 Good morning everybody that was not meant to be a call-and-response the microphone wasn't working, but I appreciate the Enthusiasm for the board of supervisors this morning. So we're just waiting for This to get set up. I tried to put them on that many times. I know that we got it. Yeah. Well, thank you for saying good morning back We'd like to welcome everybody to the February 6th meeting of the board of supervisors if we could have a roll call, please Here and just before we begin the moment of silence and pledge of allegiance supervisor Leopold wanted to say something Yes, thank you chair as we take the moment of silence today. I hope you all remember a Very good community member Larry Perlin who passed away last week Larry was chair of a live oak school board He was a member of the land trust of Santa Cruz County board Formerly my planning commissioner and just has been an outstanding advocate for live oak For good development and for really taking care of the next generation of Human beings that are going to be living here. It was it's a great loss to lose him so early in life and Please keep him and him and his family in your thoughts as we do this moment of silence Thank you. Supervisor Leopold. Please join us in a moment of silence in the pledge of allegiance To the flag Good morning, mr. Plasio, so are there any changes or deletions or corrections to today's agenda Yes on the consent agenda Items 9 and 11. There's an additional materials. There's sequa Notice of exemptions for each of those items on item 46. There's additional materials There's an ADM 29 form and on item 50. There's a Replacement of the AUD 74 form Thank you. Thank you, mr. Plasio. So now Ask whether there any more members of the board that would like to either pull an item or briefly comment on item consent Good morning supervisor Caput. Thank you. I just want to say that on item number 18 a small remodel on the Mental health facility in Watsonville and I think that we need to do more and we are doing more for mental health Outreach in the Watsonville area South County, so I'm really pleased to see that. Thank you Thank you, Supervisor Caput. Good morning. Supervisor. Yeah, I will be voting no on item number 11 And also I just wanted to Say thanks to all of the people who serve on the various commissions We are accepting and filing reports on several of those commissions water women's Seniors mobile and manufactured homes in home support services and so forth We have literally hundreds of people serving on our two dozen plus commissions in this county They put a lot of time and effort into it and without obviously going into each and every one of them They're a really tremendous asset for us and we appreciate the time and effort. They put into these various These various efforts that they have they're vital to each of us on the board of supervisors So I just wanted to say thank you to those who serve on those commissions Thank you. Supervisor McPherson. Good morning Supervisor Coonerty. Hi. Good morning, everybody Just a couple items to comment on first is item number 17, which is a communications tower in Davenport I want to Thank information services and the sheriff's department for working on getting this really vital piece of public safety equipment Up and and making sure our community and our deputies are safe an item number 30 Which is a report the annual report on the managed care? Medi-Cal program, which is the Central Coast Alliance for Health and I'm the board's representative on that To that organization and I just want to say if you haven't had a chance really understanding what a remarkable organization This is it covers one quarter of the residents of Santa Cruz and half of those residents are children They have been doing a great job in increasing the capacity to take people who are new new into the into the health care system and now we're really moving towards a health-based system where we're giving grants to Encourage people to to be healthy before they end up touching the medical system Which is the direction we all want to go and all this in very uncertain times with machinations at the federal level So so I'm honored to be part of that organization and and and recognize our good work And then finally an item number 43, which is a report of the Davenport waterline I just want to take a moment and thank public work staff. This is this is public service We had a waterline go out a community was at Under in jeopardy of going dry over the summer They stepped in they got the waterline Replaced they did it under budget and then we're able to Get a USDA grant to cover the entire cost so a low-income community didn't have to bear that burden And so thank you to everyone who did it was involved in that project It's important work and it's a great example of government service. Thank you supervisor Committee. Good morning. Supervisor Leopold. Good morning chair. I too will be voting. No on item 11 I'd like to comment on item number 41 which is the follow-up to the special meeting about the lost childhood exhibit It's pretty impressive when you read this report about all the at all the things that happened as part of this Path-baking Exhibition we were all moved by that when we met at the Museum of Art and History But to see all the different ways in which the community interacted with it to see how it still has legs and it's We're looking at another exhibition looking at immigrant children It really shows the power of working together both with the arts and history community with our human services department with Young people who've been in the foster care system. It was just an incredible Collaboration and I'm glad that we were part of it and I want to acknowledge the human services department for their leadership role in making it happen It's really a great asset for the county On item number 44, which is the request for proposal for our legal dumping Outreach and marketing campaign. This is also critically important for our community It's the the problem of illegal dumping hasn't gone away and we need to think creatively about how we're gonna work to stop this This is one part of that the public education part of it and I look forward to the bids. We'll get back Lastly on item number 49. I appreciate that the public works department is already working on elements of the rail trail Or the Monterey Bay Sanctuary scenic trail. I want to encourage them to look beyond the ones that are already Granted and continue to look for funding sources or help in funding other parts of this trail. This is a highly anticipated Use of this corridor and we have to be thinking now in order to ensure that we can build this thing as quickly as possible So I look forward to continue working with public works on that That's it. Thank you. Supervisor Leopold. I'll just briefly comment on why don't one item which is item 38 I just wanted to thank the health services agency and indian tests for their work on Receiving this education and treatment grant I think it's a very important thing that we continue to highlight the need For all health access within our community and I appreciate how serious The county and dentists have been taking this in the last couple of years to really get this outreach to even more of the affected Populations, I'd like to open it up to the community. Is anybody like to address us on an item on consent now would be your opportunity Please Good morning. Welcome. Good morning supervisors My name is Laura Marcus, and I'm the CEO of Diantha's community dental care for 25 years Diantha's has provided dental services and oral health education to members of our community who could otherwise not afford it Starting with a small volunteer-based clinic on Mission Street in 1993 today. Diantha's has three clinics 65 staff including 12 full-time dentists and an outreach program serving over 35 locations county-wide With close to 11,000 patients served each year To achieve this after adding a pediatric wing in 2014 with county-supported CDBG funds We're able to provide services to thousands of children and adults at our main clinic on commercial way At a clinic owned by the county and operated by Diantha's in Watsonville since 2015 We provide services to close to 2,000 Watsonville residents in 2016 Diantha's opened a one-chair clinic at homeless services center and provides much needed care once a week to adults and children experiencing homelessness and Finally last year Diantha's took over a vacated clinic in the beach flats neighborhood to provide services to those patients who were Losing their providers when Salud Parlehente closed that location in addition to our clinics Diantha's provides oral health education to thousands of children annually through our school outreach program While at schools we also provide dental care to children who don't have a dental home We also serve patients at skilled nursing facilities and head start programs to meet the special needs of these populations In 2016 with perhaps one of our most important projects we published the oral health needs assessment for the central coast With the support of multi-sector leaders. We developed a county-wide oral health access strategic plan Today with the support of funding from proposition 56 and continued leadership of steering committee members including the county health services agency This plan will achieve increased access to education prevention and services to thousands more Santa Cruz County residents as Zach just mentioned Finally we're embarking on exciting new plans with partners midpen housing and Santa Cruz community health centers to develop the county's capital erode property into an affordable affordable housing and health services hub for live oak residents Diantha's expects to serve an additional 7,000 people by the end of 2020 With successful with 25 years successfully serving Santa Cruz County residents We've gained a great appreciation for the importance of partnerships and the support of local government Thank you each of you as well as county staff for recognizing the importance of access to dental care supporting the growth and success of our organization over the years and For our continued partnership as we work together to achieve the oral health access 2020 goals On behalf of my board of directors our entire staff and thousands of patients. We thank you for being a cornerstone of our success Thank you. Thank you for your ongoing work at your partnership And your fierce commitment to serving people in need in our community. Thank you. Thank you That was on item 38. Good morning. Welcome Good morning Becky Steinbruner resident of Aptos. I would like to pull item number 14 the whistleblower report I find it interesting that department heads are Invited to investigate their own departments that have been reported and I would like to pull item number 17 Because I think there's a conflict of interest with supervisor friend and supervisor community in this this issue Can is are these necessary to pull or can you just speak to them now? Well, I'd like to pull them for further public discussion What additional information do you need from the public that we couldn't get through commentary now? Just so I understand the purpose of pulling the items Well, I understood first of all that the public is allowed to do this to gain a better Question and answer time that's not normally allowed during this time I did do a lot of research yesterday on Item number 17 the plans and specification for the tower were not available at general services And it took me about an hour and a half To finally talk with miss Tibby McKen who is the project the project director And I understand what's going on there, and I support Communication for law enforcement, but I think that you and mr. Coonerty have conflict of interest, and I think that needs to be discussed. Okay, we'll make item 14 55.1 and item 17 55.2. Thank you I'd like to also thank supervisor Leopold for voting. No on number 11. I support that I don't think that hosted rentals should be limited and and I just don't agree with this at all So thank you. I Would also like to point out that I would like to see more. I would like to see an investigation regarding number 40 child trafficking in This state and in this country and in the world is is abysmal and I think that our our county really needs to do an investigation into some of the foster care and Really investigate that and then finally item number 49 I too am happy to see some work going on on the The scenic trail and I I plan to walk this the full 32 miles of that trail And if they wouldn't like to join me, you're welcome I'm not going to do it a hole in one day But I welcome anybody that would like to walk that trail with me and really take a look at the beautiful place And it's challenges. Thank you very much. Thank you. Does anybody else would like to address this item on consent? Good morning. Good morning chairman friends supervisors just three things, but it'll be real quick One is number 21. I think you should Put a moratorium on all appointments to planning until you re-enact the citizens planning appeal board This was abolished by you you assumed all that authority so that you now only make you make the law You execute the law and you judge the law. We just heard Bruce McPherson Who actually received thousands of dollars from a communist red Chinese triple agent never mentioned in the Sentinel? But anyway He just commented on the wonderful community volunteers But it seems like for at least at least a half a decade You haven't found any contractors inside this county that you feel are good enough to be on the appeals board And you continue to hold that power to yourselves. I think for Bad purposes the other one is number 40 Where you're again, you're moving authority to a cog a cog is a council of government You're giving away the authority of this county and the sovereignty of the people here in their ability to control you And you continually do it. You're operating under the programs of which Bruce McPherson and Fred Keely worked under which is common cause. It's a huge foundation run thing in which they want to consolidate Power in organizations like ambag in which there is no community TV, by the way And there is no report by the Sentinel newspapers and then lastly The tragedy of lost children. There were 500 arrests in Los Angeles. I suggest people look up pizza gate It's something again the Santa Cruz Sentinel that's controlled totally by globalist will never tell you about So anybody else would like to address us on an item on consent, please now be your opportunity seen No one else would like to it. Oh It's all right on the consent agenda Go ahead. Hi, my name is Lauren Bennett to I'm from the Santa Cruz Museum of Art and History And I just wanted to say thank you to the board of supervisors for being involved in this process and being our partners in this exhibition and I'm pleased to report some of the impacts and outcomes of the exhibition which included over 70,000 visitors to the exhibition and we engage 130 community partners in this process from planning to the execution and the programming and events 50% of which of whom were foster youth or youth in care We also invited Museum visitors to take direct action and I'm pleased to say that this resulted in over three in over 300 direct actions fulfilled to support foster youth I also want to say thank you especially to Supervisor John Leopold for Being involved as well and also opening up the opportunity for foster youth to speak directly to the board of supervisors And that conversation also sparked similar versions of that engagement with foster youth which included the Santa Cruz County Office of Education Superintendents and And Yeah, I just want to say thank you so much for being our partners and we look forward to More collaboration in the future. Thank you Thank you. Thank you. That's item 41. Good morning. Welcome. Good morning. I'd also like to speak to item 41 My name is Nina Simon. I'm the executive director of the ma and Lauren just shared some of the great outcomes of the lost childhoods exhibition for us at the ma This was really an experiment to ask the question. Could we use a museum exhibition to spark dialogue and direct social action? on an issue that matters here in Santa Cruz County and As you heard from the outcomes of this exhibition, we feel like the model is proven. We're very excited about it The that specific exhibition lost childhoods just opened last week in Salinas with a new addition that relates to Monterey County youth and care and foster youth many of whom are in a Underground or undocumented situation and that exhibition may continue to go around the state in partnership with Casa But we don't want to start with the stop with that exhibition Our intent is every other year to do a six month exhibition at the ma on an issue of Direct local importance using art as a catalyst for social dialogue and action And so what I'm here to say is we're proud of this project But we're really looking to you as our partners in the future of being able to use museum exhibitions at the ma To have an open conversations about issues that matter in this room and throughout our county And we're currently working with partners around the county to talk about what should the next project be in 2019 what else should we be looking at? We'd certainly welcome any supervisor input on issues that you think would be really potent for this kind of Public investigation and exploration and we're really excited about the opportunity to do this Not just at the ma but at museums around the world Lauren and I are working now on a toolkit for how other museums around the World can make these kinds of exhibitions We've already at interest from a group who came over from England to see this foster youth exhibit and to think about How they could do a similar project, so we're really proud that here in Santa Cruz County We're creating a model that can be used not just to open up dialogue around issues here in our community But potentially in other communities as well I think that from my perspective the partnership with the county On this project was absolutely instrumental to its work Especially our great partnership with the human services department led by Ellen Timberlake and with supervisors The fact that youth got to speak directly to you at that study session was incredibly meaningful for them And it was incredibly meaningful for all the advocates who've been working with foster youth for so long and feel that the issue Often is seen as invisible. I'm really heartened and believe that action can happen based on that exhibition And I'm excited and very curious to hear your perspectives on what other issues We could comparably spark action and dialogue around with an exhibition. Thank you. Thank you Thank you for your ongoing work. They use the museum as this tool to to engage the community and a critical issue is Outstanding it's It was unlikely to see a museum play that role and and you then the museum really stepped up really engage the community in the creation of the Exhibition and then really engage the community in seeing the exhibition and participating. So thank you for your work Thank you. Good morning. Ms. Timberlake. Good morning supervisors chair friend Ellen Timberlake director of the human services department And I just wanted to conclude the discussion about lost childhoods with an enormous amount of appreciation To both your board for taking the step out into the community and listening to the voices of our of our foster youth and former foster youth But also an incredible amount of thanks to Nina Lauren the ma for inviting the community into create This experiential exhibit and really to the youth who led this process I have never been a part of something as powerful as this I am a true believer in the vision that Nina just shared We will do everything possible to take this exhibit and make it work across the state And we also will be an eager partner as you know new issues come to the fore to use the museum and the community To really move this move this model forward So I want to thank everyone who's been involved. It's on behalf of our department. Thank you. Thank you Is there anybody else for a consent agenda? Morning morning Morning. Whoops morning to my Santa Cruz County residents. It's just hard to multitask with my GoPro But anyways, I want to be able to say that you know I'm running late and I want members of the public to know that the Brown act is a real act Which item on the consent agenda? Are you addressing a while? That's the whole thing I was I was trying to deal with that the light item agenda like I said is in a secret room way back there I'm running late. I need the line item agenda placed here And I name any members of the public to help me because we should be able to scrutinize and peruse it Right here so I can I can be able to weigh in on the political issue There's issues here, but I'm afraid if I go over there on a missed my opportunity to do the consent calendar I we asked last week if you guys can please put the public comment Where needs the public agenda right out here so we can scrutinize it peruse it Circumstant it. I think it's imperative for civil society activists to be able to come up here and do this County council it doesn't benefit members of the public to put it over there Is it it is actually left right there? Are we out of copies on that desk the light item agenda? So I am able to peruse it according to the entire agenda including the consent agenda the package He wants the full. Oh, I see binder. Yeah, yeah the binder. I apologize because it's hard for me to To be able to weigh in on the issues. I want to talk on the issues But it's over there and I don't want to miss it here, and I'm running a little late We asked last week Becky asked for it also and as a member of the public we're asking for it to be kept in this room So that we're able to scrutinize it so I can come and make a qualifying statement regarding the issues But since I'm not this is what I got to do is I got to use the consent calendar to Continue to raise protests and that's the American way. Thank you. Thank you Is there anybody else I'd like to address us on the an item on the consent agenda Good morning. Welcome Marilyn Garrett part of wireless radiation alert at work items 17 Seventeen has been pulled. Okay. I need to leave early So I won't be able to state to the end So I need to comment now. I apologize as a pulled item and it's a regular agenda item now And so one of your miss Steinbrenner pulled it for additional discussion later on the day We can't address it now. Okay. Oh, unfortunately, it's Item 55.2 you have a sense of what time that would be on in the after we have it We have a 1045 scheduled item and it'll it'll fall immediately after that 1045 scheduled item. Okay. I have to go Well, I also want to talk about the number 14 the whistleblower that item that item was also pulled by miss Steinbrenner Those those two items were pulled by miss Steinbrenner. They'll both occur right after the 1045. Thank you. Thank you Is there anybody else I'd like to address us on consent? See none will bring back to the board for action I move the consent agenda as amended with the the acknowledgement of the two no votes on item 11 Motion from supervisor Leopold a second from supervisor Coonerty all those in favor aye opposed It passes unanimously. We'll now move on to oral communications This is an opportunity for members of the community to address us on items that are not on today's agenda But are within the purview of the board of supervisors. You'll have three minutes to address the board Please feel free to step forward. Good morning. Good morning. Kate Roberts with the Monterey Bay economic partnership on the president of that organization Good morning, gentlemen I wanted to speak to you about a white paper that Mbap recently published in partnership with Envision housing It's a white paper on what realistic policy changes could improve housing affordability in the Monterey Bay region And I just wanted to make you aware of it if you weren't already that this paper Includes nine policy recommendations that have been thoughtfully researched and tested in other locations throughout the state for their effect on improving housing affordability in highly constrained markets our region's current housing policies have Had the effect of producing not only less supply, but when homes are built They are typically large and not suited to today's workforce These nine policy areas are designed to address Increasing the supply of all housing types subsidized affordable and market rate rentals ADUs lower price for sale condos and mid-priced for sale homes We are grateful for this board's efforts to date that have for example increased the supply of ADUs But there are still a lot of work to do We want to incent the right kind of houses to be built and implement sound policies that ensure our housing production continues to grow That white paper can be found on our website Mbapp.biz and we would be happy to follow up with you and make sure that you get a copy of it Thank you so much. Thank you. The entire board has received a copy of that report great. Thank you Good morning. Welcome Good morning My name is Veronica Lopez-Duran, and I am currently the community studies program manager at UCSC And I'm here today to invite you all to join us on giving day Which will be February 28th to contribute to our particular campaign, which will be honoring officer Elizabeth Butler a little bit of background I spent two and a half years working at the regional 9-1-1 Center before Moving to work at UCSC and I was actually on duty the day of the incident And so I'll move forward with giving you a little bit more information about what in particular were looking to do So on February 28th, 2018 Please join us the community studies program in honoring honoring alumna Elizabeth Butler our class of 1996 whom we remember as Beth Community studies created the Elizabeth Butler Scholarship Fund to memorialize her all-too-brief life that ended tragically on February 26 2013 while Beth was conducting a sexual assault investigation as a detective with the city of Santa Cruz Police Department Along with her colleague butch Baker This giving day campaign joins campus and community together in the cause of honoring Elizabeth Butler's Butler by enabling future students to follow her example as Part of her community studies major Beth spent six months Working with La Familia Center contributing to its community development mission The Elizabeth Butler Scholarship Fund is a tribute to her deep and abiding engagement with Santa Cruz as a student community member mother and police officer The Fund supports an annual award the Elizabeth Butler Scholarship for community studies Undergraduate students who follow in Beth's footsteps by pursuing academic study in Santa Cruz Your generous contribution will allow the scholarship to become a permanent endowment sustaining her legacy long into the future So I'm going to leave you with more information here so you can share with your constituents with people that follow you on Facebook Twitter whatever accounts you all hold and lastly this last year we had 10 students that were in the local Santa Cruz County community and Contributed over 7,000 hours to those organizations So we hope that you will join us in spreading the word. Thank you. Thank you Simon welcome Hi, I'm Sibley Simon. I was one of the main authors of the paper Kate just mentioned And so I wanted to provide a little commentary and and motivation for us. I hope you get a chance to really look at it the Thing that I was most encouraged by as I looked at what's going on around, California Is that there are some solutions to some of the difficult debates we get into I think or the that turn out to be false debates? One is that we see the small amount of housing we produce in the unincorporated County here is generally two things either some subsidized affordable housing or inclusionary housing units and large expensive for sale homes that most of our residents and workforce can't afford and We really see that that is a result of a lot of different rules that we have in our system and first and foremost It's how we calculate density in our zoning rules But many other Details as well. So there's no one silver bullet But as one gets under the hood and looks at a lot of the details of our zoning rules and other requirements We don't want to just reduce barriers and then get a lot more big vacation homes That's not going to help the affordability here at the same time. We debate a lot about inclusionary housing where we only build so much housing And so there's no percentage of inclusionary housing We could set that's very satisfying because we don't get enough affordable housing and we don't want to get no housing at all and The great structure that has been working in San Diego to get out of that conundrum is to say Both of those issues to get out of both those is have a great bonus density law where we say, okay We're going to reduce some of these barriers to creating more housing But the access to those reduced barriers really comes from Doing even more inclusionary housing. So we have the state bonus density law as a mechanism It's very underused outside of a hundred percent affordable housing projects So you get to build more units if you build enough inclusionary housing So what San Diego did it didn't just sweeten that trade-off It said if you go beyond that and build even more inclusionary housing in your project Then you can you know get more density Presumably if you can if you build smaller units or if you build a rental housing, you can get more density You know height where it makes sense You know, etc. So I think as we are diving into the zoning on the sustainable Santa Cruz plan That's the ideal place to look at as we're doing it How do we create more rental housing? How do we create more smaller less expensive housing and how do we get more inclusionary housing? How do we develop these rules so that the market forces as well as affordable housing developers can accomplish that? And I think the great news as it's really happening out there. It can be done We've got some of the details there, although that's meant to apply around the Monterey Bay region So when you look at one just specific jurisdiction and what our rules are you have to get even more Thank you detailed in that. Thank you. Thank you for the report to Morning, welcome. Morning supervisors. So my name is Rocco Capella and I'm up. I live in the city of Santa Cruz My daughter goes to Mission Hill Middle School. I'm quite active with the parent-teacher Association And I'm also active with the Santa Cruz Education Foundation. So the reason I'm here this morning I want to just make a few comments about mental health. I know there's a big discussion going on in the community about that And I want to encourage the supervisors to also not forget about the public school system So I know that when Prop 63 passed there is a big emphasis on children We would like to hope that most of our children at least to 18 are in school So that's kind of where you can reach them You know, I'm not a professional mental health person So I don't know like exactly how you would do that But I do know that they do need some help at least in the public school system. I think PV PSA in Watsonville does a great job. I'm not sure kind of how that filters down to the other school districts, but I would like to just encourage you to To consider all of that as this, you know discussions going on. So, thank you. Thank you Morning. Well, good morning. Thank you Matt Werta housing program manager with the Monterey Bay Economic Partnership also wanted to talk a minute about the policy paper that we recently released Many of you are familiar with the Monterey Bay region's tremendous need for affordable housing across the three counties that we represent over two years ago now Mbapp established at least trying to figure out what are the major strategies that we can employ to try to achieve the goal of 10,000 units homes over several years time the planning period through 2023 is an example So a huge goal, but you have to do something Along many fronts in order to even attempt to get close to that So this policy paper represents another attempt to work with Our local government partners to get there just wanted to mention three quick items So one of so there's nine policy recommendations one of them which talks about fee structures We want to recommend that the that we scale all the fees impact fees by square foot not per unit Simply that if a developer will pay the same impact fee whether they build a 1200 square foot home or a 2500 square foot home they are incentivized obviously to build larger and sell the home at a higher price So we need to fix that Secondly that we want to be able to offer Developers a deferred impact fee schedule that they essentially pay these larger fees at the time when those impacts are felt Basically at certificate of occupancy many other jurisdictions have followed this and it greatly improves the potential for affordability for those projects Thirdly we want to utilize the vehicle miles traveled framework for analyzing traffic impacts of housing development This framework recognizes that infill development is better overall for a community's traffic Even if it is near a heavily used street or intersection then is building That better than that than building housing from far from jobs and services We look forward to working with you all in these recommendations. Thank you. Thank you morning Good morning supervisors. My name is Burt Marks and I am a resident of Santa Cruz County I'm here to talk about chem trails Here to talk about the spraying of our skies Streaks crisscrosses patterns. They are not contrails Thank God I looked up in this sky this morning this beautiful Santa Cruz sky and it's clear It's blue and I saw a jet plane and there's a little trail following that jet plane And those were condensation trails when the air is getting cold and you blow you see this smoke its condensations water vapor What they spray up there is not water vapor It goes from one end of this valley to another one into this coast to another. I don't know what they're spraying I understand from government's Sources they've said that we're going to be geo engineering We're going to be spraying the upper atmosphere all over this earth aluminum particulates If nothing else I forget I don't know all the stuff they're spraying But what they want to do is they want to reflect the sunlight because we're they believe we're under global warming And this is going to save our planet. We're gonna reflect the sun and we're gonna cool down the earth Well, that sounds good. I suppose but I want this to be a scientific debate I want to see it before the scientific community and I also want to know what they're spraying I would like the supervisors individually and collectively to look into this matter because they're spraying all of us I believe it's affecting our health. I don't believe they're necessarily trying to hurt our health But in doing whatever they're doing for the global warming and the geo engineering, whatever they want to call it I don't think whatever they're spraying there is good for us And I don't even need to I don't even know that they need to spray Would you supervisors? Please look into whether we need this spraying above us. This is our county This is our airspace. We have some rights as a county as a people I Don't believe that this spraying is good. I believe it's unhealthy and Frankly, even if it is good and it is healthy. I want to know what it is I want to know exactly what those particulates and how much and where they're coming from is this Military top secret experimental government. We don't know I Look at I look at the skies Most days they're filled with these chem trails and and it's it's disconcerting not to know what this stuff is and it's not Condensation it's not normal jet condensation So that's my point and I hope that you guys will take upon yourselves to address this issue. Thank you Thank you supervisors Jack friend Gary Richard Arnold This community prides itself on being liberal and have a progressive influence in it and the venues for Entertainment and plays and speeches and ad hoc committees have always been available For over a decade. There's been a group with open doors and a table for anybody's literature that attends It's called freedom forum It addresses many of the issues that you had come before your board here It's been active like I said for over a decade and we've held candidates nights of which some of you attended The mark of a police state is when free speech is attacked The most dangerous is when the attacks come from government The providers of space for freedom forum have been threatened with violence and destruction of property Those threats were initiated by two of the supervisors sitting here today I spoke before this board to do something to indicate those acts were not the responsibility of the board in whole of course And there has been no action The county council's job is not to protect the crimes of the supervisors But as officers of the court to report those crimes or be a participant of this Attack on the on the people in their fourth amendment right the FBI has been notified. So I suggest you don't destroy your cell phones and your computers Again Two years earlier It's The same speaker that attended that the speech was broken up had attended the resource center Mr. Coonerty's resource center over there the same speaker was there. So it was targeted specifically at Freedom forum and it has a political spectrum across the board. I Believe that the power behind this is probably gonna likely lead to the Panetta political machine I think if anybody looks up Panetta gate They'll find articles on it going on for a decade at least and Again, the Santa Cruz Sentinel will never say a word about it This board of supervisors maintained two plaques outside this chamber right here If Robert Mueller were looking for evidence of Russian communication or a collusion they would find again this board supports two plaques by a member of four Soviet Russian communist spy rings you can walk outside today and find that there you'll find letters Military information coming from Leon Panetta that going went to this communist spy Soarage Perlo silver master all communist spies and You are connected with the Panetta machine and represent the multi-nationals of not people here. Thank you Somebody else like to address this during all communications. Good morning. Good morning Bruce Walker in home health care provider I'm here today to thank the board for Signing and agreeing to our contract for the next three years It is much appreciated within the community We work together on this and You know we listen to you and you listen to us and I really believe that that really helped with the negotiations within your negotiation committee they they really seem to care and understand the Aspects of which we were needing In in in separate meetings with the supervisors I Really saw caring and understanding about the type of work that we do do within the community and With that I really believe that We came up with a win-win situation both for the county and for The workers that do the type of work that we do Once again It is appreciated You you went and visited Sacramento. You sent letters to letters to Sacramento That is another phase of education that we do need to do and That is appreciated. So thank you very much for our contract Thank you. Thank you Good morning My name is Colleen guard and I'm here to discuss the Senate Christie wants some of the money for mental health from the county and I'm saying please If I may just briefly interrupt and I apologize for this that item is actually on the regular agenda It's two items from now This is an opportunity to speak on items that aren't on today's agenda at all All right, it's just a timing issue, but we do want to hear what you have to say when that's always later on Yeah, it's a to it's shortly actually, okay. Thank you. Sorry not a problem. Good morning. Welcome. Good morning Stony Brook. I'm your veteran liaison to the Human Services Commission I wanted to take an opportunity to kind of update you on some of the things that are going on with your veteran community Most of you are very familiar because you visited our veterans Memorial building over on Front Street. You're aware of our Wednesday service program for the general public I just share that the goal of that is to improve access to health care Obtain housing and employment and reduce the red tape and frustration a lot of our veterans feel and they're trying to get reintegrated back into the community We use a collaborative wraparound service to minimize the delays and incorporate a sense of community support for those vets We've been utilizing our veteran service office. It's run by the county We have HUD VASH, which is veteran assisted housing, which is federal monies Edd the employment development Human Resource Center We have a computer lab for the vets. We use CalVet Primarily, we also rely heavily on the VA from Palo Alto who comes here and provides health services to our veterans So they don't have to be bust to Palo Alto or Monterey We've had a lot of collaboration with Cabrillo College who's assisted us tremendously So cutting right to the chase. I wanted to share a few numbers with you in 2017. We registered 2,937 Participants that came through the doors in 2017 we had 425 that participated in VA medical services and the American Legion the United Veterans Council served 2,771 meals In last year. They also handed out 1,995 bags of food at the food pantry I'd like to offer a real quick shout out to our warehouse the county warehouse who has saved us Thousands of dollars by providing surplus equipment to refurbish the building. They've been Outstanding they're wonderful folks We we provide this program every Wednesday from 9 o'clock in the morning until 1 30 And I'd like to invite the general public as well as the supervisors to stop by and see what we're doing there at the building Thank you very much. Thanks for your continued support. Thank you for your work. Yeah, thank you Morning. Good morning Becky Steinbruner. I'd just like to speak to some of the comment that's already been here I'd like to support Victoria's Repeated request and mine as well that the binder of full documentation for all of these Items before you today be put at the back of the room not down the hall as Victoria said you have to leave this room To go check on something and it would serve the public better to have that binder here So I'd like to make that request again I'd also like to speak to it. Mr. Sibley Simon said about inclusionary housing I support that and I think the county should be doing a lot more to encourage that and to in fact require that it be done the Aptos Village project got all of those bonuses for only offering 10 Reduced from 12 inclusionary affordable units within their project And then I would also like to speak to what mr. Arnold said I also have knowledge of what happened with two of your board members contacting and Shutting down the freedom forum speaker, and I'm really disappointed in that I thought we were much more open-minded the freedom forum group is a very welcoming group I've been to the candidate forums. It was the only candidate forum I was invited to and Supervisor Leopold you were there too, and I really appreciate your participation in that It's a good group and they invite political discussion from all arenas I would like to again say that the public parking out in front of the building is problematic It's getting better today. There were only 10 county vehicles stored in the two-hour visitor parking areas I had to put my car in the Loading zone so that I could rush up here and not miss the consent agenda action that I wanted to take So there there was no place and there were people circling and I would have missed my Opportunity yet again to do some consent agenda work So I asked that all county cars be removed from the two-hour visitor parking areas there 10 this morning and I would also like to thank you Supervisor Leopold for chairing the connect the drops event that happened that was excellent I left when I went to go move my car to a one-hour parking place that became available I left the folders for water for Santa Cruz a group that I'm working with and They have some very interesting ideas for helping to solve the mid-county groundwater problems That do not involve the expensive and very questionable pure Pure water so Cal project the so Cal Creek has and I discussed that last night with the Water Advisory Commission with the city as well I will bring those folders to your office, and I'm sorry. I forgot to bring them, but when I parked my car Finally, I'd like to say the grand jury is accepting applications again, but this is a false thing It's merely a cost-saving and there is no priority for those who submit an application Request to be on her. Thank you Good morning Good morning. I'm Brenda Moss executive director of senior network services And I brought each of you something this morning hot off the press is sure to be a best-seller 2018 senior resource directory we got it delivered yesterday. So you're the first to get it This is really really, you know, it's so valuable for every agency that's in here Government public and community is bursting at the seams because the seniors in our community as you well know Are growing in numbers and this directory is what really helps a lot of people connect with the services here so I brought each of you one of these and Also, this is this a little this should double in page because it's housing options for seniors And it's the senior subsidized housing complexes and assisted living in our county It's way too thin, but people need this directory also. It's on our website as well so I brought each you each of you one and When you're meeting with your constituents, you know, they need services. Let them know they can get this at senior network services Thank you very much. Thank you, Brenda. Thanks for your ongoing work and leadership in this area We're in dr. Weff. Good morning. Mr. Chair and members of the board. I'm Arnold left. I'm your County health officer and environmental health director I just would like to report that I am declaring the hepatitis a outbreak over we've had 77 cases 43% were hospitalized The 20% 20% were not in the homeless or IV drug-using community So there was approximately 20% spread outside the initial vulnerable community I think We have some things yet to do We do need to continue Vaccinating the vulnerable population and we are continuing to do that in our clinics and at the homeless persons health project the other Equally important maybe even more important issue is that we must maintain Some sanitary infrastructure both in the county and in the city of Santa Cruz if we do not allow For people to wash their hands and go to the bathroom. We're going to be faced with Similar outbreaks in the future. So that's the main thing. I've been pushing over the last A couple of months. I would also like to let everybody know there were 64 County employees from multiple departments that were involved in stopping this outbreak and They deserve a lot of thanks Thank you. Thank you for your work and the work of all the public health professionals who helped us end this epidemic Good morning to my fellow Americans. I want to be able to show To remind members of the public what it is to be a good flag waving American because we are good people And I believe that so I'm going to be able to put that up there as I was scrutinizing the Brown Act, right? You know, it's frustrating because I don't want to reiterate this over and over and over We want to give civil society activists the proper respect that they need in terms of waning on the political issue under the Brown Act, right? Section 54950 says public commissions boards councils other Legislative bodies of local government agency exists to aid in the conduct of the people's business The conduct of the people business is a light on a magenta. She needs to be brought in this room So we're able to scrutinize peruse and circumspect the whole thing There's a functionary bureaucrat out in the hall. He got upset. He's like he's like victorious Why do you want that in here man? They got internet connection. My phone fell down broke I can't even get on it and I can't even pay to make the payment so that it's online We should be able to have a Due diligence to be able to circumspect that a light on magenta and speak up on on the issue And I want to be able to talk about community justice because when it comes to community justice It seems like it's not working in this county, you know There's a there's these political agencies are being used for nefarious means to work against the American public and the judgment on justice In Santa Cruz County is I'm striking out the DA's office. Let me grab this real quick I want to be able to let members of the public know that hey as I speak out and criticize my government They want to criminalize all political dissent and it stems with the DA's office Maliciously engaging in these prosecutions that make no sense They want to stack two of my disturbing the peace and resisting arrest In the court and this is shameful because the DA the DA office is just coming heavy-handed These people are not they have no common sense They have no moral sense and when they have neither they have no sense I would ask members of the public to really scrutinize Do we want this type of leadership in Santa Cruz County? I can't be dealing with this whole network of corruption I need members of the public to take heed There's all all these other civil society activists that are talking about this DA It's time to do the right thing and let's let's impose a psychological reform on this political community Because we want one county out of the 58 counties that's going to understand what community justice is all about It's coming out of right and that's what we expect because we're goodwill souls We don't you know if they have if they have every reason to punish me and impose sanctions Unwillingly accept it, but in these cases with me standing up and exercising my first amendment right I find it very shameful and I would ask you guys as political bosses to push up on this guy and let him know that hey We need to end the corruption. Thank you the political eels. Thank you. Thank you Is there anybody else for oral communications? morning as we talk about Public health mental health justice I Feel like all of these things are natively impacted by wireless microwave radiation surveillance Technology and when it's touted as being for public safety It's not safe when you're microwaving the planet and causing cellular stress and damage and Increased cancer and death of the bees and all wildlife being damaged That is not public safety or public health and the fact that we are being exposed to this is easily detectable by the facts but also by Detector of my pro-wave radiation like this I Wish we could see all of this like you see cigarette smoke emanating from your computers everybody's Cell phone the antennas on the building might get a visual sense. I was in this room Last Friday when the zoning administrator gave her rubber stamp approval to yet another Cell site emitting radiation the neighbors every neighbor opposed it and This is one of those signs. I'll pass it around they had it says T-mobile Anthem telecom. There's a no sign through it This is on Calabasas Road. What was Pacific crest APRs in Watsonville It's off of a white road if you know the area and I used to teach at Calabasas school So it's down the road from there. This is for a 78-foot salt still tower Not in compliance with the county code in a residential agricultural area Microwave dish is on the plans three remote radio units Generator three platforms for additional carriers to come This is like a major industrial commercial toxic site plunk down in a gorgeous rural Residential neighborhood the neighbors opposed it every neighbor who was here who spoke plus petitions They had gathered Opposing it and the only ones in favor were the T-mobile Representatives this will impact property values and health and the quality of life there And it's also the telecom gets to use this private road for their business. Thank you Is there anybody else would like to address us during oral communications? All right seeing none we'll begin the regular agenda we'll start with item 52 Is there anybody else would like to address us during oral communications is your last opportunity for all communications all right seeing none We'll begin our regular agenda, which is item 52 Which is to consider the final appointment of Holly Shelton for appointment of the community health centers Coapplicant Commission as an at-large patient representative for a term to expire December 16th of 2018 before we get a motion is there anybody from the community that'd like to address us on this item Seen none for the board and emotion move approval second of a motion from Supervisor Coonerty a second from Supervisor Leopold All those in favor I Opposed it passes unanimously now we'll move on to item 53 Which is to consider a report and presentation on the Mental Health Services Act three-year program and expenditure plan for fiscal years 2017-18 and 19 to 20 and take related actions as outlined in the memo of the director of the health services We have the MHSA three-year plan the resolution the budget table the information notice on the prove it prudent reserve the information notice on the MHSA implementation in a letter of health services to the city of Santa Cruz dated January 30th 2018 Director Nguyen are you leading this yes? Good morning and welcome. Thank you very much chairman and members of the board Jane Nguyen from the health services agency in front of your board this morning our staff from the health services agency myself Jane Nguyen director of the administrative services Michael Beaton and Director of Behavioral Health Eric Rara jointly we will present about 10 to 15 minute presentation to your board to go over the three-year plan for our Mental Health Services Act for our community Covering fiscal year 2017-18 through 2019-20 This is to satisfy statutory requirements that we have to present this item in public for our board Consideration approval to move forward so that we can draw down funding from the state We also would like part of this presentation to include stakes holders input During the outreach effort the staff have done in the community and share with your board our recommendation so Somebody's going to Sorry about that board. We're just gonna look this real quickly There you go So slide number two just quick reviews that your board know what are we going to Present this morning. We'll briefly talk about the background on proper Decision 63, which is the Mental Health Services Act law so that the public is aware of what it's about We wanted to share with your board some of the challenges impacting the greater greater need for MHSA funding To support behavioral health services in our community We want to briefly touch bases on requirements for a three-year plan We'll talk about the current plan review some comments from the public We went to Go over a little bit about the prudent reserve and then spend funds as there have been questions about those funds and the three-year plan recommendation to your board for consideration and Some of the significant changes from the prior three-year plans And then we wrap it up with few future changes and how we going for the improve the stakeholder outreach Community outreach effort so with that I'll start with the background real quickly as your board know Proposition 63 was a really great thing that happened statewide in November 2004 Mental Health Services Act which is what we call it MHSA Was established to fund local mental health services based on a 1% tax on individuals making over Income of one million dollars per year. This is for individual income tax not corporate income tax Shortly after the passage Unfortunately, as you recall, California took a toll with the recession That every county had to utilize these funds to support a system of care in the face of major reductions In funding so the goal was to expense mental health services in California. However, because of the recession In order to maintain core services Counties statewide were facing the choice of trying to use MHSA funds to continue supporting those core services instead of cutting them Or or limiting them So when first established it was projected that the MHSA funds would support approximately 10% of the entire mental health budget You know statewide and countywide However, at this time we looked at the the state website and we learned that about 24 percent of each local mental health Program where is our makeup by MHSA made up by MHSA funds here in our county Approximately 22 percent of the entire behavioral health budget is dependent upon MHSA funding Briefly as you know by statute the state requires county to define the funding into major categories and Briefly one of them is the community supports and services This is the major component about 60% of all the funding to serve seriously mentally ill with wraparound Intensive case management, whatever a tech services We also have to organize it under prevention and early invention this is the component that provide preventative services to children families and strategies to help individuals from having to Enter the system due to mental health issues and to have to be in long-term institutions So to prevent those from happening and then also the state and local mental health directors recognize that we need to develop a workforce To modernize the work and to practice evidence-based practice So the wet which is workforce education training component became available as well But recently the state has decided that you know, we should not focus on a lot of that now, however local communities behavioral health department could still use funding from other components like CCSS or PEI to To to help out with the workforce training and education Of course innovations you got your board heard about innovations and we can talk more about that later on during the presentation And then capital facilities and technological needs a very important component to help counties develop electronic health record system to Support a lot of laptops computers for staff to work in the community and a big part of the CCSS Community supports and services included permanent supportive housing and as you board my recall you supported the department In conjunction with the Department of Planning here in our county develop about 17 Units of supportive permanent housing for mentally ill in our community some of them like the Aftos blue the The Lotus in life oak. We have two units in Watsonville, Coneva No, I have a sofa and then we also have five units of senior housing in Capitola So it was approximately about three million dollars of MHSA funds that were dedicated to develop those 17 units of permanent supportive housing For seriously mental ill in our community So next our transition over to our behavior director Eric to speak about the challenges Well as Jane mentioned the role of mental health service act funds within our overall budget has become increasingly important Particularly when we faced a number of fiscal challenges that we're dealing with today During fiscal year 16 and 17 a major source of funding for behavioral health services our 2011 realignment funding Was changed significantly to benefit some of the larger counties in California and negatively impacting the smaller counties For us that meant a two million dollar reduction in funding and that two million dollar reduction continues into the future The establishment of the no-place-like-home housing bond program in California is also going to result in a reduction of mental health Service act funds totaling about nine hundred thousand dollars per year The IHSS program through HSD has been restructured as well And that's resulted in an annual loss of funding for behavioral health through our other realignment funding pool of three hundred thousand dollars per year State realignment funds which are also a major component of our budget are Anticipated to decline further with next year's funding projected to be one million dollars less than this year's funding We've seen an overall decline in county general fund contribution And a couple of illustrations here in 2008 our health services agency received 16 million dollars annually in general funds to support services in the community In 2012 that number was eight million dollars and in the current fiscal year We're at nine point six million dollars and about a third of that goes specifically to behavioral health services For fiscal year 18 and 19 the upcoming year They've been negatively impacted with approximately three point five million dollars in additional costs due to salaries benefits workers compensation insurance costs in the face of these significant reductions in funding as Jane noted we're here as part of a three-year plan requirement with the state to review our submission and Receive and seek board approval on this submission And I just wanted to take a few minutes to go over what those requirements are The California welfare and institutions code does require a three-year mental health service act plan Submission as well as annual updates to the state There's a requirement for a public hearing at the end of a 30-day public comment period And then the plan is submitted to the County Board of Supervisors with a request for approval and then we submit to the state Our current plan was due back in December, but due to an extended public comment period We requested an extension through February in Terms of the current plan review. We held a community forum back in September and Aptos during an evening meeting We had approximately 50 to 60 participants during that meeting We had made meeting announcements through local papers and through our email distribution lists as well as through our stakeholder and provider community We had a public comment period between September 18th and October 18th And we had a request for additional public comment period and we extended that to November 12th We held a public hearing in Watsonville on October 19th and the behavioral health director myself Also had a separate meeting with the city of Santa Cruz With the current mayor the city manager the police chief and the fire chief to review their comments separately In terms of summarizing the comments that we received the first set of comments that came in We're around Laura's law an issue that we had reviewed with the board last June We received 148 letters via email Encouraging us to adopt Laura's law using mental health service Act funds We also received a number of comments supporting the current array of services funded by MHS a There was also comments around consideration of focus on new needs in the community such as expanded work with law enforcement and a renewed focus around homeless issues for individuals with mental illness Continued need to address high-risk and high-need populations such as eating disorders and forensic cases Which we've seen a significant rise in over the last two years And these are particularly costly for the county because the services required are often not reimbursed by Medi-Cal So we tap into mental health service Act funds to support those individuals And then we had a request for a meeting as I mentioned with the city to provide feedback and request information on Mhsa priorities We did meet with city leadership. We had a follow-up meeting on February 12 And we reviewed information both in writing and in person on our Mhsa spending and we've included this in the board packet today At this time, I want to take the opportunity to thank Your board for your guidance and support in working closely with the city on this topic I also would like to express our appreciation to the city of Santa Cruz mayors and the city councils and their staff for their interest in this three-year plan and helpful input and advice on Quality improvement for the next three years. So I just wanted to acknowledge that With that I'm going to turn it over to Michael beaten to talk about our prudent reserve and unspent funds Thank you Throughout this process. There's been quite a few questions regarding the prudent reserve and the unspent funds currently maintained For as an operational reserve within the health services agency Currently the prudent reserve is under state law and we were required to have one per state law at one time that print reserve requirement was a 50% reserve When you of the individual I'm just a funding portion when you take that 50% of the individual funding portion of am to say It's about seven to eight million dollars annually Currently within the health services agency and the county of Santa Cruz We have approximately three point four million dollars. So about half of what the state guidance used to be for a prudent reserve based on our funding size That three point four million dollars equates to about three months of actual funding operational funding for the department In order for us to access that funding it requires state approval With an economic downturn. It also requires the board of supervisors approval for us to even access those fundings And again, the health services agency combined with the prudent reserve and the unspent funds We use these as an effective operating reserve When we talk about the unspent funds To better classify what unspent funds are and to kind of have a better understanding of what unspent funds are We currently get monthly deposits from the state of energy say funding at the end of the year So when we get a monthly deposit from the state, we basically spend that money within three months That three month gap of funding that we get is considered unspent The unspent balance by what we're projecting for 1920 is about two point nine million dollars So when you think about unspent money, it's really the money that we're getting right now on a monthly deposit That we actually ended up spending three months later that three month gap is in essence our unspent funds So when you think about it that way, it's a little bit different perspective Now statewide we have three to ten years to actually spend that money before it actually reverts to the state and Locally, we are actually spending that money within three to four months. So that kind of gives you a little bit of a perspective The project again the projected balance of these funds is about two point nine million dollars at the end of this images a three-year plan Now when I say estimated dollar amount Nothing set in stone every time the state comes and does an audit of our cost reports every time the state does a review They make changes to our cost reports and when those changes happen it changes the dollar amount that we have available front spent funds Every single time they have a finding in a cost report or we owe some money back in a cost report Those funds end up coming from a mix of local funding match with realignment and images a funding Now locally within the health service agency We've adopted one of the state one of the board of supervisors policies, which is a 10% reserve Of our funding streams within our behavior health system Now when you combine the print reserve of three point four million dollars and the unspent balance of two point nine million dollars Is what we're rejecting at the end of 1920 that actually equates to about a percent reserve So we're actually under what the health service agency has adopted as the board's policy of a 10% reserve within the operations That's kind of a quick background of the unspent funds and the print reserve Sorry with this. I'll transition it back over to director Nguyen for Thank you. Mr. Beaton actually it's going to be Eric. It's going to be presenting next. Thank you. Thank you, Michael In terms of the recommended three-year plan The current plan covers fiscal years 17 18 through 1920 And the recommended plan has a total three-year expenditure of 43 million dollars Which is leveraging approximately? 40% of that amount through federal funds and other funding sources for services to be provided in the community In terms of some significant changes from our last plan The first centers around our innovations program, which is our integrated health and housing supports program This program was approved by the Board of Supervisors last January 2017 and by the Mental Health Services Oversight and Accountability Commission in May 2017 the development of that innovations plan involved Community input as well as a public hearing In Sacramento at the Mental Health Services and Oversight Commission And this innovations plan, which was ultimately approved Served as a foundation and matching funds for the county's whole person care grant application, which became operational on July 1st 2017 The focus of both of these programs are to improve outcomes with individuals with mental illness substance use disorders and a co-occurring health condition Through the use of enhanced services better coordination and collaboration and telehealth home monitoring The second significant area of change in our plan submission is around prevention and early intervention programs As Jane mentioned, that's one of the categories that's funded through MHS a In July 2016 the state published new regulations and requirements for local County PEI programs and From that we were able to expand our modal emergency response services and crisis intervention services Due to the renewed focus on those on those areas through the PEI regulations Our county Mert team provides crisis evaluations in the office and in the community Crisis response services include the law enforcement liaison program with the city of Santa Cruz the Watsonville police department and the sheriff And finally the third significant change in our plan is Supporting the expansion of drug Medi-Cal services But the expansion of drug Medi-Cal and Santa Cruz County Mhsa funds have been directed to support the additional Infrastructure needs and support the expansion of services in the community as well as meet additional state Managed care requirements that were obligated to follow The expansion of drug Medi-Cal services as your board knows will allow the county to significantly expand capacity for Residential and outpatient substance use disorder treatment from 1,500 individuals per year to over 3,000 individuals per year Now based on feedback that we received this year with our plan development We are planning some future changes to the mhsa planning process Our mhsa planning coordinator retired last December Elysia Nahedda And with new and increased interest from the community and being more involved in the planning process We're currently recruiting for an mhsa coordinator to implement a number of changes based on the feedback that we received And it's part of our commitment to a continuous improvement process We'll continue working with the community and key stakeholders including clients and families our service providers and Local cities and municipalities to identify key issues and return to the board with recommendations for our next annual plan update I'll wrap it up with the last slide the health services agency would like to Let your board know that we are looking forward to continuing improving our planning And engagement process and updating your board on our progress So our recommendation today for your board to consider is to adopt a adopt a race Resolution approving the submission of our mhsa three-year program and expenditure plan for fiscal year 2017-18 through 2019-20 to the California mental health services oversight and accountability commission and the state Department of Health Care services and Authorizing the director of the agency to sign all documents required for the submission. Thank you Thank you. Are there any brief questions from board members before we open it up to the community? Supervisor Coonerty. Sure. Just one quick question That we can get into some of the details, but I know you met with the city last week Have you gotten a response from the mayor or? other city officials about this plan and they and the future Outreach plans and funding going forward Yes, yeah, we met with the mayor and city manager and his staff on Friday last week the second It was a very productive meeting The mayor's has a few questions as well about from the response letter that we issue from the department and it's appear to me that the mayor's understood the plan and Wanted to be the the one at the county health services agency to In Moving forward to further engage the city from the beginning And having meetings whole held in the city areas as possible And also ask them the health services agency to continue looking at MHSA funding's opportunity To support mental health leaders on position if possible in in the future and you're willing to do those things At this point due to the fiscal constraints that we just described to your board We really need to work with stakeholders Including the CDs all CDs in the county as well to look at sustainability and any options that we may have To further review that request Other other brief questions Suva's are capped. Did you have one before I? Want to thank you for all the interest and all the time you're putting in on this because it is very important Just quickly we're talking about Some of the funding or whatever Would go to Saturday the city of Santa Cruz is that what they're requesting They're requesting consideration to fund Another mental health Liaison position to work with law enforcement with the Santa Cruz police department to ride along To have two ships coverage right now. We're already having two positions To support the CD in that effort. Yes, that's what they were requesting But they don't want to fund it on their own. They want us to fund it Yeah, they would lie for a county to consider using MHSA funds to fund that additional position and what they don't have the Money on their own then I guess That's what I'm getting at. I'm why are they why are they trying to create a position and then have us Fund the whole thing I would imagine that might be the case. That's a tough one to answer Okay, and Watsonville is not requesting anything We work with war on Watsonville Law enforcement and CD management staff very closely in the last few years. We actually have a position Station in Watsonville to be a liaison with their law enforcement there as well and it's a sharing It's a sharing partnership shared partnership. Yes. Yes as well. It's a sharing partnership. So that's basically what we're looking at Now has continued to have shared partnerships Yes, and also restrictions on how we spend the money that we get right? Yes There are a lot of restrictions in how to leverage funding how to claim funding How to bill and how to document those funding? Yes? Yeah, and I know I we talked before and again I've all the time and interest you're putting in this is wonderful It's really needed right now if if we were to just say It's more hypothetical if we were gonna say all we're gonna pay for this the whole thing What accountability would we have to the state or? Federal money, I mean would they say hey, you're you're not spending it wisely We would like to be data and outcome driven. So before we Present to your board any recommendation for funding certain services or personnel We want to make sure we look at data to make sure there's a need there and we also want to make sure all stakeholders in the community Would have consensus on those needs And so and then we've resented the state and the state certainly would take a look at that as well and review it and consider it And and I guess homeless issues are always tied in tied in with this. This is the big expense right now, so When some of the money This is sort of earmarked. I Understand that is some of the money though being now allocated to We have the homeless people behind us here on the San Lorenzo, you know Creek But there's a plan in the future to have an area in another part of the city and County It's actually County property If they were moved over there Is some of that money allocated for that I don't know how that works We would like to continue working with all the partners Under the leadership of our CAO and your board guidance to look at How to provide services in those areas of course when they are mentally ill folks individual who needs services will be there to serve them Yes, and lastly, I think I guess would be All of a sudden we have the encampment here behind the building They they were basically moved here by the city of Santa Cruz I mean, they were told that they couldn't be where they were and so they had to come over here I'm not saying maybe yeah. Anyway. Yeah, how do we answer that? Is that what happened city of Santa Cruz moved him over here? I don't know that that's really germane to mhsa through your funding So I mean it's an we've we've had a home. It's a valid question, but it's not really relevant to this item on the agenda Per se, I don't know that director really the most qualified to answer that question. So Trying to see how this funding is going to go The funding is not connected to that element If I may we do have our staff from HSA providing Accenture and mandated services in the air at Bench lands where the Homeless individuals are we do have staff that go there to provide services For public health and behavioral services Right. Thank you. Thank you supervisor MacPherson. Yeah from a budgeting financial perspective I would classify this as nothing less than a volatile moving target With swings of two to three million dollars each year that is correct with some of the What the state and feds are requiring and so forth how Confident can we be when we're developing this three-year plan that there's some some stability and there's not gonna be these swings I Want to compliment you for working as well as you Have under there the current or the recent conditions of these swings like I say have a couple million three million dollars a year But how stable do you think the state and federal programs are to support the system that we want to? To provide our the citizens of Santa Cruz County I Think as you mentioned we are dealing with a very volatile market right now And one of the trends that we saw merging last year was that the California legislature was actually remarking specific Mhsa funds for statewide initiatives and we've received some indication that they'll connect that trend will continue in the future So we may see further losses in Mhsa funding for specific statewide initiatives that are adopted by the legislature That will have a negative impact on the county That on top of you know the unpredictable nature of these tax receipts There tends to be significant lags and it's very hard to predict So we try to keep our spending in line with what we estimate the annual appropriation to be on those funds and streams Well, I guess that really a substantial good luck with that is what you can how you can respond If there's anything we can do to get ahead of that and I'm sure you will keep us up great updated on that Because I know that the CSAC the California State Association of counties is working on this as well, but really they The state can only negotiate with the federal government. I think in this aspect So we're one step removed from really the what what is going to be the decision in the end But anything we can do in the end because there's not a person in this room or in this county that doesn't want us to Provide as many services as we can but the the necessity for a reserve is real and we must keep it especially in light of these financial swings and grants or whatever that we have so I Want to thank you for trying to keep up with it as best you can but This is something that's going to be we're gonna have to keep our eye on and I know you know that very well. So thank you We'd now like to open it up to the community. This is an opportunity for you to address us on This item. I know there are a couple people that tried to speak during oral communications Now would be the opportunity for you to come up and speak on this item. Thank you for your patience. Good morning. Welcome Bob Campbell here a buster grant the the Program director for the senior companion program from the seniors council and our senior companion program Provides peer companion services for the mental health services agency as part of the MSHA three-year plan. We've been doing that for a number of years now We provide over 3,000 hours of peer support services as part of the prevention and early intervention Senior Services to older adults. I have two of our folks with us today Martha who is our volunteer and Clients who'd like to talk to you about what it's like being part of the Thank you for giving me the opportunity to Talk about these senior companions working with Santa Cruz County mental health This is a vital program We provide transportation Encouragement respite and companionship to older adults with mental issues Providing these services sometimes makes the difference between an Individual being able to live at home or being put in a nursing home Which can be very cost-prohibitive and demoralizing Our program also aims To alleviate the loneliness that these people endure and To enrich their lives any way that we can I take them on outings They've been to the aquarium. They've been to big syrup pigeon point lighthouse. I'll do anything. That's legal That will give them some joy in their lives this Sunday if you come to FAF studies I'll be shooting pool with one of the clients because that's the only thing that gives him pleasure And this is important. We should all have something for which we can look forward We take them shopping for food clothing other necessities We sign them up for gray bears deliveries for meals on wheels And at the end of the month when everybody seems to run out of food I take them to food pantries and I take them to places where meals are served To people in need now I could talk about this program forever But you don't want to hear that what I want to do is introduce a man who turned 90 years old On Sunday, he was my first client. He lived in a dump Where he was allowed to take one shower a week with no grab bars And every night his dinner was a peanut butter and jelly sandwich. I witnessed this myself We got him into La Posada and he'd like to tell you how his Life took a complete turnabout Thank you. I like to exercise there and at the La Posada and The meals are great meals that we get there now compared with what I went through before and Private bath and kitchenette and friendships and friendships are very important And Swimming pool they have a swimming pool there Your picnics and parties and entertainment and no curfew. Thank you Thank you. Thank you Thank you Thank you. Good morning, Miss Leonard welcome My name is Sarah Leonard. I'm the executive director of MH County Santa Cruz Which stands for Mental Health Client Action Network? MH can is funded by Mental Health Services Act funding We support the county three-year plan And we support and stand in solidarity with other mental health programs Which are funded by the Mental Health Services Act funding Locally oftentimes Homelessness is conflated with mental health and the MHSA funding is slated toward severe mental health diagnoses and mental health and Although there is crossover the two populations are not the same Thank you for your time. Thank you. Thank you Morning and welcome. My name is Rachel. I also work at MH can I just wanted to say I'm I'm also someone who has multiple mental health diagnoses I'm a registered an active voter. I see every day I'm at work how these funds support the people who live in the city and in the county Group therapies and community support there Those are just two of the things that we offer at MH can that is like Sarah said funded through MHSA money The money makes big differences for people Through funding these services For future plans with MHSA money I as a person with diagnoses I would encourage the county to have even more accessible Collaboration with people receiving mental health services directly more specifically people with severe mental health diagnoses that being said Thank you for funding and I do We're all happy with the three-year plan And I believe that the county should remain in control of MHSA funding. Thank you. Thank you Morning miss Martinez welcome. Good morning chair and members of the board My name is Monica Martinez, and I'm the CEO of incumbents community services I want to thank the county for your partnership Incumbus is a large contractor that uses a number of MHSA funds to provide comprehensive behavioral health support services So that's both mental health services and drug treatment services for both youth and adult through outpatient and residential services And I can vouch for how incredibly important these services are to a very vulnerable population that often times is Overlooked and forgotten in this community But it's also a very complex time to provide this level of services As you heard in today's presentation. It's a time when resources are really shrinking Regulations are increasing and it's a very volatile time to provide these services To go to supervisor McPherson's point It's it's it's a very challenging time to be a provider And it's important for us to start thinking about what our priorities are as a community and How we want to invest these resources. I really applaud the HSA the department Who's really focused on evidence-based practices looking at data-driven solutions to these complex challenges We need to be looking at at solutions that are cost-effective That are really the least restrictive so we provide our clients with them with the opportunities that they deserve to really thrive in it in a low restrictive program Opportunities that leverage funds that come from the federal or the state And that also support providers like encompass and the other providers in this room to maintain our services during this really challenging time So I support the plan. I want to thank you guys for your partnership. Thank you. Thank you. Thank you for your work Morning, Miss. Delaney. Welcome. I'm Karen Delaney with the Volunteer Center And we've been we provide a whole host of programs for our community connection Family of programs and we too are strongly supportive of this plan and grateful for the partnership What I hope that we take away and continue moving forward Too much of the time that we spend on complex problems like this Tends to be an urgency of the things we aren't doing yet And not enough articulating the successes. We're having and focusing on scaling what works When you don't have enough money and we don't have enough money to have 100% universal service on demand. We just don't I Am really grateful in this plan that they really listen to consumers. They really looked at evidence and data Hundreds of people are working today who used to be homeless and who at the county at the university Through our programs. We were able to leverage funds Thousands of people have been able to access Education at Cabrillo. I can think of two people who have gone on and got their masters in social work based on MHSA funding Recovery is possible. This is a smart community. We know what works. It is easy to Let People's opinions about the ways in which we're failing drive the train But that's we're well we're smarter than that and I really do feel like The way that we can do a better job is really all working together Harder to tell the stories of people who are born and raised here and happen to have a disability and because of that They really need support like any other person with a disability. We need to be doing more stigma busting Like Sarah saying All homeless people are not mentally ill. All mentally ill people are not a threat We could tell a better story together And I hope that not only do we pass this plan, but that we really all focus on and we promise to do an even better job I'm telling the ways in which people can regain their lives through the kind of smart services that we have in this community Thank you. Thank you Morning Good morning Becky Steinbruner resident of Aptos. I'd like to follow up on what mr. Laney just said and really highlight the successes And I think we need to really give some accolades to the homeless garden project That has really helped people kind of get grounded literally and to the wonderful MH can and the senior volunteers here that we've heard this morning. Those are great Great things that are happening in our community I Have a question for mr. Rivas you said that and and I really am glad that that you're working with the city and meeting with them Especially police chief Andy Mills. I I really respect him a lot You said you met with him February 12th, but this is only the 6th so I wondered if that's a future meeting or what that is about and also I Have a question how the no place like home and the IHS s Changes will how those how those affect the the program here by reducing them I don't understand how that could happen So I'd like some discussion about that. I really applied Funding the ride-alongs With the law enforcement and I would like to request that it happen more with the Santa Cruz County Sheriff Let us not forget Luke Smith and How he may have benefited that night by having Someone that recognized some of his mental health problems on top of what he was already experiencing with the drug So Allegedly and let us not forget Sean art who very much could have benefited by a ride-along that night Helping to de-escalate the whole thing I also want to point out that The supervisor friend your wife Tina Scholl is on the city manager's team, so I hope that that will be a good coordination and cooperation and very transparent and Enclosing I just would like to ask that there be more outreach in the schools My daughter's friend committed suicide Over the weekend. It's it's traumatic For the whole community To have a young woman take her life and I would really like some Further outreach in all of the schools first of the side prevention. Thank you Thank you for waiting. Oh, no, I'm a rookie. So sorry Good morning. Like I say, I'm around I'll be quick because I'm around a minute away from getting a ticket So I'm here to support the three-year plan I've been a volunteer in the county for the last three years with mental health the homeless issues the last year I've spent a lot of time in Santa Cruz the city and They don't do a very good job I would support to keep the money in the county keep control of it because even if they are doing a good job Who knows going to be in the council next year two years down the road? So I think it's really important that we keep this a county issue and support the groups You are supporting now because I think those groups are great. Thank you. Thank you Morning welcome My name is Cole court lever. I'm one of the vice presidents of front street, Inc. Another local behavioral health health agency We primarily provide Boarding care supported housing and outpatient services to the community. So I just wanted to support our other local Community members like in compass and each can volunteer center and just reiterate how significant this funding is to us We're able to help so many Individuals within our community who read and we just like the opportunity to continue providing the services We are now Into great more innovative services that we're working on this year in conjunction with the county So just thank you for that for the opportunity and we'd like to keep it going. Thank you Good morning, and also thank you for waiting on this item. Sure. I'm calling guard and I Have been volunteering with MH can for over a year I make breakfast on Mondays and I'm not really sure how it all works But keeping the money with the county would be amazing because what the city is doing Unfortunately is listening to the other voices in their heads around the neighborhood They've taken away the food bank for MH can which was huge for them. It was amazing even helped us when we made our breakfasts They've cut the hours. They're making they're putting so many stipulations on image. Can it's almost going to fail and have to have a 24-hour Security guard in front of the building and it's because of the voices in that neighborhood that has done this and the city is listening I feel that you are stronger force You have all that you have a lot more power if you keep it together So please keep image can going and please be the ones responsible with the money. Thank you very much. Thank you Morning. Hi, my name is Tina Hawkes. I am also here to support this Excuse me. I work for an image can I'm outreach coordinator and Like everyone else that came up and spoke I go out in community and I see how this funding is helping people and I just I support this and I just I see it on a daily basis going out in the really going on Community not just driving around I go out and walk and find spots that I know I'll find people in need and try to support them the best I can and if that funding wasn't there I wouldn't be able to do that So, um, I just hope that continues. Thank you. Thank you a great day. Good morning Good morning. My name is Angela de novela. I'm the director of programs for PVPS a and we Support our three-year plan as well. We receive funding to provide services at the school mental health services and early prevention intervention at the school system of the cool school district in power Valley So, yeah, we we would like to continue providing this services and it's critical as we heard before the importance to be present at the schools and Provide that the intervention right on where where the kids are. Thank you. Thank you morning morning retired Marilyn Garrett retired PV usd teacher and submitting a document from Barry Trower on Basically There's a big factor here. That's not considered much and I'm just going to quote a little bit from this document a Barrett Trower whose expertise is a microwave radiation weaponry there is a plethora of extensive well research documents from around the world highlighting illnesses and impairments caused by microwave radiation and this is just a small list sleep problems mental problems involving depression irritability memory loss concentration difficulties headaches fatigue dizziness Suicidal tendencies are all part of this from the massive exposure people are receiving from cell phones cell towers laptops You name it that is this source of harm Needs to be removed as well as we need to see that everybody has decent housing food Shelter employment and that we don't have poverty unfortunately this kind of It's inherent in the capitalist system permanent rate of unemployment poverty destruction of the environment so this needs to be considered Remove radio frequency microwave radiation sources and when I hear about providing laptops I just shudder shudder because that all increases the harm. It's documented Look at the elephant in the room Remove the radio frequency microwave harm of wireless technology I think we'd see great improvements in how people feel and behave. Thank you. Thank you Well close the public comment period and bring it back to the board and just as a just for a Agenda knowledge. We do have a 1045 scheduled item. We will actually take that that item next So we'll take the probation item after that and we'll take a five minute break after this It's a brief break for people to get set up for the 1045 scheduled item We can move to approve this or this is just a report We can but I was figuring that there are still some additional comments or Supervisor Coonerty you had your hand sure just comments and then I'll make a motion to get us going So one is I think there's addition. There's so much interest in this because we're seeing a crisis, right? We're seeing crisis in our schools our hospitals in our public spaces And there are not enough resources and people people are desperately trying to find an approach I will parenthetically note that as your report mentioned It's incredibly frustrating that the state comes forward and says it's bringing forward this affordable housing initiative But all they're really doing is reallocating mental health dollars to affordable housing or these other programs So so they it's as though we're adding new resources, but in fact we're cutting resources and moving Moving, you know dollars into new boxes So first I want to say one thing I really appreciate from this program from the three-year program and from Your work generally is that our mental health work and all of our work is getting more proactive It's more outreach. It's more field-based. It's more comprehensive So we're trying to help people through the system And I think to the extent that we can continue to align all these programs to do that I think it's great. I really appreciate your work in reaching out to the city I think it made a big difference in communicating With them so they could understand some of our parameters and then also they could communicate their needs You know going forward. I think having this coordinator who does outreach To all the cities in our in our community And then also if we if there is money available for emerging needs to be able to take proposals from the cities Probably, you know, at least the city of Santa Cruz for another mental health liaison with the law enforcement But perhaps Watsonville or the county has has ideas as well that they could be jointly funded So that so that we can get more, you know, try to Send more resources to an area where we desperately need it So with that and my sincere appreciation to you all in your efforts in developing this plan and the community for commenting on the plan I will move the staff recommended action second second We have a motion and a second supervisor Leopold Thank You chair. Thank you for the presentation Mental health services are not well understood by the public and it's a constant effort to To try to share information about all the activities that the county is engaged in and the efforts by staff to seek out new money and new collaborations Using regulations at the state and federal level to do new programs This is only one slice of the work There's a there's a lot more going on One thing that we heard in testimony today, and I appreciate all the testimony we've heard is that the county alone isn't gonna Be able to successfully address The mental health challenges that we have in our community. We need our partners and as I look at MHK and the volunteer center The front street and the others encompass We need to have a good partnership With them who are also on the front lines of being help us address the crisis that we have in our community. I appreciate that you had patience in Answering questions from elected officials who don't completely understand What's going on? I know it can be frustrating to others who don't spend the time To really find out what's happening, and I thought it was very unfortunate that they that one chose to use a tool that That was unnecessary Because they hadn't actually talked with board members or county administrative officer to find out the information And so when people use crisis is to advance a political agenda That's quite unfortunate. It doesn't help us move Forward in addressing the crisis that we face I think it's helpful to look at emerging needs and and this There are emerging needs all over the county not just in the cities But since half our population lives in the unincorporated areas there are lots of needs and the Ensuring that there are mental health liaisons with County Sheriff who are covering a lot more area than any of the cities Is what would be important to me as we look at at emerging needs? So I want to thank you for the work Mr. Error, I know that you've this falls on your shoulders quite a bit But I also see Pam Rogers Wyman who was outstanding also in this field And I appreciate appreciate the constant advocacy of my colleague Supervisor Caput and his work on the mental health advisory team He always reminds us about about mental health issues And the importance of ensuring that we have adequate funding and I believe that by working together We can make we can make a difference in addressing the crisis that we have in our community So thank you very much. Thank you. We'll finish with Supervisor Caput. We have a motion in a second Again want to thank you. It's taking a lot of time and effort and also all the work I've been putting in with the mental health oversight advisory board and It's going to take a partnership We're willing to be partners with anybody and hopefully they're willing to be partners with us All those in favor I Opposed it passes unanimously. Thank you very much. We will take just a brief five-minute break and come back for our 1045 scheduled item on The Morning everybody you like to welcome you back for What was the 1045 scheduled item which is item 55 which is to consider a report on the collective of results and evidence base or core investments process Evaluation and set-aside process approval of contract with optimal solutions and amount not to exceed 61,000 for phase two consultant consultation services direct the Human Services Department to return in March of 2018 with recommendation for the set-aside process in October of 18 with a core progress report And take related actions as outlined by the memo We have the memo the core process evaluation final report the contract with optimal solutions in the ATM 29 form and Contract and we'll turn it over to Ms. Timberlake. Good morning. Good morning chair friend members of the board We're very excited to be here today to share the results of our core investment process evaluation and review next steps As you know reflection and continuous improvement are key values of communities that are engaged in collective impact The staff report before you today includes an in-depth description of the evaluation process and methods used to solicit feedback and suggestions for improvement from multiple stakeholders Over 30 key findings are clustered into thematic areas which staff will summarize in a brief presentation Before we start I'd like to acknowledge the many many service providers strategic plan representatives funders and Review panelists who took time to respond to our surveys and participate in our focus groups Their feedback has been invaluable and we want to thank them publicly Additionally, I'd like to acknowledge Susie O'Hara and the city of Santa Cruz for their partnership Lastly, I want to recognize the hard work and dedication of our staff the first person I'd like to acknowledge is Madeleine Noya our previous planning and evaluation director Who many of you may know has retired from the human services department? Her leadership was instrumental and the development and implementation of four Investments and we are deeply grateful for her contributions Additionally, I'd like to thank Leslie good friend Tatiana Brennan and our presenters this morning representing our planning and evaluation unit Shera Clinton our contracts manager and David Dubrowski Senior analyst and project lead for this evaluation with that alternative her to Sharon David check to see if you're if your microphone is on It should be green there we go Good morning As Ellen mentioned David and I are delighted to provide your board with a brief presentation on key findings from our process evaluation of core investments After your board approved all core contracts in September Staff launched this process evaluation to answer the question. How did we do? Before we share these findings, I will provide some brief Applied some brief contacts by looking back at where we have been and I want conclude with a summary of next steps As you know core investments demonstrates a significant local investment and a change to focusing on results effective fiscal year 2017-18 your board together with the city of Santa Cruz are allocating close to 16 million dollars over a three-year term that funds evidence-based programs and opportunities for innovation So how did we get here? This timetable reflects your board has been thoughtful and measured in your approach to implementing this new funding model beginning in fiscal year 2014-15 you expressed a desire to evaluate and make decisions for community programs funding differently than in the past At that time you were interested in concepts like funding results and promoting evidence-based programs To this end you charge staff with studying local and nationwide models focused on collective impact Based on the results of this research Staff identified these eight critical features that are consistently found in successful collective impact models These features are the heart of our approach these critical features in mind in fiscal year 2015-16 we got to work Together with other funders strategic plan representatives and service providers We established the current model including the identification of prioritized results within nine community-wide strategic plans fiscal year 16 17 was a very exciting year and we typically refer to this as a fate as phase one of implementation During this phase your board increased your investment in this funding stream by ten percent Established an annual set aside fund Approved the issuance of a joint request for proposals with the City of Santa Cruz and Approved award recommendations for three-year contracts effective fiscal year 17 18 At this point I'd like to hand the present presentation over to David de Braschi Who will provide an overview of phase one implementation and discuss key findings from our process evaluation? Thank You, Cheryl the primary purpose of the process evaluation was to explore stakeholders perspectives on the overall funding process from the development of requests for proposals to the final sign contracts a Summary of this process is outlined on the screen The following slides provide a high-level review of the process evaluation a full list of the findings can be found in Appendix a of the report as Mentioned our department sought to collect information on all aspects of the implementation process In addition to exploring how stakeholders experience all facets of the funding process We also engage their perspectives about technical assistance as well as collective impact principles in total 32 findings were identified across these three thematic areas in conducting the valuation We collected information from a wide variety of stakeholders including applicants strategic plan representatives funders review panelists and staff Through a combination of surveys focus groups and interviews staff were able to analyze both quantitative and qualitative data The following slides provide a high-level review of some key findings in each of the three areas First let's look at the high-level findings on the funding process Starting with the application itself We heard feedback that the process was open to anyone however many applicants voiced concern that the application was time-intensive and difficult to complete in particular Identifying evidence-based programs E.B.P.'s was difficult and additional support would have been helpful in presenting evidence Looking at the middle part of the process. There are a number of findings regarding application review and funding recommendations Let's start with some feedback on the funding allocations You may recall when we issued the RFP staff recommended to your board that we mirror as much as possible The historic investment levels awarded under community programs This chart shows the amounts of funding that were available for applicants to respond to in the RFP As you can see our approach differed from the city in that funding amounts were rolled up into four broad areas This created both flexibility and challenges Reminder proposals came in requesting about ten million dollars in talking to stakeholders We heard suggestions that in the future we should make allocations to specific strategic plans and or result areas Associated with this participants noted the review of the programs for young children and you should be separated into distinct panels There was general support for the composition of the review panels Applicants suggested additional content to be weighed during the scoring process which included past performance and previous funding levels among others There were compliments on the organization of the process from the review panelists However applicants wanted greater clarity and understanding the relationship between scoring and the final awards Once final awards were made the contracting process took the time that was expected One area of concern expressed by funded agencies was staff attempts to standardize how outcomes are expressed Based on a review of the proposals recommended for funding staffed work during the contracting phase to design a categorical framework of outcomes The established consistency across similar results In effect staffed worked with the contractors to rephrase outcomes while well-intended Implementing this approach during contracting caused some frustration and could have been addressed in the RFP development Another observation from funded agencies is that with the elimination of the common application Contract requirements now vary with other cities and funders and this results in more demands on nonprofits time Now let's turn to the other areas of funding findings The next slide shows examples of some of our high-level findings in the areas of technical assistance and collective impact Technical assistance was provided during the RFP in two main ways first through the generous support of the community foundation Technical assistance on selecting and implementing evidence-based programs and developing program outcomes was provided by local consulting organization optimal solutions The majority of attendees found this TA beneficial and individual sessions with the consultant were most helpful Second as you know county and city staff communicated about the procedural aspects of the RFP and answered questions Some applicants felt that the process of providing answers on a publicly available questions and answer document Did not provide clear explanations in a constructive manner in addition other concerns about communication were raised multiple Applicants noted not seeing emails that were sent. This highlights a challenge with using email as a primary form of communication In the focus group basic tenants of collective impact model were explored Overall stakeholder desired greater dialogue and involvement in planning core investments For example applicants specifically wanted greater communication about the larger vision through regular conversations and engagement Strategic plan representatives and funders expressed high levels of trust and good commuting communication with staff However, some applicants observed that more work needs to be done to strengthen the relationship and trust levels between applicants and staff Both applicants and strategic plan holders believe that there should be a deliberate selection of strategic plans And that the strategic plans themselves would benefit from more coordination and communication across planning efforts intentional collaboration across strategic plans will enhance them and also allow key issues like poverty and Geographic differences across our county to be incorporated and addressed in a more cohesive manner At this point, I'll hand it back to share to review next steps Thank You David Based on those rich findings we move forward The next phase includes engaging the community by developing a core investments Vision and mission and furthering the dialogue about strategic planning This phase aims to build capacity by monitoring and supporting core contractors as well as providing broader technical assistance In addition the preliminary community indicators that were proposed in the November 2017 staff report need to be reviewed and refined so that we may gauge how they can best be used in Order to guide these steps. We propose a new core investment steering committee be developed and facilitated by a consultant Support for the consultant is made possible through a grant from the Monterey Peninsula Foundation After a competitive bid process Staff and consultation with a panel of representative stakeholders Recommend approval of the attached contract with optimal solutions The consultant has expertise in this area and has previous involvement with core investments The consultant will initially meet with the individuals on the RFP panel and together They will identify strategies to select representatives for the new core investments steering committee We will we will return to your board in October 2018 with a progress report on these engagements efforts Lastly, you may recall that during budget hearings your board made one time only funding awards to service providers Addressing emerging and a month unmet 17 net needs not addressed through core Next month. We will also return to your board with a proposed process for the annual set-aside fund distribution This concludes the staff report and we're happy to take questions at this time Thank you for that presentation their board members of brief questions before we open this up Supervisor Leopold. Thank you chair Thank you for the presentation. Thank you for the ongoing work. This is a major change In the way we look at supporting our community partners So I really appreciate all the thoughtfulness that went into this and the care that went into this evaluation There are a couple questions. I have it. I like the idea of having a core investment steering committee But I couldn't find who would be on that committee. So well As we noted or as I noted that the next step will be that the consultant will meet with the individuals On the RFP panel that was a representative of all the stakeholder groups and they'll identify strategies to To basically engage individuals through our stakeholders to create the steering committee over the next couple of months And so I guess I'm trying to figure out if the steering committee is going to include groups that are funded or will not include groups that are funded I believe applicants would be included, but I'll turn this over to Ellen I think that our view at this point is that the purpose of the steering committee is to Continue the community engagement process around the broader vision and goals of collective impact Outside of the specifics of the you know funding process per se in terms of right now. We're in a three-year contracts So we feel like in order to do what other communities who are engaged in collective impact successfully around the county We need to be open to what we don't know and we need to be inclusive of hearing the voices of both Folks that are involved their funders strategic plan Representatives as well as nonprofits and service providers who are doing the work So I think our vision is absolutely that that voice needs to be heard. Yeah, I think it's included I think it's great to be inclusive because we have a lot of experience to pull on that's right And we're all we're all aiming at the same target basically and so if we the more work together I think it'd be better it was as someone who in a past life Filled out applications for county funding and city funding I know I know how difficult those former Applications used to be and so reading about the how intensive the this application was I had a lot of Empathy for and I also I appreciate that we that we tried hard to provide technical assistance and and I think that was great, and I think that we probably all learned a lot about how to best Support people who are choosing to Apply trying to figure out about Evidence-based practices it seems to me that that's maybe something that could be an ongoing activity and when it comes time it seems like It was it was interesting to me to read about people who didn't have access to Computers or databases to be able to check their own the work that they're doing whether they fit that and it seems to me that we Should be able to provide either ourselves or through one of our funding partners a Terminal with access to some of these research database that maybe that's even up at the University That that people could Could avail themselves of The research that's out there to help better inform the applications that they're submitting to us I think that would be a great idea the the question about strategic plans And I like that they're going to be included or I think we call them strategic plan operators or something when we were doing this The as we look out In two years So we start this again Do we have any expectation or awareness that any of these strategic plans are going to be updated by then? Are we having any conversations with those? The organizations that initiated those plans about updates a couple things first One of the first agenda items for our consultant is to convene The representatives who were so helpful in helping your board identify Prioritized results within each of those plans It's imperative that we connect with those plan representatives To get a feeling for their timetables on when those plans are to be updated some of them are already in progress. I've had Individual strategic plan folks contact me directly have had several meetings Because they're anxious and I think are very excited to Try to find opportunities by being by working together on what aspects of their planning process Will there be overlap and can we think about doing differently to me some of the issues that were identified by our stakeholders? Really have to be front and center on our agenda including for instance How is poverty being handled? How is poverty being addressed across nine strategic plans? We took a leap of faith in moving the community programs funding model to this direction by By recommending to your board that you not create your own strategic plan for four million dollars, but that you Look to the expertise and to the results in the community engagement present and those other Plans I think so that I think that that Logic is one that we support But there's a long way from a starting place to where we need to be to be to be really Coordinating as effectively with those strategic plans as we can be and that's not even to mention the fact that all the plans that are represented in core investment It's it's a point in time and things change the landscape is already changed And so how we as a community dialogue about the future of using strategic plans as An investment investing in the results of those plans will require us to be open about a changing landscape Well, I really appreciate that perspective and I think by having this Student committee, you might also look to where those where those junctions that having those Plans work harder to think about where their shared goals might be rather than individually identifying their goals Could help make our collective impact funding go that much further The last thing I'll just say is is a very hard To define Issue of trust, you know and whether people have trust, you know there was we I know in the process of Creating the core investments strategy is there were a lot of questions there was There was a lot of fear among many people and what we what I see in this is that there are some people who still feel as though they're they weren't getting the information necessary and I know from my conversation with you that you're committed to that and I think that That's it to me that this points out that it's going to be critically important to work on that Consistently over the next couple of years. So as we look at that in two years That that we've done something to to make people feel more included or trustful of the process It was disappointing that the agencies that didn't apply for funding Who had previously received funding with it didn't apply for funding didn't respond to the survey request because I'm I was very curious as to why they didn't participate No one's contacted me from any of those organizations And I think it would have been useful to to understand Why they they didn't whether the application being too hard was it that they didn't need the money? We just don't know but I appreciate the effort that you've gone to to try to To to find out the information here and address some of the concerns. Thank you. Thank you anybody else for we open it up for the community Supervisor Caput I want to thank you also for you know all the effort and everything you put in There's there's a lot of good that's come out of this I think that It could be better, but I do see Good that came out of you know this collaboration you might call it the only Concerns I I have is what we had in the past with myself is the The application process and the paperwork and some of the smaller Non-profits that are out there doing their work. They don't have a staff that is actually good at the academic part of it and Yet their work is You know outstanding so I just don't want to see too much emphasis put on grading the Semester paper you're looking at it and the boy this is really well-written and then you look at the other one and it might be hand-ridden Which you have to what we have to look at is a substance of maybe that what was written by hand And the other one that is really you know It's got graphics and it's got colorful Pictures and all that but one is actually maybe doing more work than the one that's able to present it better and the other would be I Am getting back to Some non-profits they don't have a big staff. So they're actually doing programming They're actually doing the activity. They're actually there all day And if they don't show up the doors almost have to close small staffing and a Few volunteers and that's about all they've got so That that's the only thing I want to be real careful with and then also Did we get rid of the minimum? Is it still $15,000 or something? The minimum for the application for the RFP process was $15,000 and then of course we included your board included a set-aside fund for Emerging and other safety net needs that weren't addressed in the plan And that's that was a maximum believe a 35,000 which which is fine. I appreciated that But what if I was sick on that day and I didn't show up, you know on the board meeting that what I'm getting at It's the set-aside is good, but it's almost like somebody has to jump up and say Hey, they need $6,000. I think that's the one it was for the Watsonville senior center I Don't want to have to go through that every year. Well, one of the things I think we're gonna need to do is Find new strategies for Outreach and communication to make sure that when we do have opportunities for set-aside funding that We do as much as we can and not just assume that people are going to be looking at the website So we will actively commit to ensuring that a person who happened to be sick Wouldn't miss that opportunity to submit an application But I also want to say based on your comments as well as Supervisor Leopold's that one of the best gifts of this Evaluation process is the very concrete feedback that we've gotten from applicants. So speaking specifically to the application We will be able to take the feedback that we got and we know that we have to make that application process both stay true to some of the The core features that your board expressed an interest in including but also get better at Streamlining that I mean there were a couple of big aha and take home points for us So I think we'll be able to make that application Smoother and less complicated the second time around and in back to your issue of trust Trust takes time and I again appreciate and thank the stakeholders for being very candid about the areas that caused some stress some trust concerns and Will double down and you earn trust over time. You don't just get it because you want it So we'll we'll work on that Yeah, and and again, I like to see Outcome I like to see activity I like to see what that is actually being accomplished with the money rather than too much emphasis on Application and how good it looks on paper. I I guess an example of that would have been Mother Teresa People said she was terrible at paperwork But she sure could reach out and help a lot of people So, you know, that's that's what I want to see service and actual activity. Thank you Thank you. We now open up for the community. It's an opportunity for you to address us on this core update Please feel free to line up and share your thoughts Morning and welcome back. Thank you. I'm representing the human care Alliance. We sent you a letter on January 4th First of all, I want to thank HSD. It has been really great to work in partnership with them on this Our letter on the 4th was really talking about the next phase moving ahead to the next phase because we are all in on what we are trying to do here and We the three most important things that we want us to make sure we handle in the next phase are realizing how collective impact successful collective impact programs actually work and one of the things that was really interesting about some of the findings about changing outcomes we feel strongly that because we've got nine strategic plans and Such a big portfolio core really isn't one collective impact. It's too big for that There isn't a single thing Goal or two that we could measure across all those nine plans So we really should sooner rather than later job one is to get folks in the room and say really According to standards for collective impact. How many collective impact things are we moving towards because? what Collective impact measurement is about data We have a supervisor Caput says the programs already are really good at talking about their transactional outcomes We're a year. We're a half a year into a program on collective impact Without having any big data indicators that we're moving towards. We don't have a shared data set We don't have a baseline because across these nine strategic plans The other thing that so let's focus on let's pick what or the five or six Is it four? Is it six is it nine that we're moving towards in terms of data and The strategic plans some of the strategic plans are data-based and some of the strategic plans are opinion-based And we feel very strongly that while there is a room for opinion Collective impact is about ejected data and that going forward strategic plans that want to be included Need to step up their data game and that this is something none of us can afford this kind of data on our own So we really need to work together to be strategic about how do we measure? What we're moving together both picking the indicators also talking about Realistically how that maps to the investment because for some of the indicators what we might are an appropriate goal might be In the next three years. We just want to hold the line on this So we have a lot of work to do together. We are really excited to be as the human care Alliance to be part of the Steering committee we're grateful for this opportunity, but we have a big job ahead of us It is just begin the real work is just beginning We're past the process and into really trying to figure out how do we measure the work that we're doing and we are going to be a Partner in that. Thank you Morning and welcome back Good morning again, my name is Monica Martinez CEO of encompass community services Thank you Karen for those comments and I want to spend a moment to thank HSD for your efforts I've long been a supporter of this reform To really adopt the core Initiative and I just really applaud your efforts to be inclusive To be responsive to feedback To be data-driven and committed to collective impact But I also want to remind the board that the issues that we are collectively trying to solve are incredibly complex Issues related to housing to Behavioral health substance use and mental health disorders as you heard earlier today Investment in children and trying to create a generational impact on the quality of life on our county Those are incredibly complicated and those results don't happen quickly So I'm here to ask that you continue to be courageous and be bold in these investments That you look at where you can increase the pot to continue to invest in in the those of us who are providing these incredible and important services in our community and that you continue to be Disciplined and and not be distracted by headlines or or things that sort of bubble up that may cause us to want to go one Direction or the other but to really continue to invest in these just generational changes that I think that we're capable of seeing So thank you for your efforts and your investment to date. Thank you to your department and we look forward to being a partner in the future Thank you Morning welcome Hi sherry storm with D&T's community dental I'm also here to echo support for this whole process we at D&T's really focus on quality metrics and the Focus on evidence-based practices as it was a I won't I won't Be shy about saying was a challenge to kind of come up with evidence-based practices that were valid for this process But going through that and using the technical assistance has made all my proposals as a development professional better and to a wider variety of Applicant, excuse me grantors. So thank you. I also wanted to say that When it comes to the strategic plan that you're going to be looking at and the participation in the steering committee as Part of oral health access steering committee in that strategic plan. We look forward to being involved in that So, thank you very much Thank you. Thanks for those comments Morning welcome Hi, Clay Kemp executive director of the seniors council, which runs the area agency on aging of Santa Cruz and San Benino counties so we have a couple suggestions about how some of the flaws of this process could be improved and You know first of all I want to admit or commit that everybody involved in this is trying to make our community better and Improve local services, but there were some serious errors that could be corrected Regarding the funding process for senior programs And I think the first one is overall that the priority of whose funded should weigh more importantly the quality of service Or the quality of the application more than the amount of funds that were applied for and that can be seen in that the highest Scored application in this entire process received the funding cut and other critical senior services that had Very high scores like meals on wheels took a hundred and twenty thousand dollar hit So I think one of the ways things like that can be improved as you look if you look at the role our agency plays We're probably the most familiar organization with community-based services for seniors We've been funding them at one point six million per year for the entire time that I've been there Which is 20 years and probably 20 years before that Unfortunately, even though we're a funder we're not included in the funder group for discussion about how this rolls forward So that would be one recommendation to include all major local funders of community-based organizations in that discussion We are a strategic plan owner But unfortunately, we're also an applicant for funds and we're unique in that most triple a's are county-based But we're one of the few that's non-profit based So we can do a lot more things more flexibly than a county-based organization can and We're also more cost-effective at doing that So I think everybody has agreed that that's a great model But unfortunately when we shift to core that excludes us from being part of the review and feedback group Even though it's our strategic plan that's being funded So we think an approach that you could take would be to take the triple a out of the core funding process Establish us as a set alone. We're a mandated program so you know if we don't do it you guys have to do it and That would allow our expertise to be at the table when proposals are coming forth to do things like cut senior network services Which is the kind of starting point for all senior services At a time when the senior population has grown 43 percent over six years It makes no sense to you know take money away from the triage organization And I really think those flaws could be corrected by merely shifting what our role or our relationship with the county is We also don't compare well in terms of the outcomes and what strategic plan do we align with you know We write a strategic plan. So are we you know going to somehow fit into our own plan? It's more a matter of whether we are the triple a or one exists or the county takes us over So we hope you consider that I'll just add also There's some great recommendations in the focus groups that I hope are seriously considered to thank you very much morning Welcome. Good morning. My name is Sarah emert. I'm the director of community organizing with United Way I'm here to communicate United Way support with this funding model and to show our support with the county and also really recognize HSD's commitment for quality improvement I also wanted to share that United Way is currently in the process of shifting our funding and grant making model And we're in communication with HSD to ensure the integration of critical elements from the RFP from the county That are integrated into ours. So for example the evidence-based practice tiered model some of the outcomes and measurements are just some of the examples With our new funding model We are also holding the all-in strategic plan to in homelessness as well as the youth violence prevention task force strategic plan But we're going to be diving a little deeper to focus specifically on youth success But we will ensure that there is overlap between the results that we put out in our RFP and what's under core investments as well Additionally, we recognize the power in leveraging Outcomes and resources both financial and human through collective impact So I wanted to communicate our commitment with partnering with the county and others to continue the conversations around collective impact And especially to increase community capacity around collective impact. Thank you. Thank you Morning welcome back Good morning. My name is Angela the novella from PVPS. I am the director of agency programs And yes, I'm here to support also this this model We appreciate the fact that we together can can build community and and we support each other and Collaborating and moving forward with evidence-based practice models I also want to say thank you for providing the technical assistance support for South County agencies That was very valuable even though we were there and You guys were available to to answer questions and help us with the application and the reporting process So I appreciate that that you came down to South County and and yes, I want to say thank you overall and and hoping that we can continue working together and And overall emphasizing on on the importance of outcomes and and and outputs as you were mentioning before That we together can build together. Thank you. Thank you. Is there anybody else from the community you'd like to address us? See none. We'll bring it back to the board reaction Supervisor Coonerty sure First I want to thank you for the work and it's really good to have this continuous improvement in this feedback loop So that on the micro level can build trust get more efficient get better data get more information and do it I'm really glad That we're putting this effort you put this effort in and and are reaching out in this way and will improve And then I just wanted to remind us that I think you know It's always good to keep in mind where we really want to end up With this because you can get caught in the weeds a little bit And I think this pot of money as was mentioned will not solve Virtually any of the very complex problems that we have but When we look at the data and we know how many homeless vets there are and we know how many seniors are going out food We know how many kids don't have dental care and we know what third-grade reading levels are we know all that in our community and and when we should be holding an annual hearing as part of our budget with the Central Coast Alliance for Health with the Community Foundation with the United Way with all the different folks that are playing a role in this and saying You know is our crime rate going up and down as our recidivism rate? How's our third-grade reading level how's how many seniors have access to food and Really try to work on those numbers and to Karen's point maybe on some cases just try to hold the line in the face of bigger trends that are bigger than us or forces that are bigger than us and compare us to other Comparable counties and say are we doing are we in the middle? Are we at the top? Are we at the bottom? And so to not to not just get stuck in this one funding stream and these one set of As it relates to strategic plans, but overall when we're talking about hundreds of millions of dollars being spent. How are we? Making those investments and are we using all the different funding streams correctly to leverage real change? And so it's a long process and it's a big goal, but I think though I Want to recognize that effort and keep in mind of sort of where we where I hope we will end up going And with that I'll move the I think it's except to accept the staff report and the recommended actions second Emotion from supervisor Kennedy a second supervisor MacPherson supervisor MacPherson. Yeah I appreciate the ongoing effort because this was a change in our process of what we're doing and That word trust I think is being developed as we go along because we're continuing to see how we can improve and make it fit better especially want to Just think that we we want to address our concerns about how does the this program that was Dressed by a mr. Kempf about how does the seniors program fit and how how do we measure that in better? How can we make it fit better into this process? That's that's a concern to me. I'm being a member of that area on the aging but That's especially one that I'd like to see addressed and I know it will be but I do appreciate the ongoing effort and the the continuous input from the agencies that were That provide these services to those in need in Santa Cruz County Was you know, thank you and again like I said, it's turning out Better than I thought and I and I appreciate that But I still am disappointed on the second harvest food bank not getting funding that helps especially South County Where a lot of people are really struggling and also meals on wheels, which is really a Countywide and affecting a lot of people and actually some of us in this room will be signing up for it When we get older so and we got to be mindful of that and the other of course is the small one the Watsonville senior center But thank you. Thank you. We have a motion and second all those in favor. Hi opposed it passes unanimously Thank you for that report Appreciate probation and others waiting for item 54. We're gonna now move to item 54 Which is to consider report and presentation on the P. MacArthur results first initiative? Juvenile cost-benefit model and direct the probation department return in March of a 2018 for authorization released in RFP for evidence-based Juvenile programming is outlined in a member of our chief probation officer We also have the Santa Cruz results first two-page summary final report And I believe our probation officer in the second here. We'll be introducing This item Thank you again for waiting for your item to come back Good morning morning. Welcome. Thank you Good morning chair and board supervisors this morning. It's still this morning. Yes, I'm gonna continue on the theme of Results and evidence-based practices, and I have a brief presentation about our work with the results first initiative And the development of our juvenile results first model, which I believe it's the first of its kind With me today all the way from Washington DC right next to me is Ben Fulton senior associate from the pew MacArthur results first initiative, and I also have Amelia Mejia From CISAC. She's a program coordinator for results first, and I hope that You might have questions for them both from a national perspective of results first and of course statewide in California And I really wanted to thank the results first team that I have here with their for their technical assistance Since 2013 since we started our work as a county with them I'm gonna make this a power point here Well, I just want to say thank you chief eraldo for the introduction and as he mentioned My name is Ben Fulton. I'm a senior associate with the pew MacArthur results first initiative and before The chief gets into a breakdown of the results from their Their juvenile justice effort related to our project. I thought I'd give a little bit of an overview of what results first is And talk a little bit about the work that's happening in California and across the country And so as many folks in this room know results first is a joint initiative of the pew charitable trust And the John D and Catherine team MacArthur foundation And what we are is a national initiative that partners with select states and counties across the country to help them engage In evidence-based policymaking and we do that in a capacity building model that really folks focuses on partnering with those Those real leaders in states and counties to help them develop their own capacity and expertise for engaging in evidence-based policymaking And so that is a is a really kind of big term there evidence-based policymaking and for us it really means Using the best research and evidence out there about what works to inform decision-making processes around policy and budget We do that in a number of different policy areas adult and juvenile justice Child welfare mental health substance abuse, and we're rolling out new kind of areas all the time In terms of health. I think is the newest area. We partnered with 38 jurisdictions now Including Santa Cruz County 28 states as well as As 10 counties as well eight of which are here in California. We're really all of our county work began So every one of those jurisdictions Kind of goes through a similar process in building the results first approach but they all do it in their own kind of unique and prioritized way based on the the community's needs and and priorities so that approach really focuses on One building a program inventory of programs in a particular area and learning more information about how those programs operate in a particular jurisdiction Then taking those programs and comparing them to the results first clearing house database, which is really a Central hub for a lot of information from research clearing houses about program effectiveness and then taking those programs or there's really strong rigorous evidence and Running them through a Santa Cruz specific benefit cost analysis model To try to get a sense for what is the potential return on investment for programs where we have a really strong evidence base for them And so what that does is compare the cost of providing a particular program Against the benefits of that that program produces that's been shown in the research literature So that would give you a sense for if we put $1 in this evidence-based program What kind of return can we expect over the long term based on their best kind of research? We have and so in Santa Cruz we've been really focused on Adult and recently juvenile justice And so we're going to continue to kind of walk through kind of how this results first work plays out here in Santa Cruz But I wanted to give you a little bit of a background on the on the project as a whole I want to talk about the juvenile model goals, but I really like this illustration because if you go all the way to the end the end result is recidivism reduction and that's public safety and that's My department's role in the community among others and so if you stop backwards though We want to show you what we want to do is take a deliberate path where we are good stores of the tax dollars It's very important by making the best use of public resources and being deliberate in our intentions to provide the juveniles and families to serve With the best Service is possible that will give them the likelihood of success in life and for youth Particularly transitioning into adulthood and this is really why we use evidence-based practices So from a from a big picture perspective the reason why The Santa Cruz probation department and all of our partners go through this really lengthy and technical intensive effort to build out a very specific Santa Cruz Benefit cost analysis model is because leaders Like the chief here at the agency level as well as leaders in the CAO's office and it and board of supervisors level and when We're in the states and legislature and governor's office All these folks are really interested in trying to use evidence to make strategic budget choices and have that information be at the Table it's not a situation where you're gonna look at a chart and say we just fund the top program on that chart Or that the evidence is the only thing that you will consider But we think it's an important It can provide a kind of important contribution to that decision-making process when you consider all the other factors into why you'd Want to fund a program and so unfortunately Many leaders do not have access to that kind of evidence-based policymaking resources And so that's why results first partners with these jurisdictions and tries to help them Kind of gather useful information and present it in a way that will be useful and so We started in a very small number of states. We started in four counties in California Santa Cruz being one of the first and We're now continuing to expand that approach because we've been finding that leaders across the country are really interested in this work And can benefit from it. So I've actually liked to turn it over to Amalia just for a second Before we get a little deeper because in partnership with the California State Association of Counties We've actually been able to expand our footprint in California and work with new partners So I wanted to give you an opportunity to talk a little bit about that Sure. So as you guys know after realignment There was a new level of responsibilities for counties and from CSES perspective We wanted to make sure that county leaders had the tools necessary to address these changes So with the healthcare foundation new funding, we were able to expand to two additional counties So currently we are in up as the first original like Ben mentioned Santa Cruz Santa Barbara Kern and Fresno And since then we since a partnership we expanded to Ventura, Santa Clara, Solano and Nevada And we will be hopefully expanding to two more additional counties by the end of the year depending on the engagement of interest But counties are definitely Being able to use this information as county leaders and we're open to any Suggestions of how you guys might want to be how this could be useful for board as board of supervisors Thanks so much Malia and and I think that really comes down to the reason why We've we've think there's a lot of value in this work and that is because the the benefits of doing this kind of cost-benefit analysis approach really focuses on Decreasing recidivism so improving outcomes in order to to generate positive returns in terms of avoided victimization and Kind of negative aspects that happens when when crime happens in the community as well as reducing the burden on public services When someone recidivates they go back through the criminal justice system and there's a cost to every stage of that system and so I think the really valuable piece here at the juvenile level is that you are You're hitting kids at a very early level and so the ceiling the potential benefits are even higher because you know as opposed to Intervening with someone at an adult level they're further downstream and it may be more difficult to make improvements but at the juvenile level there really is an opportunity for first for investment to make a real difference in kids lives and And the county as a whole so so just briefly I want to talk a little bit about our work in Santa Cruz County We you kick this initiative off five years ago in 2013 and we started with our Adult criminal justice programs our services and interventions and really we had a unique opportunity Through realignment in 2011 where there was an infusion of new dollars coming through the state So we really thought it was important that we Use those while ease wisely and results first really aligned with our county plan our community corrections partnership plan was to use cost-effective Treatment and supervision services that were evidence-based For better results. So this clearly fit with what the county wanted to do So we use the results first cost-benefit model and program inventory first to help inform us in the design of an RFP For interventions and services for the AB 109 Population that was released in 2015 And as we began new contracting for adult services, we included new requirements that included prioritizing evidence-based practices And we knew that after we were doing that the next step was to introduce results first and to the juvenile model many of the providers Provide our network and AB 109 also provide juvenile services So they are familiar with the steps that that that we're taking in the direction We're going and clearly many of them are also part of the core funding model These are the key findings In our as we develop our juvenile model juvenile recidivism is expensive The average cost of a conviction is over a hundred thousand dollars This includes cost of victims the cost of lost earnings Disruption and educational pathways the cost of arrest Prosecution incarceration, etc. So this is why it's important that we invest in interventions that have the highest likelihood of Reducing recidivism earlier in intervention evidence-based programs can reduce these recidivism costs for every dollar locally According to our model. We know that the return is anywhere from $2.31 to $32 that we have that we can invest our juvenile alternative to detention program is is seen There is a highly cost-effective program with excellent public safety outcomes This is why we continue to invest in these type of beneficial programs This slide shows an excerpt of what we call our results first one page inventory that Took about a year to develop that but it was well worth it This is hot off the press and we plan to use it to guide decisions around the types of programs that we are currently using and Or plan to use in the future We selected aggression replacement therapies an example to highlight to show her how our program inventory works in terms of cost-benefit analysis Return on investment and recidivism reduction. It took me a little while to figure this out, but I think I have it ART is an evidence-based cognitive behavioral intervention that my staff are trained in And it's inexpensive at $600 per youth But the cost avoidance is just over 8,000 again that cost avoidance is and realize cost of victims Community arrest again, etc. We can see from this that for every dollar we spend on ART We get a $14 return on on investment. So this this example here We've already used it helped us determine that we needed to increase ART and expand the available Availability to our youth because we are only serving about wealthy 15 participants. So we've expanded that This this is again another part of our results first inventory The local programs are in green are our local programs And we match these to the highest rated programs in the Washington State Institute for Public Policy Inventory and that had the highest return on investment and show a significant likelihood of reducing recidivism in some cases by up to 10% Included in these highest rated section are is vocational training ART aggression replacement therapy a restorative justice programs and cognitive behavioral programming through the forte model So in Santa Cruz we have four four of our local agencies already delivering these types of services So the models already and helped us inform the scope of work as we Go from year to year with new contracts So I'm going to wrap up our presentation really with recommendations. It's clearly evident to us that programs and services That are rated highest and effective to reduce recidivism is something that we should Use our juvenile justice dollars just like we do with our adult dollars. We'd like to maintain and expand existing programs like ART Want to recruit new services and programs that are out there or work with our partners perhaps to redesign some of Their current programs to meet the emerging needs and trends much of the the way we are spending our dollars in juvenile justice is Remained relatively unchanged over the last 15 years And we really feel it's time to make a significant shift because there are Just different emerging needs that we've discovered new evidence-based practices and and our partners have been there with us and has been willing to adjust what they're doing So we Want to talk about what we're recommending to the board we would like to through an RFP process Really align services to risk and needs and make program improvements and prioritize our funding to evidence-based practices to achieve outcomes So we would like to recommend that we return to your board in March with a draft of Our request for proposals that we plan to put out Much as we've similar to what we've done of course for a realignment dollars And similar to the core and taking a consideration what we've learned from in the experiences in core and realignment I know there's always concern about the amount of work that our providers would have to do with applications But we want to keep it as simple as possible And I am confident many of the same providers will continue to to be able to serve our youth So with that that wraps up my presentation and I was wondering if there are any questions Are there any brief questions from supervisors before we open it up? Supervisor Leopold. Thank you chair Thank you for the presentation though the ongoing work that we're doing with results first I think is is is critical work again. Let's us Show the value of the investments that we make I'm really glad to see CSEC as involved Because I think this should be a standard in California So I'm glad that we were Early adopters of this I wonder if you could say something about the recidivism rate sure The numbers here I I I don't have any I don't I know the adult numbers slightly better So I can't tell what these are State average better than the state average what what does this tell us this is and this is the first time We've done that we did a six-year analysis of a cohort and looked at their recidivism rate for a period of six years And we know so we determined that 33 percent reoffend They have an adjudicated offense within the first year and that's that's about normal and and are working with our Technical assistance team, but what this does is establish as a baseline for us, which we just haven't had And I could say that of those that recidivate within the first year 70 about 70 percent are misdemeanor offenses and 30 percent are felony So that's while they're misdemeanor still obviously a crime I'm happy to report. They're not felonies. You know our person-to-person crimes So but we'll we're gonna be able to compare ourselves as we move forward And we have the the tool in the inventory to determine this how it compares to the adult system is The lat it was about 32 percent is very similar within the first year But we want to clearly what we want to do with this tool is is reduce that I mean it would be remark obviously the goal the gold standard would be zero Recidivism, but we know even reducing it by 10 percent is very significant and there's a good return to the community So that's what we're shooting for yeah when we look at recidivism rates of adults Don't we usually look at it a three-year period instead of a six-year period. Yes. Why are we looking at it? This is the yeah, yeah, so in terms of the way the model works It does our definition of recidivism And our kind of term is is a little bit different than maybe the way a lot of states and counties generally look at recidivism rates generally in kind of a three-year section and the reason for that is that the the model wants to Realize the benefits that occur over the long term And so the longer the recidivism period that you look at the longer the model is is able to estimate the benefits of that program So the longer there are some states that have that have looked at 10 in Washington State I think there are over 20 years now of looking at that same cohort over 20 years to see Again what the benefits of these programs are as they accrue over time And so the other the other thing I would note is that when it comes to juvenile versus adult recidivism cost is that You are looking at kids as they move from the juvenile to the adult system So some of the benefits that accrue for those programs will be in the juvenile system because you will be avoiding some juvenile crime But you're also looking at the benefits of avoiding some adult crime as well. And so that longer Kind of period that you look at it means that you can kind of estimate the value of avoiding some of those things later down in the years Yeah, and and as I've looked I think the cap report looked at Youth crime and we've seen a downward trend over the past 15 years or something But this recidivism rate is this Do we have this number for other jurisdictions? 63% a good number of an average number So what I was gonna say is that actually Santa Cruz is the first results first County to be able to complete the juvenile justice work there is The other counties that we're working with have all been focused on adult criminal justice and After working with Santa Cruz and seeing them do such an incredible job on the adult side We thought that this would be a great County to move forward and look at the juvenile side So I think we'll have more information about how this fits within Other counties in the state kind of as other counties start to take on the juvenile component The the the number of the cohort number is relatively small Just in January we had I think might have been our record lowest average daily population in juvenile hall was a nine 9.5 you so these these are these are smaller numbers And the individuals that we're serving we divert about 65% of the youth that come into contact with their system And that's some of the local police departments have their own diversion programs. That's a good thing. We're responding differently We're responding, but differently so that but the individuals we are getting now and supervising tend to have a really combination of high high Criminogenic needs and just high needs and areas of you know substance use And mental health so and they risk according our risk level about moderate to high risk to recidivate So we're smalling serving smaller numbers, but they are Coming to us with more chronic issues, but that's how you know, you should reserve your I totally agree with that. I just think it's it's hard. It was hard for me taking a look at this number Because of our low incarceration rate, which has been a almost 20 year effort successful effort I would argue that that those who end up in our juvenile justice, you know in juvenile hall or the people who are supposed to be there for the most part and As you say they might have higher criminogenic Needs or behaviors and so that this might skew that number and I'm just that's what I'm trying to get some sense about it And the risk, you know when you do this level of analysis when no one else has done it is you're the first out there Showing this this data and but the importance of that. I think is that we have a baseline We can look to achievable to achieve a reduction in that so That's sort of that the caution and so and we want to make sure that when we compare ourselves to other counties that we We're comparing apples to apples to that tends to happen a lot How do we look and then we determine that they were using a different method ology? But at least with the results first core whole core cohort that will have similar method ologies Yeah, the last thing I'll say is that when I look at this cost of recidivism My memory of from the adult this is almost three times as much as As the cost of recidivism adult and so we'd be wise to continue to putting our resources there because that's not only the best opportunity for us to To help correct behavior or get support, but it's obviously gonna cost us a lot more at the long run Yeah, the adult recidivism cost up was 42,000 dollars from the model So my memory so bad as I thought but And another sure there's a brief question from supervisor Caput then we'll open it up to the community on this item Yeah, thank you for all you're doing a quick question on gang Intervention with youth and all that about how much time is spent on that and maybe a quick description of how a great Question I really I was earlier. I was talking to our team about you know when I when I you know As a parent do provide supports for my my children They're very similar to what youth that are involved in gangs are those those connections to adult role models consistency and The support educational support and so on so all the programs that we utilize are have components They don't necessarily call it gang intervention program because I'll tell you most kids aren't gonna show up if they had a sign That said gang program, but what appeals to them are the pro-social activities the connections with adults So a lot of time is spent Inactivities and interventions that are gonna address the root causes of whether it's gang behavior or other types of delinquency It's very similar. It's really you know our young people falling through the cracks falling and at school Not having you know connections to adults the supervision You know socioeconomic conditions can contribute to that So I would say that most of our programs have components while they don't say this is gang intervention Just because it would probably not be attractive to kids. They're doing that If let's say somebody has a record and there some of it started when they were younger and then it maybe went over a Little bit when they were an adult They can do things to clean up their record And do you do you ever do recommendations like they want to join the military for example? But the military has their You know standards also Is there help for those that want to clean up the record and then go to absolutely for juveniles There's been a sweeping reforms particularly in the last couple of years Led by a assembly member mark stone Around record sealing so there's now that means your records are sealed closed And so before there was a process within youth would have to petition the court now There's a lot of automatic record sealing it's for those those reasons because we know This can haunt you for the rest of your life having a record having a felony amistamina and of course We also had prop 47 which provided relief for certain crimes that could be reduced from felonies To misdemeanors for a lot of individuals so those types of reforms are helping people Move beyond the label of and stigma attached to that and so that's that's helping but we could do a lot more I know that I thank you. Thanks again. Thank you Is there anybody from the community that like to address us on this item? Seeing then we'll bring it back to the board for action. Well, I would move the recommended actions and We have a motion from Supervisor Leopold a second from Supervisor Caput all those in favor I Oppose the passes unanimously. Thank you both very much for that. We'll move on to the two pulled items from earlier today We had item 14 which became 55 Point one item 14 is to accept and file the whistleblower hotline activity for 2017 is recommended By the auditor controller treasurer tax collector miss Steinbrenner you pulled this item Yes, I did. Thank you. Becky Steinbrenner resident of Aptos. I have Reservations about the effectiveness of this program and I would like a discussion of its history What what actions have come out of it? I was interested to find out that all? whistleblower Repoint reports submitted our first reviewed by Mr.. School's office, and so I would like to know and and I'm asking for what criteria That office uses to determine whether whistleblower report is Further investigated or or how is the best way to handle it? I am concerned that if and and I I read the report that a number of things that were whistleblower reports were Referred then to the department for which the problem exists And I don't think that we can really expect a thorough investigation maybe not even any investigation at all and So I would like to ask how that has worked in the past. Is this a new program? What have been the results what changes have come about what courses of action were changed or to address these? whistleblower reports of waste fraud and Problems And what sort of a follow-up report does mr. School's office give to you in terms of action taken on? On the reports whistleblower reports that worse have been submitted by the public I will tell you that as a member of the public Many people think the grand jury is you know the way to go but they are such they have so much and To do and really limited resources that I'm grateful that there is another Avenue, but I really question its effectiveness and I would like some discussion about that and what I've asked here Thank you. Is there anybody else I'd like to address this on this item all right see none I'll bring it back to the board council that a question that was asked that I don't know The extent of the appropriateness of answering it so I just wanted to ask you from a process Component what would be appropriate to Convey on this process so this is agendized as an annual report And I think these questions go far beyond the scope of what's been agendized and perhaps mr. Steinbruner could have a conversation with mr. School Okay There's a motion and a second from supervisor country and from supervisor Leopold Mr.. School you'll commit to a conversation I'm happy to provide a Little history if that's beneficial, okay All those in favor I Oppose the passes unanimously move on to item 55.2, which was pulled item 17. This is approved plans and specifications For the Davenport communications tower installation project direct the GSD to advertise for bids at the bid opening for 3 p.m On March 6th and then GSD and take other related actions as Recommended by the interim director of general services and director of information services. Mr. Murray. Thank you That gets time Bruner raptas I'm interested in supporting Good public safety communication on the north coast I'm a ham radio operator and I know that that area is problematic and The ham radio community which provides emergency communication for the county and agencies has solved that Problem for us by having the Mount Toro Machine and using them the bay as a ground plane and I didn't know until yesterday and I talked with miss To be McCain that that's also what this is. So it's a tower at like an 85 foot tower and There will be a microwave dish on it Aimed over at Mount Toro what I what I take exception with is a citizen is that in the agendas as the plans and Specifications were available to the public at general information services I did go there because I'm a radio operator and I'm interested in finding out what's there and they were not available I was sent to information technology and then that person sent me to the radio shop and that person sent me back to the Information technology to talk with miss McCann and she was very helpful. I really want to thank her for that My concerns and I'm going to relay a couple for you from Marilyn Garrett because she wanted to speak But it had already been pulled and you would not allow her to speak and she had to leave her My my concern and hers also is that this tower could be come a co-location for cell phone and Miss Garrett's understanding of the law and she studied this pretty well is that if the Cell phone companies come to the county and say we want a place on that tower by law You will not be able to refuse them and so that opens up kind of a can of worms But I'll tell also that the hazards of a microwave technology if it if it's been tested if the area around there The people have been notified, but what a big question I want to bring up here is that? Both supervisor friend and Coonerty you are Stockholders in a company called Predpole predatory Predictive policing that will benefit by this Technology and supervisor friend you sit on a board and take money for doing so with yard arm technology, which relies on this kind of Communication cell phone in particular and I think the two of you Need to recuse yourself from voting on this issue and any other issues regarding law enforcement Communication or cell phone tower installations in the county because that all supports what you are being Economically benefited by in your positions, and I would like it some discussion from you about that and also from county council whether Co-location is any opportunity at all in the future. Is there anybody else would like to address this on this item? If not, we'll bring back to the board and chair no Chair of heart Good afternoon board Jim Hart County Sheriff this real quickly This this radio tower is going to provide some much needed radio infrastructure on the north coast that we lack right now And sometimes we're not don't have the ability to communicate at all my office which is the primary user of this Tower does not have a contact contract with Predpole or yard arm. So there's no conflict From the sheriff's office point of view in this at all and it's really about getting radio communication to better serve the north coast Thank you Supervisor Leopold Thank You chair You know the issue of public trust in elected officials is a serious one and and we should take it very seriously but to make accusations against elected officials based on the flimsiest chance that an Antenna might be used for something involving law enforcement, and there's somebody who has it a business relationship with law enforcement is is a wildly misinterpretation of conflict of interest and We have a responsibility to listen to issues fairly and we take concern seriously, but to Carelessly and callously accuse elected officials of Not operating in the public interest and somehow having a conflict of interest on his flimsy a connection is this here. I think is wrong and and I Trust that we we all fill out 700 forms so people know what our Investments are But you just you just cannot just casually throw out that someone has a conflict of interest I just think that that's inappropriate. I would move the recommended action There's a motion from supervisor Leopold second from supervisor Coonerty all those in favor Opposed it passes unanimously. We're going to move into closed session. Will anything be reportable out of closed session? No, and that will then conclude the meeting as we move into closed session