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Give us all.

2
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» Amen. G

3
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» something

4
00:00:28,160 --> 00:00:38,239
but it's going for the voters in June.
It just passed the Senate appropriation

5
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committee the Senate on housing.
>> Yes, sir. That's not what you have

6
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there.

7
00:00:45,200 --> 00:00:56,039
Um, they had the hearing.
Don't know if that passed or not waiting

8
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on I wouldn't attend

9
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that. Oh, look at that.

10
00:01:06,960 --> 00:01:14,400
» I'm looking for
a lot of basket.

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I saw in that state why I passed on
>> and then the

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» sickle
location

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» with all of the new guidance
>> and um

14
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» still crazy to me that
>> I'm hoping that it passed the house.

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» So crazy to me.

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» How you doing? Our
final version

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30th really got to have it draft into
the March when this goes toward

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California.

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00:01:55,360 --> 00:02:04,360
» Yeah,
stay. So we can still make changes to

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the plan even

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00:02:18,959 --> 00:02:22,239
since we spoke. I've been in the back of
patrol car.

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» What?
>> Yeah.

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00:02:22,800 --> 00:02:30,480
» What happened?
>> What? Since the last time we spoke this

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morning in the back of For what reason?
A gentleman picked up a baseball bat and

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I grabbed it.

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He said, "You have this." And I turned
around by the time I turned around. I

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saw baseball bat swing
on.

28
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» So you're not in the back of a cop car.
That's a good thing.

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» Huh?
>> So you're not in the back of a cop car

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now. No. Uh, I had him face down when
the police showed up. Still on phone

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with dispatch.
>> I was sit over here today cuz I have to

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leave early.
>> Okay.

33
00:03:03,680 --> 00:03:08,159
» We were at your place of work the other
day.

34
00:03:05,280 --> 00:03:10,560
» I heard I heard the stories.
>> You did?

35
00:03:09,040 --> 00:03:13,560
» Yeah.
Oh,

36
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» yeah. I heard
>> there's a lot of stories out there.

37
00:03:18,080 --> 00:03:28,640
» Oh. Oh. Trust me, I know.
Roughly I know.

38
00:03:25,680 --> 00:03:32,519
Oh, good lord.
I certainly know.

39
00:03:35,920 --> 00:03:42,400
Yeah. Uh, one of my guy Well, well,
that's where that stuff was. One of my

40
00:03:40,560 --> 00:03:44,400
guys almost looked at you for a similar
incident recently.

41
00:03:43,840 --> 00:03:47,400
» Really?
>> Yeah.

42
00:03:48,319 --> 00:03:56,239
The officer even told me he said
he said because of who you are. He said

43
00:03:53,920 --> 00:04:00,159
I want to take you to jail.
>> What the heck did that?

44
00:03:58,080 --> 00:04:04,080
» I had no idea and I didn't really ask
him. I said but I hope you do.

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00:04:02,799 --> 00:04:07,519
I said because this will be the last day
you serve duty.

46
00:04:06,319 --> 00:04:12,319
You threaten me. I said no. I'm
guaranteed.

47
00:04:09,599 --> 00:04:14,799
» Was that on did they have their little
>> Oh, good.

48
00:04:14,879 --> 00:04:18,280
I'm already asking.

49
00:04:22,320 --> 00:04:27,000
» I want to talk to you real quick.
>> Okay.

50
00:04:37,120 --> 00:04:42,440
» Oh,
I didn't know you were here.

51
00:04:47,040 --> 00:04:53,560
I would feel like me outside.
I'm in trouble.

52
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» Billion.

53
00:05:05,759 --> 00:05:09,160
» Holy

54
00:05:25,120 --> 00:05:31,280
Bob, you want the appropriations
committee also? Was it past

55
00:05:29,360 --> 00:05:35,759
appropriations? But I don't want to pass
housing.

56
00:05:33,360 --> 00:05:40,320
» I've got present committee on housing.
>> Okay. We Okay. I didn't know if you

57
00:05:37,840 --> 00:05:43,520
wanted the appropriations
appropriations committee.

58
00:05:42,560 --> 00:05:46,800
» I better have it.
>> Okay, then this will give you something

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00:05:45,600 --> 00:05:50,680
to refer to on that.
>> Okay, thank you.

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00:05:55,680 --> 00:06:06,400
» I was highly impressed when when I saw
the four billion set aside for veterans.

61
00:06:01,680 --> 00:06:11,759
Well, this this was in what was that?
That was done in

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00:06:10,000 --> 00:06:16,560
2018,
but it's back up for a vote.

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00:06:15,199 --> 00:06:19,680
» Yeah, that's a lot of money.
>> Really?

64
00:06:17,440 --> 00:06:25,120
» Mhm.
Now, like I said, that that is

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statewide, but that's still a lot of
money for 58 counties or 59 counties.

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00:06:30,400 --> 00:06:37,560
Well, not every county had
>> Yeah, that's true.

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00:06:34,560 --> 00:06:37,560
» So,

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now that explains how we got our
programs

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00:06:46,160 --> 00:06:50,440
how I got my job.
>> Okay.

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00:06:57,039 --> 00:07:05,240
lobbyists
when it expires didn't want to make it

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00:07:02,240 --> 00:07:05,240
work.

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00:07:05,759 --> 00:07:11,599
» Yeah. How's that looking?
>> We just started the second year of a

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00:07:10,639 --> 00:07:15,080
three-year program.
>> Okay. It's

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00:07:16,960 --> 00:07:24,960
» one of those things to where you know
somebody come up with some numbers

75
00:07:21,280 --> 00:07:33,720
» uh for metrics and
we know the reality of that

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00:07:29,840 --> 00:07:33,720
» regardless stillard

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00:07:33,840 --> 00:07:41,880
regardless what the centric sher
still needed it fits into that slot.

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00:07:42,240 --> 00:07:50,919
I hope things go well for you on that. I
really do.

79
00:07:46,880 --> 00:07:50,919
We're definitely inviting.

80
00:07:53,039 --> 00:08:02,199
» Well, you know, it's elemental health.
>> It's not even Yeah,

81
00:07:58,879 --> 00:08:02,199
» that's true.

82
00:08:03,520 --> 00:08:07,240
» That is very true,

83
00:08:07,360 --> 00:08:15,120
Miss W.
A little

84
00:08:11,840 --> 00:08:20,800
» Oh, Laurel. I'm sorry. I called you the
wrong person. I apologize.

85
00:08:17,440 --> 00:08:23,120
» Could be Laurel, right?
>> I called you Miss Wolf.

86
00:08:22,639 --> 00:08:27,440
» Oh.
>> Instead of Mrs. Johnson. I'm sorry. I

87
00:08:26,400 --> 00:08:32,520
apologize.
>> My hearing's gone. Burton.

88
00:08:46,720 --> 00:08:51,320
I said about

89
00:08:57,120 --> 00:09:06,120
» Oh, I was just gonna give so much of
this to for purposes when I

90
00:09:15,600 --> 00:09:22,279
How's the husband doing? Healthy and
well.

91
00:09:19,040 --> 00:09:22,279
That's good.

92
00:09:28,480 --> 00:09:32,040
Let's start,

93
00:09:55,519 --> 00:10:00,760
you know,
But

94
00:10:00,800 --> 00:10:05,080
even just the regular dictators

95
00:10:26,399 --> 00:10:28,640
going

96
00:10:39,360 --> 00:10:46,600
We have somebody from the California
state.

97
00:10:43,600 --> 00:10:46,600
» Yes.

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00:10:49,200 --> 00:10:52,200
» Member

99
00:11:03,279 --> 00:11:06,600
There we go.

100
00:11:07,360 --> 00:11:15,320
Good lord.
You feel hot?

101
00:11:12,160 --> 00:11:15,320
» Oh, no.

102
00:11:21,600 --> 00:11:26,600
It's
funny.

103
00:11:41,120 --> 00:11:44,360
That's good.

104
00:12:07,519 --> 00:12:14,639
Have you seen enough of the signing?
>> I have not.

105
00:12:12,160 --> 00:12:17,440
» Matter of fact, I haven't even seen
pregnant.

106
00:12:15,920 --> 00:12:24,040
» I've been by the shop two or three
times. want to get me.

107
00:12:20,320 --> 00:12:24,040
I I haven't

108
00:12:25,279 --> 00:12:28,279
interested

109
00:12:36,000 --> 00:12:39,000
back.

110
00:12:40,240 --> 00:12:49,360
He just wants to come
postponed it.

111
00:12:46,880 --> 00:12:55,160
I mean, not
>> okay.

112
00:12:51,760 --> 00:12:55,160
That's bad enough.

113
00:13:04,959 --> 00:13:10,440
» Jess, did you get the um the packets?
>> Yes.

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00:13:11,920 --> 00:13:16,360
More than one ways to get them to you.

115
00:13:32,160 --> 00:13:38,560
just briefly take a look at it whenever
you get home.

116
00:13:35,120 --> 00:13:42,800
» Oh, I will definitely see.
>> I definitely will. Things are getting a

117
00:13:40,800 --> 00:13:49,079
little
>> It's looking like it's going both human.

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00:13:46,079 --> 00:13:49,079
So

119
00:13:57,760 --> 00:14:01,160
» Laura just

120
00:14:17,440 --> 00:14:20,440
that

121
00:14:21,680 --> 00:14:26,120
this is something that

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00:14:28,480 --> 00:14:32,680
I have to share.

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00:14:39,519 --> 00:14:44,680
Okay. Yes. Yes. Um

124
00:15:18,800 --> 00:15:22,360
feel right here.

125
00:15:25,519 --> 00:15:31,600
» I can I can
>> I just want to let you know I have to

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00:15:29,440 --> 00:15:36,079
leave.
You're right. You're right. People are

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00:15:33,600 --> 00:15:39,079
in territory.
Right.

128
00:15:45,040 --> 00:15:52,240
Excuse my tardiness.
Like to call this meeting the order.

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00:15:49,600 --> 00:15:56,880
Whatever 20 minutes
seems way different.

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00:15:55,199 --> 00:16:01,680
You're lucky. You are almost gonna have
to run this.

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00:15:59,120 --> 00:16:05,680
At 12:18, welcome to the monthly
behavior health board meeting. We are

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00:16:03,839 --> 00:16:10,320
the advisory board to the board of
supervisors. We hold this meeting in the

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00:16:08,160 --> 00:16:17,759
4th Thursday of each month and runs from
12:15 to 2:15. You meet in person at 50

134
00:16:15,199 --> 00:16:26,480
street.
This is a public meeting. Everyone is

135
00:16:20,639 --> 00:16:31,279
invited to attend looking for a pen. Um
members of the public may participate

136
00:16:29,839 --> 00:16:35,519
that's on the agenda can be found by
searching planning behavioral health

137
00:16:32,720 --> 00:16:39,600
board online. We provide track or public
comments early on the agenda. Public

138
00:16:38,160 --> 00:16:43,759
comments are limited to three minutes
obtained to matters related to behavior.

139
00:16:42,480 --> 00:16:48,160
We ask you to make your comment and
respectful ma'am. Please note this

140
00:16:46,000 --> 00:16:52,399
meeting is being recorded.
Please contact myself or any of the

141
00:16:50,480 --> 00:16:59,720
board members who have questions about
our work as a board.

142
00:16:54,720 --> 00:16:59,720
And Joe, if you'll take the role, please

143
00:16:59,920 --> 00:17:02,920
» here

144
00:17:12,079 --> 00:17:21,280
» Virginia Bass
Johnson

145
00:17:17,120 --> 00:17:24,280
» here price
here.

146
00:17:28,400 --> 00:17:37,720
So we have a follow.
>> We'll go around the

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00:17:33,760 --> 00:17:37,720
room. Um staffing

148
00:17:38,559 --> 00:17:45,000
health and human services director.
Good to see everyone.

149
00:17:45,360 --> 00:17:57,679
» Hi Rosemary Schultz. She her ATC
organizer associate board

150
00:17:54,960 --> 00:18:01,440
» Laurel Johnson analyst in DHS
administration

151
00:18:00,000 --> 00:18:07,760
» there deputy director of behavioral
health.

152
00:18:04,080 --> 00:18:11,600
» Thank you. I'm Oliver Gonzalez. I am a
program manager for DHHS behavioral

153
00:18:09,840 --> 00:18:16,080
health and I I oversee the behavioral
health service.

154
00:18:14,240 --> 00:18:23,200
» Good afternoon. Emmy Bots, the Rogers
behavioral health director.

155
00:18:18,880 --> 00:18:27,520
I'll go online
starting with uh Jeremy. Yay.

156
00:18:25,760 --> 00:18:31,880
» Hi, Jeremy Nelson, deputy branch
director for Children's Behavioral

157
00:18:28,880 --> 00:18:31,880
Health.

158
00:18:36,080 --> 00:18:43,600
Um, Eric,
>> hi everyone. Eric Rushing, um, manager

159
00:18:42,240 --> 00:18:46,240
of mental health for Partnership Health
Plan.

160
00:18:49,360 --> 00:18:57,480
Alex
>> Alex Olivero. I'm a BHSA and quality

161
00:18:53,679 --> 00:18:57,480
improvement admin analyst.

162
00:18:58,160 --> 00:19:01,400
» What's up?

163
00:19:04,559 --> 00:19:09,200
» Is this Did I hear my name?
>> Yeah.

164
00:19:07,200 --> 00:19:15,880
» Hi, Melissa Nelson, patient navigator
here at AJ Senure.

165
00:19:12,880 --> 00:19:15,880
LBH

166
00:19:24,000 --> 00:19:28,280
PHP is here. How about stop?

167
00:19:32,400 --> 00:19:37,640
» Is there anyone else online who would
like to introduce themselves?

168
00:19:37,919 --> 00:19:44,880
» Yes. Hello.
My name is My name is Colina Hosman. I'm

169
00:19:42,559 --> 00:19:50,000
a community health worker here through
Care Network, Eureka, Providence Health.

170
00:19:47,440 --> 00:19:53,600
Justformational uh attendance only.
Thank you.

171
00:19:51,120 --> 00:19:59,440
» Thank you.
All right,

172
00:19:55,840 --> 00:20:04,280
that's everyone. Um
um are there any adjustments to the

173
00:20:01,280 --> 00:20:04,280
agenda?

174
00:20:04,880 --> 00:20:14,200
Seeing none, we will go to public
comments. Anyone in the room would like

175
00:20:10,880 --> 00:20:14,200
to comment

176
00:20:18,000 --> 00:20:23,960
um online? Is there anyone that would
like to make a comment?

177
00:20:28,080 --> 00:20:31,159
» All right.

178
00:20:31,440 --> 00:20:38,240
Moving on to action items.
We need to approve the minutes from

179
00:20:35,600 --> 00:20:43,240
11:205. Do I have a motion?
>> Make a motion to approve the minutes.

180
00:20:40,240 --> 00:20:43,240
» Thank

181
00:20:44,640 --> 00:20:52,480
any discussion.
All in favor of approving say I

182
00:20:50,559 --> 00:20:58,400
» opposed.
Minutes are approved.

183
00:20:54,640 --> 00:21:03,159
Um we need to approve to pay Cal BHB
uh the invoice and it's for

184
00:21:04,480 --> 00:21:11,280
it's $1,000.
Um,

185
00:21:08,960 --> 00:21:17,280
so do I have a motion? Does that sir?
>> Make a motion to be sent.

186
00:21:13,600 --> 00:21:21,760
» Thanks, Don. Is there a second?
>> I'll second.

187
00:21:18,559 --> 00:21:25,919
» Very much. Um, all in favor of approving
that invoice for $1,000 say I.

188
00:21:25,200 --> 00:21:30,799
» I.
>> Opposed.

189
00:21:28,000 --> 00:21:34,480
» Awesome. Motion carries. And, um,
lastly, approval to send the membership

190
00:21:32,640 --> 00:21:38,400
application for Dana Hulcom to the board
of soups. And I have to say that it was

191
00:21:36,320 --> 00:21:45,760
my mistake that this did not get on the
agenda oh two three months ago. Um I'm

192
00:21:42,720 --> 00:21:50,720
not sure what happened but uh Dana has
been to several meetings. She did come

193
00:21:47,280 --> 00:21:55,280
and introduce herself. So anyone want to
make a motion?

194
00:21:52,720 --> 00:21:59,039
» I'll make that motion to send
application for super.

195
00:21:58,159 --> 00:22:03,440
» Thank you.
>> Thank you Vernon.

196
00:22:01,120 --> 00:22:09,039
Um
is there any discussion of us?

197
00:22:07,520 --> 00:22:13,600
» So
um all in favor say I.

198
00:22:12,080 --> 00:22:17,919
» I
opposed.

199
00:22:15,679 --> 00:22:23,840
» All right. Awesome. That motion carries
and we are sending 14th member to be

200
00:22:21,520 --> 00:22:28,960
approved. This is great. I'm very proud
of that.

201
00:22:26,559 --> 00:22:34,280
Discussion items. We have our amazing
awesome behavioral health board member

202
00:22:30,799 --> 00:22:34,280
handbook online.

203
00:22:34,880 --> 00:22:41,440
» Uh I don't know if anyone's clicked on
that link and looked at it, but

204
00:22:39,520 --> 00:22:48,080
everything's there. You can click and go
to things. Did you want to say anything?

205
00:22:46,240 --> 00:22:51,440
» You missed anything. There's you can
pass around

206
00:22:49,679 --> 00:22:56,559
» the heart
printed out, but it is intended to all

207
00:22:54,960 --> 00:23:02,559
be
linkable. that's on um the internet on

208
00:23:00,240 --> 00:23:08,720
the behavioral health board site. So,
but that's you see what it looks like if

209
00:23:05,600 --> 00:23:14,960
you were to print it for
yourself or you don't visit. So, thank

210
00:23:11,919 --> 00:23:18,640
you so much to Laurel and the staff for
putting that together. It makes it so

211
00:23:16,320 --> 00:23:24,480
easy to go to be able to go there, click
on links as opposed to having to type in

212
00:23:20,799 --> 00:23:32,520
URLs for places. Um, and so any new
member can choose to either get it

213
00:23:26,080 --> 00:23:32,520
online or have a hard finder out to you.

214
00:23:32,799 --> 00:23:41,039
Any questions about that? Nope. Awesome.
Now, the moment we've all been waiting

215
00:23:39,520 --> 00:23:45,120
for.
>> My turn to shine.

216
00:23:42,080 --> 00:23:48,120
» Yes. Our BHSA
presentation.

217
00:23:49,679 --> 00:23:53,080
Take it away.

218
00:24:11,120 --> 00:24:18,640
Good afternoon everybody. My name is
Oliver Gonzalez. I am a program manager

219
00:24:15,120 --> 00:24:23,120
for behavioral health branch and I I do
a lot of our I do our behavioral health

220
00:24:20,400 --> 00:24:26,640
services and reporting. Um this
presentation is really going to be

221
00:24:24,400 --> 00:24:32,480
focused on something new that we call
the integrated plan which is for fiscal

222
00:24:29,120 --> 00:24:37,360
years 2026 2029. Uh couple of things I
wanted to kind of disclose ahead of time

223
00:24:34,240 --> 00:24:42,880
in in the beginning is that this is all
relatively new information. Uh so much

224
00:24:40,559 --> 00:24:50,720
so that I'm actually condensing 400
pages worth of uh state lingo into 20

225
00:24:46,799 --> 00:24:56,159
sites. So, so if you have any questions
um as I present, by all means feel free

226
00:24:53,200 --> 00:24:59,760
to to interject. Um I really just want
we really just want to have a

227
00:24:57,360 --> 00:25:03,840
conversation together about all of these
new transitions and changes happening

228
00:25:01,919 --> 00:25:08,960
with the BHSA.
The other thing is I know some of you

229
00:25:05,840 --> 00:25:12,640
are uh have attended our previous MHSA
meetings, mental health services act

230
00:25:10,480 --> 00:25:17,919
meetings. Normally we would present a
budget along with this information but

231
00:25:14,559 --> 00:25:21,840
given by how much is changing right now
that budget is still very much in

232
00:25:19,679 --> 00:25:26,000
progress along with the plan that we're
discussing today. So I I do apologize

233
00:25:24,400 --> 00:25:29,520
for not having a budget on hand to
present to you right now but that is

234
00:25:27,600 --> 00:25:33,440
something that we will have in the
coming months for you to see as well. So

235
00:25:32,000 --> 00:25:40,559
just wanted to give you guys that heads
up. Um in today's presentation uh we

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have really three core goals. uh we will
discuss the transitions of the MHSA to

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the VHSA. Throughout the presentation,
I'll be highlighting challenges with the

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implementation of the VHSA. So, really
just going over those challenges and

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potential impacts on programs. And last
but not least, we'll be talk there will

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be room for comments, questions, and
input from the public. Um

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while we're on that note, we also have a
demographic form uh that I have copies

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00:26:08,240 --> 00:26:15,200
for. I hope each of you got a copy and
if not we have some up front. Uh for

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00:26:12,640 --> 00:26:20,159
those of us joining online, we also have
a link that my colleague Alex Olivera

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has posted in the chat. Um it is
absolutely voluntary and anonymous. So

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if there's sections or you don't want to
take it, that's totally fine. Um and

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00:26:26,320 --> 00:26:32,880
then the end of the form has which is
the backside has a section for comments

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00:26:30,880 --> 00:26:37,360
as well. So perhaps there's something
additional you wanted to input or

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00:26:35,360 --> 00:26:38,960
emphasize as a comment. By all means
feel free to share that.

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» Yes.
>> Um if you've already done these two

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forms, can you do that again?
>> Yep.

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» Absolutely.
>> We don't have a limit.

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» Yeah.
>> Yeah. And we won't know who it came from

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because again it's anonymous. So
>> So there's that. Um and then I also have

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anformational packet as well that we
have up front here. So I hope you got a

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copy of that. A lot of that packet
really mirrors the information I'm going

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to be discussing today. Uh but again,
just something to take home with you.

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And of course, I'll be sending you uh
copies of these slides as well

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afterwards too. Okay.
Um and my colleague Alex did uh put a

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copy of that packet in the chat as well
for our virtual friends as well. And

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also for our virtual friends, uh the the
virtual section uh demographic form also

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has a section for uh comments and
feedback that I'm highlighting here as

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well.
Uh so really to kind of also emphasize

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too uh we will be also taking notes of
what is shared with us today. Um we have

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00:27:43,520 --> 00:27:49,039
an email address bsa comments at
co.humble.ca.

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us. So that's an email address that you
could use to also get a hold of me um

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and or even share additional input and
we ask that comments are specific to

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what we're discussing today which is the
integrated plan.

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So with that in mind uh let's get
started. So ultimately the uh mental

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health services act initiated in 2004
enacted in law in California in 2005. It

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was done under the form of proposition
63 and it placed a 1% income tax on

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income exceeding a million dollars in
California. Um oftent times the MHSA was

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called the millionaire's tax so to
speak. Uh for that reason um in 2025

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we had a reform happened through the
form of proposition one uh through the

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governor's office. And what proposition
one did is it approved it was approved

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in 2005 2025 in May and it renamed the
mental health services act into the

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behavioral health services act. Um I'll
discuss the elements and pieces that um

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are changed throughout this
presentation. Uh but in essence what

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00:29:01,679 --> 00:29:08,720
this infographic is showing is that that
1% income tax for the millionaires is

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00:29:06,320 --> 00:29:13,279
collected by the state treasurer.
It is then subdivided into two

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components. Um, one component is a 10%
allocation to the state, specifically

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00:29:15,279 --> 00:29:21,520
some state agencies like the Department
of Healthcare Services, the California

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00:29:19,200 --> 00:29:24,960
Behavioral Health Planning Council, uh,
the Department of Healthcare Access and

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00:29:22,960 --> 00:29:28,559
Information, the Behavioral Health
Services Oversight and Accountability

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00:29:26,799 --> 00:29:34,799
Commission, and the California
Department of Public Health. Nailed it.

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00:29:30,720 --> 00:29:41,679
Um, so, and then the remaining 10% goes
to uh all 58 counties and two city

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00:29:38,320 --> 00:29:45,360
jurisdictions. Um, one thing I really
want to emphasize here in this

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00:29:42,880 --> 00:29:52,640
infographic is that maybe some of you
noticed under BHSA, the state allocation

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00:29:48,240 --> 00:29:57,039
is 10%. Under MHSA, last year it was 5%.
So that means that the state's going to

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00:29:54,159 --> 00:30:00,640
be taking a an additional 5% to run
their own internal programs. And that's

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00:29:59,200 --> 00:30:04,960
something I'll be emphasizing throughout
the presentation as well, since that

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00:30:02,720 --> 00:30:09,520
ultimately means less funding for all 58
counties.

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00:30:07,360 --> 00:30:14,960
Um, one other little fun fact also I
wanted to share with you all is that um,

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00:30:12,080 --> 00:30:20,559
really California is the only state in
the US that really allocates tax revenue

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00:30:18,320 --> 00:30:23,919
dollars to behavioral health services.
The other state that does something

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00:30:22,080 --> 00:30:30,320
similar is the state of Washington and
that's a 0.1% sales tax. So just wanted

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00:30:27,440 --> 00:30:37,360
to highlight that. It'll be on the test.
Um so really the intended purposes of of

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00:30:34,159 --> 00:30:41,039
the MHSBHSA is to expand best practices
and recovery focused mental health

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00:30:39,039 --> 00:30:45,120
programs, reduce long-term negative
impacts uh resulting from untreated

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00:30:43,120 --> 00:30:48,960
mental illness and prevent mental
illness from becoming severe and

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00:30:46,320 --> 00:30:52,399
disabling.
Additionally, we have some county

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00:30:50,480 --> 00:30:56,480
requirements that we need to follow. So
we need to be completing an integrated

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00:30:54,240 --> 00:31:01,600
plan every 3 years. The most recent
fiscal year uh plan that we submitted

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00:30:58,640 --> 00:31:07,440
was 2023 2026 and that was the MHSA
3-year plan uh which was approved June

304
00:31:04,080 --> 00:31:12,720
27, 2023. Uh we are also required to do
two annual updates in the years between.

305
00:31:10,320 --> 00:31:17,440
Uh we are also required to do something
we call that community program planning

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00:31:14,640 --> 00:31:20,240
process the CPP for integrated plans and
that's a fancy way of saying meeting

307
00:31:18,960 --> 00:31:25,640
with your community members and
soliciting feedback and input such as

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00:31:22,080 --> 00:31:25,640
it's meeting space.

309
00:31:26,000 --> 00:31:31,399
Yes.
Curiosity.

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00:31:31,679 --> 00:31:34,679
Um

311
00:31:36,720 --> 00:31:47,919
when we say um community members
um I think it goes further than this

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00:31:43,120 --> 00:31:53,919
space and we should be out there doing
with the community. I know that we come

313
00:31:50,960 --> 00:31:57,519
here as the board but we don't represent
I mean I'd like to say I represent the

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00:31:55,919 --> 00:32:01,919
whole community but I think that there's
a whole lot of community out there that

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00:31:59,600 --> 00:32:05,840
doesn't have a voice. Absolutely. I
agree with you on that one. And one of

316
00:32:03,679 --> 00:32:09,679
the things and we have this in our in
our packet as well. Uh we have other

317
00:32:08,000 --> 00:32:13,519
community meetings happening throughout
all of Homo County. For instance, I was

318
00:32:11,360 --> 00:32:17,519
in Fortuna yesterday. The day prior I
was in Garmville as an example.

319
00:32:15,440 --> 00:32:22,720
» Uh we have a couple of meetings
happening next week and some even

320
00:32:19,600 --> 00:32:27,840
happening in um New Lake in the fall in
February. Uh we're also uh reaching out

321
00:32:25,519 --> 00:32:32,399
to local organizations and anybody who
may be interested to have uh to really

322
00:32:30,080 --> 00:32:35,120
join these meetings and also having
other meetings in addition in case they

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00:32:34,000 --> 00:32:38,799
can't make those dates.
>> Okay. as well. Um, and if there are any

324
00:32:37,760 --> 00:32:41,519
behavioral health board members that
would like to attend or anybody in this

325
00:32:40,159 --> 00:32:45,840
space, be more than welcome to use.
>> And D, if there's a place or a community

326
00:32:43,600 --> 00:32:50,320
you think would be good for a meeting,
like make that suggestion because Oliver

327
00:32:48,159 --> 00:32:51,919
is real really robust about ensuring
that we get

328
00:32:50,880 --> 00:32:53,919
» I have Yeah,
>> absolutely. We can definitely connect

329
00:32:53,360 --> 00:32:58,799
afterwards.
>> Yeah.

330
00:32:55,039 --> 00:33:04,799
» So, what kind of meetings
I guess um would we be able to or are

331
00:33:02,480 --> 00:33:08,159
being opened up to the public? Yeah,
there are there just community meetings

332
00:33:06,399 --> 00:33:12,000
that we have dedicated to the behavioral
health service design planning process.

333
00:33:10,000 --> 00:33:16,799
» Okay. Is it just so people can get a
better understanding or is it

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00:33:14,080 --> 00:33:19,440
opportunity for input or kind of both?
>> Both.

335
00:33:17,440 --> 00:33:23,440
» Okay. I'm assuming this form is handed
out at most of the meetings.

336
00:33:22,000 --> 00:33:26,640
» Correct. All the same form.
>> Okay.

337
00:33:24,399 --> 00:33:28,240
» Okay. Thank you for the approach.
>> Good question.

338
00:33:27,679 --> 00:33:33,039
» Yes.
>> I'm going to address the elephant in the

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00:33:29,760 --> 00:33:41,120
room. Is there any meetings planned or
set for the unhoused to give their um

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00:33:38,640 --> 00:33:46,159
need for mental health services?
>> Yeah, a good question.

341
00:33:42,240 --> 00:33:53,760
» Like the mission or the uh
St. Vincent Paul free meal or somewhere

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00:33:49,440 --> 00:34:01,600
where the unhoused may gather. Um
because we do know that the unhoused

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00:33:56,480 --> 00:34:06,000
citizens of our community is major
utilizers of our mental health services.

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00:34:04,320 --> 00:34:09,040
» Yeah, fantastic question, Vernon. So, I
reached out to a couple of these

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00:34:07,039 --> 00:34:12,159
agencies and I haven't heard back yet.
However, if we can maybe touch base to

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00:34:10,879 --> 00:34:15,599
see if maybe you have other points of
contact that we that you can suggest to

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00:34:14,320 --> 00:34:17,919
me, I'd be more than happy to get those
from you. Okay.

348
00:34:16,720 --> 00:34:19,599
» That way, I can reach out and connect
with them too.

349
00:34:18,480 --> 00:34:23,919
» We'll definitely do that.
>> Perfect. Thank you. Yeah, absolutely.

350
00:34:22,000 --> 00:34:28,720
Then
um I don't know if you'll get to this

351
00:34:26,480 --> 00:34:34,159
eventually, so bad about asking ahead of
time, but what is the I guess

352
00:34:31,440 --> 00:34:39,839
overarching goal of having community
input field um information about health

353
00:34:38,560 --> 00:34:45,599
services? Yeah.
>> What are we hoping to do with

354
00:34:42,639 --> 00:34:49,440
» Yeah. So the MHS is a fun stream, right?
And ultimately what we really want to

355
00:34:47,200 --> 00:34:53,520
ensure is that these dollars are
responsive to local needs.

356
00:34:51,040 --> 00:34:57,839
» Okay. Right. So, as we solicit feedback
and input from community members, we

357
00:34:55,760 --> 00:35:01,119
want to see how we can address that
feedback and incorporate it into our

358
00:34:59,280 --> 00:35:05,280
planning process either through our
existing programs or moving or creating

359
00:35:03,520 --> 00:35:09,920
a new program or something.
>> Okay. Well, I don't know if you're on

360
00:35:07,440 --> 00:35:17,520
the behavioral health board email list,
but I know that whoever is on there

361
00:35:13,040 --> 00:35:25,359
should have been forwarding from Joe
talking about um at least one person's

362
00:35:21,200 --> 00:35:29,200
needs as far as services go. And I don't
know, I find I find it important because

363
00:35:27,520 --> 00:35:35,040
I don't know if any of y'all have read
the email about um kind of restrictions

364
00:35:33,280 --> 00:35:41,680
that people face when they become
nonverbal during like episodes. And um I

365
00:35:39,920 --> 00:35:46,720
just have personal experience with
somebody in my life receiving improper

366
00:35:44,079 --> 00:35:51,040
care for the same exact reason. And so I
just I guess not only want to bring that

367
00:35:48,720 --> 00:35:56,480
up for you to gather information, but
then also to just like um bring light to

368
00:35:54,079 --> 00:36:02,240
this person because they did email us a
very extensive and well-written email

369
00:35:59,520 --> 00:36:08,160
for what they were describing. So, just
want to give a shout out to Stacy and

370
00:36:05,760 --> 00:36:13,560
then I'm not going to try to there last
but I think we all should have got so

371
00:36:15,520 --> 00:36:22,720
» and then it was yeah basically just um
okay well I'm just going to say it but

372
00:36:20,640 --> 00:36:26,480
if there was a language sort of
interpreter for people that are

373
00:36:24,160 --> 00:36:30,720
experiencing
episodes during crisis since that was

374
00:36:29,200 --> 00:36:33,760
something that I was thinking about you
response is the moment.

375
00:36:33,119 --> 00:36:37,119
» Absolutely.
>> You can continue.

376
00:36:35,520 --> 00:36:42,960
» Can I just make a comment? Thank you for
saying that. I um I want to just like

377
00:36:40,160 --> 00:36:47,040
maybe differentiate between kind of the
information that Oliver's here gathering

378
00:36:45,040 --> 00:36:50,880
and other information that gets lifted
to this board and kind of the pathways

379
00:36:48,800 --> 00:36:54,560
for that. And um I'm glad you're
flagging that because we've talked a lot

380
00:36:52,320 --> 00:36:58,000
in the past about what happens when when
individuals from the community or

381
00:36:56,160 --> 00:37:03,200
someone on their behalf lifts concerns
to the board. And we work really hard to

382
00:37:00,400 --> 00:37:07,359
kind of um direct those individuals to
the right pathways within behavioral

383
00:37:05,040 --> 00:37:11,440
health to lift their concern and if
needed file a grievance or a complaint

384
00:37:09,119 --> 00:37:15,440
so that they can respond directly to
that versus kind of the broader

385
00:37:13,680 --> 00:37:19,040
conversation that Oliver is bringing
which is what kind of services would be

386
00:37:17,280 --> 00:37:23,760
most helpful in our community? What kind
of programs are we missing or could we

387
00:37:21,920 --> 00:37:27,119
build up or build out to better serve
our community? I still I still think

388
00:37:25,280 --> 00:37:30,800
that it's really important to recognize
that there was a member of the community

389
00:37:28,640 --> 00:37:34,720
reaching out to us and I think that we
are all in a position of privilege where

390
00:37:32,480 --> 00:37:38,400
we can advocate on their behalf
sometimes especially based on what this

391
00:37:36,640 --> 00:37:42,720
person was saying they have experience
not being heard in mental health

392
00:37:40,160 --> 00:37:48,800
services. So I'm sure that it was kind
of like more of a

393
00:37:45,680 --> 00:37:52,359
you know of an an ask for advocacy
instead of fixed.

394
00:37:52,480 --> 00:38:00,000
Okay. I mean it was an email that we all
received and nobody had mentioned it. So

395
00:37:58,640 --> 00:38:04,640
» just thought it was important to say
something

396
00:38:00,480 --> 00:38:09,119
» if we can. Yeah, we can finish
presentation.

397
00:38:06,400 --> 00:38:14,359
» I think important before I had that
conversation

398
00:38:11,119 --> 00:38:14,359
more thoroughly.

399
00:38:15,200 --> 00:38:22,800
Okay. So this is um the next slide that
I have here is a bird's eye view of the

400
00:38:20,960 --> 00:38:28,720
behavioral health services. More
specifically the three new buckets or

401
00:38:25,520 --> 00:38:35,760
elements uh that we're looking at here.
I want to emphasize this slide goes over

402
00:38:31,440 --> 00:38:42,320
two specific figures. Okay. So that 90%
refers to ultimately the overall funding

403
00:38:38,960 --> 00:38:48,640
counties will get right after the state
takes its 10% cut. Okay. In addition,

404
00:38:46,640 --> 00:38:55,760
the other percentages you're seeing here
on the left side, these percentages are

405
00:38:52,079 --> 00:39:01,280
specific to what each bucket under BHSA
will be having. Right? So, the housing

406
00:38:58,560 --> 00:39:06,000
intervention section is going to be 30%,
the full service partnership section is

407
00:39:03,359 --> 00:39:12,720
35% and the behavioral health services
and supports section is 35% in front.

408
00:39:08,960 --> 00:39:17,680
So, that adds up to 100% in total PHSA
funding. But again, we're only going to

409
00:39:15,119 --> 00:39:21,119
be getting that 90% allocation from the
state after they get app. So, I just

410
00:39:19,760 --> 00:39:25,760
wanted to emphasize the difference
between percentages and why maybe you're

411
00:39:23,680 --> 00:39:30,560
thinking, wait, that adds up to 100%,
but why doesn't this? It's because it's

412
00:39:27,680 --> 00:39:35,359
telling us to live percentages.
Okay. So, so again, those are the three

413
00:39:32,960 --> 00:39:41,359
core sections. And what I'll do is I'm
going to actually go over in in a little

414
00:39:38,240 --> 00:39:47,680
bit those three sections and how we're
planning for each one of them. So this

415
00:39:45,760 --> 00:39:52,880
is again another kind of bird's eyee
view, but in in essence what it's doing

416
00:39:50,160 --> 00:39:58,880
is it's grabbing our MHSA format and
it's pointing to these three new buckets

417
00:39:56,400 --> 00:40:03,839
where each new format where each format
fits into that bucket. Right? So

418
00:40:01,520 --> 00:40:09,440
obviously our full service partnership
becomes a standalone uh bucket that red

419
00:40:07,280 --> 00:40:14,000
box and then anything that's in the
green bucket for like FSP, general

420
00:40:11,599 --> 00:40:18,000
system development, MHSA housing
coordinator, certain counties have that

421
00:40:16,320 --> 00:40:22,640
uh housing and homelessness related
outreach, all of that goes into the

422
00:40:20,079 --> 00:40:27,359
housing intervention section. anything
that's um behavioral health services and

423
00:40:24,800 --> 00:40:32,400
supports at 35% that's any other
outreach that's non-housing or any other

424
00:40:30,480 --> 00:40:38,640
services that we call community services
and supports under the MHSA examples

425
00:40:35,440 --> 00:40:42,960
being our older adults program our um
crisis residential treatment facility uh

426
00:40:41,440 --> 00:40:49,280
regional services those will be
technically other CSS and will go under

427
00:40:45,520 --> 00:40:53,520
that 35% bucket as well we also have on
the right side our prevention and early

428
00:40:50,960 --> 00:40:57,839
intervention under MHSA and how that
would fit into those three buckets as

429
00:40:55,280 --> 00:41:02,400
well. So again, just wanted to kind of
highlight how it shifts things around

430
00:40:59,839 --> 00:41:05,400
for us and molds it into that new
format.

431
00:41:06,079 --> 00:41:13,200
So this is the section where I'll be
giving kind of like a more specific lens

432
00:41:10,160 --> 00:41:18,400
of each section or bucket. So the first
one is the housing intervention section

433
00:41:15,440 --> 00:41:23,119
that 30% requirement and the goals are
to reduce homelessness among DHSA

434
00:41:20,640 --> 00:41:28,240
eligible populations. Uh it's
emphasizing a permanent supportive

435
00:41:24,800 --> 00:41:33,200
housing and housing first principles. Uh
so that would be low barrier and harm

436
00:41:30,000 --> 00:41:37,599
reduction. Uh county coord so there's a
county coordination with managed care

437
00:41:34,800 --> 00:41:41,920
plans for us that's a partnership uh of
humble partnership for humble county. So

438
00:41:39,839 --> 00:41:47,520
just wanted to emphasize that and I do
appreciate partnership being present

439
00:41:43,920 --> 00:41:51,760
online for us um in today's meeting and
they can fund rental subsidies,

440
00:41:49,359 --> 00:41:56,480
operating subsidies, support development
of new housing units and even outreach.

441
00:41:55,760 --> 00:42:00,880
» Yes.
>> They also help with uh relocation

442
00:41:59,839 --> 00:42:03,440
deposits.
>> Yeah.

443
00:42:01,359 --> 00:42:09,119
» Because they're assisting me in
relocating with with a deposit.

444
00:42:06,000 --> 00:42:12,000
» Absolutely. Great point because that I
have a slide that goes over

445
00:42:10,640 --> 00:42:13,520
» Okay, I'm sorry. I'm jumping here. I
apologize.

446
00:42:12,400 --> 00:42:18,400
» No, no, you're good. But that was great
information, Vernon. um as far as

447
00:42:15,680 --> 00:42:21,760
eligible populations go. So really it's
for people who are chronically homeless,

448
00:42:20,079 --> 00:42:27,839
experiencing homelessness or at risk of
homelessness and individuals existing

449
00:42:24,880 --> 00:42:31,920
exiting institutions or or jail settings
where homelessness where there were

450
00:42:30,079 --> 00:42:34,800
homeless before entering and those
transitioning from a medical

451
00:42:33,119 --> 00:42:40,400
transitional rent which I'll go in
detail in a little bit.

452
00:42:37,599 --> 00:42:45,359
Priority groups are children, youth um
in juvenile justice, child welfare or at

453
00:42:42,800 --> 00:42:50,960
risk of institutionalization
and adults, older adults in or at risk

454
00:42:48,640 --> 00:42:55,119
of the justice system conservatorship or
institutionalization as well. One thing

455
00:42:53,599 --> 00:42:58,480
I really want to emphasize here, and
this is something that the states really

456
00:42:56,880 --> 00:43:02,640
kind of letting us know through all of
their policy manuals, is that housing

457
00:43:00,640 --> 00:43:08,720
intervention funds, as I call them, AI
moving forward, should not be limited to

458
00:43:05,280 --> 00:43:13,599
only full service partnership funds. Um,
I'll go over those details in a later

459
00:43:11,200 --> 00:43:18,800
slide and the challenges that process
for us as well.

460
00:43:17,040 --> 00:43:23,599
So this is kind of the slide where we're
talking about the allowable housing

461
00:43:21,040 --> 00:43:29,200
settings under the housing intervention
uh section. So we have two sections. One

462
00:43:27,200 --> 00:43:33,119
is interim settings and the other one is
called permanent settings. We'll get

463
00:43:31,119 --> 00:43:38,480
started first with the interim settings.
Uh examples include hotels, form hotels,

464
00:43:36,640 --> 00:43:44,400
uh non- congregate shelters,
recuperative care, peer respite,

465
00:43:41,200 --> 00:43:48,480
short-term post hospitalization housing,
and including even what Burton said

466
00:43:46,640 --> 00:43:53,520
where we can do that rental assistance
as well. Um if the client qualify, so so

467
00:43:52,319 --> 00:43:56,960
here's where it gets a little bit
complicated with the housing

468
00:43:54,800 --> 00:44:02,880
intervention bucket.
uh they uh the state created a

469
00:44:00,319 --> 00:44:07,440
transitional rent benefit through our
manage through managed care plans for

470
00:44:04,880 --> 00:44:12,079
us. It's partnership and what that means
for us is that anybody who is deemed

471
00:44:09,839 --> 00:44:17,839
eligible for BHSA housing should
technically have a pipeline to access up

472
00:44:15,200 --> 00:44:22,160
to six months of this transitional rent
benefit that's then offered by

473
00:44:19,680 --> 00:44:28,319
partnership or by the by the county's
managed care planner. Um, after those

474
00:44:25,119 --> 00:44:33,359
six months are up, we as counties can
then leverage the housing intervention

475
00:44:30,160 --> 00:44:39,359
section to to do an additional six
months of transitional rent um or

476
00:44:36,079 --> 00:44:43,920
interim setting u coverage for a total
of 12 months. If for whatever reason

477
00:44:41,520 --> 00:44:48,480
that individual does not qualify for
that partnership, those partnership

478
00:44:45,359 --> 00:44:54,400
dollars, then we can leverage our VHSA
housing intervention dollars for a full

479
00:44:50,640 --> 00:44:59,040
12 months if the funds are available. So
just wanted to give that heads up about

480
00:44:56,640 --> 00:45:04,319
interim settings. Just
>> who is the interim setting people?

481
00:45:02,079 --> 00:45:08,240
» Yeah, great question. So ultimately
>> where's the pipeline? I want to know.

482
00:45:06,240 --> 00:45:12,319
» So that pipeline is currently being
created as we speak. So there's some

483
00:45:10,720 --> 00:45:15,920
complex contracting happening with
partnership right now. I know Raul

484
00:45:14,000 --> 00:45:20,160
Torres from home is helping with some of
that too. So all of this is very much

485
00:45:18,560 --> 00:45:27,920
still under development.
>> Okay. Yeah, great question. Um, any

486
00:45:24,640 --> 00:45:32,240
other question for the interim? No. So,
ultimately what we want to then do

487
00:45:29,520 --> 00:45:38,079
though is once those 12 months are up or
funding, the bottom goal is permanent

488
00:45:35,440 --> 00:45:43,839
per permanent housing, right? And with
permanent housing, uh we uh examples

489
00:45:41,760 --> 00:45:49,359
include permanent supportive housing,
apartments, accessory dwelling units,

490
00:45:46,319 --> 00:45:53,839
shared housing, uh recovery or sober
living situations, assisted living, and

491
00:45:51,520 --> 00:45:58,480
tiny homes. And one thing I really want
to stress about permanent settings is

492
00:45:55,839 --> 00:46:03,760
there is no time limit to those. So we
can we can in perpetuity as funding

493
00:46:00,960 --> 00:46:09,760
allows continue supporting with BHSA
funding uh clients who are in permanent

494
00:46:06,880 --> 00:46:13,160
settings. So just really wanted to
highlight that.

495
00:46:13,280 --> 00:46:21,200
» So yeah, do you know if this funding has
any relation to the youth homelessness

496
00:46:19,280 --> 00:46:23,920
develop or demonstration project
funding?

497
00:46:22,800 --> 00:46:28,000
» Not that I'm aware of.
>> I know that it's through um housing and

498
00:46:26,079 --> 00:46:32,240
urban develop uh program. So I'm not
sure if you have any knowledge about

499
00:46:30,319 --> 00:46:35,359
where that sits now, but if it's
completely under this then

500
00:46:34,079 --> 00:46:38,240
» Yeah, great question. There's a lot of
different housing initiatives living in

501
00:46:36,800 --> 00:46:42,480
different places, right? I mean, we even
have another one printed in front of us

502
00:46:40,240 --> 00:46:50,079
too, right? But I'm not fully aware of
that. Does anybody use

503
00:46:44,880 --> 00:46:55,280
» um yeah the YGP which RDF works on is
one of them um because it it's through

504
00:46:52,960 --> 00:46:59,440
the federal government that housing
development and yeah we're currently

505
00:46:57,839 --> 00:47:03,839
just you know catch everyone up we're
currently at a standstill because the

506
00:47:01,280 --> 00:47:09,760
contract hasn't been drafted for our
city to sign to get these housing

507
00:47:06,000 --> 00:47:13,520
agreements but heard maybe this week
there was something happening. Okay.

508
00:47:12,720 --> 00:47:20,520
Okay. Cuz yeah,
>> but yeah, this is California. That's

509
00:47:16,160 --> 00:47:20,520
federal. I know it's like all interfer.

510
00:47:25,440 --> 00:47:32,880
Uh so this is where we talk to go go
into challenges and we have here our

511
00:47:30,640 --> 00:47:36,720
friend our office worker jumping some
hurdles here. He comes back in the

512
00:47:35,119 --> 00:47:43,119
presentation a couple times. A lot of
hurdles here. Uh okay. So, um, one point

513
00:47:40,400 --> 00:47:48,240
I really want to emphasize here is, uh,
this housing intervention dollars, these

514
00:47:45,040 --> 00:47:52,560
30%, they're not these dollars. Uh, they
come from our full service partnership

515
00:47:50,160 --> 00:47:58,000
bucket in essence. So, in our previous
format under uh, MHSA,

516
00:47:55,200 --> 00:48:04,640
uh, our full service partnership program
constituted roughly 65 to 70% of the

517
00:48:01,040 --> 00:48:10,079
overall funds, right? And what this uh
BHSA uh refresh is doing is it's

518
00:48:07,920 --> 00:48:14,560
grabbing the housing piece of our FSP
section, making an extendal loan

519
00:48:12,160 --> 00:48:18,079
section, and then making our FSP bucket,
which is now in the extendal loan

520
00:48:16,480 --> 00:48:22,559
section only specific to service
delivery. So, I just really wanted to

521
00:48:20,880 --> 00:48:28,559
emphasize that those these dollars,
although they may look new, they're not.

522
00:48:26,000 --> 00:48:33,920
And one other thing that we have here is
that our county uh fiscal team uh

523
00:48:31,119 --> 00:48:39,440
projects that uh Humbult's housing cost
for our FSP already maximize if not

524
00:48:36,800 --> 00:48:45,839
exceed the 30% housing intervention
requirements seen under the BHSA. So, I

525
00:48:43,440 --> 00:48:50,240
really just wanted to be really upfront
with the challenges that we're seeing

526
00:48:47,520 --> 00:48:54,559
with that the intent of this bucket
because the governor really wants to use

527
00:48:52,319 --> 00:49:00,079
these dollars in a really much broader
way for non full service partnership

528
00:48:57,040 --> 00:49:05,200
clients. Um, and one thing that they've
gone on record saying is that they're

529
00:49:02,800 --> 00:49:09,760
anticipating or expecting a low
declination rate of access to these

530
00:49:07,280 --> 00:49:14,800
dollars, which unfortunately because
they're not expanding the dollars and in

531
00:49:11,680 --> 00:49:19,920
fact they're doing a 5% reduction,
it's not a very practical statement to

532
00:49:17,839 --> 00:49:25,040
say and it doesn't reflect the reality
of these dollars. So again, just really

533
00:49:22,880 --> 00:49:30,480
wanted to emphasize those two points.
Um, in addition, we're also having some

534
00:49:28,240 --> 00:49:35,680
very tight deadlines here. So much so
that a lot of the direction that we've

535
00:49:32,000 --> 00:49:40,800
been getting came two weeks ago. So, so
we're very much flying this ship as

536
00:49:38,079 --> 00:49:45,200
we're building it in many aspects.
>> I'm sorry. I was trying really hard not

537
00:49:42,880 --> 00:49:53,839
to ask a question, but I have to. Yeah.
So, uh FSA you talked about this uh

538
00:49:50,720 --> 00:49:57,839
should be could be going for sober
living

539
00:49:55,760 --> 00:50:05,839
transitional housing. Correct.
>> Um so what cuz I do a lot of placement

540
00:50:03,599 --> 00:50:10,559
for people in sober living and what's
been happening is I've been

541
00:50:09,119 --> 00:50:18,160
um having to take them to general
relief. they sign up for general relief

542
00:50:13,359 --> 00:50:24,079
and um general relief pays $333 to sober
living and then the client has to pay it

543
00:50:20,240 --> 00:50:28,319
back. So my question is
if there's a way for our people not to

544
00:50:26,319 --> 00:50:31,960
have to do that,
what is that process?

545
00:50:32,880 --> 00:50:37,520
» That's
>> because if we have FSA funds that aren't

546
00:50:35,599 --> 00:50:42,640
being used is what I understood you to
say.

547
00:50:39,040 --> 00:50:50,800
How do we how how can I
how can I encourage or refer people that

548
00:50:46,880 --> 00:50:56,559
I work with to get other funding because
it for one most people don't have the

549
00:50:54,240 --> 00:51:04,160
ability to pay money pay back sober
living. Um

550
00:51:00,319 --> 00:51:08,079
and so I'm just kind of curious. Yeah,
that's a really great question. And I

551
00:51:06,000 --> 00:51:14,160
think one of the things is right that
that we're looking at is if our FSPs are

552
00:51:11,200 --> 00:51:18,400
currently maximizing these dollars,
um it doesn't really give us a lot of

553
00:51:16,000 --> 00:51:20,800
latitude or if any at all to broaden
where those dollars can also be used,

554
00:51:20,160 --> 00:51:24,559
right? Wow.
>> So, one thing that we're doing in behind

555
00:51:22,800 --> 00:51:28,319
the scenes is we're having internal
conversations to see where our

556
00:51:26,720 --> 00:51:32,800
expenditures live
>> and seeing where exactly they're going.

557
00:51:30,640 --> 00:51:37,040
So that way if if there is latitude for
us to do that for like safe and sober or

558
00:51:34,640 --> 00:51:40,880
for just SD in general seeing if that
could fit.

559
00:51:38,319 --> 00:51:45,760
» As for your other piece though of where
other areas could be, I'm not entirely

560
00:51:43,599 --> 00:51:49,760
sure and I'm hoping maybe somebody here
might be able to provide more

561
00:51:47,280 --> 00:51:54,960
information.
I'm not going to answer that question,

562
00:51:51,200 --> 00:52:00,480
but I think just to clarify, Dette, um I
think that what Oliver is flagging here

563
00:51:57,200 --> 00:52:06,640
is that we actually in Humble have
expended housing funds beyond what most

564
00:52:03,839 --> 00:52:11,920
counties have done. And so even though
these new buckets say, look, you have

565
00:52:08,480 --> 00:52:14,720
this 30% or 35% now that's in here, many
counties are like, oh great, okay, well,

566
00:52:13,520 --> 00:52:19,359
I guess we'll have to spend more money
on housing. We're already spending so

567
00:52:16,960 --> 00:52:23,440
much money on housing that there's not
excess money to spend. So we are really

568
00:52:21,440 --> 00:52:28,000
having to look at how are we spending
it? Do we have places to expand or not?

569
00:52:26,240 --> 00:52:32,640
Like how are we maximizing?
>> Okay.

570
00:52:29,520 --> 00:52:39,760
» So when you hear in the media
>> our governor state that counties aren't

571
00:52:35,839 --> 00:52:46,160
doing what they need to do and they need
to spend this money more on housing.

572
00:52:43,200 --> 00:52:52,240
He's not speaking to Humbult County
specifically. He's speaking to counties

573
00:52:49,359 --> 00:52:59,839
in general like we're not doing what
we're supposed to do and in fact we're

574
00:52:54,480 --> 00:53:07,440
doing more than we could do in Humble
County. So um some of the information

575
00:53:03,359 --> 00:53:09,599
that we hear um isn't actually accurate
for Humble.

576
00:53:08,319 --> 00:53:14,319
» Okay.
>> And that's happened to us a couple of

577
00:53:11,359 --> 00:53:20,640
different times with MHSA dollars.
they've taken other dollars from us

578
00:53:16,960 --> 00:53:27,520
because we weren't building housing, but
we actually were building housing uh

579
00:53:24,640 --> 00:53:35,119
with the Arcade Bay crossing project.
So, I just want to like put some context

580
00:53:31,040 --> 00:53:42,240
uh to some of that because
>> we spend a lot on our misunderstand.

581
00:53:39,200 --> 00:53:47,599
So Oliver is there um I know that one of
the biggest changes in the broad picture

582
00:53:44,720 --> 00:53:54,720
is that now this money has to go to
substance use stuff too. So, in the

583
00:53:50,960 --> 00:54:00,880
housing thing, is there some kind of
requirement or is the county making some

584
00:53:57,359 --> 00:54:06,559
kind of plan to make sure that there's a
good balance between mental health

585
00:54:03,839 --> 00:54:10,319
clients and substance use disorder
clients getting the benefit of these

586
00:54:08,800 --> 00:54:13,839
things? I mean, I don't know, that's
that's going to be a big challenge, but

587
00:54:11,839 --> 00:54:18,640
I mean, is there a plan for that?
>> Great question. So, under the BHSA,

588
00:54:16,480 --> 00:54:23,359
technically, it's not a requirement per
se.

589
00:54:19,920 --> 00:54:27,520
The way they drafted the BHSA is they
made it so that moving forward counties

590
00:54:25,200 --> 00:54:33,760
have the flexibility to provide services
or fund services to BHSA for standalone

591
00:54:30,400 --> 00:54:38,800
SUD uh clients. That's a flexibility and
lat that the MHSA previously did not

592
00:54:36,240 --> 00:54:44,800
have. Right. So, so the way they
formulated it is we have the flexibility

593
00:54:41,520 --> 00:54:48,880
to do it if the funding allows it, but
it's not necessarily a requirement per

594
00:54:46,960 --> 00:54:51,920
se, at least in that front.
>> Oh, I see. Okay. Thank you.

595
00:54:51,040 --> 00:54:58,240
» Yeah.
>> Okay. So, the HI is 30% of it. Can you

596
00:54:55,680 --> 00:55:02,319
remind me of what the because 10% now
goes to the state, correct? And can you

597
00:55:00,079 --> 00:55:05,520
remind me of what the other percentages
are and for what they are?

598
00:55:03,760 --> 00:55:09,520
» Yeah, great question. So I I actually go
over it in other slides as well too.

599
00:55:07,839 --> 00:55:13,680
» And then I guess just really briefly I
wanted to say that um they are doing a

600
00:55:11,680 --> 00:55:18,800
lot of work right now about like
updating kind of what substance use

601
00:55:17,280 --> 00:55:21,920
disorder means when it comes to all
these things. They're trying to consider

602
00:55:20,079 --> 00:55:27,440
a greater disabled as we don't know. So
maybe if we keep up with the legislation

603
00:55:24,160 --> 00:55:32,800
around that that we could find ways to
you know um receive funds from spots

604
00:55:30,960 --> 00:55:35,680
that were previously unavailable.
Absolutely.

605
00:55:36,319 --> 00:55:42,160
question. That's an interesting topic
that brought up a lot of times when we

606
00:55:40,000 --> 00:55:47,440
talk about substance use disorder. It's
really hopefully the topic especially

607
00:55:44,960 --> 00:55:53,200
co-occurring disorders. We're not
Gabriel Maf said it past why the

608
00:55:50,319 --> 00:55:57,599
addiction is why that's wrong and so
like again that that seems to be a

609
00:55:55,359 --> 00:56:01,280
divide. So as an addiction spectrum it's
like we don't want to compete with

610
00:55:59,280 --> 00:56:05,599
therapist.
there's an equality to them. So I I see

611
00:56:04,079 --> 00:56:10,240
it all the time. You know, I'm I'm
Miller with Burger French and

612
00:56:07,839 --> 00:56:14,720
Transitional House and that I see it,
you know, I try to put band-aids on it

613
00:56:12,079 --> 00:56:20,480
all the time,
but it's really mental health issues.

614
00:56:17,200 --> 00:56:28,760
About time we see mental health issues
were really spewing over and like

615
00:56:24,480 --> 00:56:28,760
therapists and stuff.

616
00:56:29,839 --> 00:56:37,280
Hopefully when people talk again I can
say hey coering disorders could like

617
00:56:34,240 --> 00:56:42,559
really mix
the whole and that's that is where we go

618
00:56:40,799 --> 00:56:45,559
to get addition to people all riled up
and

619
00:56:45,920 --> 00:56:49,960
thank you for stopping that.

620
00:56:50,720 --> 00:56:57,599
So we'll move on to the next H bucket of
the BHSA and that is the behavioral

621
00:56:55,440 --> 00:57:01,839
health services and supports the BHSS
and that's the 35%.

622
00:56:59,839 --> 00:57:07,599
So the purpose is to serve children,
youth, adults and older adults. Uh it

623
00:57:04,720 --> 00:57:12,720
focuses on early access stabilization
and prevention of horse conditions and

624
00:57:10,480 --> 00:57:18,319
the word prevention has an asterisk here
which I will address with us together in

625
00:57:15,359 --> 00:57:22,720
a moment. uh it's meant to prevent uh
escalation to crisis, homelessness or

626
00:57:20,400 --> 00:57:27,760
justice involvement. What we can fund
through the BHSS uh bucket, it's and

627
00:57:25,280 --> 00:57:31,760
it's a lot. So we can put we can do the
outpatient mental health and substance

628
00:57:29,280 --> 00:57:36,720
use disorder services. So that one
element that we kind of just mentioned,

629
00:57:33,920 --> 00:57:41,040
outreach and engagement, uh workforce
education and training, also known as

630
00:57:38,720 --> 00:57:46,079
WAT, early intervention programs, which
I'll go in detail in a moment, and

631
00:57:43,440 --> 00:57:51,119
innovation programs. You guys might
might have this in mind where um under

632
00:57:48,319 --> 00:57:55,440
MHSA uh we had requirements to do
workforce education and training and

633
00:57:52,960 --> 00:58:00,319
innovation pilots. Technically under the
BHSA those are no longer standalone

634
00:57:58,160 --> 00:58:06,720
categories. They're all molded into the
DHSS bucket. And again, it's more

635
00:58:04,960 --> 00:58:10,960
they're they're now intended that if the
county has a flexibility to fund those

636
00:58:08,720 --> 00:58:15,839
two components, then by all means they
can. they don't necessarily have to

637
00:58:12,960 --> 00:58:21,119
moving forward under the BHSA.
Um

638
00:58:17,520 --> 00:58:26,640
for uh the BHSS early intervention at
least 51% of these uh early intervention

639
00:58:23,839 --> 00:58:32,160
dollars on BHSS must be allocated to
early intervention uh of these EI funds

640
00:58:29,280 --> 00:58:37,280
and minimum of that. So that 51% at
least 51 of those percentages must be

641
00:58:34,960 --> 00:58:43,520
allocated to individuals who are 25
years of age and under. Uh, additionally

642
00:58:41,440 --> 00:58:48,079
the state gave us some two new
definitions in that three two three

643
00:58:46,079 --> 00:58:53,280
weeks ago. One of them is called
indicated prevention and the other one

644
00:58:50,000 --> 00:58:58,640
is called universal prevention. Uh, with
indicated prevention, this is the main

645
00:58:55,520 --> 00:59:02,799
focus of the HSS early intervention. Uh,
and it's meant to be targeted to

646
00:59:00,559 --> 00:59:06,960
individuals at elevated risk as they've
defined it. They've also defined

647
00:59:05,200 --> 00:59:11,040
universal prevention and this is the
type of prevention that they don't want

648
00:59:08,400 --> 00:59:16,960
counties doing moving forward. Uh it is
not allowable for us and is defined as

649
00:59:13,520 --> 00:59:22,400
broad populationwide efforts not tied to
individual risk. Right? I'll go over the

650
00:59:20,079 --> 00:59:27,599
challenges of what this poses for us and
contextualize what that means for

651
00:59:24,240 --> 00:59:33,200
programs in in the next slide. Uh but I
just really wanted to share those two

652
00:59:29,680 --> 00:59:37,280
definitions because again it it's new
direction that we just got not too long

653
00:59:34,960 --> 00:59:40,799
ago.
So this slide I wanted to really just

654
00:59:39,359 --> 00:59:45,359
emphasize the programs within the
behavioral health services support

655
00:59:42,400 --> 00:59:49,440
bucket. So there's multiple programs in
this section and as we're preparing for

656
00:59:47,280 --> 00:59:52,480
it for early intervention programs
current programs that we are

657
00:59:50,640 --> 00:59:59,680
transitioning to this bucket are the
hope center HCASI parent partners our

658
00:59:56,000 --> 01:00:05,119
multi-ter system support MTSS with HCLE
our warmline our humble early psychosis

659
01:00:02,720 --> 01:00:10,480
intervention program happy and the land
leazison programation

660
01:00:07,359 --> 01:00:15,680
uh for CSS programs once under MHSA that
would be our regional services older

661
01:00:12,400 --> 01:00:19,680
adults crisis residential treatment. Uh
our innovation program that will be our

662
01:00:18,000 --> 01:00:24,000
resident engagement support team also
known as REST. And last but not least,

663
01:00:22,319 --> 01:00:28,079
our workforce education and training
wet. So that will be our reliance

664
01:00:25,839 --> 01:00:31,680
e-learning platform that we've utilized
to train our workforce along as any

665
01:00:30,000 --> 01:00:37,280
other equity trainings that we are
intending to plan in the near future as

666
01:00:34,160 --> 01:00:42,559
well. So as you can see, a lot will live
under the BHSS bucket which will present

667
01:00:40,319 --> 01:00:48,000
some challenges.
And once again our our friend jumping

668
01:00:44,640 --> 01:00:53,520
hurdles is back. So with uh the state
transition to indicated prevention uh

669
01:00:51,280 --> 01:00:59,760
which is shifting to focus to at risk
people um this poses some issues. Uh for

670
01:00:57,040 --> 01:01:04,079
instance this means that we cannot fund
our suicide prevention program under

671
01:01:01,839 --> 01:01:08,079
public health or our local
implementation agreements uh as they

672
01:01:06,400 --> 01:01:14,720
currently stand.
uh largely these are two universal uh uh

673
01:01:12,400 --> 01:01:18,960
prevention programs and with the way
they've defined it we unfortunately

674
01:01:17,200 --> 01:01:23,440
cannot move forward in develop these
programs.

675
01:01:20,559 --> 01:01:28,640
So that's our first challenge. Uh the
second challenge as I kind of mentioned

676
01:01:25,200 --> 01:01:34,640
in the previous slide is this uh the HSS
bucket has a lot of different programs

677
01:01:31,280 --> 01:01:39,920
and services cramped into one section.
So in in that way it's really

678
01:01:37,359 --> 01:01:44,960
prescriptive in nature because it really
dictates and tells counties what they

679
01:01:41,680 --> 01:01:49,760
should have which then also lowers the
ability for counties to use those funds

680
01:01:48,079 --> 01:01:54,880
for other things. It's still a
possibility but it does reduce that

681
01:01:53,200 --> 01:01:59,280
flexibility.
Um and in addition guidance from the

682
01:01:56,880 --> 01:02:03,839
state has been very very slow uh with
the most recent policy manual module 4

683
01:02:01,680 --> 01:02:08,640
as we call it releasing in mid December
2025. So very much of a lot of this

684
01:02:06,880 --> 01:02:12,640
language is still actively being
contextualized in terms of what that

685
01:02:10,160 --> 01:02:16,640
means for programs and program changes.
So just wanted to highlight those uh

686
01:02:14,960 --> 01:02:19,640
challenges that we're having with this
section.

687
01:02:20,400 --> 01:02:27,920
So now we're getting to our third and
final bucket of the PHSA and that is the

688
01:02:26,000 --> 01:02:32,079
full service partnership bucket which is
35%.

689
01:02:29,440 --> 01:02:36,880
Uh Humble's FSP program is called
comprehensive community treatment also

690
01:02:34,000 --> 01:02:41,359
known as CCT. This is the highest
intensity VHSA service for people with

691
01:02:39,280 --> 01:02:46,559
severe behavioral health needs. It's
oftentimes seen as the whatever it takes

692
01:02:43,760 --> 01:02:52,559
service delivery approach where whatever
that client needs for stabilization and

693
01:02:49,200 --> 01:02:57,359
support the program does it uh including
housing. It focuses on individuals at

694
01:02:55,359 --> 01:03:03,520
risk of homelessness, hospitalization or
justice involvement.

695
01:02:59,520 --> 01:03:08,480
How so under FSP? How is this going to
under BHSA? house is going to differ. So

696
01:03:06,960 --> 01:03:12,640
all housing normally done through the
FSB now will go under the housing

697
01:03:10,400 --> 01:03:17,760
intervention section because again they
divided that those funds right. FSB

698
01:03:15,920 --> 01:03:22,160
programs can now serve folks who have
standalone SUD diagnosis and

699
01:03:20,559 --> 01:03:27,680
incorporates the need to have low
barrier access to medication admin

700
01:03:24,480 --> 01:03:32,000
administration treatment Matt services.
uh the requirement there's also a

701
01:03:30,079 --> 01:03:36,880
requirement to implement evidence-based
practices such as assertive forensic

702
01:03:34,480 --> 01:03:41,520
community treatment individual placement
and supports also known as IPS and

703
01:03:39,119 --> 01:03:46,240
highfidelity wraparound services those
are all evidence-based practices that

704
01:03:43,280 --> 01:03:50,559
the state is mandating to some degree uh
with smaller counties having exemptions

705
01:03:48,000 --> 01:03:55,680
for some of them which I'll talk about
in a moment

706
01:03:52,960 --> 01:04:01,280
so challenges within this bucket the FSB
bucket having to reallocate the housing

707
01:03:58,319 --> 01:04:07,760
costs normally under MHSA FSP into that
EHSA housing bucket uh is difficult with

708
01:04:05,680 --> 01:04:12,079
funding being limited. So again, really
wanted to emphasize that original point

709
01:04:09,680 --> 01:04:15,520
from a few slides back. Uh the
implementation of evidence-based

710
01:04:13,599 --> 01:04:21,359
practices requires more staffing and
funding with an expectation to implement

711
01:04:18,319 --> 01:04:26,319
service delivery by July 1st, 2026. So
we're dealing with some incredibly tight

712
01:04:23,200 --> 01:04:30,559
deadlines when it comes to this. Um
thankfully in recent language the state

713
01:04:28,640 --> 01:04:35,039
has given us latitude to request
exemptions to some of these requirements

714
01:04:33,039 --> 01:04:42,079
and some of these are being explored
right now for instance for the act and

715
01:04:37,440 --> 01:04:45,359
then the individual IPS as well. So, so
that those are things that we're

716
01:04:43,359 --> 01:04:49,119
actively exploring right now and we'll
probably be requesting some exemptions

717
01:04:47,119 --> 01:04:54,160
for implementation at least because
again the workforce capacity that these

718
01:04:51,520 --> 01:04:57,160
require were really intended for larger
counters.

719
01:04:58,160 --> 01:05:05,280
So here I have like a summary slide of
the PHSA challenges that I just

720
01:05:02,319 --> 01:05:10,720
mentioned to you. So it is a major
system redesign uh not a funding

721
01:05:08,400 --> 01:05:14,319
increase. It actually reduces again the
overall county funding. Instead of that

722
01:05:12,160 --> 01:05:20,160
95% that I mentioned, now we're only
getting that 90%. Uh new requirements

723
01:05:17,599 --> 01:05:23,039
exceed the current local capacity,
especially for small and rural counties.

724
01:05:22,000 --> 01:05:27,280
And that's something that I've been
hearing from a lot of our um smaller

725
01:05:25,119 --> 01:05:31,839
county partners. Uh housing
availability, staffing levels, and

726
01:05:29,359 --> 01:05:34,720
required services models all depend on
one another. So they're all

727
01:05:33,039 --> 01:05:38,079
interconnected in some cheap way or
form. So if we're struggling in one

728
01:05:36,559 --> 01:05:43,680
capacity, the struggle is going to
happen in the other capacities as well.

729
01:05:41,440 --> 01:05:48,880
Counties must balance compliance with
maintaining essential local services. Um

730
01:05:46,480 --> 01:05:53,359
so one really big point I wanted to
highlight there and in addition their

731
01:05:51,200 --> 01:05:58,480
tight tight timelines and evolving state
guidance guidance list in implementation

732
01:05:55,920 --> 01:06:03,160
challenges because again we're very much
um building the ship as we fly.

733
01:06:03,599 --> 01:06:10,640
So I know it's really really tiny in
this and I did provide a copy in the

734
01:06:07,839 --> 01:06:17,520
packet you have it should be at the very
end of your packet. Um we also have this

735
01:06:13,520 --> 01:06:22,000
is kind of our program planning um uh
mapping so to speak where we start we

736
01:06:20,000 --> 01:06:27,039
started developing the plan August
October which is still kind of carrying

737
01:06:24,480 --> 01:06:31,920
over to today. We're meeting with
community members and soliciting uh

738
01:06:29,359 --> 01:06:36,319
feedback and input for really spreading
the word of like what the changes are

739
01:06:33,680 --> 01:06:41,440
happening through February. We have a
live community survey to also advertise

740
01:06:39,359 --> 01:06:46,640
and solicit feedback from people who may
not be able to attend one of our

741
01:06:43,359 --> 01:06:50,400
meetings. Um that that survey posts
February 15th and there's a flyer in

742
01:06:48,720 --> 01:06:58,319
your packet as well and I'll make sure
to send that your way too afterwards. Um

743
01:06:53,680 --> 01:07:03,520
and we have to submit a um a copy a
draft copy of our plan by March 31st to

744
01:07:01,359 --> 01:07:09,119
the state. That's the new requirement
and a new deadline for us which is

745
01:07:05,920 --> 01:07:13,920
highlighted here in red. We will be pro
creating a u a community engagement

746
01:07:12,000 --> 01:07:18,160
report and making it public for
everybody to review. So that way people

747
01:07:15,680 --> 01:07:21,920
see what was recommended, what were the
outcomes of our meetings together. and

748
01:07:20,240 --> 01:07:26,480
it's the same document that will be
presented to our behavioral health

749
01:07:23,119 --> 01:07:32,240
leadership for uh for consideration to
changes or additions to programs. Um we

750
01:07:30,079 --> 01:07:37,119
will aim to have a public hearing
through the behavioral health board in

751
01:07:33,760 --> 01:07:42,000
May uh hopefully at the end of May. Uh
so that's another step. And then if

752
01:07:39,280 --> 01:07:45,839
everything aligns perfectly by the end
of June, we should have a finalized plan

753
01:07:43,920 --> 01:07:51,520
that would then be approved by the state
and then would allow us to utilize those

754
01:07:47,760 --> 01:07:57,280
funds for the programs that we plan for.
So again, those are all of our um

755
01:07:55,680 --> 01:08:02,000
logistics that I wanted to kind of go
over with you. And by all means, this is

756
01:07:59,839 --> 01:08:06,520
your time now to share any questions,
input, anything. Thank you for your

757
01:08:03,520 --> 01:08:06,520
time.

758
01:08:07,359 --> 01:08:17,279
Good job.
>> Great job as always. And uh

759
01:08:14,319 --> 01:08:22,239
I know that when I go to CalBHB stuff
and hear from other counties,

760
01:08:20,239 --> 01:08:29,120
it it's a struggle for us, but we are
really doing better than many.

761
01:08:26,239 --> 01:08:32,239
That's a lot. So proud of that. Anybody
have Yes.

762
01:08:30,080 --> 01:08:40,279
» Oh, I I was curious if there was any
other questions in the chat.

763
01:08:36,239 --> 01:08:40,279
questions. I saw some stuff

764
01:08:54,080 --> 01:08:57,880
like questions.

765
01:08:59,040 --> 01:09:06,759
No, we don't have any questions in chat
with anybody

766
01:09:03,520 --> 01:09:06,759
for the remainder.

767
01:09:07,279 --> 01:09:18,080
» Nothing else.
>> Yes. Um, so I work at the TA center

768
01:09:14,319 --> 01:09:24,719
and um, I just want to emphasize like
and uplift like with so many youth and

769
01:09:21,520 --> 01:09:29,839
Oliver came to one of our bean meetings
every year which we really appreciate to

770
01:09:27,440 --> 01:09:34,719
get the youth advocacy board's feedback.
Um, yeah, I just want to uplift like the

771
01:09:32,480 --> 01:09:39,759
importance and the youth have said this
like multiple times, maybe every time

772
01:09:37,199 --> 01:09:46,400
we've ever asked them about anything for
brainstorming is just the importance of

773
01:09:41,920 --> 01:09:53,920
peer coaches and also parent partners.
Um, it's been the most requested service

774
01:09:50,960 --> 01:10:00,880
and also the one that's gotten the most
positive feedback

775
01:09:56,080 --> 01:10:00,880
any of the young people with.

776
01:10:07,120 --> 01:10:18,000
Just want to thank you Oliver. Um I just
you you are so clear and excessive. So I

777
01:10:15,520 --> 01:10:24,400
think that really helps bridge this work
and uh and keep it contemporary and keep

778
01:10:21,520 --> 01:10:29,600
our understanding up to date. Thank you
for this

779
01:10:27,040 --> 01:10:32,080
and thank you for sharing this life. For
sure.

780
01:10:30,159 --> 01:10:38,159
» Absolutely.
>> Oliver, another another, you know, thank

781
01:10:34,320 --> 01:10:43,360
you for a wonderful job. Um a very well
thought out, very well executed.

782
01:10:41,040 --> 01:10:47,199
Um I'm speaking
on behalf of our full service

783
01:10:45,600 --> 01:10:52,719
partnership.
Um and what what is needed there in our

784
01:10:51,120 --> 01:10:57,760
full service partnership is peer
coaches.

785
01:10:54,560 --> 01:11:05,920
Um they're getting the support of full
staff but um their peer coaching uh peer

786
01:11:02,960 --> 01:11:09,600
support specialists uh is very much in
lack. I know I spoke with Mr. Rockwell,

787
01:11:08,080 --> 01:11:18,159
the
program manager there, and what could we

788
01:11:12,560 --> 01:11:26,000
do as behavioral health board to um
uplift his uh services and his reply was

789
01:11:24,159 --> 01:11:31,760
we need
peer coaches really badly. So if there's

790
01:11:29,040 --> 01:11:38,360
anything that in this that can bring
peer coaches into our full service

791
01:11:33,760 --> 01:11:38,360
partnership, that would be a blessing.

792
01:11:38,880 --> 01:11:41,880
first

793
01:11:47,840 --> 01:11:55,520
if you Yeah, seems like more questions.
If you haven't filled out your form,

794
01:11:54,080 --> 01:12:01,199
» yeah, I'll just collect those at the end
of the meeting.

795
01:11:58,400 --> 01:12:04,080
» Yeah. Or you can also do it here.
>> Thank you so much.

796
01:12:02,080 --> 01:12:10,239
» I would also just like to acknowledge
the work, Oliver. I know that moving

797
01:12:06,719 --> 01:12:17,280
from NHSA to BHSA, it just just doing
the NHSA work was is a workflow. And

798
01:12:14,400 --> 01:12:22,159
then for all of the changes to come
about the way it has and and like you

799
01:12:20,239 --> 01:12:26,480
saying, you just have some of your stuff
just a couple weeks ago, you've done an

800
01:12:24,560 --> 01:12:30,080
excellent job. You're really great at
communicating with the community. So, I

801
01:12:28,640 --> 01:12:34,080
just want to thank you for all your
work. It's I know it's a lot.

802
01:12:32,400 --> 01:12:40,640
acknowledge
that. Thank you.

803
01:12:38,320 --> 01:12:46,480
Thank you.
All right,

804
01:12:43,199 --> 01:12:51,520
we will move on to communications.
So, this is a time when a behavioral

805
01:12:48,080 --> 01:12:55,760
health board member can
quickly and succinctly give us what's up

806
01:12:54,000 --> 01:12:58,719
with them.
>> You want to start, Vernon?

807
01:12:57,040 --> 01:13:01,440
» I don't know about quickly. I have a bad
habit of not being quick. So, help me uh

808
01:13:00,560 --> 01:13:07,280
with the time.
>> All right. Uh I got a couple things very

809
01:13:03,600 --> 01:13:14,760
important that uh is on the plate. Uh a
new Senate Bill 417 is coming out. Uh it

810
01:13:10,719 --> 01:13:14,760
is known as the

811
01:13:18,640 --> 01:13:28,719
affordable housing uh bond act of 2026.
This is going before the uh if it passes

812
01:13:26,000 --> 01:13:34,480
the housing uh committee, which it did
pass the appropriations

813
01:13:31,040 --> 01:13:40,320
uh committee on the 18th. The housing
committee met on the 20th. Um I do not

814
01:13:37,840 --> 01:13:45,040
know anything about if that passed the
house or not, but this if it does go

815
01:13:42,960 --> 01:13:52,560
through as expected, it will be going to
the voters June 2nd. Uh this brings

816
01:13:48,480 --> 01:13:58,960
another $10 billion uh to the state uh
in bond act money. Um

817
01:13:57,120 --> 01:14:04,239
I'm going to touch on a very sensitive
subject. I was involved with two cases

818
01:14:01,199 --> 01:14:10,320
with the Eureka Police Department uh in
the unhoused over the last couple of

819
01:14:06,239 --> 01:14:14,880
weeks. Um and the charges have been
turned over to the district attorney's

820
01:14:12,480 --> 01:14:20,719
office. As a board member, I would like
to ask our executive committee to see if

821
01:14:17,040 --> 01:14:26,080
we can uh get the DA's office uh to come
do a presentation of how they handle

822
01:14:23,440 --> 01:14:32,480
mental health and homelessness in their
jurisdiction because I do know that the

823
01:14:28,800 --> 01:14:37,600
history of assaults uh this past
Saturday night.

824
01:14:34,960 --> 01:14:42,400
So, we got we got some kids throwing
rocks at people. Um, and the two

825
01:14:40,800 --> 01:14:47,520
teenagers were turned over to their
parents. Another uh adult was turned

826
01:14:45,280 --> 01:14:55,120
loose with the automobile.
Um, and I'm just curious of how these

827
01:14:52,560 --> 01:15:01,040
charges do
come about and and and disposed of. I do

828
01:14:58,800 --> 01:15:06,320
know the history of this is not good
with the DA's office. Um, we're looking

829
01:15:04,159 --> 01:15:12,000
at the history.
Um, the reason why I'm bringing it up to

830
01:15:08,640 --> 01:15:16,960
this board is because the these
incidences are definitely playing a toll

831
01:15:15,120 --> 01:15:23,040
on the mental health of our unhoused
citizens.

832
01:15:18,640 --> 01:15:29,760
Um, so thank you for your time. Um, and
like to get some support on back and

833
01:15:25,199 --> 01:15:35,360
getting our DA's office here. Thank you.
>> Margaret, do you have anything?

834
01:15:31,520 --> 01:15:40,000
» Um, yeah. Um, two things. Uh, one is,
um, People probably know I live in

835
01:15:37,360 --> 01:15:45,280
McKenley. One community member here with
an AOD back I mean an SUV background.

836
01:15:43,120 --> 01:15:53,280
I've been I just want to tell this board
that I've been kind of concerned that in

837
01:15:49,920 --> 01:16:00,239
McKinleyville I can see that uh
homelessness is really really increasing

838
01:15:56,800 --> 01:16:08,159
in just the last six months. you know,
the county has a little office with some

839
01:16:03,199 --> 01:16:13,520
little services in there. Uh, but
um I'm pretty comfortable talking to

840
01:16:11,120 --> 01:16:18,400
just about anybody and I have talked to
some of these homeless people and they

841
01:16:16,239 --> 01:16:23,120
just keep telling me that one of the big
barriers for them to come in and get

842
01:16:20,960 --> 01:16:28,320
some counseling or mental health
services or or even SUV services is

843
01:16:26,640 --> 01:16:33,600
transportation.
they, you know, they don't have money to

844
01:16:30,640 --> 01:16:39,679
buy, you know, tickets on the bus. They
don't have, you know, etc., etc. So, you

845
01:16:37,440 --> 01:16:43,520
know, I don't know if through MHSA
anything like that can happen, but I

846
01:16:41,520 --> 01:16:47,840
wanted to just kind of bring it to the
board's attention that, you know,

847
01:16:45,760 --> 01:16:53,120
something as simple as transportation
can be the difference between somebody

848
01:16:50,480 --> 01:17:00,320
really going way downhill and then
having to have a much higher profile in

849
01:16:56,480 --> 01:17:06,719
mental health or SG services that could
be abaded by more transportation.

850
01:17:04,400 --> 01:17:11,360
So I'm just raising awareness and you
know McKinleyville's only I mean I drive

851
01:17:09,360 --> 01:17:17,280
here to these meetings McKinleyville's
only like 10 miles from Eureka but those

852
01:17:14,560 --> 01:17:22,239
10 miles can really make a big
difference if you have to walk them or

853
01:17:19,920 --> 01:17:28,080
you know do something you know or beg
for rides or etc. So that that's the

854
01:17:26,239 --> 01:17:34,640
other one. And the other one is I just
wanted to announce um um uh I think you

855
01:17:32,159 --> 01:17:39,840
know that I've and I used to bring Eric
Thompson to meetings with me and I just

856
01:17:37,760 --> 01:17:45,440
want everybody and I told you guys when
when he got real sick, etc. So anyway,

857
01:17:43,040 --> 01:17:50,880
he's had some more really serious health
problems and um he made the painful

858
01:17:48,800 --> 01:17:58,239
decision recently with the help of his
extended family to move to Rochester,

859
01:17:54,560 --> 01:18:03,600
New York where he has an uncle, a father
who must be getting kind of old because

860
01:17:59,840 --> 01:18:07,760
he's in his late 50s. Um and uh he
wanted me to tell the board that he's no

861
01:18:06,000 --> 01:18:13,120
longer in Humble County, but that he's
thinking of all of us. I I'll kind of

862
01:18:10,080 --> 01:18:18,400
keep you know in touch with him and uh
he was a very important person a few

863
01:18:15,360 --> 01:18:26,000
years ago by being in charge of the
substance use committee by uh uh doing

864
01:18:22,480 --> 01:18:30,960
groups at the hope center etc. So we'll
really miss him and hopefully he'll do

865
01:18:28,159 --> 01:18:37,199
some of that in Rochester, New York. He
had to fly out on Tuesday and and I saw

866
01:18:34,239 --> 01:18:43,440
the news that planes were skidding off
the runway in Rochester, New York. So, I

867
01:18:39,600 --> 01:18:46,640
hope his plane wasn't on.
>> Thank you,

868
01:18:45,440 --> 01:18:52,320
» Bob.
>> Hi, everybody. Um, turns out the VA is

869
01:18:50,159 --> 01:18:59,199
looking for 8 to 10 vets who want to
participate in Battlefield Acupuncture.

870
01:18:57,120 --> 01:19:03,120
Um,
it's an alternative

871
01:19:02,000 --> 01:19:07,520
uh medicine
>> battlefield. So,

872
01:19:04,239 --> 01:19:11,760
» battlefield acupuncture. I've got the
information here. The nurse at the VA

873
01:19:10,080 --> 01:19:19,920
price. I've got a contact information
here. Um, who would sign me up for that?

874
01:19:16,880 --> 01:19:26,440
Uh but but if you know anybody who would
be interested in that for reduction of

875
01:19:23,440 --> 01:19:26,440
trauma

876
01:19:26,719 --> 01:19:34,640
um I'll give this to Joe
and also I have got some information

877
01:19:31,920 --> 01:19:39,520
here on contact information for me
veteran peer support give that

878
01:19:37,600 --> 01:19:44,239
disseminate also I'm going to be
starting some uh

879
01:19:41,920 --> 01:19:49,280
uh veteran peer support meetings for the
local community here probably next

880
01:19:45,920 --> 01:19:54,719
month. Um, we've got a place to do that.
So, we'll see how that brings off.

881
01:19:52,960 --> 01:19:59,199
» Thank you,
Peter.

882
01:19:56,560 --> 01:20:03,600
» Hello, everybody. Um,
a couple

883
01:20:01,360 --> 01:20:06,719
tidbits. One, um, Humble Bridge
Wellness, our collaborative partnership

884
01:20:05,199 --> 01:20:12,800
with Department of Health and Human
Services is is going well. We'd really

885
01:20:09,840 --> 01:20:18,960
like to, um, have twice as many wellness
coaches out in our regions. Um, but

886
01:20:15,920 --> 01:20:24,159
we're tiny but mighty and responding to
uh referrals. Um, those wellness

887
01:20:22,080 --> 01:20:28,480
coaches, what's the difference is it's
not it's not grant funded. I mean, it's

888
01:20:26,239 --> 01:20:32,239
grant funed right now, but we'll be
shifting their activities to what their

889
01:20:30,960 --> 01:20:36,400
children youth behavioral health
initiative multi-payer fee schedule. So,

890
01:20:34,880 --> 01:20:40,080
there's certain things they can't do and
can't do that we can recoup funds and

891
01:20:38,320 --> 01:20:46,880
we're doing time studies to look at how
much of their salaries we actually truly

892
01:20:42,960 --> 01:20:53,040
can recoup. Um
to my chagrin, case management is not

893
01:20:49,520 --> 01:20:57,600
one of those activities. So um so that
gets challenging, but it's also very

894
01:20:54,880 --> 01:21:04,400
inclusive of the child. So balancing
that work, but in lie of that, the

895
01:21:01,360 --> 01:21:11,760
county office uh has also become a
provider for ECS at Calam work. So we're

896
01:21:08,480 --> 01:21:16,800
onboarding our wellness coaches as many
health workers as well so that they can

897
01:21:13,440 --> 01:21:22,560
have a small case load of homeless
fostering youth to work with and do

898
01:21:19,760 --> 01:21:27,040
preventative and case management types
of activities. So um so that's exciting.

899
01:21:25,040 --> 01:21:32,000
So we intend on braiding those funds
reaching more people sustaining

900
01:21:29,040 --> 01:21:37,840
positions that's their goal. Um and
another offering we have some trainers

901
01:21:34,159 --> 01:21:44,640
in um in a program called be sensitive
be brave. There's two sections of be

902
01:21:40,880 --> 01:21:50,480
sensitive be brave. One is um training
school staff across the board on how to

903
01:21:48,320 --> 01:21:55,679
identify warning signs of mental health
issues and how to make referrals. And

904
01:21:52,960 --> 01:22:00,800
then the other module is around suicide
prevention. So, we're offering that to

905
01:21:57,840 --> 01:22:05,840
districts as well as um at the county
office and um and we're working with the

906
01:22:03,920 --> 01:22:10,400
Calpali social work program and
providing that training there. So, so

907
01:22:08,719 --> 01:22:15,480
there's few things that are
>> happening

908
01:22:12,480 --> 01:22:15,480
updates.

909
01:22:16,239 --> 01:22:19,239
Sean

910
01:22:26,560 --> 01:22:29,560
» very

911
01:22:30,239 --> 01:22:34,600
move on to sister.

912
01:22:38,159 --> 01:22:42,120
You have any question for us?

913
01:22:44,480 --> 01:22:50,800
I can provide a little update around the
navigation set.

914
01:22:49,120 --> 01:22:56,800
» What? That would be awesome.
>> Okay. Um,

915
01:22:53,520 --> 01:23:02,080
so, um, noting my frustration with
Natalie Aoyo, I wish she was here today

916
01:22:58,960 --> 01:23:09,040
because me noting my frustration with
her, um, actually helped. And um we had

917
01:23:06,080 --> 01:23:18,639
a couple of meetings with a couple of
supervisors and city of Eureka staff and

918
01:23:14,159 --> 01:23:26,080
um Justin Zable and others and got some
agreements in place and

919
01:23:22,239 --> 01:23:35,280
now our architect Jay Johnson for the
county is now meeting weekly with um the

920
01:23:31,040 --> 01:23:41,679
Justin Zables architect and Justin has
hired an engineer and they're working on

921
01:23:37,920 --> 01:23:47,600
the plans and and getting the permitting
done. We were able to get an extension

922
01:23:45,440 --> 01:23:53,040
with our HAP funding that we were going
to pay um the lease with. So,

923
01:23:51,520 --> 01:23:57,679
we're kind of switching. We're
flip-flopping some of the funding that

924
01:23:55,679 --> 01:24:04,400
is going to be used for that. Actually,
I've had to flip-flop it three times in

925
01:23:59,920 --> 01:24:08,239
the last five years. Um, but it does
appear that the project is moving

926
01:24:06,480 --> 01:24:14,960
forward
and um, the last timeline I saw and it

927
01:24:12,239 --> 01:24:24,320
was really rough, but it does appear
that thing may be done, they say they

928
01:24:18,320 --> 01:24:32,800
want it to be done by the end of 2026.
I think it'll probably be more like June

929
01:24:27,360 --> 01:24:41,520
or July 2027, but that's better than
nothing. So, I feel a little better

930
01:24:36,239 --> 01:24:46,880
about that. Um, we don't have the 90%,
this is the important part for this

931
01:24:43,600 --> 01:24:52,560
group. We don't have the 90% completion
of the plans yet. And I don't want to

932
01:24:49,600 --> 01:24:58,880
start the community meetings
um and really do uh program planning

933
01:24:55,679 --> 01:25:04,480
until we get that 90% completion because
we need that for our lease to be valid.

934
01:25:02,400 --> 01:25:10,400
Um so
when that happens, we'll start community

935
01:25:06,880 --> 01:25:15,760
meetings and program planning around
what all we'll have um at the navigation

936
01:25:13,600 --> 01:25:18,800
center.
But

937
01:25:18,239 --> 01:25:24,040
» movement.
>> So I'm hopeful again.

938
01:25:21,040 --> 01:25:24,040
» Yes.

939
01:25:24,719 --> 01:25:28,960
» Thank you for that.
>> Yeah.

940
01:25:28,080 --> 01:25:38,080
and we drop.
>> Yeah. So um I was thinking about like

941
01:25:33,520 --> 01:25:42,880
given the BHSA presentation how as noted
that's this is such a heavy lift such a

942
01:25:40,239 --> 01:25:47,199
huge transition for our systems and one
of many like you if I just think about

943
01:25:45,199 --> 01:25:53,040
in this moment the past present and
future things among others we just did

944
01:25:50,639 --> 01:25:59,360
mobile crisis benefit we did care court
we just started SB43

945
01:25:56,320 --> 01:26:03,520
um BHSA and other QI
initiatives are including a number of

946
01:26:01,600 --> 01:26:09,360
PPPs that are going to be rolled out and
have to be implemented over the next um

947
01:26:06,639 --> 01:26:14,800
few years. I wanted to just note too
that the kind of the impacts are so far

948
01:26:12,239 --> 01:26:21,520
reaching. So, you know, absolutely
Oliver's gift is huge and the change to

949
01:26:18,159 --> 01:26:25,520
how BHSA will work really impacts
everybody throughout our systems. So the

950
01:26:23,520 --> 01:26:29,920
integrated plan now is going to require
QI in all programs to collect and

951
01:26:28,239 --> 01:26:33,120
present data that they've never had to
do in the past. There's the

952
01:26:31,440 --> 01:26:39,040
implementation like I mentioned of the
EDP. So there's just like really broad

953
01:26:35,840 --> 01:26:46,000
work across the system that um that and
all the other changes are um are

954
01:26:42,320 --> 01:26:49,520
creating for us. Um, so, so that's just
continuing to say that because I feel

955
01:26:47,600 --> 01:26:53,679
like staff do this work sometimes
without recognition for how much they're

956
01:26:51,760 --> 01:26:58,560
caring and it can be a lot especially
because we still are pretty understaffed

957
01:26:56,320 --> 01:27:04,320
in many of our programs and parts of our
system. Um, I also wanted to mention

958
01:27:01,440 --> 01:27:09,920
part of all these new initiatives um
means continued and increasing audits.

959
01:27:07,600 --> 01:27:15,040
In March, we have three audits scheduled
and all of that takes lots of time and

960
01:27:12,400 --> 01:27:18,560
effort and followup and if things aren't
all exactly in place, then we have

961
01:27:16,800 --> 01:27:24,719
corrective action plans that we have to
attend to. So, that's a lot of work as

962
01:27:21,520 --> 01:27:28,800
well. Um, and it's it's good. you know,
it keeps us doing the work in ways that

963
01:27:26,560 --> 01:27:32,000
are um legal and ethical and with
integrity and making sure that we're

964
01:27:30,320 --> 01:27:36,480
providing good services to the community
and that our practices are um in

965
01:27:34,639 --> 01:27:40,719
alignment with with how we want to
serve. Um I think I mentioned here that

966
01:27:38,960 --> 01:27:45,280
we have a new medical director. Maybe I
didn't. She came on four, five, six

967
01:27:43,199 --> 01:27:50,719
weeks ago now. She's really amazing and
one of the things I love about her is

968
01:27:47,280 --> 01:27:54,400
that she's super compliance focused. And
so she's just like poking holes in all

969
01:27:52,719 --> 01:27:59,199
the things to make sure that we're doing
things right. And while that feels

970
01:27:56,960 --> 01:28:06,639
daunting, it's also really reassuring to
me as a also compliance worried person.

971
01:28:03,760 --> 01:28:11,280
So anyway, it's a nice addition for us.
Um, the other things I just wanted to

972
01:28:08,639 --> 01:28:15,840
mention is we're just starting work on
our budget planning for next fiscal year

973
01:28:13,440 --> 01:28:21,280
and it is only January, but we start
this work very early. And so we're

974
01:28:18,159 --> 01:28:26,000
looking at um how we're going to kind of
create a budget for next year that

975
01:28:23,280 --> 01:28:29,840
continues to keep us fiscally solvent.
We've talked about the the big deficit

976
01:28:28,000 --> 01:28:33,520
that we've had over the years and and
really the great improvement that we

977
01:28:31,199 --> 01:28:39,199
made. And so I'm glad about that and
just wanting to continue to do that work

978
01:28:35,679 --> 01:28:46,159
in responsible ways. Um and with that
also comes um a renewal or re-execution

979
01:28:43,920 --> 01:28:51,040
of a number of contracts. And I just
because I was interested double checked

980
01:28:48,960 --> 01:28:56,880
and in behavioral health we have about
150 contracts annually which is a pretty

981
01:28:53,679 --> 01:29:04,239
large number that we um use to do all
the work and and that we have to

982
01:29:00,719 --> 01:29:11,679
manage and support and uh carry forward.
So anyway, lots going on. Um, lots of

983
01:29:07,199 --> 01:29:16,560
good work and lots of hard work.
>> Thanks,

984
01:29:14,080 --> 01:29:20,719
» deputy directors. I'm gonna start online
with chair. So, I mix it up. Yeah,

985
01:29:19,440 --> 01:29:23,840
mixing it up.
>> Jeremy.

986
01:29:22,080 --> 01:29:27,120
» All right. Well, um, in the children's
world, a lot of a lot of the work right

987
01:29:25,360 --> 01:29:31,760
now that that we're primarily focusing
on are some of the things that Oliver

988
01:29:28,800 --> 01:29:37,040
mentioned. Uh specifically with uh
highfidelity wraparound is a new

989
01:29:33,600 --> 01:29:41,679
requirement for us to um offer
wraparound to behavioral health

990
01:29:39,600 --> 01:29:47,760
behavioral health youth that are meeting
that full service partnership level of

991
01:29:44,000 --> 01:29:53,199
need of service. And so that'll be um we
have to have that service online really

992
01:29:50,480 --> 01:29:58,800
by by July of this year. So we're we're
in the early stages of a lot of the

993
01:29:55,120 --> 01:30:02,560
planning. Um, we have outreach out to
potentially some organizational

994
01:30:00,480 --> 01:30:06,960
providers that that we would be able to
contract with that have staff to provide

995
01:30:04,800 --> 01:30:11,679
that service. Uh, but that that'll be a
heavy lift. Uh, getting the wraparound

996
01:30:08,800 --> 01:30:16,320
program up and running. Um, along with
that are are some other evidence-based

997
01:30:13,920 --> 01:30:22,639
practices that are are being mandated by
the state that we also um lift up in in

998
01:30:20,880 --> 01:30:27,840
fairly short amount of time. I think I
think these are also by midyear this

999
01:30:24,560 --> 01:30:32,960
year. So we have to um have the ability
to offer functional family therapy,

1000
01:30:30,159 --> 01:30:38,320
multi-sistic therapy and parent child
interaction therapy. So those are three

1001
01:30:35,920 --> 01:30:43,840
um youth focused evidence-based
practices. The first two are more uh

1002
01:30:40,320 --> 01:30:49,440
family systems work. Um both both have
some juvenile justice and system

1003
01:30:45,840 --> 01:30:56,480
involved youth components. Um and then
PCIT is is focused on younger I think

1004
01:30:52,800 --> 01:31:00,560
it's 0 to7 um age children and and
services for them and their caregivers

1005
01:30:58,719 --> 01:31:06,000
and working on the relationship issues
between parent and child. So um also we

1006
01:31:04,159 --> 01:31:12,000
have outreach out to organizational
providers to see if they're interested

1007
01:31:08,080 --> 01:31:16,719
in training training their staff. Uh so
those programs may be some combination

1008
01:31:14,000 --> 01:31:23,360
of county county staff running a program
or an ORC provider also running that

1009
01:31:19,920 --> 01:31:28,400
program. Um so we're in the again early
stages of planning. Um all of those

1010
01:31:25,840 --> 01:31:33,840
practices the state is providing funding
for the training and implementation side

1011
01:31:30,480 --> 01:31:39,760
of it. So that is um that is helpful,
but um certainly will be a a shift in in

1012
01:31:37,199 --> 01:31:47,199
staffing and and having to focus on all
the fidelity pieces and getting those

1013
01:31:41,440 --> 01:31:52,000
practices up to um up to fidelity. So
along with that just a lot of work to

1014
01:31:49,120 --> 01:31:56,639
continue. There are regular services. Um
uh one exciting thing is um

1015
01:31:54,080 --> 01:32:03,679
environmental alternatives or EA family
services um are in the early stages of

1016
01:31:59,600 --> 01:32:09,520
opening up a a an STRTP program, a
short-term residential treatment

1017
01:32:05,199 --> 01:32:16,000
program. So that is um that is for youth
that need that level of um residential

1018
01:32:13,120 --> 01:32:19,440
treatment. Um, typically those are those
are through child welfare, child welfare

1019
01:32:18,000 --> 01:32:25,679
placements, but it could also be a
probation placement. Um, but that'll be

1020
01:32:21,920 --> 01:32:32,880
a local in um facility in Eureka. I
believe they're focusing on uh about six

1021
01:32:28,719 --> 01:32:37,280
beds for uh for females. And so um it's
exciting to have that because right now

1022
01:32:34,880 --> 01:32:41,840
whenever a youth needs an STRTP
placement, they do have to go out of our

1023
01:32:39,199 --> 01:32:46,480
county. And so that presents quite a bit
of challenge as far as coordination and

1024
01:32:43,679 --> 01:32:51,120
it's just difficult for coordination and
then uh obviously the closer we can keep

1025
01:32:49,520 --> 01:32:54,719
youth to home and to their their
supports around here the better. So

1026
01:32:52,639 --> 01:32:59,760
we're excited about that um that new
facility. Um we're in the in the early

1027
01:32:57,360 --> 01:33:04,639
planning stages of that as well. So I'm
hopefully that will be up and running

1028
01:33:01,760 --> 01:33:08,000
sometime this year. So lots of lots of
work being done along with our regular

1029
01:33:06,480 --> 01:33:13,840
services, but those are kind of the the
big things right now. So, I can uh pass

1030
01:33:11,679 --> 01:33:16,239
it back to you guys.
>> Thanks, Jeremy. It's nice to hear your

1031
01:33:15,440 --> 01:33:23,239
voice.
>> Thank you.

1032
01:33:17,199 --> 01:33:23,239
» Good stuff. That's exciting about uh TR.

1033
01:33:24,159 --> 01:33:33,199
» Jack, do you have any
>> um I don't think a lot. I mean, I think

1034
01:33:31,600 --> 01:33:38,239
some of the things that we talked about
the HSA already certainly on forefront

1035
01:33:35,840 --> 01:33:44,080
of what I'm working on, what's happening
with the housing and changes with the

1036
01:33:41,440 --> 01:33:52,480
FSP and
um I do uh was thinking we um

1037
01:33:50,080 --> 01:34:00,159
got a we're working on a contract and
we've we've started the process uh with

1038
01:33:56,880 --> 01:34:06,239
um moving some individuals to the new
long-term care facility called Windsor

1039
01:34:02,719 --> 01:34:10,880
U, which I think is in Sacramento area.
Uh, but this has been a really um

1040
01:34:09,040 --> 01:34:15,600
they're kind of a new new facilities
that are brand new and they have beds

1041
01:34:14,159 --> 01:34:21,040
available, but they're also a big
facility. So, they've taken a few of our

1042
01:34:18,400 --> 01:34:28,159
folks. Uh, some of those individuals
have been uh sitting on SV and other for

1043
01:34:25,120 --> 01:34:33,920
quite a while. you know, lots lots of
out there waiting for someone. So, uh,

1044
01:34:31,600 --> 01:34:39,600
from from that perspective, public
guardian perspective, it's been nice to

1045
01:34:35,679 --> 01:34:46,159
see some movement there and and from the
MRT perspective, uh, from the mobile,

1046
01:34:42,880 --> 01:34:50,719
you know, response, uh, having bed
availability up at SB has been

1047
01:34:48,239 --> 01:34:56,600
noticeable recently.
So, you go to the hospitals and you

1048
01:34:52,400 --> 01:34:56,600
know, like we're probably

1049
01:34:57,520 --> 01:35:02,880
How many beds does this western have,
Jeff?

1050
01:35:00,320 --> 01:35:08,080
» I don't know. I want to say somewhere 80
90 beds. They have different levels of

1051
01:35:05,199 --> 01:35:15,520
care there. So, um they have some
unlocked, some locked, some sniff, STP,

1052
01:35:11,920 --> 01:35:19,440
and then some beds for forensic. So, I
mentioned SD, but there's been a couple

1053
01:35:17,760 --> 01:35:27,920
folks, I think, through the jail that
have um that have uh been moved to two.

1054
01:35:25,280 --> 01:35:33,520
So, Murphy conservatorships in the jail
that was kind of big push.

1055
01:35:30,480 --> 01:35:36,880
It was Murphy Conservatorships, but
they're taking other folks from the

1056
01:35:35,760 --> 01:35:41,440
city, too. So,
>> wow.

1057
01:35:38,880 --> 01:35:44,719
takes it from everywhere. The Windsor
takes it from all counties or

1058
01:35:43,199 --> 01:35:49,120
» Yeah, I'm sure Windsor has a contract
with multiple counties. Yeah. So, not

1059
01:35:46,960 --> 01:35:54,080
just
>> sometimes we have

1060
01:35:51,600 --> 01:36:01,760
someone that's been in care and they'll
have a bad episode in in a facility

1061
01:35:59,440 --> 01:36:06,480
10 years ago and they'll never be
allowed to be back in that facility

1062
01:36:03,920 --> 01:36:13,360
because something happened 10 years ago.
And so this is a relief for um folks

1063
01:36:10,480 --> 01:36:16,880
that have been penalized like that over
over time. So appreciate hearing that.

1064
01:36:16,080 --> 01:36:22,560
Thank you for
>> Yeah, it's been uh just an interesting

1065
01:36:20,719 --> 01:36:27,600
obser. I haven't been to Safari in a
while or meeting with the SB. So I'm not

1066
01:36:24,960 --> 01:36:32,480
sure, but it's just been very noticeable
that

1067
01:36:29,120 --> 01:36:38,800
the the CSU or or Oh yeah, we have some
beds. We have a bed. Right. So when you

1068
01:36:34,320 --> 01:36:42,719
go into St. and Josie are knowing that
SV has a bed. You're kind of like, oh

1069
01:36:41,120 --> 01:36:49,679
yeah, SV's got a bed. I'll see your
person, right? If they don't, you're

1070
01:36:47,199 --> 01:36:53,119
real
a lot.

1071
01:36:51,280 --> 01:36:58,239
It's been just noticeable last couple
weeks and I imagine some of it might be

1072
01:36:55,040 --> 01:37:06,280
staffing too, but I think uh I'm sure
some of it's getting folks.

1073
01:37:01,920 --> 01:37:06,280
» That's wonderful. That is really what

1074
01:37:08,080 --> 01:37:14,560
» um just to piggy back off what Jack was
saying um you know we are starting to

1075
01:37:12,800 --> 01:37:18,880
feel the difference and seeing the
difference of new beds, new facilities

1076
01:37:16,960 --> 01:37:22,159
starting to open up as we felt that with
Hyperion.

1077
01:37:20,400 --> 01:37:27,760
um that's been a great resource for us
for step downs from severance. So uh

1078
01:37:25,040 --> 01:37:32,239
that's been helpful. We've noticed that
and and now with this new contract we're

1079
01:37:29,679 --> 01:37:37,440
noticing as well. So that's been good.
That allows us to, you know, move people

1080
01:37:35,280 --> 01:37:41,440
along in the continuum of care more
quickly and open things up to keep

1081
01:37:39,679 --> 01:37:47,119
people more local that are having a
crisis. So that's been um enormously

1082
01:37:45,280 --> 01:37:51,280
helpful. and also some of the work that
Jessica Duke is doing as uh the the

1083
01:37:49,600 --> 01:37:58,400
manager hospital administrator of
environments. She's put in place um a

1084
01:37:54,880 --> 01:38:05,199
process for how to deliver packets to
these facilities in a way that gives

1085
01:38:01,520 --> 01:38:09,520
them current information with, you know,
that's more relevant than things that

1086
01:38:07,280 --> 01:38:15,199
are buried into somebody's record. like
maybe in in 1986 they tried to light

1087
01:38:12,560 --> 01:38:19,920
their mattress on fire and so they you
know some facilities will use that to

1088
01:38:16,880 --> 01:38:26,719
like oh no this person is an arson risk
and they won't accept them. So she's

1089
01:38:21,840 --> 01:38:30,800
seen some movement um uh acceptance um
now we kind of change that process on

1090
01:38:28,960 --> 01:38:35,760
it. So she's really coming up with some
really nice ideas around helping people

1091
01:38:33,679 --> 01:38:40,800
to get the care that they need in the
systems they need. Um so I just wanted

1092
01:38:37,840 --> 01:38:45,920
to say that and um and then just a
couple other short updates. We are we

1093
01:38:43,920 --> 01:38:53,199
have implemented SB43. You know that's
the expansion of the grave disability um

1094
01:38:49,199 --> 01:38:59,679
criteria and so things are going okay. I
just really um love the everybody coming

1095
01:38:57,040 --> 01:39:04,239
together to work on solutions um for
care for people and pathways of care has

1096
01:39:01,679 --> 01:39:09,679
been wonderful with our SUD community
and others. So that's been great. And

1097
01:39:07,280 --> 01:39:13,679
the training efforts uh both on law
enforcement side and as well as our side

1098
01:39:12,159 --> 01:39:20,480
and bringing people together has been
great. So um you know that's that's off

1099
01:39:17,520 --> 01:39:25,199
and running. And then lastly, uh we do
have a new patients rights advocacy um

1100
01:39:23,280 --> 01:39:30,400
entity. They're named Smith Waters
Group. Um I met with uh Bill and Frank

1101
01:39:28,239 --> 01:39:35,440
Smithwaters last week. Really great
fellas and I'm really happy about the

1102
01:39:33,119 --> 01:39:40,560
service that they're providing us. So,
we're having a meet and greet this week

1103
01:39:37,360 --> 01:39:44,400
with all of uh interested parties and uh
the to learn about what they're doing

1104
01:39:42,400 --> 01:39:51,600
and they've been around for a long time
and provided have a great reputation of

1105
01:39:48,239 --> 01:39:56,639
being great client advocates. So, we're
uh they have some really stable staff.

1106
01:39:55,199 --> 01:40:01,199
I've been with them for a long time,
which is

1107
01:39:58,960 --> 01:40:07,119
good indication that they're doing
they're doing something right. And um so

1108
01:40:05,119 --> 01:40:13,119
yeah, so Smith Waters Group and Bill
where they see they're from Sacramento

1109
01:40:09,679 --> 01:40:19,440
area and they have expanded out quite a
bit um since uh SP

1110
01:40:16,639 --> 01:40:24,159
2275 was implemented, you know, with a
probable cause in the emergency

1111
01:40:20,880 --> 01:40:29,360
departments. Um so they've expanded
pretty significantly. So they're in most

1112
01:40:26,480 --> 01:40:31,920
of the partnership counties except for
like Sacramento I don't think they're in

1113
01:40:30,719 --> 01:40:36,239
Sacramento even though that's where
they're based out of.

1114
01:40:33,360 --> 01:40:40,440
» Uh but a lot of other counties they're
going to northern the north state.

1115
01:40:40,480 --> 01:40:47,000
» That's great. Wonderful
stuff.

1116
01:40:47,760 --> 01:40:55,679
Um, safety committee updates. If any you
have anything from Carter,

1117
01:40:53,679 --> 01:40:58,880
» I actually had to miss that meeting, but
I know that that Oliver came and

1118
01:40:57,920 --> 01:41:04,719
presented to
>> Oh, that's right. to that meeting. And I

1119
01:41:02,560 --> 01:41:08,400
presume you did a since we're a short
we're pretty short meeting. I presume

1120
01:41:06,480 --> 01:41:13,679
you did kind of a condensed version for
the Absolutely. for that. Did you get

1121
01:41:10,880 --> 01:41:17,600
good feedback from in terms of the SUD
inclusion stuff? Yeah, we had a couple

1122
01:41:15,760 --> 01:41:22,159
of folks that from Bear River that
attended

1123
01:41:18,880 --> 01:41:27,800
» um and also from uh Raphael was there
too and yeah, they provide really good

1124
01:41:24,080 --> 01:41:27,800
feedback for sure.

1125
01:41:27,840 --> 01:41:36,560
» Good engagement.
>> Yeah, thank you for having me there.

1126
01:41:32,239 --> 01:41:42,159
» All right. Uh we are at we have no
committees that's

1127
01:41:39,520 --> 01:41:48,560
chairman, vice chair's not here. I will
say I have two announcements. Uh I'm

1128
01:41:45,280 --> 01:41:54,320
still working on a March retreat for
behavioral health board members

1129
01:41:51,679 --> 01:42:00,320
with many of you might be available. And
then um just found out today that CIT is

1130
01:41:58,080 --> 01:42:06,960
going to be postponed until the end of
May. So

1131
01:42:02,560 --> 01:42:10,639
that's um both sad and a blessing.
>> Is that the local training that you're

1132
01:42:09,199 --> 01:42:15,840
speaking of? Okay.
>> The one that I'm the coordinator of.

1133
01:42:12,880 --> 01:42:20,880
Yes.
So, yes, Muna just found that out right

1134
01:42:18,719 --> 01:42:27,040
before this meeting. So, I will send
that info out.

1135
01:42:24,320 --> 01:42:31,840
Um, and again, I'm as always very proud
of the work we do in this community. We

1136
01:42:28,880 --> 01:42:37,040
can always do more, but we are
kicking butt

1137
01:42:34,320 --> 01:42:40,159
a lot.
Um,

1138
01:42:38,560 --> 01:42:47,520
Nav Center, we already heard the great
update. Care for

1139
01:42:43,520 --> 01:42:50,960
No, I know that we've been helping um
encourage people to go to their care

1140
01:42:49,119 --> 01:42:55,280
court meetings with the judges. So,
that's been good. I don't know if you

1141
01:42:53,199 --> 01:43:02,719
have anything else to say on that.
>> Uh no, we've still petition been quite a

1142
01:42:57,600 --> 01:43:11,040
few petitions and like in the 40s um and
maybe about 20 that have been active. Um

1143
01:43:08,239 --> 01:43:16,480
so, yeah, that's been coming right
along.

1144
01:43:13,440 --> 01:43:21,520
Wednesday. Um, yeah, two people from
Fairport came to one of our T staff

1145
01:43:19,600 --> 01:43:29,520
meetings and gave a really excellent
presentation that answered a lot of

1146
01:43:23,679 --> 01:43:34,880
questions. So, if anyone and all
um, no, I just thought that it was so if

1147
01:43:32,719 --> 01:43:41,199
you ever have questions about care for
it was just it answered a lot.

1148
01:43:38,239 --> 01:43:45,760
» Thank you.
versus triage. Do you have still moving

1149
01:43:44,480 --> 01:43:49,679
along?
>> Yeah, there's not really an update. Is

1150
01:43:47,840 --> 01:43:54,960
there any? Not that I know. If Nancy is
on her, she can any updates on crisis

1151
01:43:53,280 --> 01:44:00,080
triage. Nancy,
>> sure. For some reason, my video is

1152
01:43:57,199 --> 01:44:05,840
disabled. Sorry about that. Disabled by
the host. Not sure why. Anyway, uh yeah,

1153
01:44:03,280 --> 01:44:09,520
Crisis Triage Center is moving forward
right now. They're working with an

1154
01:44:07,280 --> 01:44:15,679
architect and looking to hire the
general contractor to get the ground

1155
01:44:11,679 --> 01:44:22,000
broken uh on on building it. They're
still hoping to be on track for to have

1156
01:44:18,719 --> 01:44:26,880
it completed by June of 2027.
Uh that timeline might get pushed out a

1157
01:44:24,480 --> 01:44:32,040
bit, but it is on track and moving
forward. Uh, same with the seer vir

1158
01:44:37,119 --> 01:44:46,080
too much. It's so awesome.
Thank you, Nancy.

1159
01:44:42,560 --> 01:44:50,639
Does anyone have any future items? I got
a note about something to executive

1160
01:44:48,239 --> 01:44:56,320
committee about DA's office, but doesn't
have any future items they'd like to

1161
01:44:53,440 --> 01:45:00,400
see?
I don't have a future item, but I

1162
01:44:58,239 --> 01:45:06,320
remembered that point in time count is
in the mornings. Um, if you if if you

1163
01:45:04,080 --> 01:45:14,080
have time and you haven't signed up,
please do so. Um, we still need some

1164
01:45:10,400 --> 01:45:23,280
more volunteers. Uh, I'll be there
bright and early at 7 a.m. Um, if you

1165
01:45:20,800 --> 01:45:29,520
have time and are able to do it, there's
a there's a training online that's like

1166
01:45:25,760 --> 01:45:36,400
a little video or PowerPoint training
that you need to take to know what to

1167
01:45:32,800 --> 01:45:43,040
expect. Um, but it's very, very simple
and Robert Worth will answer any

1168
01:45:39,360 --> 01:45:51,040
question that you ever have. Um, last I
heard we were lacking especially

1169
01:45:46,560 --> 01:45:57,440
um folks in the east area. Um, we do
have one uh staff person that's going to

1170
01:45:54,400 --> 01:46:04,080
go and we're still working on connecting
uh with staff that work at Camo and

1171
01:45:59,679 --> 01:46:11,040
other areas. Um, but yeah, we were, last
I heard, we had 92

1172
01:46:07,840 --> 01:46:18,960
people signed up to volunteer and we
really need about 120, but we'll manage

1173
01:46:14,719 --> 01:46:23,600
with the 92 or, you know, we'll end up
with a few more people. Um, but some

1174
01:46:21,440 --> 01:46:28,480
folks sign up and then don't show up,
too. So, if you have time and you're

1175
01:46:26,480 --> 01:46:34,159
able and
able to do that, it's it only takes an

1176
01:46:31,119 --> 01:46:38,560
hour or so of your time.
Um, we have asked for a lot of

1177
01:46:36,480 --> 01:46:43,920
volunteers of staff because it's so
important for our community to because

1178
01:46:41,280 --> 01:46:48,000
the point in time count is used to
allocate the funding, the state funding

1179
01:46:46,080 --> 01:46:55,440
that comes to counties for homeless
services. So important for for us to

1180
01:46:52,560 --> 01:47:02,119
continue to have good numbers and
accurate numbers

1181
01:46:57,600 --> 01:47:02,119
um is good for funding

1182
01:47:03,119 --> 01:47:10,480
from that pitch.
All right. Well, there's nothing out.

1183
01:47:08,000 --> 01:47:16,400
It's good to order. I will adjourn this
meeting at 13:49.

1184
01:47:13,840 --> 01:47:19,760
» Quick check in.
>> I'm sorry. I have a quick check in. Do I

1185
01:47:18,159 --> 01:47:23,520
have a moment?
>> Um, please. Thank you.

1186
01:47:21,199 --> 01:47:27,119
» This is Colombina from uh case manager
here with Providence Health. Just real

1187
01:47:25,199 --> 01:47:33,520
quick, it was a followup. I didn't get
the name of the gentleman who was

1188
01:47:28,880 --> 01:47:36,320
discussing the VA acupuncture, please.
>> That's Bob Dy. I work for Nation's

1189
01:47:35,440 --> 01:47:40,480
Finest.
>> Nation's Finest. Okay. And then real

1190
01:47:39,040 --> 01:47:44,480
quick, the gentleman who was discussing
about training school staff and

1191
01:47:42,239 --> 01:47:48,119
connection with Calpaliy's uh social
work program, please.

1192
01:47:48,320 --> 01:47:57,840
Peter Stall. St L L
>> S T O L L Peter. And you work with, sir?

1193
01:47:55,440 --> 01:48:01,520
» The Humble County Office of Education.
>> Okay. Thank you very much.

1194
01:47:59,520 --> 01:48:05,360
» Absolutely.
>> Thank you.

1195
01:48:03,040 --> 01:48:13,679
» All right, everyone.
Go out and be awesome. Stay awesome.

1196
01:48:09,520 --> 01:48:17,159
» You have a demographic survey. Okay.
Thanks for

1197
01:48:34,400 --> 01:48:37,119
It's given blue