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[0:10]
Give us all.
[0:15]
» Amen. G
[0:22]
» something
[0:28]
but it's going for the voters in June.
It just passed the Senate appropriation
[0:34]
committee the Senate on housing.
>> Yes, sir. That's not what you have
[0:41]
there.
[0:45]
Um, they had the hearing.
Don't know if that passed or not waiting
[0:50]
on I wouldn't attend
[0:56]
that. Oh, look at that.
[1:06]
» I'm looking for
a lot of basket.
[1:12]
I saw in that state why I passed on
>> and then the
[1:16]
» sickle
location
[1:20]
» with all of the new guidance
>> and um
[1:23]
» still crazy to me that
>> I'm hoping that it passed the house.
[1:27]
» So crazy to me.
[1:38]
» How you doing? Our
final version
[1:45]
30th really got to have it draft into
the March when this goes toward
[1:50]
California.
[1:55]
» Yeah,
stay. So we can still make changes to
[2:00]
the plan even
[2:18]
since we spoke. I've been in the back of
patrol car.
[2:21]
» What?
>> Yeah.
[2:22]
» What happened?
>> What? Since the last time we spoke this
[2:26]
morning in the back of For what reason?
A gentleman picked up a baseball bat and
[2:32]
I grabbed it.
[2:36]
He said, "You have this." And I turned
around by the time I turned around. I
[2:40]
saw baseball bat swing
on.
[2:47]
» So you're not in the back of a cop car.
That's a good thing.
[2:51]
» Huh?
>> So you're not in the back of a cop car
[2:53]
now. No. Uh, I had him face down when
the police showed up. Still on phone
[2:59]
with dispatch.
>> I was sit over here today cuz I have to
[3:01]
leave early.
>> Okay.
[3:03]
» We were at your place of work the other
day.
[3:05]
» I heard I heard the stories.
>> You did?
[3:09]
» Yeah.
Oh,
[3:13]
» yeah. I heard
>> there's a lot of stories out there.
[3:18]
» Oh. Oh. Trust me, I know.
Roughly I know.
[3:25]
Oh, good lord.
I certainly know.
[3:35]
Yeah. Uh, one of my guy Well, well,
that's where that stuff was. One of my
[3:40]
guys almost looked at you for a similar
incident recently.
[3:43]
» Really?
>> Yeah.
[3:48]
The officer even told me he said
he said because of who you are. He said
[3:53]
I want to take you to jail.
>> What the heck did that?
[3:58]
» I had no idea and I didn't really ask
him. I said but I hope you do.
[4:02]
I said because this will be the last day
you serve duty.
[4:06]
You threaten me. I said no. I'm
guaranteed.
[4:09]
» Was that on did they have their little
>> Oh, good.
[4:14]
I'm already asking.
[4:22]
» I want to talk to you real quick.
>> Okay.
[4:37]
» Oh,
I didn't know you were here.
[4:47]
I would feel like me outside.
I'm in trouble.
[4:54]
» Billion.
[5:05]
» Holy
[5:25]
Bob, you want the appropriations
committee also? Was it past
[5:29]
appropriations? But I don't want to pass
housing.
[5:33]
» I've got present committee on housing.
>> Okay. We Okay. I didn't know if you
[5:37]
wanted the appropriations
appropriations committee.
[5:42]
» I better have it.
>> Okay, then this will give you something
[5:45]
to refer to on that.
>> Okay, thank you.
[5:55]
» I was highly impressed when when I saw
the four billion set aside for veterans.
[6:01]
Well, this this was in what was that?
That was done in
[6:10]
2018,
but it's back up for a vote.
[6:15]
» Yeah, that's a lot of money.
>> Really?
[6:17]
» Mhm.
Now, like I said, that that is
[6:23]
statewide, but that's still a lot of
money for 58 counties or 59 counties.
[6:30]
Well, not every county had
>> Yeah, that's true.
[6:34]
» So,
[6:37]
now that explains how we got our
programs
[6:46]
how I got my job.
>> Okay.
[6:57]
lobbyists
when it expires didn't want to make it
[7:02]
work.
[7:05]
» Yeah. How's that looking?
>> We just started the second year of a
[7:10]
three-year program.
>> Okay. It's
[7:16]
» one of those things to where you know
somebody come up with some numbers
[7:21]
» uh for metrics and
we know the reality of that
[7:29]
» regardless stillard
[7:33]
regardless what the centric sher
still needed it fits into that slot.
[7:42]
I hope things go well for you on that. I
really do.
[7:46]
We're definitely inviting.
[7:53]
» Well, you know, it's elemental health.
>> It's not even Yeah,
[7:58]
» that's true.
[8:03]
» That is very true,
[8:07]
Miss W.
A little
[8:11]
» Oh, Laurel. I'm sorry. I called you the
wrong person. I apologize.
[8:17]
» Could be Laurel, right?
>> I called you Miss Wolf.
[8:22]
» Oh.
>> Instead of Mrs. Johnson. I'm sorry. I
[8:26]
apologize.
>> My hearing's gone. Burton.
[8:46]
I said about
[8:57]
» Oh, I was just gonna give so much of
this to for purposes when I
[9:15]
How's the husband doing? Healthy and
well.
[9:19]
That's good.
[9:28]
Let's start,
[9:55]
you know,
But
[10:00]
even just the regular dictators
[10:26]
going
[10:39]
We have somebody from the California
state.
[10:43]
» Yes.
[10:49]
» Member
[11:03]
There we go.
[11:07]
Good lord.
You feel hot?
[11:12]
» Oh, no.
[11:21]
It's
funny.
[11:41]
That's good.
[12:07]
Have you seen enough of the signing?
>> I have not.
[12:12]
» Matter of fact, I haven't even seen
pregnant.
[12:15]
» I've been by the shop two or three
times. want to get me.
[12:20]
I I haven't
[12:25]
interested
[12:36]
back.
[12:40]
He just wants to come
postponed it.
[12:46]
I mean, not
>> okay.
[12:51]
That's bad enough.
[13:04]
» Jess, did you get the um the packets?
>> Yes.
[13:11]
More than one ways to get them to you.
[13:32]
just briefly take a look at it whenever
you get home.
[13:35]
» Oh, I will definitely see.
>> I definitely will. Things are getting a
[13:40]
little
>> It's looking like it's going both human.
[13:46]
So
[13:57]
» Laura just
[14:17]
that
[14:21]
this is something that
[14:28]
I have to share.
[14:39]
Okay. Yes. Yes. Um
[15:18]
feel right here.
[15:25]
» I can I can
>> I just want to let you know I have to
[15:29]
leave.
You're right. You're right. People are
[15:33]
in territory.
Right.
[15:45]
Excuse my tardiness.
Like to call this meeting the order.
[15:49]
Whatever 20 minutes
seems way different.
[15:55]
You're lucky. You are almost gonna have
to run this.
[15:59]
At 12:18, welcome to the monthly
behavior health board meeting. We are
[16:03]
the advisory board to the board of
supervisors. We hold this meeting in the
[16:08]
4th Thursday of each month and runs from
12:15 to 2:15. You meet in person at 50
[16:15]
street.
This is a public meeting. Everyone is
[16:20]
invited to attend looking for a pen. Um
members of the public may participate
[16:29]
that's on the agenda can be found by
searching planning behavioral health
[16:32]
board online. We provide track or public
comments early on the agenda. Public
[16:38]
comments are limited to three minutes
obtained to matters related to behavior.
[16:42]
We ask you to make your comment and
respectful ma'am. Please note this
[16:46]
meeting is being recorded.
Please contact myself or any of the
[16:50]
board members who have questions about
our work as a board.
[16:54]
And Joe, if you'll take the role, please
[16:59]
» here
[17:12]
» Virginia Bass
Johnson
[17:17]
» here price
here.
[17:28]
So we have a follow.
>> We'll go around the
[17:33]
room. Um staffing
[17:38]
health and human services director.
Good to see everyone.
[17:45]
» Hi Rosemary Schultz. She her ATC
organizer associate board
[17:54]
» Laurel Johnson analyst in DHS
administration
[18:00]
» there deputy director of behavioral
health.
[18:04]
» Thank you. I'm Oliver Gonzalez. I am a
program manager for DHHS behavioral
[18:09]
health and I I oversee the behavioral
health service.
[18:14]
» Good afternoon. Emmy Bots, the Rogers
behavioral health director.
[18:18]
I'll go online
starting with uh Jeremy. Yay.
[18:25]
» Hi, Jeremy Nelson, deputy branch
director for Children's Behavioral
[18:28]
Health.
[18:36]
Um, Eric,
>> hi everyone. Eric Rushing, um, manager
[18:42]
of mental health for Partnership Health
Plan.
[18:49]
Alex
>> Alex Olivero. I'm a BHSA and quality
[18:53]
improvement admin analyst.
[18:58]
» What's up?
[19:04]
» Is this Did I hear my name?
>> Yeah.
[19:07]
» Hi, Melissa Nelson, patient navigator
here at AJ Senure.
[19:12]
LBH
[19:24]
PHP is here. How about stop?
[19:32]
» Is there anyone else online who would
like to introduce themselves?
[19:37]
» Yes. Hello.
My name is My name is Colina Hosman. I'm
[19:42]
a community health worker here through
Care Network, Eureka, Providence Health.
[19:47]
Justformational uh attendance only.
Thank you.
[19:51]
» Thank you.
All right,
[19:55]
that's everyone. Um
um are there any adjustments to the
[20:01]
agenda?
[20:04]
Seeing none, we will go to public
comments. Anyone in the room would like
[20:10]
to comment
[20:18]
um online? Is there anyone that would
like to make a comment?
[20:28]
» All right.
[20:31]
Moving on to action items.
We need to approve the minutes from
[20:35]
11:205. Do I have a motion?
>> Make a motion to approve the minutes.
[20:40]
» Thank
[20:44]
any discussion.
All in favor of approving say I
[20:50]
» opposed.
Minutes are approved.
[20:54]
Um we need to approve to pay Cal BHB
uh the invoice and it's for
[21:04]
it's $1,000.
Um,
[21:08]
so do I have a motion? Does that sir?
>> Make a motion to be sent.
[21:13]
» Thanks, Don. Is there a second?
>> I'll second.
[21:18]
» Very much. Um, all in favor of approving
that invoice for $1,000 say I.
[21:25]
» I.
>> Opposed.
[21:28]
» Awesome. Motion carries. And, um,
lastly, approval to send the membership
[21:32]
application for Dana Hulcom to the board
of soups. And I have to say that it was
[21:36]
my mistake that this did not get on the
agenda oh two three months ago. Um I'm
[21:42]
not sure what happened but uh Dana has
been to several meetings. She did come
[21:47]
and introduce herself. So anyone want to
make a motion?
[21:52]
» I'll make that motion to send
application for super.
[21:58]
» Thank you.
>> Thank you Vernon.
[22:01]
Um
is there any discussion of us?
[22:07]
» So
um all in favor say I.
[22:12]
» I
opposed.
[22:15]
» All right. Awesome. That motion carries
and we are sending 14th member to be
[22:21]
approved. This is great. I'm very proud
of that.
[22:26]
Discussion items. We have our amazing
awesome behavioral health board member
[22:30]
handbook online.
[22:34]
» Uh I don't know if anyone's clicked on
that link and looked at it, but
[22:39]
everything's there. You can click and go
to things. Did you want to say anything?
[22:46]
» You missed anything. There's you can
pass around
[22:49]
» the heart
printed out, but it is intended to all
[22:54]
be
linkable. that's on um the internet on
[23:00]
the behavioral health board site. So,
but that's you see what it looks like if
[23:05]
you were to print it for
yourself or you don't visit. So, thank
[23:11]
you so much to Laurel and the staff for
putting that together. It makes it so
[23:16]
easy to go to be able to go there, click
on links as opposed to having to type in
[23:20]
URLs for places. Um, and so any new
member can choose to either get it
[23:26]
online or have a hard finder out to you.
[23:32]
Any questions about that? Nope. Awesome.
Now, the moment we've all been waiting
[23:39]
for.
>> My turn to shine.
[23:42]
» Yes. Our BHSA
presentation.
[23:49]
Take it away.
[24:11]
Good afternoon everybody. My name is
Oliver Gonzalez. I am a program manager
[24:15]
for behavioral health branch and I I do
a lot of our I do our behavioral health
[24:20]
services and reporting. Um this
presentation is really going to be
[24:24]
focused on something new that we call
the integrated plan which is for fiscal
[24:29]
years 2026 2029. Uh couple of things I
wanted to kind of disclose ahead of time
[24:34]
in in the beginning is that this is all
relatively new information. Uh so much
[24:40]
so that I'm actually condensing 400
pages worth of uh state lingo into 20
[24:46]
sites. So, so if you have any questions
um as I present, by all means feel free
[24:53]
to to interject. Um I really just want
we really just want to have a
[24:57]
conversation together about all of these
new transitions and changes happening
[25:01]
with the BHSA.
The other thing is I know some of you
[25:05]
are uh have attended our previous MHSA
meetings, mental health services act
[25:10]
meetings. Normally we would present a
budget along with this information but
[25:14]
given by how much is changing right now
that budget is still very much in
[25:19]
progress along with the plan that we're
discussing today. So I I do apologize
[25:24]
for not having a budget on hand to
present to you right now but that is
[25:27]
something that we will have in the
coming months for you to see as well. So
[25:32]
just wanted to give you guys that heads
up. Um in today's presentation uh we
[25:38]
have really three core goals. uh we will
discuss the transitions of the MHSA to
[25:43]
the VHSA. Throughout the presentation,
I'll be highlighting challenges with the
[25:48]
implementation of the VHSA. So, really
just going over those challenges and
[25:52]
potential impacts on programs. And last
but not least, we'll be talk there will
[25:57]
be room for comments, questions, and
input from the public. Um
[26:02]
while we're on that note, we also have a
demographic form uh that I have copies
[26:08]
for. I hope each of you got a copy and
if not we have some up front. Uh for
[26:12]
those of us joining online, we also have
a link that my colleague Alex Olivera
[26:17]
has posted in the chat. Um it is
absolutely voluntary and anonymous. So
[26:22]
if there's sections or you don't want to
take it, that's totally fine. Um and
[26:26]
then the end of the form has which is
the backside has a section for comments
[26:30]
as well. So perhaps there's something
additional you wanted to input or
[26:35]
emphasize as a comment. By all means
feel free to share that.
[26:38]
» Yes.
>> Um if you've already done these two
[26:41]
forms, can you do that again?
>> Yep.
[26:44]
» Absolutely.
>> We don't have a limit.
[26:46]
» Yeah.
>> Yeah. And we won't know who it came from
[26:49]
because again it's anonymous. So
>> So there's that. Um and then I also have
[26:54]
anformational packet as well that we
have up front here. So I hope you got a
[26:59]
copy of that. A lot of that packet
really mirrors the information I'm going
[27:03]
to be discussing today. Uh but again,
just something to take home with you.
[27:07]
And of course, I'll be sending you uh
copies of these slides as well
[27:11]
afterwards too. Okay.
Um and my colleague Alex did uh put a
[27:18]
copy of that packet in the chat as well
for our virtual friends as well. And
[27:22]
also for our virtual friends, uh the the
virtual section uh demographic form also
[27:28]
has a section for uh comments and
feedback that I'm highlighting here as
[27:32]
well.
Uh so really to kind of also emphasize
[27:37]
too uh we will be also taking notes of
what is shared with us today. Um we have
[27:43]
an email address bsa comments at
co.humble.ca.
[27:47]
us. So that's an email address that you
could use to also get a hold of me um
[27:51]
and or even share additional input and
we ask that comments are specific to
[27:56]
what we're discussing today which is the
integrated plan.
[28:02]
So with that in mind uh let's get
started. So ultimately the uh mental
[28:07]
health services act initiated in 2004
enacted in law in California in 2005. It
[28:14]
was done under the form of proposition
63 and it placed a 1% income tax on
[28:22]
income exceeding a million dollars in
California. Um oftent times the MHSA was
[28:27]
called the millionaire's tax so to
speak. Uh for that reason um in 2025
[28:36]
we had a reform happened through the
form of proposition one uh through the
[28:41]
governor's office. And what proposition
one did is it approved it was approved
[28:46]
in 2005 2025 in May and it renamed the
mental health services act into the
[28:51]
behavioral health services act. Um I'll
discuss the elements and pieces that um
[28:57]
are changed throughout this
presentation. Uh but in essence what
[29:01]
this infographic is showing is that that
1% income tax for the millionaires is
[29:06]
collected by the state treasurer.
It is then subdivided into two
[29:10]
components. Um, one component is a 10%
allocation to the state, specifically
[29:15]
some state agencies like the Department
of Healthcare Services, the California
[29:19]
Behavioral Health Planning Council, uh,
the Department of Healthcare Access and
[29:22]
Information, the Behavioral Health
Services Oversight and Accountability
[29:26]
Commission, and the California
Department of Public Health. Nailed it.
[29:30]
Um, so, and then the remaining 10% goes
to uh all 58 counties and two city
[29:38]
jurisdictions. Um, one thing I really
want to emphasize here in this
[29:42]
infographic is that maybe some of you
noticed under BHSA, the state allocation
[29:48]
is 10%. Under MHSA, last year it was 5%.
So that means that the state's going to
[29:54]
be taking a an additional 5% to run
their own internal programs. And that's
[29:59]
something I'll be emphasizing throughout
the presentation as well, since that
[30:02]
ultimately means less funding for all 58
counties.
[30:07]
Um, one other little fun fact also I
wanted to share with you all is that um,
[30:12]
really California is the only state in
the US that really allocates tax revenue
[30:18]
dollars to behavioral health services.
The other state that does something
[30:22]
similar is the state of Washington and
that's a 0.1% sales tax. So just wanted
[30:27]
to highlight that. It'll be on the test.
Um so really the intended purposes of of
[30:34]
the MHSBHSA is to expand best practices
and recovery focused mental health
[30:39]
programs, reduce long-term negative
impacts uh resulting from untreated
[30:43]
mental illness and prevent mental
illness from becoming severe and
[30:46]
disabling.
Additionally, we have some county
[30:50]
requirements that we need to follow. So
we need to be completing an integrated
[30:54]
plan every 3 years. The most recent
fiscal year uh plan that we submitted
[30:58]
was 2023 2026 and that was the MHSA
3-year plan uh which was approved June
[31:04]
27, 2023. Uh we are also required to do
two annual updates in the years between.
[31:10]
Uh we are also required to do something
we call that community program planning
[31:14]
process the CPP for integrated plans and
that's a fancy way of saying meeting
[31:18]
with your community members and
soliciting feedback and input such as
[31:22]
it's meeting space.
[31:26]
Yes.
Curiosity.
[31:31]
Um
[31:36]
when we say um community members
um I think it goes further than this
[31:43]
space and we should be out there doing
with the community. I know that we come
[31:50]
here as the board but we don't represent
I mean I'd like to say I represent the
[31:55]
whole community but I think that there's
a whole lot of community out there that
[31:59]
doesn't have a voice. Absolutely. I
agree with you on that one. And one of
[32:03]
the things and we have this in our in
our packet as well. Uh we have other
[32:08]
community meetings happening throughout
all of Homo County. For instance, I was
[32:11]
in Fortuna yesterday. The day prior I
was in Garmville as an example.
[32:15]
» Uh we have a couple of meetings
happening next week and some even
[32:19]
happening in um New Lake in the fall in
February. Uh we're also uh reaching out
[32:25]
to local organizations and anybody who
may be interested to have uh to really
[32:30]
join these meetings and also having
other meetings in addition in case they
[32:34]
can't make those dates.
>> Okay. as well. Um, and if there are any
[32:37]
behavioral health board members that
would like to attend or anybody in this
[32:40]
space, be more than welcome to use.
>> And D, if there's a place or a community
[32:43]
you think would be good for a meeting,
like make that suggestion because Oliver
[32:48]
is real really robust about ensuring
that we get
[32:50]
» I have Yeah,
>> absolutely. We can definitely connect
[32:53]
afterwards.
>> Yeah.
[32:55]
» So, what kind of meetings
I guess um would we be able to or are
[33:02]
being opened up to the public? Yeah,
there are there just community meetings
[33:06]
that we have dedicated to the behavioral
health service design planning process.
[33:10]
» Okay. Is it just so people can get a
better understanding or is it
[33:14]
opportunity for input or kind of both?
>> Both.
[33:17]
» Okay. I'm assuming this form is handed
out at most of the meetings.
[33:22]
» Correct. All the same form.
>> Okay.
[33:24]
» Okay. Thank you for the approach.
>> Good question.
[33:27]
» Yes.
>> I'm going to address the elephant in the
[33:29]
room. Is there any meetings planned or
set for the unhoused to give their um
[33:38]
need for mental health services?
>> Yeah, a good question.
[33:42]
» Like the mission or the uh
St. Vincent Paul free meal or somewhere
[33:49]
where the unhoused may gather. Um
because we do know that the unhoused
[33:56]
citizens of our community is major
utilizers of our mental health services.
[34:04]
» Yeah, fantastic question, Vernon. So, I
reached out to a couple of these
[34:07]
agencies and I haven't heard back yet.
However, if we can maybe touch base to
[34:10]
see if maybe you have other points of
contact that we that you can suggest to
[34:14]
me, I'd be more than happy to get those
from you. Okay.
[34:16]
» That way, I can reach out and connect
with them too.
[34:18]
» We'll definitely do that.
>> Perfect. Thank you. Yeah, absolutely.
[34:22]
Then
um I don't know if you'll get to this
[34:26]
eventually, so bad about asking ahead of
time, but what is the I guess
[34:31]
overarching goal of having community
input field um information about health
[34:38]
services? Yeah.
>> What are we hoping to do with
[34:42]
» Yeah. So the MHS is a fun stream, right?
And ultimately what we really want to
[34:47]
ensure is that these dollars are
responsive to local needs.
[34:51]
» Okay. Right. So, as we solicit feedback
and input from community members, we
[34:55]
want to see how we can address that
feedback and incorporate it into our
[34:59]
planning process either through our
existing programs or moving or creating
[35:03]
a new program or something.
>> Okay. Well, I don't know if you're on
[35:07]
the behavioral health board email list,
but I know that whoever is on there
[35:13]
should have been forwarding from Joe
talking about um at least one person's
[35:21]
needs as far as services go. And I don't
know, I find I find it important because
[35:27]
I don't know if any of y'all have read
the email about um kind of restrictions
[35:33]
that people face when they become
nonverbal during like episodes. And um I
[35:39]
just have personal experience with
somebody in my life receiving improper
[35:44]
care for the same exact reason. And so I
just I guess not only want to bring that
[35:48]
up for you to gather information, but
then also to just like um bring light to
[35:54]
this person because they did email us a
very extensive and well-written email
[35:59]
for what they were describing. So, just
want to give a shout out to Stacy and
[36:05]
then I'm not going to try to there last
but I think we all should have got so
[36:15]
» and then it was yeah basically just um
okay well I'm just going to say it but
[36:20]
if there was a language sort of
interpreter for people that are
[36:24]
experiencing
episodes during crisis since that was
[36:29]
something that I was thinking about you
response is the moment.
[36:33]
» Absolutely.
>> You can continue.
[36:35]
» Can I just make a comment? Thank you for
saying that. I um I want to just like
[36:40]
maybe differentiate between kind of the
information that Oliver's here gathering
[36:45]
and other information that gets lifted
to this board and kind of the pathways
[36:48]
for that. And um I'm glad you're
flagging that because we've talked a lot
[36:52]
in the past about what happens when when
individuals from the community or
[36:56]
someone on their behalf lifts concerns
to the board. And we work really hard to
[37:00]
kind of um direct those individuals to
the right pathways within behavioral
[37:05]
health to lift their concern and if
needed file a grievance or a complaint
[37:09]
so that they can respond directly to
that versus kind of the broader
[37:13]
conversation that Oliver is bringing
which is what kind of services would be
[37:17]
most helpful in our community? What kind
of programs are we missing or could we
[37:21]
build up or build out to better serve
our community? I still I still think
[37:25]
that it's really important to recognize
that there was a member of the community
[37:28]
reaching out to us and I think that we
are all in a position of privilege where
[37:32]
we can advocate on their behalf
sometimes especially based on what this
[37:36]
person was saying they have experience
not being heard in mental health
[37:40]
services. So I'm sure that it was kind
of like more of a
[37:45]
you know of an an ask for advocacy
instead of fixed.
[37:52]
Okay. I mean it was an email that we all
received and nobody had mentioned it. So
[37:58]
» just thought it was important to say
something
[38:00]
» if we can. Yeah, we can finish
presentation.
[38:06]
» I think important before I had that
conversation
[38:11]
more thoroughly.
[38:15]
Okay. So this is um the next slide that
I have here is a bird's eye view of the
[38:20]
behavioral health services. More
specifically the three new buckets or
[38:25]
elements uh that we're looking at here.
I want to emphasize this slide goes over
[38:31]
two specific figures. Okay. So that 90%
refers to ultimately the overall funding
[38:38]
counties will get right after the state
takes its 10% cut. Okay. In addition,
[38:46]
the other percentages you're seeing here
on the left side, these percentages are
[38:52]
specific to what each bucket under BHSA
will be having. Right? So, the housing
[38:58]
intervention section is going to be 30%,
the full service partnership section is
[39:03]
35% and the behavioral health services
and supports section is 35% in front.
[39:08]
So, that adds up to 100% in total PHSA
funding. But again, we're only going to
[39:15]
be getting that 90% allocation from the
state after they get app. So, I just
[39:19]
wanted to emphasize the difference
between percentages and why maybe you're
[39:23]
thinking, wait, that adds up to 100%,
but why doesn't this? It's because it's
[39:27]
telling us to live percentages.
Okay. So, so again, those are the three
[39:32]
core sections. And what I'll do is I'm
going to actually go over in in a little
[39:38]
bit those three sections and how we're
planning for each one of them. So this
[39:45]
is again another kind of bird's eyee
view, but in in essence what it's doing
[39:50]
is it's grabbing our MHSA format and
it's pointing to these three new buckets
[39:56]
where each new format where each format
fits into that bucket. Right? So
[40:01]
obviously our full service partnership
becomes a standalone uh bucket that red
[40:07]
box and then anything that's in the
green bucket for like FSP, general
[40:11]
system development, MHSA housing
coordinator, certain counties have that
[40:16]
uh housing and homelessness related
outreach, all of that goes into the
[40:20]
housing intervention section. anything
that's um behavioral health services and
[40:24]
supports at 35% that's any other
outreach that's non-housing or any other
[40:30]
services that we call community services
and supports under the MHSA examples
[40:35]
being our older adults program our um
crisis residential treatment facility uh
[40:41]
regional services those will be
technically other CSS and will go under
[40:45]
that 35% bucket as well we also have on
the right side our prevention and early
[40:50]
intervention under MHSA and how that
would fit into those three buckets as
[40:55]
well. So again, just wanted to kind of
highlight how it shifts things around
[40:59]
for us and molds it into that new
format.
[41:06]
So this is the section where I'll be
giving kind of like a more specific lens
[41:10]
of each section or bucket. So the first
one is the housing intervention section
[41:15]
that 30% requirement and the goals are
to reduce homelessness among DHSA
[41:20]
eligible populations. Uh it's
emphasizing a permanent supportive
[41:24]
housing and housing first principles. Uh
so that would be low barrier and harm
[41:30]
reduction. Uh county coord so there's a
county coordination with managed care
[41:34]
plans for us that's a partnership uh of
humble partnership for humble county. So
[41:39]
just wanted to emphasize that and I do
appreciate partnership being present
[41:43]
online for us um in today's meeting and
they can fund rental subsidies,
[41:49]
operating subsidies, support development
of new housing units and even outreach.
[41:55]
» Yes.
>> They also help with uh relocation
[41:59]
deposits.
>> Yeah.
[42:01]
» Because they're assisting me in
relocating with with a deposit.
[42:06]
» Absolutely. Great point because that I
have a slide that goes over
[42:10]
» Okay, I'm sorry. I'm jumping here. I
apologize.
[42:12]
» No, no, you're good. But that was great
information, Vernon. um as far as
[42:15]
eligible populations go. So really it's
for people who are chronically homeless,
[42:20]
experiencing homelessness or at risk of
homelessness and individuals existing
[42:24]
exiting institutions or or jail settings
where homelessness where there were
[42:30]
homeless before entering and those
transitioning from a medical
[42:33]
transitional rent which I'll go in
detail in a little bit.
[42:37]
Priority groups are children, youth um
in juvenile justice, child welfare or at
[42:42]
risk of institutionalization
and adults, older adults in or at risk
[42:48]
of the justice system conservatorship or
institutionalization as well. One thing
[42:53]
I really want to emphasize here, and
this is something that the states really
[42:56]
kind of letting us know through all of
their policy manuals, is that housing
[43:00]
intervention funds, as I call them, AI
moving forward, should not be limited to
[43:05]
only full service partnership funds. Um,
I'll go over those details in a later
[43:11]
slide and the challenges that process
for us as well.
[43:17]
So this is kind of the slide where we're
talking about the allowable housing
[43:21]
settings under the housing intervention
uh section. So we have two sections. One
[43:27]
is interim settings and the other one is
called permanent settings. We'll get
[43:31]
started first with the interim settings.
Uh examples include hotels, form hotels,
[43:36]
uh non- congregate shelters,
recuperative care, peer respite,
[43:41]
short-term post hospitalization housing,
and including even what Burton said
[43:46]
where we can do that rental assistance
as well. Um if the client qualify, so so
[43:52]
here's where it gets a little bit
complicated with the housing
[43:54]
intervention bucket.
uh they uh the state created a
[44:00]
transitional rent benefit through our
manage through managed care plans for
[44:04]
us. It's partnership and what that means
for us is that anybody who is deemed
[44:09]
eligible for BHSA housing should
technically have a pipeline to access up
[44:15]
to six months of this transitional rent
benefit that's then offered by
[44:19]
partnership or by the by the county's
managed care planner. Um, after those
[44:25]
six months are up, we as counties can
then leverage the housing intervention
[44:30]
section to to do an additional six
months of transitional rent um or
[44:36]
interim setting u coverage for a total
of 12 months. If for whatever reason
[44:41]
that individual does not qualify for
that partnership, those partnership
[44:45]
dollars, then we can leverage our VHSA
housing intervention dollars for a full
[44:50]
12 months if the funds are available. So
just wanted to give that heads up about
[44:56]
interim settings. Just
>> who is the interim setting people?
[45:02]
» Yeah, great question. So ultimately
>> where's the pipeline? I want to know.
[45:06]
» So that pipeline is currently being
created as we speak. So there's some
[45:10]
complex contracting happening with
partnership right now. I know Raul
[45:14]
Torres from home is helping with some of
that too. So all of this is very much
[45:18]
still under development.
>> Okay. Yeah, great question. Um, any
[45:24]
other question for the interim? No. So,
ultimately what we want to then do
[45:29]
though is once those 12 months are up or
funding, the bottom goal is permanent
[45:35]
per permanent housing, right? And with
permanent housing, uh we uh examples
[45:41]
include permanent supportive housing,
apartments, accessory dwelling units,
[45:46]
shared housing, uh recovery or sober
living situations, assisted living, and
[45:51]
tiny homes. And one thing I really want
to stress about permanent settings is
[45:55]
there is no time limit to those. So we
can we can in perpetuity as funding
[46:00]
allows continue supporting with BHSA
funding uh clients who are in permanent
[46:06]
settings. So just really wanted to
highlight that.
[46:13]
» So yeah, do you know if this funding has
any relation to the youth homelessness
[46:19]
develop or demonstration project
funding?
[46:22]
» Not that I'm aware of.
>> I know that it's through um housing and
[46:26]
urban develop uh program. So I'm not
sure if you have any knowledge about
[46:30]
where that sits now, but if it's
completely under this then
[46:34]
» Yeah, great question. There's a lot of
different housing initiatives living in
[46:36]
different places, right? I mean, we even
have another one printed in front of us
[46:40]
too, right? But I'm not fully aware of
that. Does anybody use
[46:44]
» um yeah the YGP which RDF works on is
one of them um because it it's through
[46:52]
the federal government that housing
development and yeah we're currently
[46:57]
just you know catch everyone up we're
currently at a standstill because the
[47:01]
contract hasn't been drafted for our
city to sign to get these housing
[47:06]
agreements but heard maybe this week
there was something happening. Okay.
[47:12]
Okay. Cuz yeah,
>> but yeah, this is California. That's
[47:16]
federal. I know it's like all interfer.
[47:25]
Uh so this is where we talk to go go
into challenges and we have here our
[47:30]
friend our office worker jumping some
hurdles here. He comes back in the
[47:35]
presentation a couple times. A lot of
hurdles here. Uh okay. So, um, one point
[47:40]
I really want to emphasize here is, uh,
this housing intervention dollars, these
[47:45]
30%, they're not these dollars. Uh, they
come from our full service partnership
[47:50]
bucket in essence. So, in our previous
format under uh, MHSA,
[47:55]
uh, our full service partnership program
constituted roughly 65 to 70% of the
[48:01]
overall funds, right? And what this uh
BHSA uh refresh is doing is it's
[48:07]
grabbing the housing piece of our FSP
section, making an extendal loan
[48:12]
section, and then making our FSP bucket,
which is now in the extendal loan
[48:16]
section only specific to service
delivery. So, I just really wanted to
[48:20]
emphasize that those these dollars,
although they may look new, they're not.
[48:26]
And one other thing that we have here is
that our county uh fiscal team uh
[48:31]
projects that uh Humbult's housing cost
for our FSP already maximize if not
[48:36]
exceed the 30% housing intervention
requirements seen under the BHSA. So, I
[48:43]
really just wanted to be really upfront
with the challenges that we're seeing
[48:47]
with that the intent of this bucket
because the governor really wants to use
[48:52]
these dollars in a really much broader
way for non full service partnership
[48:57]
clients. Um, and one thing that they've
gone on record saying is that they're
[49:02]
anticipating or expecting a low
declination rate of access to these
[49:07]
dollars, which unfortunately because
they're not expanding the dollars and in
[49:11]
fact they're doing a 5% reduction,
it's not a very practical statement to
[49:17]
say and it doesn't reflect the reality
of these dollars. So again, just really
[49:22]
wanted to emphasize those two points.
Um, in addition, we're also having some
[49:28]
very tight deadlines here. So much so
that a lot of the direction that we've
[49:32]
been getting came two weeks ago. So, so
we're very much flying this ship as
[49:38]
we're building it in many aspects.
>> I'm sorry. I was trying really hard not
[49:42]
to ask a question, but I have to. Yeah.
So, uh FSA you talked about this uh
[49:50]
should be could be going for sober
living
[49:55]
transitional housing. Correct.
>> Um so what cuz I do a lot of placement
[50:03]
for people in sober living and what's
been happening is I've been
[50:09]
um having to take them to general
relief. they sign up for general relief
[50:13]
and um general relief pays $333 to sober
living and then the client has to pay it
[50:20]
back. So my question is
if there's a way for our people not to
[50:26]
have to do that,
what is that process?
[50:32]
» That's
>> because if we have FSA funds that aren't
[50:35]
being used is what I understood you to
say.
[50:39]
How do we how how can I
how can I encourage or refer people that
[50:46]
I work with to get other funding because
it for one most people don't have the
[50:54]
ability to pay money pay back sober
living. Um
[51:00]
and so I'm just kind of curious. Yeah,
that's a really great question. And I
[51:06]
think one of the things is right that
that we're looking at is if our FSPs are
[51:11]
currently maximizing these dollars,
um it doesn't really give us a lot of
[51:16]
latitude or if any at all to broaden
where those dollars can also be used,
[51:20]
right? Wow.
>> So, one thing that we're doing in behind
[51:22]
the scenes is we're having internal
conversations to see where our
[51:26]
expenditures live
>> and seeing where exactly they're going.
[51:30]
So that way if if there is latitude for
us to do that for like safe and sober or
[51:34]
for just SD in general seeing if that
could fit.
[51:38]
» As for your other piece though of where
other areas could be, I'm not entirely
[51:43]
sure and I'm hoping maybe somebody here
might be able to provide more
[51:47]
information.
I'm not going to answer that question,
[51:51]
but I think just to clarify, Dette, um I
think that what Oliver is flagging here
[51:57]
is that we actually in Humble have
expended housing funds beyond what most
[52:03]
counties have done. And so even though
these new buckets say, look, you have
[52:08]
this 30% or 35% now that's in here, many
counties are like, oh great, okay, well,
[52:13]
I guess we'll have to spend more money
on housing. We're already spending so
[52:16]
much money on housing that there's not
excess money to spend. So we are really
[52:21]
having to look at how are we spending
it? Do we have places to expand or not?
[52:26]
Like how are we maximizing?
>> Okay.
[52:29]
» So when you hear in the media
>> our governor state that counties aren't
[52:35]
doing what they need to do and they need
to spend this money more on housing.
[52:43]
He's not speaking to Humbult County
specifically. He's speaking to counties
[52:49]
in general like we're not doing what
we're supposed to do and in fact we're
[52:54]
doing more than we could do in Humble
County. So um some of the information
[53:03]
that we hear um isn't actually accurate
for Humble.
[53:08]
» Okay.
>> And that's happened to us a couple of
[53:11]
different times with MHSA dollars.
they've taken other dollars from us
[53:16]
because we weren't building housing, but
we actually were building housing uh
[53:24]
with the Arcade Bay crossing project.
So, I just want to like put some context
[53:31]
uh to some of that because
>> we spend a lot on our misunderstand.
[53:39]
So Oliver is there um I know that one of
the biggest changes in the broad picture
[53:44]
is that now this money has to go to
substance use stuff too. So, in the
[53:50]
housing thing, is there some kind of
requirement or is the county making some
[53:57]
kind of plan to make sure that there's a
good balance between mental health
[54:03]
clients and substance use disorder
clients getting the benefit of these
[54:08]
things? I mean, I don't know, that's
that's going to be a big challenge, but
[54:11]
I mean, is there a plan for that?
>> Great question. So, under the BHSA,
[54:16]
technically, it's not a requirement per
se.
[54:19]
The way they drafted the BHSA is they
made it so that moving forward counties
[54:25]
have the flexibility to provide services
or fund services to BHSA for standalone
[54:30]
SUD uh clients. That's a flexibility and
lat that the MHSA previously did not
[54:36]
have. Right. So, so the way they
formulated it is we have the flexibility
[54:41]
to do it if the funding allows it, but
it's not necessarily a requirement per
[54:46]
se, at least in that front.
>> Oh, I see. Okay. Thank you.
[54:51]
» Yeah.
>> Okay. So, the HI is 30% of it. Can you
[54:55]
remind me of what the because 10% now
goes to the state, correct? And can you
[55:00]
remind me of what the other percentages
are and for what they are?
[55:03]
» Yeah, great question. So I I actually go
over it in other slides as well too.
[55:07]
» And then I guess just really briefly I
wanted to say that um they are doing a
[55:11]
lot of work right now about like
updating kind of what substance use
[55:17]
disorder means when it comes to all
these things. They're trying to consider
[55:20]
a greater disabled as we don't know. So
maybe if we keep up with the legislation
[55:24]
around that that we could find ways to
you know um receive funds from spots
[55:30]
that were previously unavailable.
Absolutely.
[55:36]
question. That's an interesting topic
that brought up a lot of times when we
[55:40]
talk about substance use disorder. It's
really hopefully the topic especially
[55:44]
co-occurring disorders. We're not
Gabriel Maf said it past why the
[55:50]
addiction is why that's wrong and so
like again that that seems to be a
[55:55]
divide. So as an addiction spectrum it's
like we don't want to compete with
[55:59]
therapist.
there's an equality to them. So I I see
[56:04]
it all the time. You know, I'm I'm
Miller with Burger French and
[56:07]
Transitional House and that I see it,
you know, I try to put band-aids on it
[56:12]
all the time,
but it's really mental health issues.
[56:17]
About time we see mental health issues
were really spewing over and like
[56:24]
therapists and stuff.
[56:29]
Hopefully when people talk again I can
say hey coering disorders could like
[56:34]
really mix
the whole and that's that is where we go
[56:40]
to get addition to people all riled up
and
[56:45]
thank you for stopping that.
[56:50]
So we'll move on to the next H bucket of
the BHSA and that is the behavioral
[56:55]
health services and supports the BHSS
and that's the 35%.
[56:59]
So the purpose is to serve children,
youth, adults and older adults. Uh it
[57:04]
focuses on early access stabilization
and prevention of horse conditions and
[57:10]
the word prevention has an asterisk here
which I will address with us together in
[57:15]
a moment. uh it's meant to prevent uh
escalation to crisis, homelessness or
[57:20]
justice involvement. What we can fund
through the BHSS uh bucket, it's and
[57:25]
it's a lot. So we can put we can do the
outpatient mental health and substance
[57:29]
use disorder services. So that one
element that we kind of just mentioned,
[57:33]
outreach and engagement, uh workforce
education and training, also known as
[57:38]
WAT, early intervention programs, which
I'll go in detail in a moment, and
[57:43]
innovation programs. You guys might
might have this in mind where um under
[57:48]
MHSA uh we had requirements to do
workforce education and training and
[57:52]
innovation pilots. Technically under the
BHSA those are no longer standalone
[57:58]
categories. They're all molded into the
DHSS bucket. And again, it's more
[58:04]
they're they're now intended that if the
county has a flexibility to fund those
[58:08]
two components, then by all means they
can. they don't necessarily have to
[58:12]
moving forward under the BHSA.
Um
[58:17]
for uh the BHSS early intervention at
least 51% of these uh early intervention
[58:23]
dollars on BHSS must be allocated to
early intervention uh of these EI funds
[58:29]
and minimum of that. So that 51% at
least 51 of those percentages must be
[58:34]
allocated to individuals who are 25
years of age and under. Uh, additionally
[58:41]
the state gave us some two new
definitions in that three two three
[58:46]
weeks ago. One of them is called
indicated prevention and the other one
[58:50]
is called universal prevention. Uh, with
indicated prevention, this is the main
[58:55]
focus of the HSS early intervention. Uh,
and it's meant to be targeted to
[59:00]
individuals at elevated risk as they've
defined it. They've also defined
[59:05]
universal prevention and this is the
type of prevention that they don't want
[59:08]
counties doing moving forward. Uh it is
not allowable for us and is defined as
[59:13]
broad populationwide efforts not tied to
individual risk. Right? I'll go over the
[59:20]
challenges of what this poses for us and
contextualize what that means for
[59:24]
programs in in the next slide. Uh but I
just really wanted to share those two
[59:29]
definitions because again it it's new
direction that we just got not too long
[59:34]
ago.
So this slide I wanted to really just
[59:39]
emphasize the programs within the
behavioral health services support
[59:42]
bucket. So there's multiple programs in
this section and as we're preparing for
[59:47]
it for early intervention programs
current programs that we are
[59:50]
transitioning to this bucket are the
hope center HCASI parent partners our
[59:56]
multi-ter system support MTSS with HCLE
our warmline our humble early psychosis
[1:00:02]
intervention program happy and the land
leazison programation
[1:00:07]
uh for CSS programs once under MHSA that
would be our regional services older
[1:00:12]
adults crisis residential treatment. Uh
our innovation program that will be our
[1:00:18]
resident engagement support team also
known as REST. And last but not least,
[1:00:22]
our workforce education and training
wet. So that will be our reliance
[1:00:25]
e-learning platform that we've utilized
to train our workforce along as any
[1:00:30]
other equity trainings that we are
intending to plan in the near future as
[1:00:34]
well. So as you can see, a lot will live
under the BHSS bucket which will present
[1:00:40]
some challenges.
And once again our our friend jumping
[1:00:44]
hurdles is back. So with uh the state
transition to indicated prevention uh
[1:00:51]
which is shifting to focus to at risk
people um this poses some issues. Uh for
[1:00:57]
instance this means that we cannot fund
our suicide prevention program under
[1:01:01]
public health or our local
implementation agreements uh as they
[1:01:06]
currently stand.
uh largely these are two universal uh uh
[1:01:12]
prevention programs and with the way
they've defined it we unfortunately
[1:01:17]
cannot move forward in develop these
programs.
[1:01:20]
So that's our first challenge. Uh the
second challenge as I kind of mentioned
[1:01:25]
in the previous slide is this uh the HSS
bucket has a lot of different programs
[1:01:31]
and services cramped into one section.
So in in that way it's really
[1:01:37]
prescriptive in nature because it really
dictates and tells counties what they
[1:01:41]
should have which then also lowers the
ability for counties to use those funds
[1:01:48]
for other things. It's still a
possibility but it does reduce that
[1:01:53]
flexibility.
Um and in addition guidance from the
[1:01:56]
state has been very very slow uh with
the most recent policy manual module 4
[1:02:01]
as we call it releasing in mid December
2025. So very much of a lot of this
[1:02:06]
language is still actively being
contextualized in terms of what that
[1:02:10]
means for programs and program changes.
So just wanted to highlight those uh
[1:02:14]
challenges that we're having with this
section.
[1:02:20]
So now we're getting to our third and
final bucket of the PHSA and that is the
[1:02:26]
full service partnership bucket which is
35%.
[1:02:29]
Uh Humble's FSP program is called
comprehensive community treatment also
[1:02:34]
known as CCT. This is the highest
intensity VHSA service for people with
[1:02:39]
severe behavioral health needs. It's
oftentimes seen as the whatever it takes
[1:02:43]
service delivery approach where whatever
that client needs for stabilization and
[1:02:49]
support the program does it uh including
housing. It focuses on individuals at
[1:02:55]
risk of homelessness, hospitalization or
justice involvement.
[1:02:59]
How so under FSP? How is this going to
under BHSA? house is going to differ. So
[1:03:06]
all housing normally done through the
FSB now will go under the housing
[1:03:10]
intervention section because again they
divided that those funds right. FSB
[1:03:15]
programs can now serve folks who have
standalone SUD diagnosis and
[1:03:20]
incorporates the need to have low
barrier access to medication admin
[1:03:24]
administration treatment Matt services.
uh the requirement there's also a
[1:03:30]
requirement to implement evidence-based
practices such as assertive forensic
[1:03:34]
community treatment individual placement
and supports also known as IPS and
[1:03:39]
highfidelity wraparound services those
are all evidence-based practices that
[1:03:43]
the state is mandating to some degree uh
with smaller counties having exemptions
[1:03:48]
for some of them which I'll talk about
in a moment
[1:03:52]
so challenges within this bucket the FSB
bucket having to reallocate the housing
[1:03:58]
costs normally under MHSA FSP into that
EHSA housing bucket uh is difficult with
[1:04:05]
funding being limited. So again, really
wanted to emphasize that original point
[1:04:09]
from a few slides back. Uh the
implementation of evidence-based
[1:04:13]
practices requires more staffing and
funding with an expectation to implement
[1:04:18]
service delivery by July 1st, 2026. So
we're dealing with some incredibly tight
[1:04:23]
deadlines when it comes to this. Um
thankfully in recent language the state
[1:04:28]
has given us latitude to request
exemptions to some of these requirements
[1:04:33]
and some of these are being explored
right now for instance for the act and
[1:04:37]
then the individual IPS as well. So, so
that those are things that we're
[1:04:43]
actively exploring right now and we'll
probably be requesting some exemptions
[1:04:47]
for implementation at least because
again the workforce capacity that these
[1:04:51]
require were really intended for larger
counters.
[1:04:58]
So here I have like a summary slide of
the PHSA challenges that I just
[1:05:02]
mentioned to you. So it is a major
system redesign uh not a funding
[1:05:08]
increase. It actually reduces again the
overall county funding. Instead of that
[1:05:12]
95% that I mentioned, now we're only
getting that 90%. Uh new requirements
[1:05:17]
exceed the current local capacity,
especially for small and rural counties.
[1:05:22]
And that's something that I've been
hearing from a lot of our um smaller
[1:05:25]
county partners. Uh housing
availability, staffing levels, and
[1:05:29]
required services models all depend on
one another. So they're all
[1:05:33]
interconnected in some cheap way or
form. So if we're struggling in one
[1:05:36]
capacity, the struggle is going to
happen in the other capacities as well.
[1:05:41]
Counties must balance compliance with
maintaining essential local services. Um
[1:05:46]
so one really big point I wanted to
highlight there and in addition their
[1:05:51]
tight tight timelines and evolving state
guidance guidance list in implementation
[1:05:55]
challenges because again we're very much
um building the ship as we fly.
[1:06:03]
So I know it's really really tiny in
this and I did provide a copy in the
[1:06:07]
packet you have it should be at the very
end of your packet. Um we also have this
[1:06:13]
is kind of our program planning um uh
mapping so to speak where we start we
[1:06:20]
started developing the plan August
October which is still kind of carrying
[1:06:24]
over to today. We're meeting with
community members and soliciting uh
[1:06:29]
feedback and input for really spreading
the word of like what the changes are
[1:06:33]
happening through February. We have a
live community survey to also advertise
[1:06:39]
and solicit feedback from people who may
not be able to attend one of our
[1:06:43]
meetings. Um that that survey posts
February 15th and there's a flyer in
[1:06:48]
your packet as well and I'll make sure
to send that your way too afterwards. Um
[1:06:53]
and we have to submit a um a copy a
draft copy of our plan by March 31st to
[1:07:01]
the state. That's the new requirement
and a new deadline for us which is
[1:07:05]
highlighted here in red. We will be pro
creating a u a community engagement
[1:07:12]
report and making it public for
everybody to review. So that way people
[1:07:15]
see what was recommended, what were the
outcomes of our meetings together. and
[1:07:20]
it's the same document that will be
presented to our behavioral health
[1:07:23]
leadership for uh for consideration to
changes or additions to programs. Um we
[1:07:30]
will aim to have a public hearing
through the behavioral health board in
[1:07:33]
May uh hopefully at the end of May. Uh
so that's another step. And then if
[1:07:39]
everything aligns perfectly by the end
of June, we should have a finalized plan
[1:07:43]
that would then be approved by the state
and then would allow us to utilize those
[1:07:47]
funds for the programs that we plan for.
So again, those are all of our um
[1:07:55]
logistics that I wanted to kind of go
over with you. And by all means, this is
[1:07:59]
your time now to share any questions,
input, anything. Thank you for your
[1:08:03]
time.
[1:08:07]
Good job.
>> Great job as always. And uh
[1:08:14]
I know that when I go to CalBHB stuff
and hear from other counties,
[1:08:20]
it it's a struggle for us, but we are
really doing better than many.
[1:08:26]
That's a lot. So proud of that. Anybody
have Yes.
[1:08:30]
» Oh, I I was curious if there was any
other questions in the chat.
[1:08:36]
questions. I saw some stuff
[1:08:54]
like questions.
[1:08:59]
No, we don't have any questions in chat
with anybody
[1:09:03]
for the remainder.
[1:09:07]
» Nothing else.
>> Yes. Um, so I work at the TA center
[1:09:14]
and um, I just want to emphasize like
and uplift like with so many youth and
[1:09:21]
Oliver came to one of our bean meetings
every year which we really appreciate to
[1:09:27]
get the youth advocacy board's feedback.
Um, yeah, I just want to uplift like the
[1:09:32]
importance and the youth have said this
like multiple times, maybe every time
[1:09:37]
we've ever asked them about anything for
brainstorming is just the importance of
[1:09:41]
peer coaches and also parent partners.
Um, it's been the most requested service
[1:09:50]
and also the one that's gotten the most
positive feedback
[1:09:56]
any of the young people with.
[1:10:07]
Just want to thank you Oliver. Um I just
you you are so clear and excessive. So I
[1:10:15]
think that really helps bridge this work
and uh and keep it contemporary and keep
[1:10:21]
our understanding up to date. Thank you
for this
[1:10:27]
and thank you for sharing this life. For
sure.
[1:10:30]
» Absolutely.
>> Oliver, another another, you know, thank
[1:10:34]
you for a wonderful job. Um a very well
thought out, very well executed.
[1:10:41]
Um I'm speaking
on behalf of our full service
[1:10:45]
partnership.
Um and what what is needed there in our
[1:10:51]
full service partnership is peer
coaches.
[1:10:54]
Um they're getting the support of full
staff but um their peer coaching uh peer
[1:11:02]
support specialists uh is very much in
lack. I know I spoke with Mr. Rockwell,
[1:11:08]
the
program manager there, and what could we
[1:11:12]
do as behavioral health board to um
uplift his uh services and his reply was
[1:11:24]
we need
peer coaches really badly. So if there's
[1:11:29]
anything that in this that can bring
peer coaches into our full service
[1:11:33]
partnership, that would be a blessing.
[1:11:38]
first
[1:11:47]
if you Yeah, seems like more questions.
If you haven't filled out your form,
[1:11:54]
» yeah, I'll just collect those at the end
of the meeting.
[1:11:58]
» Yeah. Or you can also do it here.
>> Thank you so much.
[1:12:02]
» I would also just like to acknowledge
the work, Oliver. I know that moving
[1:12:06]
from NHSA to BHSA, it just just doing
the NHSA work was is a workflow. And
[1:12:14]
then for all of the changes to come
about the way it has and and like you
[1:12:20]
saying, you just have some of your stuff
just a couple weeks ago, you've done an
[1:12:24]
excellent job. You're really great at
communicating with the community. So, I
[1:12:28]
just want to thank you for all your
work. It's I know it's a lot.
[1:12:32]
acknowledge
that. Thank you.
[1:12:38]
Thank you.
All right,
[1:12:43]
we will move on to communications.
So, this is a time when a behavioral
[1:12:48]
health board member can
quickly and succinctly give us what's up
[1:12:54]
with them.
>> You want to start, Vernon?
[1:12:57]
» I don't know about quickly. I have a bad
habit of not being quick. So, help me uh
[1:13:00]
with the time.
>> All right. Uh I got a couple things very
[1:13:03]
important that uh is on the plate. Uh a
new Senate Bill 417 is coming out. Uh it
[1:13:10]
is known as the
[1:13:18]
affordable housing uh bond act of 2026.
This is going before the uh if it passes
[1:13:26]
the housing uh committee, which it did
pass the appropriations
[1:13:31]
uh committee on the 18th. The housing
committee met on the 20th. Um I do not
[1:13:37]
know anything about if that passed the
house or not, but this if it does go
[1:13:42]
through as expected, it will be going to
the voters June 2nd. Uh this brings
[1:13:48]
another $10 billion uh to the state uh
in bond act money. Um
[1:13:57]
I'm going to touch on a very sensitive
subject. I was involved with two cases
[1:14:01]
with the Eureka Police Department uh in
the unhoused over the last couple of
[1:14:06]
weeks. Um and the charges have been
turned over to the district attorney's
[1:14:12]
office. As a board member, I would like
to ask our executive committee to see if
[1:14:17]
we can uh get the DA's office uh to come
do a presentation of how they handle
[1:14:23]
mental health and homelessness in their
jurisdiction because I do know that the
[1:14:28]
history of assaults uh this past
Saturday night.
[1:14:34]
So, we got we got some kids throwing
rocks at people. Um, and the two
[1:14:40]
teenagers were turned over to their
parents. Another uh adult was turned
[1:14:45]
loose with the automobile.
Um, and I'm just curious of how these
[1:14:52]
charges do
come about and and and disposed of. I do
[1:14:58]
know the history of this is not good
with the DA's office. Um, we're looking
[1:15:04]
at the history.
Um, the reason why I'm bringing it up to
[1:15:08]
this board is because the these
incidences are definitely playing a toll
[1:15:15]
on the mental health of our unhoused
citizens.
[1:15:18]
Um, so thank you for your time. Um, and
like to get some support on back and
[1:15:25]
getting our DA's office here. Thank you.
>> Margaret, do you have anything?
[1:15:31]
» Um, yeah. Um, two things. Uh, one is,
um, People probably know I live in
[1:15:37]
McKenley. One community member here with
an AOD back I mean an SUV background.
[1:15:43]
I've been I just want to tell this board
that I've been kind of concerned that in
[1:15:49]
McKinleyville I can see that uh
homelessness is really really increasing
[1:15:56]
in just the last six months. you know,
the county has a little office with some
[1:16:03]
little services in there. Uh, but
um I'm pretty comfortable talking to
[1:16:11]
just about anybody and I have talked to
some of these homeless people and they
[1:16:16]
just keep telling me that one of the big
barriers for them to come in and get
[1:16:20]
some counseling or mental health
services or or even SUV services is
[1:16:26]
transportation.
they, you know, they don't have money to
[1:16:30]
buy, you know, tickets on the bus. They
don't have, you know, etc., etc. So, you
[1:16:37]
know, I don't know if through MHSA
anything like that can happen, but I
[1:16:41]
wanted to just kind of bring it to the
board's attention that, you know,
[1:16:45]
something as simple as transportation
can be the difference between somebody
[1:16:50]
really going way downhill and then
having to have a much higher profile in
[1:16:56]
mental health or SG services that could
be abaded by more transportation.
[1:17:04]
So I'm just raising awareness and you
know McKinleyville's only I mean I drive
[1:17:09]
here to these meetings McKinleyville's
only like 10 miles from Eureka but those
[1:17:14]
10 miles can really make a big
difference if you have to walk them or
[1:17:19]
you know do something you know or beg
for rides or etc. So that that's the
[1:17:26]
other one. And the other one is I just
wanted to announce um um uh I think you
[1:17:32]
know that I've and I used to bring Eric
Thompson to meetings with me and I just
[1:17:37]
want everybody and I told you guys when
when he got real sick, etc. So anyway,
[1:17:43]
he's had some more really serious health
problems and um he made the painful
[1:17:48]
decision recently with the help of his
extended family to move to Rochester,
[1:17:54]
New York where he has an uncle, a father
who must be getting kind of old because
[1:17:59]
he's in his late 50s. Um and uh he
wanted me to tell the board that he's no
[1:18:06]
longer in Humble County, but that he's
thinking of all of us. I I'll kind of
[1:18:10]
keep you know in touch with him and uh
he was a very important person a few
[1:18:15]
years ago by being in charge of the
substance use committee by uh uh doing
[1:18:22]
groups at the hope center etc. So we'll
really miss him and hopefully he'll do
[1:18:28]
some of that in Rochester, New York. He
had to fly out on Tuesday and and I saw
[1:18:34]
the news that planes were skidding off
the runway in Rochester, New York. So, I
[1:18:39]
hope his plane wasn't on.
>> Thank you,
[1:18:45]
» Bob.
>> Hi, everybody. Um, turns out the VA is
[1:18:50]
looking for 8 to 10 vets who want to
participate in Battlefield Acupuncture.
[1:18:57]
Um,
it's an alternative
[1:19:02]
uh medicine
>> battlefield. So,
[1:19:04]
» battlefield acupuncture. I've got the
information here. The nurse at the VA
[1:19:10]
price. I've got a contact information
here. Um, who would sign me up for that?
[1:19:16]
Uh but but if you know anybody who would
be interested in that for reduction of
[1:19:23]
trauma
[1:19:26]
um I'll give this to Joe
and also I have got some information
[1:19:31]
here on contact information for me
veteran peer support give that
[1:19:37]
disseminate also I'm going to be
starting some uh
[1:19:41]
uh veteran peer support meetings for the
local community here probably next
[1:19:45]
month. Um, we've got a place to do that.
So, we'll see how that brings off.
[1:19:52]
» Thank you,
Peter.
[1:19:56]
» Hello, everybody. Um,
a couple
[1:20:01]
tidbits. One, um, Humble Bridge
Wellness, our collaborative partnership
[1:20:05]
with Department of Health and Human
Services is is going well. We'd really
[1:20:09]
like to, um, have twice as many wellness
coaches out in our regions. Um, but
[1:20:15]
we're tiny but mighty and responding to
uh referrals. Um, those wellness
[1:20:22]
coaches, what's the difference is it's
not it's not grant funded. I mean, it's
[1:20:26]
grant funed right now, but we'll be
shifting their activities to what their
[1:20:30]
children youth behavioral health
initiative multi-payer fee schedule. So,
[1:20:34]
there's certain things they can't do and
can't do that we can recoup funds and
[1:20:38]
we're doing time studies to look at how
much of their salaries we actually truly
[1:20:42]
can recoup. Um
to my chagrin, case management is not
[1:20:49]
one of those activities. So um so that
gets challenging, but it's also very
[1:20:54]
inclusive of the child. So balancing
that work, but in lie of that, the
[1:21:01]
county office uh has also become a
provider for ECS at Calam work. So we're
[1:21:08]
onboarding our wellness coaches as many
health workers as well so that they can
[1:21:13]
have a small case load of homeless
fostering youth to work with and do
[1:21:19]
preventative and case management types
of activities. So um so that's exciting.
[1:21:25]
So we intend on braiding those funds
reaching more people sustaining
[1:21:29]
positions that's their goal. Um and
another offering we have some trainers
[1:21:34]
in um in a program called be sensitive
be brave. There's two sections of be
[1:21:40]
sensitive be brave. One is um training
school staff across the board on how to
[1:21:48]
identify warning signs of mental health
issues and how to make referrals. And
[1:21:52]
then the other module is around suicide
prevention. So, we're offering that to
[1:21:57]
districts as well as um at the county
office and um and we're working with the
[1:22:03]
Calpali social work program and
providing that training there. So, so
[1:22:08]
there's few things that are
>> happening
[1:22:12]
updates.
[1:22:16]
Sean
[1:22:26]
» very
[1:22:30]
move on to sister.
[1:22:38]
You have any question for us?
[1:22:44]
I can provide a little update around the
navigation set.
[1:22:49]
» What? That would be awesome.
>> Okay. Um,
[1:22:53]
so, um, noting my frustration with
Natalie Aoyo, I wish she was here today
[1:22:58]
because me noting my frustration with
her, um, actually helped. And um we had
[1:23:06]
a couple of meetings with a couple of
supervisors and city of Eureka staff and
[1:23:14]
um Justin Zable and others and got some
agreements in place and
[1:23:22]
now our architect Jay Johnson for the
county is now meeting weekly with um the
[1:23:31]
Justin Zables architect and Justin has
hired an engineer and they're working on
[1:23:37]
the plans and and getting the permitting
done. We were able to get an extension
[1:23:45]
with our HAP funding that we were going
to pay um the lease with. So,
[1:23:51]
we're kind of switching. We're
flip-flopping some of the funding that
[1:23:55]
is going to be used for that. Actually,
I've had to flip-flop it three times in
[1:23:59]
the last five years. Um, but it does
appear that the project is moving
[1:24:06]
forward
and um, the last timeline I saw and it
[1:24:12]
was really rough, but it does appear
that thing may be done, they say they
[1:24:18]
want it to be done by the end of 2026.
I think it'll probably be more like June
[1:24:27]
or July 2027, but that's better than
nothing. So, I feel a little better
[1:24:36]
about that. Um, we don't have the 90%,
this is the important part for this
[1:24:43]
group. We don't have the 90% completion
of the plans yet. And I don't want to
[1:24:49]
start the community meetings
um and really do uh program planning
[1:24:55]
until we get that 90% completion because
we need that for our lease to be valid.
[1:25:02]
Um so
when that happens, we'll start community
[1:25:06]
meetings and program planning around
what all we'll have um at the navigation
[1:25:13]
center.
But
[1:25:18]
» movement.
>> So I'm hopeful again.
[1:25:21]
» Yes.
[1:25:24]
» Thank you for that.
>> Yeah.
[1:25:28]
and we drop.
>> Yeah. So um I was thinking about like
[1:25:33]
given the BHSA presentation how as noted
that's this is such a heavy lift such a
[1:25:40]
huge transition for our systems and one
of many like you if I just think about
[1:25:45]
in this moment the past present and
future things among others we just did
[1:25:50]
mobile crisis benefit we did care court
we just started SB43
[1:25:56]
um BHSA and other QI
initiatives are including a number of
[1:26:01]
PPPs that are going to be rolled out and
have to be implemented over the next um
[1:26:06]
few years. I wanted to just note too
that the kind of the impacts are so far
[1:26:12]
reaching. So, you know, absolutely
Oliver's gift is huge and the change to
[1:26:18]
how BHSA will work really impacts
everybody throughout our systems. So the
[1:26:23]
integrated plan now is going to require
QI in all programs to collect and
[1:26:28]
present data that they've never had to
do in the past. There's the
[1:26:31]
implementation like I mentioned of the
EDP. So there's just like really broad
[1:26:35]
work across the system that um that and
all the other changes are um are
[1:26:42]
creating for us. Um, so, so that's just
continuing to say that because I feel
[1:26:47]
like staff do this work sometimes
without recognition for how much they're
[1:26:51]
caring and it can be a lot especially
because we still are pretty understaffed
[1:26:56]
in many of our programs and parts of our
system. Um, I also wanted to mention
[1:27:01]
part of all these new initiatives um
means continued and increasing audits.
[1:27:07]
In March, we have three audits scheduled
and all of that takes lots of time and
[1:27:12]
effort and followup and if things aren't
all exactly in place, then we have
[1:27:16]
corrective action plans that we have to
attend to. So, that's a lot of work as
[1:27:21]
well. Um, and it's it's good. you know,
it keeps us doing the work in ways that
[1:27:26]
are um legal and ethical and with
integrity and making sure that we're
[1:27:30]
providing good services to the community
and that our practices are um in
[1:27:34]
alignment with with how we want to
serve. Um I think I mentioned here that
[1:27:38]
we have a new medical director. Maybe I
didn't. She came on four, five, six
[1:27:43]
weeks ago now. She's really amazing and
one of the things I love about her is
[1:27:47]
that she's super compliance focused. And
so she's just like poking holes in all
[1:27:52]
the things to make sure that we're doing
things right. And while that feels
[1:27:56]
daunting, it's also really reassuring to
me as a also compliance worried person.
[1:28:03]
So anyway, it's a nice addition for us.
Um, the other things I just wanted to
[1:28:08]
mention is we're just starting work on
our budget planning for next fiscal year
[1:28:13]
and it is only January, but we start
this work very early. And so we're
[1:28:18]
looking at um how we're going to kind of
create a budget for next year that
[1:28:23]
continues to keep us fiscally solvent.
We've talked about the the big deficit
[1:28:28]
that we've had over the years and and
really the great improvement that we
[1:28:31]
made. And so I'm glad about that and
just wanting to continue to do that work
[1:28:35]
in responsible ways. Um and with that
also comes um a renewal or re-execution
[1:28:43]
of a number of contracts. And I just
because I was interested double checked
[1:28:48]
and in behavioral health we have about
150 contracts annually which is a pretty
[1:28:53]
large number that we um use to do all
the work and and that we have to
[1:29:00]
manage and support and uh carry forward.
So anyway, lots going on. Um, lots of
[1:29:07]
good work and lots of hard work.
>> Thanks,
[1:29:14]
» deputy directors. I'm gonna start online
with chair. So, I mix it up. Yeah,
[1:29:19]
mixing it up.
>> Jeremy.
[1:29:22]
» All right. Well, um, in the children's
world, a lot of a lot of the work right
[1:29:25]
now that that we're primarily focusing
on are some of the things that Oliver
[1:29:28]
mentioned. Uh specifically with uh
highfidelity wraparound is a new
[1:29:33]
requirement for us to um offer
wraparound to behavioral health
[1:29:39]
behavioral health youth that are meeting
that full service partnership level of
[1:29:44]
need of service. And so that'll be um we
have to have that service online really
[1:29:50]
by by July of this year. So we're we're
in the early stages of a lot of the
[1:29:55]
planning. Um, we have outreach out to
potentially some organizational
[1:30:00]
providers that that we would be able to
contract with that have staff to provide
[1:30:04]
that service. Uh, but that that'll be a
heavy lift. Uh, getting the wraparound
[1:30:08]
program up and running. Um, along with
that are are some other evidence-based
[1:30:13]
practices that are are being mandated by
the state that we also um lift up in in
[1:30:20]
fairly short amount of time. I think I
think these are also by midyear this
[1:30:24]
year. So we have to um have the ability
to offer functional family therapy,
[1:30:30]
multi-sistic therapy and parent child
interaction therapy. So those are three
[1:30:35]
um youth focused evidence-based
practices. The first two are more uh
[1:30:40]
family systems work. Um both both have
some juvenile justice and system
[1:30:45]
involved youth components. Um and then
PCIT is is focused on younger I think
[1:30:52]
it's 0 to7 um age children and and
services for them and their caregivers
[1:30:58]
and working on the relationship issues
between parent and child. So um also we
[1:31:04]
have outreach out to organizational
providers to see if they're interested
[1:31:08]
in training training their staff. Uh so
those programs may be some combination
[1:31:14]
of county county staff running a program
or an ORC provider also running that
[1:31:19]
program. Um so we're in the again early
stages of planning. Um all of those
[1:31:25]
practices the state is providing funding
for the training and implementation side
[1:31:30]
of it. So that is um that is helpful,
but um certainly will be a a shift in in
[1:31:37]
staffing and and having to focus on all
the fidelity pieces and getting those
[1:31:41]
practices up to um up to fidelity. So
along with that just a lot of work to
[1:31:49]
continue. There are regular services. Um
uh one exciting thing is um
[1:31:54]
environmental alternatives or EA family
services um are in the early stages of
[1:31:59]
opening up a a an STRTP program, a
short-term residential treatment
[1:32:05]
program. So that is um that is for youth
that need that level of um residential
[1:32:13]
treatment. Um, typically those are those
are through child welfare, child welfare
[1:32:18]
placements, but it could also be a
probation placement. Um, but that'll be
[1:32:21]
a local in um facility in Eureka. I
believe they're focusing on uh about six
[1:32:28]
beds for uh for females. And so um it's
exciting to have that because right now
[1:32:34]
whenever a youth needs an STRTP
placement, they do have to go out of our
[1:32:39]
county. And so that presents quite a bit
of challenge as far as coordination and
[1:32:43]
it's just difficult for coordination and
then uh obviously the closer we can keep
[1:32:49]
youth to home and to their their
supports around here the better. So
[1:32:52]
we're excited about that um that new
facility. Um we're in the in the early
[1:32:57]
planning stages of that as well. So I'm
hopefully that will be up and running
[1:33:01]
sometime this year. So lots of lots of
work being done along with our regular
[1:33:06]
services, but those are kind of the the
big things right now. So, I can uh pass
[1:33:11]
it back to you guys.
>> Thanks, Jeremy. It's nice to hear your
[1:33:15]
voice.
>> Thank you.
[1:33:17]
» Good stuff. That's exciting about uh TR.
[1:33:24]
» Jack, do you have any
>> um I don't think a lot. I mean, I think
[1:33:31]
some of the things that we talked about
the HSA already certainly on forefront
[1:33:35]
of what I'm working on, what's happening
with the housing and changes with the
[1:33:41]
FSP and
um I do uh was thinking we um
[1:33:50]
got a we're working on a contract and
we've we've started the process uh with
[1:33:56]
um moving some individuals to the new
long-term care facility called Windsor
[1:34:02]
U, which I think is in Sacramento area.
Uh, but this has been a really um
[1:34:09]
they're kind of a new new facilities
that are brand new and they have beds
[1:34:14]
available, but they're also a big
facility. So, they've taken a few of our
[1:34:18]
folks. Uh, some of those individuals
have been uh sitting on SV and other for
[1:34:25]
quite a while. you know, lots lots of
out there waiting for someone. So, uh,
[1:34:31]
from from that perspective, public
guardian perspective, it's been nice to
[1:34:35]
see some movement there and and from the
MRT perspective, uh, from the mobile,
[1:34:42]
you know, response, uh, having bed
availability up at SB has been
[1:34:48]
noticeable recently.
So, you go to the hospitals and you
[1:34:52]
know, like we're probably
[1:34:57]
How many beds does this western have,
Jeff?
[1:35:00]
» I don't know. I want to say somewhere 80
90 beds. They have different levels of
[1:35:05]
care there. So, um they have some
unlocked, some locked, some sniff, STP,
[1:35:11]
and then some beds for forensic. So, I
mentioned SD, but there's been a couple
[1:35:17]
folks, I think, through the jail that
have um that have uh been moved to two.
[1:35:25]
So, Murphy conservatorships in the jail
that was kind of big push.
[1:35:30]
It was Murphy Conservatorships, but
they're taking other folks from the
[1:35:35]
city, too. So,
>> wow.
[1:35:38]
takes it from everywhere. The Windsor
takes it from all counties or
[1:35:43]
» Yeah, I'm sure Windsor has a contract
with multiple counties. Yeah. So, not
[1:35:46]
just
>> sometimes we have
[1:35:51]
someone that's been in care and they'll
have a bad episode in in a facility
[1:35:59]
10 years ago and they'll never be
allowed to be back in that facility
[1:36:03]
because something happened 10 years ago.
And so this is a relief for um folks
[1:36:10]
that have been penalized like that over
over time. So appreciate hearing that.
[1:36:16]
Thank you for
>> Yeah, it's been uh just an interesting
[1:36:20]
obser. I haven't been to Safari in a
while or meeting with the SB. So I'm not
[1:36:24]
sure, but it's just been very noticeable
that
[1:36:29]
the the CSU or or Oh yeah, we have some
beds. We have a bed. Right. So when you
[1:36:34]
go into St. and Josie are knowing that
SV has a bed. You're kind of like, oh
[1:36:41]
yeah, SV's got a bed. I'll see your
person, right? If they don't, you're
[1:36:47]
real
a lot.
[1:36:51]
It's been just noticeable last couple
weeks and I imagine some of it might be
[1:36:55]
staffing too, but I think uh I'm sure
some of it's getting folks.
[1:37:01]
» That's wonderful. That is really what
[1:37:08]
» um just to piggy back off what Jack was
saying um you know we are starting to
[1:37:12]
feel the difference and seeing the
difference of new beds, new facilities
[1:37:16]
starting to open up as we felt that with
Hyperion.
[1:37:20]
um that's been a great resource for us
for step downs from severance. So uh
[1:37:25]
that's been helpful. We've noticed that
and and now with this new contract we're
[1:37:29]
noticing as well. So that's been good.
That allows us to, you know, move people
[1:37:35]
along in the continuum of care more
quickly and open things up to keep
[1:37:39]
people more local that are having a
crisis. So that's been um enormously
[1:37:45]
helpful. and also some of the work that
Jessica Duke is doing as uh the the
[1:37:49]
manager hospital administrator of
environments. She's put in place um a
[1:37:54]
process for how to deliver packets to
these facilities in a way that gives
[1:38:01]
them current information with, you know,
that's more relevant than things that
[1:38:07]
are buried into somebody's record. like
maybe in in 1986 they tried to light
[1:38:12]
their mattress on fire and so they you
know some facilities will use that to
[1:38:16]
like oh no this person is an arson risk
and they won't accept them. So she's
[1:38:21]
seen some movement um uh acceptance um
now we kind of change that process on
[1:38:28]
it. So she's really coming up with some
really nice ideas around helping people
[1:38:33]
to get the care that they need in the
systems they need. Um so I just wanted
[1:38:37]
to say that and um and then just a
couple other short updates. We are we
[1:38:43]
have implemented SB43. You know that's
the expansion of the grave disability um
[1:38:49]
criteria and so things are going okay. I
just really um love the everybody coming
[1:38:57]
together to work on solutions um for
care for people and pathways of care has
[1:39:01]
been wonderful with our SUD community
and others. So that's been great. And
[1:39:07]
the training efforts uh both on law
enforcement side and as well as our side
[1:39:12]
and bringing people together has been
great. So um you know that's that's off
[1:39:17]
and running. And then lastly, uh we do
have a new patients rights advocacy um
[1:39:23]
entity. They're named Smith Waters
Group. Um I met with uh Bill and Frank
[1:39:28]
Smithwaters last week. Really great
fellas and I'm really happy about the
[1:39:33]
service that they're providing us. So,
we're having a meet and greet this week
[1:39:37]
with all of uh interested parties and uh
the to learn about what they're doing
[1:39:42]
and they've been around for a long time
and provided have a great reputation of
[1:39:48]
being great client advocates. So, we're
uh they have some really stable staff.
[1:39:55]
I've been with them for a long time,
which is
[1:39:58]
good indication that they're doing
they're doing something right. And um so
[1:40:05]
yeah, so Smith Waters Group and Bill
where they see they're from Sacramento
[1:40:09]
area and they have expanded out quite a
bit um since uh SP
[1:40:16]
2275 was implemented, you know, with a
probable cause in the emergency
[1:40:20]
departments. Um so they've expanded
pretty significantly. So they're in most
[1:40:26]
of the partnership counties except for
like Sacramento I don't think they're in
[1:40:30]
Sacramento even though that's where
they're based out of.
[1:40:33]
» Uh but a lot of other counties they're
going to northern the north state.
[1:40:40]
» That's great. Wonderful
stuff.
[1:40:47]
Um, safety committee updates. If any you
have anything from Carter,
[1:40:53]
» I actually had to miss that meeting, but
I know that that Oliver came and
[1:40:57]
presented to
>> Oh, that's right. to that meeting. And I
[1:41:02]
presume you did a since we're a short
we're pretty short meeting. I presume
[1:41:06]
you did kind of a condensed version for
the Absolutely. for that. Did you get
[1:41:10]
good feedback from in terms of the SUD
inclusion stuff? Yeah, we had a couple
[1:41:15]
of folks that from Bear River that
attended
[1:41:18]
» um and also from uh Raphael was there
too and yeah, they provide really good
[1:41:24]
feedback for sure.
[1:41:27]
» Good engagement.
>> Yeah, thank you for having me there.
[1:41:32]
» All right. Uh we are at we have no
committees that's
[1:41:39]
chairman, vice chair's not here. I will
say I have two announcements. Uh I'm
[1:41:45]
still working on a March retreat for
behavioral health board members
[1:41:51]
with many of you might be available. And
then um just found out today that CIT is
[1:41:58]
going to be postponed until the end of
May. So
[1:42:02]
that's um both sad and a blessing.
>> Is that the local training that you're
[1:42:09]
speaking of? Okay.
>> The one that I'm the coordinator of.
[1:42:12]
Yes.
So, yes, Muna just found that out right
[1:42:18]
before this meeting. So, I will send
that info out.
[1:42:24]
Um, and again, I'm as always very proud
of the work we do in this community. We
[1:42:28]
can always do more, but we are
kicking butt
[1:42:34]
a lot.
Um,
[1:42:38]
Nav Center, we already heard the great
update. Care for
[1:42:43]
No, I know that we've been helping um
encourage people to go to their care
[1:42:49]
court meetings with the judges. So,
that's been good. I don't know if you
[1:42:53]
have anything else to say on that.
>> Uh no, we've still petition been quite a
[1:42:57]
few petitions and like in the 40s um and
maybe about 20 that have been active. Um
[1:43:08]
so, yeah, that's been coming right
along.
[1:43:13]
Wednesday. Um, yeah, two people from
Fairport came to one of our T staff
[1:43:19]
meetings and gave a really excellent
presentation that answered a lot of
[1:43:23]
questions. So, if anyone and all
um, no, I just thought that it was so if
[1:43:32]
you ever have questions about care for
it was just it answered a lot.
[1:43:38]
» Thank you.
versus triage. Do you have still moving
[1:43:44]
along?
>> Yeah, there's not really an update. Is
[1:43:47]
there any? Not that I know. If Nancy is
on her, she can any updates on crisis
[1:43:53]
triage. Nancy,
>> sure. For some reason, my video is
[1:43:57]
disabled. Sorry about that. Disabled by
the host. Not sure why. Anyway, uh yeah,
[1:44:03]
Crisis Triage Center is moving forward
right now. They're working with an
[1:44:07]
architect and looking to hire the
general contractor to get the ground
[1:44:11]
broken uh on on building it. They're
still hoping to be on track for to have
[1:44:18]
it completed by June of 2027.
Uh that timeline might get pushed out a
[1:44:24]
bit, but it is on track and moving
forward. Uh, same with the seer vir
[1:44:37]
too much. It's so awesome.
Thank you, Nancy.
[1:44:42]
Does anyone have any future items? I got
a note about something to executive
[1:44:48]
committee about DA's office, but doesn't
have any future items they'd like to
[1:44:53]
see?
I don't have a future item, but I
[1:44:58]
remembered that point in time count is
in the mornings. Um, if you if if you
[1:45:04]
have time and you haven't signed up,
please do so. Um, we still need some
[1:45:10]
more volunteers. Uh, I'll be there
bright and early at 7 a.m. Um, if you
[1:45:20]
have time and are able to do it, there's
a there's a training online that's like
[1:45:25]
a little video or PowerPoint training
that you need to take to know what to
[1:45:32]
expect. Um, but it's very, very simple
and Robert Worth will answer any
[1:45:39]
question that you ever have. Um, last I
heard we were lacking especially
[1:45:46]
um folks in the east area. Um, we do
have one uh staff person that's going to
[1:45:54]
go and we're still working on connecting
uh with staff that work at Camo and
[1:45:59]
other areas. Um, but yeah, we were, last
I heard, we had 92
[1:46:07]
people signed up to volunteer and we
really need about 120, but we'll manage
[1:46:14]
with the 92 or, you know, we'll end up
with a few more people. Um, but some
[1:46:21]
folks sign up and then don't show up,
too. So, if you have time and you're
[1:46:26]
able and
able to do that, it's it only takes an
[1:46:31]
hour or so of your time.
Um, we have asked for a lot of
[1:46:36]
volunteers of staff because it's so
important for our community to because
[1:46:41]
the point in time count is used to
allocate the funding, the state funding
[1:46:46]
that comes to counties for homeless
services. So important for for us to
[1:46:52]
continue to have good numbers and
accurate numbers
[1:46:57]
um is good for funding
[1:47:03]
from that pitch.
All right. Well, there's nothing out.
[1:47:08]
It's good to order. I will adjourn this
meeting at 13:49.
[1:47:13]
» Quick check in.
>> I'm sorry. I have a quick check in. Do I
[1:47:18]
have a moment?
>> Um, please. Thank you.
[1:47:21]
» This is Colombina from uh case manager
here with Providence Health. Just real
[1:47:25]
quick, it was a followup. I didn't get
the name of the gentleman who was
[1:47:28]
discussing the VA acupuncture, please.
>> That's Bob Dy. I work for Nation's
[1:47:35]
Finest.
>> Nation's Finest. Okay. And then real
[1:47:39]
quick, the gentleman who was discussing
about training school staff and
[1:47:42]
connection with Calpaliy's uh social
work program, please.
[1:47:48]
Peter Stall. St L L
>> S T O L L Peter. And you work with, sir?
[1:47:55]
» The Humble County Office of Education.
>> Okay. Thank you very much.
[1:47:59]
» Absolutely.
>> Thank you.
[1:48:03]
» All right, everyone.
Go out and be awesome. Stay awesome.
[1:48:09]
» You have a demographic survey. Okay.
Thanks for
[1:48:34]
It's given blue