Mental Health and Addiction Ad Hoc Agenda 10/22/2019Mental Health and Addiction Ad Hoc Committee Workshop
October 22, 2019 – 8:30 am – 10:00 am
Collier County Museum – Main Campus
3331 Tamiami Trail E.
Naples, FL 34112
1. Call to Order
2. Pledge of Allegiance
3. Roll Call
4. Adoption of the Agenda
5. Public Comment
6. Adoption of Minutes from the October 8 Meeting
7. Staff Reports
7.1. Introduction of Collier County Veterans Service Office (Alex Scardino)
7.2. Review of MHAAHC Workshop
8. New Business
8.1. Presentation Discussion & Dry Run
9. Old Business
10. Public Comment
11. Announcements
12. Committee Member Discussion
13. Next Meeting Time, Date and Location
14. Adjournment
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Packet Pg. 503 Attachment: [Linked] Agenda and Back-up Document Packet - October 22, 2019 (11026 : Collier County Mental Illness and Addiction Ad Hoc
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MINUTES OF THE REGULAR MEETING OF THE COLLIER COUNTY
Mental Health and Addiction Ad Hoc Committee Meeting
October 29, 2019
Naples, Florida
LET IT BE REMEMBERED that the Collier County Mental Health and Addiction Ad Hoc
Committee met on this date at 8:30 A.M. at 3331 Tamiami Trail East, Main Campus Museum,
Naples, Florida with the following Members Present:
Mental Health Committee
Present: Lt. Leslie Weidenhammer
Scott Burgess
Council Member Michelle McLeod
Pat Barton
Trista Meister
Janice Rosen
Dr. Paul Simeone
Caroline Brennan
Dr. Jerry Godshaw (Phone)
Dr. Michael D’Amico
Michael Overway
Dr. Thomas Lansen
The Honorable Janeice Martin
Dr. Pam Baker
Susan Kimper
Russell Budd (Phone)
Dale Mullin
Not Present: Reed Saunders
Also Present: Sean Callahan – Executive Director-Corporate Business Operations
Heather Cartwright-Yilmaz – Sr. Operations Analyst
Katina Bousa, Director, Inmate Services, Collier County Jail
Chet Bell
Mark Engelhardt, University of South Florida (Phone)
1. Call to Order & Pledge of Allegiance
Chairman Scott Burgess called the meeting to order at 9:03 A.M. and led the Pledge of
Allegiance.
3. Roll Call – Committee Members
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Seventeen (17) members of the Mental Health and Addiction Ad Hoc Committee were present,
representing a quorum.
4. Adoption of the Agenda
A motion was made for the adoption of the agenda and it was approved.
5. Public Comment
6. Adoption of Minutes from Previous Meeting
A motion was made and amended minutes from the previous meeting were approved.
7. Staff Reports
7.1 Review of Remaining MHAAHC Dates and Workshop
Committee discussion ensued around remaining schedule. The October 22nd meeting will be
for preparation and rehearsal for the Workshop.
Discussion then ensued around the Ad Hoc Committee sunset and Workshop on October 29th.
Sean Callahan led discussion on focusing on the content of the report with appendix and
addendum attachments. Sean explained that Board Workshops are informal that allow for
members to talk and discuss subject matter. The Board will hear the plan on October 29th and
provide direction to come back on either November 12th or potentially in December. The
Committee then discussed the format and expectations of the workshop. The Board Members
will sit in their normal seats, since the Committee is large in a horseshoe format.
7.2 Introduction of Mark Engelhardt
Mr. Engelhardt was introduced and then led discussion around his role as a technical advisor.
Mr. Engelhardt recommended that the final plan be used for federal grants in the future and
plans to be a resource during the Workshop if questions come up.
8. New Business
8.1 Draft Committee Report Review
Commissioner Solis introduced the Committee members.
Community Foundation special thank you for consultant.
Sean Callahan introduced the plan and format for the Workshop.
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Scott Burgess lead the discussion with a thank you to the commissioners. He then went into
timeline.
Local, National and International experts: Took the best of the best from those experiences.
Chet Bell lead discussion as a consultant with introduction. Grant writing and development is
part of what he does. The Central Receiving program is a major focus. Housing in the
community for chronically homeless.
Goal:
Mission: Fulfillment of mission with plan.
Action: Final look as it moves into action.
He went over the Strategic Planning Cycle.
Mark Englehart introduced himself. He reviewed the Collier County Stategic Plan and his
observations. The framework with FL. Reviewed mapping, Legislative behavior design,
national framework. The plan revolves around recovery through leadership, programming,
funding, evidence-based practices, data collaboration.
Scott Burgess: Introduced discussion around the priorities.
1. Mission and purpose: Mission Statement
2. Reviewed Priorities
3. Reviewed expectations and data in the flow of the presentation
4. The trend for 2019 is going to be about 18k calls
Commissioner Solis: Baker Act 1 in 3 end up in different county. Families then have to travel to
that facility. Not effective care for individual or families.
Commissioner Taylor: Foster Care is the same.
Reviewed Marchman Act and NCH projections in 2019 with an additional 60 individuals.
Reviewed the new CRF with the locations pending and the CRC. He also made note abou the
addiction receiving facility (ARF).
The Sherrif introduced himself and reaffirmed information from the past. There are more impacts
and opportunities to shape the future and the need. Collaboration is the most important initiative
that everyone is supporting for cost avoidance.
Priority Number 2: Dr. Pam Baker and Michal Overway
These members led the discussion for housing.
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Packet Pg. 506 Attachment: Meeting Minutes October 22, 2019 - Unsigned (11026 : Collier County Mental Illness and Addiction Ad Hoc Advisory Committee -
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Priority 3 – Data Collaborative: Sean Callahan, track how we control costs, Public and private
partnerships and is authorized without identifiers. Can be fairly easy to implement with staff.
Biggest challenge is getting stakeholders together to share data. We do not have this problem in
Collier County.
Demonstrate cost avoidance and effectiveness in the community. Identify gaps in the community.
Decide where it will reside. Pinellas County has a great example for data points. Obtain MOU’s
by working with CAO. We should be able to implement fairly quickly.
Priority 4: Judge Martin lead discussion around the priority.
Priority 5: Lt. Leslie lead discussion and gave experience around Non-Emergency Baker Act and
Marchman Act transportation. Gave an excellent example of what happens after call. Reviewed
the data associated with transporting individuals. Stop criminalizing mental illness and substance
abuse.
Priority 6: Caroline Brennon lead discussion around improving Community Prevention, Avocay,
and Education related to Mental Health and Substance Use disorders by reducing stigma.
Increased education and evidence-based programs. The recommended APP implementation will
result in increased access to recovery services. She was happy to announce that the service will
be up and running through……get the name as technical difficulty occurred.
Special Consideration-Veterans: Mr. Mullins lead discussion around Veterans and data. Noted
that Veteran suicide is up.
Sean Callahan: Reviewed Financial Considerations as they take resources to implement. It will
take financial resources to implement. Example: Pinellas County Empowerment Team
Next Steps: Requesting Feedback, reviewed sunset of committee. Forming a strategiv plan
delivery team with community non-profits and private sector partners.
County to study location of Central Receiving Facility/System.
Discussion
Commissioner Solis wanted to discuss blast injury around Veterans. Blast trauma to the body,
IDU’s puts a blood rush to brain and does cognitive damage to the brain. Much of this may not be
reversable. Many would have died previously; however, with medical
Commission Fiala: Read that this is so many problems getting help from VA. Cannot get help,
cannot get an appointment. The VA needs help at the local and federal level. Need to get Veterans
on the radar. Have a piolot program for Veterans for shelter.
Our Federal is cognizant of the level of need in the area. Judge Martin said squeaky wheel gets
the grease. Need to make sure legislative and federal partners know. Raise public awareness for
the need.
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Commission Saunders: Chet Bell to come back up to podium. Val oosa County about .5M
population. Request staff to pull data from around the state. Cost to build, cost to operate and
funding sourcing. Awarded 3 tampa, Daytona beach and was approved by legislature. There has
not been any further funding at this time. We will work with local legislature for additional
services for funding the Central Receiving Services. We already have the funding for the facility.
The award was over 2-3m a year with an expansion of the existing facility.
Mr. Bell could not tell for the operational costs for central receiving system.
Housing: Dr. Baker and 16K would be roughly the number in need in our area. Rapid service
requests,
Break down: Serious Mental Ill and Hunger, Homeless. Housing with supports is the need as a
wrap around service. Target the right group.
Data Collaborative: Cost Savings and Cost Avoidance. We are a non-Medicaid expansion state.
We are a grant given state.
Staff: Generate research on other central receiving facilities: Grans, operations, cost associated
with it.
What is the cost of the building, the services, the equipment? Help define what it will be for the
building.
Scott Burgess: Resonated around the idea that the DLC might be the ideal location. Warm handoff
for impatient to outpatient-same day bridge handoff. DLC at Golden Gate has primary care with
a pharmacy. Developed whole health facility.
Commissioner Taylor: Childrens Health Network: There is a staffed clinician to help in
school systems.
Commissioner McDaniels: Wanted to know why the sunset of the Committee, which is
due to the Sunshine Law. Want to hear other priorities from Board to Sean. When are
we meeting as Board to meet. Will bring a future meeting before end of year. Let’s try
to put it up in December. There is research to implement a plan can be done after
December to adopt a plan. Public Safety Coordinating Committee: What are we doing
to support food chain that is being done in the juvenile system? This is extremely
important and is a separate issue from the Adult. Want to be this to be a priority. DCF,
juvenile processes in place to enhance the productivity of the adult system. The plan
will include a juvenile piece. A lot of this starts with a domestic violence call. This is a
living and breathing document.
Public Comment was well received and helpful: Elderly, Veterans, worked into plan
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Packet Pg. 508 Attachment: Meeting Minutes October 22, 2019 - Unsigned (11026 : Collier County Mental Illness and Addiction Ad Hoc Advisory Committee -
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9. Adjournment
The meeting adjourned at 12:17 pm with nothing further left to discuss.
Collier County Mental Health and Addictions Ad Hoc Advisory Committee
Scott Burgess – Chairman
The foregoing Minutes were approved by Committee Chair on October 29, 2019, “as submitted”
[ ] or “as amended” [ ]
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Packet Pg. 509 Attachment: Meeting Minutes October 22, 2019 - Unsigned (11026 : Collier County Mental Illness and Addiction Ad Hoc Advisory Committee -