Orange County NC Website
8 <br /> 1 also key in keeping inmates from multiple incarcerations. She said that she realizes the state is <br /> 2 the primary party responsible for funding of mental health services, and there have been <br /> 3 several cutbacks. She questioned if there are other things that can be done to address this. <br /> 4 Steve Allan said this is now an added to-do list. He said of the three major jail systems, <br /> 5 federal has the lowest population with mental illness, followed by state. Local county jails have <br /> 6 the highest population of mental illness. He said that there are many dictates from the federal <br /> 7 level, yet the local level is dealing with the results of the state mental health cutbacks. <br /> 8 Steve Allen said that the professionals working in these programs know what works and <br /> 9 what doesn't. He said that he is happy to partner with a work group and facilitate the discussion <br /> 10 of what works, what doesn't, and why. He said there is a difference in what sounds good <br /> 11 and what works, and you don't know until you dig in and find out the facts. He said there are a <br /> 12 lot of pre-release mental health programs and the results do tend to be better. <br /> 13 Steve Allen said this is a comprehensive process and there will be a lot of discussion. <br /> 14 He said he will be happy to discuss with staff where bullet points are to be added. He said the <br /> 15 Board of County Commissioners has brought up more than what he had discussed with staff, <br /> 16 but he is happy to help. <br /> 17 Chair Jacobs said this is a Board of County Commissioners decision on the shape of the <br /> 18 study. <br /> 19 Commissioner McKee said that with the stakeholders and staff upholding and defending <br /> 20 their perceptions of the County needs as part of the Emergency Services work group, it would <br /> 21 have been a circular discussion without the direction of Steve Allan. He said that the discussion <br /> 22 would not have progressed to the point that it did. He feels this issue will have positions that <br /> 23 people hold strongly due to individual viewpoints and perceptions based on differing jobs in the <br /> 24 justice system. He said the Emergency Services work group was a board driven decision. He <br /> 25 said that as the scope of services expands, the cost will also expand. <br /> 26 Commissioner Rich said she is interested in how the Board of County Commissioners <br /> 27 views this work group and who is involved. She is unclear on who is involved and who the <br /> 28 stakeholders would be. <br /> 29 Commissioner Price asked, if the Board decides to proceed with more alternative <br /> 30 programs, how will these will be funded. <br /> 31 Chair Jacobs said you need to look at what the alternatives are and then you look at the <br /> 32 costs, both socially and financially. <br /> 33 Commissioner Price said she feels that the measurement of the social cost, and what is <br /> 34 done for society, is very important. <br /> 35 Frank Clifton said his thoughts would be that a couple of Board of County <br /> 36 Commissioners would be involved in these proposed meetings as part of the process. He said <br /> 37 that the included list only has the outsiders who will be involved. He said within their resources <br /> 38 available to fund these programs, the County needs to look at which programs will get the most <br /> 39 impact or "bang for their buck". <br /> 40 Chair Jacobs said there are three things to add: 1. Clarity on what the deliverables are; <br /> 41 2. Clearer articulation on how to minimize the number of jail beds; and 3. Clear articulation <br /> 42 regarding who the stakeholders are. <br /> 43 He suggested this be brought back to the board for final approval; then the stakeholders <br /> 44 can assess whether the scope is sufficient or if there is need to analyze more programs. He <br /> 45 said stakeholders can then check in with the Board before doing the work group process with <br /> 46 Steve Allan. He said the group could also propose, along with Steve Allan, a clear timeframe, <br /> 47 and a clear set of goals to present to the public. He suggested a clear timeline should be <br /> 48 established so this process does not go on too long. He noted that providing clarity in the <br /> 49 process will help with buy-in from the community. <br />