waiting for an opening of the state hospital. So, it's just really expanding the types of services uh available to folks um that really need it that are don't need to be sitting in in jail waiting. They could actually be getting treatment. So, we're excited about what that means there.

We'll be able to treat about 25 people a year with diversion and we'll have eight beds for the community based restoration a year um for those folks. Um so we're really um excited about what that means. And when we had our diversion program previously, we were easily uh you know filled up those numbers of 25 a year or so other people. So yeah, there's a need there for us and we were definitely it's another gap in our community that we we have filled that previously um we didn't have. So we're grateful for that. Is it 25 and eight per year or at any given time? Well, at any given time it go through an 18-month period. So, there's that kind of a little bit of a burden there. Yeah. Like if you know not every person will need to be in the program for a full year, right? So then it does another slot and comes open somebody. Got it. Thank you. acronym is what does that stand for? Incompetent to stand trial. So if somebody due to a mental health issue, so um if somebody just doesn't understand the um you know the consequences that they're facing or the impact that they what you know their actions had, they'll want to restore them. So treat them, get them stabilized and then ask the question. So, but the diversion is if they stay engaged in treatment, uh the charges uh can be dropped. Yeah. And there's a housing element to these dollars as well. So, we want to make sure that folks that are unhoused will work to to get housing. We have a great housing program in the county. So, we'll

definitely working together in that effort. Great. Good stuff. Yeah, that's what I always wanted when I managed that team. So, I'm glad it's coming to fruition. Thank you, Jack. Uh, yeah, probably not a lot. Just I I um uh had chance to check in with the administrators with Willow Glenn last week just about Hyperion Lighthouse and how things are going there. a more formal meeting with uh with him and uh we're just talking about some of the the opportunities for uh improving things and what's going right, you know. So, uh but I think overall things are going really well. We had we were able to get somebody from the jail to step down into Hyperion, which was nice. That was kind of a link and we've had a few folks that have come uh from out of county site hospitals into Hyperion. So that's been a good link as well. That very cool. That's great. We, you know, a lot of our folks have have clients have mostly come from Simber. So, uh, we're still kind of working on the somebody sort of floating out in the community going to Hyperion and I think, um, Paul and I are going to have a larger meeting with them on on that particular link, uh, because that's a little more more challenging for us. A lot of times folks by the time we get everything together will change their mind, you know, and voluntary program outpatient. So we need to do it more quickly. Um is I think the the answer. So we'll we'll sort through that. Um in things, you know, at Lighthouse, I'm just going to say, you know, no news there, which you know, the best, right? You know, news. So, uh,

you know, as far as I know and, uh, as I'm told, things are going well and I walk my dogs around there every day and so quiet. I was quiet on the cut in front. Wonderless people complaining. Yeah, right. All right, moving along. SD committee update. SD committee update. So, I wasn't at the last SD committee, but uh, uh, Danette did say um, she sent me what happened. Melissa did give um a presentation an update on each treatment center. Um also Humble Bay Fire reached out um to the committee. So Melissa did an MAT presentation with them. Um and I'm going to be meeting with them tomorrow to talk about EMS bridge services. Um and that's a model that has been very successful in the Bay Area where they start um mat um we've been up in in um in the ambulance. So um you know California Bridge already has that model. So I'm going to present that to them and answer any of their questions they have about California Bridge in St. Joe's. Um so our um what was uh it was already mentioned before that um uh there's been a spike in trans um um folks seeking out services. We are seeing trans um SUDD rates go up um as well as the Latino um SUD rates going up. Um we absolutely need more detox services, more withdrawal management services. Last week I sent 13 patients out of the area to withdrawal. Um, you know, and that's not ideal. It's not sustainable. It's very, very, very uncomfortable for the patient. It can be very risky. Um, especially if they're alcohol. Um, so we have to, you know,

the doctor, we have to just make sure that they are medicated. Um, but, you know, going 12 hours to, you know, it's just it's just not sustainable. So, you know, as Dana mentioned, um you know, there is we are working on moving forward with the detox project here. Um and Dana has been working with the planning commission. Um so, we're very thankful for that. And I guess um you know, we're we're going to find out more about that. Um hopefully soon. Um, and I think that's it as far as my Oh. Um, we also are seeing um an uptake in um folks coming in, younger folks who are um using and nitrous oxide and they're getting these from um smoke shops um and it's kind of unregulated. So, um we're going to be meeting with um Dr. Candi uh Stockton to discuss it and just, you know, see what we can do. We have to come out. I am in communication with some parents that are very angry that are you know want answers want you know um and I I agree with them you know these are these um freedom mimics uh opioids and thankfully uh suboxone does it works you know but um it it should not be so readily available especially to our do you have anything that you want to add well I can talk about what we did at our last month's meeting because you weren't there and Dette's not here. But um we were supposed to do three things, but we did one. Um the one we did was we heard from Aegis uh a report on the work that they do. And uh I think one thing that really struck me was that they talked about the percentage of the kind of opioids people are using now in comparison to the past. and and heroin

is like really really low and fentanyl is really really high uh as in over 80% of the people that they now see at the um uh Matt clinics like like Aegis um and uh so we all had the opportunity to hear that presentation and to ask a lot of questions. So the other two things that we were going to do will have to be deferred to to May. They are uh Raphael had brought up that um through email that um it seemed like what we were doing was a lot like what the providers meetings were doing. So, we were going to have a discussion of, okay, what what will our SUD committee of the board want to take on or do besides just having people come and make presentations about their programs because, you know, that it's a kind of widely known by a lot of the people on the committee because so many of the people on the committee now are not me kind of people, but they're like Raphael kind of people who work in the field. Um, so we're going to do that. And then also the Sohham program uh was going to report last month, but they said that they would since the ages presentation took the whole time, they will present this coming month. And so uh we're looking forward to hearing what you know what's happening more in the southern part of our county in terms of uh SUD services. I just want to add one thing too. The um OD rates are down. We used to be seeing 20 to 25 uh accidental overdoses a month. Last month was 13. The month before that was 11. So they're going down um the reported ones that are coming in. So what is where does that statistic come from? It's coming from

our emergency department. So folks that come in for accident overdose. Yeah. I have 20 to 25. Last month it was 13. be interesting to compare people who don't come in. Exactly. I wish we could capture that. I would love to capture that number. There's a lot of data that we need. Um, also too, I just wanted to put out there, um, Pearson and I are navigators in the emergency department, but we also work for the entire hospital. And if anybody has an experience, um, you know, a horrible experience at the hospital, I please reach out to us. will walk them through um how to file a grievance and how to do a data report. We have to know uh we can do better and I just let all the patients know that if they have a problem you know in the eating please let me know and the providers know that too. So you know um yeah we just want to do better. So thanks. Can I ask um Margarite you referenced that you're going to get a report from the telephone program next month. Can I ask what program that is? Can't hear you. Oh, sorry. Oh, I'm sorry. Um, you have to talk really loud. My ears have been plugged up for a couple of days and I'm going to the doctor, but I've I've heard about onethird of this meeting. Um, so you mentioned that the committee would get a report from the SOHUM program. Um, which specific program is that? So, Southern Southern Hubble Health. Yeah. Right. Okay. Thank you. All right. Committees. Um, we don't have any other committees at this time. Still need somebody to take on the children and families and the older people committees which are in our bylaws which we need to fulfill. Just putting that out there. Next is

chairman, vice chair. Um, and I will just say CIT was awesome. Everyone should go through that. Um, something else and I can't remember. So, we will go on to unfinished business navigation center. Okay, good. Um, I think last time I said I didn't have any good information to share. This time I can share that I I sent a a certified letter to um Justin um letting him know that he may be in breach of contract for not starting his process at this point. and he did contact me and he has assured me that they will have a design very soon and prior to the 30 days that he was given. And so I'm still hopeful. I just have to keep being hopeful that we will have a navigation center at some point. As soon as I get design, we will start having community meetings about programming and what that actually looks like for us there. Um because I really do want and and it's going to work best if we have all folks that do this work and do a lot of the work down there as a part of the conversation. And so we're all on board. Um he says it won't take him that long to um build the building because they're going to do it

themselves. Um they have a big uh organization and and I so we'll see how that goes. So is it I just pulled out the that little drawing we got. Is is that over? So he he was going to try to make it five stories, right? And that would put him completely out of any of the lease that we currently have with them. We would have to do an amendment and fix the exhibits and do all of that stuff. It took more than a year for our county to do the lease with them the last time. If we had to do that again, I would have to say no, we can't do the navigation center because I'm running out of time to get this. We are all running out of time. I think that we can say at this point because the need is so large. Um so, um just waiting to hear back. So, we're waiting to hear back from from him. And I I would also just like to say that our partnerships with the city um has been extremely helpful and we do I do feel like if we aren't able to go forward with that location that we will be able to work with the city to figure out something different. Um, and we recently had a really good meeting um between the county staff and city staff around um services that are being provided here locally. And yeah, I'm just hopeful and during this time

and especially around the budget stuff, it's just so important that we have the collaboration and partnerships that we have today. that is extremely important part of me. So I appreciate every every part couldn't do it without teams. Yay. Yeah. Right. Thank you for that. That's um care. I don't know. Is there anything on clearing? You know what I would what I would like to say about Care Court is I think that Care Court is having our system look a little different at ISP and all the other things in our diversion and all those things. We have Heather Cooper is our county council for mental health that's just like the best. She is um and so she's she's so good at LPS conservatorship and all of the all of the processes that is touches the jail. She's just so good at it. So she's really we we had more numbers in care court to start out with because they were coming from her, not not actually from the community, which I was like, whoa, wait, whoa, what's going on here? But really, she is actually helping the folks that are that have been stuck that we feel like have been stuck in in the jail and and other areas, but and it may reduce the number of folks that have to be on conservatorship because we're

we're touching them sooner than later. I I'm I I'm hopeful. Do you have a comment or I comment but I know we're almost out of time but just anecdotally there is a our tribal member who was the first airport referral and from I'm I'm getting the updates through care and it sounds like things are on track. I don't work directly with this person so I don't know for sure but it seems like it's working. And then also just to speak to what you were saying, I'd worked with Heather on a few other folks that were stuck in jail and we had a really interesting experience with a specific person who was found incompetent to stand trial, but we were able to get her conserved instead of going through that process because we knew that that's what the person needed. and we're able to get her placed in a facility and she voluntarily went and it was exactly what she needed and was really grateful for the support and she'd been in and out of jail. EPD had been picking her up over and over. So working with other and I just wanted to like piggy back that yes what you said is true like we're finding how to connect the dots better for justice involved fol yeah so yeah work are there any future items for the agenda I think I got uh couple things maybe putting legislative back on we have NHS SA or I'll never not call it NHSA and BA MBH and say totally agree with that. Um next time if there's anything that you think of send me an email and

otherwise with that I will say at 1409 we are adjourned. Thank you everyone. Thank you. Thank you. Not just but just the whole she's awesome. Even though I don't work anymore, she still we need awesome people. And I did note how we had referrals and I'm like it's not all in our control. is a whole another thing because I kept thinking that we had to do it all and it's it's really not like that at all. Right. Right. And the court can do whatever they like. In some ways it's a good thing to where they're kind of having to really, you know, pay attention to us and like work with us and collaborate. So in that way it's been really good. Now they're like we got on this everyone can talk to each other I don't know what's going on. Yeah, another court was really interesting.

We don't report to you report to this over here and all we're doing. So how do we know if there's process like they get all of them? Thank you. A bunch of them are here because sometimes they don't have where it needs to go and y'all may already have the information.