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Agenda - 03-21-2023; 8-a - Minutes
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Agenda - 03-21-2023; 8-a - Minutes
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3/16/2023 1:11:47 PM
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BOCC
Date
3/21/2023
Meeting Type
Business
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Agenda
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8-a
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Agenda for March 21, 2023 BOCC Meeting
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\Board of County Commissioners\BOCC Agendas\2020's\2023\Agenda - 03-21-2023 Business Meeting
Minutes-03-21-2023-Business Meeting
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\Board of County Commissioners\Minutes - Approved\2020's\2023
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4 <br /> 1 enforcement uses the site and helps by being part of community events. He said that the <br /> 2 collaboration is working. <br /> 3 Commissioner Richards asked how many families were impacted. <br /> 4 Quintana Stewart said that sixty-four residential units were impacted. <br /> 5 Keith Bagby said that every four years Orange County is required to complete a <br /> 6 community health assessment. He said that the Board of Health is working on the process for <br /> 7 2023. He said the goal is to assist with health issues for Orange County residents. He said that <br /> 8 there will be several ways for people to respond to the survey. <br /> 9 Commissioner Fowler asked what they do with the data from the community health <br /> 10 assessment and was there follow-up for 2019. <br /> 11 Quintana Stewart said some was implemented but COVID interrupted that. She said that <br /> 12 some will probably be mentioned again in the next cycle. <br /> 13 Keith Bagby said they want to make sure they are getting feedback from Orange County <br /> 14 residents. <br /> 15 Pat Garavaglia presented on behalf of the Board of Social Services. She said that <br /> 16 progress has been made with staffing issues but work continues. She said that staff is paying <br /> 17 more than 2,700 utility bills for Orange County residents. She said that DSS continues to have <br /> 18 difficulty recruiting staff and there are currently 25 vacant positions. She said that options are <br /> 19 needed to reduce the burden on staff. She said that all of the efforts are designed to decrease <br /> 20 the time that children are in out of home placements. She said there are also a few situations with <br /> 21 vulnerable adults. She said that the end of the public health emergency in May will add additional <br /> 22 burdens. She said that Medicaid expansion may be approved in North Carolina and this would <br /> 23 benefit Orange County but also add to the need of staff. <br /> 24 Vice-Chair McKee said he expects Medicaid expansion to pass this year. He asked how <br /> 25 many more staff members will be needed if that happens. <br /> 26 Lindsey Shewmaker, DSS Human Services Manager, said they have had conversations <br /> 27 with the County Manager and those numbers will be included in the budget. <br /> 28 Bonnie Hammersley said she had heard earlier that day that the cost to counties for those <br /> 29 positions will be completely funded by the state with no county match required for those positions. <br /> 30 She said regardless of how many are needed, they can't find people to hire. <br /> 31 Vice-Chair McKee asked if it is related to qualifications or a lack of applicants. <br /> 32 Bonnie Hammersley said there aren't enough people for the number of jobs. <br /> 33 Commissioner Portie-Ascott asked where children go if there aren't enough foster parents <br /> 34 available. <br /> 35 Lindsey Shewmaker said that they are working on long-term placements rather than short- <br /> 36 term placements. <br /> 37 Commissioner Portie-Ascott asked if the decrease in foster families was new. <br /> 38 Lindsey Shewmaker said that it is a state-wide problem and they are looking at state-wide <br /> 39 solutions. <br /> 40 Commissioner Portie-Ascott asked if the reimbursement rate was difficult to get people <br /> 41 interested in being foster parents. <br /> 42 Lindsey Shewmaker said it is a large responsibility. She said that the mental health system <br /> 43 is part of the issue, and it is a combination of several things that have increased the number of <br /> 44 children needing foster care. <br /> 45 Commissioner Hamilton asked how many of the 19,000 are people on Medicaid and how <br /> 46 many are families. <br /> 47 Lindsey Shewmaker said most long-term Medicaid cases are families. She said there is a <br /> 48 dashboard that shows the number of people in Orange County and the type of benefit they are <br /> 49 receiving. <br /> 50 Commissioner Hamilton asked about the role of compensation in the shortage of social <br /> 51 workers. <br />
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