The URL can be used to link to this page

Home My WebLink AboutORD-2024-019-Approval of Budget Amendment #11-B to Fund the Mobile Crisis Team Pilot (CARE) with Grant Funding Awarded to Alliance Healthcare ORD -2024- 019 r ® W 1 ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date : June 18 , 2024 Action Agenda Item No . 8 -w SUBJECT : Approval of Budget Amendment # 11 - B to Fund the Mobile Crisis Team Pilot ( CARE ) with Grant Funding Awarded to Alliance Healthcare DEPARTMENTS : Emergency Services , Criminal Justice Resource ATTACHMENT ( S ) : INFORMATION CONTACT . Survey Submitted to NC DHHS by Alliance Kirby Saunders , 919 -245 - 6123 With Scope of Services and Funding Kim Woodward , 919 -245 - 6133 Requested Caitlin Fenhagen , 919 -245 -2303 Email from Alliance Healthcare with Notice of Award Draft Agreement between Alliance Healthcare and Orange County c Year-to - Date Budget Summary • - - ea 11 B to provide rant funding for the two r I' PURPOSE . To approve Budget Amendment # p g g y Mobile Crisis Pilot : the Crisis Assistance , Response and Engagement ( CARE ) Team , in collaboration with Alliance Healthcare and the Town of Chapel Hill . BACKGROUND : Orange County in collaboration with the Chapel Hill Police Department , is conducting a two -year- long Mobile Crisis Pilot program with the mission to provide a more appropriate response to certain 911 calls . The Crisis Assistance , Response and Engagement ( CARE ) Team consists of a Crisis Counselor embedded in the 911 Call Center and a mobile team that includes a Crisis Counselor , an Emergency Medical Technician and a Peer Support Specialist . The unarmed Team will respond immediately in lieu of law enforcement to behavioral health and low level , non -violent offense 911 calls as designated by the Chapel Hill Police Department and the 911 Call Center . The program seeks to increase therapeutic interventions and direction to resources while ensuring the safest and best immediate response . The two -year Pilot phase will initial ) serve only Chapel Hill 911 calls and includes an evaluation Y p Y Y p of the Pilot being conducted by UNC ' s School of Government Criminal Justice Innovation Lab . The CARE Team was established in March 2024 and launched officially in collaboration with the 911 Call Center on May 6 , 2024 . Between the CARE Team ' s official start on May 6th and June 3rd , the mobile team has responded to 213 events and 57 individuals who would have otherwise required a law enforcement response . The goal for the CARE Team is to be operational county- wide in Fiscal Year 2025 - 26 with the participation of all law enforcement agencies . The CARE team Fiscal Year 2023 -24 funding was previously approved as a joint commitment between the County and the Town of Chapel Hill . Fiscal Year 2024 -25 funding was recommended Is",, by the Orange County Manager and the Chapel Hill Town Manager . Below is a break- down of the annual funding and start- up costs needed to support the Pilot : Mobile Crisis Pilot Operation Ex enses ANNUAL EXPENSES AMOUNT RESPONSIBLE PARTY EMT Salary and Benefits $ 75 , 173 Orange County 911 Call Center Crisis Counselor $ 86, 388 Orange County Salary and Benefits Mobile Crisis Counselor $ 78, 683 Chapel Hill Salary and Benefits Peer Support Specialist $ 58 , 700 Chapel Hill Salary and Benefits Training $ 5 , 000 Chapel Hill and Orange County Harm Reduction Supplies $ 20, 000 Chapel Hill and Orange County Medical Supplies and Client $ 20, 000 Chapel Hill and Orange County Needs Gas and Vehicle Maintenance $ 3 , 500 Chapel Hill and Orange County START UP COSTS AMOUNT Equipment $ 8, 000 Chapel Hill and Orange County ( $ 2 , 000/ per team member) Vehicle Lease $ 10, 000 Chapel Hill and Orange County Uniforms $ 2 , 000 Chapel Hill and Orange County ( $ 500/ per team member) UNC School of Government $ 50, 000 Orange County and Chapel Hill Criminal Justice Innovation Lab Evaluation Annual Operating Costs $ 347 444 Start Up Costs ( Equipment, Evaluation , $ 70, 000 Uniforms, Vehicle expenses ) In January 2024 , Alliance Healthcare submitted a survey issued by North Carolina Department of Health and Human Services , Division of Mental Health , Developmental Disabilities , and Substance Use Services ( NC DHHS DMH / DD/SUS ) for crisis services projects in the LME - MCO catchment areas . NC DHHS was seeking information about crisis service projects that already existed , were in the design phase or planned future projects to help inform them of budget funding priorities . In collaboration with Orange County , Alliance Healthcare submitted a lengthy survey regarding the CARE Team proposal . On May 6 , 2024 , Alliance Healthcare was notified that the NC DHHS ( DMH / DD/SUS ) was awarding funds to Alliance to support the Orange County Mobile Crisis Team Pilot as follows : FY 2023 -24 : Start- up costs of $ 142 , 000 , and $ 87 , 500 in start- up operational staffing costs for a total of $ 229 , 500 in non - Unit Cost Reimbursement ( UCR) funding . • Non - UCR funding will allow time to determine the level of potentially billable service , and ensure service delivery can work within the confines of Care Team criteria as designated by the Chapel Hill Police Department and 911 Call Center , as well as eligibility levels of service recipients . FY 2024 -25 : $ 350 , 000 annual operating costs . UCR vs . Non - UCR to be determined . Budget Amendment # 11 - B creates the following grant ordinance in the Multi -Year Grant Fund : DHHS CARE GRANT ($579, 500) - Project # 71501 Revenues for this project : Current FY 2023 -24 FY 2023 -24 FY 2023 -24 Amendment Revised Grant Revenue $ 0 $ 5791500 $ 5793500 Total Project Funding $ 0 $ 5791500 $ 57 % 500 i Appropriated for this project : Current FY 2023 -24 FY 2023 -24 FY 2023 -24 Amendment Revised Expenditures $ 0 $ 579 , 500 $ 579 , 500 Total Costs $ 0 $ 579 , 500 $ 5795500 FINANCIAL IMPACT : This amendment increases the authorization in the multi -year grant fund by $ 579 , 500 . 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 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 use and domestic violence . This initiative seeks to promote and ensure a community network of basic human services and infrastructure that maintains , protects , and promotes the well - being of all County residents . ENVIRONMENTAL IMPACT : There are no known Orange County Environmental Responsibility Goal impacts associated with this item at this time . RECOMMENDATION ( S ) : The Manager recommends that the Board approve Budget Amendment # 11 - B to include $ 579 , 500 in a Multi -Year Grant Fund to support the start- up , operational and evaluation funding for the Mobile Crisis Team Pilot . The Town of Chapel Hill will invoice Orange County for payment of its share of the individual and joint expenses , and Orange County will provide copies of invoices , payroll and all expenses to Alliance Healthcare to ensure funds are being used for allowable expenses . The Manager also recommends that the Board approve the Draft Agreement for the Manager' s signature subject to any modifications made by the County Attorney .