BCC Minutes 10/29/2019 W (Mental Illness & Addiction Ad Hoc Committee) October 29, 2019
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MINUTES OF THE COLLIER COUNTY
BOARD OF COUNTY COMMISSIONERS
WORKSHOP MEETING
Naples, Florida, October 29, 2019
LET IT BE REMEMBERED, that 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: William L. McDaniel, Jr.
Vice Chairman: Burt L. Saunders
Donna Fiala
Andy Solis
Penny Taylor
ALSO PRESENT: Leo Ochs, County Manager
Jeff Klatzkow, County Attorney
Nick Casalanguida, Deputy County Manager
Sean Callahan, Executive Director, Corporate Business Operations
COLLIER COUNTY
Board of County Commissioners
BCC/MENTAL ILLNESS AND ADDICTION
AD HOC COMMITTEE WORKSHOP
Board of County Commission Chambers
Collier County Government Center
3299 Tamiami Trail East, 3rd Floor
Naples, FL 34112
October 29, 2019
9:00 AM
Commissioner William L. McDaniel, Jr., District 5 - Chair; CRAB Co-Chair
Commissioner Burt Saunders, District 3 – Vice-Chair
Commissioner Donna Fiala, District 1; CRAB Co-Chair
Commissioner Andy Solis, District 2
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.
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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 on line.
I. Introduction of Timeline and Committee Members
Chairman McDaniel called the meeting to order at 9:04 a.m. and the Pledge of Allegiance was
recited.
Commissioner Solis recognized the 19 Committee Members’ service and role in developing the
“Mental Health and Addiction Services Five Year Strategic Plan 2020-2024.”
II. Introduction of Consultant and Technical Review Process
Mr. Callahan noted that the purpose of the workshop is to provide an overview of the strategic plan
and obtain direction from the Board of County Commissioners prior to its consideration for adoption
at a regularly scheduled November or December BCC Meeting.
III. Plan Background
Scott Burgess, David Lawrence Center, (DLC) provided an overview of the timeline for developing
the plan with 2 BCC workshops and approximately 21 Committee meetings held over the past 2 – 3
years.
Chet Bell, Management Consultant, SMA Behavioral Health Services, Inc., reported that he was
engaged midway through the endeavor to assist in developing the plan. The plan contains priorities,
goals, action steps and continued reporting to monitor its progress. He noted that he was the CEO of a
Community Receiving Facility developed in the Daytona Beach area.
Mark A. Engelhardt, USF Faculty Research Associate in the Department of Mental Health Law
and Policy, also participated in the activity as a technical advisor and noted that the focus of the plan
is recovery for individuals affected, and to reduce the prevalence of substance abuse and mental
illness.
Mr. Burgess noted that the Mission Statement is “The Committee will collaboratively plan for and
support a coordinated effort for a full array of evidence informed services to improve the lives of
adults with mental health and substance use disorders and overall quality of life in the Collier County
community.”
He noted:
That the Committee used the format employed by the Substance Abuse and Mental Health
Services Administration (SAMHSA), to develop the plan with four major pillars that support a
life in recovery: Health, Home, Purpose and Community.
Within the four pillars there are 10 guiding principles of recovery:
1. Recovery emerges from hope.
2. Recovery is person-driven.
3. Recovery occurs via many pathways.
4. Recovery is holistic.
5. Recovery is supported by peers and allies.
6. Recovery is supported through relationship and social networks.
7. Recovery is culturally-based and influenced.
8. Recovery is supported by addressing trauma.
9. Recovery involves individual, family and community strengths and responsibility.
10. Recovery is based on respect.
IV. Covering the Six Priorities & Special Consideration
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1. Central Receiving Facility/System
Build and Operate a Central Receiving Facility/System to Serve Persons Experiencing an Acute
Mental Health or Substance Use Crisis for those requiring evaluation and stabilization under the
Baker or Marchman Acts.
Mr. Burgess reported that the statistics indicate a major increase over the past 10 years for those
in the area requiring services. The DLC facility currently has 30 beds in service; with a population
the size of Collier County, it would require over 100 beds.
The facility would cost $25M to construct with annual operating costs estimated at $2 - $3M, and
it would be open 24/7/365.
Kevin Rambosk, Collier County Sheriff’s Office, spoke in support of the plan and the County is
on the forefront of addressing these issues. The increased access to these facilities and programs
are greatly needed in Collier County; as these individuals do not benefit from incarceration.
2. Supportive Housing
Increase Housing and Supportive Services for Persons with Serious Mental Illness and/or
Substance Use Disorders
Pamela Baker, CEO, NAMI, reported that housing is a critical component of recovery and
individuals cannot compete given the limited amount of income they have available and the cost of
housing in the county. Another issue is the stigmas faced in society by those in need.
Michael Overway, Interim Executive Director Hunger and Homeless Coalition of Collier
County reported that to be successful, housing supports should follow evidence based and
informed practices. Including the use of the SAMHSA (Substance Abuse and Mental Health
Services Administration) Permanent Supportive Housing Tool Kit and the “Housing First”
philosophy/model in which housing is a right, not a privilege.
Recommendations include increasing the opportunity for rental assistance, improving sober
housing facilities, establishing peer respite homes for brief periods of stay, and ensuring rapid re-
housing for those experiencing temporary homelessness.
3. Data Collaborative
Establish a Mental Health and Substance Use Disorder Data Collaborative for Data Sharing,
Collection and Outcomes Reporting
Mr. Callahan reported that the concept is to use data collaboratively to enhance the delivery of
mental health programs to Collier County residents, by encouraging communication and
participation among all interested parties (community providers, organizations, interested
government agencies, and educational institutions). The priority could be implemented by staff,
and a Steering Committee could be engaged to assist in the endeavor.
Break: 10:24 a.m.
Reconvened: 10:35 a.m.
4. Justice System Response
Increase the Capacity and Effectiveness of Justice System Response for Persons Experiencing
Serious Mental Illness and/or Substance Use Disorders
Judge Janeice Martin reported that the County utilizes a Drug Court, Mental Health Court, and
Veterans Court, for those identified in serious need of intervention. The program has been highly
successful.
Immediately following the June 2018 Board of County Commissioners’ Workshop on Mental
Health and Addiction, a Rapid Response Team was formed in the 20th Judicial Circuit, to address
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profoundly mentally ill persons in jail facing misdemeanor charges. She cited examples of its
successes with 14 participants, 3 of which are still in the program, 10 have completed it and 1 was
terminated.
Recommendations include expediting diversion for those with mental health or substance abuse
issues prior to arrest, and expanding trauma-informed and trauma-responsive practices, to all
divisions of the justice system. Incorporating the use of court-supervised clinical assessments and
treatment plans as appropriate in each division.
5. Non-Emergency Baker and Marchman Act Transportation
Revise and Implement Non-Emergency Baker Act and Marchman Act Transportation Plans
Lt. Leslie Weidenhammer, Collier County Sheriff Office, spoke on the need to establish a non-
emergency transportation plan for individuals receiving involuntary evaluation and/or treatment,
under either Chapter 394 or 397 F.S. (Baker Act/Marchman Act) for those being transferred
between local receiving facilities and local hospitals.
6. Community Prevention, Education, and Advocacy
Improve Community Prevention, Advocacy, and Education Related to Mental Health and
Substance Use Disorders
Caroline Brennan, Coordinator of School Counseling, Collier County Schools, noted that it is
important to provide evidence based education and training on mental health and substance use
disorders to the community at large, and increase access to recovery. One avenue to aid the
endeavor is to create an ongoing mental health and substance use disorder educational program for
community businesses and organizations, to increase knowledge and public awareness. A major
concern is children who are at an increasing risk.
Special Consideration #1: Veterans
Improve Services to Veterans Experiencing Mental Health and/or Substance Use Disorders
Dale Mullin, Wounded Warriors of Collier County, reported that the goal is to make the public
and the veteran community aware of the transitional, mental health, substance use, housing, and
employment needs of post-combat Veterans, and mobilize resources to address these issues for
those in need and their families. Recent veterans are more at risk, not only from their service but
the “war at home” they experience.
Goals include increasing awareness, mobilizing resources to address issues, and reducing the
number of suicides, which is a major concern for veterans.
V. Next Steps
Mr. Callahan reported that the intent is for the Board of County Commissioners is to consider
adoption of a plan at either the November or December meeting.
VI. Questions & Discussion
The following was noted during BCC discussions:
Mr. Bell noted that the facility in the Daytona area was funded via 2016 Legislative initiatives
which are no longer available and it would be beneficial to contact local legislative
representation on the feasibility of re-establishing funding.
Based on data, approximately 16,000 persons may need housing assistance in the County. A
major issue is ensuring access to “wrap around” services needed by these individuals to
maintain a stable environment and successful recovery.
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• Eligibility for the "Housing First" program is not dependent on psychiatric treatment
compliance and sobriety. Concern was expressed on potential issues such as the acceptance of
the housing by others in the area or potential behavioral issues disrupting the neighborhood.
Further discussion occurred with participants noting:
• Linking sobriety to housing may be detrimental, as when you remove an individual from a
stable housing environment upon relapse; as it may greatly compromise their ability to
succeed.
• Experience indicates these opportunities are much more successful in the community when
they are professionally supervised and linked with services, as opposed to private entities
simply providing housing in an "unsupervised" setting.
• There may be upfront costs associated with many solutions, but there is substantial savings to
the public when they are implemented (i.e. reducing the number of incarcerations which are a
substantial cost to the taxpayer).
The Board requested Staff to:
1. Provide data on the costs of construction and operation of other Community Receiving
Facilities in the State and how both activities were/are funded.
2. Provide an analysis on the cost savings and avoidance benefits associated with undertaking the
various measures.
Chairman McDaniel recommended consideration be given to adding a priority to address the
juvenile system, including any collaborations of parties available for improving the process (justice
system, Department of Children and Family Services, etc.).
Discussion occurred on the timeline for adopting the plan with some noting it may be advantageous to
delay the item until the above items are available, while others noted those factors may be considered
after the plan is adopted (during the implementation phase) which will be a long term endeavor.
The Board directed Staff to schedule the item for consideration during a December BCC meeting.
There being no further business for the good of the County, the meeting was adjourned by order
of the Chair at 12:10 P.M.
CO I ' OUN :OA' I OF COUNTY
C I ERS
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C'airman, William L. McDaniel
Attest:
CRYSTAL K. KINZEL, CLERK
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These minutes approved by the Board/Committee on Ne.VIW)€'Y- I a Sci9 , as
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