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Agenda 01/12/2021 Item #2D (BCC-W Minutes 12/15/20)01/12/2021 COLLIER COUNTY Board of County Commissioners Item Number: 2.D Item Summary: December 15, 2020 BCC/Mental Health Workshop Meeting Minutes Meeting Date: 01/12/2021 Prepared by: Title: Executive Secretary to County Manager – County Manager's Office Name: MaryJo Brock 12/28/2020 8:28 AM Submitted by: Title: Executive Secretary to County Manager – County Manager's Office Name: MaryJo Brock 12/28/2020 8:28 AM Approved By: Review: County Manager's Office MaryJo Brock County Manager Review Completed 12/28/2020 8:30 AM Board of County Commissioners MaryJo Brock Meeting Pending 01/12/2021 9:00 AM 2.D Packet Pg. 18 December 15, 2020 1 MINUTES OF THE COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS WORKSHOP MEETING Naples, Florida, December 15, 2020 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 9:00 A.M. in a WORKSHOP SESSION in Building “F” of the Government Complex, Naples, Florida with the Following members present: Chairman: Burt L. Saunders Andy Solis William L. McDaniel, Jr. Penny Taylor Rick LoCastro ALSO PRESENT: Leo Ochs, County Manager Jeff Klatzkow, County Attorney Sean Callahan, Executive Director, Corporate Business Operations Troy Miller, Television Operations Manager December 15, 2020 2 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. Public participation for the meeting was allowed via Zoom. I. Introduction of Timeline and Committee Members Chairman Saunders called the meeting to order at 9:00 a.m. and the Pledge of Allegiance was recited. Commissioner Solis recognized the members of the Collier County Mental Illness and Addiction Ad Hoc Advisory Committee for their service and role in developing the “Mental Health and Addiction Services Five Year Strategic Plan 2020-2024.” II. Overview, Timeline, and Key Considerations Presenter: Sean Callahan, Staff Report Mr. Callahan reported the purpose of the workshop is to provide an update on the plan and obtain further direction (if necessary) from the Board of County Commissioners for implementing the plan. He noted Jacobs Engineering conducted a study at the direction of the County analyzing potential sites for a proposed Central Receiving Facility. The single-story facility is envisioned to house 64,415 sq. ft. of space with 120 beds. Kevin Regalado of Jacobs Engineering updated the BCC on the results of the study noting: • The study identified five sites for consideration: 1. Golden Gate Parkway adjacent to the David Lawrence Center (west side). 2. Golden Gate Parkway adjacent David Lawrence Center (Parkway Church Life of God property - east side). 3. Collier County Government Complex – Building H (renovation/addition to the existing building). 4. Collier County Government Complex – Building W (demolition of the existing building on site and rebuild). 5. Collier County Government Complex – Campus Parking Lot (northwest side of complex). • A matrix was developed to analyze the options utilizing factors including environmental qualities, functionality, costs, past/present/future needs, etc. • The study found Site 4 was the lowest cost option; Site 3 was the most expensive; Sites 1, 2 and 5 had similar costs. • Sites 4 and 5 scored the highest in the matrix with Site 4 being recommended for the proposed facility. During BCC discussions, the following was noted: • There is ample parking available at Site 4 with the availability to expand to a second story level. • The traffic infrastructure is in place for Site 4. • Concern the matrix may not include the benefits of an appropriate environmental setting, a factor important to the success of an individual’s recovery. • Proximity to the correctional center building may be a benefit but data indicates only 10 percent of the David Lawrence Center bed service is utilized by those individuals placed in the facility. • Golden Gate Parkway modifications would be required for the entrance to Site 1. December 15, 2020 3 III. Priority 1: Central Receiving Facility/System Presenter: Scott Burgess Mr. Burgess reported: • Statistics indicate a major increase over the past 10 years for those in the area requiring services. • The David Lawrence Center (DLC) currently has 30 beds in service with a population the size of Collier County requiring over 100 beds. • The facility would cost $25M to construct and may be funded by the new sales tax revenue source recently approved by the voters. • The goals of the facility would be to provide an integrated system of care in the County. • It would be beneficial if the facility was located in close proximity to the DLC given the interaction of services which may need to occur. • Environmental serenity is a factor for successful treatment of an individual in need of the services. • The sites adjacent to the DLC are centrally located and in close proximity to an I-75 interchange. During BCC discussions, the following was noted: • A single-story structure is proposed as there are specific elements of the services required for the first floor of a building. • Representatives of the church site have been contacted and are amenable to discussing options for relocation. It is unclear if any County participation would be required for the endeavor. • The proposed facility is permitted under the uses outlined in the County’s Land Development Code for both sites adjacent to the DLC. There is a residential home adjacent to the site on the west side. • The sales tax revenue in question may only be used for construction of the building, not operations and this source of funds should be identified moving forward. IV. Priority 2: Housing and Supportive Services Presenters: Dr. Pam Baker, Michael Overway Pamela Baker, CEO, NAMI (National Alliance on Mental Illness) expressed concern of the study for the proposed central receiving facility did not incorporate input from the end user. Florida Statute requires a variety of parties to participate in the decision making - Section 394.4573(b) (2).1 states “A county or several counties shall plan the designated receiving system using a process that includes the managing entity and is open to participation by individuals with behavioral health needs and their families, service providers, law enforcement agencies and other parties”. She provided an update on the housing required for the individuals who have received treatment noting it is a critical component of recovery. The majority of these individuals cannot compete in the marketplace given the limited funds they have available (i.e. $784 monthly of disability income) and the cost of housing in the County. Another issue is the stigmas faced in society by those in need and recommended programs include rental assistance, certified recovery residences, peer run respite houses and rapid re-housing services. Michael Overway, Hunger and Homeless Coalition of Collier County reported the coalition has successfully relocated many individuals this year. This is important as data indicates the cost to affordably house an individual is $38.50/day while other options are more expensive and may tax December 15, 2020 4 public resources (i.e. emergency shelters $44/day and incarceration $300/day). Food availability continues to be a major factor, especially given the current pandemic. Mitch Watson reported on his successes in recovery as he now works for the Coalition helping to provide transition housing with the main goal of rapid re-housing of individuals. V. Priority 3: Establishing a Data Collaborative Presenter: Sean Callahan Mr. Callahan reported the concept is to use collaborative data 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). VI. Priority 4: Justice System Response Presenter: The Honorable Janeice Martin Judge Janeice Martin appeared via a pre-recorded video and provided an update on the County’s Drug, Mental Health and Veterans Court for those in need of intervention. VII. Priority 5: Non-emergency Baker Act Transportation Presenter: Lt. Leslie Weidenhammer Lt. Leslie Weidenhammer, Collier County Sheriff Office spoke on the establishment of 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. She noted a Request for Proposal is being solicited to explore options for a non-emergency transport company to provide the services needed for transfer of individuals. VIII. Priority 6: Community Advocacy, Education, and Prevention Presenters: Trista Meister, Michelle McLeod, Caroline Brennan Michelle McLeod provided the update noting priorities include reducing the loss of life, minimizing the stigma faced by individuals in need, improving access to resources and ensuring the public supports the priority of addressing mental health issues in the County. The endeavor includes a public outreach program with past presentations to groups such as Bentley Village residents, the City of Naples, Collier County Democratic Club, Women of 239, Rotary Club, etc. Trish Meister reported on a new coalition developed – “Healthy Minds” to aid in addressing mental health issues. Caroline Brennan, Coordinator of School Counseling, Collier County Schools noted a “Collier Cares App” (Community Application for Resources and Emergency Services) has been developed to help individuals or other party’s access resources. A full-time employee has been engaged to serve as a community resource coordinator and the “App” is expected to launch early in 2021. IX. Special Considerations Presenters: Dale Mullin, Michael Overway Dale Mullin, Wounded Warriors of Collier County reported on the plight of veterans in need of mental health services highlighting the success of Alpha House which opened in early 2020. The house is a transitional venue with work underway to provide additional facilities in the County. Speakers Michelle Kelly noted children should not be overlooked in the process and expressed concern on the use of legalized marijuana which may lead to addiction issues. December 15, 2020 5 Judith Mead thanked the Committee and others for their work addressing mental health issues. X. Wrap up/Questions The BCC noted: 1. Staff should provide an analysis on the operational and other ongoing costs associated with a central receiving facility. 2. Measures should be taken to ensure youths are addressed in the service programs implemented by the various parties including the County. There being no further business for the good of the County, the meeting was adjourned by order of the chair at 11:35 A.M. COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS _________________________________ Chairman, Burt L. Saunders ATTEST CRYSTAL K. KINZEL, CLERK __________________________________ These minutes approved by the Board/Committee on _________________ as presented ________ or as amended ___________.