UnGovr Transcript
iHow this transcript is madeUnGovr transcribes the official recording with automated speech-to-text, separates speakers by voice, and matches voices to the seated roster. Names and attributions are AI estimates and may contain errors.Verify any quote yourself: click anywhere in the transcript and the official video jumps to that exact moment, so you can check any quote against the recording.0:00 – 0:031 turns
Good evening, everyone. Hello. The . . Hello.
0:03 – 0:0912 turns
Good morning, everybody. I'd like to call this meeting together for the budget workshops for Santa Barbara County Board of Supervisors for fiscal year 2019-2020. Madam Clerk, can we get a roll call please?
Ms. Hartman? Here. Mr. Adams?
Here
Mr. Williams? Mr. Hart? Here Mr. Lavinino?
Here
Let the record reflect that Supervisor Williams is absent
So we've heard from the public about how they would like more input on our budget hearings and the way that we go about this workshop. So what we'll be doing is, we'll be receiving public comment after each departmental item. We will also have public comment after our general overview just to heads up on behavioral wellness. We're gonna group that public comment together though As you notice, we have behavioral wellness including AOT update and then mental health diversion efforts as a special issue.
But we'll group all that public comment together before we go on to public health. So we do have general public comment to begin the day. Madam Clerk, how many requests do we have?
Chair Lavinino, members of the board, we have one request to speak on general public comment. And that is- Nope,
now we have zero.
Chair Lavagnino, members of the board. We still have one request to speak and that's Ed Kolaski.
Oh okay. Mr. Kolasky.
I'm glad I'm not zero. Thank you. I call my talk today every day I have to live with this. It's been five years now When we presented our project before the Board of Architectural Review, it was pretty clear that all the stuff we went through was just totally a bunch of worthless hoops. You know, we did things, everything... We took pictures of all our neighborhood houses. We did everything the board requested and it basically had nothing to do with getting approval. It's frustrating that they have to do all that for nothing Absolutely nothing wasn't even a consideration.
We went down the 5th meeting. I'd already kind of been warned at the 4th meeting that we were supposed to have made a donation or made an extortion payment. We didn't do that and that seems to be the problem here. We had all seven members of the Board of Architectural Reviews sitting before us, and Alex decided that he wasn't going to show them what we had presented. So my architect's holding the drawing and we sat down and they voted against this. They said we did no changes when we added 300 square feet to a 400-square foot project and kicked us out.
15 seconds. Half year of work, out the door. This is the drawing there that shows our second story is not located solely over the garage. Alex ruled that it is solely over the garage. Therefore, it's in violation of 4.7 which is just a lie. Then we went to the PC to show them this and the PC couldn't understand how that's solely over the garage when it's not solely over their garage so they just basically said whatever SBAR said was fine with them.
It's your fault you didn't make the extortion payment. So then we came here before the Board of Supervisors, unfortunately at that time Janet Wolf was not only on the board but also the chairman and that was a hopeless situation. We appealed to Janet Wolf and that was like it's your fault you didn't make the payment I don't know what the payment was then, but later on I got the indication that eventually they would settle for $1,000. But you can't trust Alex.
If you give him a thousand dollars he could take the thousand and walk in tough luck. It's kind of like our fault that we didn't know that you're supposed to make a donation. So here I am, five years later and we're going to try again. You know, we went through all these little episodes where first we get kicked out then somewhere along the line they send the guard at me with his nightstick and horrified the members and they said okay well have a special meeting and we've had a special meeting we had Dr. Russell there All that. Yeah, just submit anything and we'll approve it." Well, that wasn't the case. And then we went on and had another meeting and yeah, just present your drawings and you'll be fine. Mr. Klasky, you're over your time. That wasn't the case.
Okay, thank you. Thank you.
0:09 – 0:242 turns
Okay, that takes us to our first item which is our CEO's report.
Good morning Chair Lavinino, board members. Today we begin a week of presentations of our fiscal year 19-20 budget themed honoring our commitments and transforming our future and I'm going to talk this morning and give you some context and then turn it over to Jeff Frapp while our Budget Director and Assistant CEO who will speak more specifically about the preliminary budget.
But before I begin, I do want to thank our departments and their fiscal officers, many of whom are here today. Betsy Schaefer, our auditor controller, and her assistant auditor controller Ed Price and their staff led by Kyle Slattery and Robert Geis. And finally my budget research team, Paul Clemente, Richard Morgantini, A.J. Kinoveva, Rachel Lipman, Wesley Welch, and Stephen Yee led by Jeff Frapwell.
So thank you to all of you. It's been a lot of work, budget is a year-round process and it culminates with a milestone today which is our budget workshops. Our purpose this week as you know is to hear and discuss departments preliminary budgets and work plans and also hear about multi departmental special issues to receive input from your board and from the public and lastly at the end of each day or on Friday You can provide me with direction on your priorities for funding or work initiatives that you would like to see included in next year's budget. This week there is no final decisions, we will return in June at the budget hearings with the recommended budget for your final approvals.
But before we begin I want to give some context A.J., could you move the slide? Thanks. Next year will mark actually 10 years since we've been, 10 years since the Great Recession and in looking back 10 years I decided to look back actually 20 years to give some historical context and see our pattern in Santa Barbara County. And what I saw was that we have greatly, we've been greatly impacted By changes in the economy, by changes in the business cycle and by changes in state and federal funding. But it's also clear that in this time the county has made significant progress on many huge endeavors. And while there is still very much more for us to do we've managed to do quite a lot and some challenges continue to resurface.
So 20 years ago 1999-2000 budget. Yes, we were partying like it was 1999 because it was 1999! We were doing well. The county was on an upswing. We were starting to seriously fund our strategic reserve setting aside funding for infrastructure and enjoying lower pension costs. We are recovering from a recession that occurred in the mid 1990's and at that time there was low property value growth and we had no strategic reserve set aside at that time Measure U, however, was put before the voters and failed. And that was a sales tax measure to fund a new jail in North County.
In the recommended budget, the CEO's message read in part, the county's economic situation has improved. We've been able to maintain the programs and service level commitments of past years while beginning to embark on new program initiatives such as dealing with mentally ill inmates. At the same time, the county remains vulnerable to the impacts of an economic downturn and to policy whims of future state legislatures.
With these risks in mind we have emphasized the need to continue to build our strategic reserve." And then 10 years later 2009-2010 the party ended. We were in The Great Recession and many of our staff and some board members here will recall what the county went through during that time Property growth fell to less than 1%. It was .84% actually. And actually even though the recession officially ended in 2009, the county would not see property value growth beyond one and a half percent until 2013-14.
So it was time before we actually felt that we were out of the recession. That budget of 2009-10 included 12.9 million in reductions and 138 position eliminations. Because one time funding had been used, the issue grew even larger in the following year with the CEO then citing a $72 million gap to close in 2010-11. Pension costs jumped to more than 39% of payroll and again a sales tax measure was put before the voters to fund a new jail in North County and it failed to receive voter approval.
So since then we've enjoyed steady growth, although it's not as vigorous as before the recession. And if you look at this chart on the left, this is from the assessor's office and shows annual growth in the value of the secured property rule. Before the recession values were between 6 to 11% a year in growth. After the recession, growth has been in the four to five percent range. I mention this because as you know our discretionary revenue is based largely on our property tax revenue and it's a good marker also of how the economy is doing in general.
Staffing levels today are not much different than 20 years ago we have about 4200 employees however it reflects expansions primarily in state and federal programs such as the Affordable Care Act and public safety realignment or expansion of the Northern Branch Jail Therefore, many programs are operating with less staff than before the recession. Still we have been able to make modest restorations or expansions in the past to fund your board's priorities mandates and basic requirements necessary operate and we recognize that we have aging infrastructure deferred maintenance and technology needs which we're trying to address And continue to face increasing employee costs and salaries and benefits, which we attempted to mitigate in part ended with pension cost sharing agreements last year.
This is a recap of just some of the board's major commitments over the last decade. In the last 10 years, the Board has committed to funding plans to address our major projects and liabilities which have succeeded or are still in progress. In 2011 that's when we began the funding plan to fund the operations of the Northern Branch Jail. In 2012, we began shifting a quarter of all new property tax growth to the Fire District to strengthen services and improve facilities. That target should be reached in 19-20 and then hold steady with normal growth thereafter. In 2012, we began a plan to increase reserves in the work comp program which had been underfunded in 2010. And this recovery plan was implemented and completed in 2018. In 2012, the county eliminated retiree health for all new general employees and closed it to public safety members between 2013-2017.
And in 2016-17, a plan was formalized to pay down the unfunded liability by contributing 4% of payroll annually. That means this plan would eliminate the unfunded liability by 2034 if all assumptions are met. In 2014, the county began the funding policy of allocating 18% of unallocated discretionary revenue for maintenance needs. And in 2016, the strategic reserve was fully funded. This was the first time we were able to fully fund it in many years. In 2017, we fell below the target because of additional budget cuts. And in 2018, we removed funds from the strategic reserve to pay for disaster costs.
When we talk about the county's funding priorities, we don't often have a context as to the scale of those commitments. So I included this slide to illustrate that. These funding plans were put in place with no significant new sources of funding and they obligated future general fund revenue as the source and have resulted therefore in limited revenue for other needs. However, we've accomplished a great deal by having these plans in place. The blue bar on the left shows the amount of discretionary general fund dollars allocated for the fire tax shift, the northern branch jail operations and maintenance. And this is just how much has been allocated in next year's budget and it's about $35 million.
The orange bar on the right shows that this is almost equivalent to the total amount of general fund allocated to, and I've shown six departments, community services, public health, behavioral wellness, planning and development, public works and ag weights and measures. So on the one hand it shows we are good at leveraging and maximizing other sources of funds for operations such as state and federal funds, user fees and user charges grants etc.
But it also shows that during the last 10 years, why we have limited revenue for other areas and not just these departments. Departments have asked why can't I have more general fund? And from time to time they may show comparisons with other counties. My response is this, in essence this is the reason why. We've obligated 35 million annually of our discretionary revenue to these priorities. Without significantly increasing other sources of revenue. And while cannabis tax revenue is a new source, it's still highly uncertain and will take time for that market in our regulations to stabilize. But even with this funding commitment we've been able to maintain services and provide expansions in many areas.
So where are we today? Next year is actually a milestone year for the county And it's one for which the board and the county should be proud. The Northern Branch Jail, which I've discussed has been in discussion for over two decades or longer is scheduled to finish construction. The property tax shift of additional revenue going to the fire district should reach its target next year. The Tejiguas Resource Recovery Project will be under construction.
Pension cost sharing agreements that we entered into last year with our unions will result in a net reduction of our pension payment compared to last year, about $600,000. And we're not done yet. The full implementation of that pension sharing is achieved next year. Major capital improvements to address deferred maintenance and necessary upgrades are finally being planned. We brought that list to you of capital projects and potential certificates of participation projects a few months ago.
So next year we have a stable outlook with moderate increases in revenue There are no proposed service level reductions from any department, and this is the first time there have been no proposed service level reductions by any department since 2007. We see reduction in pension costs I mentioned earlier. We have included an anticipated $5.6 million in cannabis tax revenue which is a 3% increase from the current year's estimate.
Prior to workshops, I reviewed requests and allocated a few expansions to address mandates, requirements or high priority organizational needs which Jeff will discuss. And we continue to seek to address your top priorities. Some of the challenges and emerging issues we continue to see is one, recruitment retention and succession planning. I do a survey of department heads every year, and this was their top issue looking at next year. We see that HR has seen an increase of 55% in their recruitments, and with a tight labor market it's more difficult to attract candidates and to timely fill needs for departments to operate.
Changing state and federal mandates continue to be an issue. Although this year, the governor's budget is friendlier to counties. There is one area there's a redirection of 2.1 million of realigned state funding which funds critical public health needs and that's at risk. We continue to work with our state delegation CSAC and the Public Health Directors to oppose this reduction.
Technology needs including a growing need for updated infrastructure was also a top issue cited by departments Replacing and updating our core IT infrastructure isn't sexy. It's not exciting, but it is necessary for us to keep up-to-date on implementing cybersecurity and network standards. And it's also necessary to serve as a foundation if we want to run new business applications or innovative technologies.
Deferred maintenance continues to be a challenge, with over 400 million in our backlog. And Jeff will talk a little bit more about where we are in our 18% policy. Diverting mentally ill individuals from the criminal justice system has been an ongoing effort by multiple departments. There are several diversion programs in existence and we're working on more. This will be addressed later this morning as a special issue.
And homelessness, we are highlighting how we are addressing homelessness this year as many efforts are underway in the county and by our departments and regionally particularly with new state funding being allocated. This special issue will be discussed on Wednesday. So beyond next year where are we? What does the future hold? For sure uncertainty. A recession is possible and there are still varying opinions about when, how long, how severe.
And we've seen that property value sales tax and hotel taxes are greatly impacted by recessions as well as our state and federal revenues. We included the possibility of a recession in our five-year forecast which projected a slowdown to revenues beginning in fiscal year 2020-21. As you know many times because of our systems we lag a year Also, just to remind everyone while the hills of Montecito and Carpinteria show new growth in vegetation after the Thomas Fire there is still a possibility debris flow and risk for another few years.
So until we know more we continue to adhere to sound financial policies and practices to provide a buffer in case there is a recession next year. And these are allocating one-time funds for one time uses and not ongoing uses The board made a policy decision to allocate cannabis revenue first to enforcement, but after that to one-time uses. We're able to restore the strategic reserve to full funding which is projected to be $34.1 million by this year's end assuming our FEMA reimbursements are received and adding more in the recommended budget to get to full funding of $36.4 million.
We're continuing to make investments that yield returns and implement efficiencies and savings with process improvements, and partner with other agencies. And lastly the purpose of Renew22 is indeed to fortify the organization in this uncertainty, to be more resilient and prepared for the next economic or natural disaster. People have come up to me and said you know I thought Renew 22 was really a budget balancing exercise it was about the budget That's how we started it, but that's not where it is today. It's about being a resilient organization and it doesn't mean we don't or won't reduce budgets or services in future years. We may need to, but the whole effort of Renew 22 which will be in its third year next year is attempting a culture change with tangible results to ensure that we can withstand another downturn or disaster and we can effectively and quickly bounce back with less scarring and long-term strain on the organization and the community So with that, I'm going to hand it over to Jeff Rappel who will give more details on the preliminary budget.
0:24 – 0:431 turns
Mr. Chair and members of the board, let me walk you through kind of where we are in the budget development process. You'll recall in November we came to your board with a five-year forecast. The goal of the forecast is really try to look forward and see the trajectory of where our revenues are and our expenses are and determine the extent of potential funding gap In December, we came to your board and your board adopted budget development guidelines for the upcoming fiscal year.
In January, we came back to your board to address some special revenue allocation policies. February was in budget priorities and now here we are in workshops. Subsequent to our workshops, we will take the input received throughout this week and use that to formulate the recommended budget for your board's ultimate consideration at hearings in June. Let me talk a little bit about cannabis.
Cannabis was an important source of discretionary revenue for your board. We saw the first, we budgeted roughly $5.45 million in the current fiscal year. As we look forward to next fiscal year, we're projecting 5.6 million dollars in estimated revenue. You can see on the chart here that we believe will have unspent carryover from current year into next year about 323 thousand.
Adding that to our 5.6 estimate for next year gives us about $5.9 million of total cannabis tax revenues available. We're looking at enforcement costs, and this is still preliminary but solidifying we have enforcement costs about 2.8 million dollars projected for next fiscal year We have some additional allocations for tax collection and program administration, and some projects that your board approved during hearings last year from the cannabis revenue that was not spent that will be carried over in the next fiscal year. So all of that if you subtract from the 5.9 is 3.7 gets you down to available cannabis tax revenues about 2.2, $2.1 million.
At this point in the budget development process, we have not allocated that. So that is still remains available to your board to address high priority needs. Consistent with your board's direction though, we do continue to caution or recommend that these funds be allocated to one-time purposes. We know that both statewide cannabis tax revenues are volatile at best and we certainly have seen that here locally as well so we do continue that cautionary note on these revenues.
Looking specifically at the board's policy in 18% funding, let me just walk you through this chart. This policy was put in place adopted in 2014 for the 15-16 fiscal year. The green bar up top is the projected need for funding needs for our maintenance projects both in the roads and for our facilities and parks. And this was driven by largely two sources, although a couple others added to it.
The Jorgensen study took a look at what the county should be investing to maintain its current facilities and he layered that on top of what Public Works put together with respect to investment in pavement condition and those are the two main drivers of the green bar up top. So you can see that went from 16, ideal funding would be $16.5 million in fiscal year 15-16 growing to $18.7 million in the 19-20 year.
The stacked bars below show what was projected in the 2014 projection and you can see the dark color, the solid color is the amount of ongoing discretionary general fund dollars to be applied toward it. The lighter blue in each of those bars is the amount of projected one time general fund funding for that effort And you can see that as it projected throughout this five-year period.
The set of bars directed to the right in the orange colors are the amount that actually happens, so in 15 and 16 a total between one time and ongoing is $2.6 million growing as we move forward into the current fiscal year of six point or seven million dollars, sorry, an estimate actually adopted Plus in addition to that, you'll see the kick-in starting in 17-18 and moving through the remainder of these five year periods of the state SB1 funding available for deferred maintenance on the roads.
So you can see that as we look at this chart, I'm sorry, the top bar for SB1 seems to fade out a little bit in the projected version. You can see that this is the first year that we may actually hit projected number that was identified To get a handle on our deferred maintenance for the county. As we move forward and look at, when we brought to your board the five-year forecast, we also identified fiscal issues that were on the horizon for us. And I'm going to go over a series of these and just let you know how they've been addressed in the preliminary budget as it currently stands.
Deferred maintenance was identified as an estimated value of $438 million. And the preliminary budget includes 2.3 million in ongoing base funding toward these efforts, additional 6.4 million in ongoing GFC as part of the 18% funding and initial 7.2 million in one-time funding for capital projects. Under the solar projects there's about a 4.8 million dollar price tag on that project The sources of that funding for that project, 2.4 from a CEC 1% loan, about $800,000 in on-bill financing at 0%, and $1.6 million has been included in the preliminary budget to make up the remaining balance of that funding need.
We talked about it in the fiscal issues report, the need for countywide cloud based website To improve both redundancy as well as flexibility during disasters where we have a great impact on the need to push information out to our community. That half million dollars is built into the preliminary budget, as well. We also identified the need to initiate a technology replacement and investment fund This is a fund which we will identify and address key infrastructure, the upgrade and replacement of infrastructure to allow us to move forward.
And to put in place key security and network communication between departments. We've talked a lot about the need for set aside money for the main jail renovations. This project was identified a month ago when your board considered those projects to be potentially funded with a COP, so that's how that will be addressed. We've also talked in the last couple months about the need for public safety communication system replacement that has a price tag of about $48.7 million.
The preliminary budget sets aside $2 million to begin to address the portion of that project cost that won't otherwise be financeable through debt finance And so that's how the fiscal issues were addressed in the preliminary budget. There were a couple others identified, and I'll talk about those. We identify the need for jail control room consolidation in the main jail that has a price tag of $1.35 million, and you'll hear about that as the sheriff discusses his expansion requests.
Also from Sheriff, the next two, 1.34 million for data center replacement And 1.1 million for the Sheriff's co-banner MDC replacement, those are the computers that are in the patrol officers' vehicles. Not included in the preliminary budget although is important to keep on our radar screen is Public Works Department has been to your board a few times, two or three times to discuss the potential for applying for grants, federal grants.
HMGP has mitigation grant program These are for projects largely in the flood and transportation areas that could help position the county to prevent damage in future events. So this is not repair of damage from the Thomas fire or the debris flow, these are projects that help strengthen our infrastructure to withstand potential future events. Let me talk a little bit about some pieces of the preliminary budget as we currently see them. Within salaries and benefits, this is the salary and benefit cost per FTE. And you can see this chart growing to estimated FTE costs of $149,000 each.
And you can see in the blue line kind of that percentage year over year increase. So from the 18-19 to the 19-20 it's about 1.9%, 2% growth in our FTE cost Driven by a variety of things including MOU increases as well as modest increases in health benefits. We look at revenue, I was looking for the adjective to best describe our general fund revenues and I guess I would say stable.
I don't think I would use strong we'll look at that in these subsequent charts but general operating revenues about up 3.7 percent are discretionary general revenues up three point three Property tax, this is a secured role. It's 4.4% increase. Our TOT or hotel tax is 21.2 and I'll talk about that in a moment and sales tax up about 2%. If we're looking at general fund operating revenues so this is the largest number for the general fund you can see that's grown from 432.8 million to 448.8 million in the projected budget for next fiscal year And that's about 3.7% growth.
So you can see some steady increase over this five-year period. We're then going further down, drilling down into our discretionary general revenues. You can see a growth from adopted of $267.5 million to $276.4, about a 3.3% growth. The large percentage increase in the 18-19 year Is really driven by a couple factors. Largely the cannabis, so you'll see about 5 million of that total growth was five and half million was roughly cannabis and another 2 million was driven by our cost allocation plan prepared by the audit controller.
Looking as we continue to drill down into pieces of our discretionary revenue or property tax. This is the one that we tend to focus on the most, but it is the important driver in discretionary revenue and of those funds that your board has the most discretion to apply to meet priorities. You can see that's projected to grow at 140.6 million up from 134.7 in the current adopted year.
Looking at our TOT, our hotel tax and our sales tax And so the TOT tax is in the yellow color. And you can see a significant increase. In the current year, we adopted $11.2 million budget estimate and that's growing to 13.6. This is largely driven by two factors. You recall the San Ysidro Ranch which is in the unincorporated area was essentially closed to visitors for the whole fiscal year and so that was built into the projection in the current fiscal year.
are in the process of reopening and we do expect to have TOT revenue from that source next year. In addition, the Miramar long-awaited Miramar has opened and we're expecting that revenue as well so that's the primary reason for the increase from 11.2 to 13.6 million in their TOT sales taxes just continue to be stable if you look at the growth even going back to 16 17 10.2, 10.7, 11 million. Those are all just pretty stable.
No significant increases in the number of retail outlets in the unincorporated area. I want to speak a little bit about and our CEO mentioned in her earlier comments there were some key things that in our review of the budget smelts from departments We felt were important to address before we even got here to workshops, and there's five of those I want to speak shortly quickly too. One is within community services.
We continue to see an ever-increasing need for the number of nights that warming centers are open according to current policy. And so we've built in essentially doubling the amount of funds that the county puts toward this effort. So from a $30,000 to $60,000 in the increase of 30. Within human services, human resources I'm sorry. Clearly one of the key needs we have is the need to address recruitments as CEO Minnesota mentioned we have a 55% increase in number recruitments being done by human resources this is a critical need that departments have identified important for their operations and so we've added two FTE for recruiters in that department.
Within Public Defender, two adds one is for a full-time computer system specialist this is public defender was the only department in our criminal justice system of family of departments does not have a dedicated computer systems specialists and so this need was critical The department relies heavily on data and their systems to manage their caseload. And this was an important investment to make.
Public Defender, the second one here as I guess it really ties the Treasurer Tax Collector. Both departments, the Treasurer Tax Collector in their public conservator ministerial role has seen increased workload, significant increased workload in the number of conservatees going through the system And the need to address that is important in order for the county to meet its mandates in this important and vulnerable population.
So while we addressed those five expansion requests pre-workshop, there are nine departments that have requests which you'll hear more about as departments go through their presentations. They're highlighted here on the chart The nine departments, that totals about 9.6 or $9.7 million in ongoing GFC requests and additional $9 million of one-time GFC. As we look forward the potential for an economic softening or recession in the out years is something that we're being mindful of.
We continue to have unmet needs that were not addressed Current budget that will need to be addressed in subsequent budgets. We will continue to follow all responsible fiscal policies and practices. We're focusing on Renew 22, to improve our systems and technology, to improve our revenues, to augment reserves, and to make sure that we're efficient in the services we do provide.
It's imperative that we are responsive to our customers and our clients, and that we retain and attract quality employees. So next step as we move throughout the workshops this week, you'll hear from departments. And departments as they're making their presentation will focus on these items. They'll have a conversation about preliminary budgets and some numbers associated with that with FTEs as well as operating revenues and expenses.
They'll be discussing emerging issues within their departments impacting their operations. They'll highlight their accomplishments in the current fiscal year Their objectives for next fiscal year will provide your board with an update on any of the new 22 initiatives that they've undertaken within their department. They'll have a conversation and discussion on performance measures, and where applicable they'll discuss their expansion requests.
In addition to departmental presentations your board will hear five special issues. And they are spread throughout today and Wednesday. The first two, AOT or Laura's Law will be discussed as part of Behavioral Wellness' budget presentation. You'll have a special issue on mental health diversion efforts. Both of those will happen today. On Wednesday we'll have an update on the Northern Branch Jail Operating Fund, the county efforts to address homelessness, and community services will present a library update.
Subsequent to workshops as we close out on Friday, we'll be taking the input that we get from your board and the public. We will use that to finalize our recommended budget which were released in May approximately a month before budget hearings so we'll have budget hearings on June 11th and 13th if necessary And our recommended actions, which we'll of course discuss again on Friday.
Really is to hold budget workshops to provide direction if any regarding items to be addressed in the CEO's recommended budget. Provide direction if any regarding special issues or other items and to make our CEQA finding. With that Mr. Chairman, we're happy to answer any questions before we launch into department presentations.
0:43 – 0:494 turns
All right do I have any questions from our board members before we get started? Well, I'll make a quick comment and then I have a couple questions. You know, I think it's appropriate at this time to thank CEO Miyasato and your entire budget team, Jeff, for the great job that you've done to get us to this point. The budget is basically a balancing act of what we really need to do and what we want to do. And most of the time that I've been on this board We haven't really even got to talk about what we'd like to do. It's basically keeping the lights on and doing what we have to do, and I think as you said in this is the first budget where we don't have any service level reductions for the first time since 2007 so we have reached a milestone that's not Doing everything that we'd all like to do.
But I think it's a time where we're at least addressing everything that we need. And I also want to say, I appreciate the board members that came before us. Some of the ones that I worked with that made some of the tough decisions and Have stuck with those funding plans, the chart that you put up that had the blue bars. I'm not sure when I made those decisions that I'm kind of glad you didn't put that blue bar up because You do see how much we tie our hands, how much this board has tied our hands but as I've said before those were some adult decisions that had to be made And I want to applaud Supervisor Adam at the time, because he forced the action quite a bit. And I know it's never the funding level of what he would like it to be or what any of us would like it to be but you know, I think the deferred maintenance that part of the blue band, the northern branch jail operations we all knew that was something that we had to do.
We all knew it was never going to get any cheaper. And then I think fully funding our fire department and the fact that we've now got this year, we're finally hitting that number is exciting to me. So I want to thank all the department heads and people have sacrificed, the employees have sacrificed to get us to this point. It hasn't been easy through some excellent leadership by our CEO and our budget team. I think I'm more excited about this budget than I have since I've been here so So I do have a few questions at the start.
So let's talk about cannabis revenue for a second, have we built in any of that 5.6? Is any of that retail or is this still just all
growing at this point? Mr Chair, the numbers that we have presented really did not incorporate retail so Depending on the outcome of your board's action in the upcoming year, that's likely to have a positive impact. But at this point it's too preliminary to make a projection.
Very good. I just wanted to make sure we weren't counting on that but it'd be nice to have at the end. Then let's talk about the TOT which is really good. I think it shows the bounce back of Montecito and Santa Barbara after the debris flow So if we just take the Miramar, do you know what that project with the triple sales tax property tax and TOT tax? If you could give me just a broad number of what that generates. I'm not sure if, I haven't asked you this before so sorry to pounce it on you right now but maybe it's something you can bring back but it's significant and it's not just another hotel. And the reason why I bring that up is and it'd be nice if we get that number later Because I want to throw this question out there too, is that what are we doing as a county?
In a city you have a Chamber of Commerce going out and you're looking and identifying locations. And you're talking to leaders in those industries letting them know that a project can be done. Now I know the Miramar took 20 years to get done. We don't wanna highlight that as a success. But I think from the time that they got serious about it to the time we got serious about it, you know, it did happen. I was at the ribbon cutting. It's actually really there and it's really generating a lot of revenue for the county. So I just want to throw that out there as well is what are we doing as a county? And we can all think about this too and get to it on Friday. What are we doing as a county to identify locations where we could have another one? How do we engage Do we have anybody in the county that is out there actively talking to leaders in that industry and finding out if this economy can sustain another resort of that size and that scale.
But I just think it's something that we need to be a little more proactive in that too, so we can talk about that as we get through. For me, that's it. If anybody else has any opening comments? Supervisor Atom. Yeah, go ahead.
Yeah well first of all thank you for the shout out and as usual I pick out something negative to say and maybe that just goes with the adult part. Compare some numbers on slides 17 and 18. And take a look at that deferred maintenance at 438 million, and then go back to slide 17 and look at our green line there at 18.7 million. And at that rate, it takes 23.4 years to catch up with and I think that we need to do better than that and hopefully we can identify some things we could do within this budget process to speed that up a little bit.
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I would agree with that. I know both of us were here though in that first year of 2015 when we were spending $2.6 million and we couldn't figure out another way to get another million in there, so I get it that it's not where it is but I'm sure glad that number hasn't stayed the same or we'd be in a heck of a lot worse position. Supervisor Hartman?
Well, this is my regular refrain that this is a three-legged stool and that the local government has stepped up. The state government has stepped up and it's time for the federal government to step up on a lot of this. And I had an opportunity as SBCAG Uh, former chair to go back and meet with legislators in Washington. And it's possible that an infrastructure bill may in fact move this year. And fortunately our member of Congress is the vice chair for the house infrastructure committee. So there is some opportunity a bright line on the horizon.
Very good before we go to public comment. I know we have one speaker. I just need more clarification on the strategic reserve balance and What the plan is this year because I thought in CEO's Miyasato's initial comments that we were going to fully fund or what's the plan?
Mr. Chairman, you're about to recall in the 17-18 budget We, during 17-18 we borrowed essentially up to $6.25 million out of the teacher reserve in order to address and respond to the Thomas fire and debris flow so that was a permanent hit to our balance in the teacher reserve. In that year we also didn't add to our teacher reserve In fact, we used a million for the 2017 storm event. So the combination of all those kind of served to bring our funding within the strategic reserve below our target number of 8% of general fund.
In the current fiscal year, we set aside an additional amount of money, $6 million potentially in the budget to continue to address the Thomas fire and debris flow. And we did not add it to our strategic reserve And so what we are doing now, since we borrowed from Street Reserve, the first monies we're getting back from FEMA on the Thomas Fire and Debris Flow will go back into the Street Reserve. So we anticipate being able to bring it to full funding in the current fiscal year based on those revenues.
So that's our expectation, to bring it back to roughly $34 million, 34 something. And incorporated in the preliminary budget is to add an additional $2.6 million dollars to that restriction to keep it at its full funding level. So, that's kind of the strategic reserve story.
So when we get to June, we should have a plan that it would be at 36 whatever million that will be at our target for what our...
Okay. It'll be by June 30th. We hope to have some better revisions for your board to consider and approve that are bringing about a 34, I want to say is 34.1. That'd be full funding for the current fiscal year. And because our general revenues are growing next year We have to take a part of part of that growth and that procedure. So upon the adoption of the budget in June for the next fiscal year, we will be at full funding.
OK. Very good. OK, without any further questions, we'll go. Oh, we do have one public comment on general overview.
Chair Lavinino and members of the board, we have one request to speak and that is Andy Caldwell.
Chair Lavinino, members of the board, Andy Caldwell with Colab. What you're doing today is just as good as the quarterly updates, but as you know we've always felt that the process is inverted. That you don't have all your information of your entire budget here, but this is the day your department heads will be making extensive comments and then when you do have all that information in June most of them have nothing to say And so we still feel though that you're kind of bowling blind or shooting blindly here.
I'm going to go back to 1992, the first year CoLab was at your budget hearings. Back then county employees were making roughly the same as an individual county employee is an individual person in the private sector but fast forward to today Your average county employee is making more than two parent family working in the private sector. And your pension contribution per employee costs more than what most people are making in the private sector.
And this has just gotten out of control to the point that, you know, you talked about the general fund contribution for things like the jail and other things that you should be doing is $35 million but your pension contributions is $143 million. You have to ask yourself how high will you let that go? Before you realize that we've got to do something different, average cost of an employee now $149,820 all loaded. The maintenance deficit on 430 million and Supervisor Hartman our complaint is like when you said the state stepped up to the plate they stepped to the plate by raising taxes.
That's not stepping up to the plate. The way you guys funded a jail, that was stepping up to the plate. You said this is gonna become a priority and towards some degree of the maintenance 18%. We're gonna take part of our growth and dedicate it. That's stepping up to the plate, not reaching further into the taxpayers' pockets because what you have here is you've got people in the private sector thinking they're serfs now.
And that you guys, the county employees are a special class of people that are earning double, triple or quadruple what they're making. They're going to be surviving on $2,000-$3,000 a month on Social Security while some county employees are going to be getting 90% of their salary for the rest of their lives. And the one thing we're complaining about this year is 750,000 for community choice energy in this budget. Third bite at the apple. It's a complete luxury as another 300,000 in climate action. Again, the state's already stepping up to that plate with mandates.
That's a million that could be going towards maintenance. Thank you.
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All right, I think that'll take us into our first departmental budget which is behavioral wellness and Dr. Glickhorn And again we'll have public comment if you want to wait We'll do behavioral wellness and then we'll do the special issue of diversion efforts and then we'll go to public comment
Good morning Chair Lavagnino, members of the Board. This morning I did a little bit of counting and realized that this is the fifth time that I brought a budget before the board so many things have changed. So we'll go through that and I might make some comments at the end. This graph shows some of the things that have changed a lot over time. Key challenges and emerging issues, we continue to see an increase in the number of clients who are conserved and the services that we provide to them and the budget impacts of those services. So this is not an easy chart to read so I'm just going to walk through it for you a bit.
When you look at obviously this is by years we start in 2012 and we go through our recommended budget for 1920. When we look at the orange bars that is showing the costs of hospitalizing our clients in psychiatric hospitals also known as Institutes for Mental Disease or IMD's The very pale blue bar is the cost of hospitalizing clients who are conserved in the state hospital.
And you can see those numbers have been growing quite a bit. When you look at the medium blue bar, we really should do different colors. That shows the costs of long-term institutes for mental disease, which are all out of county at this point. Which are long term care facilities for clients who are conserved. And then when you see the deep blue bars, which really come into play over the last few years only. Those are not considered IMD settings but those are long term care settings that are unlocked where we also put clients who are conserved.
And I think the point we want to make on this slide is that it is our obligation to serve folks who have mental health issues in the least restrictive alternative possible. And you can see that we've really endeavored to try and expand our options for those individuals over the last few years. Despite those efforts, the blue line shows the number of conserved individuals really has been increasing precipitously over the last six years or so. So we've really increased the numbers and the cost associated with those numbers.
But we have reined in some of our costs, so certainly the costs of out-of-county hospitalizations has dropped considerably. At the same time, we've increased the number of folks and the costs associated with putting conserved individuals in unlocked settings. So even though we have the budgets increasing, we've been able to have a flat budget projected from last year to next year.
And that's part of the reason we're coming to you today without any increase in costs and with a balanced budget. This is our favorite slide that we bring to you every year and we update. This is our challenges as illustrated with costs that impact the psychiatric health facility. So in this slide, the things that we want more of are in green and in blue. And the things that we want less of are in red or in orange.
So, the psychiatric health facility operates best when we are serving the intended population of individuals who are acutely ill with a mental illness and the blue along the bottom shows the number of acute days or the reimbursement for individuals who are acute when they've been declared incompetent to stand trial So these are folks that typically come to us straight from the jail and spend time in the puff.
The blue is the time in the puff where they are considered acute and actually need to be in the puff The red are admin days, which are the days that they're in the PUF and they don't really qualify for needing to be in the PUF. Yet we have no other options and aren't able to move them to a more appropriate level of care. The green bars is for folks who are not involved with the criminal justice system as ISTs so that is really our target population And those are individuals who are acutely ill. They're a danger to themselves, others or greatly disabled because of their mental disability and the green is full reimbursement for the days that they are in our facility.
The orange shows again Admin days for those non IST folks. So even though they are the target population, they also stay in a number of days in the facility because we don't have viable options to move them to outside the facility. We do see that we've been able to improve our numbers to some degree but we still have a long ways to go for better and more efficient operations at the Puff.
Other key challenges and emerging issues. You've heard me speak a number of times about the no place like home initiative. This was successfully approved as a proposition by California voters, which means we will be as a county paying into the fund that supports the development of permanent supportive housing across the state We have been proactively planning for this for a number of years. This year, our hit will be about $700,000 and then ongoing we'll have a 1.4 million dollar reduction in our MHSA revenues for about 20 years.
So we have been very conservative in not budgeting new programs to fund with MHSA because we anticipated that this was going to be an ongoing hit to our budget. So that's the first impact. Mr. Frapwell mentioned electronic health records and IT security infrastructure are really of key importance for us, and they are a huge upcoming challenge for our system. We are looking at alternative systems to address our IT infrastructure needs, and we are working on funding strategies, but we have other challenges with that as well.
In terms of other state and federal changes that might happen over the next three to five years. So we are not rushing into change our electronic health records because the entire mechanism for billing of our system may change in that period of time, and we don't want to implement a new system that would be obsolete immediately. Another challenge is a challenge that was passed along to us by the state. The state had a negative audit finding with the federal government through the Office of the Inspector General at the state level, there were $180 million disallowed. The state has passed those costs on to the county so we will be part of the general state payback of all counties To account for this state deficit, it's going to be paid back over a four year period of time.
Our total is 2.3 million which was allocated by a formula at the state level not necessarily tied to any of our audit findings and that will be paid back over four years through the 1991 realignment which was part negotiated strategy by CSAC and the CEOs. So getting to a summary of our budget, our current operating budget is $142 million point seven dollars. We're making no capital requests at this time.
Our general fund allocation is five point six million dollars. We have four hundred and three point seven FTE's Our use of one time fund for operations is 0.8 million and we have no service level reductions, no restoration requests, no expansion requests. Looking at our source of funds, the majority of our funds come from state and other intergovernmental revenues.
At 37%, our general fund contribution is 4%. We also have a lot of charges for our services at about 44%. Other interfund expenditures and transfers, and other financing sources primarily grants. This is how we use our funds about 59% of our budget goes to mental health outpatient and community based organizations. to carry out the required elements of our program through the mental health plan. 15% of our budget, and this is an increase about $21 million goes to fund alcohol and drug programs which are pretty much 100% funded through community-based organizations in this county. 9% of our budget goes to administration and support.
Our inpatient services which includes our long term care is about 12%. And our quality care management, which again is a required piece of our services is 5% of our budget. This shows our staffing summary we have grown a bit over the last few years largely because there have been significant changes on the state and federal level In terms of the requirements of what counties need to do.
To administer changes in the mental health plan and in the drug medical system, the organized delivery system. So this actually reflects a number of different policy changes and things that we need to do to ensure we're in full compliance with the funders of our organization. This is a summary of our operating revenues, and we've really grown over $20 million since the first time I came before you all.
And our recommended budget is 120 million .3. This is also showing growth in our general fund allocation over those years, and we are now at 5.61 million dollars general fund contribution. So our accomplishments for this year We've done a lot of different things. One of the, one of the key things that we were able to do this year, um, we completed our implementation of an inpatient pharmacy at the psychiatric health facility and we've completed a system wide review of our pharmaceutical procedures and have other plans to improve the pharmacy piece of our department.
We also brought together in South County all our different pieces of our crisis system. We've been expanding that significantly over the last few years, and we created what we call a Crisis Services Hub on the campus at Guy Real where the psychiatric health facility is. We now locate the majority of our crisis services there, and that's also the hub for our co-response pilot that's done in collaboration with the Sheriff's Office.
We also launched our organized delivery system for drug Medi-Cal services after a number of delays from the state, and we were able to implement residential treatment services funded for the first time by this county. We've already enrolled close to 100 individuals since launching December 1st in 2018. We've trained all our staff this last year in the duties of what it means to be a disaster worker, their roles and responsibilities and have a robust response planning for the inevitable next disaster in the county.
We had as I've mentioned a mountain of new state requirements by the Department of Health Care Services implementing our new managed care final rule and also our network adequacy requirements We anticipate that we will complete our renovations to open a new crisis residential treatment facility in North County. And we also achieved an approval rate for our PUF audit of 78%, which is up from 42% five years ago. So just pausing on that for a minute, improving our audit compliance and our program performance across the board has been a significant achievement of our department over the last four-and-a-half years.
Moving forward, planning objectives. We're looking to apply for significant no place like home funding so that we're not just paying into the state pot of money for that but we are also expanding our own availability of safe and stable housing for clients. We anticipate being able to identify a facility to build new intensive beds for criminal justice involved clients and to begin our services funded by our community corrections partnerships allocation.
We hope to implement a locked mental health rehabilitation center to help step down clients and bring them back into our community Harking back to the issues that I was highlighting for the PUF, we're hoping to be able to open that this next year. And as I mentioned, we anticipate soon opening our crisis residential treatment program in North County bringing those beds to a total of 22 in county.
We also plan to implement AB 1810 which is a pretrial felony mental health diversion program And we are actively collaborating with the hospitals in this county on system of care improvements. So, this is our renewed 22 slide. I've highlighted a few things that are in here. Don't necessarily want to read through every element of the slide but we have launched pilot co-response program which pairs law enforcement With our crisis team workers that has proven to be quite beneficial to clients who are in active crisis in the community and we're hoping to move forward with a dedicated permanent countywide co response teams.
We are really hoping that we're going to be able to work closely with the county on our paperless initiatives, including a DocuSign program and ServiceNow which we hope will improve efficiencies workflow and be good for the environment by not printing large stacks of paper every time we bring things to you. We are hoping to help redesign some options for non-emergency medical transportation.
And we are, again as mentioned in the earlier slide, hoping to really work on creating a behavioral health center of care which includes mental health rehab facility services. Looking closely at the paperless system, we are instituting healthcare signature pads for all of our behavioral wellness contract based agencies. We are implementing a tracking system with our service now for all of our contracts which have multiple steps and this will help things not get lost and move more quickly.
We are looking to initiate a docu-sign for electronic signatures and we hope to do that with other county departments. Really, we want to move everything that's paper onto electronic forms so we can just be much more efficient with e-signatures, verbal attestations, telephonic signatures and other electronic strategies. We're hoping to continue to leverage our information technology systems and applications to streamline other areas, including human resources and fiscal operations. These are areas that we really want to improve our workflow.
There are a number of options that we would like to explore to improve how our clients Navigate services within the county. There is a benefit provided for all Medi-Cal clients through CENCAL that they can make appointments and have transportation. directly to scheduled appointments. We really want to improve our client utilization of this because transportation is often a problem for clients needing care.
We're going to continue to work to determine what the exact system needs are and what resources we should develop to implement a comprehensive behavioral health center, and as I mentioned, we've begun To pilot co-response. We have had four 10 hour shifts operating in South County. We have also begun negotiations with the Santa Barbara City Police Department and hope to begin co-response with them as well, and we do want to expand this service funds available to countywide and dedicated CIT teams.
I'm not going to go through all of these numbers, but we have over the past five years really implemented metrics that are measurable and can be tracked over time. We have made significant progress in being able to achieve those metrics. We do still encounter difficulties with the IST impacts on our inpatient system so we want to continue to improve discharge options so that we can reach those goals And we have been successful in reducing re-hospitalization of folks once they've come into our crisis system, including PUF.
Our clients are typically highly satisfied with our services and that goes for clients who reach out to the services themselves and to our children and families that come into our services And we've also focused a lot on making sure that individuals who call our crisis helpline are connected to services they need within the parameters defined by the state. So, we have a number of clients who get crisis services immediately upon request.
Our crisis system has been very successful in stabilizing individuals after they come into the services. They do not need higher levels of care, and we want to increase the number of clients coming directly into the crisis services overall. Our alcohol and drug programs are also successful in getting individuals to engage in treatment once they've contacted the system, initiate treatment, and then graduate completing the target goals as well.
This year we have no service level reductions. We're very pleased with that. And we'll move to this special topic on AOT. As the board recalls The board funded an assisted outpatient treatment project in response to a bill that was passed by the California legislature AB 1421. In 2016, the board approved and directed the behavioral wellness department to develop and implement an assisted outpatient three year feasibility pilot program designed to serve approximately ten persons at any given time.
The three-year pilot is funded through December 31st, 2019. That means we're in our third year of piloting this program. A total of $882,000 in funding has been allocated to the program. We expect to spend about $673 million at that point where the pilot ends in June 2019. No? I'm sorry, at the end of this fiscal year. We have 209 remaining so that will go to continue the program we believe through the end of the next fiscal year which is beyond the end of the pilot in January 2020. An additional 100,000 is available from the Mental Health Set-Aside and County General Fund Program for the 19-20 budget in case that is needed to continue operations.
What we've seen so far is about 100 referrals to the program, so that 67 of those were seen within our program. 33 were determined not to meet the criteria or were unable to be located by staff. So we have exceeded the 10 clients goal with that volume. Of the 67 people that have been seen, 48% were closed because they did not meet the full AOT criteria. 25% accepted voluntary treatment. 18% were closed because they were initially contacted but then they were unable to be located again or they moved out of the area. 7.5% have been court ordered To treatment through a OT and 1.5% we continue to attempt to engage 0% have had a settlement agreement filed on them and 0 have a court petition filed
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supervisor Hartman.
Dr. Gleickhorn, would you talk about the first one? The 48% closed because they didn't meet the full AOT. That's that's all the rest are self explanatory but could you elaborate on that?
Certainly, there are a number of very specific criteria that individuals need to meet in order to be enrolled in AOT. That includes a certain number of hospitalizations and arrests related to their mental illness. So although a number people have been referred into the system primarily by family members and law enforcement many of the people who were referred do not meet the criteria for the AOT program, so we were not able to pursue services for them through that mechanism. But one of the things that I think we're seeing with the co-response CIT program that we're doing is that we have a lot of... That is the perfect intersection of law enforcement and mental health. So folks that are referred through that mechanism don't need to meet any specific criteria like this.
So we feel like that program may be filling the gaps That this program is missing through those criteria.
And is there any formal process? I mean, what happens when you say this person doesn't meet the criteria and the parents are sort of at their wits end with an adult child? What happens then?
So our options are to refer the client into our system and try to engage the client through other mechanisms. But as I mentioned, some of the work being done by co-response is follow up on people who have interacted with law enforcement but don't necessarily meet the criteria for the program So we may be able to go out and proactively engage with individuals who have had some issues but don't necessarily meet the very strict criteria of the program.
Mr. Gazzone, you're looking
anxious. To that topic are mobile and triage individuals? I think Mr. Gazzone wants to weigh in
just a second.
Chair, just in response to Supervisor Hartman on the criteria I agree with Dr. Gleghorn's categorization of some of the triggers there are nine statutory criteria and The ones that have been problematic in filter is For example criteria number three the person is unlikely to survive safely in the community without supervision which is a pretty high bar the history items that dr. Gleghorn had discussed and Findings that the person will likely benefit from assisted outpatient treatment. So it has to be a serious condition where they're unlikely to survive in the community, also be amenable to treatment. And by the time we go through these nine things including the history of either medical appointments or certain confinement, that's what really windows down that significantly.
So this slide shows some of the other strategies that happen for individuals who may be referred into that program. But not necessarily meet the criteria. We have continued our triage and mobile staffing even after the grant ended last year, and that's part of consolidating the services in different crisis hubs in different regions of the county. And so those staff can continue to try and engage individuals who are in crisis in the community.
We've also through state funding begun to expand our homeless outreach programs Through the HMIOT grants, so essentially in North and West County we've added. Not added, we've created new staff that are specifically for homeless outreach in those regions that were unable to do before because of the lack of funding specifically for that service. So that's new state monies being implemented now in those regions.
I've mentioned several times our CIT co-response team. And then the other thing that happens as well for assertive community treatment or act level services, if someone doesn't meet AOT but we do think they might require a more intensive level of care, we can do outreach for those individuals and where they intersect with the criminal justice system are Justice Alliance Team. You can do outreach or in-reach into the jails. So even if it's not strictly AOT, we can do other things to try and reach folks who are coming to the attention of the community as having needs and not walking in voluntarily.
We also have a, we'll hear more about this later today. We have a new program that's coming up as a result of funding from again from the state. This is from the State Department of State Hospitals for AB 1810 which is really to divert felony ISTs from the state hospital. Which has grown to over 800 or 900 individuals waiting in jails to get into treatment at one of the state hospitals. So you'll hear more about that program later.
So once the pilot is completed, we'll be able to bring the results of that pilot, the full set of data including all of the admission and criteria issues to the board in spring 2020. So you'll be able to see the results of the third party evaluation and we will bring a full report on the program at that time. And then the board will be able to look at that data and make decisions regarding The program, the pilot and the results of that feasibility analysis.
So moving back to the full budget in summary We went back, this is about the first time in about a dozen years that this department has been able to bring a balanced budget forward without service level reductions. And frankly we're thrilled. Usually I'm one of the first departments to present because I'm kind of on the bad list and I'm bringing more. Today it's just alphabetical. It's B.
So we're very happy to bring you this budget and the way it's presented. We've also, you know, we've completely redesigned our crisis services over the last four-and-a-half years. We have more efficient services delivery. We have improved patient care. We have more facilities. We have more staffing. We are more options for folks in crisis and we're looking to do more with our system partners. We also have a fiscally sustainable model We continue to see increased needs for long term care and conserved clients.
And you saw earlier that both the public defender and the public guardian have budget requests related to that. The reason we didn't is because, again our positions are largely ones that we can draw revenue from the state and federal resources. And we believe we have existing positions that we can fill for those purposes. So, we didn't bring anything forward in those requests but they are very important requests so that the system as a whole can function efficiently.
No Place Like Home is going to reduce The funding for services through the Mental Health Services Act, but it should ultimately result in increased housing resources in this county. We have $2.6 million which is a non-competitive allocation for our county. We will bring each project to you as its developed so you'll be able to see what our hopes are for those funding.
And the round one for no place like home funding at the state level included $52 million that was set aside to be split between 14 medium-sized counties. Now, I will tell you that those funds were undersubscribed in the first round And we didn't have a proposal going in the first round. So it really is something to keep on the radar that we need to be very proactive and look at leveraging other county resources to put in proposals So that we can get Santa Barbara County's fair share of that $52 million. It's actually gonna be more, I think as we go forward but we need to be flexible and really proactive because they will have a certain number of rounds of funding and if we don't bring those proposals forward, we will be shut out although we will be paying in.
So those awards will be primarily, well they will be on competitive allocations. So you'll hear more about that from me in the future. So this is my life philosophy and one thing I've learned about these budget workshops is you're supposed to bring a catchy quote to finish your thing. And this is really impossible just takes a little longer Really what was said to me when I took this job was that I had the worst job in the county and it wasn't going to be possible to do everything that was expected of us. And we haven't done everything that's been expected of us, but we've done a lot. We have retired our audit liabilities.
Our systems change steering committee also has retired because we accomplished those goals. We've expanded our crisis services. We've increased our long-term care options. We've increased safe and stable housing, and we'll be coming to you in the next few weeks with a presentation to show you exactly what we've done. Our operating budget has increased over $20 million, and that's all due to the work of staff and the increased number of services and clients we've been able to serve We've expanded our drug Medi-Cal system.
We've improved our audit and program performances. We've implemented or we've improved our MHSA community planning process and complied with state requirements And then we've proactively planned to deal with the other state issues, state and federal issues that have been imposed upon us through a managed care expansion and through the organized delivery system.
We've increased our homeless services and with an eye towards other state funding for those clients, we will continue to improve, we think, the services available for these individuals. And we've done all this with the help of data and metrics to help us know how we've made the changes and where we need to continue to grow. This really has begun with the hard work of all of our staff, our line staff, our supervisors, our managers, and an amazing executive leadership team so I want to acknowledge all of them now including particularly the man to my right here who is my right hand Chris Ribeiro, our CFO who's just an outstanding job understanding the complexities of our budget and helping us reach this goal.
I also want to acknowledge our stakeholders, departments particularly the public defender, public guardian, public health all the publics Social Services, County Council, Sheriff's Office, General Services. All our CBOs that we collaborate with and the hospital organizations. And finally special thanks to CEO Miyasato, Jeff Frapwell, Terry Mosnicich and Rachel Lipman for taking the time to understand the complexities of our budget and helping us reach our goals. Thank you.
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Okay, are there any questions before we go into our mental health diversion effort special issue of the board? Wow. Well this is also a first because I kind of had like a whole half hour blocked out of questions and concerns of the board. It has been when I thought you put that quote in there just for me because When I did flip to that. I was like, OK, that's a that was pretty apropos quote it has been a heck of a ride and I the interesting part of this this department is it You know, it's it's not like a road where you pay that you're done. We're always going to be I guess there's always maintenance right supervisor and so you never done with the road.
You know, one of the areas where I have concern is when we do things and we say like, we're gonna have a 10 year program to end homelessness or we're gonna do it five year program to end poverty or whatever. Because we know you're not gonna get there but all I'm concerned about in doing this job is to make sure we do better, we continue to improve. And for me sitting on the PUF governing board and watching you and just watching this transformation over the last few years And the myriad of new services that are available to clients.
And the other important thing is, the attention to detail on the budget and how audits can severely damage what we want to do going forward and how we've really put in so many corrective actions and controls in place inside the department now that may have been lacking in the past. It's been a heck of a turnaround, so congratulations. We will also do a little budget, I mean agenda management here is that we will be taking lunch at noon and it'll be 45 minutes. And so wherever we kind of end up in this whole scheme of things, we'll take our break there. So with that, we'll just go right ahead into our mental health diversion efforts and we'll hear that and then we'll go to public comment.
1:35 – 1:522 turns
Chair Levineo and members of the board, good morning and thank you for the opportunity to talk to you about this issue. In the spirit of CEO Miyasato's discussion about 20 years ago I'm reminded that from 2000-2002 I served on a federal commission for mental health and criminal justice and the whole discussion was how to keep mentally ill people out of the system.
Here we are nearly twenty years later and we're still having this discussion But as I have said in several forums only half facetiously, I think we may be in grave danger of actually accomplishing something. The work being done by Dr. Gleghorn, by Tracy Makuga, by District Attorney Dudley, by Sheriff Brown. When I talk in a minute about some of our collaborative efforts, I think you're gonna see that we are coalescing and bringing solutions to these issues together The impact on the criminal justice system is significant. I'm not going to overwhelm you with a lot of data, but I will say that for as long as I can remember in my career, for better and for worse, law enforcement has been the first responder to issues dealing with the mentally ill, whether those persons are on the street or whether they are housed.
In addition, the issue of the number of mentally ill inmates and inmates suffering from the need for mental health services has been well discussed. And we'll talk in a little bit more about some efforts that are underway in that area. And lastly, the court system which is bogged down with people who are arrested for offenses very often tied directly to their mental health status for a variety of reasons as well as those people who are simply incompetent to stand trial.
Which simply means that they are incapable or judged to be incapable of understanding the issues that are in front of them and may not be able to actively participate in their defense. The impacts of all of this are social, fiscal and moral. Social in the sense that it causes societal angst and unease to watch people on the street who are suffering from mental illness. They often produce a sense of fear and uncertainty Even though study after study has shown that those people are far more likely to be victimized than to victimize others.
Additionally, there is a hidden population of mentally ill that isn't discussed very often and other people who live with caregivers whether they are parents or siblings or others. And often we do not know about them until law enforcement is called for one reason or another. And we'll talk in a minute about the Sheriff's Behavioral Science Unit but some of the things that they have done to try to make sure that there's adequate follow-up to that issue.
The challenge I think for government and for society is as it was 20 years ago, is to make a decision as to when armed agents of the state. It's appropriate for them to intervene in the lives of the mentally ill. There has been a compartmentalized approach to this issue which is not to say that to imply a negative connotation to that. A number of people in a number of departments have given their best professional skills with the best professional intentions to try to address this issue, but until recently have done so operating in effect on their own.
For the last year or two, the CEO's office with CEO Mirosado and Terry Malisnicic as well as the department heads that I mentioned have really been focusing on this effort of how do we bring a collaborative response to dealing with this issue And going forward for this year, as we'll talk about in a minute is my intention to sort of help coordinate those efforts even further.
One data point that's probably worth mentioning is the last line on this slide that talks about high utilizers. In the first quarter of 2015 and 16, or first two quarters of 2015 and 16 which were the last time that we have formal data on this there were 142 identified high utilizer, that is people who repeatedly came into the care of behavioral wellness And they accounted for 21% of the expenditures and services provided.
And equally concerning, I think, and you'll see another data point in a minute that will echo this, 29 of those people or just over 20% were children under the age of 18. I won't, I'm not going to read all the data points that are on the slide to you. But I do want to make the point about this issue of incompetent-to-stand trial. Going forward in February of this year for example, the 29 people that are referenced there Nine of them were charged with felonies, which we'll come back to in a second. Four were charged with misdemeanors and 16 people were under evaluation.
It is important to note that this issue of restoring people to competency ought not to be confused with treatment. Restoring people to competency simply means getting them to a place where they can understand the criminal and court proceedings that are against them. The issue of IST is important because those people who are charged with felonies are ultimately the responsibility of the state. And the AB 1810 grant that was mentioned, and I'm going to talk a little bit more about it in a minute, is an attempt by the state to see if they can deal with that backlog.
But more importantly, the people who were charged with misdemeanor crimes and who are found to be IST or being evaluated for ISD are the responsibility of the county. And they clogged the system significantly. With regards to calls for service and service demands for mental health related issues, as you can see from the slide, the number of calls for last year 2018 versus 2017 is down almost 11% for adults. But the safe alternatives for youth, which is in effect the same team that responds for juveniles, is up significantly over 16%.
One of the things that we are going to work on this year is to find a way to collect data from both the sheriff and the fire department on exactly which calls are directly related to mentally ill Mental illness that is a data point that I do not feel comfortable bringing to you because it's kind of a moving target. The issue of collaborative courts and the impact of mental health on them will be discussed in a minute, and another project for this year is to ensure that we do a complete evaluation both in terms of service and in terms of dollar expenditures How much responding to issues of mental health and people with mental illness is costing us both in terms of dollars and resources.
The departmental efforts that have been underway for some time, the Justice Alliance Program. Dr. Gleghorn made some reference to that. That program serves as a bridge between behavioral wellness and the criminal justice system and it's one of the areas, as you'll see in a second with our two major grants that are under consideration we hope to expand. The District Attorney's Office has a misdemeanor diversion program and they have been active participants Some grant the two grants which I'm going to discuss in a minute both of which are diversion related And the sheriff's office the work of behavior of the behavioral science unit not just in stepping up Which you'll hear about in a second, but in terms of following up on those patrol related calls particularly With regards to the housed mentally ill has been a significant Significant of us of significant assistance To us going forward The collaborative efforts that we have been working on, the Public Safety Working Group which came together really around two grants consists of the behavioral wellness, the public defender, the sheriff, the district attorney and probation as well as the CEO's office.
And while our focus has been on two particular grant applications that you're going to hear about in just a second, our hope is that going forward that this group will continue to meet on a regular basis and determine ways that we can interrelate with each other and strengthen the collaborative process to try to move people out of the system whether or not there's grant funding involved.
The IST, Incompetent to Stand Trial work group has been in existence for a couple of years under the direction of Assistant CEO Terry Mousnitich. It seeks to streamline the process by which people are moved out of either found competent to stand trial and returned to that process or declared definitively incompetent to stand trial and move in another direction.
As was mentioned, the people who are charged with felonies are the responsibility of the state hospital and that pipeline is significantly clogged. At a recent meeting with the state they estimated that this year there were between 800 and 1,000 people in the pipeline in counties around the state who are waiting to get into state hospitals. And in the meantime most of them are sitting in county jails and this is huge.
Huge problem. The two grants that I've mentioned, one is pending. We applied for a Prop 47 grant under Prop 47. This is actually the second round of this funding. It provides $6 million over three years. It will bring us if we are successful and we won't know about that until June, a sobering center, a crisis hub as a place for law enforcement to bring people who were found On the street, acting out or having committed crimes but maybe it's readily apparent that jail is not the best place. It will actually be a place for law enforcement to take people and then it will fund a co-response team.
One of the challenges that we are working on with both this grant and the AB 1810 grant which I'm gonna mention in a second is to collect enough data Conduct this collaborative process and ensure that when the grants expire that whatever programs we've put in place We can actually sustain and move forward which I think is a huge problem with grant with grant funding in this issue The AB 1810 grant, which has actually been awarded to us gives 3.1 million dollars over three years it involves the CEO's office behavioral wellness the public defender the district attorney and the sheriff and It is focused on diverting those people who are charged with felonies, who have either been found incompetent to stand trial or are judged likely to be found incompetent to stand trial.
And to divert them into community treatment in the community rather than sending them to state hospitals. I believe this is a pilot program that the State Hospital is looking at The community treatment options might help with that pipeline that I mentioned. The co-response issue has been mentioned several times, there's a couple of points though that I would add to this. This is sometimes referred to as the Memphis model or the San Jose model. It was used quite successfully in the city of Pasadena starting probably about 15 years ago and it's still underway today And Dr. Gleghorn mentioned the county has the co-response team that's currently a pilot, you're gonna hear more about that in a bit. The city of Santa Barbara is also in the process of developing one and there are discussions underway to coordinate the scheduling between those two teams so that we can actually impact the entire South County in a very different way than has been done previously.
The collaborative courts refer to a variety of specialized court functions that are designed to deal with people with a unique set of issues. And while it's very clear that the Mental Health Treatment Court, the Dual Diagnosis Court and the Veterans Treatment Court are specifically dealing with issues of mental illness, the Proposition 36 Courts which is a drug diversion court There's a high amount of crossover between mental health and substance abuse as a function of self-medication, and so the chances are that the impact on the court system is actually much greater than even this number would suggest.
Probably one of the leading efforts that has been underway for the last year is the Sheriff's Stepping Up Program. It's part of a national effort, and to that end The Dr. Cheryl Lee, the head of the Sheriff's Behavioral Science Unit is going to talk to you for just a minute about that.
Thank You Barney. Chair Lavinino members of the board good morning I am pleased to be able to provide the board with an update on the collaborative efforts of the Santa Barbara County Stepping Up work group. Stepping up began in 2015 as a nationwide initiative to reduce the number of mentally ill persons in jails by diverting them into treatment In 2016, the Sheriff's Office took the lead and gathered several department heads and community groups to review this initiative. And went to the board where a resolution was signed in 2016 to adopt Stepping Up for Santa Barbara County.
In 2017, the Stepping Up work group comprised of several partners including behavioral wellness local hospitals, district attorney's office, the public defender, well path probation courts and community groups. Participated in a two-day sequential intercept mapping workshop to identify and prioritize needs specific to Santa Barbara County. The work group identified several priorities for change and intercept points where persons with mental illness could be diverted from the criminal justice system, and started working on programs and projects to support these priorities.
I am proud of the work that has been done thus far and continues to be done. The Sheriff's Office in partnership with Behavioral Wellness have launched a co-response pilot program. We have expanded crisis intervention team training for sheriff's deputies, and we have also provided training for Santa Barbara Police Department, Santa Maria Police Department, Ivy Parks and Rec, probation, and social service agencies that work closely with law enforcement.
I'm also proud to say that all sheriff's deputies have received the eight hour crisis intervention team training. And we are working on having our deputies go through the 40-hour crisis intervention team training. We have started exploring a jail based medication assistant treatment program for persons who are opioid addicted. We started a data work group to refine our systems, to quantify success and explore opportunities for growth.
Behavioral wellness has worked hard to establish alternative crisis centers, and we have worked collaboratively to support each other as each agency works towards breaking down barriers and silos. To work together to address the needs of this vulnerable population and to improve the fiscal impact of these systems on the county. The stepping up work group continues to meet every six weeks to evaluate progress and continue to improve the system of care for persons who are mentally ill, and criminal justice involved. I am grateful for the opportunity to be able to share this information with you on behalf of the Sheriff's Office and our valued partners. Thank you for your time.
1:52 – 2:017 turns
Going forward, there have been a number of successful efforts and we're going to expand on these. The crisis stabilization unit is one that Dr. Gleghorn mentioned as you can see they've had pretty dramatically successful rate and I just would point out that the expansion of this I'm going to start by saying that this effort is really a key part of having important to that the co-response team has been has been discussed at some length, but I think probably the most critical data point But I want to call your attention to is 115 calls for service only four of those calls Resulted in arrests and it resulted in people going to jail Instead everybody else went to treatment was referred to behavioral sciences Was handled in in some other fashion And that I think is the model that we're striving to get.
I don't want to presume on the presentation that you will hear on Wednesday from the public defender, but I will say that her holistic defense effort are also a key part of what's going forward in this collaborative approach. With respect to our next steps, we want to formalize the Public Safety Working Group and develop policies and protocols that like as I said previously institutionalized this in conjunction with existing resources. One of the things that happens when as part of these grant requirements almost inevitably There is a requirement that a community group be brought together. But in reality, we have several groups that already do these kind of things. Stepping Up has been mentioned, the Prop 47 Local Area Committee, the Community Corrections Partnership Work Group, the people who come before this board anytime there's an issue being discussed around mental health treatment All of these people are generally a lot of the same folks, and we'd like to find a way to develop sort of a standing work group where we're talking about them.
Not in response to a specific issue or grant application but to get a continual feedback loop about how is this system working or not working? I would point out that that model was actually has been quite successfully demonstrated in the jail medical grievance process. which has shown significant success over the last couple of years because of that continual feedback loop.
We want to support the efforts of opening a mental health rehabilitation center that Dr. Gleghorn mentioned and develop a methodology for calculating the fiscal impact to the county, as I said both operationally and fiscally. And to close, I regard and CEO Miyasato regard this issue about getting people who are dealing with mental illness and mental health out of the criminal justice system as one of our priorities for the upcoming year.
I'm available to answer any questions.
Very good thank you very much. How about Supervisor Hart?
I don't have a question as much as I have a comment. I really appreciate this presentation. I think this is extremely encouraging to me, hearing about the collaboration of all the different elements of this. The Sheriff's Department, the District Attorney, the Public Defender, Behavioral Wellness and Probation all working together on this issue. Your leadership, Ms. Miyasato's leadership on institutionalizing this and really trying to break down the barriers and get all the departments to work in the silo Approach that had been in place before is what created the crisis that we're dealing with. And the only way to get out of that, that silo and cycle is to collaborate and to having these meetings institutionalized, having a meeting regularly opening up communication is really Will be successful and I just really am excited and encouraged to hear the folks that are involved in this and the level of commitment.
And the resources that are being dedicated to that, You know, when the budget's all said and done that you have everything you need to make as much progress as possible. Because as you described this is a fiscal imperative, a moral imperative and a human imperative. And one of the things that occurs to me sitting up here listening to the complexity of this is that there is a communication strategy that needs to be talked about about the group.
In describing this complexity, you do create a barrier for people to understand what we're talking about. And if we're going to include families and parents and patients in understanding the system and changing the system, reforming the system, I think we need to get away a little bit from the funding source Programmatic model of communicating to people and try and turn that into more How can we talk about what individual people are experiencing? And how we're going to get them help on an individual basis
Supervisor Horton
Couple things. Could you talk more about the high levels of youth who require services? Is that going up and what does that require us to do differently going forward?
Supervisor Hartman through the chair, I believe you're referring to the increased numbers for the safety program. So what those numbers reflect is that there are increased calls coming in from the community and also from hospitals where youth are often taken by families when there's a mental health crisis for our specialized youth teams to go in and assess what's going on and make recommendations for services. So those numbers have been growing. We did this year apply for and receive a grant from the state to put clinicians and parent partners into the emergency rooms, have them available. In each region of the county, we originally had a very robust staffing model and then the state changed their terms. So we still have a staffing model but it's not as full time and as robust as we originally wanted.
But we put that in place specifically because the hospitals were saying that they really needed more attention for the youth that were coming in so we do have clinicians and Parent partners who are folks who have been through this with their own children, who've been specially trained to intervene that are now available as part of our overall crisis response. We also have a system in place with our contractor that has the safety team. And then in after hours, our crisis hub services or crisis services in each region take over the calls in the evenings and weekends. So it's a number of different elements all working together to serve this population
Thank you. I had then just a couple of comments. First of all, Dr. Gleghorn, congratulations to you and your entire team. You weren't the only one who was anxious during budget hearings. Which ideal program would I have to drop to help fund your critical needs? And what you have done and what all your team has done is really a major turnaround And the entire county is in your debt for that.
I also wanted to talk a little bit about the co-response effort, I had an opportunity to see Dr. Lee as well as Lieutenant McCarroll talk about this at the Citizens Academy in Isla Vista and it's just an extraordinary program. I think the training that the officers have had and now this ability I just want to say thank you to all of the board members and staff for being so patient with us.
How well this was handled. Sometimes not even with the co-response team, but just better trained officers and sometimes with the co-response team. And when it goes wrong, it goes really wrong. And it's so expensive and it's such a burden on families. They're stuck in the maws of a system that they just can't get out of. And they watch their loved one just disintegrating. So this is huge, and I'm such a supporter. And I'm really, really excited to see this. And I think one thing that people don't realize—and I'd like you to just elaborate a bit Dr. Lee if you would—is that when people come to your attention as being vulnerable, as being a potential threat to themselves or others, what do you do?
2:01 – 2:087 turns
Thank you, Supervisor Hartman. How much time do we have? Okay. It really depends. I think one of the benefits of this program is each person and each family and each situation is treated individually. And so that's why I make the joke about how much time do we have. So when it comes to a deputy's attention that somebody is suffering from a mental health crisis in the community They will fill out a card called the Crisis Intervention Card.
Those cards come across my desk and we share that information with behavioral wellness, and depending on the information written on that card, we will deploy the co-response team to follow up with that person when they're not in crisis to see what else they might need to support them from having an additional crisis in the future. So we assist the deputies that are going out there and working with these folks, and we also deploy the co-response team to do what's called proactive engagements. So when the person is not acutely ill and might be in a position to have an extended conversation and build a relationship with this team, we try and do that so that this person in the community who's mentally ill So I just would like to close saying, I sleep better at night knowing about that program and that we have a network to monitor and to keep in contact with people.
And that kind of prevention should make us all feel a lot better.
All right, very good. Yes Mr. Adam?
Yeah I don't sleep that much better. Yet because I'm not sure how we're doing on an individual basis, client to client. And so and I've been asking for quite a long time for some kind of a, and this isn't the forum for it but I just don't want to see us pat ourselves too much on the back. Because, Barney asked a couple different questions. One was how is the system working or not working?
And I think the only way you can really tell that is by how many people are getting better and it's really difficult to tell from the statistics that we have here and we've talked in the past about Evaluating these programs on a client success basis and even on a clinician by clinician basis. And I haven't seen any of that, so I'd really love to do that. And then this distinction that Mr. Malekian pointed out between The restoration of competent to stand trial and effective treatment is a big one too. And it goes back to what programs work, and if the program's not a problem which clinicians are doing a better job? Can we figure out what they're doing and do more of it?
Or can we see that there's 100% of the clinicians are not, their clients aren't getting better in a particular program. And we should do less of that and divert the money over to programs that have better results. So until we start evaluating on that basis I think we're always going to be sort of undeservedly Patting ourselves on the back a little bit, I mean our department's clearly much more squared away in a financial sense than it's been. And I would expect that we go in and take a look at those statistics that I'm trying to tease out.
And we'll be happier with the performance if you could go back in time and evaluate the present success versus what we had when I came here. It will probably be, judging from the amount of consternation I've been exposed to over time, I would say that the public is much happier with the way things are being run now. And for that, I'm really appreciative to everybody at the department and Ms. Gleghorn, Dr. Gleghorn.
But I still have this nagging desire to get some actual data That says, because I'm almost certain that there are programs that we do in kind of a rote way that probably aren't as effective as other programs. And maybe there's people that need to be in those programs and that's something that we should discuss but I think we need to have a better evaluation of how we're actually doing on a person-to-person basis, so that we can make sure we're allocating the dollars which are finite to the best purpose.
Okay very good let's go to public comment
Chair Lavinino and members of the board, we have 21 requests to speak on this item. And we are going to Santa Maria first with Shauna Kahn be followed by Kathy Ortiz.
So whenever we go over 20 speakers, we generally limit our comments to two minutes. So that's still gonna give us close to an hour of public comments so if you can please limit your comments to two minutes I know we're all very interested in this and most of the people we've heard from before, so I would imagine you could probably get your Your point across in two minutes, so we will go two minute public
comment.
2:08 – 2:1410 turns
Shauna? Hello? Is that good? Yes?
Go ahead.
My name, okay. I actually had three minutes and I've never spoken before so hopefully you'll give me a little leeway. My name is Shauna and I'm a full time case worker for Behavioral Wellness here in Santa Maria. I would like you to see why funding for Growing Grounds Farm is so important. I would like to tell you a little bit about my story and how it has come full circle, and how Growing Grounds was a pivotal part of this story.
Several years ago, I was diagnosed with mental illness and at one point hospitalized due to becoming desperate and suicidal. After my hospitalization, I became a mental health client at Behavioral Wellness. I received psychiatric care and therapy During therapy we would discuss my mental health goals, my future and what recovery looked like for me. I wanted to be and feel normal again. I wanted to be useful and relearn how to connect with others. I wanted to eventually work again.
I felt disconnected and I barely had enough energy to get out of bed let alone shower or take care of my basic needs. I knew if I tried to get full-time employment that I would fail, but I still had that as a long term goal. So my therapist suggested that I start out slowly and introduce me to the Growing Grounds Farm. This is where my true recovery began. I was hired and assigned one day per week for three hour shifts. I honestly wasn't sure I could do it, but I did make it through that shift and each week I continued to work that three hour shift.
I had a commitment people were counting on me and I was reliable I gained confidence and my self-esteem improved with the kind, supportive staff. I began to feel purpose again. It wasn't only that I was working again that was healing. It was actual work that I was doing. Working with plants and watching them grow and thrive was therapeutic in healing. As I cared and nurtured the plants, I too was being cared and nurtured for. I worked hard, and I loved going home after a day's work with dirt under my fingernails and rocks in my shoes. It truly was dirt therapy.
As time went on, I began to work more shifts and was given more responsibilities. Am
I done? Trying to keep going. You're fine.
Okay thank you. Thank you. I was given more responsibilities. Eventually, a peer position opened up at Behavioral Wellness and my supervisors at the farm suggested that I apply. They once again were encouraging me to grow and because of them, I did apply. I got the job as a part-time peer at Behavioral Wellness. This job led to me getting promoted to a part-time caseworker position and ultimately full time civil service work.
As I reflect on my journey and my recovery, I know in my heart that Growing Grounds paved the way to where I am today. I honestly think it saved my life. I honestly can say that I wouldn't be here today without the Growing Grounds Farm. Today, I continue my connection with the farm and behavioral wellness by facilitating a garden group. The farm has graciously given me a small plot where I meet with ten clients to tend and grow our own veggies. This group provides another opportunity for clients to experience how working in the soil and connecting to others through community garden heals, and sometimes the clients from my group move on to becoming employed at the farm and then this cycle of recovery continues.
And that's my story.
I think that just won the award for best public comment ever. So let's go to the next person.
Our next speaker is Kathy Ortiz, to be followed by Jennifer McMurrin.
Hi, my name is Kathy Ortiz. I live, work and vote in Santa Maria. I'm here today to ask the Board of Supervisors please fund The Growing Grounds. The Growing Grounds has a special program that employs over 50 people with disabilities. This is the only kind of program in Santa Maria. As someone who lives with mental health issues, I know all too well how empowering employment can be.
Working has made a huge difference in my own recovery. About eight years ago, I was lucky enough to get a supported employment position here in Santa Maria. I worked that part time job for many years. I learned valuable skills with understanding and highly trained bosses which helped me get stronger in my own recovery. Working, giving back to my community and helping others showed me that I was able and I still mattered. I was able to find real stability in returning to work and now have flourished in my own recovery.
Without the funding from the county, over 50 people will lose their jobs and be unable to find other employment. Without these jobs, their recovery will be severely impacted. Which could end up costing the county much more with increased costs in their mental and physical health treatments. When it comes down to it we all deserve to belong to a community, to feel like we are participating and helping. Please vote to fund The Growing Grounds Farm. Thank you.
Thank you and I'm just going to make a quick announcement. So we're, we still have 45 minutes before or 50 minutes before we're going to break for lunch so we're gonna go to three minutes and I think both took over that time anyway. So is that okay Mr. Ghazani if we? Okay it's three minute public comment then we will break for lunch after this item.
Chair Lavagnino members of the board our next speaker is Jennifer McMurrin to be followed by Charles Huffines
2:14 – 2:194 turns
Good morning, my name is Jennifer McMurray and I am here on behalf of the LEAD Project in response to the county funding needed for the growing ground farms in Santa Maria. According to the California Healthcare Foundation nearly one in six California adults has a mental health need. And approximately one in 20 suffers from a serious mental illness that makes it difficult to carry out major life activities.
These numbers are staggering and indicate that if you yourself do not suffer from a mental illness, you likely know someone that does even if they have never shared the details of their illness with you. The Growing Grounds Program provides individuals paid employment for the work they do while enabling them to develop job skills and acquire work experience.
Without the farm services, those that are trying to gain control of their mental illness and contribute to society through productive employment and tax dollars will be forced to find an alternative means to learn how to integrate. Finding an alternative will not be a likely option if the growing grounds are forced to stop services as it is the only one of its kind in Santa Barbara County.
If services stop these clients who are so impacted by their illness will not be able to get jobs. Funding this program is essentially telling those that it serves that they are worthy of learning the skills they need to contribute to society. And not using the funds to keep this program going places Santa Barbara County far behind that of San Luis Obispo County and Ventura County, which both use county funds for similar programs.
Please allocate the funds needed to keep the growing gowns operating. By doing so, you are telling the people that it serves that they are important, their lives matter and that Santa Barbara County will not settle for second best to our surrounding counties. Thank you.
Our next speaker is Charles Huffines to be followed by Larry Sanders.
Supervisor Lavinino, members of the board. My name is Charles Huffines, member of the Santa Barbara County Behavioral Wellness Commission. I'm here to request funding to be reinstated to the Growing Grounds Jobs Employment Farm Program in Santa Maria to keep this program operating and to keep it from closing. This vocational farm program employs 50 people in a year suffering from mental illness.
The farm in 2015 showed that 25% of those that worked there found other work after working on the farm. Work is tied to a person's sense of wellness, sense of identity, sense of dignity and sense of self worth. Steps in recovery for mental illness is getting a job. When work, work is a critical factor in recovery. Since the discontinuation of services to clients with They were installed by the behavioral wellness people a little over two years ago.
Clients that are left with no place to go have no place of recovery and can't go back to work, they have no idea. In North County Foster Road should make the suggestion To these clients to go to the farm, to get going into recovery. MHSA goals and designate that wellness, recovery and resilience are part of recovery. If behavioral wellness can fund the RISE program and a workforce educational program with computers You can also put the Vocational Employment Forum back in business.
This program is a success, it works, there is data to prove it. It would be nice to have both Behavioral Wellness and the Board of Supervisors get together and come up with the right answer. And save this program. Thank you very much.
Our next speaker is Larry Sanders to be followed by Renee O'Neal
2:19 – 2:296 turns
Hello, thank you very much. Good morning, my name is Larry Sanders. I'm 51 years old and I'd like to share my experience with the Growing Grounds. I grew up in this community from kindergarten to college. I am a Cal Poly graduate. I have a bachelor's degree from Cal Poly. I enjoyed a decades career as a programmer at Cuesta College. I owned my own home and had a good life but my perceptions changed.
And I was diagnosed with depression, anxiety. I had a suicide attempt under my belt and then my father died by suicide and I became paralyzed with inactivity and depression. And I found myself without money, a home or a job and I gave up for seven years. I lived as a hermit and I don't know what caused it but I saw that I was critical and I went to behavioral wellness and became my recovery.
And started my recovery and Shauna actually recommended me to the growing grounds. And I didn't think that they would hire me, I was kind of surprised. I didn't have access to regular hygiene, my clothes were dirty and after years of dental negligence I had yellow teeth. I had a few teeth missing. I rarely smile, they would cover up my face and I would try not to talk as much as possible. One of the great things about The Growing Grounds is if, as I am, you have a less than ideal home situation for three hours a day that shift You are on a farm, there are chickens, there's sunshine and there's really good people to watch over you. If I have a crying bout or a spell, I can go out in the kale patch and cry on my own or Ariella will come and talk to me.
It's a really, really special place. In the time that I've been there, I have secured a checking account and savings account. I got my driver's license renewed. I'm rebuilding my credit. I got off the EBT program and the government phone program. And it led to a computer job teaching at the Recovery Learning Center in Santa Maria. And Denise over there, she cold called me to offer me a teaching position. It's just incredible, that kind of thing doesn't happen in my life.
And I got a job at CVS after working at the growing grounds for about a year and a half. That would have never been possible had I not had that experience at the growing grounds, and I fixed my smile. As a resident in this community, in my situation I need this program. It makes my life better. It works and I will hopefully continue to work there until I can support myself. And I offer my story in your decision making process to further fund the growing grounds. Thank you.
Our next speaker is Renee O'Neill and then we are going to return to Santa Barbara with Andy Caldwell.
Good morning, supervisors. It's so encouraging to hear all these wonderful things and it puts things in perspective for me because in 1991 I worked for the Central Coast Neurobehavioral Health Center and actually was instrumental in developing and implementing the state's supported employment program. I worked for the Department of Rehabilitation as a private contractor and had the highest success rates in the state, in terms of placing people with mental health issues.
I also have personal attachment to Growing Grounds. It's been one of my favorite places. I wish it was open more hours and popping by to get plants and very helpful information. The little go in and grab your produce in an honor system, I mean, I really appreciate that. And I'm a gardener myself so when I don't always have time to do that it's nice to pop over to growing grounds and get fresh produce from people that are Awesome to be with.
And on that note, I'm hearing all the different things from behavioral wellness folks and as a teacher, retired history. I'm kind of looking at the overall picture and feeling like we're addressing a lot of these issues A stop gap for problems that developed way before children got into their teens. My kids in school years had the, I can't remember the name of all the programs where, Addressing issues for children at a very, very young age and hoping that we can do whatever we can to support a process of educating everyone on all levels. Young parents that are dealing with Drug addiction and stuff, I am one. I have five children and one of my daughters went down that road for ten years.
And thankfully after a lot of help and a lot of help from this county organizations like CARES, Vista Del Mar, and finally the Haven in Pismo Beach are it took 10 years to go through this but she is now In charge of a sober living home and running a program that helps other people stay on track with their recovery. So, thank you so much everybody for your support. Please fund Growing Grounds and anything you can do to help our behavioral wellness folks. Thanks.
We are going to return here in Santa Barbara with Andy Calwell to be followed by Lindsey Baker.
Chair Lavenino, members of the board, Andy Caldwell representing COLAB. You know I don't hand out accolades very often but Dr. Glegghorn we're duly impressed. You succeeded to stop this department from hemorrhaging. We saw bills of 10, 20 or $30 million coming out of this department at one time. It was completely out of control. Completely. So she in our opinion did the impossible considering the previous people running the department. And we know this is not an easy subject, and part of it is too much of it is based on the voluntary cooperation of people who by definition are out of their minds.
I have a family member that died. Voluntary cooperation from people who are out of their minds. It's a fatal flaw And our whole community is suffering as a result of it. As you well know, we're not against the providing of these services in any way shape or form including alcohol, drug, mental health, public health, social services but what we resent and what you should regret is the fact that these services were not privatized in some way shape or form because you take on the pension burden and the pension debt From pension losses. This is one department where the general funds only 4% of the entire budget for 5 million out of 142 million is the county money. The rest of it a state and federal money, you have to ask yourself why is this a state and fed?
Why is this a county department I wrote the last time I wrote an editorial on this a couple of health providers contacted me And said they had never thought of it, it was absolutely right. And they used SenCal as an example. SenCal treats 175,000 people in the two counties and they are a non-profit community based healthcare organization. We have to ask ourselves why don't we move these departments? These ones that are passed through departments from the state and the feds into the nonprofit sector.
Deal with them with a 401k and social security instead of county pensions. You can cut your losses because these departments, you add them up it's a couple thousand employees. I love the personal testimonies we need to monetize and or Create metrics for those testimonies, not just for the ultra destabilized that are costing 20% of the funds. But for the rest of the clientele, how many ever becoming sober?
How many of them are stabilized and how many of them are jail free and how many of them go back to work? Those are the performance measures we need for the entire population served by the department. Thank you.
Our next speaker is Lindsey Baker to be followed by George Kaufman.
2:29 – 2:354 turns
Chair Lavagnino, Supervisors. I'm Lindsay Baker, Co-President of the League of Women Voters for Program and Advocacy. Today I am speaking for the League of Women Voters but with filled disclosure, I'd like to say that I have an adult child with a behavior wellness issue who benefited from a 911 call in the city of Santa Barbara with a deescalation procedure And didn't proceed further from the encounter with the police officers.
The League of Women Voters of Santa Barbara supports a correction system with its primary goal being rehabilitation. That is the prevention of recidivism, with emphasis on alternatives to incarceration and on compliance with state standards for facilities and staffing. I'd like to also add that I provided an updated version of comments. You do not need to look at that document.
We have a document that was submitted to you prior to today. We will address issues regarding the Sheriff's Department on Wednesday, which is included in our document. In line with the League of Women Voters positions on behavior wellness and criminal justice we are urging you to fully fund the continuation of the programs that have shown great initial success.
The program we are addressing now is explicitly named on the priorities list in the Stepping Up Initiative. The Assisted Outpatient Treatment Program, AOT. Is known in California is like Laura's law. This program has shown excellent results in diverting people with mental illness, including those experiencing homelessness to treat when they are too ill to comprehend their need for outpatient treatment. A judge in the civil court system is the backup to street outreach for building trusting relationships with the goal to ultimately enter treatment.
This program is beginning to meet an ideal collaborative standard of keeping mentally ill people out of jail and hospitals, and diverting them to appropriate treatment. This program as we know still lacks the resources for underlying deficiencies such as affordable unsupervised housing for those mentally ill people who need it. There remains need for more resources in both North County and South County.
This program took on an enormous amount of energy and time to get started, and has proven to be initially very successful. To be truly effective they need additional time and funding. I'd like to add a postscript to my encounter with 911. My daughter had her suitcase packed and ready to have to leave the home before the encounter, and as I said it was de-escalated.
Thank you for listening.
Our next speaker is George Kaufman to be followed by Charles Richards.
Good morning, I'm George Kaufman representing NAMI Santa Barbara and a new sort of local coalition that's grown out of our public policy committees that we're calling the Alliance for Treatment Care in Beds because that's what we're all about. And then we don't have a lot new to add in addition to everything that's been said but we want to support a couple things very specifically today.
We also want to recognize and applaud the progress that's been made both within the department, within the Sheriff's Department. The coordination of activities with among the departments and also with the community we're beginning to make progress. We're asking you today to ensure that four of our most important priorities are met in adequate funding for the coming fiscal year.
Since budgeting of these priorities may well involve both the Sheriff's Department and Behavioral Wellness and perhaps other departments, you'll be hearing from us both today and on Wednesday as well from other Alliance representatives. Anyway three of these important priority services have all already been discussed here today But none of them has insurance yet of permanent funding going into the future. So that's our top priority, to be sure that we don't lose anything that we've gotten and that we can hopefully expand these programs. The first, assisted outpatient treatment. The second, the mobile mental health co-response pilot program. And third, the Sheriff's Department's behavioral science unit and the crisis intervention team training which has been discussed extensively.
The fourth priority is a simple one. More beds, okay? Of nearly every type from acute inpatient beds for both adult and children. And the children are a particularly important priority to supported independent residential beds. The trick I think will be talking about measurements. How do you know when we get there? We will know when we get there. There's a lot of programs that are going on right now, and you've heard potential funding and real funding that exists for expansion of certainties. But the way we'll really know when they work is when there aren't any more administrative days at the PUF, when everybody that's in the PUF is there because they need to be and they're getting treatment. So that's a pretty good I think measurement if we want to look at a parameter of measurement.
But I think the same thing is true of all the other housing options. You know, whenever there's a holdup in moving to a lower level of care simply because we can't find the resource, you know, we should be measuring that and will know when we have enough beds in every category when we don't have that anymore. Okay, so finally in conclusion I just wanted to remind you that in the nearly three years since he adopted the stepping up initiative. I found it kind of interesting as we went through all this that our four priorities were also identified as priorities in the stepping-up initiative. So if we do these things we really are going to make progress and big progress in getting people out of jail and into treatment thank you very much
Our next speaker is Charles Richards to be followed by Julie Hess.
2:35 – 2:426 turns
To the chair and other members of the board, good morning. Thank you for the opportunity to speak. I'm grateful for the progress that has been made in increasing the mental health programs in the county. And I believe that there are still some opportunities for improvement that all of us working together as a community we can achieve these things and make additional progress.
I have a close family member that has some mental health disorders and is in need of help. He was incarcerated in Santa Barbara Jail on felony charges and found incompetent to stand trial. After several months in jail, the end result was that he was just released to the street because there were no beds available either at the state or the county level in programs that would have benefited him and helped him with his problems.
Our family has been heavily impacted by the shortage of treatment that is currently available. And I've talked with several other families that have the same need for help, but there is little. During the budget workshops, I would ask that additional consideration be given to the following issues. We need more beds in treatment facilities. Currently there are only 16 available at the county level and we need more so people can get the help they need. We need to stop the revolving door The second thing is ongoing funding for the Sheriff's Behavioral Health Unit and the very successful co-response teams.
We need more unlocked residential treatment facilities, a good example would be Synergy at Morgan Hill. In many cases people in need of mental health treatment should not be locked up in the criminal system they should be getting the help they need at mental health facilities. Thank you for your time
Our next speaker is Julie Hess to be followed by Lynn Gibbs.
Good morning, my name is Julie Hess and I come to you as a concerned mother and citizen during the budget workshops for the coming fiscal year. Please consider our county's critical need for more services for our persons with mental health issues especially beds. As a mother, I've seen my son arrested and taken into custody over minimal issues. Then being released days, weeks or months later to the streets without any sort of help or treatment.
Last year, my son was arrested in Santa Barbara for felony charges and found to be incompetent to stand trial. After three months of waiting for a state IMD bed, charges were dropped to a misdemeanor so he could be placed in the county PUF. Unable to find a bed at the Puff, he was found to be restored and was then released into the Alameda House. The Alameda House is a great opportunity for some persons. For a person with mental illness that needs treatment it is a very poor choice.
Within a week he was taken to Cottage Hospital for a 5150. 72 hours later he was released to the streets. The event that happened at Alameda House could have put him in a horrible, horrible situation that through no fault of his own could have had devastating lifelong effects. We need to stop the revolving door And of the jail and people needing help with mental illness cannot be expected to get better by themselves.
A jail bed is a jail bed, its purpose is not to heal persons with mental illness. Thank you for your consideration.
Our next speaker is Lynn Gibbs to be followed by Marion McKenzie.
Chair Lavanino and supervisors thank you for the opportunity to speak. We in NAMI as part of the new Alliance for Treatment, Care and Beds know our loved ones need access to treatment at the right time to enable recovery. And reduce the need for higher more expensive levels of care. We thank you and the Department of Behavioral Wellness for committing to continuation of AOT through June 2020.
It's reassuring to the staff to know that they will still have their jobs after December. Expansion of AOT is one of the priorities that has been identified in stepping up. Following the pilot, we must adopt the program with sustainable funding lest we lose the progress we are making. We must assess the pilot program. We request appointment of an AOT advisory committee similar to what other counties have to review our program, the outcomes, the costs of AOT, the cost savings and the benefits.
Snapshots of our jail population tell us more than 50% have received mental health care from the Department of Behavioral Wellness at one time. The most recent snapshot showed that only 4% were clients when they were arrested. It's significant that AOT provides ongoing treatment. Few of the new promising housing and diversion initiatives coming our way fund the required treatment components of those initiatives, Without treatment, people diverted from the jail get evicted from housing, fail in recovery and recycle to the jail.
By providing treatment AOT supports diversion and success in retaining housing. This year for the first time cases have been referred to the AOT court and the AOT manager reports that was a positive experience for everyone including the clients. It's good news because data shows, and we are seeing that the AOT court gets more people into treatment. And at a lesser cost than the criminal courts that they otherwise attend.
Our pilot program is proof of concept of what is possible. More persons with serious illness getting the treatment they need, more leaving the jail partnered with treatment professionals who help them navigate the very complex system outside to continue their treatment. Thank you for continuing your support of
this important program. Our next speaker is Marion McKenzie to be followed by Suzanne Alexander. Is Suzanne Alexander here? Our next speaker is Catherine Horton, to be followed by Robert Ornstein.
2:43 – 2:497 turns
Good morning. My name is Dr. Catherine Horton and my
doctorate degree is in psychoanalysis, and I've treated mentally ill patients with varying success.
When I joined the Board of Families Act, I was dismayed sometimes appalled as I listened to the experiences a mother or father had had when their son or daughter suffered a psychotic break and was arrested and incarcerated. They knew that their son or daughter needed instead to be placed where they could stay and get treatment ideally in Santa Barbara County Too many are suffering horribly in a jail isolation cell, often waiting for a state hospital bed.
On the upside we're aware of the collaborative spirit that is bringing the county our hospitals and other stakeholders together to address the epidemic mental illness and decades of unjust policies. Families Act is working with the Jail Health Oversight Coordinator The Community Corrections Partnership and the Stepping Up Initiative define solutions to the dilemma of mentally ill people being housed by default in our jails.
Some supportive and transitional beds have been created in the county for people cycling through the criminal justice system, At last count, 60% of our county jail population had sought or received mental health and or substance abuse treatment at some point in the past. However if we were to provide a treatment bed instead of a jail cell for even one out of six of those, we'd need approximately 100 beds.
So our hope is that this board will be able to move the needle forward on what we consider to be the most important remaining gap in our continuum of care for people with severe mental health disorders. And that is, the lack of a sufficient number of psychiatric hospital beds and state-of-the-art residential treatment beds. Thank you for listening.
Our next speaker is Robert Ornstein to be followed by Debbie McCoy. How about Debbie McCoy? Then we will have Frank Reisery.
Hi, my name is Debbie McCoy. I am the mother of an adult daughter who would like to thank this board for all of the care that she has received over the past five years. I know that she is probably on the list of most expensive treatment plans because she has been in probably every kind of bed that this county has, both in-county and out-of-county. And also has been a visitor to our county jail.
She was declared an IST, and the reason she's not here today to thank you personally is because she is working. And she is successful and her progress is just amazing. She currently lives in a sober living home, and she is saying that she's not wanting to be homeless or to use anymore. And she takes her medication daily So thank you very much for that. On the other side of the coin, I am on the board of Families Act and I sit at the jail on weekends to speak with parents and family members of those who are in jail.
They come to me and they tell me my story over and over And over again. It is we it is relentless, it is overwhelming at times and some of them are more horrible than others. The only thing I can say is that we have made great strides that is very true and I have been intimately involved in systems change with The mental health department. I commend them for all of their work and their hard work, and it is really brought forth lots of new beds.
But there aren't enough residential treatment supportive treatment beds, and nor are there enough acute psychiatric hospitalization locked beds. So I just would say to you That maybe every day that you get up, you might think how many beds can I make today?
Thank you. Our next speaker is Frank Ricery to be followed by Jill Bolster-White.
Looks like they're all coming together. Oh, no. OK. Good morning. You're only allowed six of those, Frank. Unless that's something else, I don't know.
2:49 – 2:557 turns
Good morning Chair Levingnino, board members, Dr. Gleghorn. My name is Frank Riccieri. I'm the Vocational Services Director for Transitions Mental Health Association. Thanks to the heartfelt brave testimony from my friends in Santa Maria, I don't need to say my whole speech. I did want to share with you all a success of the Growing Grounds Farm in Santa Maria. That last year we were very proud that 14 out of 52 employees had found work in the outside community and competitive employment, and through produce sales and plants and vegetables, we were able to cover 33% of our operating budget.
We are requesting a $150,000 contract from the Department of Behavioral Wellness in order to serve 50 people next fiscal year. We certainly hope that you see the value of Growing Grounds Farm and the people that work there. They deserve this support so they can get back on track with their lives. Thank you.
Our next speaker is Jill Bolster-White to be followed by Michael Kaplan.
So we bring our basil plants to show what we do at Growing Grounds. I'm Jill Bolster-White, I'm the Executive Director of Transitions Mental Health Association and I also slashed my talk because the folks in Santa Maria did such a fantastic job but in 1993 I got a call from Dr. Myrna McMillan asking if our agency mental health association would start to provide mental health services in Santa Maria which was known as a profoundly underserved community so for the past 26 years Now, Transitions Mental Health Association has been providing those services in tandem with the department. So since Dr. Myrna McMillan now to Dr. Alice Gleghorn we have been providing services in those communities that as I said are clearly underserved.
To that end, we've provided philanthropic support in addition to our contract with the behavioral health department. So we have focused on education, we focused on training folks so they can go back to work in the workforce. We've provided mental health first aid to high school students, and we work with Allan Hancock College to provide mental health services. So we really appreciate the opportunity to consider a contract for Growing Grounds Farm so those philanthropic dollars we've been using to support the farm can actually expand on our mission and continue to do those community services. Support family services. We've heard from a handful of family members about how important those are we're involved in the assisted outpatient treatment program that dr.
Gleghorn Described and so we want to be able to expand the services that we do with those philanthropic dollars in addition to the growing grounds farm program Thank you
Our next speaker is Michael Kaplan to be followed by Jan winter who is our final speaker? I
Good morning, my name is Michael Kaplan. I'm the Community Engagement Director at Transitions Mental Health Association. Thank you very much for this opportunity to speak. Dr. Glickhorn, you and I have never had the pleasure of meeting before. I am the person who has been sitting in a room for the last 11 years furiously writing grant applications to keep the Growing Grounds Farm open.
So I'm here to share a few things today. First of all, I'm exhausted. But what truly concerns me is that I think our funders are exhausted as well. We would have been forced to close the farm long ago if not for the incredible support from such organizations as The Henry Mayo Newhall Foundation, The Jean and Edwin Woods Family Foundation, The Santa Barbara Foundation, The Williams Corbett Foundation and The Weingart Foundation. And that is by no means a complete list The truth however is that this support has slowly diminished and it's understandable.
No foundation ever thinks that they're signing on to help a non-profit in perpetuity. In recent years, a few of our old friends outright denied our request Last week, we learned that the Weingart Foundation will no longer fund organizations in Santa Barbara County. They're going to focus solely on the Los Angeles area. So I can say without exaggeration or dramatics that if the county is unable to bring us back into the fold, The Growing Grounds Farm will likely be gone by the end of next fiscal year.
Now as a grant writer, I'm always looking for numbers that help me tell our story. And here are some that I'd like to share. 71, that is the percentage of people with a serious mental illness who are living at the federal poverty level. 92, that's the statewide unemployment rate for adults with severe and persistent mental illness. But here's the number I was thinking about as I came down here today, 550.
That conservatively is the number of unique individuals that the Growing Grounds Farm has served over the last 11 years without a contract. All of them had open cases with Santa Barbara B-Well. Most of them were referred to us by the staff there. Now as a nonprofit we believe in charity And charity in this case has benefited both our agency and the county, but we would be foolish to count on it much further.
So I ask all of you to make the adjustment, fund our program and keep The Growing Grounds Farm of Santa Maria open and thriving in the community for decades to come. Thank you.
So just so we get total clarification, and don't forget your plant either. Unless you're leaving it there as a decoration. But so when was the last? At some point you had a contract with B-Well from what I
understand. We lost that contract in 2008. Prior to that, we had a contract for $132,000 a year to serve 50 clients.
2:56 – 3:1218 turns
So the request this year is $150,000. Okay. 11 years
later? Yes.
All right. So then we'll be discussing that with Dr. Gleghorn later. So now that we know we get it now. Thank you Chairman. Thank you.
And our final speaker is Jan Winter.
Hi, I'm Jan Winter. I'm on the Be Well Commission and also a longtime member of NAMI. And I'd like to think that I'm representing folks like my son who has severe schizophrenia and all the other people out there with those severe chronic mental health problems To my utter astonishment today, and I've stood at this podium infrequently over 40 years about mental health. I found myself in agreement with something Andy Caldwell said today.
And he left. I'm sorry he's left because he'd probably be utterly astonished too but what he said that caught my ear because I usually sort of blot him out. Sorry. Andy, in your absence. Is that treatment really depends on compliance to paraphrase Andy. On the compliance of the person who's mentally ill. So I'm here to speak in support of Laura's Law or AOT because that program addresses the most non-compliant, the most ill of the most ill And the central feature of that program, that is lacking in all of the other wonderful programs that the Behavioral Wellness Department has in forensics and crisis and so forth.
Is sustained outreach to gain the trust of people who will not trust cannot trust don't don't have the capacity to trust who've been ill for years. And who are costing the community enormous sums of money. I have a friend who used to be the, um, discharge planner at the jail. She said she would almost weep at the numbers of people she knew intimately who came back and back and back and back, and they don't receive treatment in jail for 90 days, these specialized outreach workers They try to win the trust of people. They look for them all over the community. They spend their days doing nothing else but outreach, and they engage people even if it's 25%, and I think it's going to be more than that who qualify for that program.
It's really important to sustain the program. Thank you.
Thank you very much, and I think that closes out our public comment So I think this is one of the reasons why we do these meetings, is to allow the public a chance to weigh in on what their priorities are. And I just want to say that I think this has probably been one of the best public comment periods I've ever participated in because we actually got to hear from people that use our services and they can tell us what's working for them and what isn't working.
So I just want to thank the people that came forward. I think somebody said it was very brave, and it is. And so thank you for your stories. So I just a couple questions for Dr. Glacorn, so AOT is fully funded for this year and then you'll come back to us and tell us at so this is the final year of the three-year pilot and you'll come back afterwards? I just want to make sure that that's clear.
Yes
we're right on that then on growing grounds so this was cut before you ever arrived okay so no blame in that game and we're just looking to I guess at this point I guess the request is at $150,000. So I don't know if that's a departmental item Mr. Frapwell how does that all? Are you aware of this at all? This is something I had talked about previously that I was interested in making sure it was funded but I'm not exactly sure from what pot that will be coming from but
Supervisor Lauderdale, Mr. Chair, we're happy to look at that. We are aware of the request and we'll be looking for funding or opportunities for funding. As Dr. Gladcorn mentioned you know this may have been something that would be funded if MHCA funds were growing but in this case the state has essentially taken that and so the department focused on maintaining their current program. So we'll work with the department between now and recommended budget.
Okay And so just for the folks that came forward, I'll let you know that I searched long and hard for programs to fund that work. And we actually have one that's pretty obvious that it does work. And so you have my full commitment and I hope to hear from other board members that this is something that will move forward in this fiscal year at least. One other thing I wanted to say before I wrap up is that, and she's not here any longer but Terri Mosnisch was very instrumental in moving this department forward. Oh you're blocked out sorry so I was going to say it even if you weren't here but she's so instrumental in a lot of things that happen at this county but I don't think that I think she's been very instrumental and hands-on in helping that turnaround and I'm not I know Dr.
Gleickhorn mentioned her But I just wanted to say thank you from the board that we see your fingerprints all over this, so thank you. And I will open it up, Supervisor Hartman?
Well, I think it was probably at your instigation that I got an invitation to visit Growing Grounds and it lives up to everything that people have said about it. It's just a really wonderful place. We're gonna be hearing more in public health about ACEs, Adverse Childhood Experiences and how those lead to both physical and mental health issues later. And I think how do you heal? And a lot of the research suggests you need stability, you need a caring community, and you need good food, and you need to be active. And I think the growing grounds, getting people outdoors, getting them physical, creating a community but creating space.
That is kind of a microcosm of where I think we need to go. We need to keep trying to back this up out of the jail And eventually more healthy living so that we can avoid this. We heard the statistic one in six, I've heard one in five people in our population are suffering from mental illness and personally, I think we evolve to be certain kind of people and we're getting further and further away from that at our own mental and physical health cost.
I'm very supportive to get the money that we need for growing grounds and to try to expand that kind of approach To healthy eating active living and live well, Santa Barbara County Approach so awesome.
Thank you supervisor Hart
Well, and I agree with your comments about Terry Mosin-Sitch and her important role in this effort. And the kudos to her. I also met with the folks from The Growing Grounds some months ago, and very impressed by the program. And obviously Dr. Gladden needs to figure out how to balance all these things in a very tight budget. And I look forward to hearing more about that. But the additional testimony from folks in support of new treatment beds made me Reminded me that I wanted to ask about what the impediments were for the grant application for the no place like home housing grants. You mentioned that in your report, I think it was slide 27, that there wasn't an application in the first round but that you're hopeful that there will be one and it will be competitive.
Maybe you could help explain more about that process and where we are in that opportunity?
Supervisor Hart through the chair. So we will bring back a presentation specifically on housing and in a couple weeks so before the June budget but briefly there were there are number of barriers in getting the first application and one of them was that we needed to have an active 10-year plan on homeless which is been drafted with cooperation with HCD So there were timing issues on that. We did use part of the technical assistance funds for No Place Like Home to help pay for that, $50,000 came from our department to move that forward but the timing wasn't in place in order to submit that. We did do an RFP through HCD they got a number of applications One of them is moving forward with planning meetings in Santa Maria. It's on Cox Avenue, but we have to go through all the attendant processes for that to move forward as well.
And a number of proposals came in asking, as I've seen in many counties to use county-owned land or parcels buildings. This money can be used to rehab and so we need to make sure that we don't have any delays in looking at those proposals as potential options. I know that general services is talking about doing a comprehensive plan for the county But we need to make sure that if, to have that plan not be a barrier to moving any of these proposals forward because time is of the essence in applying for these competitive funds.
And we're not going to get another bite at this apple if we miss all of those deadlines. So we need to make sure that we have means to bring those proposals Forward to the CEO's office and to the board so we can look at their merits. They did go through an evaluation process They were all ranked through the HCD process But we're going to need to Be able to look at those together with you
Thank you, I appreciate that and I look forward to more information in a couple weeks. Thank you
Supervisor Adam anything up north
Yeah, thank you. A couple of our public commenters talked about a revolving door and it's not just the jail. It's clinicians and programs that do not work or are less effective than they could be, let's put it that way. But we can't know that unless we evaluate everything. You gotta evaluate it, how it effects or affects I guess the individual client and how many of these clients are being helped. And this is what I was talking about before.
And without that, I don't know how you say this investment is better than that investment. So I would love to see Growing Grounds supported, but I don't know where you take the money from. And I don't want to see us return to a time when we have the outside agencies all lining up to have their requests all considered because I don' think that's a good way to go through. I didn't like it back when we did it when I first got here.
And I thought it was a much cleaner process to have a budget in after we stopped doing that. At the same time, Programs like Growing Ground might very well be a higher value, higher return on investment type of a program than something we are doing. But we just don't know how to compare these things to each other so without the comparisons and evaluations I don't know how you'd make that decision. And it's nice to have people come in and give anecdotal information, but you might get that kind of information on any program that was threatened. So I'm not sure how to do that and Can find it somewhere in her budget to fund that program.
But if it gets down to a point where we can't do that, then we really need to crawl down into the effectiveness of the whole department and see if we can find the money to do better with it.
Okay, I agree with that. Lastly, before we close I just want to thank the parents and the stakeholders that have come out. Because when I was here seven or eight years ago it was just much more difficult because we couldn't really point to a whole lot that we were doing that was helping. And I think that's the success that I feel this collaboration through Whether it's sheriff's department or public defender or probation, the district attorneys. Everybody coming together and trying to solve this problem that touches just about every one of our departments. So hope you feel that your time has not been wasted coming to these meetings. And I know it's not easy to sit here and wait for your three minutes after a couple of hours but you have been relentless and we do appreciate it so thank you.
for lunch, and we'll be back at one o'clock. And we'll start with public health. Hi. Good morning.
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Okay. Music ♪ you You. Good morning. ♪ Hello. . . ♪ . Thank you. Hi. Thank you. Good morning, everyone. You. You. Thank you. Hi. Thank you. you Okay. Hi. ♪ Good morning. Hi. Hi. Hello. . . . . . . Thank you. Thank you. Thank you. Good morning, everyone. You. Out in the open, yeah.
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Okay we'll reconvene this meeting of the Board of Supervisors and we will move to public health with Dr. Vondell-Renoso
Good afternoon, Chair and members of the board. Before I get started, like to introduce you to the members of my executive team. To my right is Suzanne Jacobson, Deputy Director for both the Finance and the Administration Divisions. And to my left is Dr. Doug Metz. Deputy Director for the Primary Care and Family Health. Back at the department is Dr. Polly Baldwin, who's not able to be with us. She's seeing patients. And Paige Batson, newly minted Deputy Director of Community Health. She's in Santa Maria meeting with our brand new Animal Services Director.
So I'd like to present to you information regarding our six budget programs and highlight the department's operations for current fiscal year as well as plans for the next fiscal year. I'd like to point out to you that we have a new category, It's community health programs, and this replaces the previous year's bucket if you will called indigent health programs. And this is simply because the community health programs is more consistent with the tenor and the purpose of the programs in that list. So it covers MATI, EMS Fund, the California Children Services, the MTU, and the Benefits and Referral Center.
Challenges and of the five key challenges that we will encounter during this next fiscal year for have to do with revenues. We anticipate challenges with our city contracts for animal services, and at the same time grappling with meeting community Expectations for premier services. We have pending legislation that will significantly impact our core public health services, as well as our clinical services and this is from Sacramento. We also worry about our ability to recruit and retain qualified staff especially in the technical and professional classifications. Lastly we're considering evaluating our role in communities where there are new access to healthcare Like in Lompoc.
Financial summary, capital we know capital are transferred to general services this year as the department is pausing on facility expansions and improvements while we assess the impact of the key challenges and emerging issues that I just shared. Use of one time for ongoing operation is at 1.3 These amounts are pure projections and we purposely will work very hard to mitigate the uses by controlling costs and increasing revenues. We have no expansion requests.
Source of funds. This slide offers a brief description of our sources of revenues, the two top sources combined make up 82% of our revenues. These are one charges for services so these are mostly MediCal Medicare Pharmacy 340 B and accounts for 60% of our revenues. The other 22% are intergovernmental Revenues, so these are the 35 state federal grants 1991 health realignment.
Uses of funds. This is a brief description of the uses across our six budget programs, 54% of our expenses are related to operating our five clinics and three healthcare for the homeless programs throughout the county. Of the remaining expenses 15 is in programmatic expenses related to grant and fee funded programs related to disease control and health promotion.
Staffing summary. We're proposing 1.75 less FTEs than the current fiscal year, and this is primarily due to state-driven changes in the Child Health and Disease Prevention Project, CHDP, and the California Children's Services Program, CCS, and other efficiencies in the environmental health program. Operating revenues. There's no significant change in operating revenues from current fiscal year We're keeping it status quo given the emerging issues locally and at the state level I'm speeding through this because I'm hoping to win the award for the speediest presentation Slide eight is general fund contribution. In totality, we will be receiving approximately $100,000 less in general fund contribution for the next fiscal year.
Anticipated accomplishments. We've been really busy this year. There are two slides capturing our anticipated accomplishments, so I'll highlight just a few. The major successes that were particular What I'm particularly proud of is the grand opening of CARP Connect a few weeks ago. And this is a comprehensive, collaborative community effort to address mental health and supportive services in the CARP community. We also at the same time dedicated our new remodeled healthcare center as well as giving a launch of our ACES pilot. At the CARP Center in partnership with Maternal Child Adolescent Health and the Children's Project. Throughout this current fiscal year, we really took it to heart Renew 22 and looked at variety of programs through our department and the low hanging fruit to streamline processes so that we can achieve efficiencies and improve service delivery.
We continue to improve efficiencies in animal services, particularly in dog licensing. Working with our partners vets in the community to achieve that. And we continue to improve health and safety of our staff. We protect our data and business operations with a very diligent and watchful IT team. We've had several big misses just because they were very diligent.
And we began the emergency medical services systems review and redesign. We'll be coming back to your board on May 21st to present an update of phase one, which is really looking at taking stock of the current system and giving you an update on progress for phase two, which is the redesign. Objectives for next fiscal year. Continued health resources and services administration funding at our health centers, working with hospitals for warm handoffs and seamless case management of homeless patients. Continued our efforts to address health impacts of cannabis use by youth and pregnant breastfeeding mothers. Educate the community and work towards inclusion of banning flavored tobacco in the Tobacco Retail License Ordinance And develop strategies for improving staffing structures that will support succession planning for the transition of senior staff.
We'd also like to set as our objective with the new leadership in the Community Health Branch. So that's the new health officer, brand-new deputy director, brand-new assistant deputy director and animal services director. We see this as opportunity to partner with internal staff as well as volunteers and community agencies to improve our delivery of service.
We will continue to work with internal and external partners to build the best possible EMS system for Santa Barbara County. We'll also be gearing up to be ready for various initiatives from the governor's office, like Medi-Cal expansion and ACES screening. And working on our staff development in order to prepare future leaders. Renew 22, I'd like to highlight that we incorporate the Renew 22 framework in our department's strategic direction. Our vision is pretty solid as is so no changes there and will be initiating work to redesign our clinical lab This next fiscal year, we'll be responding to statewide initiative to integrate ACEs framework into our service delivery. And we call that the pair of ACEs looking at both screening for adverse childhood experiences and addressing with community partners the adverse community environments.
Lastly, we'll be implementing a learning management system to build the capacity of our workforce to maintain compliance and to enhance staff development. Performance measures. We've met two out of our five targets, foodborne illness and lost time and very, very close to two additional ones. The second page we've met three out of the four and were wondering on these performance measures most likely we will come back next year with a revised list of what's realistic.
For example, for the MTU, the last one we are already achieving or delivering optimal possible services given the limited funding available as well as available staff. We have no service level reduction in summary To address the challenges that we are facing with regards to our revenues, we do see new leadership in our department as an opportunity to embrace Renew 22 framework and delve deeper to achieve efficiencies.
We acknowledge that the fiscal uncertainties from new state policies will impact department operation, and this is a nudge for us to be very engaged in the legislative process both at the state and local level. We are embracing continuing the work with our public health accreditation, and as such we have partnered with our county's hospitals to maximize the data collection and the reach. And with Renew22 efforts, we are seeing that as an opportunity to train and engage a new set of staff.
I'd like to end with a quote from our state's first Surgeon General, that high quality care means strong outcomes for all communities. Not great outcomes for some communities and poor outcomes for others. And this is Dr. Nadine Burke Harris. So for public health it's all about working with our partners internally and externally so that every member of our community Is able to achieve optimal health.
Thank you,
thank you very much. Do we have anything from the board questions before we go to public comment supervisor Hart?
Yeah just a couple things help a little bit more clarification about is anything changed with the status of the state budget in regard to the $2.1 million hit from the AB 85 redirection
As of today, I have not heard any changes.
And then the governor's executive order to consolidate pharmaceutical purchases? Tell me more about that so you're able to be more agile and save money because you're doing it locally and when you roll all that up at the state level, that opportunity is lost and you're part of a larger system. Is that correct?
So I'll take a stab at this and then I'll ask both Dr. Metz and Ms. Jacobson for their input, but we see what we achieve from the state is the 340B grant or program where we keep the savings in our county and with the savings were able to expand care in our clinics, the specialty cares So when the governor proposes to be the pharmaceutical powerhouse, that may change the 340B program. It may delete, it may go away but there are other players who are very vested in maintaining the 340B program just because it allows local communities to do specific care for their community. Dr. Metz and Ms. Jacobson would you like to add anything?
All right, Supervisor Hart through the chair. What Dr. Del Renoso said was exactly right and just from a fiscal perspective because we're able to purchase the pharmaceuticals at a deep discount. We're able to keep the savings from that to use for those other important services. If the state takes over all of the purchasing they will retain those savings.
Okay, that's a great explanation. Thank you. And then you also mentioned that you were pursuing banning flavored tobacco through changes to the Tobacco Retail License Ordinance?
Yes.
What is the status of that effort?
So we've had some changes in our tobacco program with the retirement of Don and so we are regrouping and we will be proceeding with a work plan in approaching cities and their willingness to work with us.
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But that's over the course of the next year. That'll be all OK. Thank you very much. All right.
Anything from Santa Maria? Good to go to public comment. Yes, sir. OK. Do we have any public comment?
Let me know members of the board. We have one request to speak and that's Andy Caldwell
Chair Lavinino, members of the board. Andy Caldwell representing COLAB. Personal anecdote about myself is I've always hated cigarette smoke probably because I had asthma but I've done probably over a dozen radio shows about vaping And the studies that have been, international studies that have shown that vaping is less harmful than cigarettes for a number of different reasons.
And years ago I used to battle the public health department because I thought they were spending a heck of a lot of time on cigarettes versus some of the other hardcore drugs that are out there and I've never heard anybody talk about what the public policy is. They brought up flavored tobacco here But I've not heard anybody talk about vaping. Part of the effort out there in the community is to keep kids from vaping, so that's commendable but the bottom line is for smoking cessation. Vaping's the best tool they've got and it's been proven to be the best tool they got to get people to quit smoking. And it'd be interesting to me as they shift with the tobacco cessation program Whether or not they would use vaping and promote vaping to get people to quit smoking cigarettes because it's, like I said, it's orders of magnitude less dangerous.
This is one of those other departments that we think should be considered for privatization along the lines of SenCal. We do not think it is a positive performance measure that 25,000 people in this county use public health department as their primary physician. Now you could consider it positive that those 25,000 are getting care and good care but the point is to what degree should that be born at nearly 100% taxpayer expense with your 10% match?
And then the final comment here is in all of the hearings that you had on marijuana, I only remember one hearing where the public health department and other staff put forward the deleterious impacts of marijuana. I just felt like it was always dollar signs in the eyes of the decision makers And so we're glad to hear them talk about this, about youth pregnant and breastfeeding mothers in the effects of cannabis.
But we still feel that overall that aspect of marijuana including the long term mental health. The person I referred to earlier family member had onset of schizophrenia from marijuana. And I've done a dozen shows on that as well. And that's not getting enough publicity now that you guys are in essence partners or facilitators in that industry, thank you.
Is there a hand of public comment?
And that was our only speaker. Okay
once again just thank you very much for all the info and the continued outreach into the community. What Andy talked about as far as a measurement, but it's also good to know that has your quote said everybody Has access and we've always it's one of the ones kind of arguments. I used to get into folks with people about whether or not health care was a right for everybody, but we've always provided there was always been access and So really appreciate all that you're doing so thank you very much
Thank you
Okay That takes us to one of our largest departments. The largest? Mr. Nielsen, I just threw that out there so you could jump on that tidbit. I won't
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let anybody forget and I feel sorry for my colleague Dr. Del Reynoso because she should know that DA Dudley always does the shortest presentations. So she was competing in it, you know... But she does it like a lawyer. Next! Next! Hit it! Well good afternoon Chair Lavigno and Supervisors. With me today are Deputy Director Terri Kinsellas, our Chief Fiscal Officer Victor Zambrano, Deputy Director Amy Krueger, Deputy Director Maria Gardner and in the front row our Workforce Development Board Executive Director Ray McDonald.
So our department is divided up into these three budget areas Looking at our key challenges and emerging issues, our primary ones that I wanted to share with you today. The first one is on continuum of care reform. A continuum of care reform known as CCR focuses on minimizing placements of children in group home settings by ensuring that adequate services and supports are provided to children in an array of different family-based placement settings.
CCR plans to eliminate low level group home placements, instead placing youth in family based settings And then having for higher level group home children that need that level of care, having short-term residential treatment programs or STRTPs for placements when those are necessary and it would last up to a maximum of six months. And then those children would be stepped down to a home based family setting.
We need to continue to try to build capacity to step down children that are high needs youth to family based settings And are concerned that the demand exceeds the capacity. Further, many group homes have failed to fully transition to short-term residential treatment program status and some have decided to go out of business so there is a significant concern that we won't have enough placement options for children that do need a short term residential treatment program placement.
Our next challenge comes from Assembly Bill 1811 in 2017, which reversed the CalFresh eligibility policy known as cash-out under which supplemental security income recipients were ineligible for CalFresh. This change begins in June and will continue throughout the fiscal year as current CalFresh households that have SSI recipients as part of the household will be added during their next semi-annual or annual redetermination, or they can be asked to be added at any time once implementation has begun.
SSI recipients not currently in a CalFresh household can apply at any time once implementation has begun to start receiving CalFresh. We have approximately 8,388 people in Santa Barbara County that are on SSI including seniors and people with disabilities of those 860 are currently in a CalFresh household We estimate that we have a total of 5,000 in the county that will either choose not to apply or if they apply they will find that their household income is over our eligibility limits.
So at the end of the day we estimate that we will have about 2,500 new people that will apply and join the CalFresh caseload. This will be increasing our case load by 12% going from 21,000 households to 23,500 households. On the topic of migration of CalWORKs, there are currently three eligibility determination and management systems in California used for administering Medi-Cal, CalWORKS, CalFresh, foster care and our general relief assistance programs.
Santa Barbara County has been using our current CalWIN system since 2006. At Federal Direction, the State of California is implementing its strategy to consolidate its statewide automated welfare systems from three systems into a single statewide system called CALSAS, which stands for California Statewide Automated Welfare System with implementation to be completed by the end of the year 2022.
We have already begun actively participating in pre-implementation activities and during the coming fiscal year will be developing a formal project plan for migrating into the Caltrans system. And lastly, in regard to realignment revenues Our 1991 and 2011 realignment revenues are based on sales tax revenue and vehicle license fees, which will be impacted if a recession occurs. So the department is always scanning their horizon regarding economic downturns.
Our operating expenditures for fiscal year 1920 are $174 million. A $1.8 million increase from the fiscal year 18-19 adopted budget, our general fund contribution is $9.5 million which was $130,000 more than a fiscal year 18-19. The 9.5 million general fund contribution is 5.4% of our total budget. We have budgeted for 748 and a half FTEs, and our department is using $2.5 million of one-time fund balance for ongoing operations. We have no service level reductions, restoration requests or expansion requests.
Turn. There we go. Our capital projects for fiscal year 1920 include replacement of the current document imaging system that has reached its end of life and has over 700 users. And stores 37 million images used by staff to perform their casework with an estimated cost of $500,000. $350,000 will be used to upgrade and replace backend hardware and software that has reached end-of-life to ensure that a reliable and upgradable infrastructure exists to support departmental programs.
These upgrades will strengthen our ability to prevent viruses and security vulnerabilities. We will upgrade and replace programs that are used by DSS staff to conduct day-to-day operations such as the department's learning management system, expansion of video conferencing and automated signature functionality. These upgrades are necessary to replace systems that have reached end of life and are potentially more susceptible to viruses and security vulnerabilities or lack the capabilities and efficiencies of new or upgraded systems.
This chart depicts the source of our funds. 92% of our revenue comes from the federal and state sources, including 1991 and 2011 realignment. Our budget includes a general fund contribution of $9.5 million which is 5% of our budgeted revenues. Our use of one-time fund balance makes up 1% of our budget. This graph depicts our use of funds in our three budget areas. 51% goes to economic assistance and employment services, 38% to protective services for children, adults and the disabled, and 11% goes to activities under administration and support which supports all DSS functions.
This graph shows our staffing levels since fiscal year 15-16. Our staffing levels declined from 898.8 in fiscal year 16-17 to 741.8 in fiscal year 17-18, a 157 FTE reduction due to significant decreases in program allocations, allocation funding resulting in the decline of operating revenue combined with significant salary and benefit increases. This graph depicts our operating revenue over the past four years and our revenue for the budget year. Our operating revenue is increasing 3.4 million or 2.1%.
This chart reflects our general fund contributions since fiscal year 15-16. The general fund revenues fund a portion of the county's required local match, which is used to leverage federal and state revenues. Another component of our local match is fund balance, which the department has consistently used in prior years and will be doing so again this year. We have several accomplishments that we would like to highlight today.
DSS continues to maintain quality services with 134 fewer filled staff positions than we had in December 2016. Each month, DSS serves over 142,000 county residents or 32% of the county population and 67,500 or 68% of the county children. We have continued to maintain positive audit results in the most recent single audit contributing to the county's low risk auditee status for fiscal year 17-18.
We have implemented the call recording and verbal attestation or telephonic signature feature of our integrated voice response system for staff and clients in the Medi-Cal, CalFresh, and CalWORKs program areas. Eliminating the need for a wet signature for those programs, for applications, periodic reports, and renewals. Reducing time delays in benefit determinations and reducing unnecessary turnover for those programs.
We have implemented CalWORKs 2.0, which is a service delivery system that shifts from a compliance-oriented work first approach implemented 20 years ago to a goal driven achievement oriented holistic approach that provides tools to support the identified needs of the entire family and not just the welfare to work recipient. Many Welfare to Work participants are missing key success factors like housing, child care safety, transportation, physical and mental health services and essential adult life skills and are not work ready. CalWORKs 2.0 identifies family needs and skill deficits and provides families with the essential building blocks to become work ready so they can obtain and maintain employment and self-sufficiency.
We have continued to implement changes to the Child Welfare Services Program as a result of AB 403, Continuum of Care Reform making extensive efforts to place youth in the lowest level of care and maintain youth in home-based family care settings. The number of our children and youth in group homes has steadily declined from 22 in 2018 to four as of this month for an overall decrease of 77.
We have successfully increased our home-based family care capacity for our foster kids in nonrelative homes from 13 in 2016 to 83 homes currently, a 538% increase as a result of Our County, Our Kids resource family recruitment retention and support campaign. This slide and the next highlights our department-wide objectives for the coming year. As previously mentioned in the capital budget slide, we will be planning to replace our outdated document imaging system that is at its end of life.
This will include completing a needs assessment, researching with other county departments their imaging systems, doing a gap analysis design and then request for proposal. Senate Bill 89 was passed in 2017 to implement a CalWORKs Outcomes Accountability Review, or Cal-OR, accountability system that facilitates continuous improvements of County CalWORKS programs through three main components – performance indicators A CalWORKs County self-assessment process, and a county system improvement plan. This new system will be implemented in July 2019 with a three year cycle that concludes in June 2022.
And just as an aside on that topic for those of you who are familiar with our child welfare process and our system improvement plans there this is very much mirrors that sort of process of ongoing improvement on a three year cycle. The next three objectives were already mentioned as key challenges and emerging issues. We will complete the expansion of CalFresh due to the legislative reversal of the SSI cash-out policy with migration of our CalWIN automated eligibility determination system to CALSAS, a single statewide system will be in place by the end of 2022 We will continue to implement changes to the Child Welfare Services Program as a result of AB 403 Continuum of Care Reform.
We will finalize a collaborative MOU with the Departments of Behavioral Wellness, Probation and Partner Agencies to ensure coordinated integrated and effective delivery of services for children youth and families. Assembly Bill 2083 requires counties to develop and implement an MOU which sets forth the roles and responsibilities of county agencies And other entities such as county offices of education and regional centers that serve children and youth in foster care who have experienced severe trauma.
We will begin phase two of the Adverse Childhood Experiences Connection Project, known as ACES, embarking on detailed planning and discussions about action groups that will support the trauma-informed principles and practices objectives which were identified in phase one. The ACES Connections Steering Committee, comprised of members from county departments, CBOs, early care and education, and the healthcare sector have identified a pilot project focused on ACES screening and intervention at well child exams.
In addition, a toolkit which includes a sample MOU, organizational self-assessment, communication plan, and other shareable resources is being developed to support organizations across the county to become trauma informed and resiliency focused. We have several Renew 22 actions that are currently underway or planned for 19-20, or on a list for future year work.
I'm just going to touch on a few of these in the area of respond because this one I think will get a laugh out of you. With the help of County IT, we have developed and implemented a secure online document submission and case inquiry portal for clients which is called Octopus. And Octopus stands for Outbound Communication Tool Online Providing Uploaded Submissions.
How long did that take to come up with? We have a very creative person in our department who likes to come up with these acronyms. It is a mobile-friendly page on our website that lets clients instantly send us messages and verification documents, and does not require an account or login. Octopus helps increase access, reduce delays, and improves efficiency.
It has been innovative, customizable, cost-effective technology solution costing under $5,000. In its first six months we received over 6500 submissions garnering praise from clients workers community partners advocates and the state The state has highlighted octopus as a best practice that is anticipated to be instrumental in the implementation of the CalFresh benefits for SSI recipients.
As part of our continuous improvement process, we are continuing to incorporate ongoing enhancements. In fiscal year 1920, the Health and Human Services Departments will be working together to assess how new clients, patients, clients and patients are referred to appropriate services upon intake Regardless of the initial point of contact to determine if improvements can be made To assure that all available resources are accessed and this was a commitment we made to your board last year the Department of Public Health Behavioral wellness and myself all three committed to this and we have staff working on this at the present time But we anticipate in the coming fiscal year. We'll be completing our assessment and deciding what we can actually take action on in that regard Looking beyond fiscal year 19-20, we'll be continuing to redesign our workflows for efficiency and to improve our technology wherever possible.
And I won't take the time to go into the rest of those but we are significantly invested in our Renew 22 projects. So this slide and the next slide depict our performance measures The top one on this slide, Welfare to Work Participants Exiting Subsidized Employment Program Due to Obtaining Unsubsidized Employment is on here as a response to a request from the board last year to address this issue.
56% of our Welfare to Work participants will successfully exit our subsidized employment program because they have obtained unsubsidized employment. And this was a data point that we had the data on, it just wasn't showing up on our slides previously and so we've added that for this year. In Medi-Cal we are currently meeting the fiscal year 18-19 targets for processing applications within our timelines for CalWORKs, CalFresh, Medi-Cal and General Relief programs however In Medi-Cal renewals, our staffing levels continue to be insufficient to handle the 100% rise in caseloads that has occurred since the Affordable Care Act. So you will see that our achievement in that area is still at 70%, compared to the 90% goal.
DSS exceeds state targets for child welfare services timely contact for both child abuse and neglect allegations as well as monthly in person visits by a social worker The department continues to strive toward 100% compliance in meeting these targets as the safety of our children remains our highest priority. In adult services, we have made great strides in the percent of APS clients receiving a risk assessment within 21 days to meet our target in this area and our ability to complete performance evaluations in a timely manner has improved since fiscal year 17-18.
And I will just note on both of these slides, on the left column under the description if we have a federal mandate it's listed there. If it's a state mandate it's listed there. If it's a county mandate it's listed and then if it's just a department one where we have our own like on the second one down on receiving monthly visits, we have our own departmental goal in addition to the state target.
We have no service level reductions. So in summary, I want to underscore three matters previously addressed. Continuum of care reform is progressing but concerns are ongoing about the ability of our community to provide enough family placements for high needs children coming out of short term residential treatment programs as well as the statewide capacity of those programs to provide services to the number of children in need of that level of care.
While we continue to make progress in meeting the goals of CCR, we along with all counties are in an ongoing dialogue with the state about the realities of these challenges. In the area of Renew 22, the department is fully invested in the spirit and work of Renew 22 within our department as well as in cross-departmental collaborations. And as always, as is always the case any unexpected downturn in the economy could impact our revenues significantly causing us challenges and providing our safety net services.
And so with that, that's the end of my presentation I'm happy to take questions.
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I have a question about welfare-to-work who qualifies for that? Can you explain that program just a little bit? Deputy Director Maria Gardner can explain it very well.
There she is.
Chair Lavagnino, Welfare to Work is a mandated component of our CalWORKs program and so unless a parent in that program is receiving an exemption then they are obligated to participate in Welfare to Work and participate in employment activities or activities to prepare them for employment. So currently we have about 1,000 parents in that program participating in Welfare to Work
OK so that was kind of like going to be my next question was because it gives the population down there before and shows like 50 out of 90. So I would figure we would had a lot more than 90 people in the program
what you're seeing there is at the very end of the spectrum who graduates begins with preparing for activities and being ready for employment And so then for us, unless they truly are work ready we have a subsidized employment program that pays employers basically the wages of the staff or our welfare to work participant. To get job experience, to actually perform work and then so that's a much smaller subset. So about 90 welfare to work participants are at that end of the spectrum fully ready to with that additional experience seek their own employment.
Okay. All right, another question for me would be, well one of the comments is when I first got here for me the single audit results that we had were shockingly poor and so I just really, I know since you've been here that's something you've taken very seriously and I do as well make sure that we are doing the being responsive basically to our clients. So I just really want to appreciate you and
I appreciate that, Chair Lavagnino. When I was interviewing with the CEO prior to getting to this stage of interview with the board for this job, that was one of the primary things I was told that was a problem that needed to be fixed so I've always taken that as being something I needed to be good at in order to keep my job.
Well, I don't think that's ever been a doubt but if you think it is, that's good. One other thing about communications and if you could explain that octopus a little bit more. So I can go online and that's where I would apply for like a CalWorks, or I mean a CalFresh benefit. And then it goes, how does that all work? I don't know if that's like a portal. Deputy
Director Gardner will tackle that one as well on the details. Thank
you. So I'll just indulge a little bit on the visual aid of the octopus. The logo is really cute. It has all the arms of the octopus holding the various different ways that clients can communicate with us. So this was an attempt to bridge the gap We do already have a mechanism for clients to apply online, but it's through the MyBenefitsCalWIN site or different sites at the state or federal agencies that require logins and setting up accounts. So Octopus wasn't designed to replace that application process, but to supplement the whole information flow. So sometimes people have applied and then we realize that they need to give us a document that they didn't have with them when they were in the office. And so they're able to submit that later or if they have a question for us, Web page and communicate with us without having an account.
Okay, cool. And then my last question is I remember we put in a new telephone system where or at least a policy where it would Instead of sitting online forever on hold it would call you back and I'm just curious how that's working
It's been working very well in terms of client satisfaction with those that choose to use it. Maria might have some statistics right off the top of her head in terms of impact.
A ballpark estimate is, the majority of the calls to the Benefit Services Center do opt for the callback and so I would say over 50% of the calls are through that callback feature where they are holding their spot in line virtually And I routinely receive compliments and kudos for our staff from clients that have waded through that experience and are really thrilled with the help that they got at the end of the line, where before that system it would be the opposite. That people were thinking there were better things they could do with their time. Right.
Well really good. I'm excited about that. The only thing I'm not excited about, and I bring it up every year. And I know Director Nielsen last time you talked about how you had kind of spent your career in this and it still bothers you is the fact that 7 out of 10 of our kids are somehow in our social services, I guess wing. And I guess that falls on all of us, where our priorities are with funding and how do we fix that?
If you'd just like to take a minute to talk about that. It's staggering.
It is but you have to keep in mind that a large number of that is in the Medi-Cal program so it's about children getting the medical assistance that they need which is a good thing in terms of their success in school and in life and all those sorts of things. Short of some other option, I view that as a very positive number. The rest of the number of children in those numbers would include the children in child welfare which of course is a drastically smaller number. I think we have somewhere in the neighborhood of 425 children as dependents at pretty much any given time.
Which is the area where clearly society on all fronts can be doing more. As a first five commissioner, I'm very happy about the efforts that First 5 focuses on because seeing children in foster care and then tracing back Not just the roots of that child's problems, but the roots of those parents' problems often go back to things that could have turned out drastically different if those parents had had different childhood experiences.
So I think that's certainly an area that all of us in our society, whether it's from the financial front or from the heart front or however you want to approach the issue. There is a significant argument from all fronts to be doing more to improve situations for children before they end up being abused or neglected. Absolutely. Okay.
Supervisor Adam do you have any questions? We'll go with you first and then bring him back here to Santa Barbara.
Yeah, I'm glad you brought up that seven out of ten children. And I would just cite the three out of ten greater than three out of ten adults. That just seems wrong to me and I think we should have some kind of a plan to expand our economic possibilities here because I can't believe Greater than three out of ten people that are walking up and down the street with me can't find a job or hold one.
And I think we're just failing to give people enough opportunity.
Well, it'd be interesting to get the number when we have that number of how many are Medi-Cal only because I think that does inflate the number quite a bit so I guess we do have some of the numbers here for how many are just involved in CalFresh and those types of programs, but Supervisor Hartman.
And just so I understand, you know on your performance measures on slide 15 the one that you're not hitting your metrics on is re-qualifying folks for Medi-Cal. When a new application, 90% of the folks process timely but verifying continued eligibility is that the issue?
Supervisor Hart through the chair. That's correct we have always channeled the resources that we do have To the front end to the point that we needed to make sure that all people applying for assistance were dealt with in a timely manner. And so, the shortfall is taking care of those renewals in a timely manner. The state has never funded any county in the state at an appropriate level related to the Affordable Care Act expansion.
And so we've just done the best we can do. They gave us additional money, we hired additional staff but it certainly has never been enough to have the ratio of staff to those new clients that we would need to keep up on that. And there's no
penalty from the state or federal government for missing that and they.
Well, they they and I'll have to deputy director Gardner speak to this in more detail when when the Affordable Care Act started they kind of suspended consequences for quite a long period of time related to that and they're headed now back more in the direction of thinking that that's a good idea again but I'll let Deputy Director Gardner answer that question then she also had An answer related to the statistics on the Medi-Cal population.
Supervisor Hart through the chair, yes when ACA was implemented the state did suspend the Performance monitoring reviews that we would have every other year in Medi-Cal so there were to be no financial consequences recognizing that the counties were overrun with applications and That it was difficult to process both applications and renewals timely. And as Director Nielsen mentioned, we are not meeting that measure in terms of timeliness of renewals but we are completing the renewals eventually. We have a system when people call into the Benefit Services Center that's called one and done. So regardless of why they're calling us if we look thoroughly through their case and if there's a renewal that's outstanding at that time, we take care of that.
And that's how we've been able to keep up. And adds to the question about Medi-Cal renewals. Are not renewal. Sorry the number of adults on Medi-Cal 70,000 560 adults in the county so that 142 thousand served approximately a half are because of the Medi-Cal
and I would just additionally add to that point that You know, not all of those people are unemployed, you know There's plenty of people that are employed in low paying jobs or part time Absolutely supervisor Hartman
Thank you Mr. Chair, social workers who work with foster youth I've explored this a bit with you before how important I believe it is that there be continuity and that we have long-term tenure is there any way to translate that into a performance measure and look at trends over time?
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There would be a way to supervisor Hartman through the chair there would be a way to track The changing of Social workers over the life of a case That would be a foundation for that. However, the important thing to remember is that with the way our system is set up that the In the different components within child welfare that the social worker that's doing the investigation is going to be different than the social worker that does the court report and it's gonna be different than The social worker that deals with the case on an ongoing basis if the court finds dependency And we have an ongoing family dependency case where the child still in the home But it's a court case or whether we've removed, and it' s a family reunification case so And some of those changes or the changes in the social worker can be a good thing.
It's a lot harder for a parent to deal with a social worker that took their child out of their home on their reunification plan than to be dealing with a different social worker. And so some of those things are different. In my last county, I had a different model where every social worker did everything and there were significant challenges in terms of the capacity of social worker to have an ongoing caseload and at the same time be doing investigations and writing court reports on potential new cases.
And it was we tried that model for about four years and you know, it was I wouldn't say disastrous but it didn't turn out well in terms of The day-to-day last minute shuffling that the administrators had to do to backfill for social workers That had a responsibility in one area, but suddenly had run out to go do an investigation so If you're talking, you know, I think if we made anything like that a performance measure It would have to be within the design of what is planned for versus What happens Accidentally, I mean like if you know in terms of changes of social worker because of staff leaving or Going out on medical leave or things like that. Those would be things that that I think There could be a discussion about how to look at that and and how to tie that into some sort of a performance measure But there again, you're dealing with things that are out of the control of the supervisor or the manager in terms of staff temporary or permanent turnover But certainly there's some built-in changing of hands that happens along the way.
I would additionally say that one of the primary goals of a social worker in dealing with a child, especially older children is to make sure that they're getting connected to people who will become a permanent part of their life and supporting those relationships and transportation to those activities and to those people so The primary if they don't have primary people in their life that are interested in them that we try to get that To be developed and to happen during the time that were in their life Which ultimately end of the day?
Is as big or more over bigger an important issue than the relationship with a social worker
Well maybe we can continue to talk about this during our monthly meetings because I do think for children who are in the program for a long time, their social worker does become a very significant person in their life. And when every four or six months they have to tell their story to a new social worker They get jaded and they get tired of telling their story. And that social worker does in fact become a significant person in their lives, and I think that's why it's such an important job. And for those people anything we can do to keep them at those jobs, I'd like to learn about what that would be.
Right, well Supervisor Hartman through the chair. I think when we next have our individual discussion, I can try to bring you some data related to the number of children that are in that situation and the length of time and their social work turnover. Usually those are the children that tend to have the most stable duration of social workers compared to children in reunification or if they've moved...if they're not going to be reunifying with their families and if an adoptive home has not been found for them Then they would tend to end up with a more stable social worker situation over time. And I don't mean to dismiss the importance of the social worker in their lives, but it's our job to make sure that isn't the primary relationship in those children's lives that we Support them and help them to find others because when they age out of the system, if that is what happens to them then that social worker has no official role left in their life.
And so we need to have found additional supports as well.
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I just have to add, I mean, I think I've only had one case but in my life as a CASA. But that was indeed the problem and I did the best I could. But I mean, I think this is really an important issue and if Supervisor Williams were here he would be calling for more Families to step up and adopt. And so I'll say that but But I do think an adult a stable adult, and I don't know how we find it for each child, but that's the goal
Yes, absolutely. And it is a one of our fundamental Goals that we work on in our case plans especially with children where they don't you know, the older children are the ones that tend to not have that and
Very good, okay. I don't see any other questions so we'll go to public comment.
Thank you very much. Chair Lavinino and members of the board, we have one request to speak and that's Andy Caldwell.
Chair Lavinino, members of the board, Andy Caldwell representing Colab. I'm glad that a couple of supervisors have brought up this issue whether or not it's just Medi-Cal or not There's something seriously wrong with 32% of the adults and 68% of the children having to get services. Why is that? Is because we're in the middle of a booming economy with super, super low unemployment rate. What that tells you is we have created a permanent urban underclass, the working poor.
And I've been a member of the Central Coast community for 50 years. Almost 28 of those years with CoLab and a number of years before that, I was an industrial relations manager which I hired hundreds of people a year because we had a seasonal workforce. And what I can tell you is that this board's policies and the state's policies have helped create this permanent urban underclass because we used to be able to see people transition from fieldwork to factory work.
With limited English speaking skills, limited skills of any kind other than the ability and wherewithal and willingness to work with your hands. At Union Sugar we had people with a high school education back in the 80s making $50,000 a year. Those jobs got destroyed out of concern for air pollution now climate change? It's on you. Every time you make a decision that we don't want oil, or we don't want manufacturing, or we don't want industry.
You have helped basically cut the middle rungs on that ladder off of that ladder and told people you're going to stay poor but here's a government handout for you and your children. The other thing I want to complain about Is I don't know who came up with this it was before. The overwhelming poverty in this county is North County. Don't split off Lompoc from Santa Maria and Guadalupe to make it look better that it's evenly divided, because it's not. It's North County poverty.
And again you have to look at your policies, your priorities in terms of what you've done here that isn't going to get any better than this. We have the lowest unemployment, we have the highest Hispanic and black employment numbers in history right now. In history it's not getting any better Until you change your priorities of what you will permit, the North County is a resource-based manual labor economy. It always has been and it always will be. You've got 30,000 people in the North County that don't speak English or Spanish and neither read or write in either one. So don't ever tell us again we want high tech jobs for the North County.
The shoe doesn't fit. Oil manufacturing and industry is how these people will climb out of poverty. My best friends growing up were all first generation or second generation from Mexico. All of them had the opportunity to go to college because their dads got jobs, they went from the fields to the factory. That's my story too. That's my story. I wasn't in the fields, but I was single family, single parent family, poor, went to college, but I got my first job that paid anything in industry working straight graveyards.
This is my story. It's a story of the North County and we want to be respected. Thank you.
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Okay? I don't see any other questions. We appreciate you and your staff. Maria, thank you for always having a backup answer. That's good. You're a great backstop there. Everybody needs one of those. Thank you. All right, that moves us to Child Support Services with Ms. Maiden. We'll take a second here. Good afternoon.
Good afternoon, Chair Blavignino, members of the board. I'm Joni Maiden from the Department of Child Support Services, the director. I have with me Meta Richardson our assistant director and let me put my glasses on so I can read my. Our program works with parents and guardians to assure that children and families receive their court ordered financial and medical support.
Our mission statement is to serve families and children by establishing parentage and enforcing support orders in a fair and equitable manner. The challenge we face is that we have been flat funded for 20 years, which places constraints on our operating budget and can have an adverse effect on the services we provide. While there is new funding in the child support world by the governor's proposed budget, our department is unlikely to receive any of it as the funding on the horizon is earmarked for under parity counties categorized based on a cases per full-time employee ratio.
Local child support agencies that have more than 187 cases per employee will be getting funding, and here in Santa Barbara we have 171 cases per employee. Although we won't receive the funding now it is reassuring to know that the state is taking some much needed steps to ensure there will be a methodology in place should we, that will serve us to address this needs in the future budget.
Protecting the confidential information of our clients is also a focal point for us. And while we have solid processes in place, we continue to incorporate the many changing informational security requirements that are mandated through the state and federal government. We have an operating budget of $9.6 million, we are self-sustaining with no general fund contribution and we have 69 FTE's.
We will be using part of our fund balance if needed next year. We have typically one third of our funding comes from the state government and two thirds from the federal. And we're receiving $16,000 from interest and as mentioned if we need to draw from our funds will use some of that. Our department has one program case management and collections. It's what we do and we do it well our services are available to all families regardless of income through our contracted language line we can provide assistance in 200 different languages and we can provide DNA testing and court filings at no charge Included in our recommended budget is 69 FTS down from the 75 and fiscal year 1516 And since our funding has remained unchanged for many years and we continue to face rising costs In addition to using attrition to balance the budget.
We vacated office space renegotiated leases and use technology to increase in process improvement efficiencies as I said, our funding has remained relatively flat for many years and So the big story for us in our accomplishments this year is the amount of money we collected and I can't say enough about our staff. Despite our smaller numbers, they keep delivering big results. The biggest of it being the amount of support distributed last year, federal fiscal year 2018 which ended in September.
We collected $29 million and distribute it for child support which is the most we've collected in the last 20 years. Of the 29 million collected, we distributed 25 million directly to families. 3.4 to the state and federal government and over 277,000 to the county to reimburse expenditures for public assistance grants. We increased our collections 10.7% per employee.
Because our system contains federal tax information, we are required to adhere to IRS Publication 1075 security mandates. A recent mandate required that we conduct a criminal history screening every ten years for employees that have access to federal tax information. The screening includes FBI-level fingerprinting and criminal background checks. Prior to this directive, we only conducted the screening when someone was hired and fingerprinting was not FBI level. Consequently, we had to run this screening on everyone in our department, and we successfully completed that screening in spring of this year.
Some of our upcoming objectives are to complete our five year strategic plan incorporating our focus to promote family self-sufficiency and continue a process improvement efforts. We'll also be integrating program changes resulting from the federal flexibility, efficiency and modernization rule into child support practices. Amongst other things this rule allows the states to have more case management flexibility in order to improve and simplify program innovations to better serve families.
While California is already doing a lot of things required by the rule, there are still areas that need improvement such as more flexibility in some of the enforcement remedies that we use. For example, a lien is placed on an individual's property even if they are current in their child support obligation. And that's due to a lack of system flexibility. Local child support agencies are collaborating with the state to enhance the system flexibility and pursue a more personalized approach to case management, rather than painting everybody with one brush.
And speaking of improvements, currently we use four antiquated computer applications to submit fiscal and staffing data to the State Department of Child Support Services. And our assistant director is on a team that is working with the state to replace those systems with one application. This shows some of our Renew 22 initiatives that we're taking up. Our assistant director position was recently filled by Metta Richardson, leaving her previous role as our business manager vacant and we will not be filling that position rather we will restructure in our executive and management responsibilities.
We are participating in shared services opportunities with other county and state agencies And we're working on furthering our use of technology by developing a self-service check in kiosk for the customers that come to our office. And will continue our efforts to install additional payment kiosks in other locales within the county. Currently, we have a payment kiosk in our Santa Barbara office and in our Santa Maria office. My hope is to get one in the Lompoc Administrative Building with the possibility of other agencies being able to use it for their paying customers.
Continuing with some of our initiatives, we successfully amended Family Code section 7643 and this was initiative was started last year when our previous director Carrie Topliff made the budget presentation to you. She brought to your attention that we were blocked from getting access to some family law cases filed with the court which causes a delay in us being able to establish a court order.
Due to the unified effort of your board, the CEO's office, the legislative committee, Senator Jackson, Carrie Topliff and our supervising attorney Kelly McLaughlin. Effective January 1st this year, we are now allowed to access those court cases thereby expediting the establishment process. I've had quite a few child support officers thank me and tell me that it's done quite a bit to help them with their case management and they wanted me to convey their thanks to you as well.
Thank you. With our collaborating efforts, we are working with California Workforce Development Board to develop a process that will assist our unemployed parents to attain employment which in turn should help them provide for their children's needs. Together with social services, first five be well public health and probation. We're working to develop a comprehensive referral process in which we could engage every client customer and patient that comes into any of our doors to help them identify current needs and be able to refer them to other county resources from which they could benefit.
In addition, we're exploring ways in which we can monitor those referrals and determine if follow up occurs. And finally, we'll continue our efforts with the State Department of Child Support Services and Santa Barbara Superior Court testing and expanding electronic filing capabilities. These are our performance measures that every child support agency in the nation must adhere to.
And I won't go into detail other than to note that even though we have less staff, we continue to hold steady and across the board, we exceed the statewide average. We use these measures to gauge the effectiveness of our process improvements. And for us, the dominant measures that we'll focus on is establishing orders for our 12,000 cases and collecting regular and past due support.
These are more measures that are related to our collections, and I'll just point out the top one. That at the end of federal fiscal year 2018 we collected almost $3 for every dollar that we spent. In summary, our history shows we've been able to use attrition to balance our budget. Since that's been the norm for us, we're pretty good at meeting tomorrow's challenges by continually evaluating cost-saving options, maximizing the use of technology and efficiency measures, and working collaboratively with state and other county departments to transform the way we do our work.
And we chose a Mr. Rogers quote that we thought was fitting. Anyone who does anything to help a child is a hero to me. I'm happy to take any questions.
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I know you answered this last year.
How do you get 108 percent paternity? It's the number of children during the current federal fiscal year that you established legal parentage divided by the number of children who still needed legal parentage established in the previous fiscal year. So it's a variable that we don't control and we just happen to have more children in this current fiscal year than what we've established parentage for.
Awesome, okay. Well that answers that question. And I just want to say your department's
been... I'm going to write it into my presentation
next year. Yeah, that should be there. This department's always just really used technology to really just continue to not just maintain a level but every year it seems like just gets better and better and better especially if you look at it your performance measures against other counties statewide. A leader in a lot of metrics that we have and never come in, and we're never really talking about adding additional people. We're always talking about how better to serve the public with the people that we have.
And so I just want to commend you and all your staff for that. It's outstanding work. So do we have any questions from the board? Supervisor Adam, are we good?
Very good
down here. Okay. Do we have any requests to speak?
Chair Lavinino, members of the board we have one request to speak and that's Andy Caldwell.
Chairman Lavinino, members of the board as I've mentioned over the years I've had the privilege of hosting a radio show for a number of years and I get to talk to people from all over the country actually even all over the world And one of the things that really struck me, and I don't remember the number of states. But there are a number of states that require parents to go through a class before their divorce can be finalized.
And in that class they're taught, instructed and drilled to not make their children The fall guy for their divorce, including failure to pay alimony and child support. And they've had tremendous success and I've talked to a few legislators who don't ever do anything in Sacramento as to why California won't do that because again they have to agree to go through this class, this mediation process before they can have their divorce finalized. The other thing is you know I don't know where the churches and synagogues are, and society in general.
But it's pretty shameful that we have 8000 children or more born out of paternity with deadbeat dads involved. And I've always wondered why we don't publish the names of deadbeat dads in newspapers? And when we hear about sports figures having 10 different children in 10 different states with 10 different baby mamas, why they're not soundly condemned for that. There was one football player who had a child he didn't even know about.
That child nearly died or did die and that's when he found out he had that child. We've got to do better as a society this whole area On of the county budget is a shame to society. And and many of these children we know this many of the children that grow up in this dysfunctional household will end up becoming dysfunctional adults it's not always the case But a lot of them that grew up on welfare, grew up with a parent that was absent and failed to provide for them. It's not a good start in life.
There are exceptions to it, and we support the foster program and adoptions and everything else like that. But this is something where I wish that there was more involvement with the churches in the media to publicize what's going on here and to look at what other states have done to address this situation. And finally, the worst partner you guys have is the state of California.
They notoriously don't pay their bills and reduce their commitment over time after mandating. This department, when we first started the budgets they were independent. They did their own thing and they had a higher return rate than the state average. State takes them over and then freezes their funding forever. Have you ever brought that up with Monique Lamone and Hannah Beth Jackson?
One of the things I suggested to board members probably 10 or 15 years ago, and they did it once or twice. Bring your legislative representatives in here for a day and go over things like this with them. Once a year bring them in and tell them how they're failing you. You represent over 400,000 other constituents. Maybe you can get their attention. Thank you.
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All right, thank you very much. We really appreciate it. I think to address that last comment, CEO Miyasato, you are always been fully engaged and have actually stepped that up a notch with the Assemblymember and our Senator.
Supervisors, that's correct. We're meeting quarterly with our delegation representatives for those who want to meet with us and Bringing them updates and we have brought this issue up there because of the governor's budget including funding I think the child support directors are happy about that even though we're not one of the counties But we hope in the future we will be okay
Okay, we are now moving over to first five Wendy Sims Moten Good afternoon. So you've got to sit through many hours of the budget so far?
I have, I've learned lots of things and I was making furious notes. So thank you Chair Lavaneno and members of the board it is my pleasure and I'm happy to be here to present our first five budget and to share with you our next chapter in First Five. Today I have with me Suzanne Hayes who is here who has been on a huge learning curve As you know, as we've made some changes within our department. So she's been on this treadmill of running and learning so I want to appreciate her effort and commitment. And then we also have our staff that is back in the offices I want to express my appreciation for what they've done in this last year. We're still standing and there's been some changes in our operation where there was a huge gap in knowledge, but our collective knowledge was able to us to keep it going and keeping our The goals of our strategic plan going forth as I sit here in front of my commissioners to do that.
So, I want to say that our very important mission remains the same and our vision to help all children prepare for kindergarten by supporting families and be healthy and strong and by enhancing the availability of high quality child care in preschool. And our budget is very straightforward in terms of that. And we're very proud to keep being efficient, fiscally efficient despite all the changes and shifts in our budget. But I want if you will to imagine with me what a successful community, what successful childhood and what a successful strong family is just to imagine how that success can happen when we start to look at focus on those early years how we could be instrumental in that and see our community as I present over the next five or ten minutes Our children laughing and they're playing and they're ready.
And we see the reduced, you know, ACACs, you know, the adverse childhood experiences. We've seen those being reduced. We're seeing child abuse being reduced. We're seeing that developmental delays are being identified much earlier when we have home visitation going into the homes that we just see it all together that we have a strong community that cares and wraps our children in their care. And the most visual I can give to And so I'd like to see our community begin to wrap our children and our families in our community, therefore making us a stronger society. And addressing some of the very issues that were talked about today. And First 5 wants to be a part of linking that and being at the various tables where there are concerns of children and family.
So you'll hear me saying that throughout the presentation today. So thank you for visualizing that and keep that in mind as we go. So here we have our key challenges and emerging issues. Meeting the challenge of Prop 10 revenues, well we know that's part of who we are. We're going to have that shifting of revenues and so we've been well prepared for that. We have a very comprehensive fiscal plan that the commission set out forth way back if you go 20 years ago so that we're here standing in a good space even after 20 years able to still make impact fiscally in the dollars that we have.
We also see as an opportunity the Governor Newsom's budget proposal. We won't know for sure exactly what it will directly impact us here at First 5, but certainly know that almost $2 billion going into the early care system is a great boost to what things need to go on and we want to continue improving and strengthening the system of early care and education.
Since that time, we've had a lot of things going on since the last time I was here before you had the leadership. I was an interim executive director at that point and now I have been and I appreciate now I am the permanent executive director, at least for now in terms of that. I won't say 20 years from now but at least for now. And we also celebrated First 5 being in here for 20 years. What an awesome thing to be able to do and have seen all the changes in the impact that has happened, being here since if you will, the first paperclip that had a few bends along the way but just seeing the importance of how impactful those first years are and how critical they are to the long-term success of our children and having them be ready for kindergarten and for school.
And we also, we're in the process of reorganizing our organization so that we are prepared and ready to go for the next few years and the changes that are coming about in improving the system of early care and education. So we continue to look forward to working with the governor on his endeavor and also looking at working more closely with the First Five Association which is an association of 58 directors across the state and how we can become stronger as a strategy and as a network.
And we consider our path forward in the new era of First Five. We do so with great enthusiasm and optimism, and you might say how? And others have said how? It's a simple fact that we have stayed focused on the end goal of preparing our children for the best start in life, supporting families to be resilient families, and improving and strengthening this system of early care and education. And keeping in mind that our ability to weather recent fiscal challenges has been due to the fact that the commission has maintained a conservative approach to spending reserves. So we feel very optimistic about our possibilities and we want to expand through going to impact and influence and expanding our place across the broader community.
As I said earlier, we have a very simple and forward budget. We have the 3.4 million, almost $3.5 million in operating expenses that is purely funded by the state, the sole source of Prop 10. While that is our sole source right now it doesn't mean that we wouldn't be looking for other opportunities for the funding that may come down the pike. And use of one time of that on gun operations is 321,000. That is a planned as the gap in reducing and funding. That's a plan part of what's happening with the commission. They are aware that we will be filling the gap with our reserves. We've been very conservative with the use of that so that we can maintain to be able to use it over the number of years and not just go off the cliff as different as the fiscal opportunity shift.
And the use of those funds, as I said, the source of those funds are the Prop 10 initiative and we get about $3.1 million that has been impacted just a natural shift fighting against our own if you will revenue sources. We reduce smoking therefore that revenue source will reduce as well as other and you may recall in 2016-17 we had other tax regulation things that also impacted Prop 10. So we weathered that storm as well and we have Again, the decrease to the fund balance is a planned use and it's very well aware in terms of the commission being aware that that fund will be filling that gap through our reserves.
The use of our funds, the focus, the majority of our external internal investments is in the children and wellness and support to meet the broader needs of the children and families. And we make smaller investments in systems change and capacity building and communications and policy. And then also we have in our program evaluation to provide accountability, public review and reporting on results. We'll continue investing in reporting and evaluation systems and protocols, and will maintain our governance structure that ensures public involvement and representation. I also want to just say with regards to our administrative, we are very critical in regards to making sure that we have clean audits. And I want to also appreciate and acknowledge the partnership that we have with the audit controller's office.
We have a pre and post meeting as to how we can better do our practices internally so that when they're looking at our financial structures, we're in good shape. And how can we better improve those as well? So I want to appreciate that partnership. As our staffing has reduced over time, that has basically come through attrition. People have sought other opportunities or the fact that they have resigned and gone on to retirement believe it or not able to do that. And so you've seen that over time decrease out that and we were adopted at ten but through attrition in two recent resignations we are now down to eight. And we are really using efficiently and effectively how do we use what we have to restructure, to ensure that folks are able to have the skills they need to accept increased responsibilities to make sure that we still continue to meet the needs of the strategic plan.
And again I want to appreciate the staff for stepping up and stepping in and being willing to learn new things to ensure that we continue to be effective in meeting the needs of our strategic plan. And our revenue, it reflects a more detailed level of source of funding over the years and how different sources of funding has decreased over time. In fact this year again is only focusing on the Prop 10 revenue that's coming in but we are in position to continue to do and meet our obligations as well. And we don't know as I said earlier what the opportunities of the governor's budget will ultimately bring to us but we're in communication with them as to what happens. And it may not necessarily come directly for us to Chile disperse, but it may be that we may be a pass through in the situation.
But anything that's going into the early care and learning system is always a good thing to do so we appreciate that. Talking about our 2018 and 19 anticipated accomplishments, we have completed the first year of our new strategic plan. Believe it or not, we're already going to the third year of that plan. We had a four-year plan which was 17-18 which was really a bridge year from the previous strategic plan and so 18-19 is the first year of that. And now we're getting ready to go into that second year. So we're excited to see that we continue to meet those obligations as well. And we invested and administrate over our contracts at a $3.1 million, again pushing the majority of our dollars out to the community to serve non-profit organizations in school districts and businesses that serve children zero to five.
And we have completed the transition of our first five preschool and quality improvement work for that direct service aspect of that to our community based organizations. And as we have new folks coming in and new eyes looking at it, we're now going to look at strengthening the way we collect. And tracked and report on program indicators and desired results.
In our objectives for 19-20, we want to increase the First 5 visibility in the community and expand our community partnerships to a broader community. We want to provide and promote quality care and education and promote the well being of children and families. And continue to strengthen the way First 5 collects and tracks reports on program indicators. Again, how do we really measure the impact of whether the funding that's going out to the community? And we have really focused on increasing the professional development of our team Appreciate Commissioner actually putting a line item so that we can support our staff if they continue to grow and grow professionally and able to take on additional responsibilities. And therefore, we're looking how better ways and more efficient ways to run our department and then maintain a high level of fiscal control and financial planning.
Our renewed 22, when this came about it just gave a voice to what's really been going on all the time. In first five we're always constantly figuring out how do we do things better? We're always having to figure out how to rebalance because of the shifting nature of our fiscal operations. How do we do that? How do be prepared for that and how can we withstand what are the changes that are coming? So we last year, we increased engagement of our commission advisory board. In fact, we just renewed having joint meetings between advisory board and our commission and they really went over really well to be able to have a conversation together about the things that are happening in the first five world.
And we're going to be increasing our policy and advocacy work. That will be one of our focuses as things are changing at the state level, we want to be ready in terms of understanding the policy how we can better then advocate for the early learning care and learning system. And we're going to be expanding our community building model which really where we are building a community of parents in terms of re-looking at that how do we fit into new world of impacting influence and expanding our word and the importance Of the early years into the greater community.
We have restructured, we're in the middle of restructuring and realigning for the first five teams so that we're ready and poised to move into the next 20 years. And will continue to work on improving the system of early care and education as well. So transformation is an ongoing thing that happens in First 5. We have to be ready and willing to move as things happen.
Our performance measures in the past, since an exception, First 5 has served primarily as a funder, convenor, and advocate for the robust system of care for the well-being of our children and our families. And historically, our performance measures has really been a reflective of what we have funded our agencies to do as opposed to what we do as an agency. So we're working really hard this year to figure out what do we do? How do we show impact? How do we show influence and how do we show that we're expanding the message to a greater part of the community? So those will be our future performance measures that we will be looking at. We are working with the CEO's office to better define what those will be so we'll be working on those things.
And in summary, as I've listened to many of the presentations today and really felt really moved to say it's so important that what happens and to be critically sending that message that what happens in the first five years really impacts each and every one of us. And how we do that and when we support those early years, it truly changes trajectory of a lifetime in terms of a child In terms of the family and in terms of a community. And so we're going to be working on how we improve, how we influence and how we expand that. And so there may be meetings at the planning development. We need to sit there and see if you're doing a development and it has anything to do with structure or developing something that has to do with children. We want to be at that understanding that and sharing our point of view if necessary but mostly for listening for information how we can better and link our services so that we can be in their early part of the planning of most things that are going on.
And as we do that, we're going to improve and strengthen the system of well-being for the children and families in Santa Barbara County. As part of over the 58 counties that are coming, we're coming together in this new era of the next 20 years. How can we be stronger together? We've been 58 individual counties but we're really working toward to be a much more stronger network and one of the visions of that is that one day California's success will be measured by the well-being of its youngest children and its families. And we must work together to ensure a strong system for our children and our vision to work. And I would like to share one thing that I was had the opportunity go to the Partnership for Excellence. This is the first time that we've had a nonprofit.
Conference this last Thursday and it was bringing together of nonprofit organizations and it was a Ted talk type of style that went on and many speakers got up I think, I don't want to miss say her name. It's from a different point of view and where they teach children who have challenges to how to fly so they're giving them different things but what she said was that how this kind of came about and remember that we must be creative. We must be willing to take risks And she said the Wright brothers did that. So we got to change the way we're going to transport is that it's gonna be cars? It's not just gonna be our feet, so we're gonna talk about flying and of course People said oh sure that's not gonna happen. That's not gonna happen. Can I do it but she said She said that their voice that idea was so loud In them that they couldn't rest had to keep doing so thus we have planes and different things that were traveling.
And I would just say to us today to say as a county that we must continue to have a voice for the well-being of our children of our communities of our society has to be so loud that we can't rest It's one county it's our kids in this one future that we talk about all those things and that really. Says everything to me to hearing all the things that were presented this morning of being a part of the human services pieces we have to continue to make sure that voice is so loud that we can't rest and In terms of us working together and really focus on bringing in those first five years and how important they are.
And understanding that whatever happens as a child, it shapes the adults as adults and the rest of the society. And so as I conclude this presentation, I'd like to share a few words from Rob Reiner who's one of the original architects at Prop 10. And after that, I'm happy to receive any comments and or questions that you have.
5:37 – 5:496 turns
Did you know that 90% of our brain develops by age 5 and a whole world of opportunity opens up to children afterward. That's why I've always been a passionate advocate for young children like so many of you, I was awed by the incredible research showing how critical Early Childhood Development is. In 1998, voters had the great foresight and vision to launch California Kids Toward Success. And I'm proud of the important role that First Fives across the state have played in the last 20 years to prepare kids to be successful in kindergarten and in life. First Fives have made tremendous accomplishments since they opened their doors, and they've inspired organizations across our nation and around the world. First Five has learned and grown in ways that many of its architects including myself did not even imagine.
It's using a collaborative approach to build support for early childhood development across sectors, and to make it clear that we all have a shared responsibility and shared reward when our kids thrive. I'm proud of the way First 5s across the state are leading efforts to early childhood development and creating a sense of urgency with decision makers to prioritize young children because we simply can't afford not to. We knew in 1998 that the ballot measure would not be an immediate cure all and end all. There's much more work to be done.
Thank you, that's a good note there is much more work to be done and we're willing to be at the table to get it done.
Awesome. All right any comments questions? You know what that's when you know you're doing a good job And I can tell we've got the right person in the job. I can't think of anybody more passionate and the call to arms there, I think was well taken so thank you very much and I appreciated my time on first five as well, so thank you.
Yes, thank you so much.
All right, appreciate it. You know what? We're going to take a five minute break before we go to fire. So give you a chance to come on up and everybody can take a quick break.
you you ♪ you You. Yeah, you got to.
5:49 – 5:594 turns
All right, we're gonna reconvene. And we welcome
Chief Hartwig And if you think it's been easy watching all these folks just fly through, that's why we took a break. We're in the back coming up with all of our very complicated questions for you. So welcome.
He's fired. Thank you for having us today. I'm going to run through this and open it up for any questions that you might have. I have members of my staff, I like to say the experts in the organization that run these programs and of course prepared a budget and the PowerPoint you have in front of you specifically Ms. Lynn Dybul. Of course we have Diane Sauer in our finance and budget department and then my deputy chief and couple of my division chiefs here with me today.
Key challenges and emerging issues that we're dealing with in the fire district, I don't think will come as a surprise to any of you. We're talking with our partners regionally about a fire rescue and EMS dispatch center and how we can come together and perhaps Meet all of our needs collectively better than we do now. The EMS agency is doing a system evaluation, we're working with them as a key stakeholder ambulance and ALS provider.
And we're updating right now in the process of updating the document that really would make a lot of our decisions off of our fire services deployment departmental performance audit through CityGate. Going to the next slide, our operating budget this year is 84.9 million capital 577-5. We're going to talk about some other capital projects in just a little bit that we're taking out of our restricted reserves.
Our capital projects this year focusing on the build for We've budgeted $4 million for that, and then we've also set aside this year out of our reserves $2 million for whatever the Fire Emergency Communication Center turns out to be. And I know that working closely with the CEO's office and Mr. Malekian on a presentation that he'll be making to you in May. A source of funds are taxes are obviously the primary source of our revenue.
Charges for service that includes reimbursement. It also includes our Cal Fire SRA contract is a majority of that and also our agreement with the university. A graph showing us, showing really how we spend our revenue. Of course the bulk of that is for emergency operations. Our staffing summary were going this year up to 270 FTE's from 200 in 61, we are adding a firefighter paramedic post. We're adding a battalion chief post. We're adding two EMS educators and then also converting a fire mechanic, helicopter mechanic full time.
Operating revenue graphically presented an increase on the, a revenue increase from 81.2 to 85, almost 85.8 this year. Our anticipated accomplishments by the end of this budget year Obviously, the incident management that we face each and every day. And the procurement of the multi-mission Black Hawk that we are budgeting for this year to convert to a Firehawk.
Our objectives for this budget year is to complete those modifications. We don't believe that those will actually be complete this budget year, we'll have to budget again next year to identify and implement a fuels reduction projects and really Chief Hazard the new fire marshal and I are working on a comprehensive strategy In our communities through the multiple CWPPs and then what we expect to be quite a bit of grant funding that will come in to this county to mitigate some of the projects, the top projects identified by the state in a recent study.
And then strengthen our EMS program and our ALS delivery throughout the county and the County Fire District. By adding The battalion chiefs were looking to improve the span of control that we have now and putting that first scene supervisor on scene faster. And by the end of this year, we're going to reach that 17%. I heard of course Ms. Miyasato refer to that and of course you're very familiar with that direction that was given to the county. We believe that 25% increase this year will take us to that predetermined 17%.
In the renew 22 slides, I'm just going to flip through those because of the objectives that you have in front of you for this budget year align to As the fire district and the other county departments. If I could just draw your attention to one thing, we procure-to-pay were a beta department for that system implementation. That's of course will provide enhanced budgetary control workflow and transaction automation for all departments and we're working on that this year.
Our performance measures looking, and you have a trend here from 16-17 up to 19-20. And where we see ourselves improving this year specifically related to the performance measures that you have in front of you. I think one thing, there was one I wanted to draw your attention to and that was the percentage of all wildfires contained to 10 acres or less. Cal Fire, the state fire agency has a target of 95%. And we as we haven't been there every year, More and enhanced attention to our wild land response and our training. And capability were able to meet that last year, we expect to be able to meet that this budget year. We expect to meet that next year as well.
No service level reductions in 1920 proposed. In summary, I just wanted to draw attention to the fact that this will be the year that we reach that 17%. And I feel a bit guilty coming in to this organization after such a hardy and what I understand at some time contentious. But I will tell you that the 17% that we're set up with right now will lead to a sustainable future for this fire district. And that's really due to the hard work and the debate that happened before I got here.
I have to share my quote because it's a quote from Phil Jackson. I find fire chiefs to be a whole lot like coaches, they take really talented men and women and their job is to motivate them to do their very best and to be their very best each and every day He said the strength of the team is each individual member and the strength of each member is the team.
And I am open to any questions. Do we
have any questions from the board? All right, one of the things that I'd like to see this year is as since this is kind of the year where we hit the number it would be nice to go back What was kind of identified as some of the needs that we had and how we've, I think we've been doing this every year but this year would be more interesting to take a more detailed look at what it actually got us and what we're prepared to do.
And how we match up with what we thought we might be able to do with that money. Supervisor Adam, do you have any questions?
5:59 – 6:034 turns
Well, I have a concern. I don't know that it's, I don't know what it is here exactly but this on page 16, slide 16 the bottom performance measure where we're going to go from 20 business days to 30 business days on certificate On plan checks Is that just a recognition that we were failing miserably at our previous Target or is that something that We're trying to slow down our process.
Why are we giving ourselves an extra ten days instead of kicking up our effort?
I can tell you that was originally a little bit higher on our performance measure and of course, I think being realistic is my aim. And knowing that if we have a standard or we've set a goal for ourselves that's unrealistic both in the amount of time it takes to turn it over and Or the amount of those that we will complete, I would rather adjust those and be more realistic. And so we have seen some improvement this year, this budget year to the budget year prior. And with some throughput changes and flow, we believe that we'll be able to take that up to even another 20% this year.
Okay, well I would personally rather that we didn't do anything that's going to take more time on these plan checks. I would rather see us try to figure out how to get those out better instead of changing the standard to a longer duration. Because that's, yeah, I mean, I'm all for setting attainable goals and I get that but there's probably some reason that we're not making it in 2020.
20 business days, and maybe we should instead of giving ourselves an extra 10 days figure out why that is. because that just seems like it should be something that we should be able to turn that around faster. So hopefully this is kind of a probationary move and that will be revisiting this in future years and make sure we can do what we can for our business community to turn around blind checks in a timely fashion.
Yes, sir.
All right. Good point. Anybody else? All right, Chief. Welcome. Thank you. You got a great team around you I appreciate everything you do for the county. Thank you. With that, that wraps up day one. Three o'clock. I think that's got to be a record. What's that? Next day is going to be long? Wednesday is going to be long. All right. So I don't know when we have budget workshops Mr. Gazzone what's the official word of how we do this.
Do we just end this hearing or do