HomeMy WebLinkAboutAgenda 03-07-24; 8-a - Minutes 1
ORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: March 7, 2024
Action Agenda
Item No. 8-a
SUBJECT: Minutes
DEPARTMENT: Board of County Commissioners
ATTACHMENT(S): INFORMATION CONTACT:
Draft Minutes (Under Separate Cover) Laura Jensen, Clerk to the Board, 919-
245-2130
PURPOSE: To correct and/or approve the draft minutes as submitted by the Clerk to the Board
as listed below.
BACKGROUND: In accordance with 153A-42 of the General Statutes, the Governing Board
has the legal duty to approve all minutes that are entered into the official journal of the Board's
proceedings.
Attachment 1: January 23, 2024 Assembly of Governments Meeting
FINANCIAL IMPACT: There is no financial impact associated with this item.
SOCIAL JUSTICE IMPACT: There is no Orange County Social Justice Goal impact associated
with this item.
ENVIRONMENTAL IMPACT: There is no Orange County Environmental Responsibility Goal
impact associated with this item.
RECOMMENDATION(S): The Manager recommends the Board approve minutes as
presented or as amended.
Attachment 1
1
1 DRAFT MINUTES
2 ORANGE COUNTY BOARD OF COMMISSIONERS
3 CARRBORO TOWN COUNCIL
4 CHAPEL HILL TOWN COUNCIL
5 HILLSBOROUGH BOARD OF COMMISSIONERS
6 ASSEMBLY OF GOVERNMENTS MEETING
7 January 23, 2024
8 7:00 p.m.
9
10 The Orange County Board of Commissioners met with the elected boards for the towns of
11 Carrboro, Chapel Hill, and Hillsborough on Tuesday, January 23, 2024 at 7:00 p.m. at Southern
12 Human Services Center in Chapel Hill, NC.
13
14 COUNTY COMMISSIONERS PRESENT: Chair Jamezetta Bedford, Vice-Chair Sally Greene,
15 and Commissioners Amy Fowler, Jean Hamilton, Earl McKee, and Phyllis Portie-Ascott
16 COUNTY COMMISSIONERS ABSENT: Commissioner Anna Richards
17 COUNTY ATTORNEYS PRESENT: John Roberts
18 COUNTY STAFF PRESENT: County Manager Bonnie Hammersley, Deputy County Manager
19 Travis Myren, and Clerk to the Board Laura Jensen. (All other staff members will be identified
20 appropriately below)
21 CARRBORO TOWN COUNCIL MEMBERS PRESENT: Mayor Barbara Foushee, Mayor Pro Tern
22 Danny Nowell, and Council Members Randee Haven-O'Donnell, Eliazar Posada, and Catherine
23 Fray
24 CARRBORO TOWN COUNCIL MEMBERS ABSENT: Council Member Jason Merrill
25 CARRBORO STAFF PRESENT. Interim Town Manager Marie Parker (All other staff members
26 will be identified appropriately below)
27 CHAPEL HILL TOWN COUNCIL MEMBERS PRESENT: Mayor Jessica Anderson, Mayor Pro
28 Tern Amy Ryan, and Council Members Camille Berry, Melissa McCullough, Paris Miller-Foushee,
29 Theodore Nollert, Adam Searing, Elizabeth Sharp, and Karen Stegman
30 CHAPEL HILL TOWN COUNCIL MEMBERS ABSENT: None.
31 CHAPEL HILL STAFF PRESENT: Town Manager Chris Blue (All other staff members will be
32 identified appropriately below)
33 HILLSBOROUGH COMMISSIONERS PRESENT: Mayor Mark Bell, Mayor Pro Tern Robb
34 English, and Commissioners Meaghun Darab, Kathleen Ferguson, and Matt Hughes
35 HILLSBOROUGH COMMISSIONERS ABSENT: Commissioner Evelyn P. LLoyd
36 HILLSBOROUGH STAFF PRESENT. Town Manager Eric Peterson (All other staff members will
37 be identified appropriately below)
38
39 Chair Bedford called the meeting to order at 7:02 p.m.
40 Mayor Mark Bell welcomed the members of the Carrboro and Chapel Hill Town Councils
41 and the Hillsborough and Orange County Boards of Commissioners. Commissioners, Council
42 Members, and staff introduced themselves.
43
44 1. One Orange Racial Equity Update
45
46 The One Orange Racial Equity Jurisdictional Team (Carrboro, Chapel Hill, Hillsborough, and
47 Orange County) continues to collaborate to advance racial equity throughout Orange County. In
48 addition to highlighting some of the work that has previously been done, the team will present
49 updates on the racial equity framework, data dashboard and racialized history project.
50
2
1 One Orange was formed in 2020 to coordinate efforts around racial equity. The One Orange team
2 engaged internal and external stakeholders and developed the One Orange Countywide Racial
3 Equity Framework, which was approved in 2022. The purpose of this framework is to outline the
4 county's overall strategy for change and to provide an overarching framework from which the
5 jurisdictions can develop their respective racial equity plans. The framework details the five pillars
6 that guide the county's racial equity efforts.A copy of the framework can be found at the following
7 link: https://www.orangecountync.gov/DocumentCenter/View/20443/One-Orange-Countywide-
8 Racial-Equity-Framework?bidld=
9
10 Once the framework was complete, the next significant focus for the One Orange team was the
11 data index. The team will provide more information about the dashboard, ways that the index can
12 be used, and future enhancements. The data dashboard can be found at the following link:
13 https://experience.arcgis.com/experience/2b39cf29bcc644a7898fl474cO53fbOe/page/Project/
14
15 Staff will provide any other information at the meeting, and the governing boards can discuss
16 issues and provide feedback to staff related to this item as necessary.
17
18 Mayors Anderson and Foushee introduced the item.
19 Haley Thore, Human Resources Manager for the Town of Hillsborough, made the
20 following presentation:
21
22 Slide #1
ONEORANGE
CARRBORO-CHAPEL HILL-HILLSBOROUGH-ORANGE COUNTY
Countywide Update
Assembly of Governments
January 23, 2024
ORANGE
HILLSZZUGH COUNTY
TOWN OF CARRBQRo•NC N°""`"""'"" NORTi I CAROLINA
FACING RACE,EMBRACING EQUITY
23
24
25
26
3
1 Slide #2
Agenda
• Introduction and Background
• Racial Equity Framework
• Data Index
► Racialized History
Updates
2 4 ONEORANGE
3
4 Slide #3
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
5 3 ONEORANGE
6
7
8 Slide #4
DARE Partnership
• Networking, tools and other resources
• Elected Officials and Non-Profit Organizations training
• Inaugural Innovation Community
• Proposal to Host Governing for Racial Justice, the GARE
Southern Regional Meeting
• Invited to Governing for Racial Justice, the GARE Southern
Regional Meeting Planning Committee
• Training module and website
9 3 OHEdRANGE
4
1 Anita Jones-McNair, Chief Race and Equity Officer for the Town of Carrboro, continued
2 the presentation:
3
4 Slide #5
Racial Equity as the Catalyst for Change
OrganizationalTraining&
AO. L
Capacity
Evaluation and Community
Accountability Racial Engagement
Equity
Racial Equity Racial Equity Index
Assessment Lens D. .
5 5 ONEQRANGE
6 Anita Jones-McNair said that they want to increase awareness about CARE. She said
7 that each jurisdiction is working to increase the reach of information. She said that they are
8 collecting data on racial equity and sharing it through the Racial Equity Index. She said that each
9 jurisdiction uses the racial equity lens to evaluate programs and policies. She said evaluation
10 and accountability will improve transparency in the community.
11 Shenekia Weeks, Diversity, Equity, and Inclusion Officer for the Town of Chapel Hill,
12 continued the presentation:
13
14 Slide #6
LOAN!
15
5
1 Slide #7
Data Index Dashboard Dashboard -
a Community
• Public Health 0 Government
• EducationNon-Profit
• Economic Opportunity
• Neighborhood &
Government
Data Sources
7 ONEORANGE
2
3
4 Slide #8
Data Index Dashboard Tutorial
ONEProject Public Rea" Eduutlon •••• Nghb rhood and Go rr—t Date sources
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5
6 Shenekia Weeks explained how the public could navigate the dashboard.
7
8
6
1 Slide #9
Economic Opportunity Hispanic to White Disparity Overview
ONEORANGE Project Public Health Education - ighborhood and Goaemtnem Oasa Sources
&plore the Racal Egwty lnde themesus.g the menu buttons above.Each Setup,displays Raelal Eqy%ylnderthematird—wear r,teractire dashboard 16—the Racial
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2
3
4 Slide #10
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Personal vrealth,a cass wcapitel,antrapmneurial skills,and aduceuonel etrammunt may be factors that limes success in this inditamr.
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6
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7
1 Slide #11
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
2 „ ONEORANGE
3
4 Slide #12
II.awA` pp Bus I
cialized History Update
12 a 0 o m °xe
a
5 w Era. o
6 Shenekia Weeks said to prevent race as a predictor of success, we must examine past
7 practices and policies that created historical legacies of discrimination, which still produces
8 disparities in the community. She said that this reckoning is not about shaming or blaming
9 decision-making bodies. She said it is about identifying, undoing, rectifying, and mitigating these
10 decisions moving forward. She said the purpose of racialized history is to expand and facilitate
11 the use of the racial equity assessment lens. She said it helps to name and understand the root
12 causes of inequities, relative to the examined issue. She said it acknowledges intentional and
13 unintentional past harm caused by local governments. She said it identifies opportunities to
14 mitigate past harms.
15
16
8
1 Slide #13
1. Small group of community 1. Initial research based on the
Ln historians,jurisdictional themes and priorities
representatives,
and scholars
V 2. Themes&timeframes FDefine
O 3. Highlight community
priorities gathered from
survey
Iterative Process
a-J
1. Small Group and
CU
Document Dialogue community members most
Qimpacted
2.Make meaning of the
1. Create racialized history research and fact check
document L,_T
2 13 Next Steps
3 Shenekia Weeks said that the next step will be the creation of an RFP with historians. She
4 said they want this to be a community-led process. She said there will be regular check-ins with
5 elected officials to share progress.
6
7 Slide #14
Highlights Final jurisdictional items
Questions
Do you have any short-term
priority initiatives?
_ Are we headed in the right direction
with the Racialized History project?
Suggestions
What data would you like highlighted
in phase 2 of the Racial Equity Index?
14 ORANGE
8
9 Anita Jones-McNair asked her colleagues to highlight something in their jurisdiction
10 related to the OneOrange community effort.
11 Shenekia Weeks said that the Town of Chapel Hill is updating their historically
12 underutilized business strategy and that they are using their equity lab. She said it is a place
13 where they really make the work happen.
14 Anita Jones-McNair said that in the Town of Carrboro the racial equity action plan was
15 approved in November 2023. She said that the town's work can be viewed at
16 https://www.carrboronc.gov/Race-and-Equity.
17 Camille Berry asked if there are plans to train elected officials on CARE.
18 Anita Jones-McNair said yes and that there are self-paced training modules online and
19 live training can also be scheduled.
9
1 Meaghun Darab asked if the nonprofit organizations that partner with the local
2 governments will receive training.
3 Anita Jones-McNair said training can be provided to stakeholders such as non-profits.
4 Matt Hughes asked how school districts have been engaged in the tool and if they have
5 provided feedback. He also said that Mebane joined GARE and asked if there has been outreach
6 to them.
7 Shenekia Weeks said that the schools have attended some of the meetings. She said
8 she hopes the partnership will continue to grow. She said that Mebane has not been part of the
9 program, but they are hopeful that they will become involved soon.
10 Commissioner Portie-Ascott asked if there are triggers that cause a change in policy or
11 allocation of resources.
12 Shenekia Weeks said that they look at goals and consider how they help inform those
13 goals, both present and future. She said if there is a trend they want to reverse, they can make
14 incremental changes in policies. She said there is not a threshold but there is a since of urgency
15 and GARE calls attention to that.
16 Commissioner Portie-Ascott asked if they are looking at data annually.
17 Shenekia Weeks said that the current data was from 2022. She said they review it as it
18 comes in and they hope to update it next year.
19 Chair Bedford asked what the pocket questions were and how they were used.
20 Anita Jones-McNair said that they have five specific questions, and it is an abbreviated
21 version of the lens. She said that they are trying to see racial impacts, a desired result, burden,
22 and benefits. She said the lens is about seven pages of analysis, which means it is not easily
23 used. She said they have been using the pocket questions for agenda items. She said then the
24 R.E.A.L. goes forward. She said that it provides information and guidance that you might not
25 think about. She said council members receive pocket questions for every item, and hopefully it
26 helps them make decisions.
27 Shenekia Weeks said they are using them informally and they are being used to normalize
28 this way of thinking and include it in the fabric of the town.
29 Chair Bedford asked if the department heads are using it during the meeting or if it varies.
30 She asked what the R.E.A.L. is.
31 Anita Jones-McNair said that the R.E.A.L. is actually the racial equity assessment lens.
32 She said that the pocket questions and lens are two tools that can be used.
33 Shenekia Weeks said that considering who is benefiting and who is burdened is not
34 usually part of project management. She said implementing equity is not a quick process, but
35 they want people to begin thinking about it.
36 Paris Miller-Foushee said while they are doing this work, how can they also engage the
37 for-profit industry.
38 Shenekia Weeks said it was important to have the internal work done in Chapel Hill before
39 they began asking other groups to participate. She said the town is at that point.
40 Anita Jones-McNair said education about the issues is one of the first things that needs to
41 be addressed.
42 Camille Berry said they receive input from advisory boards. She asked how advisory
43 boards would be included in the work.
44 Shenekia Weeks said they could reach out to advisory boards again and begin the
45 process.
46 Anita Jones-McNair said they have provided training for advisory boards and commission
47 members in Carrboro. She said that OWASA is also included in the One Orange coalition and
48 hired their first ever DEI specialist.
49 Commissioner Fowler asked who created the dashboard. She noted that some of the
50 graphics were difficult to read and the use of circles did not always show information in an
51 accurate way and that a graph would be a better display.
10
1 Shenekia Weeks said they would use that feedback to make improvements to the
2 dashboard. She said that they are in the process of getting the data out, but it will continue to be
3 updated.
4
5 2. Behavioral Health Diversion Facility Update
6
7 In April 2019, more than 30 community stakeholders from the criminal justice system,
8 healthcare, behavioral health system, and housing came together to participate in an Orange
9 County Sequential Intercept Mapping (SIM) Workshop facilitated by the North Carolina
10 Department of Health and Human Services. The SIM process is designed to inform and address
11 community-based responses to the involvement of individuals with behavioral health issues and
12 intercepts with the criminal justice system.
13
14 One of the gaps that was identified through this analysis was the need for a Crisis/Diversion
15 facility to divert individuals in behavioral health crisis from the criminal justice system and the
16 Emergency Departments at UNC Hospitals to a more appropriate and less expensive setting.
17 Later in 2019, a Crisis Diversion Facility Subcommittee was formed and tasked with developing
18 recommendations and a plan for a dedicated facility.
19
20 In December 2022, the Orange County Board of Commissioners approved a contract with CPL
21 Architects and RHA Health for$172,325 to provide preliminary/advanced planning services
22 necessary for the development of a Crisis Diversion Facility serving Orange County residents.
23 The scope of work included a review of existing planning and development information, and the
24 development of programming documents, a preliminary/ schematic design, site requirements
25 and budget estimates. The culmination of this work was presented to stakeholders during two
26 engagement sessions in April 2023.
27
28 The preliminary conceptual design represented a 29,000 square foot facility designed to offer
29 Behavioral Health Urgent Care services for assessment, stabilization, treatment, peer support
30 and discharge planning for patients experiencing a Behavioral Health crisis, such as for mental
31 illness and substance use disorders. Behavioral Health Urgent Care Services are intended to
32 be available for patients 4 years old and older. The facility is also designed to provide Facility
33 Based Crisis services for adults for up to two weeks and will include security required for some
34 patients and for justice-involved individuals. The facility will provide Behavioral Health crisis
35 services to walk-in patients on a 24/7/365 basis and offer associated urgent, but non-critical,
36 medical care if necessary. Finally, the facility will include a peer living room, a resource
37 information center and will provide space for partner agencies that support housing, social
38 services, food insecurity, harm reduction, domestic violence and sexual assault survivors and
39 many other critical determinants of health and well-being.
40
41 The Orange County Board of Commissioners approved $2,047,155 for design services in
42 FY2023-24. The County's Capital Investment Plan anticipates a total construction budget of
43 $22,952,845. The County is currently conducting due diligence on a potential site located in the
44 Town of Hillsborough and has begun working with Town staff on the appropriate entitlement
45 process. The County is also working with subject matter experts, including Alliance Health, on
46 calculating the cost of ongoing operations. Behavioral Health Urgent Care Services are not fully
47 billable services on public or private health care plans, so an operating subsidy will likely be
48 necessary without changes to those health care plans. That subsidy is currently estimated to be
49 approximately $2.8 million annually.
50
51 Additional information is available at https://orangecountync.gov/3168/Crisis-Diversion-Facility.
11
1 Staff will provide any other information at the meeting, and the governing boards can discuss
2 issues and provide feedback to staff related to this item as necessary.
3
4 Chair Bedford introduced the item and Orange County staff involved in the development
5 and planning of the behavioral health crisis diversion facility: Travis Myren, Deputy County
6 Manager, and Cait Fenhagen, Criminal Justice Resource Department Director.
7 Travis Myren made the following presentation:
8
9 Slide #1
f
ORANGE COUNTY
NORTH CAROLINA
Update on Behavioral Health Crisis
Diversion Facility Planning
Assembly of Governments Meeting
January 22, 2024
10
11
12 Slide #2
Timeline
• April 2019—Sequential Intercept Mapping (SIM)identified gaps in crisis services
• November 2019-Crisis Diversion Sub-Committee of the Behavioral Health Task Force
created
• December 2022—Board of Commissioners approved contract for preliminary planning and
cost estimates
• April 2023—Conceptual Plan presented to stakeholder groups
• June 2023—Board of Commissioners includes costs for architectural design and
construction in the 2023-33 Capital Investment Plan
ORANGE COUNTY
2 NORTH CAROLINA
13
14
15
12
1 Slide #3
Gaps Analysis — Sequential Intercept Mapping (2019)
• Access to community-based crisis services • Discharge planning
System capacity — Neither Detention Center nor Emergency Department
Exclusionary criteria specializes
— Long wait times
Limited discharge planning and support
• Other opportunities
Expand access to Medication Assisted Treatment
Options for diversion — Expand peer support
— Law enforcement — Facilitate transition to community resources
— Emergency service providers/EMS
— Current default to Detention Center or Hospital Emergency
Department
• Access to appropriate clinical services
— Detention Center medical services not designed for
behavioral health crisis intervention
Detention setting inappropriate and may exacerbate
symptoms
ORANGE COUNTY
3 NORTH CAROLINA
2
3 Travis Myren said that one significant gap was a detailed discharge plan for individuals
4 leaving the detention center or emergency department. He said that individuals need a "warm
5 hand-off' to a community provider to help them live in an outpatient setting.
6
7 Slide #4
Context
Creating a Crisis Continuum of Care
■
�. ='.._ .
• Crisis Diversion Facility Mission
To enhance Orange County crisis services to hest facilitate deflect ionldiversion of individuals experiencing a
Behavioral Health crisis(Mental Health andlor substance Use Disorder)from either hospital-based emergency
departments or the crlminal justice system.
a ORAtNGECOUNTY
NA
9 Travis Myren said there is a draft agreement with the Town of Chapel Hill for a mobile
10 crisis project called Cares. He said there will be a crisis counselor in the 911 call center who can
13
1 help those experiencing a mental health crisis. He said if the individual needs to be transported,
2 they will be taken to the behavioral health crisis diversion facility.
3
4 Slide #5
Services
• Behavioral Health Urgent Care
• Serving individuals 4 years old or older
• Less than 24 hours
• Provides assessment,stabilization, peer support,and discharge planning
• Facility Based Crisis
• Serving adults
Up to two weeks
• Additional time for stabilization and treatment in a secure setting
• Peer Living/Resource Center
• Serving everyone
• Resources and space for partner agencies that support housing, social services,food security, harm reduction,
and domestic violence intervention
ORANGE COUNTY
5 NORTH CAROLINA
5
6
7 Slide #6
Building Program
• Front Entrance and Waiting Area
• Rear Entrance
Behavioral Health Urgent Care
• Adult Facility Based Crisis .Mm s
• Medical Areas
• Security
• General Purpose
• Community and Resource Area
ORANGE COUNTY
6 NORTH CAROLINA
8
9
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14
1 Slide #7
Floor Plan
FACILITY JFG =MEAREI478V
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INTAKE.TRIAGE.
AOMINI STRATTON A SUPPORT
FRONT ENTRANCE -
E riARING
RESOURCE AND - a
COMMUNITYCENTER
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ORANGE COUNTY
NORTH CAROLINA
Z
3
4 Slide #8
Arrivals by Community Partners
Estimated 365 PERCENTAGE OF ARRIVALS BY COMMUNITY PARTNER
Behavioral Health
EMncrvency Medlcai
Visits per Month
• Before a Crisis
• During a Crisis
• After a Crisis
IVC's and E�Referrals
�3°+� Law EniRrcemenl
2d°I.
Criminal Justice Chlld and Adolescent
9Y" Services
8ti
�1
ORANGE COUNTY
NORTH CAROLINA
5
6
7
8
15
1 Slide #9
Expected Benefits
• Emergency Medical Services Community Support Programs
Law medical clearance due to non-critical medical services — Transition From Crisis to stability in community
— Dedicated rear entrance for first responders — Discharge planning to service providers for ongoing
Five minute transfer time,compared to 50 minutes today treatment,housing,employment,insurance,education,etc.
— 70 episodes per month
• Criminal Justice System
Law Enforcement — Support for diversion and reentry programming
Clinical assessments for judges
— Five minute transfer time — Video cnnferenring for cnurt appearances
— Video conferencing with Magistrate when necessary
— 85 episodes per month
• Emergency Department and Inpatient Care
Detention Center — Reduces Emergency DeparimenI overcrowding and higher
cost of care
— Offers options for justice involved individuals — Decreases lengths of stay for acute care(37 hours)and
— Limits bookings and jail bed days wait tinges for transfer to inpatient services(68 hours)
Potential cost savings of$10 mi[lion annually
• Child and Adolescent Services
— Safety and clinical assessments
30 episodes per month
ORANGE COUNTY
9 NORTH CAROLINA
Z
3
4 Slide #10
Cost Estimates and Current Status
• Cost Estimates
— Architectural Design $2 million
— Construction costs $23 million
— Annual operating subsidy $2.8 million
• Current Status
- Impact and Benefits Report
- Continuing to refine operating costs and revenue sources
- Conducting site due diligence
- Working with Town of Hillsborough staff on entitlement process
— Request for Qualifications for Architect
ORANGE COUNTY
10 NORTH CAROLINA
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6
7
8
16
1 Slide #11
Questions?
2
3 Amy Ryan asked if the county was approaching community partners, such as UNC, to
4 share in the cost of the facility.
5 Travis Myren said UNC is aware of the project and of the funding needs.
6 Chair Bedford said the emergency department has two doctors on the committee.
7 Travis Myren said one need is non-critical medical staff to lower medical clearance barriers
8 and they are hoping for a medical provider who might be willing to donate time and services.
9 Kathleen Ferguson asked if the vision for the facility is to be a central integrated facility to
10 serve as a building block.
11 Travis Myren said the facility can serve the unhoused population, but it is not a long-term
12 housing solution.
13 Kathleen Ferguson said it looks like it lays a foundation for future expansion, and she
14 asked if there has been consideration given to that. She also said the property being used for the
15 facility is in the Hillsborough EDD, which would mean this property would not generate tax
16 revenue. She asked Matt Efird,Assistant Town Manager for Hillsborough,to describe the property
17 and why it would not be a good commercial property.
18 Travis Myren said the site is close to the hospital and to UNC urgent care and is ideally
19 situated right off the interstate.
20 Matt Efird said it is partially zoned in the Hillsborough economic development district and
21 the other part is unzoned. He said that in a high-level review of the site there are flood and sewer
22 restraints that make it an unlikely site for commercial development. He said the county is one of
23 the parties that could use it.
24 Kathleen Ferguson said she wanted to make sure the public understood the features of
25 the property.
26 Mayor Bell asked if the unhoused population could use the services at the facility.
27 Travis Myren said anyone can access services on a walk-in basis, 24 hours a day, 7 days
28 a week.
29 Mayor Bell asked if there would be a management company that operates the facility.
30 Travis Myren said the contract would be with a provider through Alliance Health.
31 Danny Nowell asked how the property would be integrated with transit services.
32 Travis Myren said transportation is one issue that they have not entirely figured out yet
33 and he does not have a complete answer at this time.
34 Commissioner Fowler asked for clarification that behavioral health urgent care is not
35 covered by behavioral health or physical health insurance.
36 Travis Myren said that was correct.
37 Chair Bedford said that they will bring this up at the legislative breakfast.
17
1 Kathleen Ferguson asked if the site would have sidewalks. She also said that in other
2 states, there are private behavioral health facilities. She asked if anyone knew how those facilities
3 are funded.
4 Travis Myren said he is not aware of how facilities in other states might be funded.
5 Kathleen Ferguson said she would find out.
6 Paris Miller-Foushee said this is a game changer, but she was disappointed that there was
7 not more involvement from UNC. She said they are an important part of the success of the facility.
8 She also said this could be a game changer for public safety in the community. She asked Cait
9 Fenhagen to comment on that.
10 Cait Fenhagen said the criminal system has embraced this because the detention center
11 has become a de facto mental health facility and law enforcement has to focus on mental health
12 crises rather than criminal activity. She said law enforcement has been involved every step of the
13 way. She said court stakeholders will be able to use the facility to get forensic evaluations. She
14 said they have all been part of the conversation.
15 Melissa McCullough asked if the financial savings could be leveraged to improve access
16 to funding.
17 Travis Myren said the time saved for law enforcement and EMS will improve availability.
18 He said the ambulance will not be tied up at the ED for 30 minutes due to a drop off for mental
19 health.
20 Camille Berry referred to the mission statement for the facility:
21 To enhance Orange County crisis services to best facilitate deflection/diversion of individuals
22 experiencing a Behavioral Health crisis (Mental Health and/or Substance Use Disorder) from
23 either hospital-based emergency departments or the criminal justice system.
24 She asked if it was necessary to stipulate from where individuals would be diverted from (the
25 hospital emergency departments or criminal justice system). She asked if the mission statement
26 could be amended to state:
27 To enhance Orange County crisis services to best facilitate deflection/diversion of individuals
28 experiencing a Behavioral Health crisis (Mental Health and/or Substance Use Disorder).
29 She asked why there are limitations to the statement.
30 Travis Myren said that currently, those two spaces are the two areas where people
31 experiencing a crisis usually end up.
32 Cait Fenhagen said people sometimes go to Durham or Wake Counties. She said when it
33 is serious enough and law enforcement is involved, they can go to the emergency room or the
34 facility.
35 Camille Berry said she is trying to understand why it is limited to people in those two
36 situations.
37 Chair Bedford said it is not limited and anyone in Orange County can access the services.
38 Camille Berry asked if it is necessary to have that language in the mission statement. She
39 said she just wanted to be clear. She asked if there is a similar facility in Greensboro and if staff
40 looked at how they function.
41 Cait Fenhagen said yes. She said the chair of the Crisis Diversion Facility Subcommittee,
42 Tony Marimpietri, did research on all of the facilities in NC. She said they have used a lot of
43 information about them. She said the Buncombe County facility is probably the pre-eminent facility
44 in the state that they modeled after, but every community has different needs.
45 Camille Berry said there is a behavioral health institution that issues grants and was
46 looking for ways to award funds.
47 Cait Fenhagen said Alliance has been at all of the meetings and has been very engaged.
48 She said the legislature recently gave a lot of money for behavioral health services and the DHHS
49 is responsible for allocating those funds. She said they have already submitted information to the
50 MCO about the mobile crisis pilot and the crisis diversion facility.
18
1 Commissioner Portie-Ascott asked how success would be determined. She asked if it
2 would be having all of the beds filled each night and no one going to the detention center.
3 Travis Myren said that might not be realistic. He said that they will use performance
4 measures from the impact and benefits report. He said that there will hopefully be an outcome
5 measure of decreasing crises in the community overall.
6 Commissioner Hamilton said she was excited about the possibilities and interested in how
7 it is ultimately funded. She said in the future she would like to see information on staffing levels
8 for the facility. She said that in order to have a 5-minute transfer time, that means people must
9 be there.
10 Travis Myren said he would get that information for them.
11 Kathleen Ferguson asked if corporate sponsors or naming rights had been considered for
12 the project.
13 Travis Myren said they had discussed partnerships with foundations.
14 Kathleen Ferguson said there are corporations who would invest significant money into a
15 project like this where there are clear benefits.
16
17 Wrap-Up
18 Mayor Anderson thanked staff for the presentations and expressed excitement for the
19 behavioral health crisis diversion facility.
20 Mayor Foushee thanked staff and elected officials for attending the meeting and for putting
21 together information and presentations.
22 Mayor Bell thanked everyone for taking the time to attend the meeting and staff for putting
23 together the presentations.
24 Chair Bedford echoed the mayors' comments. She said that she and the mayors wanted
25 to find topics that were interesting to attendees, and she was appreciative of everyone taking the
26 time to meet. She said it was good for everyone to meet face to face and get to know each other.
27
28 Adjournment
29
30 As there were no further items on the agenda to discuss, the meeting was adjourned at
31 8:31 p.m.
32
33 VOTE: UNANIMOUS
34
35 Jamezetta Bedford, Chair
36
37
38 Recorded by Laura Jensen, Clerk to the Board
39
40 Submitted for approval by Laura Jensen, Clerk to the Board