BCC Minutes 12/15/2020 W (Mental Health) December 15, 2020
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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
COLLIER COUNTY
Board of County Commissioners
MENTAL HEALTH WORKSHOP
AGENDA
Board of County Commission Chambers
Collier County Government Center
3299 Tamiami Trail East, 3rd Floor
Naples, FL 34112
December 15, 2020
9:00 AM
Commissioner Burt Saunders, District 3 – Chair
Commissioner Andy Solis, District 2 – Vice-Chair
Commissioner Rick LoCastro, District 1
Commissioner Penny Taylor, District 4
Commissioner William L. McDaniel, Jr., District 5; CRAB Co-Chair
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. Update on Mental Health and Addiction Services Five Year 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 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.
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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
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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
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
I �(
Chairman, nny Tay‘
ATTEST
CRYSTAL,K. KINZEL, CLERK
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Attest as to'Chairman's
These minutes approved by the Board/Committee on t ZD2-( as presented .I or as
amended
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