20230122 Humboldt County DHHS Behavioral Health Board meeting

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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