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Abstract for Assembly of Governments Meeting Discussion Items
1 ORANGE COUNTY ASSEMBLY OF GOVERNMENTS MEETING AGENDA ITEMS ABSTRACT Meeting Date: January 23, 2024 SUBJECT: Assembly of Governments Meeting Discussion Items DEPARTMENT: County Manager/Town Managers ATTACHMENT(S): INFORMATION CONTACT: As noted in "Background" section Bonnie Hammersley, 245-2300; Chris Blue, 968-2743; Eric Peterson, 732-1270; Marie Parker, 918-7315; Shameka Fairbanks, 245-2487; Anita Jones-McNair, 918-7381; Shenekia Weeks, 968-2831; Haley Thore, 296-9442; Travis Myren, 245-2300; Cait Fenhagen, 245-2303 PURPOSE: To discuss topics of mutual interest between the governing boards of Hillsborough, Carrboro, Chapel Hill and Orange County. BACKGROUND: 1. One Orange Racial Equity Update The One Orange Racial Equity Jurisdictional Team (Carrboro, Chapel Hill, Hillsborough, and Orange County) continues to collaborate to advance racial equity throughout Orange County. In addition to highlighting some of the work that has previously been done, the team will present updates on the racial equity framework, data dashboard and racialized history project. One Orange was formed in 2020 to coordinate efforts around racial equity. The One Orange team engaged internal and external stakeholders and developed the One Orange Countywide Racial Equity Framework, which was approved in 2022. The purpose of this framework is to outline the county's overall strategy for change and to provide an overarching framework from which the jurisdictions can develop their respective racial equity plans. The framework details the five pillars that guide the county's racial equity efforts. A copy of the framework can be found at the following link: https://www.orangecountync.gov/DocumentCenter/View/20443/One-Orange-Countywide- Racial-Equity-Framework?bid Id= Once the framework was complete, the next significant focus for the One Orange team was the data index. The team will provide more information about the dashboard, ways 2 that the index can be used, and future enhancements. The data dashboard can be found at the following link: https://experience.arcgis.com/experience/2b39cf29bcc644a7898fl 474c053fb0e/page/Prof ect/ Staff will provide any other information at the meeting, and the governing boards can discuss issues and provide feedback to staff related to this item as necessary. Attachment 1 — One Orange Countywide Update 2. Behavioral Health Diversion Facility Update In April 2019, more than 30 community stakeholders from the criminal justice system, healthcare, behavioral health system, and housing came together to participate in an Orange County Sequential Intercept Mapping (SIM) Workshop facilitated by the North Carolina Department of Health and Human Services. The SIM process is designed to inform and address community-based responses to the involvement of individuals with behavioral health issues and intercepts with the criminal justice system. One of the gaps that was identified through this analysis was the need for a Crisis/Diversion facility to divert individuals in behavioral health crisis from the criminal justice system and the Emergency Departments at UNC Hospitals to a more appropriate and less expensive setting. Later in 2019, a Crisis Diversion Facility Subcommittee was formed and tasked with developing recommendations and a plan for a dedicated facility. In December 2022, the Orange County Board of Commissioners approved a contract with CPL Architects and RHA Health for $172,325 to provide preliminary/advanced planning services necessary for the development of a Crisis Diversion Facility serving Orange County residents. The scope of work included a review of existing planning and development information, and the development of programming documents, a preliminary/ schematic design, site requirements and budget estimates. The culmination of this work was presented to stakeholders during two engagement sessions in April 2023. The preliminary conceptual design represented a 29,000 square foot facility designed to offer Behavioral Health Urgent Care services for assessment, stabilization, treatment, peer support and discharge planning for patients experiencing a Behavioral Health crisis, such as for mental illness and substance use disorders. Behavioral Health Urgent Care Services are intended to be available for patients 4 years old and older. The facility is also designed to provide Facility Based Crisis services for adults for up to two weeks and will include security required for some patients and for justice-involved individuals. The facility will provide Behavioral Health crisis services to walk-in patients on a 24/7/365 basis and offer associated urgent, but non-critical, medical care if necessary. Finally, the facility will include a peer living room, a resource information center and will provide space for partner agencies that support housing, social services, food insecurity, harm reduction, domestic violence and sexual assault survivors and many other critical determinants of health and well-being. The Orange County Board of Commissioners approved $2,047,155 for design services in FY2023-24. The County's Capital Investment Plan anticipates a total construction budget 3 of $22,952,845. The County is currently conducting due diligence on a potential site located in the Town of Hillsborough and has begun working with Town staff on the appropriate entitlement process. The County is also working with subject matter experts, including Alliance Health, on calculating the cost of ongoing operations. Behavioral Health Urgent Care Services are not fully billable services on public or private health care plans, so an operating subsidy will likely be necessary without changes to those health care plans. That subsidy is currently estimated to be approximately $2.8 million annually. Additional information is available at https://orangecountync.gov/3168/Crisis-Diversion- Facility. Staff will provide any other information at the meeting, and the governing boards can discuss issues and provide feedback to staff related to this item as necessary. No Attachments FINANCIAL IMPACT: There is no direct financial impact associated with the discussion of these topics. There are no action items requiring formal decisions. SOCIAL JUSTICE IMPACT: There is no direct Orange County Social Justice Goal impact associated with the discussion of these topics. ENVIRONMENTAL IMPACT: There is no direct Orange County Environmental Responsibility Goal impact associated with discussion of these topics. RECOMMENDATION(S): The Managers recommend the governing boards discuss the topics noted above and provide appropriate direction to the respective staffs. 4 NE BANG ' CARRBORO • CHAPEL HILL - HILLS130ROUGH - GRANGE CC]lUWTY Countywide Update Assembly of Governments January 23, 2024 J. �► ORANGE ' TOWN Or HILLSBOROUGH COUNTY TOWN OF CARRBORO • NC . NORTH CAROLINA NORTH CAROLINA FACING RACE, EMBRACING EQUITY 5 Background • In August 2020,Carrboro, Chapel Hill, Hillsborough and Orange County formed a multi-jurisdictional team to implement the Government Alliance on Race and Equity (GARE) methodology and co-design a process moving our community towards increased equity. GARE is a national network of government agencies working to advance racial equity. • In early 2022, the One Orange Countywide Racial Equity Framework: Catalyst for Moving Forward was presented and approved as a commitment to uncovering and addressing implicit biases in our jurisdictions to ensure that race no longer can be used to predict life outcomes in the Orange County community. • Continuous collaboration CAltlE9GRG•'C7-1l4PEL HRL•WRl30GAGNANG9CCWNTY 6 GARE Partnership • Networking, tools and other resources • Elected Officials and Non-Profit Organizations training • Inaugural Innovation Community • Proposal to Host Governing for Racial Justice, the CARE Southern Regional Meeting • Invited to Governing for Racial Justice, the GARE Southern Regional Meeting Planning Committee • Training module and website 3 ONEORANGE Agenda • Introduction and Background • Racial Equity Framework • Data Index • Racialized History • Updates 4 ONEORANGE Racial Equity as the Catalyst for • Training & Organizational Capacity Evaluation and Community Accountability Racial Engagement Equity Racial Equity Racial Equity Index ONEORANGE Assessment Lens (Data) 9 F b ALa + � 1 _ WILI, _ �. sr 10 Data Index Dashboard Dashboard Uses Community Health Government • Education Non-Profi Economic Opportunity • Neighborhood & Government • Data Sources 7 ONEORANGE 11 Data Index Dashboard Tutorial Project Public Health Education •••• Neighborhood and Government data Sources ONE ORANGE Explore the Racial Equity Index themes using the menu buttons above.Each section displays Racial Equity Index thematic data via an interactive dashboard.View the Racial Racial Equity Index Equity index Indicators,Rationale for including the indicator,and the Disparity Ratio that is used as a metric to compare degrees of inequality across population segments. Dashboard Mvuse-over indictors,charts and maps,and click the icon that appears in the top right corner of the section to go fulfscreen, Business ownership Wages are the main source of Median Hourly Income Disparity Ratio Family-sustaining Wage unemployment income for most people,and 1.d higher income typically allows greater opportunity and is B°a`k 7.z 9 pp . j Black ao.9 """`� '$" for provides a foundation for white 3 h,.,pu,.,, 15.E longer-term financial security. 1-fl - Whne 72.6 Hispanic 2..2 08 _ Hispanic 41.1 Percentageaf a6ulmage256 iiineunemployed. Asian 78.8 0.6 _ Chart Rationale Disparity Ratio Percentage of adults age 25-64 who are-0- 0-4 - - - Percantaii heads of h.—i n ing 300%of the Asian to White Economic Disparity Ratios employed. Black Hhper•.Ic Asim poverty threshold,a familysustaining wage. 1.6 1 '.I,.1 1 { Rationale < Disparity Ratio i 1 Chert ► 1. Economic Oppa rtui+ity Loouver Working Poverty Median Household Income Labor Force Non-Participation working Poverty.l2 Similar Black S25 71nr.. 16 Black 31.3 Black 54pklyr. Who•_. 5B 3 � While 5895k.1yir White 1d.4 0.6 Hispanic S&74%hr. •� ��: is 5199Mr. Hcspanic 127 Hispanic 5&Ok/yr.. 04 er Asan S6.8/h.c S133/hr Asian 19 Asian SF03klyc 02 Percentages of adu Its aged 2564 currently cmpVoycd Econom is Qpportunhy 30+hours per week and living at or below 200%of the Percent of children 1<1a ym.)living at or below 100% Percemage of adults age 25-64 who are not in the labor poverty threshold. of the poverty threshold. Median I household incomes. Porte_ Mouse-over columns to View rateg orie s. 1 r.-_Frit 4 Chart 4 Chart ► 4 Char 0 4 Asian to While 12 Economic Opportunity Hispanic to White Disparity Overview ONEORANGE Project Public Health Education • • •••• Neighborhood and Government Data Sources Explore the Racial Equity Index themes using the menu buttons above.Each section displays Racial Equity Index thematic data via an interactive dashboard.View the Racial Racial Equity Index Equity Index Indicators,Rationale for including the indicator,and the disparity Ratio that is used as a metric to compare degrees of inequality across popufation segments. Dashboard Mouse-over indictors,charts and maps,and click the icon that appears in the top right corner of the section to go fullscreen. Hispanic to White Economic Disparity Ratios 1-� lower 1.4 1.2 1 Sirnikar 9.4 _. 04 G2 0 Ecanomi,Upport—ty Mouse-over columns to view categories. Black to White Hispanic to White Asian to White 13 Business Ownership Business Ownership White 14.4 'I@F Hispanic 15.2 � Asian 7-2 ry tparic 15.2;3:J2 ai Percentage of adults age 25-64 who are self- employed. Percemage of adults age 2554 who are selGemployed. Chart Rationale Disparity Ratio Economic Opportunity Disparity Ratio Business ownership provides opportunities for residents to overcome barriers to the traditional labor force and increase their earnings- Personal wealth,access to capital,entrepreneurial skills,and educational attainment may be factors that limit success in this indicator. Hispanic_1_U6 10 9_B 06 4.4 fl2 Black Hispeni� Asia ❑ Chan Ratianala [3ispar;ly Ra[i. Disparity Ratio � 14 Dashboard Next Steps Phase 2 — Improvements to the dashboard • Accessibility • Data visualization • Mobile-friendly — Define disparity ratio and other terms to clarify language for audiences — Establish a data library that is updated regularly — Develop individual dashboards to ensure that the data is conveyed to audiences optimally 11 'ONEORANGE 15 tad � esl Ten Rc1 '�• s err 0�14slon Rd� leo 161 70 IZI, � ,F Bty 11ti P4nnylide4�s 2 164 165 ' wSc9 Dwhc=jTech C-0mrqunity Buckhorn o — �: aasz a ¢ rnr tet. 17n T — DF -_ e F = fifl=cshprntr7ii 172 y t . ?6l �i1 to=�Scat[a�h S r f, lnt+r' 173 Fxm Stay New map'. C RehTal& tit" mit Cfr Rd res J IYly� s lfh!di3 3t!1 }in�i4 l "WRY ud R�' a � hleuni o. co c c Rirdrwoa�ii } RV ParA Orange AgriwView ! G a Grove© cr Rh sa lrrr,t[ 4 qs� 2fti f, y Rs; 7 We Ver r- 1 �1 d'<;yt 1 .�.Aif cialized History Update � -����� 2'4 Rd C6 Gsnesis S ssresfe =T Oid ,,.Old Fanrr Dur `fly mac` ham hi pe! ' 12 Rd flra...,, _ ti 1 .4 Estes o I .. •.�i_ 16 1. Small group of community 1. Initial research based on the V) historians, jurisdictional themes and priorities C/) representatives, W and scholars U 2. Themes & timeframes Define Discovery O 3. Highlight community priorities gathered from survey Iterative Process 4-J y— 1. Small Group and Document - • • community members most Qimpacted 2. Make meaning of the 1. Create racialized history EW research and fact check +� document 13 Next Steps 17 Highlights Final jurisdictional items Do you have any short-term Questions priority initiatives? Are we headed in the right direction with the Racialized History project? J What data would you like highlighted Suggestions in phase 2 of the Racial Equity Index . 14 ONEOBANGk