Lane County Behavioral Health Resource Network Proposal and Budget Allocation Review

Behavioral Health Resource Network Proposal Lane County Region Aug 10, 2022

Lane County Initial Matrix 2

Lane County Initial Budget Request - - - - - - Lane BHRN #1 initial request: Lane BHRN #2 (ONCE) initial request: Lane BHRN #3 (Latino/a/x) initial request: TTL Lane County request Lane County Allocation: Over allocation: $6,222,927 $32,193,250 $5,237,127 $43,653,304 $28,928,157 $14,725,147 3

OAC Subcommittee Concerns/Feedback OHA worked with all partially funded programs to revise budgets based on OAC decisions. The following questions were answered through the budget negotiation process: How will Ideal Option ensure diversity, equity and inclusion principles are addressed in their program? Ideal Option strives to provide effective, equitable, understandable, and respectful quality care and services that are responsive to diverse cultural health beliefs and practices, preferred languages, health literacy, and other communication needs.Working with underserved populations is the core of Ideal Option s mission. Ideal Option will be building out a DEI framework focused on recruiting diverse applicants and integrating DEI into the fabric of the Ideal Option culture. How will OSLC Development, Inc. ensure that the comprehensive services they are offering fall under the approved services (ex. Harm reduction costs not approved)? OSLC Development, Inc. removed naloxone and other harm reduction supplies from their budget. 4

OAC Subcommittee Concerns/Feedback Will HIV Alliance funding for housing include rental assistance and hotel vouchers, as well as housing advocates? Yes, the funds requested will provide housing assistance and motel vouchers for the clients receiving BHRN services How will Housing Our Veterans ensure that recovery services are in alignment with M 110 values and guidelines? How is the organization recruiting and engaging clients, and is the housing offered low-barrier? Housing Our Veterans uses a low-barrier housing first approach. They work with many community veteran service providers in the community as well as providers of BH services. When determining if a client is appropriate for service, they ask 1) Is this person a veteran? and 2) Can this person participate in the community without being disrupting others road to recovery or a threat to themselves of others? If not, they work with partners to find a safe, warm handoff for the individual. 5

OAC Subcommittee Concerns/Feedback Is Laurel Hill Center providing rental assistance for unhoused people as well as folks already housed? Yes, the Laurel Hill Center provides housing services for those who are unhoused, including housing placement assistance, barrier removal, establishing residency, and services to remain housed. Is the Looking Glass Community Services shelter and sobering center low barrier? Yes, it is low barrier shelter for youth. The sobering center is designed for youth actively under the influence of substances- youth that would not be allowed into any other location. These youth are typically chronically homeless and often end up in adult camps where they are routinely preyed upon. Looking Glass will prioritize safety among the youth they serve. Looking Glass will provide 24/7/366 adult supervision to all youth in the sobering center, along with 24-hour nursing staff. Looking Glass will meet or exceed all licensing and national accreditation standards; they have consulted with DHS licensing specific to youth sobering center operations. 6

OAC Subcommittee Concerns/Feedback Is Shelter Care providing culturally relevant services with diverse staff? Clarify if beds requested are for individuals with substance use disorders. Yes, all of ShelterCare's programs are person-centered so that our staff craft experiences unique to the individual's needs--cultural, gender, trauma, etc. Staff are diverse to assist in providing culturally relevant services. Of the clients ShelterCare serves, approximately 26% identify as a person of color and 3% identify as non-binary. Of ShelterCare s 88 staff, approximately 5% self-identify as Black, 7% self-identify as Asian- American/Pacific Islander, and 6% self-identify as other/not-indicated. In addition, 8% of the staff self-identify as Latinx. Approximately 23% of the staff self-identify as non-binary and 40% have lived experience. Funded beds will be for BHRN clients with SUD. 7

Lane BHRN Development and Reconciliation Process OHA facilitated a survey and discussion with all approved Lane County providers, who indicated a strong preference to form two or three BHRNs. After making budget adjustments in response to OAC feedback and recalculating based on Willamette Family s decision to vacate the BHRN, OHA recalculated figures and asked each organization to determine if they could reduce by a) delaying hiring, b) reducing capital costs or supplies and/or c) otherwise scaling back components of their budgets. OHA recalculated the region's budget and worked with BHRN providers to negotiate further needed reductions through the following strategies, focusing on entities with the largest project budgets. 8

Lane BHRN #1 Reconciliation Daisy C.H.A.I.N: Reduced training budget Ideal Option: Took out proposed partnership with Safeway to offer co-located SUD services OSLC Developments, Inc.: Sequenced hiring to account for funding delays, reduced Narcan budget South Lane Mental Health Services, Inc.: Cut funding for indigent care. South Lane will continue to serve everyone, regardless of ability to pay, and will seek alternate funding for unfunded care. 9

Budget Reconciliation Lane BHRN #1 Grantee Community Outreach Through Radical Empowerment Daisy C.H.A.I.N Original Request $1,086,254 New Request $1,086,254 Difference -$0 $1,133,965 $1,102,215 -$31,750 Ideal Option $503,370 $312,970 -$190,400 OSLC Developments, Inc. $2,577,128 $2,402,469 -$174,659 South Lane Mental Health Services, Inc. Youth Era $566,166 $509,166 -$57,000 $356,044 $356,044 -$0 -$453,809 Lane BHRN #1 TOTAL $6,222,927 $5,769,118 10

Lane BHRN #2 (ONCE) Reconciliation Center for Family Development: Removed harm reduction costs per OAC feedback. Looking Glass Community Services: Removed harm reduction costs per OAC feedback and scaled back staffing. White Bird Clinic: Removed clinician costs, reduced budget for some client services. 11

Budget Reconciliation Lane BHRN #2 (ONCE) Grantee Original Request New Request Difference Addiction Counseling and Education Svs. (Emergence) Center for Family Development HIV Alliance $1,486,715 $1,486,715 -$0 $1,005,989 $1,001,989 -$4,000 $1,302,583 $1,302,583 -$0 Housing Our Veterans $978,735 $978,735 -$0 Laurel Hill Center $938,075 $938,075 -$0 Looking Glass Community Services Restored Connection Peer Center $6,458,041 $5,190,485 -$1,267,556 $1,082,051 $1,082,051 -$0 12

Budget Reconciliation cond Lane BHRN #2 (ONCE) Grantee Shelter Care Original Request $308,618 New Request Difference $308,618 -$0 TransPonder $670,626 $670,626 -$0 $940,575 $940,575 -$0 Veteran s Legacy White Bird Clinic $4,993,019 $4,693,019 -$300,000 Willamette Family, Inc. $12,028,222 $0 -$12,028,222 Lane BHRN #2 TOTAL $32,193,250 $18,593,472 -$15,171,333 13

Lane BHRN #3 (Latino/a/x) Reconciliation Centro Latino Americano: Reduced harm reduction costs per OAC feedback. Also removed one peer and one receptionist staff position and reduced training costs, services and supplies. 14

Budget Reconciliation Lane BHRN #3 Latino/a/x BHRN Grantee Centro Latino American Original Request $ 5,237,127 New Request $ 4,565,567 Difference -$ 671,560 HIV Alliance N/A (included in ONCE BHRN) $5,237,127 N/A -$0 -$671,560 Lane Latino/a/x BHRN TOTAL $4,565,567 15

Lane County Final Budget Request - Lane BHRN #1 final request: - Lane BHRN #2 (ONCE) final request: $18,593,472 - Lane BHRN #3 Latino/a/x final request: $4,565,567 $5,769,118 - TTL Lane County request $28,928,157 - Lane County Allocation: - Over allocation: $28,928,157 $0 16

Lane County Final BHRNs Intervention Planning SUD Treatment Peer Services Housing Harm Reduction Supported Employment BHRN #1 Community Outreach through Radical Empowerment (CORE) Daisy C.H.A.I.N Ideal Option OSLC Developments, Inc. South Lane Mental Health Services Youth ERA Screening X X X X X X X X X X X X X 17

Lane County Final BHRNs Intervention Planning X SUD Treatment X Peer Services Housing X Harm Reduction Supported Employment BHRN #2 - ONCE Emergence Center for Family Development HIV Alliance Housing our Veterans Laurel Hill Center Looking Glass Community Services Restored Connection Peer Center ShelterCare TransPonder Veteran s Legacy White Bird Clinic Screening X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X Note: Willamette Family Inc. withdrew on 7/27 18

Lane County Final BHRNs Intervention Planning X SUD Treatment X Peer Services Housing X Harm Reduction Supported Employment X BHRN #3 (Latino/a/x) Centro Latino Americano HIV Alliance Screening X X X 19