Minutes 04-22-2021 Virtual Work Session

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23 Slide #29 NEXT STEPS • The®OCC It helnj3&Md w endortethe rreommendsdanprmaivedd in dips report.Tha is an important.but prwhinarystep toward realludon of chip Ideas conalrwd In thq recontmetdaucoAddldonai workei needed to advance dee pnaiea to an opera x1 FaclllW In Qrwr p CounV The belownear stepm aro outlined -Milk MitigMliom Campllea4d* a data and sav Ct atMtporrai etudlec ea r@dooe thetwrr.tartainty In ourNntprciectloneofeh@number and type of pari m who wain he tarred by rhe I'mihry,refne estimates of rmrm and hasefha,md Idaotify44uaeefundingeg5oaes. • Deign.Conduct a prvnlnarydeag+r of Fadllcy spa m prondea properbam for a flnandal am"woM.This ni Induclu dendfrogard an%PT%patw.baa locadone forth@ Fa kf.. Llemsing tired 5eilf Plindrg.IdenSfy lleeaesingeptlens+requiremetan,uscenxd snMphn aaed Farlllg artrihut muraneebillingpelleles and practices,atd+dentlfr+@ aiw.m potnMe#Fashgr oFQrators Gaw�rta>msce,rieeermine arta ste:9 epeerss regrdlnbewnarsl and�evarnanee for the Faeillq- • PoNcyiBrovedurvc.ldemoflcatlon ofnwded poky and pracedamenhancwnents for aP=keholdom to eaesur@county-wld@ca�borat on laadieista msllalnEtha Facility:fro pomawli. FmjeetW Sawinp.D"lopINOme prgecdon of savinge tMt may accrue doe w rcdtewd d Rwai and crine W rAdce hurdeo • Sourcesard Uses of Fund:.PmleucipimVoperatitts6mmeufar FicAty.IdenuylattessfundlnaarratlernelmfarWcfirsefiw years of operationanas�ng local geremmetatmte gevemme LMEsMwranoe,ared pr>>su philamEhmpieoraanluuens. • Ro#d Wfa4,D@wlop in+mplwmemUbt plan or road map fcresabkhing an operating FavbVr Qrar�p County man wtpeditedmamwr: Commissioner McKee rejoined at 10:13 p.m. Commissioner Fowler said the committee outlined the need in a very thorough manner. She said she recognizes there are a large number of moving parts, but there is an extreme need for this. She said it is a reimagining of crisis response, transforming from punishment to rehabilitation and support. She asked if there is a most immediate next step. Tony Marimpietri said consensus, and then some funding, will be needed to take any next steps. He said they need studies for mental health facility design and costs. Commissioner Hamilton said based on her experiences as a mental health professional this type of facility is very needed. She said she also approaches this issue as an economist, and thinks about economies of scale, data on the cost of running facilities, etc. She said she would like to gather data from other existing facilities, and wonders if a more regional approach would be more appropriate. She said this will be an expensive endeavor, as this is essentially a specialized hospital, and the county needs to have as much detail as possible to be realistic, but there is no doubt of the need. Tony Marimpietri said the group needs to tighten its numbers. Barbara-Ann Bybel, Director of Psychiatric Services at the University of North Carolina- Chapel Hill and WakeBrook, discussed funding and said Wake County provides $13 million annually for WakeBrook, which only serves Wake County residents. She said UNC also contributes $5 million per year to WakeBrook, but that commitment ends this year, and discussions are underway about continuing that funding and bringing in other partners. She said behavioral health patients languish in emergency departments, not getting the help they need. She said a facility like this would be ideal, and there is room for County funding, UNC backing, and other partnerships. She said the relationship between Alliance and Wake Brook has been positive. She said this could be a smaller facility than WakeBrook, and a facility like this would give options to law enforcement to take people to an appropriate place. Commissioner Greene said she is supportive of the idea, and appreciates the care and analysis. She said having a facility like this provides indirect savings, and it is important to look at these issues comprehensively. Chair Price thanked the presenters, and said being a role model is important. She said the County will pay for the care either way, and having appropriate care makes more sense.