BCC Minutes 06/05/2018 W (Mental Health) June 5, 2018
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MINUTES OF THE COLLIER COUNTY BOARD OF COUNTY
COMMISSIONERS WORKSHOP MEETING
Naples, Florida, June 5, 2018
LET IT BE REMEMBERED the Board of County Commissioners in and for the
County of Collier, having conducted business herein, met on this date at 9:00AM in a
WORKSHOP SESSION in Building “F” of the Government Complex, Naples, Florida
with the Following members present:
Chairman: Andy Solis
Vice Chairman: William L. McDaniel, Jr.
Donna Fiala
Burt L. Saunders
Penny Taylor
ALSO PRESENT: Leo Ochs, County Manager
Jeff Klatzkow, County Attorney
Steve Carnell, Public Services Department Head
Mike Sheffield, Director of Communications
Geoff Willig, Operations Analyst
COLLIER COUNTY
Board of County Commissioners
art l I,
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MENTAL HEALTH WORKSHOP AGENDA
Board of County Commission Chambers
Collier County Government Center
3299 Tamiami Trail East,3rd Floor
Naples,FL 34112
June 05,2018
9:00 AM
Commissioner Andy Solis,District 2-BCC Chair
Commissioner William L.McDaniel,Jr.,District 5-BCC Vice-Chair;CRAB Co-Chair
Commissioner Donna Fiala,District 1; CRAB Co-Chair
Commissioner Burt Saunders,District 3
Commissioner Penny Taylor,District 4
Notice:All persons wishing to speak must turn in a speaker slip.Each speaker will receive no more than three(3)minutes.
Collier County Ordinance No.2003-53 as amended by Ordinance 2004-05 and 2007-24,requires that all lobbyists shall,
before engaging in any lobbying activities(including but not limited to,addressing the Board of County Commissioners),
register with the Clerk to the Board at the Board Minutes and Records Department.
1. PLEDGE OF ALLEGIANCE
2. WORKSHOP TOPICS
2.A. Agenda and Strategic Plan
3. PUBLIC COMMENTS
4. ADJOURN
Inquiries concerning changes to the Board's Agenda should be made to the County Manager's Office at
252-8383.
June 5, 2018
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Any persons in need of the verbatim record of the meeting may request a copy of the video
recording from the Collier County Communications and Customer Relations Department or view
online.
1. Welcome and Pledge of Allegiance
Chairman Andy Solis 9:05 a.m.
How We Got Here and Why - Chairman Andy Solis
Commissioner Solis noted the BCC met last year in a similar workshop and the purpose of
today’s gathering is to provide updates on the past year’s activity and future goals of the County.
2. Brief Update and Review of the Last Year
Collier County Sheriff’s Office – Sgt. Leslie Weidenhammer & Chief Chris Roberts
Sgt. Weidenhammer provided a PowerPoint “Brief Update and Review of Last Year”
which outlined the Sheriff’s Office activities over the past year. She noted:
Capacity for the jail and other venues continues to be a major issues as well as the
increase in injuries suffered by officers responding to mental health issue calls.
They have developed the Mental Health Unit, Crisis Intervention Team which
assists in dealing with issues.
The team acts on referrals from various sources such as schools, police responses,
etc.
They also link individuals with services, participates in wellness checks, addresses
needs of Baker Acted individuals, monitor kids and adults, etc.
One goal is to enhance the treatment outside of incarceration (the traditional
avenue), as studies indicate individuals with mental health issues do not recover in a
jail setting.
It is also a cost factor, as those with issues remain in jail an average of 5 times
longer than conventional inmates.
Mental Health Intervention Team; Katina Bouza
Ms. Bouza provided an overview of the team’s services noting:
The focus is removing individuals from the jail setting and placing them into
treatment.
It provides a network for employment, emergency housing and other resources for
those individuals in need.
The Sheriff’s Office received 18,000 calls last year on the issue and the number of
Baker Acts has increased significantly in Collier County.
David Lawrence Center – Scott Burgess, CEO
Mr. Burgess outlined the advancements and enhancements over past year to address the
needs of the community noting:
“Baker Acts” have tripled over the past 10 years to a total of 1,500 in 2017 and a
major issue is the capacity of available beds and services.
The organization has expanded its service for those in need in areas such as
inpatient for adults and children, outpatient services, assistance in the specialty
courts, substance abuse treatment, care coordination services, etc.
In total there has been an 80 percent increase in service over the past 5 years.
National Association for the Mentally Ill – Pam Baker, CEO
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Ms. Baker reported:
The Sarah Ann Center logs 5,500 visits per year for adults seeking daily activities.
The site provides wellness services, socialization avenues, support groups, a hot
lunch partnership with the St. Mathews House, etc.
The County provided support in 2017 which allowed an increase in drivers for the
operation, additional staffing, etc. which is especially beneficial to the disabled
persons with mental health issues.
There is no cost or intake process for the individual utilizing the services which
provides easy access to daily activities.
Treatment Courts - Judge Janeice Martin
Judge Martin provided an overview of the 3 treatment courts (Veterans, Drug and Mental
Health) which seeks to provide an avenue to return an individual to a family, business, etc.
as a productive member of society. The County funded 3 additional staff members in 2017
which was a tremendous help to the program and allowed the hiring of 3 additional staff
members allowing the process to become more efficient and successful.
Commissioner Solis noted:
The initiatives developed last year were a good starting point but the demand for services
continues to outweigh the supply.
In July of 2017, stakeholders began to consider the development of a strategic plan to
address the issue with meetings held in November of 2017 and April of 2018 to review the
concept.
The endeavor resulted in a list of priorities identified under Item 3 and a recommendation
of an ad hoc committee of the BCC be convened to develop the strategic plan.
Kevin Rambosk, Collier County Sheriff spoke noting the concept of a strategic plan is favorable
and the County is ahead of curve compared to other jurisdictions. The solution for those in need
of treatment is not usually incarceration and the goal is to direct people to services where they may
get the help they need to become productive members of the community.
Break: 10:24 a.m.
Reconvened: 10:35 a.m.
3. Criminal Justice, Mental Health & Substance Abuse Planning Council Strategic Planning
Sessions – Review and Identified Priorities with their Champions
Centralized Receiving System / Addiction Receiving and Baker Act Receiving Facility
– Scott Burgess, CEO David Lawrence Center; Allan Weiss, CEO Naples Community
Hospital
Mr. Burgess noted:
Florida is now 50th in per capita spending in the US on mental health issues.
The County has a growing population which is placing increasing demands for
services.
The County currently has 30 Baker Act beds while industry standards recommend
100 for the population level of the County.
The concept to address the growing demand is to develop a central receiving facility
to support a wide stream of needs including additional bed capacity, more treatment
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opportunities, increased education and assessment, etc. in an attempt to minimize an
individuals issue(s) before they are more difficult to treat.
The 55,000 square foot facility envisioned is estimated to cost $26.5M
Mr. Weiss noted one major key is monitoring and addressing issues in children, as studies
indicate healthy kids lead more productive adult lives. Juvenile issues, if not identified,
have a major impact on long term costs of treatment over their life span.
Permanent Supportive Housing (Scattered Sites & Supportive Services) – Pam Baker,
CEO NAMI, and Beverly Belli, DLC
Ms. Baker and Belli reported:
Shelter is a major issue for these individuals given the high cost of housing in the
County and the limited income most of these individuals possess, many of whom
are on fixed incomes such as SSI disability.
Those housed are easier to monitor and treat as opposed to a homeless person who
is constantly on the move or seeks out a facility increasing the costs for their
service.
There are programs which support 30 percent of housing costs with 18 beds at the
David Lawrence Center, but the need far outweighs the demand.
Behavioral Health Data Collaborative – Chairman Andy Solis
Commissioner Solis reported an initiative will be developed to promote data sharing
between Stakeholders which will improve decision making capabilities. There are models
for the program from Pinellas County and other organizations.
Increase Use of Evidence-based Practices – Nancy Dauphinais, COO David Lawrence
Center
Ms. Dauphinais provided on overview of the practices that demonstrate successful
treatment which provides for consistent practices and the optimal use of funds. The
avenues include a focus on early intervention, medication assisted treatment for opiods
disorder, peer support services and trauma informed care.
Increase Effectiveness and Capacity of Treatment Courts – Judge Janeice Martin and
Beverly Belli, DLC
Judge Martin provided an overview on the effectiveness of the courts noting:
One new approach considering to be implemented is a weekly initial “orientation”
process to inform those recently incarcerated on the aspects and goals of the
program that is available to them.
The BCC did provide additional resources in 2017 which greatly assisted the
program.
The goal should be to achieve the efficient outcomes with any funding, as an
increase in funding does not always lead to a greater success for a program.
Baker Act/Marchman Act Transportation – Sgt. Leslie Weidenhammer, CCSO
Sgt. Weidenhammer provided an update on the secondary transport services provided by
the Sheriff’s Office (583 in 2017) which includes rides from facilities to a hospital, etc.
through a Memorandum of Understanding. The Agency continues to review the program
to determine what additional or different options are available for the community service.
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Build Sustainability for Criminal Justice, Mental Health & Substance Reinvestment
Grant – CJMHSA Planning Council
The County is in the 7th year of a $350K annual grant and a priority should be to ensure the
funding remains in place, which requires optimal data collections to demonstrate the
County’s needs.
4. Public Comment & Commissioner Discussion
Speakers
Dale Mullin, Wounded Warriors of Collier County noted the goal of the organization is to
increase public awareness of Veterans issues. Most Veterans have completed multiple tours duty
with many returning with PTSD, traumatic brain injures, etc. They also participate in addressing
needs such as housing and other issues.
Polly Kelly, David Lawrence Center the partnership between Collier County and DLC, provides
life changing support for residents helping to promote a healthier community.
Earle Borman, Friends of David Lawrence 1963 Community Mental Health Act transferred
services from the Federal Government to State and Local however the funding was not redirected
to localities. Historically, Collier County has moved forward in addressing issues and the practice
should continue or increase in the future.
Kathy Smith, Public Defender the funds provided by Collier County were utilized to employ a
social worker who participates in jail visits, assists in developing treatment plans, and seeks early
intervention which has help yield the 60 percent graduation rate in the specialty courts.
Mathew McAleer drug court graduate 2014 - 15 reported that he has been “clean” for 5 years and
now owns his own business with 10 employees.
Nicole Steele drug court alumni reported the services through the s ystem were an immense help in
changing her life and now she has full custody of her children and employed as a graphic designer.
Amira Foy, State Attorney’s Office grateful to BCC for the extra resources made available which
establishes an avenue for a more favorable outcome for individuals and improves the safety of the
community.
Armondo Hernandez, Home Base advised the organization assists Veterans and service members
through clinical health and wellness opportunities, provides social base programs. He noted 9
percent of Collier County’s population is comprised of veterans.
During comments by Commissioners the following was noted:
There should be a strong focus on addressing juvenile issues within the programs.
Opportunities for grant funding for construction of the central facility is under
investigation, however the funds are made available for operations, not construction of
facilities.
5. Next Steps Moving Forward – Chairman Andy Solis
Commissioner Solis reported he will bring forth an item to the Board of County Commissioners
for establishing an Ad Hoc Committee which will be responsible to develop a strategic plan to be
brought to the BCC for approval.
There being no further business for the good of the County, the meeting was adjourned by order
of the chair at 12:18 P.M.
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June 5, 2018
COLLIER ' I UNTY BOA' I OF COUNTY
COMM :SIO. RS /Or
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airman,Andy Solis
ATTEST: CRYSTAL K.KINZEL,
INTERIM CLERK
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'4/04 1.1'0 (06/18
These minutes approved by the Board/Committee on as presented or
as amended
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