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458 Chairman Garrett inquired of the number of physicians working in OrancE County. Dr. Fuller stated that there was one physician who spent one day in Chapel Hill at the clinic, on physician who worked two to three hours a day and Clinicians who worked under Dr. Hendricks who worked about two hours a week. Dr. Fuller stated that he worked much of the time himself. He stated that there were three doctor positions, one which he fills himself, one position is vacant and one is to be abolished to make room for a Health Administrator. He in- formed the Hoard that an application had already been filed for the position of Health Administrator. In reply to Mrs. Garrett's question, Dr. Fuller stated that there were seven nurses in the Orange County Offices. In relation to the nursing staff, Dr. Fuller said that this staff could do more with more nursing positions. His hope for the next year was to strengthen the nursing program. Commissioner Gustaveson referred to the Health Task Force Interim Report which recommended that a co-director specializing in Health Administration be hired to carry out duties of administration, plan- ning and program development, allowing Dr. Fuller to continue in his specialty of clinical physician. He spoke of the concern the Health Department was to the public. He requested ways in which the public could have a voice in what is going on and stated that he hoped the Health Department could be activated this year. Commissioner Walker informed the Board that Dr. Fuller had been serving as Health Director on an Interim Basis and that last night at the District Health Board Meeting, Dr. Fuller was appointed Dis- trict Health Director. Chairman Garrett spoke of the meeting of the District Health Board and expressed a concern because there was no discussion about the programs to be originated, the anticipated needs or the recently adopted Ordinances which effect the Health Department. She stated that she was concerned because the District Health Depart- ment had not submitted a budget, but that this budget was prepared by the staff. The Commissioners stated their wish far the District Health Depart- ment to become more involved with programs, particularly within the two school units. Chairman Garrett recognized Pat Walton and Dr. Rolfs Pinkerton of the Orange-Person- Chatham Mental Health Agency. Dr. Pinkerton presented to the Board a line item budget of the Men- tal Health Center. Ms. Walton stated that most of the Center's programs were under State Contract and would not be affected by the Title XX cut. In response to the question asked "How does this budget look in comparison to previous years," Ms. Walton replied that she did not an- ticipate a cut os services. She stated that the Center had recently applied for two new federal grants and hopes to use one for consul- tation/Educational programs. These grants need no match. The other grant would provide planned funding for the next several years. She stated that the Center is funded by 42 different funding sources, how- ever, in order to maintain the same level of services, the County could have to appropriate more each year. Commissioner Gustaveson inquired of the area of need within the Men- tal Health program and Ms. Walton replied that the one priority is out- service patients. Commissioner Gustaveson inquired of the Northside schedule. The County Manager informed the Board that bids will go out in late August, and if progress is made on schedule, the Mental Health Center should be in the building by this time next year. Commissioner Whitted stated that the Mental Health Board had approved the budget which Ms. Walton and Dr. Pinkerton was submitting tonight. The meeting was then adjourned.