[00:00:03]
IT IS THREE O'CLOCK, AND I WILL NOW CALL THIS
[CALL TO ORDER]
PUBLIC HEALTH COMMISSION MEETING TO ORDER.AND DO WE HAVE ANY PUBLIC COMMENTS? NO PUBLIC COMMENTS.
[1. Approve the minutes of the Public Health Commission Meeting on June 7, 2023.]
THE APPROVAL OF MINUTES, UH, APPROVE THE MINUTES OF THE PUBLIC HEALTH COMMISSION MEETING ON JUNE 7TH, 2023.DO I HAVE A MOTION ON THE FLOOR? SO MOVED.
DO I HAVE A SECOND? I HAVE A SECOND.
DO I HAVE ANY, UH, QUESTIONS TO THE MOTION? YOU HAVE QUESTIONS? WHAT WOULD IT, YOU HAVE EDITS? YEP.
QUESTIONS TO THE MOTION? YES, SIR.
DIRECTOR OF AUSTIN COMMA, PUBLIC HEALTH TO THE OFFICE.
CAN WE HAVE THAT ANNOTATED? DO I HAVE ANY OTHER QUESTIONS TO THE MOTION? ALL RIGHT.
UH, CAN I HAVE AN AMENDMENT TO THE MOTION, UH, TO APPROVE BASED UPON THE, UH, RECOMMENDED CHANGES? SO MOVED.
ANY QUESTIONS TO THE, UH, AMEND THE MOTION? ALL THOSE IN FAVOR, RAISE YOUR HAND.
[2. Briefing on the organizational structure, programs, and services by Travis County Health and Human Services.]
STAFF BRIEFINGS.WE HAVE A BRIEFING FROM THE TRAVIS COUNTY HEALTH AND HUMAN SERVICES COMMISSION.
UM, I'M ASSUMING Y'ALL HAVE COPIES OF THE PRESENTATION.
AND, UH, SO I'M, UH, I'M VILA SANCHEZ.
I'M THE COUNTY EXECUTIVE OVER OVER HEALTH AND HUMAN SERVICES, UH, AT TRAVIS COUNTY.
AND MY CONTACT INFORMATION IS ON THE FIRST SLIDE FOR YOUR INFORMATION.
I WORK AT LAR IN MATTERS OF PUBLIC HEALTH AND HEALTHCARE RELATED ISSUES.
SO WE WANTED TO GIVE YOU A FEW REMINDERS OF WHAT WE TALKED ABOUT LAST TIME.
UM, UH, MORE IMPORTANTLY THAT WHAT WE DO, WE PROVIDE THROUGH INTERNAL AND EXTERNAL INVESTMENTS.
UM, WE, WE TALKED A LITTLE BIT ABOUT THAT LAST TIME, AND I'LL GO THROUGH THAT.
BUT A LOT OF WHAT TRAVIS COUNTY DOES IN H H S, WE LIKE TO FIND THE PEOPLE WHO ARE THE EXPERTS, THE SUBJECT MATTER EXPERTS, AND WORK WITH THEM.
THEY MIGHT BE ANOTHER COMMUNITY, UH, ANOTHER GOVERNMENT AGENCY, OR THEY MIGHT BE A COMMUNITY BASED ORGANIZATION.
AND SO THAT'S WHY WE HAVE A LOT OF EXTERNAL INVESTMENTS, MEANING THAT WE CONTRACT OUT THE WORK.
UM, SO, UM, WHO WE ARE, WE'RE A DEPARTMENT OF TRAVIS COUNTY, AND WE REPORT TO THE COMMISSIONER'S COURT, AND WE TRY TO ACCOMPLISH, UM, UH, WE TRY TO MAXIMIZE THE QUALITY OF LIFE FOR ALL OF THE PEOPLE THAT LIVE IN TRAVIS COUNTY.
UH, WE MORE IMPORTANTLY, LIKE TO PROTECT THE MOST VULNERABLE POPULATIONS OF THE COUNTY AND INVEST IN SOCIAL AND ECON ECONOMIC WELLBEING.
SO, HERE'S ONE OF OUR DIRECT SERVICES.
UM, THE, THIS DIVISION IS THE FAMILY SUPPORT SERVICES DIVISION, AND THEY DO A LOT OF DIRECT ASSISTANCE VERSUS CONTRACTING IT OUT.
AND WHAT THEY DO IS THEY PROVIDE RENT ASSISTANCE, MORTGAGE ASSISTANCE, UTILITIES.
WE HELP WITH INDIGENT BURIALS AND CREMATIONS FOR THOSE FAMILIES WHO CANNOT AFFORD TO BURY AND PUT THEIR FAMILY MEMBERS TO REST.
UM, WE DO PROVIDE OTHER NON-FINANCIAL ASSISTANCE, SUCH AS BASIC NEEDS, UH, THROUGH A, THROUGH A CLOTHING CLOSET, THROUGH A FOOD PANTRY, DIAPERS, AND, UH, RECENTLY, UH, PERSONAL PROTECTIVE EQUIPMENT.
DURING THE PANDEMIC, WE ALSO PROVIDE SUPPORTIVE CASE MANAGEMENT AND SOME SOCIAL WORK SERVICES.
WE'VE RECENTLY MADE A CHANGE THAT WE'RE PILOTING.
UM, FOR THOSE THAT NEED RENTAL ASSISTANCE, WE ARE NOW REQUIRING THAT THEY PARTICIPATE IN THE SOCIAL WORK OR SUPPORT CASE MANAGEMENT SERVICES.
UM, AND THEN THEY WOULD BE ELIGIBLE FOR RENTAL ASSISTANCE.
WE HAD, UH, AN IMMENSE AMOUNT OF MONEY COME TO OUR COMMUNITY THROUGH THE FEDERAL GOVERNMENT FOR RENTAL ASSISTANCE.
AND WE PROVIDED THAT VERY QUICKLY, MILLIONS AND MILLIONS OF DOLLARS FOR RENTAL ASSISTANCE.
AND WHAT WE FOUND WAS THAT RENT IS JUST SKY SKYROCKETING, AS YOU KNOW.
AND SO WE WERE BASICALLY JUST CATCHING PEOPLE UP, BUT THE VERY NEXT MONTH, THEY WERE IN THE SAME SITUATION.
SO WE THOUGHT IT MIGHT BE BEST NOW THAT WE'RE BACK TO JUST USING LOCAL DOLLARS, WHICH ARE NOT AS LARGE AS THE FEDERAL MONEY WE
[00:05:01]
RECEIVED.IT WAS IMPORTANT THAT WE HELP FAMILIES COME UP WITH AN INDIVIDUALIZED PLAN ON HOW THEY WERE GONNA FIND THEM, FIND THEMSELVES AN AFFORDABLE, UH, SOLUTION, WHETHER, YOU KNOW, UNFORTUNATELY THAT MIGHT MEAN, UH, BUTTING UP WITH ANOTHER FAMILY, UH, TO BE ABLE TO AFFORD THE RENT.
UM, BUT, UM, SO NOW THAT'S A BIG CHANGE THAT HAS RECENTLY HAPPENED.
UH, AND WE DO HAVE THESE SERVICES AT SIX SITES THROUGHOUT THE COUNTY.
I DUNNO IF I, YOUR MICROPHONE, DO YOU WANNA WAIT FOR QUESTIONS TO THE END? OR YOU HAVE A, LIKE A LOT OF SLIDES, AND I DON'T WANT TO BE INTERRUPTIVE, AND I KNOW WE GOTTA HAVE A PACE, BUT FOR INSTANCE, I WONDERED, AS I READ THIS, I WONDERED IF, LIKE, HOW, HOW DO PEOPLE APPLY AND ARE THERE QUALITY PROGRAMS THAT YOU HAVE THAT SAYS IT'S AN AVERAGE TIME TO APPLY TO ACCEPT HIS 42 DAYS OR 12 DAYS, OR, I WONDERED IF YOU ALL, YOU KNOW, HOW LONG DOES IT TAKE TO GET THE SERVICE THAT SOMEBODY NEEDS? AND DO YOU ALL MEASURE QUALITY METRICS AROUND THAT TO KNOW HOW WELL YOU'RE SERVING THE COMMUNITY? SO WE DO TRACK THAT INFORMATION.
WE CURRENTLY DON'T HAVE IT AVAILABLE BECAUSE WE'RE TRANSITIONING FROM ONE SOFTWARE TO ANOTHER.
BUT PEOPLE CAN APPLY ONLINE AND THEY HAVE A MENU OF SERVICES THAT THEY CAN CHECK OFF AS TO WHAT THEY NEED.
IF THEY NEED THE FOOD PANTRY, THE CLOSET UTILITY ASSISTANCE, THOSE ARE USUALLY PROVIDED VERY QUICKLY, SAME DAY.
UH, UTILITY ASSISTANCE MIGHT TAKE A COUPLE OF DAYS, BUT THOSE ARE A LOT QUICKER WHEN IT COMES TO YOUR RENTAL ASSISTANCE.
THAT CAN TAKE A LONG TIME, THAT CAN TAKE MONTHS BEFORE WE CAN ASSIST THEM.
AND DEFINITELY FEEL FREE TO ASK ANY QUESTIONS THAT YOU SEE.
UM, THE GOAL HERE IS TO GET AS IN-DEPTH INFORMATION AS POSSIBLE SO WE KNOW WHAT QUESTIONS OR WHAT TOPICS WE WANNA LOOK INTO, AND WE HAVE A BETTER IDEA OF WHAT THEY CAN AND CAN'T DO.
UM, SO WE'RE NOT ASKING FOR THINGS LIKE THAT THAT'S NOT IN OUR HOUSE, OR THAT'S NOT WITHIN OUR ROLE.
UM, I DEFINITELY DID HAVE THE SAME QUESTION WHEN IT JUST CAME DOWN TO, AND EVEN IF YOU HAVE MAYBE SLIDES AS A FOLLOW UP, JUST A LITTLE BIT MORE OF THE CRITERIA ELIGIBILITY, UH, FOR THESE DIFFERENT PROGRAMS, HOW LONG THEY CAN BE ABLE TO UTILIZE THESE PROGRAMS AND SO FORTH AS WELL.
UM, UH, YOU KNOW, GOING BACK TO THE ONE SLIDE I TALKED ABOUT, UH, WHAT YOU STRIVE TO ACCOMPLISH, THE PROTECTED VULNERABLE POPULATION, IT'S JUST KIND OF A, AN IDEA OF WHAT, WHAT DOES THAT, WHAT DOES THAT REALLY ENTAIL? UM, IT MAKES ME REMEMBER LIKE THE WORD AFFORDABLE, AFFORDABLE TO WHO AND FOR WHAT.
UM, SO IF YOU CAN JUST KIND OF HELP US IN, I KNOW THIS IS SUPPOSED TO BE MORE JUST OVERALL, RIGHT? MM-HMM.
SO IMPROVING THE WELLBEING, UM, CAN BE DONE IN SO MANY DIFFERENT WAYS.
AND I THINK THAT THROUGH OUR PRESENTATION YOU'LL SEE ALL THE DIFFERENT WAYS THAT WE DO THAT.
EVERY FAMILY IS DIFFERENT, THEIR NEEDS ARE DIFFERENT.
AND SO I CAN'T GIVE YOU ONE SENTENCE OR TWO SENTENCES ON HOW WE DO THAT.
I CAN GIVE YOU A PRESENTATION ON EVERYTHING THAT WE DO TO HELP HELP FAMILIES STABILIZE, HELP FAMILIES GET TO A PLACE WHERE THEY CAN CONTINUE TO, TO THRIVE.
UM, SO, SO THAT ONE'S A LITTLE DIFFICULT TO JUST TELL YOU, UH, CONCISELY, OTHER THAN THROUGH THE PRESENTATION, I'M NOT GONNA GO THROUGH EVERY SLIDE.
AS YOU SAW, THERE IS AN IMMENSE AMOUNT OF SLIDES STILL.
YOU'LL HAVE TO GO THROUGH THOSE ON YOUR OWN AND COME BACK WITH QUESTIONS TO US, BECAUSE THERE'S A LOT THAT WE DO.
BUT WE'LL TRY TO COVER THE MAJORITY, THE MOST IMPORTANT POINTS.
UM, ANOTHER, UH, DEPARTMENT THAT WE HAVE IS, UH, THE OFFICE OF CHILDREN'S SERVICES.
AND AT THIS, IN THIS OFFICE, WE TRY TO SUPPORT FAMILIES WITH CHILDREN.
AND WE REALLY FOCUS ON BEHAVIORAL HEALTH AND MENTAL HEALTH, UM, AND, UH, BRINGING FAMILIES TOGETHER AND REUNIFYING THEM WHEN THEY'RE SEPARATED.
UH, THERE'S SEVERAL PROGRAMS THROUGHOUT THIS, THIS PARTICULAR DIVISION, THE HEALTHY FAMILIES, WHICH IS HELPS WITH EARLY CHILDHOOD.
TRAVIS COUNTY FAMILY FIRST HELPS WITH CHILD'S WELFARE.
UM, THE FAMILY DRUG COURT PARENTING AND RECOVERY IS ONE OF MY FAVORITES.
THAT ONE IN PARTICULAR ASSISTS FAMILIES TO STAY TOGETHER WITH THEIR CHILD.
WHEN SOMEBODY IS ENTERING THEIR RECOVERY JOURNEY, IF THEY'RE HAVING SUBSTANCE USE PROBLEM AND THE DRUG COURT, UM, ASSIGNS THEM TO GO THROUGH TREATMENT OR REQUIRES 'EM TO GO THROUGH TREATMENT, WE CAN PAY FOR THEM TO GO TO A TREATMENT FACILITY THAT WILL ACCEPT THEM AND THEIR CHILDREN TO STAY TOGETHER.
UH, SO THAT'S WHY THAT'S ONE OF MY FAVORITES.
UM, COMMUNITY PARTNERS FOR CHILDREN, AGAIN, HELPS WITH BEHAVIORAL HEALTH PROBLEMS AND THE CHILDREN'S PARTNERSHIP, BEHAVIORAL HEALTH, A LOT OF WHAT WE
[00:10:01]
HELP WITH HERE IS FAMILIES WITH CHILDREN AND, UH, BEHAVIORAL HEALTH AND SUBSTANCE ABUSE PROBLEMS. THAT'S INTERESTING THAT I JUST, I'LL MAKE A COMMENT QUESTION SORT OF NOT TO ANSWER, BUT JUST TO SETTLE, TELL YOU WHAT, YOU KNOW, THE THINGS I THINK WERE PROBABLY WONDERING, FOR INSTANCE, I LOVE, LIKE YOU SAID, THE PARENT, UM, THE FAMILY DRUG TREATMENT, COURT PRINTING AND RECOVERING PARENTING AND RECOVERY.AND, AND, UM, YOU KNOW, I THINK WHAT YOU'RE TELLING US IS THAT YOU'VE GOT MAYBE FAMILY COUNSELORS THAT, THAT SOMEHOW THOSE PEOPLE ARE, ARE AWARE.
WE ARE AWARE OF THOSE PEOPLE, THAT THAT AGENCY IS AWARE OF THOSE PEOPLE CUZ OF THE COURT OR SOMETHING.
AND NOW SOMEBODY HAS A LEAD THAT'S A, A COUNSELOR, A SOCIAL WORKER, AND THEN THEY'RE OUT TO TALK TO THE FAMILY AND THEIR STRUCTURE AND FUNCTION AND MAYBE RESOURCES THAT THOSE FAMILIES WOULD HAVE.
IS THAT KIND OF WHAT YOU'RE TALKING ABOUT IS, IS, IS, IS WHAT THAT PROGRAM IS.
SO THE, THE DRUG COURT, UM, WILL HEAR CASES WHERE PEOPLE HAVE BEEN ARRESTED DUE TO SUBSTANCE USE, UH, UH, ILLEGAL ACTIVITY.
AND SO USUALLY THAT COURT HAS A LOT OF FLEXIBILITY AS TO WHAT THEY CAN REQUIRE VERSUS BEING ARRESTED.
AND ONE OF 'EM IS TO REQUIRE THEM TO GO THROUGH TREATMENT.
AND SO, UM, THE DRUG COURT HAS COUNSELORS AND NAVIGATORS.
OUR PARTICULAR DEPARTMENT JUST WORKS WITH FUNDING THE, THE, THE, THE PARENT GOING TO A TREATMENT FACILITY THAT ACCEPTS CHILDREN.
SO IT'S LITERALLY WRITING A CHECK TO SOME ORGANIZATION THAT COSTS MONEY TO HAVE THE RECOVERY TREATMENT, WHATEVER.
AND WE DON'T HAVE VERY MANY OF THOSE IN TRAVIS COUNTY.
SO WE PAY FOR THOSE PARENTS TO GO TO EITHER HOUSTON OR DALLAS.
PER THAT RESIDENTIAL TREATMENT.
AGAIN, WAY INTO THE WEEDS, DON'T DO IT NOW, BUT WOULD BE INTERESTING TO KNOW MAYBE IS THAT LIKE 10 PEOPLE OR A HUNDRED PEOPLE OR A THOUSAND PEOPLE? I WONDER HOW MANY PEOPLE ARE IN THAT.
DON'T WORRY WHAT THEY'RE TRYING TO ANSWER IT NOW.
BUT SOME OF THAT STUFF WOULD BE INTERESTING, I THINK, FOR US TO SORT OF GET A SENSE OF HOW WE COULD KNOW THAT IF WE WERE TRYING TO LEARN THAT.
MAYBE IT'S ON A WEBSITE OR SOMETHING, OR INTERNAL, IT'S DEFINITELY ON OUR WEBSITE, BUT WE'LL GET YOU MORE INFORMATION.
MAYBE RING YOU A PACKET NEXT, NEXT TIME.
SO ANOTHER DIVISION OF HHS IS MORE ADMINISTRATIVE.
THIS IS OUR RESEARCH AND PLANNING DIVISION.
THERE'S A LOT OF FACILITATION THAT THEY DO A LOT OF RESEARCH AND HELP ALL THE OTHER DIVISIONS WITH PLANNING AND IMPROVING THE PROGRAMS THAT THEY, THAT THEY, UM, OVERSEE.
ONE OF THE THINGS THAT OUR RESEARCH AND PLANNING DEPARTMENT DOES IS THEY OVERSEE THE CONTRACTING PROCESS.
UM, AND SO HERE'S A LIST OF ALL THE ISSUE AREAS WHERE WE ACTUALLY FIND THE BEST COMMUNITY BASED ORGANIZATIONS TO DELIVER THE SERVICES.
SO THEY PUT OUT REQUESTS FOR SERVICES ORGANIZATIONS APPLY FOR THE CONTRACT, AND WE CHOOSE THE BEST ONES, AND THEN WE PAY THEM TO PROVIDE THESE SERVICES OUT IN THE COMMUNITY.
AND SO, AS YOU CAN SEE, THERE'S SEVERAL ISSUE AREAS.
AND THEN EACH ISSUE AREA HAS ITS OWN GOALS.
FOR EXAMPLE, IN, UM, BEHAVIORAL HEALTH, THE GOALS ARE, IDENTIFY AND TREAT MENTAL HEALTH AND SUBSTANCE USE DISORDERS, PROMOTE INCREASED ACCESS TO MENTAL HEALTH SERVICES, PROMOTE INCREASED ACCESS TO CRISIS RESPONSE SERVICES, AND INCREASE INVESTMENT IN THE CONTINUUM OF SERVICES FOR SUBSTANCE USE PREVENTION.
AND SO YOU CAN READ THE, THE GOALS FOR EACH ONE OF THESE ISSUE AREAS.
UM, SO NOW EVERY TIME I ASK A QUESTION, I THINK I'M GONNA NOT ASK ANY MORE QUESTIONS.
AND NOW I'M GONNA ASK ANOTHER QUESTION FOR THIS KIND OF STUFF.
AGAIN, ONE OF THE THINGS I'M INTERESTED IN, I THINK MAY, MIGHT BE INTERESTED IN MM-HMM.
THE QUESTION IS HOW WELL IS THAT SERVING THE COMMUNITY? ARE THERE ZIP CODES OR A MAP OR SOMETHING THAT SHOWS US TO ANSWER THAT QUESTION? AND AGAIN, NOT A QUESTION FOR TODAY, BUT I THINK SOME OF OUR TASK MIGHT END UP BEING JUST WANTING TO LEARN.
I MEAN, YOU ALL ARE DOING YOUR OWN INTERNAL QUALITY AND MAKING SURE YOU'RE SERVING THE CUSTOMER AND SERVING THE, THE COMMUNITY, ET CETERA, ET CETERA.
BUT, UM, I THINK PART OF OUR RESPONSIBILITY WOULD BE TO KNOW A LITTLE BIT MORE ABOUT THAT.
NOT NOW, BUT YOU CAN IMAGINE THAT WOULD BE PART OF THE PACKET JUST TO SORT OF GET A SENSE OF LIKE, YOU KNOW, HOW WOULD WE KNOW IF WE'RE SERVING THE COMMUNITY IS LIKE, WE WANT TO, OR, OR WHAT ARE THE SHORTFALLS THERE? ET CETERA, ET CETERA.
SO OUR RESEARCH AND PLANNING DEPARTMENT PUBLISHES A COMMUNITY IMPACT REPORT EVERY YEAR.
UH, DUE TO THE PANDEMIC, THAT HAS BEEN A CONDENSED REPORT FOR THE LAST COUPLE OF YEARS.
AND SO HOPEFULLY THE NEXT YEAR WE'LL BE ABLE TO DO A MORE EXPANDED REPORT, BUT IT WILL SPECIFICALLY GIVE YOU THAT INFORMATION PER, PER ISSUE AREA.
I HAD A QUESTION HERE IN TERMS OF, UH, WHEN DO YOU SET THE STRATEGY IN TERMS OF ALLOCATING YOUR BUDGET? IS THIS LIKE A MEETING ONCE A YEAR WHERE YOU'RE TALKING ABOUT, THESE ARE ALL THE AREAS WE WANNA WORK IN, WE'RE ALLOCATING THIS PERCENTAGE TO THIS, THIS PERCENTAGE TO THAT.
AND THEN AS YOU'RE LOOKING THROUGH PROGRAMS, IS THIS HAPPENING, UH, AT SPECIFIC DEADLINES? OR IS THIS ROLLING BASIS, UH, AS YOU'RE LOOKING AT, OKAY, WE NEED SOMETHING FOR THIS, THIS MONTH.
[00:15:01]
THIS COMPETITION NOW? OR IS THIS MORE LIKE AT CERTAIN TIMES IN THE YEAR YOU'RE HAVING THIS COMPETITIONS? SO WE'VE CURRENTLY BEGUN TO ISSUE A REQUEST FOR SERVICES FOR A PORTION OF THESE CONTRACTS.AND, UH, WE'VE BEEN THROUGH THE PROCESS AND WE'LL BE ISSUING CONTRACTS STARTING OCTOBER 1ST.
UM, AND THEN THE NEXT IS THERE'S, UH, THE NEXT ROUND WILL BE THREE ISSUE AREAS.
AND THEN THE NEXT ROUND IN A YEAR WILL BE MORE ISSUE AREAS.
SO WE TRY TO BREAK IT UP INTO LIKE A FOUR TO FIVE YEAR, UH, PROCESS.
AND EACH YEAR WE ONLY, UH, COMPETE OUT A CERTAIN NUMBER OF ISSUE AREAS.
AND AT THAT TIME, BEFORE WE PUT THE RFS, THERE'S A LOT OF WORK THAT GOES INTO, UH, FIGURING OUT WHAT KIND OF IMPACT DID WE HAVE LAST TIME, UH, WHAT ARE THE CURRENT NEEDS OF THE COMMUNITY? AND SO WHAT CHANGES DO WE NEED TO MAKE? UM, AND SO EACH TIME WE PUT OUR PUT OUT A REQUEST FOR SERVICES, THAT PROCESS HAS TAKEN PLACE AND THE REQUEST FOR SERVICES WOULD ADDRESS, WOULD BASICALLY ADDRESS ANY CHANGES THAT WE NEED TO SEE.
CAN YOU SEND OUT THE MOST, UH, CURRENT IMPACT REPORT? YES.
WE WILL, UM, WE'LL BRING THAT TO YOU.
AND, UH, WILL THAT IMPACT REPORT KIND OF HIGHLIGHT YEAH.
THE COMMUNITY CENTERS, THE SIX LOCATIONS, WOULD THAT KIND OF HIGHLIGHT FOOT TRAFFIC TO THE PROJECTED ACTUAL POPULATION YOU DEEM THAT IS IN NEED OF THESE DIFFERENT SERVICES? AND WOULD IT ALSO POTENTIALLY HIGHLIGHT, I SEE YOUR BREAKDOWN OR RATIO OF MONEY FOR PURCHASE SERVICES AS WELL AS IN A LOCAL AGREEMENTS.
WILL THAT ALSO GIVE A COMPARISON OF HOW MUCH FUNDING IS BEING ALLOCATED TO THE, TO THE DEMAND? UM, CAUSE I SEE QUITE A BIT OF FUNDING AS, AS ASSUMED IN BEHAVIORAL PUBLIC HEALTH, BUT NOT SO MUCH WHEN IT COMES TO HOUSING CONTINUUM AND SOME OF THE OTHER AREAS THAT WE KNOW ARE BECOMING MORE OF A GREATER DEMAND, ESPECIALLY WITH THE PRICING INCREASES.
THAT CHANGED DRASTICALLY DURING THE PANDEMIC.
PEOPLE WERE NOT COMING IN PERSON AND WE ADAPTED.
WE STARTED ASSISTING OUR CLIENTS OVER THE PHONE OR THROUGH ONLINE ON VIDEO, AND THEY LIKE IT.
AND THEY'VE CONTINUED TO SEE US IN THAT MANNER.
IT'S EASIER FOR THEM WHEN THEY DON'T HAVE TO LEAVE THEIR HOME, BRING THEIR KIDS, AND THEY CAN JUST CALL US AND HAVE A MEETING WITH US ONLINE FOR THOSE THAT PREFER TO SEE US IN PERSON, THE COMMUNITY CENTERS ARE OPEN AND WE CAN SET AN IN-PERSON MEETING.
SO THE FOOT TRAFFIC HAS DECREASED TREMENDOUSLY.
WE REALLY DON'T HAVE THAT, BUT WE CAN, WE CAN SHOW YOU, UM, HOW MUCH RENTAL ASSISTANCE WE PROVIDED UTILITY ASSISTANCE.
UM, IN SOME CASES WE CAN TELL YOU HOW MANY APPLICATIONS WE HAVE THAT HAVEN'T BEEN SERVED TO SHOW DEMAND.
UM, AND THE, THE AMOUNT OF MONEY THAT TRAVIS COUNTY, UH, INVESTS IN ALL THESE SOCIAL SERVICES IS, DOESN'T EVEN MEET YOU, WON'T EVEN BEGIN TO MEET THE NEED.
I MEAN, IT'S, IT'S, UH, MILLIONS AND MILLIONS OF DOLLARS EVERY YEAR.
AND THE NEED IS GREATER SINCE YOU'RE NOT ABLE TO CAPTURE THE GEOGRAPHIC LOCATION OF UTILIZATION BECAUSE OF THE CENTERS AND THE REDUCED FOOT TRAFFIC.
ARE YOU STILL CAPTURING THAT ZIP CODE, UH, OVER THE PHONE AND SO FORTH? SO YOU CAN STILL BE ABLE TO SAY, THIS MANY PEOPLE WERE DEMANDING OUT OF THIS AREA OF BOSTON FOR THESE DIFFERENT SERVICES, BUT WE HAVE A BOTTLENECK OF THESE DIFFERENT SERVICES.
SO THEN AT LEAST THAT WAY WHEN WE'RE TALKING ABOUT ONE OF THE OTHER PARTNERS, WHERE CAN ONE OF THE OTHER PARTNERS POTENTIALLY BE ABLE TO, UH, OFFSET? OKAY.
SO WE HAVE ALL OF THAT INFORMATION COVER COVERED, UH, CAPTURED.
UM, THE APPLICATION, THE ONLINE APPLICATION GATHERS A LOT OF THEIR INFORMATION, ZIP CODE, ADDRESS INCOME, UH, ELIGIBILITY FOR OUR SERVICES.
IT TENDS TO BE 200% OR LESS OF, UH, FEDERAL POVERTY LEVEL.
I KNOW ONE OF YOU ASKED THAT BEFORE.
UM, IN SOME CASES, DEPENDING ON WHERE, WHAT KIND OF FEDERAL FUNDS WE'RE USING FOR UTILITY ASSISTANCE, IT MIGHT BE 150%, BUT FOR THE MOST PART IT'S 200.
SO BASICALLY EVERYBODY THAT HAS VERY LOW INCOME QUALIFIES FOR OUR SERVICES.
UM, SO WE HAVE CAPTURED A LOT OF THE INFORMATION YOU'RE TALKING ABOUT, THE DEMOGRAPHICS, WHERE THEY LIVE.
UM, UNFORTUNATELY OUR CURRENT SOFTWARE SYSTEM IS JUST TERRIBLE.
SO WE ARE DOING, WE ARE TRANSITIONING TO A NEW SYSTEM, AND ONCE THAT ONE IS UP AND RUNNING AND ACTUALLY WHERE WE CAN TRANSITION THE DATA OVER, THEN WE CAN START TRACKING, YOU KNOW, MORE, MORE INFORMATION LIKE THAT.
[00:20:01]
BUT WE CAN PULL WHAT WE HAVE NOW AND BRING THAT, SEND THAT TO YOU ALL.SO THIS IS A PIE CHART TO SHOW, UM, THAT THE ISSUE AREAS THAT WERE ON THE PREVIOUS SLIDE AND HOW MUCH MONEY WE SPEND ON IT, ON EACH ISSUE AREA, YOU'LL SEE THAT THE LARGEST PORTIONS ARE, UM, ARE SPENT ON OUR INTERLOCAL AGREEMENTS WITH, UM, OTHER GOVERNMENT AGENCIES.
SO, UM, FIRST ONE BEING INTEGRAL CARE, WHICH IS OUR MENTAL HEALTH AUTHORITY.
WE HAVE A LARGE CONTRACT WITH INTEGRAL CARE.
UM, ACTUALLY IT'S A MULTITUDE OF CONTRACTS, I THINK AT LEAST SEVEN.
UM, AND THESE ARE THE TYPES OF PROGRAMS THAT WE FUND WITH THOSE OUR LOCAL AGREEMENTS.
THE ACT TEAM, UH, PROVIDES BEHAVIORAL HEALTH TREATMENT, THE CHILD THERAPIST FOR PARENTING AND RECOVERY.
RECOVERY WE TALKED ABOUT EARLIER.
UH, MCO IS THE EXPANDED MOBILE CRISIS OUTREACH TEAM, UH, WHERE THEY TAKE, UM, UH, HEALTH CRISIS CALLS OVER THE PHONE.
AND THEY, INSTEAD OF WHEN PEOPLE CALL 9 1 1, YOU CAN NOW OFFER, DO YOU NEED AMBULANCE, POLICE, OR MENTAL HEALTH SERVICES, AND YOU CAN BE TRANSFERRED TO THIS CRISIS TEAM WHO CAN HELP YOU.
AND MAYBE THEY DISPATCH CLINICAL MENTAL HEALTH EXPERTS INSTEAD OF THE POLICE, INSTEAD OF LAW ENFORCEMENT.
UM, UM, FAMILIES WITH VOICES, UH, HELPS WITH FOOD, TRANSPORTATION, JOB TRAINING, ONE-ON-ONE EMOTIONAL SUPPORT.
THEN WE HAVE WHAT'S CALLED THE MAIN MENTAL HEALTH INTER LOCAL.
THAT'S THE ONE THAT DOESN'T CHANGE VERY MUCH YEAR TO YEAR THAT WE'VE HAD FOR MANY YEARS.
UH, THAT INCLUDES, UM, UH, I D D IS, UM, UH, DEVELOPMENTAL DISABILITIES, INTELLECTUAL AND DEVELOPMENTAL DISABILITIES.
SO SEVERAL OF OUR PROGRAMS SERVE PEOPLE WITH I D D, UH, UH, THE, THE NEXT ONE IS THE MCO FOR CHILDREN AND FAMILIES.
SO BEING ABLE TO ADDRESS A CRISIS WHEN IT'S HAPPENING AT HOME, AND IT'S NOT NECESSARILY HAPPENING OUT IN THE COMMUNITY OR THROUGH THE PHONE, BUT WHEN SOMEBODY IS HAVING A CRISIS AT HOME, BEING ABLE TO ASSIST THEM THERE.
UM, THE JAIL BASED INTAKE AND CARE NAVIGATION.
SO WHEN SOMEBODY'S ACTUALLY AT OUR CORRECTIONAL FACILITY, THERE ARE PEER SUPPORT SPECIALISTS, THERE ARE NAVIGATORS THAT ASSIST THEM IF THEY HAVE BEHAVIORAL HEALTH ISSUES.
AND, UM, I COULD GO THROUGH THE LIST OF THESE, BUT IT'S, IT'S A LONG LIST OF DIFFERENT TYPES OF SERVICES THAT AL CARE PROVIDES.
THEY'RE THE LOCAL MENTAL HEALTH AUTHORITY, THE EXPERTS.
UM, AND SO WE DON'T PRETEND TO BE THE EXPERTS IN MENTAL HEALTH, AND WE GO WITH, WITH THE EXPERTS.
AND SO THEY PROVIDE THESE SERVICES AND WE PAY THEM.
UM, YOU CAN SEE FROM THIS NEXT PIE CHART HERE THAT THE, THE SERVICES THAT WE PROVIDE, UH, THE LARGEST ONE IS THE MAIN ILA WITH 1.4 MILLION.
THE ACT TEAM EXPANSION, 1.3 MILLION SAMSO, UH, WHICH IS A SUBSTANCE ABUSE, UH, UH, PROGRAM IS 1 MILLION.
AND SO YOU CAN SEE HOW THE, THE DOLLARS THAT WE SPEND ON EACH OF THESE PROGRAMS. AND FOR YOUR ILAS, HOW ARE YOU DOING THE EVALUATION OF SERVICES AND, AND ASKING THAT QUESTION? IT'S, IT'S, WHAT I'M REALLY ASKING IS THE MORE OR LESS, NOT THE CLIENTS THAT THEY RECEIVE, AND I UNDERSTAND OFTENTIMES IT'S THE SURVEY FROM THE INDIVIDUALS RECEIVING IT.
HOW ARE YOU GETTING FEEDBACK FROM THE ONES THAT ARE NO LONGER RECEIVING IT BECAUSE OF THE EXPERIENCE OR BECAUSE OF THE PROCESS OR WHATEVER IT IS? UM, SO YOU'RE NOT GETTING A FALSE REPORT OF A PARTICULAR POPULATION THAT LIKES THE SERVICE THEY'RE RECEIVING WHEN THE MAJORITY OF THE VULNERABLE POPULATION THAT YOU'RE TRYING TO REACH.
I MEAN, UH, YOU CAN, I THINK YOU PRETTY MUCH SAID IT IN SO MANY WORDS.
IF THEY'RE NOT USING THE SERVICES, IT'S VERY HARD TO MEASURE THE SUCCESS OF THE PROGRAM.
UM, BUT WE DO PROVIDE ON ALL OUR ILAS REQUIREMENTS FOR QUARTERLY REPORTS AND PERFORMANCE MEASURES THAT THEY HAVE TO MEET AND REPORT ON.
[00:25:01]
THESE, UH, PERFORMANCE MEASURES THAT WE HAVE TO COLLECT.AND WE, UH, SEVERAL OF THESE THAT WERE NOT IN THE MAIN ILA ARE PILOT PROGRAMS WHERE WE'RE TRYING TO DETERMINE IF THESE ARE ACTUALLY SUCCESSFUL AND SHOULD WE CONTINUE TO FUND THEM.
IF WE DECIDE TO CONTINUE TO FUND THEM, WE'LL MOVE THEM INTO THE MAIN ILA.
BUT THAT'S WHY THEY'RE SEPARATED.
TO MAKE SURE THAT, UH, WE, WE, UH, PAY VERY CLOSE ATTENTION TO THOSE, TO THOSE PILOT PROGRAMS. FIRST, BEFORE WE COMMIT TO LONG-TERM FUNDING, I'M GONNA PASS IT OVER TO ANNA, WHO'S GONNA COVER THE NEXT SECTION.
SO TH THIS IS JUST A, A BASIC IDEA OF THESE ARE THE F Y 23 FISCAL YEAR 23 AMOUNTS FOR BOTH IN HER LOCAL AGREEMENTS.
AND JUST AS PILAR SAID, UH, IT WOULD BE REMISS OF ME TO READ THIS TO YOU.
I KNOW YOU CAN ALL READ, HOWEVER, IT'S OUR NEXT SLIDE, PLEASE.
I THINK IT'S IMPORTANT TO UNDERSTAND THE FULL SERVICE THAT WE RECEIVE FROM THE CITY OF AUSTIN FOR BOTH ANIMAL SERVICES AND PUBLIC HEALTH.
AND I WILL REPEAT EXACTLY WHAT PILAR SAID.
WE RELY ON THE EXPERTS TO DO THE WORK FOR US NOW IN YESTER YEAR, NOT SO LONG AGO REALLY, BUT ANIMAL SERVICES WAS PART OF AUSTIN PUBLIC HEALTH, THEY WERE ONE DEPARTMENT.
AND, AND SO WE ADOPTED THE METHODOLOGY THAT WE'RE STILL USING WITH BOTH IN OUR LOCAL AGREEMENTS, WHICH IS WHAT IS THE SERVICE? WHAT ARE THE SERVICES THAT ARE NEEDED? AND WE ARE INFORMED BY, I THINK BY THE CITY ON THESE, ON THESE ISSUES.
WHAT ARE THE SERVICES THAT ARE NEEDED IN THE UNINCORPORATED AREAS? OKAY? SO THE CITY OF MAINOR, PFLUGERVILLE, UH, BE CAVES ROLLING.
WE HAVE NO JURISDICTION OVER THAT.
AND WE WE'RE NOT BUYING SERVICES FOR THOSE INDIVIDUALS.
WE'RE BUYING SERVICES FOR THE FOLKS LIVING IN THE UNINCORPORATED AREAS OF THE COUNTY WITH ANIMAL SERVICES.
THAT'S IMPORTANT TO KNOW BECAUSE ANIMALS ARE CONSIDERED PROPERTY, AND YOU CAN'T SEIZE PROPERTY IF YOU DON'T HAVE LEGAL AUTHORIZATION TO SEIZE THAT PROPERTY.
OKAY? AND SO THAT'S ONE OF THE REASONS THAT WE, WE, WE ONLY RESTRICT THIS TO THE UNINCORPORATED AREAS.
AND, YOU KNOW, I DON'T, I HAVE NOT MET A DOG THAT KNOWS THEIR ZIP CODE.
SO THAT'S WHY IT ALSO MAKES SENSE TO REALLY JUST FIGURE IT OUT FOR THE WHOLE COUNTY.
UM, AND SO WHAT IS THE COST AND HOW DO WE DECIDE, YOU KNOW, WHAT IS, WHAT IS THE, UH, GOOD COST SHARING AND THE INTERLOCAL AGREEMENT? THERE'S SEVERAL COST SHARING AGREEMENTS IN ONE, AND SAME THING FOR PUBLIC HEALTH.
SO IN THE SHELTER OPERATIONS, WHICH IS A VERY EXPENSIVE, BECAUSE IF YOU SAW WHAT HAPPENS AT THE SHELTER, THEY HAVE I THINK 16 VET TECHS FOR VETERINARIANS.
IT IS A SOPHISTICATED ENTERPRISE.
SO WE ARE PAYING FOR AN AVERAGE, A ROLLING AVERAGE, A THREE YEAR ROLLING AVERAGE OF HOW MANY DOGS WERE PICKED UP OR TAKEN TO THE SHELTER FROM THE UNINCORPORATED AREAS.
AND, AND THE WHOLE NO KILL EFFORT REALLY IS TO DIVERT FROM THE SHELTER TO STAY AT HOME, RIGHT.
TO, TO, TO RE RETURN THE ANIMAL, TO, TO THEIR OWNER.
AND SO THAT EFFORT IS THROUGH WHAT'S CALLED, UM, WHAT'S, WELL, I AM SKIPPING AROUND, SO I APOLOGIZE.
I'M NOT GONNA STICK TO THE SLIDES.
PIAD, I WON'T MAKE YOU DO THIS, BUT, BUT TO THE COST METHODOLOGY IS DETERMINED BY THE CITY DEMOGRAPHER ON A YEARLY BASIS.
THIS IS A CONTRACT THAT WE ACTUALLY EXAMINE AND REVIEW ON A YEARLY BASIS.
WE REVIEW IT WITH CONTENT, UH, PROGRAMMING AS WELL AS COST.
WE MAKE ADJUSTMENTS FOR, YOU KNOW, INSURANCE COSTS WENT UP, UH, THE THANK GOD THE SALARIES INCREASES FOR, FOR THE CITY EMPLOYEES TO, YOU KNOW, TO $20 AN HOUR.
SO ALL OF THESE ADJUSTMENTS WERE MADE INTO THE INTERLOCAL AGREEMENT.
THE CITY DEMOGRAPHER FOR FY 23 DETERMINED THAT THE POPULATION OF THE UNINCORPORATED AREAS WAS ABOUT 30%.
SO RIGHT NOW, WE'RE SHARING THE COST OF THOSE ITEMS. I'VE LAID OUT ABOUT 30% OF THE COST.
UM, THERE'S SOME OTHERS LIKE SPAY AND NEUTER, WHICH IS THROUGH EMANCIPATE OR COMMUNITY CLINICS.
WE PAY, UH, A FIXED AMOUNT, WHICH IS A LITTLE LESS THAN, THAN THE 30%.
AND THEN WE HAVE WILDLIFE MANAGEMENT SERVICES.
SO I'LL GO ALL THE WAY TO THE, TO THE BACK, WHICH IS THE, IN THE PREVENTION PROGRAMS, THE WILDLIFE MANAGEMENT PROGRAM, WE WERE SINCERELY OUTTA STEP WITH THE CITY ON THE, THE WAY THEY WERE MANAGING, UM, WILDLIFE COYOTES TO, TO BE EXACT.
AND, AND, UM, MAYBE IT'S BECAUSE OF THE UNINCORPORATED AREAS AND HAVING LESS, I DON'T KNOW, I THINK LESS ACCESS TO SERVICES, PEOPLE WERE TAKING MATTERS INTO THEIR OWN HANDS.
[00:30:01]
IS, IF YOU KILL A COYOTE, YOU KILL 20 COYOTES, THEY START CALLING OUT FOR EACH OTHER.AND IF THEY DON'T HEAR EACH OTHER, WHAT THEY DO IS THEY REPOPULATE.
THEY ACTUALLY HAVE MORE KITS, MORE A TO, TO REPOPULATE THE POPULATION.
SO INTERESTINGLY, UH, SO WE, WE ACTUALLY ARE PAYING FOR THAT, FOR THAT SERVICE.
A HUNDRED PERCENT OF THE COST, A HUNDRED PERCENT OF THE STAFFING OF THE CAR, ET CETERA, TO REALLY, IT'S NOT ABOUT, UM, IT'S NOT ABOUT HOW TO DEAL WITH THESE ANIMALS.
THESE ANIMALS WERE HERE WAY BEFORE WE GOT HERE.
IT'S HOW TO TEACH THE FOLKS AROUND, YOU KNOW, SO STOP LEAVING DOG FOOD OUTSIDE, AND YOU'LL PROBABLY HAVE LESS COYOTES IN YOUR BACKYARD.
RIGHT? AND, UH, START BRINGING IN YOUR DOGS AND CATS, ESPECIALLY IF THEY'RE SMALL, BECAUSE OTHERWISE THEY'RE FOOD, RIGHT? SO, UM, SO, SO THAT'S IT IN A NUTSHELL.
FOR ANIMAL SERVICES, UM, FOR PROGRAMS PURCHASING PUBLIC HEALTH.
UH, I HAVE SEVERAL REPRESENTATIVES HERE FROM PUBLIC HEALTH.
THEY COULD DO A BETTER JOB THAN I CAN.
UM, BUT AGAIN, WHAT, WHAT WE DO IS LOOK AT WHAT IS, WHAT ARE OUR NEEDS IN THE COMMUNITY AND WHAT IS THE, THE, WHAT IS THE HEALTH DEPARTMENT DOING ABOUT THAT? AND I DIDN'T ADD, UH, INFORMATION ABOUT THIS.
OUR CONTRACTS ARE 152 PAGES, BUT I CAN, I'VE SUMMARIZED IT BEFORE TO 15 PAGES.
HAPPY TO TALK ABOUT THAT, BECAUSE THEY'RE ACTUALLY REALLY, REALLY INTERESTING.
AND WELL WORKED PROGRAMS, UH, PROGRAM STATEMENTS THAT TELL YOU WHAT IS THE PROBLEM ISSUE AND WHAT ARE THEY DOING TO ADDRESS THAT.
SO, SO BEFORE WE GET INTO THE HEALTH PIECE, CAUSE I KNOW THERE WAS A, AN ASK FROM OUR LAST MEETING, SPECIFICALLY AROUND OPIOID, AND I SEE YOU HAVE A SECTION IN HERE WITH OPIOID, BUT I HAD A, THIS A QUESTION REGARDING THE WILDLIFE MANAGEMENT MM-HMM.
UM, YOU ALREADY SPOKE HOW YOU'RE, YOU'RE WORKING WITH THE OTHER CITIES WITHIN THE COUNTY FROM THE ANIMAL SIDE OF IT.
BUT WHAT ABOUT FROM THE WILDLIFE ASPECT OF IT? ACTUALLY, WE'RE NOT WORKING ON THE ANIMAL SIDE OF IT EITHER.
BECAUSE, BECAUSE THEY'RE CONSIDERED PROPERTY, RIGHT.
AND BECAUSE THEY'RE CONSIDERED PROPERTY, WE HAVE NO JURISDICTION OVER, UH, VILLE, MAINOR, ROLLINGWOOD, ALL OF THOSE PLACES HAVE THE, HAVE THEIR OWN DISCRETE BOUNDARIES THAT THE COUNTY HAS NO AUTHORITY.
I, I THINK LEGAL AUTHORITY, RIGHT? SO I THINK IN THIS ASPECT, SO IF I USE CITY OF MAINOR, THAT'S THE MAIN ONE THAT I UNDERSTAND THE, THE JURISDICTIONAL BOUNDARIES IN IT.
UH, AND SAY FOR OUR ANIMAL SERVICES DEPARTMENT, RIGHT? THERE WASN'T A LOT OF COMMUNICATION THAT REALLY CAME OUT TO THE POPULATION AROUND ANIMALS AS YOU WERE TALKING ABOUT, RIGHT? SO ONE IS, WHERE'S THAT RELATIONSHIP BETWEEN YOUR DEPARTMENT AND THE, THE CITY'S DEPARTMENT ABOUT ENSURING THAT INFORMATION IS BEING PUSHED OUT TO THE COMMUNITY? BECAUSE SOMETIMES WITH THE OVER RELIANCE OF THE LOCAL CITY TO DO IT, IT MAY NOT HAPPEN.
UH, AND ADDITIONALLY TOO, AS YOU KNOW, THIS, OFTENTIMES GOVERNMENTAL WERE TO GO TO THE WEBSITE, OR IT'S IN YOUR BILL THAT NOBODY READS AT THE BOTTOM OF THEIR BILL, RIGHT? UM, AND THEN I THINK, YOU KNOW, SHADOW GLEN AND, UH, BRIAR CREEK AND ALL THOSE, RIGHT? UM, AGAIN, HOW IS THE COUNTY WORKING IN THOSE AREAS IN, IN ENSURING THAT THAT HOA AND THOSE LEADERSHIPS ARE PUSHING OUT INFORMATION WITHIN THEIR NEWSLETTERS, THEIR, THEIR FACEBOOK PAGES AND SO FORTH, RIGHT? AND THAT'S WHAT I MEAN MORE WHEN I'M SAYING, HOW IS THE COUNTY OR YOUR DEPARTMENT WORKING WITH THE OTHER CITIES? BECAUSE AUSTIN DEFINITELY IS ROBUST AND IT HAS THE PEOPLE, THE PERSONNEL, THE EXPERIENCE, AND THE SOCIAL MEDIA SAVVY HAS ITS OWN AT X N THAT PEOPLE CAN WATCH WHERE THE OTHER CITIES DON'T HAVE IT WHATSOEVER.
AND THEY'RE EITHER OVER RELYING ON FACEBOOK PAGES THAT ARE RAN BY COMMUNITY MEMBERS, OR A WEEKLY NEWSLETTER THAT GOES OUT, UM, BY VOLUNTEERS THAT ARE WRITING THE, THE, THE CITY'S, UM, PAPER.
SO WE HAVE LOOKED AT A REGIONAL APPROACH TO ANIMAL, UH, SAFETY, TO ANIMAL PROTECTION.
AND IN PRIOR YEARS HAVE HAD MEETINGS WITH THE OTHER MUNICIPALITIES, UM, AND THEY'VE BEEN VERY SUCCESSFUL AND VERY FRUITFUL.
BUT, UM, TO BE HONEST WITH YOU, WE, WE CAN'T BE THE LEAD BECAUSE WE'RE NOT THE ENTITY, RIGHT? WE, WE, IT'S LIKE, IT'S LIKE SAYING TO THE PA TO THE, TO THE PERSON RIDING THE BUS, TAKE ME HERE.
IT'S LIKE, WELL, YOU GOTTA TALK TO THE DRIVER
SO, SO WE TAKE, WE, WE DEFINITELY, UH, WORK WITH THE CITY TO DECIDE, YOU KNOW, TO TO, AND WE, WHEN THEY CONVENE MEETINGS, WE ATTEND THE MEETINGS, BUT WE CAN'T CONVENE THE MEETINGS.
AND, AND WE DID DO THAT LAST YEAR.
UM, SO I THINK THE CITIZENS OF THOSE CI, THOSE SMALL CITIES THAT ARE IN TRAVIS COUNTY, WERE CALLING TRAVIS COUNTY FOR
[00:35:01]
ASSISTANCE WITH ANIMAL ISSUES.AND WE HAD TO KEEP LETTING THEM KNOW, SO YOUR CITY, YOUR MUNICIPALITY IS RESPONSIBLE FOR THOSE SERVICES, AND THE CITY OF AUSTIN CANNOT GO INTO YOUR CITY TO PROVIDE THOSE SERVICES UNLESS THERE'S AN AGREEMENT BETWEEN CITIES.
SO WHAT WE DID IS WE, UH, BROUGHT TOGETHER ANIMAL SERVICES OF CITY OF BOSTON AND THOSE OTHER MUNICIPALITIES AND CONVENED A MEETING.
WE DON'T FEEL LIKE WE SHOULD BE THE ONES DOING THAT, BUT WE DID.
AND WE, UH, EXPLAINED TO THE SMALL CITIES WHAT ANIMAL SERVICES OF AUSTIN DOES FOR US IN THE UNINCORPORATED AREAS, AND ENCOURAGE THEM TO GET INTO AN AGREEMENT WITH ANIMAL SERVICES OF AUSTIN SO THAT THOSE SERVICES CAN EXPAND TO THEIR CITY.
UM, BUT SO WE'VE, WE'VE DONE THAT, BUT IT REALLY IS INCUMBENT OF EACH INDIVIDUAL CITY TO, TO EITHER FUND THEIR OWN SERVICES OR GET INTO AN AGREEMENT WITH AUSTIN ANIMAL SERVICES.
AND, AND THIS IS MORE FOR THE, THE FELLOW COMMISSIONERS.
THERE, THERE MIGHT BE A POTENTIAL OPPORTUNITY, JUST THINK ABOUT IT, WHEN WE'RE TALKING ABOUT THOSE WORK GROUPS, BECAUSE WE'RE JOINTLY APPOINTED, THERE MIGHT BE AN OPPORTUNITY TO LOOK AT THAT AS FAR AS JOINT WORK GROUPS AND HAVE THE REPRESENTATIVES FROM THE DIFFERENT CITIES, LIKE THEIR ANIMAL PERSON OR WHATEVER, TO KIND OF HELP BRIDGE THIS.
SO THERE'S MORE INFORMATION SHARING AND MORE AWARENESS OF THE NEEDS OR THE LACK OF RESOURCES AND, AND WHERE THE, UH, THE COUNTY CAN BE ABLE TO HELP OUT OR POTENTIALLY MAYBE ONE OF THE DISTRICT COUNCIL MEMBERS AND THEIR TEAM WHEN YOU'RE LOOKING AT THE REGIONAL IMPACT OF BOSTON TO, TO THE COUNTY.
AND SO THE SERVICES THAT ARE ON THE SCREEN ARE THOSE THAT ARE ON THE, UH, INTERLOCAL AGREEMENT BETWEEN TRAVIS COUNTY AND AUSTIN PUBLIC HEALTH.
WE WON'T GO INTO THOSE BECAUSE THE NEXT PRESENTATION IN ABOUT A MONTH IS GONNA BE BY AUSTIN PUBLIC HEALTH, AND THEY CAN EXPLAIN ALL THESE SERVICES TO YOU.
UM, YOUR PREVIOUS COMMENT MADE ME WONDER, THE SCOPE OF THIS COMMISSION WHERE THE PUBLIC HEALTH COMMISSION IS ANIMAL SERVICES, PUBLIC HEALTH, AND IS THAT SOMETHING WE NEED TO CONCERN OURSELVES WITH? IF IT IS, EXCELLENT, IF IT'S NOT, THEN I THINK WE NEED TO AVOID THOSE TOPICS AND ONLY FOCUS ON PUBLIC HEALTH.
TRAVIS COUNTY HEALTH AND HUMAN SERVICES OBVIOUSLY DOES MORE THAN PUBLIC HEALTH.
SO I'M WONDERING HOW INVOLVED DO YOU WANT US TO BE, OR SHOULD WE BE IN YOUR NON-PUBLIC HEALTH SERVICES? THAT'S AN EXCELLENT COMMENT.
I THINK YOU'RE GONNA BE ASKING THAT QUESTION EVERY TIME WE MEET, BECAUSE A LOT OF THESE THINGS ARE NOT CONSIDERED PUBLIC HEALTH, BUT THEY'RE COMPLIMENTS TO PUBLIC HEALTH.
SO AS SEPARATELY AS, AS A SERVICE, THEY'RE NOT PUBLIC HEALTH.
BUT WHETHER THOSE SERVICES ARE DONE WELL OR NOT CAN IMPACT THE POPULATION'S HEALTH.
SO, UM, THAT'S AN EXCELLENT QUESTION.
IT'S ALMOST LIKE THAT THIRD TIER OF SOCIAL DETERMINANT, RIGHT? WELL, JUST THAT, I MEAN, EVERYTHING IS PUBLIC HEALTH, SAFETY,
THEY BOTH REPORT TO THE ACM, UH, OVER, UH, SO IT'S ACM, HAYDEN, HOWARD, RIGHT? SO I DON'T THINK THAT THEY WOULD SEE THEMSELVES IN THEIR SCOPE AS BEING THE SAME.
AND, UH, SO THAT'S A VERY GOOD POINT.
THIS LAST PI CHART'S A QUESTION BEFORE YOU GO.
I WANNA, I'M A LITTLE CONFUSED.
CAN YOU GO BACK ABOUT FOUR SLIDES TO THE, KEEP GOING BACK.
UH, I'M GONNA TELL YOU WHEN, NOW, APOLOGIES FOR THIS.
I'M GONNA GET TO SOMETHING IN A MINUTE.
YOU'VE GOT PUBLIC HEALTH INTERLOCAL AGREEMENTS, 7.1 MILLION.
NOW ROLL BACK ABOUT FOUR MORE SLIDES, 7.1 MILLION.
AND EITHER I DON'T UNDERSTAND IT, OR MAYBE THERE'S AN IN CONTINUITY, CUZ SOMETHING ELSE, BUT NO, I'LL, I'LL TELL YOU WHAT IT IS AND I APOLOGIZE FOR INTERRUPTING.
I JUST BUMPED INTO THINGS LIKE THAT AND I CAN'T SLEEP IT.
AND IN F Y 23, WE HAD THOSE SALARY ADJUSTMENTS.
WE ALSO HAD A FUNDING ADDED TO THE PUBLIC HEALTH IN OUR LOCAL AGREEMENT CALLED EXTRAORDINARY EVENTS, MEANING, GOSH, YOU THINK WE'RE NEVER GONNA HAVE PANDEMICS AGAIN?
AND SO RIGHT AFTER WE FI UH, SETTLED ON ON, UH, YOU KNOW, JUST KIND OF TOOK A STEP BACK AND BREATHED AND THOUGHT ABOUT WHAT COVID HAD DONE, WE THOUGHT WE NEED TO PUT THIS IN PLACE BECAUSE M O X WAS RIGHT AROUND THE CORNER AND WE WERE DEALING WITH THAT.
SO THE, THE COUNTY PUT 1.5 MILLION IN, IN A POT TO, YOU KNOW, WHEN IT'S NECESSARY TO DRAW UPON THAT AMOUNT.
[00:40:01]
UH, THANK YOU FOR ASKING IT.IT HIGHLIGHTS THAT WE'RE THINKING ABOUT, YOU KNOW, THE, THE FUTURE AND LEARNING FROM WHAT HAPPENED DURING THE PANDEMIC AND PREPARING FOR THAT.
LEMME GET YOU BACK TO WHERE WE WERE.
SO I TALKED A LITTLE BIT ABOUT THIS THE LAST TIME WE MET.
UM, THE, THEY'RE IN NEW INITIATIVES AT HEALTH AND HUMAN SERVICES AND, UM, WE'VE CREATED A NEW PUBLIC HEALTH COMMISSION.
ANYBODY KNOW ANYTHING ABOUT THAT?
UH, WE'RE ALSO WORKING ON CREATING A NEW SUBSTANCE USE DISORDER CONSORTIUM, UM, WHICH IS REALLY EXCITING.
I THINK THAT YOU'RE, THE COMMISSION AND THE CONSORTIUM WILL EVENTUALLY WORK TOGETHER, UH, FOR NOW OPIOID ADDICTION AND DRUG PREVENTION, UH, HARM REDUCTION WE CAN DISCUSS HERE.
EVENTUALLY THOSE DISCUSSIONS WILL MOVE TO THE CONSORTIUM, BUT YOU ALL CAN DEFINITELY WORK TOGETHER.
UM, AND THEN THERE'S, UM, WE HAD A SUBSTANCE USE DISORDER CRISIS, AS YOU ALL KNOW, A LOT OF OPIOID ACCIDENTAL DEATHS.
UM, AND SO WE'VE WILL, I'LL TALK A LITTLE BIT ABOUT THOSE.
WE'RE CREATING A JAIL DIVERSION PROGRAM.
UM, WE'VE INVESTED 110 MILLION IN AFFORDABLE HOUSING, UH, ON US WORKING ON A GUN VIOLENCE PREVENTION PROGRAM.
AND BECAUSE ALL OF THIS IS NEW, UH, CRITICALLY IMPORTANT, AND, UH, A LOT, UH, TAKES A LOT OF, UH, CAPACITY TO DO THIS.
OUR DEPARTMENT IS CURRENTLY EVOLVING.
UM, AND, UH, YOU ALL MIGHT BE HEARING ABOUT THAT THROUGHOUT THE YEAR.
SO, UH, LOCAL FISCAL, I'M GONNA GO REALLY QUICK BECAUSE WE'RE AT ABOUT THE 30 MINUTE MARK, AND THEN WE HAVE 15 MINUTES AFTER THAT FOR Q AND A.
SO, UM, WE RECEIVED A COUNTY RECEIVED 247 MILLION IN AMERICAN RESCUE PLAN ACT FUNDS, AND WE'VE INVESTED THOSE IN WORKFORCE DEVELOPMENT, FOOD, HOUSING, UH, UH, GUN VIOLENCE, UH, PREVENTION IN, UH, IN THE TRAUMA RECOVERY CENTER THAT AUSTIN PUBLIC HEALTH IS WORKING ON.
WE'RE PARTNERING WITH THEM ON THAT.
UH, YOU CAN TAKE A LOOK AT THIS SLIDE ON YOUR OWN, BUT THE 247 MILLION WERE INVESTED IN SEVERAL AREAS.
SO BACK IN MAY OF 2022, THE TRAVIS COUNTY COMMISSIONER'S COURT DECLARED A PUBLIC HEALTH CRISIS, UH, RELATED TO THE DRUG OVERDOSES THAT STARTED TO INCREASE DRAMATICALLY.
UM, AND SO WHAT WE HAVE DONE IS WE HAVE INVESTED SOME ARPA FUNDS AND SOME GENERAL FUNDS, UH, IN, INTO PROVIDING NARCAN NALOXONE, WHICH REVERSES A, AN OVERDOSE, UH, TO COMMUNITY PARTNERS THAT ARE OUT ON THE STREET.
UM, AND THEY DISTRIBUTE IT TO CLIENTS WHO MIGHT BE USERS SO THAT THEY CAN HAVE IT WITH THEM, SHOULD SOMEBODY THAT THEY'RE WITH HAVE AN OVERDOSE AND THEY CAN RE REVERSE IT.
WHERE PAYING FOR PEER RECOVERY COACHING THROUGH WITH, UM, A COUPLE OF ORGANIZATIONS, UM, SO THAT PEOPLE CAN GO OUT INTO THE COMMUNITY AND HELP, UM, UH, PEOPLE WHO ARE USERS AND HELP THEM WITH RECOVERY.
UM, WE'RE ALSO PAYING FOR MEDICATION ASSISTED TREATMENT.
UH, THEY'RE, UH, TWO DIFFERENT VENDORS PROVIDING METHADONE TREATMENT.
SO, UM, THIS ONE I'M GONNA, I'M GONNA SKIP, BASICALLY TALKS ABOUT HOW WE DID A LOT OF COMMUNITY ENGAGEMENT REGARDING THIS.
UM, WE DID RECEIVE ONE POINT, ALMOST 1.5 MILLION IN ABATEMENT FUNDS FROM, UH, SETTLEMENTS NATIONAL SETTLEMENTS.
AND SO WE'RE WORKING ON HOW ARE WE GOING TO ALLOCATE THOSE FUNDS.
UM, OUR RECOMMENDATION FROM HHS IS TO CONTINUE THE SERVICES THAT WE STARTED LAST YEAR.
UM, I DON'T THINK IT MAKES SENSE TO PROVIDE METHADONE TREATMENT TO SOMEBODY AND THEN JUST ABRUPTLY STOP IT.
SO WE WANNA MAKE SURE THAT THAT CONTINUES, FOR EXAMPLE.
UM, SO I WANTED TO JUST LET YOU KNOW THAT WE WILL BE HAVING SOME DISCUSSIONS IN COMMISSIONER'S COURT ABOUT THE USE OF THOSE FUNDS.
WE ARE DEFINITELY GOING TO HAVE SOMETHING ON AUGUST 1ST WHERE THE COUNTY CERTIFIES THAT THEY'RE RECEIVING THESE FUNDS FROM THE, THE SETTLEMENT.
I TALKED A LITTLE BIT ABOUT THE SUB CONSORTIUM.
SO IT'S COME TO OUR ATTENTION THAT THE COMMUNITY REALLY WANTS TO BE A PART OF PLANNING A,
[00:45:01]
UH, A REGIONAL APPROACH TO SUBSTANCE USE DISORDER.AND SO WE'RE CREATING A CONSORTIUM, AND IT'LL BE VERY SIMILAR TO THIS.
THE THREE OF US ARE PARTNERING IN IT, THE THREE OF US.
UM, AND I SHOULD SAY, I'M THINKING AUSTIN PUBLIC HEALTH IS HERE, BUT IT'S CENTRAL HEALTH CITY OF AUSTIN AND HHS, TRAVIS COUNTY WILL BE PARTNERING JUST LIKE HERE AND WE'LL BE FUNDING FOR A CONVENER TO, UH, BRING TOGETHER THIS CONSORTIUM AND TOGETHER THEY WOULD CREATE A COMMUNITY PLAN FOR S U D.
YOU WERE TALKING ABOUT WITH THE FUNDS UTILIZATION FOR THE OPIOID PRESENTING THAT, UH, WHAT YOU'RE GONNA WANT TO DO TO THE COMMISSIONER'S COURT IS NOW THAT WE HAVE THIS COMMISSION ESTABLISHED, IS THAT GONNA BE SOMETHING THAT THEY'RE GONNA WANT TO, WHICH IS BEING ABLE TO HEAR THAT Y'ALL SAID, HEY, PRESENTED IT TO THE PUBLIC HEALTH COMMISSION AND THEY'RE FULLY ON BOARD, OR THEY HAVE THIS RECOMMENDATION, WE, YOU KNOW, WE DID INCLUDE IT OR WE THOUGHT ABOUT IT, BUT WE STILL RECOMMEND GOING THIS COURSE.
SO THAT'S WHY WE INCLUDED THIS SLIDE HERE.
UH, BECAUSE WE HAVE BEEN CONDUCTING, I THINK I UNDERSTAND YOUR QUESTION.
SO WE'VE BEEN CONDUCTING LISTENING SESSIONS TO HEAR FROM THE COMMUNITY AS TO WHAT THEY THINK IS MOST IMPORTANT TO HELP WITH REDUCING OVERDOSE DEATHS.
AND SO THROUGH THOSE LISTENING SESSIONS, WE'VE HEARD, UM, THAT THESE WERE, YOU KNOW, THE USES THAT THEY'RE INTERESTED IN.
WE DO HAVE THE TEXAS HARM REDUCTION ALLIANCE, WHO HAS ALSO BEEN COMING TO COURT AND REQUESTING AN ADDITIONAL SERVICES TO BE, TO BE IMPLEMENTED WITH THE USE OF THOSE FUNDS.
UH, WE'RE MEETING WITH COMMUNITIES FOR RECOVERY IN THE NEXT COUPLE OF WEEKS TO HEAR FROM THEM TO SEE WHAT IS IT THAT WOULD BE MOST HELPFUL.
AND SO WE'RE GATHERING INFORMATION FROM THE COMMUNITY TO, UH, TRY AND DETERMINE WHAT IS THE BEST USE OF THESE FUNDS.
I GUESS FOR ME, IT'S JUST TRYING TO FIGURE OUT, ARE WE SUPPOSED TO BE A PART OF THAT RECOMMENDATION THAT YOU PRESENT TO THE COMMISSIONER'S COURT OR THE, ARE WE SUPPOSED TO ANALYZE AND COME UP WITH POTENTIAL CONCERNS AFTER IT'S APPROVED AND MOVE FORWARD BY THE COMMISSIONER'S COURT, THIS PARTICULAR ENTITY? WELL, THIS, NOT JUST THIS, BUT I'M JUST SAYING OTHER STUFF THAT MAY ARISE NOW THAT WE HAVE THE, THE COMMISSION ESTABLISHED WHERE WITHIN WHICH Y'ALL PLANNING THE CONVERSATIONS YOU HAVE WITH THE COMMUNITY, WITH YOUR PARTNERS, THOSE, THOSE THAT ARE WITHIN A LOCAL AGREEMENTS, WHERE ARE WE NOW WITHIN THAT MIX OF BEING A PART OF CONCURRING WITH THE RECOMMENDATION OR THE PROPOSAL THAT'S GONNA BE GOING TO THE COMMISSIONER'S COURT VERSUS IT GOES DIRECTLY TO THEM AND THEN WE'RE WE'RE ASKING FOR INFORMATION AND INSIGHT, AND THERE MAY HAVE BEEN SOMETHING THAT WE SAY, OH, YOU KNOW, WHY DID Y'ALL DO THAT? OR WE'RE WE COME UP WITH A DIFFERENT RECOMMENDATION? SIR, ARE THERE DIFFERENT WAYS THAT YOU CAN PROVIDE INPUT AS AN ORGANIZATION, AS A COMMISSION, YOU ALL HAVE TO AGREE ON WHAT THOSE RECOMMENDATIONS ARE.
SO AN INDIVIDUAL CANNOT, CANNOT GO TO COURT AND REPRESENT THE COMMISSION UNLESS THE COMMISSION HAS VOTED ON WHAT THAT ADVICE AND RECOMMENDATIONS ARE.
NOW, YOU CAN GO AS AN INDIVIDUAL AND REPRESENT YOURSELF AS AN INDIVIDUAL WHO'S INTERESTED IN PROVIDING RECOMMENDATIONS OR FEEDBACK.
SO YOU ALL WILL BE, UH, CREATING AN ANNUAL REPORT OF RECOMMENDATIONS THAT WILL BE PROVIDED TO, UM, US AND TO, I BELIEVE THERE'S A PUBLIC HEALTH COMMITTEE AND OF THE COUNCIL THAT'LL GO TO THEM AS WELL.
SO THERE'S AN ANNUAL REPORT OF RECOMMENDATIONS THAT YOU ALL WOULD, WOULD PUT TOGETHER.
THERE'S, UM, AT EACH CITY COUNCIL MEETING AND AT EACH COMMISSIONER'S COURT MEETING, THERE IS AN OPPORTUNITY FOR COMMUNITY FEED FEEDBACK.
SO YOU CAN GO AS A GROUP OR YOU CAN GO AS AN INDIVIDUAL.
I GUESS WHAT, WHAT I'M REALLY SAYING IN THIS MR. CHAIR, UH, GO AHEAD.
CAN I, THIS IS ADRIAN, LET ME JUMP IN AND ADD A LITTLE BIT MORE PROCESS FROM THE CITY SIDE.
AND I THANK YOU PILAR FOR GIVING THAT REALLY GOOD OVERVIEW.
UM, THE PUBLIC HEALTH COMMISSION DOES HAVE A MORE DIRECT RELATIONSHIP WITH THE PUBLIC HEALTH COMMITTEE.
SO OUTSIDE OF THE ANNUAL REPORT, UM, THIS BODY CAN, UH, PUT FORWARD RECOMMENDATIONS FOR FULL COUNSEL ACTION TO THE PUBLIC HEALTH COMMITTEE.
IF IT PICKS UP SPONSORS, THEN THAT THE PUBLIC HEALTH COMMITTEE WILL BRING IT TO THE FULL COUNSEL FOR ACTION.
SO THERE ARE THE, THE PRESET TIMES DURING THE YEAR THAT, YOU KNOW, AT, DURING THE ANNUAL REPORT IN THAT BUDGET, WHERE THIS BODY AS ALONG WITH THE OTHER, UH, BOARDS AND COMMISSIONS CAN PUT FORTH RECOMMENDATIONS.
BUT IF THERE'S SPECIFIC ISSUES OR ITEMS THAT ARE INTEREST TO THIS COMMISSION AT ANY TIME DURING THE YEAR USING THAT, UM,
[00:50:01]
RELATIONSHIP WITH THE PUBLIC HEALTH COMMITTEE, UM, YOU COULD BRING THOSE FORWARD.AND I, AND I THINK MY QUESTION IS REALLY AROUND WE PROBABLY WOULDN'T KNOW THAT THIS WAS A PLAN OR PROPOSAL THAT WAS GETTING READY TO GO BEFORE THE COMMISSIONER'S COURT, UNLESS IT WAS BROUGHT TO US AS AN AGENDA ITEM TO REVIEW FOR FEEDBACK AND INPUT INTO IT.
AND SO THAT'S WHAT I'M TRYING TO REALLY ESTABLISH IS NOW THAT WE HAVE THIS COMMISSION ESTABLISHED TO GIVE INPUT AND GIVE FEEDBACK AND PROVIDE RECOMMENDATIONS, WHERE ARE WE NOW WITHIN THAT PROCESS OF NEW PROGRAMS, NEW EFFORTS, NEW INITIATIVES THAT EACH ONE OF THE DEPARTMENTS IS GONNA BE DOING, OR NEW FUNDING OR WHATEVER ALLOCATIONS, WHERE DO WE FIT IN THAT MIX BEFORE IT GOES TO, UH, THE PUBLIC HEALTH, UH, COMMITTEE OR TO THE COMMISSIONER'S COURT? SO ARE THEY GOING TO BE LOOKING FOR, SINCE THEY'RE THE ONES THAT APPOINTED AND CREATED THIS JOINT COMMISSION, ARE THEY GONNA BE LOOKING FOR WHAT THE COMMISSION'S STANCE WAS ON IT CO ALMOST KIND OF LIKE PLANNING AND ZONING.
IT DOESN'T GO BEFORE THE COMM, THE, THE, THE COUNCIL MEMBERS UNTIL PLANNING AND ZONING APPROVES IT OR GIVES ITS VOTE, RIGHT? YEAH.
MY UNDERSTANDING IS THAT THAT IS NOT THE WAY THAT THIS COMMISSION WOULD FUNCTION.
UM, WE, UH, COMMISSIONER'S COURT AND CITY COUNCIL MEET WEEKLY.
THERE'S HUNDREDS AND HUNDREDS OF ITEMS THAT WE BRING TO THEM.
IT JUST WOULD NOT BE FAIR TO BRING YOU EVERY SINGLE ITEM THAT WE TAKE TO THE COMMISSIONER'S COURT.
YOU HAVE SOMETHING YOU WANNA SAY? THANK YOU.
I WAS JUST HAVING THIS MOMENT THAT CLEARLY, LIKE YOU SAID, THERE'S A WHOLE GARGAN AMOUNT OF STUFF THAT'S FLOWING AND, UM, MAYBE PART OF WHAT WE'RE ASKING OR WONDERING ABOUT IS, UM, YOU KNOW, UM, HOW DO WE KEEP, HOW DO WE STAY ABREAST OF THAT? SO WE MIGHT SAY EACH, EACH MEETING AND MAYBE EVERY QUARTER, BUT EACH MEETING WE WOULD SAY, IS THERE AN UPDATE FROM ALL THIS IN TRAVIS COUNTY HEALTH HUMAN SERVICES ON MAJOR PROGRAMS YOU'RE WORKING ON IN THE REALM OF PUBLIC HEALTH? AND, AND YOU'D SAY NOTHING THIS MONTH.
OR YOU MIGHT SAY, WELL, WE'RE GETTING READY TO DO AN OPIOID THING.
WE'RE GONNA, YOU KNOW, GO TO THE COMMISSIONERS ON AUGUST 1ST AND ALL THIS STUFF.
AND THEN IT SEEMS LIKE THAT BECOMES A MENU OF STUFF THAT WE GET TO DECIDE WHETHER OR NOT WE WANT TO JUMP INTO AND GO STUDY OR, I MEAN, BUT IT SOUNDS, IT SOUNDS LIKE WE'RE NOT BEING ASKED TO BE PART OF THE, OF THE TRAIN, IF YOU WILL, OF THINGS AND, AND, AND, UM, BUT, SO IT'LL BE, UH, SORT OF INCUMBENT UPON US TO GO FIGURE OUT WHAT WE WANT TO GO SPEAK TO.
IS THAT, IS THAT FAIR? I THINK THAT'S FAIR.
OR, UH, I HAD ONE OTHER QUESTION.
GIVEN THAT YOU'RE BUILDING THE NEW SUBSTANCE USE DISORDER CONSORTIUM, DOES THAT MEAN, UH, WE SHOULDN'T FOCUS IN THAT AREA? UH, AS WE'RE THINKING ABOUT PUBLIC HEALTH, SHOULD WE KIND OF FOCUS ON OTHER AREAS WHERE THERE WOULD BE MORE UNMET NEED GIVEN THAT THERE'S ALREADY A SPECIALIZED CONSORTIUM FOCUSED ON THAT AREA COMPLETELY AND LIMITED RESOURCES BANDWIDTH TIME? I, I THINK IT WOULD BE GREAT IF YOU ALL DID FOCUS IN THAT AREA UNTIL THE CONSORTIUM IS ESTABLISHED.
JUST LIKE YOU ALL, UH, YOU KNOW, IT TOOK US A LONG TIME TO ESTABLISH YOUR COMMISSION.
IT'S TAKING US A LONG TIME TO ESTABLISH THE CONSORTIUM AND WE'VE ACTUALLY NOTIFIED THE TEXAS HARM REDUCTION ALLIANCE THAT THIS COMMISSION HAS LAUNCHED AND THAT THIS MIGHT BE A GOOD PLACE FOR THEM TO COME TO PRESENT AND TO PROVIDE COMMUNITY INPUT.
UM, SO THINGS FOR YOU ALL TO CONSIDER.
UM, SO, UM, I WOULDN'T RULE IT OUT UNTIL THAT CONSORTIUM IS IN PLACE BECAUSE IT'S SUCH, UH, A VERY IMPORTANT TOPIC AND, AND, AND OVERDOSES DO NOT SEEM TO BE SLOWING DOWN THE DEATHS DUE TO OVERDOSES.
AND SO IT'S, UH, UH, IT'D BE GREAT TO HAVE MORE EYES ON IT.
AND JUST TO ADD TO THAT, YOU KNOW, I, I, I APPRECIATE THE, UM, THE, UH, INITIATIVE AND THE WILLINGNESS TO BE INVOLVED IN THE DAY-TO-DAY, BUT I THINK WHEN THE COMMISSIONER'S COURT AND THE CITY COUNCIL AGREED TO ESTABLISH THIS COMMISSION, THEY WERE REALLY LOOKING AT YOU GUYS TO PROVIDE MORE HIGH LEVEL STRATEGIC INPUT, UM, AND ADVOCACY AND, AND DIRECTION ON RESOURCES VERSUS DAY-TO-DAY STUFF.
AND SO IF THERE'S A WAY FOR US TO KIND OF FIGURE OUT, KIND OF, AS DR.
RICE ALLUDED TO, YOU KNOW, WHAT THE HOT TOPICS THAT WE'RE WORKING ON IN EACH OF THE AGENCIES FOR YOU TO HAVE INPUT AT, AT THAT POINT.
UH, JUST TO USE THE SUBSTANCE USE STUFF AS AN EXAMPLE.
THE, FROM THE CITY SIDE, OUR DIRECTION CAME OUT IN 2020, YOU KNOW, FROM, ON A RESOLUTION OF WHAT WE WERE SUPPOSED TO DO WITH THE OPIOID DOLLARS.
AND, UH, WE'VE BEEN WORKING ON THE, THE
[00:55:01]
CONSORTIUM PROBABLY FOR ABOUT THAT LONG TO MAYBE EVEN LONGER, TO GET IT OFF THE GROUND.AND SO THOSE THINGS ARE KIND OF ALREADY BAKED, AND SO IT'S NOT, YOU KNOW, NOT FOR NOT WANTING OR VALUING THE INPUT, LIKE THAT TRAIN HAS ALREADY LEFT THE STATION.
BUT AS, AS WE GO, PERHAPS WE CAN FIGURE OUT A PROCESS OF MAKING SURE THAT THIS BODY KNOWS WHAT THE HOT TOPICS ARE.
AND, UM, FROM A, A STRATEGY STANDPOINT, YOU KNOW, GIVING SOME DIRECTION ON WHAT, UH, INPUTS OR HOW TO INFLUENCE RATHER, UM, THE OPERATIONS.
I THINK RIGHT NOW IT'S STILL THAT WHOLE CONSENSUS OF WHERE DO WE FIT, WHERE WE DON'T FIT, WHERE, WHERE DOES IT MAKE SENSE? WHEREAS CERTAIN EXPECTATIONS FROM THE ONES THAT APPOINTED AND CREATED VERSUS, YOU KNOW, AND SO THAT'S WHERE I WANTED TO ASK THAT QUESTION.
SO DEFINITELY DON'T HAVE DOWN THE ROAD, SOMETHING'S GOING FORWARD AND WE'RE LIKE, HEY, WE DIDN'T, WE DIDN'T KNOW ABOUT IT OR SOMEONE ASKED US.
WE CAN CLEARLY BE ABLE TO SAY THAT'S NOT THE PART OF THE PROCESS AS HAS BEEN ESTABLISHED AND AGREED UPON FOR THIS NEW VENTURE.
YEAH, I, I APPRECIATE THE, THE REQUEST FOR CLARIFICATION.
UM, THERE WERE A COUPLE MORE SLIDES AND WE'RE AT ABOUT FOUR MINUTES TO, TO FOUR O'CLOCK.
UM, SO IN ADDITION TO, UH, OPIOID, UH, ABATE, UH, PREVENTION, UH, PREVENTING DEATHS DUE TO OPIOID, UM, OVERDOSES, THERE IS A JAIL DIVERSION PROGRAM THAT WE'RE WORKING ON.
UM, I WON'T GO THROUGH THE SLIDES, BUT BASICALLY WHAT WE'RE TRYING TO ATTEMPT TO DO IS, UM, HELPING PEOPLE WITH SERIOUS MENTAL ILLNESS AVOID GETTING ARRESTED AND PUT IN JAIL.
OUR JAILS ARE, UM, HAVE ABOUT 40% OF THE POPULATION IN THE CURRENT JAIL HAS A PEOPLE WITH A MENTAL ILLNESS.
AND THAT IS, UH, JAIL IS NOT THE SOLUTION.
PEOPLE NEED ASSISTANCE, THEY NEED TREATMENT, THEY NEED, UH, BASIC SERVICES TO BE ABLE TO AVOID STAYING IN JAIL OR GOING BACK TO JAIL.
AND WE'RE SEEING THAT PEOPLE ARE JUST CYCLING IN AND OUT OF JAIL DUE TO THEIR MENTAL ILLNESS.
AND SO WE'RE HOPING TO EXPAND SERVICES THAT CURRENTLY EXIST.
THERE'S A LOT OF SERVICES THAT CURRENTLY EXIST THAT ARE CONSIDERED DIVERSION, BUT THERE JUST ISN'T ENOUGH, OR THE SERVICES ARE NOT COORDINATED.
SO WE'RE WORKING ON COORDINATING THEM, EXPANDING THEM, AND BUILDING WHAT IS CALLED DIGITAL DIVERSION CENTER.
UM, AND SO YOU'LL BE HEARING A LOT ABOUT THAT, UM, IN THE COMMUNITY OF WHAT WE'RE DOING.
UM, AND UM, SO I'LL LEAVE THAT PART THERE.
THERE IS ONE THING THAT I WANTED TO POINT OUT.
WE DO HAVE A TOWN HALL COMING UP ABOUT JAIL DIVERSION, AND THAT IS, I THINK JULY 25TH.
AND SO, UM, IF Y'ALL ARE INTERESTED IN, IN ATTENDING THAT TOWN HALL, UM, WE CONSENT INFORMATION TO THE GROUP, UM, OR LAURA VETO'S ON THE LINE.
DO YOU HAVE MORE INFORMATION ON WHAT TIME AND WHERE THAT'S AT, LAURA? SO THERE IS A, A LINK IN THE, UH, UH, PRESENTATION THAT WE PROVIDED, AND THAT'S A, THAT LINK ALLOWS YOU TO GO AND REGISTER FOR, UH, PR TO BE AT THE TOWN HALL.
UM, AND THEN THAT WILL THEN SEND OUT THE, UM, WE'LL INITIATE THE INFORMATION COMING OUT TO YOU DIRECTLY IN YOUR EMAIL REGARDING THE LOCATION AND THE TIME.
BUT IT'S, UH, GONNA PLANS TO BE ON THE 25TH IN THE EVENING, AROUND BETWEEN, UH, SIX AND, AND 8:00 PM I'M GONNA POINT IT OUT, SHOW TO THEM.
THE LINK IS HERE WHERE IT SAYS NEW INITIATIVES THAT HELPING HUMAN SERVICES, AND THEN IT SAYS RSVP.
BEFORE I TURN IT OVER TO ANNA, I'LL TELL YOU REALLY QUICK ABOUT OUR TRAVIS COUNTY SHIP, UH, SUPPORTIVE HOUSING INITIATIVE PIPELINE.
UM, IT IS, UH, WHERE THE COUNTY COMMISSIONERS AND ARE INVESTING $110 MILLION TO BUILD A NEW SUPPORTIVE HOUSING OR TO EXPAND SOME RESIDENTIAL TREATMENT HOUSING.
AND SO WE'RE, THIS IS PART OF THE SOLUTION TO JAIL DIVERSION.
IT'S PART OF THE SOLUTION TO HOMELESSNESS, UM, A SOLUTION TO A LOT OF THINGS THAT ARE HAPPENING, THE CRI THE HOUSING CRISIS HERE IN TRAVIS COUNTY.
AND SO WE'RE VERY PROUD OF, OF THE 110 MILLION THAT WE'RE INVESTING, UH, WE HAVE 10 PARTNERS FOR 11 PROJECTS.
WE'RE NOT COVERING ALL THE COST OF THE BUILDING, OF THE NEW CONSTRUCTION, BUT WE'RE COVERING ON AVERAGE OF 50% OF THE COSTS.
UM, AND I WILL TURN IT OVER TO ANNA TO COVER THE LAST FEW SLIDES.
[01:00:01]
THROUGH THIS, SO APOLOGIES.SLOW ME DOWN IF I NEED TO SLOW DOWN.
SO REALLY, I'M GONNA TALK ABOUT TWO THINGS THAT ARE BIGGER CONVERSATION.
IT'S THE COMMUNITY VIOLENCE INTERVENTION ECOSYSTEM.
OKAY? SO THE OFFICE OF VIOLENCE PREVENTION WAS ESTABLISHED AT AUSTIN PUBLIC HEALTH, AND, UH, THEY'RE WORKING ON SEVERAL EFFORTS.
AND WE JOINED THEM IN, IN THE TRAUMA RECOVERY CENTER.
UM, THAT'S THE LAST PIECE OF THE PRESENTATION, BUT BEFORE THAT, WE'RE TALKING ABOUT, UM, WHAT'S CALLED A HOSPITAL BASED VIOLENCE INTERVENTION PROGRAM.
AND WHAT IS THAT? WHEN SOMEONE IS SHOT, THE FIRST PERSON THEY SEE IS EITHER IS PUBLIC SAFETY OR EMS, RIGHT? THEY'RE TAKEN TO THE HOSPITAL AND SUDDENLY THEY'RE IN THE HOSPITAL AND IN AN ENVIRONMENT WHERE THEY CAN BE ENGAGED IN THE, THE ISSUE IS IMMEDIATE AND YOU CAN SAY, LET'S TALK.
THERE'S ACTUALLY A LOT GOING ON HERE AND WE CAN HELP YOU MAKE SENSE OF ALL OF THIS THAT'S GOING ON.
REALLY, THE UNDERLYING, UM, PHILOSOPHY HERE IS, LET'S STOP RETALIATION.
WHAT WE ARE HEARING IS THAT THIS INTERVENTION CAN REDUCE 2, 3, 4 MORE, UH, SHOOTINGS FROM THIS, OKAY? BECAUSE THAT IS THE IMMEDIATE REACTION THAT THE MAJORITY OF US HAVE YOU AGGRESS AGAINST ME OR MY FAMILY.
RIGHT? AND THE IDEA IS, NO, LET'S TURN THIS ISSUE AROUND, RIGHT? SO THAT'S WHAT THE HOSPITAL BASED VIOLENCE INTERVENTION PROGRAM IS.
WE HAVE DONE, UM, A LOT OF LEARNING, A LOT OF LOOKING AT THE RE UH, REVIEWING LITERATURE, TALKING WITH DR.
WE'VE TALKED TO OTHER HOSPITALS AND, AND NOW WE'RE TALKING TO THE COMMUNITY.
WE'RE ACTUALLY HAVING ONE-ON-ONE CONVERSATIONS, BUT NOT REALLY ONE-ON-ONE.
WE'RE TALKING TO INSTITUTIONS TO SEE WHAT THEY'RE SEEING IN THEIR COMMUNITY, WHO ARE THEY SERVING, WHAT DO WE NEED TO BE AWARE OF? AND, UM, SO IT'S GOING TO BE A TWO YEAR PILOT PROGRAM WITH THE HOPES THAT IT'LL CONTINUE AND WE'LL LOOK FOR SUSTAINABILITY FUNDING FOR THAT.
AND, UM, SO WE HAVE $500,000 OF FEDERAL FUNDS ALLOCATED FOR THAT.
SO IT'LL HAVE TO START BY THE BEGINNING OF 2025 AND END, UH, BY THE END OF 2026.
NO, I APPRECIATE THE INFORMATION AND DEFINITELY, UM, FOR THE SAKE OF TIME, UM, IT LOOKS LIKE THE THREE NEWER, ONGOING LARGE COUNTYWIDE EFFORTS ARE GONNA BE, THE DIVERSION IS GONNA BE THE, UM, THE ONE YOU JUST MENTIONED.
UH, AND THEN THE THIRD ONE, I DON'T KNOW IF IT'S GONNA BE PRESENTED BY YOU ALL OR POTENTIALLY, UH, ANOTHER ENTITY, THE PERMANENT SUPPORTIVE HOUSING THAT'S GONNA BE HOPEFULLY LAUNCHING IN 2024.
AND I THINK FOR US AS A COMMISSION, WHERE DOES OUR INVOLVEMENT POTENTIALLY NEED TO BE IN THOSE EFFORTS, UH, AS EITHER ON A VOICE OR EITHER AS OUR OWN INDIVIDUAL SALES, AS COMMISSIONERS GOING OUT TO TRY TO SOLICIT INFORMATION OR ASSISTANCE OR GUIDANCE, WHOEVER, UH, APPRECIATE ALL THE OTHER INFORMATION THAT YOU HAVE PROVIDED.
UH, ANY, ANY QUESTIONS OR ANY ADDITIONAL ASKS OF ADDITIONAL INFORMATION, UH, FROM THE PRESENTATION PRESENTED BY ANYBODY HERE, ANYBODY ONLINE? I'LL JUST MAKE ONE QUICK POINT.
THE, THE VIOLENCE INTERVENTION PROGRAM IS, UH, THAT IS, THERE IS MORE OF A CASCADE THAN YOU WOULD BELIEVE ABOUT VIOLENCE INTO A FIRST AND SECOND AND THIRD INTO A FIFTH.
AND THAT'S, THAT'S SORT OF OUT IN THE LITERATURE.
AND WE, AS YOU SAID, TALK TO HOSPITALS IN HOUSTON WHO HAVE DONE A, A FAIRLY ACTIVE PROGRAM.
AND SO I THINK THE, THE, THE COMMUNITY, THE HOSPITALS ARE GONNA BE POISED TO SORT OF, UM, BE A, A COLLABORATOR WITH, WITH THE SYSTEM IN THAT, RIGHT? YEAH.
THE, THE, THE STATISTICS SHOW THAT A VICTIM OF GUN VIOLENCE WILL, UM, HAS A VERY HIGH CHANCE OF BECOMING A GUN VIOLENCE PERPETRATOR.
AND SO WE WANT TO INTERVENE IN THAT AND PROVIDE ALL THE SERVICES THAT THEY NEED TO HELP THEM TAKE A DIFFERENT PATH.
AND THAT COULD BE HELPING THEIR ENTIRE FAMILY WITH REFERRALS, WHETHER THAT'S FOR, YOU KNOW, IF THE FAMILY NEEDS FOOD, UTILITY ASSISTANCE, COUNSELING, JOBS, UH, FINDING, YOU KNOW, WHAT IT IS THAT WE CAN DO FOR THE VICTIM, MAYBE EVEN THE PERPETRATOR AND THEIR FAMILIES TO HELP THEM, UH, FOLLOW A BETTER PATH.
AND AGAIN, THIS IS BASICALLY ONBOARDING INFORMATION, KIND OF THINKING AS WE'RE ON NOW.
WHAT ABOUT THE FUTURE COMMISSIONERS THAT COME ON? WHAT INFORMATION SHOULD THEY BE RECEIVING BEFORE THEY COME TO THEIR FIRST MEETING? RIGHT.
JUST TO HAVE A GENERAL KNOWLEDGE OF WHAT EACH DEPARTMENT IS DOING.
SO APPRECIATE THAT INFORMATION.
I HAD ONE FINAL QUICK QUESTION.
UH, THINKING A LITTLE BIT ABOUT PROGRAM CONTINUATION AND SUSTAINABILITY, UM, IT WOULD BE, I DON'T KNOW IF THAT INFORMATION IS AVAILABLE, HOW MUCH IS ALREADY KIND OF ALLOCATED TOWARDS CONTINUATION VERSUS HOW MUCH IS
[01:05:01]
OPEN TO MAYBE NEW PROGRAMS AND NEW, UH, OR AVAILABLE FOR NEW INVESTMENTS AS WELL.AND THAT WOULD BE REALLY HELPFUL, I THINK, AS WELL AS WE THINK ABOUT NEW POSSIBILITIES AND NEW WAYS TO, UH, ADDRESS SOME OF THOSE ISSUES.
CAN I GO BACK TO TWO MORE QUICK POINTS? ONE IS, I, I, I THINK I'M CHANNELING DAVID EVANS WHEN HE SAYS, ON ANY GIVEN NIGHT, THE LARGEST PROVIDER OF CARE SERVICES FOR BEHAVIORAL HEALTH PATIENTS IS THE JAIL.
SO THAT'S THE POINT OF ALL THIS.
YOU THINK, YOU SAID 40% OF PEOPLE IN THE JAIL HAVE A BEHAVIORAL HEALTH ISSUE THAT MAY OR MAY NOT BE RELATED DIRECTLY WHILE THEY'RE THERE.
SO IT, IT IS A MASSIVE PROBLEM.
I, I KNOW WE KNOW, BUT, UM, MM-HMM.
THE OTHER THING I WAS GONNA SAY, JUST BACK TO THE GENERAL CONVERSATION, A STRATEGIC CONVERSATION ABOUT WHAT IS OUR ROLE, I'M THINKING, AND YOU GUYS CAN DECIDE AND, AND SEE IF YOU AGREE, BUT, UM, KINDA LIKE NO MATTER WHAT THE PROGRAM IS, WE MAY HAVE AN INTEREST IN SOMETHING THAT COULD HAVE BEEN SOMETHING WE HEARD ABOUT TODAY OR COULD BE SOMETHING ELSE, BUT AT THE END OF THE DAY, WE MAY NOT BE DIRECTLY INVOLVED IN THE, IN INSTITUTION OF THAT OR THE, THE, UH, YOU KNOW, ENLIVENMENT OF IT OR THE DECISIONS TO DECIDE TO GO WITH FORWARD WITH THE PROGRAM, BUT CERTAINLY FOR EXISTING PROGRAMS, I THINK ACROSS THE BOARD, OUR JOB MAY BE, IF YOU AGREE, IS TO WONDER HOW EFFECTIVE IT IS AND ASK THE QUESTION, WHAT ARE YOU MEASURING JUST AS WE WERE TODAY TO, TO, TO KNOW THAT WE'RE DOING THAT, THAT WE'RE BEING AS EFFECTIVE AS WE COULD BE.
AND OF COURSE, THE, THE PROFESSIONALS ARE MEASURING AND HAVE METRICS AND, AND ALL THAT.
BUT I THINK SOME OF OUR RESPONSIBILITY WOULD BE TO FIND THE BIGGEST THINGS WE THINK ARE IMPORTANT AND THEN BE ASKING, WHAT ARE YOU MEASURING THERE? AND CAN YOU TELL US HOW EFFECTIVE YOU ARE AND HOW, YOU KNOW THAT? AND, AND THAT'S, THAT APPLIES TO ANYTHING THAT WE THINK IS IMPORTANT.
AND WE'LL GET INTO THE, TO THE BYLAWS AND THE CHARTER AND SO FORTH.
UH, AGENDA NUMBER FOUR, UH, IN AND, AND BACK TO WHAT ADRIAN HAS STATED, WHICH IS THAT OVERALL, UH, STRATEGIC IMPACT, RIGHT? MM-HMM.
UH, CHAIRMAN WALLACE, IF I MAY JUST GIVE ONE CONCLUDING STATEMENT, UM, IT'S IMPORTANT THAT, YOU KNOW, THAT TRAVIS COUNTY'S OVERALL BUDGET IS APPROXIMATELY 1.1 OR 1.2 BILLION FOR THE ENTIRE COUNTY.
AND, UH, IN COMPARISON TO ABOUT 5 BILLION FOR THE CITY.
AND SO A LOT OF PEOPLE THINK THAT WE ENCOMPASS A LARGER FOOTPRINT THAN THE CITY, THAT WE MUST BE BIGGER AS AN ORGANIZATION.
WE'RE ACTUALLY EXTREMELY MUCH SMALLER, MUCH, MUCH SMALLER THAN THE CITY.
AND SO THAT'S JUST AN, AN IMPORTANT THING FOR YOU ALL TO KNOW.
I THINK ADDING THE GEOGRAPHICAL OVERLAP TOO, WHEN YOU'RE TALKING ABOUT YOU FOCUS MORE ON THE UNINCORPORATED AREAS, 75% OF THE TERRITORY FOR THE COUNTY IS CITY OF BOSTON AS WELL, SO, YEAH.
UM, MOVING ON TO AGENDA ITEM NUMBER THREE,
[3. Discuss administrative process for agenda items and presentations.]
DISCUSSION OF ADMINISTRATIVE PROCESS FOR AGENDA ITEMS AND PRESENTATIONS.UH, THIS ONE IS MORE HOW CAN WE MAKE SURE THAT, UH, RECOMMENDATIONS FOR AGENDA ITEMS, UH, GETTING THE OCCURRENCE, RIGHT? SO, UH, TO ENSURE CONSENSUS IN EVERYBODY'S EQUAL REGARDLESS OF CHAIRS, STATUS OF VICE CHAIR AND SO FORTH FOR THIS ITERATION AND FUTURE ITERATIONS, THAT THIS IS A TEAM EFFORT OF AGENDA ITEMS. AND THERE'S BUY-IN AND AMONGST ALL OF US ABOUT WHERE WE'RE GOING FOR EACH, EACH MEETING, RIGHT? AND SO WE'LL ALWAYS HAVE THIS FUTURE AGENDA ITEMS TO KIND OF LOOK AT WHAT'S ALREADY ON THE LIST, KIND OF DETERMINE WHAT WE WANT TO SELECT AS A GROUP GOING FORTH EACH MONTH.
THIS IS REALLY THE OPPORTUNE TIME TO, AS A GROUP, TO DO THAT OUTSIDE OF THE MEETINGS.
KIND OF THINK OF IT MORE AS YOU'RE GIVING KIND OF DARL DIRECT AUTHORITY TO THE CHAIR AND THE VICE CHAIR TO, TO, TO MAKE DECISIONS ON Y'ALL'S BEHALF.
SO WOULD LIKE TO AT LEAST BE ABLE TO GET AS MUCH OF THE CONSENSUS OF WHERE WE WANT TO GO, WHAT WE WANT TO DO HERE.
SO THEN THAT WAY, UM, WE, WE'LL PROBABLY HAVE LIKE MAYBE LIKE A WEEK, TWO WEEKS GOING INTO AFTER THIS MEETING TO KIND OF DETERMINE AS A GROUP WHAT AGENDA ITEMS GET THE SECOND OR THE THIRD PERSON TO SIGN ON THAT AGENDA ITEM, RIGHT? WHICH HAS TO HAPPEN.
UH, AND THEN WE STILL WANT TO GIVE THE STAFF AND THE TEAM THAT TWO WEEKS, THREE WEEKS IF POSSIBLE, TO REALLY FLESH DOWN, GET THE DETAILS, FIGURE OUT, ASK THE QUESTIONS OF WHAT WE'RE LOOKING FOR, WHAT INFORMATION WE NEED.
SO WHEN WE'RE COMING HERE, UH, MAYBE A WEEK BEFORE THE MEETING, KIND OF LIKE THIS TIME WE'RE GETTING THE READ HEADS, WE'RE ABLE TO HIGHLIGHT STUFF AND IT'S MORE OF AN ACTUAL DISCUSSION, THEN THIS PRESENTATION, THEN WE HAVE A WHOLE BUNCH OF QUESTIONS AND IT HAS TO BLEED OVER INTO ANOTHER MEETING OR A WHOLE BUNCH OF EMAILS IN BETWEEN MEETINGS.
UH, A ANY QUESTIONS OR THOUGHT THOUGHTS ON THAT ONE? THAT'S KIND OF THE PERSPECTIVE I'M HAVING AS TRYING
[01:10:01]
TO MAKE SURE WHEN WE'RE MEETING IT'S AS IMPACTFUL, AS, AS EFFECTIVE.IT'S AS, UH, MORE OF A DIALOGUE OF WE'VE HOPEFULLY HAVE ALREADY READ IT, WE'RE JUST LOOKING AT THE SLIDES AND THE SLIDES ARE BEING SHOWN FOR THE PEOPLE THAT DON'T HAVE THE, THE ACCESS TO THE INFORMATION THAT WE HAVE.
AND IT'S MORE OF ACTUALLY FOCUSING AND TRYING TO GIVE RECOMMENDATIONS TO THE TOPICS AND THE INFORMATION THAT THEY HAVE PROVIDED US ALREADY.
ANY ANY OTHER THOUGHTS ON THAT? DEFINITELY OPEN TO IT.
UM, JUANITA, WHAT DID WE, UH, COME UP WITH ON THE TIMES THAT YOU NEEDED TO HAVE AGENDA ITEMS, UH, DEFIN, UH, FINALIZE NO LATER THAN BY, SO YOU ALL CAN WORK AND GET ALL THE GREAT STUFF FROM THE DIFFERENT DEPARTMENTS.
MAYBE YOU COULD HEAR ME BETTER.
UH, AT LEAST THREE WEEKS ADVANCE NOTICE.
SO IMMEDIATELY AFTER THIS MEETING, UM, STAFF AND I WILL MEET WITH YOU ON THE, WE HAVE THE TOPICS THAT WE PULLED TOGETHER FROM THE LAST MEETING.
UM, IF THE BOARD, UM, DOESN'T HAVE THAT, WE'LL SEND THAT BACK OUT FOR YOU ALL TO REVIEW IT.
UM, BUT UM, THROUGH CONVERSATION WITH CHAIR WALLACE, WE DID DISCUSS THAT THE IMMEDIATE NEED WAS TO HAVE THE THOROUGH OVERVIEW OF ALL THE AGENCY'S ORGANIZATIONAL STRUCTURE.
SO YOUR NEXT TWO MEETINGS MIGHT INCLUDE, DEPENDING ON THE LENGTH OF TIME, CENTRAL HEALTH WILL NEED, UM, TO INCORPORATE THOSE INTO YOUR NEXT TWO MEETINGS.
BUT IF THERE ARE ANY ADDITIONAL, UM, PRESENTATIONS OR SUBJECTS THAT WE WANNA PUT ON THERE, WE'LL NEED THAT MUCH TIME TO ENSURE WE'VE COORDINATED WITH STAFF AND GOT ALL THE DETAILS TOGETHER FOR YOU ALL TO HAVE IT, UM, BE REVIEWED FOR YOUR MEETING.
SO I THINK ONE WEEK AFTER OUR MEETING, AGENDA ITEMS NEED TO BE FINALIZED, AND THEN NO MORE THAN TWO WEEKS AFTER A MEETING RECOMMENDATIONS FOR ANY PRESENTATIONS.
SO AGAIN, THEY HAVE TO HAVE LIKE A WEEK OR TWO TO BE ABLE TO COORDINATE AND MAKE SURE WHOEVER'S GONNA BE PRESENT TO US OUTSIDE OF THE TEAM HERE, RIGHT.
THAT THEY'RE GETTING THEIR SLIDES IN AND THEY'RE ANSWERING OR GETTING ANY QUESTIONS FROM US AND SO FORTH.
UM, AND THEN I THINK, UM, MEGAN AND I HAD A DISCUSSION ABOUT SPECIFICS SINCE THEY'RE NOT, HOW DID WE TALK ABOUT IT? MEGAN, YOU CAN HELP REMEMBER, REFRESH MY BRAIN, HOW WE TALK ABOUT OUR, OKAY, SURE.
FIRST, LET ME INTRODUCE MYSELF.
I'M HERE IN LIEU OF MIKE GLING.
UM, CENTRAL HEALTH IS IN THE MIDDLE OF A SPECIALTY CALLED BOARD MEETING AT THIS MOMENT REGARDING FUNDING HEALTHCARE FOR PEOPLE WHO ARE CURRENTLY INCARCERATED.
SO VERY JERMAINE TO TODAY'S TOPIC.
UM, SO, UH, JUANITA AND I HAD A CONVERSATION BECAUSE I SEE THERE'S TWO REQUESTS FROM THE COMMISSION.
UM, ONE IS ABOUT OUR ORGANIZATIONAL STRUCTURE, PROGRAM SERVICES, AND THEN WE HAVE A SECOND REQUEST REGARDING OUR COMMUNITY HEALTH ASSESSMENT.
WE CALL THAT OUR DEMOGRAPHIC REPORT.
HOWEVER, UM, AND, AND ESPECIALLY SEEING THE WIDE AND DEEP INTERESTS OF THE COMMISSION, I THINK THAT OUR DEMOGRAPHIC REPORT WOULD FULFILL YOUR BOTH REQUESTS, UM, BECAUSE IT IS VERY COMPREHENSIVE REGARDING OUR STRUCTURE AND THE SERVICES THAT WE PROVIDE AND OUR FUNDING.
SO, UH, WANTED TO PROPOSE THAT TO THE COMMISSION THAT WE COLLAPSED THAT INTO ONE PRESENTATION.
THE ONLY THING I DON'T RECALL ON THE DEMOGRAPHIC REPORT, AND PLEASE, PLEASE CLARIFY, UM, THE, DID IT GO INTO THE DIFFERENT UNIQUENESSES OF OVERSIGHT BY COMMUNITY CARE VERSUS SENDERO VERSUS THE COLLABORATIVE VERSUS DOES NOT MAP? THAT'S, THAT'S REALLY THE, THE PIECE ON THAT ONE FOR THE ASK OF CENTRAL HEALTH, BECAUSE IT IS A COMPLICATED BEAST IF YOU HAVEN'T BEEN BRIEFED ON OR HAVE, HAVE WORKED WITH IT.
AND AGAIN, FOR ALL THE COMMISSIONERS TO HAVE AS MUCH GROUND LEVEL FOUNDATION UNDERSTANDING, UH, FROM, FROM A C-SUITE ENGAGEMENT OF WHAT THE DIFFERENT ORGANIZATIONS DO, WHAT THEY FUNCTION FOR.
SO WHEN WE'RE THINKING OF TOPICS AND HAVING CONVERSATIONS, WE'RE NOT BRINGING SOMETHING UP OR ASKING SOMETHING THAT IS NOT WITHIN Y'ALL'S MANDATE OR BELONGS TO SOMEONE ELSE VERSUS SOMEONE ELSE.
UM, WHAT LOOKS LIKE WE'RE THIRD IN THE LINEUP, RIGHT? NEXT, NEXT IS, UH, AUSTIN PUBLIC HEALTH, RIGHT?
SO IF YOU DON'T MIND, IF WE CAN REVISIT THIS CONVERSATION AT THE NEXT MEETING, AND I CAN SEE WHAT WE CAN DO ON OUR END.
AGAIN, I'M TRYING, IT SOUNDS LIKE THERE'S A LOT OF, THERE WILL BE A LOT OF FUTURE AGENDA ITEMS, SO IF WE HAVE AN OPPORTUNITY TO COLLAPSE, WE WILL.
SO I CAN SEE IF IT CAN BE TAILORED TO, TO COVER THE ENTERPRISE.
Y'ALL, THE SUBJECT MATTER EXPERTS, WE'RE JUST ASKING THE QUESTIONS TO, TO, TO BE ABLE TO ESTABLISH THAT FOUNDATION.
AND AGAIN, WHAT Y'ALL PRESENT, I'M ASSUMING WILL BE THEN HISTORICIZED AS FUTURE BOARDS ONCE WE FIGURE OUT IF IT'S TWO OR FOUR YEAR TERMS, UH, FUTURE COMMISSIONERS, ONCE WE ESTABLISH TWO OR FOUR YEAR TERMS. OKAY.
AND SINCE I HAVE THE MICROPHONE, I'M GOING TO VIOLATE MY
[01:15:01]
TAKE ADVANTAGE OF MY, MY OPPORTUNITY HERE.UM, WE ARE HAVING A COMMUNITY CONVERSATION TOMORROW AT THE ACC EASTVIEW CAMPUS WHERE WE WILL BE PRESENTING OUR EQUITY BASED STRATEGIC PLAN, BUT THEN ALSO OUR ACTION PLAN.
THERE'LL BE, YOU KNOW, A, A COMPREHENSIVE PRESENTATION, BUT ALSO A LOT OF OPPORTUNITY FOR DIALOGUE.
SO I BELIEVE MS. JACKSON HAS THE INVITATION, IF YOU CAN SHARE WITH THE COMMISSION, AND I HOPE TO SEE YOU TOMORROW.
AND THERE WILL BE BREAKFAST TACOS.
AND CONGRATULATIONS ON THE RIBBON CUTTING FOR, UH, THE PFLUGERVILLE CLINIC.
WILL THERE, WILL THAT BE RECORDED SO THAT THOSE THAT CAN'T ATTEND COULD SEE IT VIRTUALLY? YES, IT IS RECORDED.
WILL YOU, UM, MAYBE SEND THE LINK TO COMMISSION MEMBERS? ABSOLUTELY.
SO WE MUST MAKE SURE THAT WE POST THAT NOTICE.
SO IF YOU HEAR WORD OR KNOW OF SOMETHING OF THAT MAGNITUDE, IF YOU LET US KNOW IN ADVANCE, WE CAN TRY AND GET THAT POSTED THAT THERE'S AN EVENT THAT THERE MIGHT BE A QUORUM SHOWING UP FOR THAT.
AND WE WANNA MAKE SURE THAT WE STAY TRANSPARENT, UM, AND COMPLIANT WITH OUR BOARDS AND COMMISSION.
THAT'S WHAT I'M TALKING ABOUT.
SO CAN YOU CLARIFY THE PROCESS? IT SOUNDS LIKE IF I CAN YEAH, GO AHEAD.
WE WOULD SEND ANY POTENTIAL AGENDA ITEMS TO JUANITA AND DANIELA A WEEK FROM TODAY.
THEY WOULD CONFER WITH YOU AND GO AND VICE CHAIR ON WHAT WE'RE GOING TO SET THE AGENDA AS FOR THE FOLLOWING MONTH.
SO WE'LL TRY TO SET IT BEFORE WE LEAVE MM-HMM.
SO THAT, SO THE TIME THAT IS REQUIRED, BECAUSE WE'RE NOT PHYSICALLY HERE TO DO THAT.
AND THEN SAME THING WITH ANY PRESENTATIONS, JUST KNOWING THAT YOU MAY BE OUT AND ABOUT.
AND SO MAY, YOU MAY RUN INTO A GREAT IDEA OR SOMEONE WAS, YOU'RE LIKE, YOU KNOW WHAT, YES.
LET'S ADD THAT THINKING AGAIN.
HEY, IF IT'S PAST TWO WEEKS, IT AIN'T GONNA MAKE IT, AND WE'RE NOT GONNA TRY TO DO A LAST MINUTE HUSTLE AND BUSTLE ON THEIR END.
SO IT'S JUST KINDA LIKE, ALL RIGHT, WE'RE TWO WEEKS OUT, SO I'LL, I'LL, I'LL, YOU KNOW, BRING IT UP AS A POTENTIAL PRESENTATION FOR THE NEXT MEETING MAYBE.
AND SO THAT'S ONE THING I DON'T UNDERSTAND.
THE TWO WEEKS VERSUS THREE WEEKS, IF WE NEED THREE WEEKS FOR AN AGENDA ITEM, WHY DO WE ONLY NEED TWO WEEKS FOR A PRESENTATION? SO THE AGENDA ITEMS ARE NON-MAJORITY ARE GONNA BE INTERNAL.
SO IF THEY'RE PLANNING VERSUS IF YOU KNOW SOMEONE TO DO A PRESENTATION, AN EXTERNAL ORGANIZATION, THEY HAVE TO COME UP WITH THE PRESENTATION AND PRESENT IT AND, AND SUBMIT IT TO THEM IN TIME TO BE ABLE TO ADD IT TO THE, UH, TO THE PUBLISHING OF THE AGENDA TO BE ABLE TO SEND IT TO US FOR REVIEW.
SO IT IS LESS TIME THAT'S NEEDED BECAUSE IT'S NOT AS IN DEPTH AS WORKING WITH THE STAFF HERE VERSUS AN EXTERNAL ORGANIZATION THAT WANTED TO PRESENT TO US, LIKE SAY THE SOBERING CENTER OR, UH, THE ANIMAL SHELTER.
THEY SHOULD ALREADY HAVE A PRESENTATION TOGETHER.
IF THEY WANT TO COME TALK TO, TALK TO THE COMMISSIONER SCORE.
I MEAN, COME TALK TO THE PUBLIC HEALTH COMMISSION.
I KEEP SAYING COMMISSIONER, IF THEY WANT TO TALK TO US.
SO WHY DON'T WE PUT THEM BOTH ON THE SAME TIMELINE? I HAVE NO ISSUE WITH THAT.
Y'ALL, Y'ALL AGREE WITH THAT? THE CUT BACK ON THE CONFUSION.
LET'S ESTABLISH THEM, UM, IN THE MEETINGS.
CUZ WE NEED TWO MEMBERS WITHIN THE MEETING BEFORE WE LEAVE MM-HMM.
AND THEN IF, THEN IF THERE'S SOMETHING THAT COMES UP, YOU KNOW, OUTSIDE OF THE MEETING, COORDINATE THROUGH THE STAFF LIAISON, UH, TO GET THAT GOING.
SO I'M TALKING ABOUT CONSENSUS.
UH, ANY OTHER QUESTIONS ON DISCUSSION THREE BEFORE WE MOVE DISCUSSION? FOUR.
[4. Discussion and possible action to approve amendment to the bylaws and general provisions including the establishment of staggered terms.]
POSSIBLE, UH, DISCUSSION OF POSSIBLE ACTION TO APPROVE AMENDMENT TO THE BYLAWS AND GENERAL PROVISIONS, INCLUDING THE ESTABLISHMENT OF STAGGERED TERMS. UH, DEFINITELY WANNA HIT ON THE MOST CRITICAL ONE HERE, WHICH IS THE, THE TERM LENGTH.WERE WE ABLE TO IDENTIFY WHAT THE ACTUAL TERM LENGTH IS? IS IT TWO OR FOUR YEARS? ACCORDING TO CITY COUNCIL'S? UM, POSTINGS, ALL BOARDS AND COMMISSIONS ARE ESTABLISHED AT FOUR YEARS.
BUT YOUR BYLAWS ARE YOUR GOVERNING DOCUMENTS, AND BASED ON YOUR CURRENT WRITTEN BYLAWS, THERE'S TWO YEARS.
AND I WILL OPEN THE MIC FOR, UM, DIRECTOR STEWART TO ADD ADDITIONAL COMMENT IF SHE CAN.
SO WHILE THE, THE CLERK'S OFFICE DID SAY THAT THE STANDARD TERM IS FOUR YEARS, THERE'S NOTHING THAT PRECLUDES, UM, A BORDER
[01:20:01]
COMMISSION FROM HAVING A DIFFERENT TERM LIMIT.AND WHEN THE, UM, UM, THE EX OFFICIOS WERE PUTTING THE DOCUMENTATION TOGETHER, WE KIND OF REVIEWED, UH, FEEDBACK BACK FROM OTHER BOARDS AND COMMISSIONS AND LOOKED AT BEST PRACTICES, UM, FOR NONPROFIT BOARDS, WHICH I THINK THIS IS MOST CLOSELY ALIGNED.
AND THAT IS A THREE-YEAR TERM, RIGHT? USUALLY TWO, THREE YEAR TERMS. UM, WE JUST TOOK IT BACK A STEP FURTHER TO MAKE IT A TWO YEAR TERM, BECAUSE WHAT SOME OF THE OTHER COMMISSIONS NOTICED NOTED AS BEING PROBLEMATIC WAS, UH, UH, STAGNANT, THAT'S NOT THE WORD, BUT SOMETIMES THE ORGANIZATIONS BECOMES STAGNANT MM, MM-HMM.
AND SO WE WERE JUST TRYING TO FIND THAT GOOD SWEET SPOT, UM, BECAUSE WE HAD THE OPPORTUNITY TO DO SOMETHING NEW AND DIFFERENT.
BUT, YOU KNOW, DEFINITELY FEEDBACK FROM THIS BODY WILL INFORM WHATEVER DIRECTION WE MOVE FORWARD.
BUT I, I WILL NOTE THAT BEST PRACTICE IS THREE YEAR TERMS. GOT IT.
SO COMPLACENCY GOT IT, GOT IT.
SO DO I HAVE A MOTION ON THE FLOOR FOR TWO, THREE OR FOUR YEARS? IS THERE A MOTION ON THE FLOOR? I'D LIKE TO MAKE A MOTION FOR FOUR AND EXPLAIN WHY IS THE MOTION ON THE FLOOR FOR FOUR? DO I HAVE A SECOND? DO I HAVE A SECOND? MOTION FAILS.
DO I HAVE ANOTHER MOTION ON THE FLOOR? CAN I SPEAK TO THE TOPIC? MO THE MOTION DIDN'T PASS.
SO RIGHT NOW IS, WE'RE JUST TRYING TO IDENTIFY THE TERM LINK.
I DIDN'T GET A CHANCE TO SPEAK AT ALL BEFORE WE WENT PAST THE WHOLE THING.
AND WHAT I'M TRYING TO SAY IS I'D LIKE TO SPEAK TO THE IDEA OF BEFORE I DIDN'T GET A CHANCE TO MY, SORRY.
AND I, I THINK I HAVE AN OBSERVED IMPORTANT OBSERVATION WHILE FOR PEOPLE TO CONSIDER BEFORE WE GO PAST THAT.
SO ROBERTS WAS, THE ORDERS POINT OF ORDER IS THERE'S NO MO YOUR MO YOU PUT YOUR MOTION, NOBODY WANTED FOR YOU DIDN'T GET A SECOND FOR ME TO GO TO QUESTIONS, TO THE MOTION TO WHERE THEN YOU CAN PUT THE CLARITY TO IT.
BUT I, I DIDN'T SEE A POINT FOR US TO HAVE A GENERAL DISCUSSION OF THE OVERALL TOPIC, AND WE WENT RIGHT TO A MOTION.
AND IT'S HARD TO, UM, I WOULD LIKE TO SPEAK TO THE, THE PAST EXPERIENCE I'VE HAD ON COMPLEX BOARDS AND COMMISSIONS WHERE LONGER TIMEFRAMES OF THE, THE, UM, UM, THE TERMS IS A, A PROFOUNDLY IMPORTANT THING BECAUSE RAPID TURNOVER IN COMPLEX BOARDS AND COMMISSIONS MEANS THAT PEOPLE DON'T REALLY KNOW WHAT'S GOING ON UNTIL TWO OR THREE YEARS.
ONE, AT LEAST YOU'RE INTO THE SYSTEM.
AND IF YOU FILL NO, I HEAR YOU.
BUT AGAIN, IF WE'RE DOING ROBERTS ROSA ORDERS, YOU'RE NOT SUPPOSED TO HAVE A DISCUSSION UNLESS THERE'S AN ITEM TO DISCUSS THAT HAS BEEN, THAT HAS BEEN MOTION AND SECONDED TO HAVE THAT DISCUSSION.
OTHERWISE, YOU GET INTO A CONVERSATION AND THERE'S NOTHING TO ACTUALLY VOTE ON.
BUT WE WE'RE FOLLOWING ROBERTS' ORDERS.
WE'VE HAD SO POINT OF ORDER, IS THERE A MOTION ON THE FLOOR THAT THE TERM LIMIT BE TWO YEARS OR THREE YEARS OR FOUR YEARS? I WOULD LIKE TO PUT FORTH A MOR A MOTION FOR, UM, TWO YEARS WITH A MAXIMUM OF, UM, I BELIEVE IT'S THREE CONSECUTIVE AS SOME OF THE OTHER BOARDS AND COMMISSIONS DO.
SO TERM TERMS BEING ONE TERM BEING TWO YEARS, UM, AND THE MAXIMUM BEING ABLE TO SERVE THREE CONSECUTIVE TERMS, IF THAT'S, DO I HAVE A SECOND? I SECOND.
DO I HAVE QUESTIONS TO THE MOTION? YES.
AND, AND, AND, UM, I THINK THAT SIGNIFICANTLY, UM, IMPAIRS THE ABILITY FOR A COMMISSION TO BE HIGH FUNCTIONING WHEN YOU HAVE THAT, IF THERE'S TURNOVER EVERY TWO YEARS, AND I, OBVIOUSLY PEOPLE CAN RENEW AND THEY MAY STAY FOR SIX YEARS, BUT JUST SORT OF CATEGORICALLY.
UM, AND THANK YOU FOR YOUR PATIENCE AND MY NO, NO, NO, YOU KNOW, COMMENTARY HERE, BUT, UM, SO AGAIN, I'VE BEEN ON ANOTHER STATE, UM, AGENCY BOARD FOR 10 YEARS, AND WITH MULTIPLE YEARS, YOU HAVE A MUCH DEEPER UNDERSTANDING AND CAPABILITY TO INTERACT AND HAVE GOOD QUESTIONS AND KNOW WHERE THINGS ARE.
AND YOU DON'T HAVE THAT AFTER ONE YEAR NECESSARILY, OR, OR, OR THEREABOUT.
SO I THINK IT, UM, IT IS POTENTIALLY A, UM, SIGNIFICANT, UM, YOU KNOW, UM, COMPROMISE TO THE EFFECTIVENESS OF THE, OF THE COMMISSION IF WE HAVE SH YOU KNOW, UM, IF WE TEND TO HAVE SHORTER RATHER THAN LONGER TERMS. THAT'S, THAT'S THE MESSAGE.
I GUESS IT'S MORE OF A POINT OF INFORMATION ON
[01:25:01]
THIS ONE, UH, SINCE MOST OF THE OTHER COMMISSIONS, UM, ARE BASICALLY FOR THE CITY AND NOT POTENTIALLY AS COMPLEX AS WHAT THIS JOINT ONE IS WITH THE DIFFERENT PARTNERS, OR IS THAT A FALSE ASSUMPTION? BECAUSE IF THERE'S MORE THAT'S REQUIRED ONBOARDING, THEN POTENTIALLY I COULD UNDERSTAND THAT CONCERN.UM, AND IT'S JUST, JUST KIND OF THINKING, WOULD IT TAKE ALMOST THREE TO SIX MONTHS FOR SOMEONE TO GET ONBOARDED IF THIS IS MORE OF A COMPLEX COMMISSION THAN ONE OF THE OTHER TRADITIONAL COMMISSIONS? I BELIEVE THAT'S CORRECT.
I MEAN, YOU ALL SAW THE PRESENTATION TODAY.
UM, WE TOOK AN HOUR ON IT AND WE JUST BARELY COVERED THE TIP OF EACH ICEBERGS.
AND SO I THINK IT WILL BE VERY COMPLEX AND THERE'S SO MANY MOVING PARTS.
SO I THINK EITHER WAY WOULD WORK IN THAT.
IF YOU HAVE TWO YEAR TERMS WITH A MAXIMUM OF THREE YEARS, THEN YOU CAN SERVE SIX YEARS SO LONG AS YOU CONTINUE TO GET APPOINTED.
SO YOU'RE, YOU'RE FIXING THAT ISSUE WITH THE CURRENT RECOMMENDATION OF THREE TERMS. UH, SO LONG AS PEOPLE CONTINUE TO GET APPOINTED AND CONTINUE TO SERVE.
AND I THINK WHERE, WHERE THE VICE CHAIR IS BRINGING UP IS PROBABLY MORE THE PROBLEMATIC IF IT ENDS UP BEING ONE TERMS. WHAT IS THE CONSISTENCY? OR I GUESS WHAT IS THE RATIO MORE LIKE, UH, FOR THOSE THAT DO GET ON THESE COMMISSIONS, IS THERE A HIGH THEY STAY ON OR IS IT A HIGH THAT THEY ONLY STAY FOR ONE TERM? SO, SO I WANNA GO BACK TO YOUR FIRST INITIAL QUESTION REGARDING ONBOARDING.
UM, BUT AS FAR AS THE TURNOVER, SOME THINGS HAPPEN ORGANICALLY WHERE PEOPLE DECIDE TO LEAVE, BUT IF YOUR TERM EXPIRES AND YOU REAPPLY, THEN THAT'S THE OPTION TO BE REAPPOINTED.
UM, BEYOND THAT, THERE ARE, UH, I DON'T THINK THERE'S ANY OTHER HINDRANCE FOR YOU GETTING REAPPOINTED OTHER THAN EX EXPIRATION OF A TERM.
SOMEONE DECIDES TO LEAVE FOR WHATEVER REASON.
AND THEN, UM, THE, THE PROCESS WILL JUST START TO, THE APPLICATION PROCESS WILL ALWAYS BE OPEN.
SO WHEN, WHEN IT'S TIME TO FILL A VACANCY, A PERSON CAN APPLY FOR A VACANT TERM AND THAT TERM WILL EXPIRE BASED ON THEIR, WHEN THEY GET APPOINTED.
SO IT WOULD BE A ROLLING TIME TO ACTUALLY ADDRESS STAG STAGNATION OR STAGGERING TERMS. AND I THINK THE RECORD, I THINK THE PERMISSION OF ROBERT'S RULE OF ORDER AND TOMA ALLOWS FOR IDEAS TO ALSO LIVE ON, BECAUSE THESE MEETINGS ARE ALL RECORDED.
THEY'RE OPEN TO THE PUBLIC, AND WHEN COMMISSIONS AND BOARDS PICK UP CERTAIN TOPICS AND THINGS, THEY DON'T DIE BECAUSE SOMEONE HAS LEFT.
UH, THERE'S PUBLIC RECORD OF THERE BEING THERE, THERE'S AGENDAS, UM, THERE'S, YOU KNOW, THINGS THAT ARE IN PLACE TO KIND OF KEEP THINGS MOVING ON.
IT'S BEEN MY EXPERIENCE WITH THE OTHER WORDS AND COMMISSIONS AS WELL, THAT THINGS DO MOVE ON AND CONTINUE EVEN WHEN SOMEONE, UM, HAS LEFT BECAUSE THE COMMISSION ITSELF HAS DECIDED TO PICK IT UP.
IF SOMETHING DIES BECAUSE A PERSON HAS LEFT, THEN FOR ME, IT SEEMS AS THOUGH THERE'S NO CONSENSUS AMONG THE COMMISSION TO CONTINUE IT.
AND THAT IT SOUNDS MORE LIKE AN IMPASSIONED PLEA, UH, INSTEAD OF SOMETHING THAT THE ENTIRE COMMISSION IS UP FOR.
YOU WERE GONNA SAY SOMETHING, ADRIAN? YES.
UH, GOOD POINTS FROM COMMISSIONER KILLIAN.
UH, I WILL ALSO SAY THOUGH, THAT THE THING THAT WE PROBABLY NEED TO DISCUSS TODAY IS HOW WE STAGGER THE TERMS. UM, BECAUSE THAT ISN'T PROVIDED FOR IN THE BYLAWS.
THEN WHAT WE DON'T WANT IS FOR EVERYBODY TO LEAVE AT THE SAME TIME.
UM, AND SO IF THE COMMISSION IS, IS WILLING TO, MAYBE THAT COULD BE A POINT OF DISCUSSION TO FIGURE OUT THAT, THAT PIECE OF HOW YOU WOULD LIKE THE TERMS TO BE STAGGERED.
BUT, UM, I AGREE WITH WHAT THE COMMISSIONER SAID, AND ALSO FROM MY EXPERIENCE, UM, THERE ISN'T REALLY HIGH TURNOVER IN TERMS. USUALLY IF SOMEONE'S TIME COMMITMENT CHANGES AND THEY CAN'T MAKE A MEETING, THAT'S WHEN WE'LL HAVE TO, YOU KNOW, RECOMMEND THAT THEY BE, UH, REMOVED IN, REPLACED.
BUT FOLKS GENERALLY STAY THERE IST HIGH TURNOVER.
UH, WE'RE GONNA DO THE STAGGERING AFTER THIS, AFTER WE FIGURE OUT WHAT THE TERM LENGTH WAS GONNA BE.
UH, ANY OTHER REMARKS? I, I'M WONDERING FOR STAFF'S CONVENIENCE, WE WERE ALL INTERVIEWED TO BE ON THIS COMMISSION.
[01:30:01]
OUR INTERVIEW'S GONNA BE PART OF FUTURE COMMISSIONS, THE CHOOSING COMMISSIONERS.AND IF SO, WE DON'T WANT Y'ALL TO HAVE TO DO IT RANDOMLY, YOU KNOW, EVERY THREE MONTHS.
SO IF Y'ALL HAVE A PREFERRED SCHEDULE EVERY TWO, THREE YEARS, THAT MAKES IT MORE CONVENIENT FOR Y'ALL.
I THINK WE SHOULD CONSIDER THAT AS WELL.
IF YOU HAVE TO BE REAPPOINTED EVERY TWO YEARS, WE DO HAVE TO GO TO THE PROCESS OF INTERVIEW AND TAKING IT TO COMMISSIONER'S COURT FROM, FOR MY PERSPECTIVE.
SO EVER HAVING TO DO THAT EVERY TWO YEARS FOR HALF OF YOU CAN BE WHAT WOULD BE EVERY YEAR, OR IF IF IT WAS TWO YEARS, IT WOULD BE EVERY YEAR IT WERE STRIVING.
SO, UM, THAT, THAT CAN BE PRETTY BURDENSOME.
SO A LONGER TERM WOULD BE LESS BURDENSOME.
ANY FINAL REMARKS IS SIT IN ORDER.
YOU HAVE TWO TIMES TO GIVE A REMARK ON ONE, ONE AGENDA ITEM.
I SHOULD HAVE TAKEN BETTER NOTES.
UM, I DID WONDER IF WE HAVE TWO YEAR TERMS. DOES THAT MEAN EVERYBODY CYCLES OFF IN THEORY AND EVERYBODY GETS RE REVIEW, RE-INTERVIEWED EVERY, EVERY TWO YEARS? UH, I WASN'T SURE HOW YOU WOULD DO A, A ROTATING SO HALF ONE YEAR, HALF THE NEXT YEAR.
WELL, OKAY, SO HALF, SO YOU, UM, YEAH, SO SOME OF US WOULD'VE A ONE YEAR TERM RIGHT NOW, WE WOULD'VE TO MAKE THAT DETERMINATION OR YOU GET AN ADD-ON EXTRA YEAR.
WELL, I, I WAS JUST REACTING TO THE COMMENTS THAT, UM, YOU KNOW, UM, ISSUES AREN'T GONNA DIE, BUT I'M STILL SORT OF, YOU KNOW, UM, IMPLORING THE, THE COMMISSION TO CONSIDER THAT, UM, UH, TO KNOW WHAT I MEAN.
AGAIN, WE HAD A PRESENTATION FOR DAY NOW, TODAY FOR AN HOUR.
WE KNOW ABOUT 1% WHAT THERE, OF WHAT THERE IS TO KNOW ABOUT THE TECH, THE TRAVIS COUNTY HEALTH HUMAN SERVICES COMMISSION.
AND WE'LL, WE WON'T KNOW EVEN THE RIGHT QUESTIONS TO ASK ABOUT THAT UNTIL WE HAVE MANY MORE CONVERSATIONS.
WE SPEND NIGHTS ON THE, ON THE WEBSITE.
WE, WE GO, WE HAVE A COMMITTEE OR, OR A, UM, DO YOU CALL IT A WORK GROUP? AND, AND, UM, AND NOW WE'RE DEEP INTO THE WEEDS OF SOMETHING ELSE.
AND I, I JUST DON'T THINK A COMMISSION, AND I'M SAYING THE, SAYING ANYTHING OVER AGAIN, AGAIN, I GUESS, BUT I DON'T THINK A COMMISSION CAN FUNCTION WELL IF THERE'S TURNOVER.
NOW, AGAIN, OBVIOUSLY WE HAVE THIS, WHATEVER, IF, IF WE ALL STAY ON AND EVERYBODY HAS RE RENEWALS AND ALL THAT'S DIFFERENT, BUT A LONGER TERM OPTIMIZES THE FUNCTION OF A COMPLEX COMMISSION.
AND TO YOUR POINT, THE CITY COUNCIL GENERALLY HAS FOUR YEAR TERMS FOR WHAT I'M STILL AT LOSS OF WHY IT WOULD MAKE MORE SENSE FOR A MORE COMPLICATED SYSTEM TO HAVE A SHORTER TERM THAN THE COMMISSIONS THAT THE, THE CITY COUNCIL ALREADY RECOMMENDS AS BEING LONGER AT FOUR YEARS.
AND SO ANYWAY, I, I'VE SAID MY PIECE, BUT I, I JUST AM CONCERNED THAT WE'RE, WE'RE, UM, NOT THINKING ABOUT IT, UM, IN THE RIGHT WAY.
LAST COMMENT IS, SO IF THE, THE, IF THE ALTERNATIVE IS THE TWO YEAR TERMS, UM, YOU WOULD NOT HAVE TO GO THROUGH THE RE-INTERVIEWING PROCESS.
YOU WOULD SIMPLY REAPPLY, THAT APPLICATION WOULD BE SUBMITTED BACK TO THE CITY COUNCIL AND COMMISSIONER'S COURT FOR REAPPOINTING YOU.
AND THAT WOULD BE THROUGH, UM, I THINK RESOLUTION FOR THEM.
I'M NOT SURE, BUT WE WOULD, YOU WOULD JUST REAPPLY.
YOU WOULD NOT HAVE TO GO THROUGH THE INTERVIEW PROCESS AGAIN.
AND SO, SO THIS IS A JOINT COMMISSION AND IT'S FULL, YOU REPRESENT CITY COUNCIL AND TRAVIS COUNTY.
WE WOULD TAKE THAT ROSTER AND THAT RECOMMENDATION TOGETHER MM-HMM.
UM, I DON'T THINK THAT WE'VE DECIDED THAT.
AND I MEAN, THAT WAS, I THINK, UH, COMMISSIONER HAM'S QUESTION, RIGHT? WHAT WOULD BE THE PROCESS FOR REAPPLYING? AND, AND I THINK THAT THAT MIGHT BE SOMETHING YOU ALSO DISCUSSED AS WELL.
THE RE THE APPLICATION PROCESS WOULD BE THE SAME.
THEY WOULD FILL OUT THE APPLICATION ONLINE THAT WE USE BEFORE, AND IF THEY ARE REAPPOINTED, AND WE CAN, WE CAN DEFINITELY CLARIFY THAT, THAT THAT WOULD BE THE, THAT WOULD BE THE ONLY DOWN, DOWN THE ROAD.
I'M, I'M ASSUMING, IS THIS AN ASSUMPTION THAT THE APPLICATION PROCESS WOULD PROBABLY TRADITIONALLY FALL TO THE SAME AS ALMOST ALL THE OTHER COMMISSIONS ON BOTH SIDES, WHERE THE NAME, THE, THE RESUME AND THEN THEY VOTE ON IT.
I THINK BECAUSE THIS WAS BEING CREATED, IT HAD A MUCH LONGER AND MORE EXTENSIVE TO MAKE SURE IT LAUNCHED WITH THE RIGHT INDIVIDUALS IN PLACE TO SET THE FOUNDATION.
AND, AND SO BEFORE WE GO TO THE VOTE ON THIS MOTION THAT WAS SECONDED, I WOULD ALSO ASK THAT THE, UH, THE COMMISSIONERS TO KEEP IN MIND THAT THIS DECISION IS MORE FOR PERPETUITY, NOT THE, THE WORKLOAD THAT IS GONNA BE REQUIRED FOR US AS THE INITIATORS IN THE, IN THE FOUNDATION OF THIS, BUT MORE SO WHAT DO YOU THINK THE TERM LINK NEEDS TO BE ONCE THIS FOUNDATION HAS BEEN ESTABLISHED AND WE'RE INTO
[01:35:01]
AGENDA ITEMS? RIGHT.UM, AND SO WITH THAT, UM, ALL THOSE IN FAVOR OF THE TWO YEAR TERM, UP TO THREE, UH, REAPPOINTMENTS ALL IN FAVOR? RAISE YOUR HAND.
ALL THE OPPOSED, RAISE YOUR HAND.
I FORGOT TO LOOK AT THE ONES ON, ON THE
SO CAN, CAN WE DO A, A, A CALL BY, BY NAME? YOU WANNA DO A ROLL CALL? DEFINITELY.
I'LL LET YOU DO THE ROLL CALL
SO STARTING WITH, UM, CHAIR YOUR VOTE FOR THE TWO YEAR TERM WITH THREE CONSECUTIVE APPOINTMENTS WITH THE LIMIT OF TWO CONSECUTIVE THREE CONSECUTIVE APPOINTMENTS.
AND COMMISSIONER WHITLEY WHITLEY? YES.
COMMISSIONER LUAN LU PRONOUNCE YOUR NAME.
AND COMMISSIONER LUHAN, I YOU'RE MUTE.
SO THE NEXT CONVERSATION WE HAVE IS THE STAGGERING OF THE TERM LIMITS.
UM, I I, I DOUBT ANYBODY WANTS TO DO ONE YEAR.
RIGHT? UM, SO, UM, LET'S DO THIS.
I RECOMMEND THAT WE HAVE TWO YEAR AND THREE YEARS.
SO HALF OF THE COMMISSION DOES A THREE YEAR TERM, AND THE OTHER HALF DOES IT TOO.
DO I HAVE ANY CLARIFICATION? IS THAT FOR LIKE THE FIRST TERM YOU MEAN, OR? YES.
THIS FIRST TERM RIGHT NOW, UM, I'M, I'M GONNA MAKE THIS A, A FLOOR CONSENSUS IS DO I HAVE ANY OPPOSITION TO THAT? I CAN YOU REPEAT IT? HALF OF THE COMMISSION WILL DO THE TWO YEAR TERM.
SO THAT WAY NOBODY'S JUST DOING A ONE YEAR FOR THIS FIRST TERM.
AND NOT TO SPLIT HAIR, BUT THERE'S NINE OF US.
UM, WHY YOU GOTTA MISS THINGS UP.
DOES ANYBODY HAVE AN ISSUE WITH FOUR DOING SHORT THREE DOING LONG FIVE DOING FIVE DOING LONG? YEAH.
YOU KNOW WHAT I MEAN?
I, AND I SHOULD ASK JUANITA LATER.
WHY ARE WE SAYING THAT FOLKS WERE ONLY DOING A ONE YEAR TERM THIS FIRST YEAR? BECAUSE WE JUST PASSED THE TERMS JUST STARTED, WE JUST PASSED THAT THE TERMS WOULD BE TWO YEARS.
AND SO WE NOW HAVE TO GO TO A STAGGER.
CUZ RIGHT NOW EVERYBODY'S ON A TWO YEAR.
AND SO IF WE, IF WE STAGGERED, THEN THAT MEANS SOMEONE EITHER HAS TO DO ONE YEAR, SOMEBODY OR SOMEONE HAS TO DO THREE YEARS.
OH, DO I HAVE UH, ANY VOLUNTEERS THAT GO SHORT FOR TWO YEARS? I GOT ONE.
I GOT TWO ON TWO ON THE SCREEN.
THAT WAS EASY THAN GOING FOR THE TERM LENGTH.
AND WHO WAS THE OTHER TWO? COMMITTEE? POINTEX, DEXTER AND POINTEX.
I THOUGHT WE WAS GONNA HAVE TO FIRE OVER THAT ONE.
SO YOU NEED MOTION? NO, THAT THAT WAS OPEN FLOOR.
WE DON'T NEED A MOTION ON THAT ONE.
DO WE HAVE TO VOTE ON A MOTION TO, UM, CHANGE THE BYLAWS? UH, WE ALREADY DID FOR THE, FOR THE TERM TWO.
TWO, BUT I WOULD THINK THE BYLAWS WOULD WANNA ADDRESS THIS SPECIAL.
YEAH, I MEAN, I WAS THINKING OUT LOUD.
SHOULD YOU GUYS TELL ME NO ISSUE? YOU, YOU, YEAH.
SO DO I HAVE A MOTION ON THE FLOOR IN WHICH YOU CAN DO IS EASILY SAY I SAW MOTION SO YOU DON'T HAVE TO REPEAT EVERYTHING I SAY.
SO DO I HAVE A MOTION ON THE FLOOR THAT, UH, THE STAGGERING OF THE TERM LINKS WILL BE TWO YEARS FOR COMMISSIONER,
[01:40:01]
UH, K*M? MM-HMM.POINDEXTER AND KILLIAN AND COMMISSIONER.
AND THE THREE-YEAR TERM WILL BE FOR THE REMAINING COMMISSIONERS.
DO I HAVE A MOTION ON THE FLOOR? POINT OF CLARIFICATION? DAMNIT.
SO, SO THE FIRST, SO OUR, OUR TERM WOULD END WHEN? IN TWO YEARS.
THAT I DON'T THINK THAT'S TRUE.
AND I APOLOGIZE FOR SCREENING, BUT I THINK WE'RE ON A 2023, JANUARY ONE DECEMBER.
I THINK THAT THE BYLAWS SAY THAT, YOU KNOW, DEPENDING ON WHEN YOU'RE, DOESN'T MATTER WHEN YOUR, UM, UM, TERM BEGINS OR YOU'RE APPOINTED, YOU HAVE A CALENDAR YEAR THAT ENDS THE 31ST OF, OF DECEMBER.
SO I THINK 2023 WILL BE THE END OF OUR FIRST TERM AND THE END OF 2024 WOULD BE THE END OF OUR SECOND TERMS. AND I'M HAPPY FOR SOMEBODY TO CORRECT ME.
SO YEAH, I'M POINT OF CLARITY SINCE WE STARTED IN THE MIDDLE OF THE YEAR, WOULD IT ACTUALLY BE 20, 26? 20? OH, WELL YOU'RE USING LOGIC.
NO, TECHNICALLY YOU WILL BE ONE YEAR ENDING DECEMBER 31ST AS, UM, COMMISSIONER RICE POINTED 2024 WOULD BE YEAR 2, 12 31 12.
GET MY HEAD TOGETHER WITH THE YEAR.
SO, SO I REALLY DON'T LIKE THAT.
UM,
UM, DOES ANYBODY HAVE AN ISSUE DUE, AND AGAIN, A FLOOR VOTE, DOES ANYBODY HAVE AN ISSUE THAT THIS IS A GIVE YEAR? THAT THIS DOES NOT GO INTO YOUR TWO YEAR TERM SINCE WE STARTED IN THE MIDDLE OF THE YEAR? ANY HAVE ANY ISSUE WITH THAT? GOING ONCE.
SO AS WE'RE TAKING NOTES, AND I'M GONNA HAVE TO GO BACK AND LISTEN TO THIS
IF WE ARE USING THIS INAUGURAL YEAR AS THE YEAR OF FOUNDATION BUILDING MM-HMM.
WHICH MEANS YOU WOULD BE ON A THREE AND A FOUR YEAR TERM.
SO YOU WILL BE THREE YEARS, FOUR YEAR SHORT MM-HMM.
SO AT LEAST THAT WAY EVERYBODY GETS THEIR FULL TWO YEAR, THEY GET THEIR FULL THREE YEAR, ESPECIALLY WITH THE START OFF AND THE, AND THE FOUNDATIONAL BUILDING AND ALL THAT.
THAT WAY NOBODY GETS QUOTE UNQUOTE ON MIKE SCREWED.
CHRISTIAN, I'M JUST TRYING TO CLARIFY.
UM, ONLY BEING CONCERNED, WANTING TO BE SENSITIVE ABOUT THE TIME OF, OF DAY.
AFTER, UM, DOES THAT NEED TO BE IN THE BYLAWS OR, I MEAN, WE VOTED ON THAT, BUT THAT WOULD BE CONTRARY OF THE BYLAWS.
NO, WE GOTTA WE GOTTA VOTE ON THAT AND NOW THAT'LL BE UPDATED INTO THE BYLAWS.
SO DO I HAVE A ISO MOTION FOR THE STAGGERING? SO OF THE TERMS BASED UPON THE TIMEFRAMES MENTIONED THAT THE TERM WILL START JANUARY, 2024 TO 2026 FOR THE COMMISSIONERS.
SO MENTIONED IN 2024 TO 2027 FOR THE LONGER TERM COMMISSIONERS MENTIONED SOMO.
DO I HAVE A SECOND? SECOND? AND SECONDED ALL THOSE IN FAVOR? DO YOU WANNA DO A ROLL CALL? CAN WE JUST GO? NO, JUST, ALL RIGHT.
THOSE OPPOSED? Y'ALL OPPOSED? OKAY.
MOTION PASSES? NO, THERE, THERE ARE FOUR.
SO WITH THAT BEING SAID, I KNOW WE HAD A SLEW OF OTHER THINGS ON THE BYLAWS AND PROVISIONS.
UM, DID YOU HAVE A CHANCE TO SEE THOSE AND REVIEW THOSE? I SAW THE MESSAGES THAT CAME THROUGH.
THAT IS A DISCUSSION THAT THE BODY WILL NEED TO, UM, DISCUSS MM-HMM.
SO BECAUSE WE ARE AT A TIME, TIME WHERE TIME, YEP.
I WOULD, I WOULD RECOMMEND THAT WE ADD THIS TO THE AGENDA FOR ONE LAST REVIEW.
UM, WE WILL NEED TO BRING YOUR RECOMMENDATIONS TO BOTH ATTORNEYS TO MAKE SURE THAT ALL LEGAL TERMS ARE IN PLACE.
UM, SO WE'LL WORK ON THAT AS STAFF, BUT AS THE BODY, YOU WILL NEED TO REVIEW YOUR BYLAWS FOR ANY OTHER INCONSISTENCIES AND, UM, CHANGES THAT YOU WOULD LIKE TO SEE MADE.
UM, AND WE WOULD NEED THAT WITHIN A WEEK.
[FUTURE AGENDA ITEMS]
FOR, I GOT IT FOR, FOR NEXT AGENDA ITEM, UH, FOR NEXT MEETING'S AGENDA IS THE PRESENTATION THAT IS ALREADY SCHEDULED BY ONE OF THE, UH, AGENCIES.AND, UM, THE CONSOLIDATION OF ALL THE FEEDBACK FOR THE BYLAWS AND THE, UH, GENERAL PROVISIONS FOR A HOPEFUL APPROVAL.
AND WE CAN MOVE FORWARD FROM THE BYLAWS AND THEN WE CAN CONTINUE TO MOVE FORWARD WITH THE, UH, THE AGENCIES.
ANY ISSUES? ANY ISSUES? NO ISSUES.
[01:45:01]
ANY FINAL REMARKS? GOOD AT THE ORDER? NONE.I CALLED THIS MEETING ADJOURNED AT.