HomeMy WebLinkAboutAgenda 11-14-23; 8-b - Resolution to Amend Involuntary Commitment Transportation Plan 1
ORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: November 14, 2023
Action Agenda
Item No. 8-b
SUBJECT: Resolution to Amend Involuntary Commitment Transportation Plan
DEPARTMENT: Sheriff's Office
ATTACHMENT(S): INFORMATION CONTACT:
A Resolution Supporting Involuntary Sheriff Charles S. Blackwood,
Commitment Transportation Services 919.245.2900
by the UNC Health Care System to Jennifer Galassi, Legal Advisor to the
Youth Behavioral Hospital (Butner, Sheriff, 919.245.2952
NC)
Involuntary Commitment Transportation
Plan
October 24, 2023 Consent Letter from
UNC Health President Janet Hadar
PURPOSE: To approve a resolution amending the Orange County Involuntary Commitment
Transportation Plan.
BACKGROUND: On March 10, 2020, the Orange County Board of Commissioners adopted the
Orange County Involuntary Commitment (IVC) Transportation Plan pursuant to North Carolina
General Statutes § 122C-251(g). This statute permits the Board to designate law enforcement
personnel, volunteers, or other public or private agency personnel to provide all or parts of the
transportation services required by involuntary commitment proceedings.
The UNC Health Care System (UNC Health) will soon begin operating a new facility in Butner,
North Carolina known as "Youth Behavioral Hospital," which will operate as an inpatient
psychiatric facility, providing treatment and care to minors who are experiencing behavioral health
crises. In anticipation of the high volume of patients at the facility, UNC Health desires to conduct
certain transportation services through its law enforcement officers, security personnel, and other
staff by providing transportation of certain involuntary commitment respondents between the
facilities it operates in Orange County and the Youth Behavioral Hospital.
FINANCIAL IMPACT: The provision of the transportation services by UNC Health from UNC
Health's Orange County facilities to the Youth Behavioral Hospital in Butner will be at no cost to
Orange County.
SOCIAL JUSTICE IMPACT: The following Orange County Social Justice Goals are applicable
to this item:
• GOAL: FOSTER A COMMUNITY CULTURE THAT REJECTS OPPRESSION AND
INEQUITY
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The fair treatment and meaningful involvement of all people regardless of race or color;
religious or philosophical beliefs; sex, gender or sexual orientation; national origin or ethnic
background; age; military service; disability; and familial residential or economic status.
• GOAL: ENSURE ECONOMIC SELF-SUFFICIENCY
The creation and preservation of infrastructure, policies, programs and funding necessary
for residents to provide shelter, food, clothing and medical care for themselves and their
dependents.
• GOAL: CREATE A SAFE COMMUNITY
The reduction of risks from vehicle/traffic accidents, childhood and senior injuries, gang
activity, substance abuse and domestic violence.
ENVIRONMENTAL IMPACT: There is no Orange County Environmental Responsibility Goal
impact associated with this item.
RECOMMENDATION(S): The Manager recommends that the Board approve and authorize the
Chair to sign the Resolution.
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Before the Orange County Board of Commissioners
A RESOLUTION SUPPORTING
INVOLUNTARY COMMITMENT TRANSPORTATION SERVICES
BY THE UNC HEALTH CARE SYSTEM
TO YOUTH BEHAVIORAL HOSPITAL (BUTNER, NC)
WHEREAS, pursuant to N.C. Gen. Stat. § 122C-251(a), Orange County
has the duty to provide, through its law enforcement officers, transportation
under the civil commitment proceedings of Article 5 of Chapter 122C of the
North Carolina General Statutes for: (i) respondents who reside in Orange
County; and, (ii) respondents taken into custody within Orange County (the
"Transportation Services"); and,
WHEREAS, N.C. Gen. Stat. § 122C-251(8) permits the Orange County Board
of Commissioners to designate law enforcement personnel, volunteers, or other
public or private agency personnel to provide all or parts of the Transportation
Services required by involuntary commitment proceedings (an "IVC
Transportation Plan"), provided such designated persons are willing and trained
as set forth in N.C. Gen. Stat. § 122C-202.2(a)(3), and further provided any such
IVC Transportation Plan assures adequate safety and protection of both the
public and the respondent; and it further appearing all requirements of section
251(8) are satisfied here; and,
WHEREAS, as required by N.C. Gen. Stat. § 122C-251(8), the Orange
County Board of Commissioners has adopted an IVC Transportation Plan, and
the UNC Heath Care System ("UNC Health") now desires to provide certain
Transportation Services consistent with that plan; and,
WHEREAS, UNC Health currently operates facilities within Orange County
at which involuntary civil commitment respondents are located, including but not
limited to inpatient psychiatric facilities and emergency departments; and
WHEREAS, UNC Health will soon begin operating a new facility in Butner,
North Carolina known as "Youth Behavioral Hospital" which will operate as an
inpatient psychiatric facility and will provide treatment and care to minors who are
experiencing behavioral health crises; and,
WHEREAS, UNC Health anticipates that a high volume of patients at its
Orange County facilities who are involuntary civil commitment respondents will
require Transportation Services from those Orange County facilities to Youth
Behavioral Hospital; and,
WHEREAS, UNC Health anticipates this high demand for Transportation
Services from its Orange County facilities to Youth Behavioral Hospital will
exist on a regular and sustained basis into the indefinite future; and,
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WHEREAS, UNC Health recognizes that—barring modification to the
current Orange County IVC Transportation Plan—the Orange County Sheriffs
Office will bear responsibility for meeting this increased need for Transportation
Services; and,
WHEREAS, UNC Health recognizes that meeting this increased need has the
potential to divert resources from the many other vital functions the Orange County
Sheriffs Office provides within the Orange County community; and,
WHEREAS, it is in the best interest of UNC Health to ensure its patients
receive Transportation Services to Youth Behavioral Hospital promptly, including
outside of regular business hours; and,
WHEREAS, UNC Hospitals —which is part of UNC Health Care System—
maintain a campus law enforcement agency, pursuant to N.C. Gen. Stat. § 116-40.5,
with law enforcement officers assigned to its Orange County facilities as well as to
the Youth Behavioral Hospital; and
WHEREAS, UNC Hospitals generally has equipment and staff available to
transport patients; and
WHEREAS, UNC Health now desires to conduct certain Transportation
Services directly through its law enforcement officers, security personnel, and
other personnel (collectively, "Transportation Personnel") by providing
transportation of certain involuntary civil commitment respondents between its
Orange County facilities to the Youth Behavioral Hospital in a manner consistent
with the terms of the Orange County IVC Transportation Plan, as approved by
the Orange County Board of Commissioners on 10 March 2020; and,
WHEREAS, UNC Health desires to continue to utilize the Orange County
Sheriffs Office as needed for Transportation Services unrelated to the Youth
Behavioral Hospital, and may from time to time still desire to utilize the Orange
County Sheriffs Office as needed for Transportation Services related to the
Youth Behavioral Hospital; and,
WHEREAS, all Transportation Personnel will receive Crisis Intervention
Training; UNC Health will supply vehicles for the transportation of involuntary
civil commitment respondents; UNC Health will maintain the following insurance
coverages: (General Liability coverage equal to or greater than $1 million per
occurrence / $2 million aggregate per annum; Commercial Automobile insurance,
including bodily injury/property damage liability. coverage, equal to or greater
than $1 million per accident for any vehicle used in the provision of services,
including owned, hired, and non- owned vehicles; and coverage under the North
Carolina Workers Compensation Act); UNC Health will comply with applicable law
in the custody and transportation of •involuntary civil commitment respondents;
and, to the extent permitted by law, including the North Carolina Tort Claims Act,
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UNC Health agrees to indemnify and hold harmless Orange County and the
Orange County Sheriff and his employees and agents with respect to
Transportation Services conducted by UNC Health; and
WHEREAS, the provision of such Transportation Services by UNC Health
from UNC Health's Orange County facilities to the Youth Behavioral Hospital will
be at no cost to Orange County:
NOW, THEREFORE IT IS RESOLVED, that, as permitted by N.C. Gen.
Stat. § 122C-251(g), UNC Health may transport respondents under involuntary civil
commitment proceedings between its Orange County facilities to the Youth
Behavioral Hospitals in Butner, North Carolina, consistent with the Orange
County IVC Transportation Plan as approved by the Orange County Board of
Commissioners on 10 March 2020. UNC Health shall comply with and follow the
applicable requirements and procedures of Article 5 of Chapter 122C of the North
Carolina General Statutes and shall receive the benefits of designation under N.C.
Gen. Stat. § 122C- 251(8) during such transports.
Except for the delegation of transportation authority to UNC Health
delineated herein, all responsibilities and obligations identified under the Orange
County IVC Transportation Plan, as adopted by the Orange County Board of
Commissioners on 10 March 2020, remain unchanged.
The adoption of this resolution shall not be construed as creating any agency
or other relationship between Orange County, the Orange County Sheriff's Office,
and UNC Health. This designation is intended to serve only as the designation
required by N.C. Gen. Stat. § 122C-251(g).
This resolution shall become effective fifteen days after the date of its adoption
in order to afford time to accommodate the notice requirements imposed by N.C. Gen.
Stat. § 122C-251(8)(3).
ADOPTED by the Orange County Board of Commissioners
this the day of , 2023.
Jamezetta Bedford
Chair, Orange County Board of Commissioners
Attest:
Laura Jensen
Clerk, Orange County Board of Commissioners
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IVC TRANSPORTATION PLAN
I. Issuance of Transportation Order and Service
A. A Magistrate or clerk of Superior Court shall evaluate petitions for involuntary
commitment.
B. If the involuntary commitment criteria are met, the magistrate or Clerk of Court will
issue a Custody Order to law enforcement.
C. A law enforcement officer must take the respondent into custody within 24 hours after
the order is signed.
II. Transportation for Initial Examination
A. Without unnecessary delay after assuming custody, the law enforcement officer shall take
the respondent to an area facility for examination by a physician, eligible psychologist,
or any health professional or mental health professional who is certified to perform the
first examination for involuntary commitment as provided in Chapter 122C of the
North Carolina General Statutes.
B. When the respondent is a resident of the city, or is taken into custody within the city
limits, that city's police department will provide transportation in accordance with the
order. If the respondent lives in the county, or is taken into custody in the county, then
the county must transport the respondent.
C. If the transportation order requires the respondent to be transported to a facility
outside the county, then the county is responsible for the transportation regardless of
whether the respondent resides in the city or the county.
D. A clerk, magistrate, or district court judge may authorize the family or immediate friends
of the respondent, if they so request, to transport the respondent pursuant to IVC
procedures. This authorization shall only be granted in cases where the danger to the
public, the family or friends of the respondent, or the respondent himself or herself is
not substantial. The family or immediate friends of the respondent shall bear the costs
of providing this transportation.
III. Transportation between Facilitates
A. If the commitment examiner finds that the respondent is mentally ill and is dangerous to
self or others the commitment examiner shall recommend inpatient commitment, and
shall so show on the examination report.
B. Upon notification, the law enforcement officer or other designated person shall take the
respondent to a 24-hour facility pending a district court hearing.
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C. To the extent feasible, in providing the transportation of the respondent, the law
enforcement agency shall act within six hours of notification. Other designated persons
shall take the respondent to a 24-hour facility within six hours of notification.
D. If a 24-hour facility is not immediately available or appropriate to the respondent's
medical condition, the respondent may be temporarily detained under appropriate
supervision at the site of the first examination.
1. Upon the commitment examiner's determination that a 24-hour facility is available and
medically appropriate, the law enforcement officer or other designated person shall
transport the respondent after receiving a request for transportation by the facility of
the commitment examiner.
2. To the extent feasible, in providing the transportation of the respondent, the law
enforcement agency shall act within six hours of notification. Other designated
persons shall transport the respondent without unnecessary delay and within six
hours after receiving a request for transportation by the facility of the commitment
examiner.
E. The law enforcement agency who originally took the respondent into custody is
responsible for transporting the respondent from the initial examination to the
designated 24-hour facility if the facility is located within the county.
F. Transportation between counties for respondents held in 24-hour facilities who have
requested a change of venue for the district court hearing shall be provided by the
county where the petition for involuntary commitment was initiated.
IV. Outpatient Treatment and Discharges
A. If the physician recommends outpatient treatment, or neither inpatient nor outpatient
treatment, the agency who originally took the respondent into custody shall return
the respondent to the respondent's regular residence or, with the respondent's
consent, to the home of a consenting individual located in the originating county.
B. Transportation between counties for discharge of a respondent from a 24-hour facility
shall be provided by the county of residence of the respondent. However, a respondent
being discharged from a facility may use his own transportation at his own expense.
V. Procedural Considerations
A. To the extent feasible, in providing transportation of a respondent, a city or county shall
provide a driver or attendant who is the same sex as the respondent, unless the law
enforcement officer allows a family member of the respondent to accompany the
respondent in lieu of an attendant of the same sex as the respondent.
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B. Law enforcement officers should advise respondents when taking them into custody that
they are not under arrest and have not committed a crime, but are being taken into
custody and transported to receive treatment and for their own safety and that of others.
C. To the extent feasible, law enforcement agencies transporting an IVC individual should
provide a driver or attendant of the same gender or, alternatively, allow a family member
of the IVC individual to accompany them.
D. Law enforcement officers may use reasonable force to restrain the NC individual if it
appears necessary for protection of themselves, the NC individual or others. Officers
shall use every effort to avoid restraint of a child under age 10 unless the child's behavior
or other circumstances dictate that restraint is necessary.
E. Law enforcement officers shall respond to all inquiries from the destination facility
concerning the IVC individual's behavior and any use of restraints during custody or
transport, unless the information is confidential or would compromise a law
enforcement investigation.
F. The cost and expenses of custody and transportation of a respondent are set forth in GS
122C-251(h).
VI. Other
A. This Agreement may be modified by mutual agreement of all the parties.
B. Any party may withdraw from this Agreement by written notice from its governing body.
C. This Agreement shall be submitted to the magistrates in the judicial district of each party
to the Agreement, to the county clerks of court, to the LME/MCO that serves the city or
county, and to the Division of Mental Health, Developmental Disabilities, and Substance
Abuse Services.
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Janet Hadar
U "N4 C President, UNC Hospitals
101 Manning Dr.
HEALTH Med Wing E,3rd Floor
O Chapel Hill, NC 27514
October 2023
Jamezetta Bedford
Chair, Orange County Board of Commissioners
300 W. Tryon St.
Whitted Bldg. Rm-220
Hillsborough, NC 27278
Chair Bedford,
I am writing to provide the Orange County Board of Commissioners with the written
consent of UNC Hospitals to the proposed modification of the Orange County Involuntary
Commitment Transportation Agreement which is currently pending before the Board. This
written consent is required by N.C. Gen. Stat. § 122C-251(g)(3).
If adopted, the proposed modification will designate UNC Hospitals as an agency
authorized to transport patients under involuntary civil commitment at its Orange County
facilities from those facilities to Youth Behavioral Hospital in Butner, North Carolina.
YBH—scheduled to open later this year—is an inpatient psychiatric facility operated by
UNC Hospitals where children from across the State who are experiencing behavioral
health crises will come to receive treatment and care.
Historically, UNC Hospitals has been required to exclusively rely on the Orange
County Sheriff's Office to transport patients to inpatient psychiatric facilities like YBH.
This proposed modification, however, will authorize UNC Hospitals to transport patients
to YBH without involvement from the Sheriff. Both Orange County and UNC Hospitals
will benefit from such an arrangement.
I urge the Orange County Board of Commissioners to approve this modification.
Please contact me if I can provide you with any further information regarding this matter.
Best regards,
?anit Hadar
President
UNC Hospitals
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