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MH Commission Packet May 28, 2015

Office: 2640 Martin Luther King, Jr. Way, Berkeley, CA 94704 • [email protected] (510) 981-7721 • (510) 981-5265 FAX

Health, Housing & Community Services Mental Health Commission

To: Mental Health Commissioners From: Carol Patterson, Commission Secretary Date: May 13, 2015

Documents Pertaining to 5/28/15 Agenda items: Agenda Item

Description Page

2.A.

May 28, 2015 Agenda

1

2.C.

April 23, 2015 Minutes

4

2.D.

Commission Comfort Agreement

7

3.

Draft Recommendations to Council from Homeless Task Force

8

4.

Recommendations for Reappointment - Current Membership Grid

12

5.

Election of Officers, pp. 23-5 Commissioners’ Manual

13

6.

Report from Berkeley Safe Neighborhoods

16

7.

Addressing concerns about problematic behaviors on the street

• City Council Item 19, March 17, 2015 22

• Alternate Item 19, March 17, 2015 24

8.

By-Laws Subcommittee Report –

• Proposed changes to enabling resolution 27

• Berkeley City Council Resolution 65,945 (Enabling Resolution) 28

13.

Information pertaining to California Association of Local Mental Health Boards/Commissions (CALMH Board) submitted by Commissioner Posey

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MH Commission Packet May 28, 2015

Office: 2640 Martin Luther King, Jr. Way, Berkeley, CA 94704 • [email protected] (510) 981-7721 • (510) 981-5265 FAX

Other Documents:

Document

Page

By-Laws Subcommittee Agenda

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A Vibrant and Healthy Berkeley for All

Office: 2640 Martin Luther King, Jr Way • Berkeley, CA 94704 • (510) 981-7721

(510) 981-5255 FAX • [email protected]

Health, Housing & Community Services Department Mental Health Commission

Berkeley/Albany Mental Health Commission

Regular Meeting Thursday, May 28, 2015

Time: 7:00 p.m. – 9:00 p.m. North Berkeley Senior Center

1901 Hearst Ave., Workshop B

AGENDA

All Agenda Items are for Discussion and Possible Action

Public Comment Policy: Members of the public may speak on any items on the Agenda and items not on the Agenda during the initial Public Comment period. Members of the public may also comment on any item listed on the agenda as the item is taken up. Members of the public may not speak more than once on any given item. The Chair may limit public comment to 3 minutes or less.

7:00 pm 1. Roll Call

2. PRELIMINARY MATTERS A. Agenda Approval B. Public Comment on items not on the agenda C. Approval of the April 23, 2015 Minutes D. Staff Announcements/Updates

3. Presentation on Recommendations to Council by Homeless Task Force 4. Action Item: Further consideration of recommendations for

reappointment to Mental Health Commission: A. Interview instructions from Secretary B. Shelby Heda for Berkeley Special Public Interest seat C. Paul Kealoha-Blake for Berkeley General Public Interest seat D. Carole Marasovic for Berkeley General Public Interest seat 5. Action Item: Election of Chair

6. Discussion and Possible Action Item: Response to Report from Berkeley Safe Neighborhoods

7. Discussion and Possible Action regarding proposing increased mobile crisis and increased certified CIT officers to address concerns about

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2640 Martin Luther King, Jr Way • Berkeley, CA 94704 • (510) 981-7721 • (510) 981-5255 FAX

[email protected]

problem behaviors with the homeless population and recommending Mental Health First Aid training

8. Possible Action Item: By-Laws Subcommittee Report 9. Discussion and Possible Action item: The recent Train-the-Trainer Workshop in Long Beach

10. Report from Mental Health Division – Steve Grolnic-McClurg (20 minutes)

11. Liaison Reports A. MHSA Advisory Committee B. City Council (Jesse) C. BMH Safety Committee 12. Possible Action Item: Recommendations to City Council on improving services to persons in mental health crisis

A. Identify recommendations to be included in report

13. Discussion and Possible Action Item: The Role of the California Association of Local Mental Health Boards and Commissions (CALMHB/C) and the Berkeley/Albany Mental Health Commission: expectations and future relationship

14. Agenda Items for June meeting

15. Announcements 9:00 pm 16. Adjournment Communications to Berkeley boards, commissions or committees are public record and will become part of the City’s electronic records, which are accessible through the City’s website. Please note: e-mail addresses, names, addresses, and other contact information are not required, but if included in any communication to a City board, commission or committee, will become part of the public record. If you do not want your e-mail address or any other contact information to be made public, you may deliver communications via U.S. Postal Service or in person to the secretary of the relevant board, commission or committee. If you do not want your contact information included in the public record, please do not include that information in your communication. Please contact the secretary to the relevant board, commission or committee for further information. The Health, Housing and Community Services Department does not take a position as to the content.

Contact person: Carol Patterson, Mental Health Commission Secretary at 981-7721 or [email protected].

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[email protected]

Communication Access Information: This meeting is being held in a wheelchair accessible location. To request a disability-related accommodation(s) to participate in the meeting, including auxiliary aids or services, please contact the Disability Services specialist at 981-6342 (V) or 981-6345 (TDD) at least three business days before the meeting date. Please refrain from wearing scented products to this meeting. Attendees at trainings are reminded that other attendees may be sensitive to various scents, whether natural or manufactured, in products and materials. Please help the City respect these needs. Thank you. SB 343 Disclaimer Any writings or documents provided to a majority of the Commission regarding any item on this agenda will be made available for public inspection in the SB 343 Communications Binder located at the Adult Clinic at 2640 Martin Luther King, Jr. Way, Berkeley.

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3282 Adeline St. Berkeley, CA 94704 Tel: 510.981-7721 Fax: 510.981-5255 TDD: 510.981-6903

Department of Health Services Mental Health Commission

Berkeley/Albany Mental Health Commission Unadopted Minutes

North Berkeley Senior Center Regular Meeting 1901 Hearst Ave. April 23, 2015 at 7:00 pm Classrooms A & B Members of the Public Present: Zachary Bowin, Christopher Court, Jaclyn Grant, Ann Hawkins, Jonah Markowitz, Andrew Phelps, Amanda Rodriguez, Michelle Thomas Staff Present: Steven Grolnic-McClurg, Karen Klatt, Carol Patterson, 1. Call to Order at 7:09 pm

Commissioners Present: Jennifer Fazio, Shelby Heda, Judy Kerr, Carole Marasovic, Jean Marie Hervé Michel, Jr, Shirley Posey. Commissioners Absent: Jesse Arreguin, Jeffrey Davis, Bart Grossman, Cameron Silverberg.

2. Preliminary Matters A. Approval of April 23, 2015 Agenda

M/S/C (Kerr, Heda) Move to approve the April 23, 2015 Agenda as written. Ayes: Fazio, Heda, Kerr, Marasovic, Michel, Posey, Noes: None; Abstentions: None; Absent: Arreguin, Davis, Grossman, Silverberg.

B. Public Comment One member of the public commented on new legislation that would impact AB 1421 implementation (AB 59, AB 1193, AB 1194.)

C. Approval of the March 26, 2015 minutes M/S/C (Kerr, Michel) Move to approve the March 26, 2015 minutes as written. Ayes: Fazio, Heda, Kerr, Marasovic, Michel, Posey; Noes: None; Abstentions: None; Absent: Arreguin, Davis, Grossman, Silverberg.

D. Staff Updates 1. The 3rd Mental Health First Aid class has been completed with 50 graduates.

(Note: This is erroneous, the 4th MHFA training has been completed bringing the total graduates to 68.)

2. The Commission office moved to 2640 Martin Luther King, Jr Way effective April 1, 2015.

3. MHSA 3 Year Update and Public Hearing Karen Klatt presented the plan for spending MHSA funds in the future. She fielded questions from the Commission and from 3 members of the public. One member of

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Mental Health Commission – April 23, 2015

the public gave a comment about tracking outcomes. One Commissioner commented on the need for prevention services at Albany High School. M/S/C (Heda, Michel) The Mental Health Commission recommends approval of the MHSA 3- Year Plan recommendations for use of MHSA funds. Ayes: Fazio, Heda, Kerr, Marasovic, Michel, Posey; Noes: None; Abstentions: None; Absent: Arreguin, Davis, Grossman, Silverberg.

4. Recommendation for Reappointment to Mental Health Commission A. The Secretary reviewed the selection criteria with Commissioners B. M/S/W (Michel, Heda) Move to recommend reappointment of Paul Kealoha-Blake. Interview of Paul Kealoha-Blake was deferred until he can be present. C. Commissioner Heda was interviewed for reappointment. M/S/F (Michel, Kerr) Move to recommend reappointment of Shelby Heda. Ayes: Fazio, Heda, Kerr, Marasovic, Michel; Noes: Posey; Abstentions:

None; Absent: Arreguin, Davis, Grossman, Silverberg. D. M/S/W (Kerr, Michel) Move to defer the interview of Carole Marasovic. The interview of Commissioner Marasovic will be deferred to the next meeting

when there are more Commissioners present. M/S/C (Heda, Fazio) Move to extend the meeting until 9:15 pm. Ayes: Fazio, Heda, Kerr, Marasovic, Michel, Posey; Noes: None, Abstentions: None;

Absent: Arreguin, Davis, Grossman, Silverman. 5. Election of Chair M/S/C (Heda, Michel) Move to postpone the election of the chair. Ayes: Fazio, Heda, Kerr, Marasovic, Michel, Posey; Noes: None; Abstentions:

None; Absent: Arreguin, Davis, Grossman, Silverberg. 6. Discussion and Possible Action Item: Suicide statistics collection and reporting M/S/C (Heda, Fazio) Move to invite Captain Harris to a future meeting within 2 months. Ayes: Fazio, Heda, Kerr, Marasovic, Michel, Posey; Noes: None; Abstentions:

None; Absent: Arreguin, Davis, Grossman, Silverberg. 7. Action Item: Approval of Commission By-Laws – Tabled due to lack of time. 8. Discussion and Possible Action regarding proposing increased mobile crisis and

increased certified CIT officers to address concerns about problem behaviors with the homeless population and recommending Mental Health First Aid training. – Tabled due to lack of time.

9. May is MH Month Planning – Tabled due to lack of time.

10. Report from Mental Health Division – Tabled due to lack of time. 11. Liaison Reports – Tabled due to lack of time.

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Mental Health Commission – April 23, 2015

12. Possible Action Item: Recommendations to City Council on Improving Services to person in mental health crisis – Tabled due to lack of time. 13. Agenda items for May meeting – Tabled due to lack of time. 14. Announcements – Tabled due to lack of time. 15. Adjournment at 9:17 pm. Secretary’s Note: Commissioner Kealoha-Blake’s term expired prior to this meeting so his vote is not valid for the purpose of the passage or defeat of a motion. Minutes submitted by: ____________________________________ Carol Patterson, Commission Secretary

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As approved by the Berkeley/Albany Mental Health Commission, 9/27/12

Corrected 10/25/12

• Do not use language derogatory to others, or yell or

scream

• Be attentive when others are speaking

• Be respectful when others are speaking

• Please do not talk over anyone

• Hold a goal to allow people to feel heard (this is a

value the group holds vs. a behavior)


COMFORT AGREEMENT

“Rules to make it comfortable to work together”

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DRAFT 4-29-15

Priority Recommendations [Approved by Consensus] by Task Force

A. Keep YEAH Shelter Open year round

Provide additional funding for the YEAH Transition Age Youth Shelter so it can operate on a year-round

basis. In addition, the City Council should provide additional housing subsidies for TAY youth he on

Berkeley streets.

B. Fully Fund Suitcase Clinic

Fully fund the Suitcase Clinic as requested in their application for community agency funding

C. Public Restrooms

Establish a plan to expand the number of public restrooms available in Berkeley’s commercial districts

and public spaces. Study approaches other cities have employed, including self-cleaning restrooms similar

to those in San Francisco and incentives to business owners to allow public access to restrooms. In

addition, consider encouraging the inclusion of public restrooms in new high-rise developments as a

“significant community benefit” or funding for constructing public restrooms in the Downtown area.

Request that BART re-open its restrooms in its Berkeley stations. Establish a policy of integrating in new

city government buildings public restrooms and allocate necessary funding to construct additional public

restrooms in parks and in commercial districts. Expand the hours of current public restrooms in Berkeley.

Explore requiring as part of a vacancy tax, or through agreements with owners of vacant commercial

spaces, to allow public use of restrooms in vacant spaces.

D. Storage Space for Homeless

Establish additional storage space, including refrigerated lockers, in existing service sites or in public

facilities, for homeless people to store their belongings.

E. Warming Centers

Establish additional Warming/ Rain-Day Respite Centers during the winter months, in addition to the

storm shelters funded by the City, to provide spaces for people to get off the streets and into a safe and

comfortable environment, with particular emphasis on the Telegraph and Downtown areas. Warming

Centers could either be an enclosed physical space or pop-up canopy tents so that people can get out of

the rain and other natural elements. Explore working with service providers, including Night on the

Streets Catholic Worker, to establish Warming Centers at existing service sites, and partnering with the

faith-based community to provide space for Warming Centers at churches. Look into integrating

Warming Centers in either the Telegraph-Channing Parking Garage or the new Center Street Garage, or

in parks and other public facilities, such as senior centers and public libraries.

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F. Rehabilitation/Renting Vacant Homes/Multi-Family Buildings for Homeless

Housing

Develop an inventory of vacant single-family homes and multi-family properties, and engage in

discussions with property owners regarding acquiring those properties, as well as single room occupancy

hotels, to be rehabilitated for transitional and permanent supportive housing for the homeless. Explore the

city leasing existing multi-family properties to provide housing for the homeless.

G. Short-Term Shelter/Navigation Center

Explore establishing a short-term shelter such as the Navigation Center which recently opened in San

Francisco, which would provide short-term housing for individuals who have had difficulty accessing or

staying in shelters because of possessions, pets or prior negative experiences. A Navigation Center would

provide short-term housing (a week or more) for people to stabilize, rest, and engage in intensive case

management to connect people to housing and services. A Navigation Center would allow groups of

individuals to remain living together as a community, rather than be separated by limited access to shelter

beds.

H. Alternative Housing Options

Explore alternative housing options that are more affordable to provide short-term or long-term housing

to get people off the street such as tiny houses, Accessory Dwelling Units, boats or sleeping in vehicles.

Look at amending City laws prohibiting individuals to sleep in vehicles overnight, and to lessen penalties

for citations for sleeping in vehicles. In addition, explore designating public spaces where homeless

people can park their vehicles and sleep in their vehicles overnight.

Additional Recommendations for Council Consideration

a. Expand the city’s Homeless Outreach Team (HOT) from the current staffing level of one FTE from

the Mental Health Division. Allocate additional General Fund revenues and explore other funding

(Federal, State, County, grants) to increase FTE on the Homeless Outreach Team, either in the form

of additional full-time staff, or hourly staff. Also explore partnerships with UC Berkeley School of

Social Welfare or Psychology Department to establish internships for coursework to add additional

outreach staff. Consider specialized HOT teams for Telegraph Avenue and to provide additional

outreach to the Transition Age Youth (TAY) population.

b. Provide additional General Fund revenues, or additional County or MHSA resources to expand

staffing for the city’s Mobile Crisis Unit to increase hours and days of coverage. (A recent

Berkeleyside article stated that mental health calls make up the largest number of calls for Police

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services. Limited numbers of Mobile Crisis staff puts an increased burden on Police to interact,

deescalate and direct individuals suffering from a mental health crisis to appropriate treatment1.)

c. Allocate additional resources to fund increased Crisis Intervention Training classes to expand the

number of CIT trained officers on patrol. Explore requiring CIT trained patrol officers to dress in

plainclothes rather than in uniform. (CIT Coordinator Jeff Shannon recently told the Mental Health

Commission that the limited number of classes has prevented the Police Department from increasing

the number of CIT trained officers on patrol)

d. Direct the City Manager and Chief of Police to provide expanded training on interacting with

homeless persons and how to direct individuals to housing and services, including coordination with

service providers.

e. Implement the Homeless Commission’s September 16, 2014 recommendation to provide $100,000

in annual rental subsidies for transition age youth who are chronically homeless.

f. Increase funding for the city’s emergency rental assistance program, to increase the number of

Berkeley residents served and to prevent eviction and homelessness.

g. Expand direct, case specific outreach services to homeless TAY youth, either through expanding the

HOT team or through contracting with a non-profit organization.

h. Increase funding to employ more case workers to maximize federal housing dollars coming to

Berkeley and to expand the number of Shelter Plus Care eligible individuals.

i. Amend the city’s Housing Trust Fund Guidelines to add among the existing established priorities

funding for permanent supportive housing and housing for Transition Age Youth. In addition, when

establishing priorities for each Housing Trust Fund Request for Proposals, the city should also give

preference to projects that provide transitional or permanent supportive housing for the chronic

homeless, with particular emphasis on the Transition Age Youth population.

j. Increase General Fund allocations to existing homeless service providers to reverse years of funding

cuts.

k. Establish a policy of ensuring 24-hour access to shelters and increasing access to services that offer

alternatives to living on streets and in other public spaces. Ensure better access to services through

outreach, program design and through available resources to address the basic needs of homeless

persons, and to transition individuals from living on streets and in public spaces. Affirm the right of

everyone, homeless or not to, to have access and use sidewalks and public spaces.

1 http://www.berkeleyside.com/2015/04/16/mental-health-calls-are-1-drain-on-berkeley-police-resources/

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Possible Funding Sources for Recommendations:

a. Establish a vacancy tax on vacant ground floor commercial space

b. Adopt an increase in the business license tax on rental property with funds dedicated to the

Housing Trust Fund and homeless services.

c. Allocate as part of the biennial budget process revenue from Downtown tax assessments towards

homeless services

d. Expand the hours of enforcement for parking meters in the Downtown and Telegraph areas to 8

pm on Monday through Saturday.

e. Include as part of the requirement for “significant community benefits” that developers provide

funding for homeless services.

The Task Force supports the following proposals for FY 2016-2017 Budget

Funding:

a. Youth Spirit Artworks/YEAH Housing Subsidies proposal

b. Youth Spirit Artworks TAY Youth Drop In Center/Daytime Job Training Program

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Mental Health Commission Membership Grid

Berkeley Special Interest

Name Applicant

Consumer 1 1) Jean-Marie Hervé Michel, Jr

2 2) Jeffrey Davis 3 (open) Family 1 3) Shirley Posey 2 4) Jennifer Fazio 3 (open) Shelby Heda

Albany Special Interest Consumer OR Family 1 5) Judy Kerr Berkeley General Interest

1 6) Carole Marasovic Carole Marasovic

2 7) Cameron Silverberg 3

(open) Paul Kealoha-Blake

4 (open) Albany General Interest

1 8) Bart Grossman Berkeley Mayor Appointee

1 9) Jesse Arreguin Commission Openings 5/13/15 Berkeley Special Interest: 2 Albany Special Interest: 0 Berkeley General Interest: 2 Albany General Interest: 0 Total Openings: 4

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April 23, 2015 TO: Mayor Bates and Members of the City Council FROM: Berkeley Safe Neighborhoods Committee (BSNC) SUBJECT: Crime and Mental Health Issues Dear Mayor Bates and Council Members: On April 13, 2015, BSNC held a meeting on crime and mental health issues in the Downtown. While some of us had, or know people who have had difficult encounters with mentally ill individuals in the Downtown, this meeting was triggered by a recent incident in which a person was assaulted in the Downtown BART Station during normal weekday morning commute hours by a person who gave every indication of being seriously mentally ill. At the request of BSNC, Officer J. Shannon, the Berkeley Police Department liaison with mental health services gave us a presentation at our meeting. To put it mildly, we were astounded by how this problem has grown, both in extent and complexity. We have attached a summary of some of the data that he presented. BSNC wishes to start by fully acknowledging the excellent work that the City of Berkeley in its Police Department and Mental Health Services has done in addressing this problem. That work is far more than what other communities have done and that is greatly appreciated. However, at the same time, we also acknowledge that the mental health system in Alameda County, and in the State and Nation for that matter, is broken. Much more work needs to be undertaken to provide for the well-being and safety of our residents and visitors to our City, for the mentally ill individuals themselves and their families, for the police officers and service providers who confront these problems every day, and for the economic life in our neighborhoods and commercial districts, particularly in the Downtown and Telegraph Avenue areas that you are seeking to revitalize. We were disturbed to learn the following:

• there is an increasing trend, up 54% over the last five years of aggravated assault in the Downtown.

• there is a 43% increase in calls dispatched to respond to 5150s (mentally ill individuals) over the last five to six years along University Avenue, Shattuck and in the South Campus area.

• that close to one-half of all calls to the Berkeley Police Department involve mental health issues.

• dealing with mental health issues is the number one drain on our responders - police, fire, clinicians.

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We know that statistically, mentally ill individuals are not prone to violence. As usual in such statistics, there is an exception. That exception in this instance is for mentally ill individuals who don't take their medications and shun treatment. In October 2014, the report on the AB1421 (Laura's Law) Planning Process from the Alameda County Behavioral Health Care Services cited an analysis of 87 patients who had been hospitalized for psychiatric problems at least four or more times, a subgroup defined as "seriously mentally ill" individuals. It is not surprising that Oakland was the city of residency for the largest percentage (35%) of those individuals. Berkeley residents, however, were second with fourteen percent (14%). This number is small, but very meaningful, when coupled with the information that most individuals entering the County's mental health system are turned away immediately, or they are jailed, or briefly held to return to the community they came from because there simply is no place to accommodate them, and when they return they have little or no support or follow-up systems that ensure they receive the care and treatment they so desperately need. The lack of capacity in our mental health system is the fundamental issue. This lack starts with prevention mechanisms to help people from getting to the place where hospitalization is necessary, and continues through providing hospitalization and after care in the community. Picking up people in mental health crisis, and releasing them back into the community without necessary care places all of us in harm's way. The Berkeley Mobile Crisis Team is an excellent service providing four clinicians (mental health professionals) plus a trainee, but they are not available 24 hours, seven days a week. The Crisis Intervention Training (CIT) Program, a very intense program of training provided for our police officers in dealing with mentally ill individuals, is also an excellent program. Twenty-one percent of our officers have completed the training and the Department is working to increase that number. The potential for harm and the lack of resources has prompted BSNC to write this report urging you to take action on seven recommendations at this critical time right before your budget deliberations. Our recommendations are as follows:

1. Hold a Special Meeting to hear directly from Chief Meehan, the new person in charge of operations, Officer Shannon, a representative of patrol officers, the Mobile Crisis Team and Berkeley Mental Health Services on the scope and details regarding this problem and the impact on police resources and

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mental health programs. The purpose of this meeting is to inform the public as to what is needed and to explore how the City might begin to allocate additional budgetary resources in the most effective way to address this problem.

2. Include in the above meeting, ways and means to increase CIT efforts to full capacity and the Mobile Crisis Team to the goal of 24 hours, 365 days a year. Also, consider extending special training to Dispatchers in the Communications Center.

3. Form a special work group to address the implementation of a multi-agency data-sharing system that would include individuals who have committed a violent crime against themselves or others, or who are identified as highly likely to commit such a crime and/or who are frequently in need of psychiatric hospitalization. i.e., a subgroup of those who are defined as "seriously mentally ill" (SMI).

Such a system would be shared between all segments of the system serving SMI individuals from the Mobile Crisis Team and law enforcement through treatment and after care. The purpose of this data-sharing system is to better inform those making initial and subsequent contacts with the SMI individual with the aim of providing better case management and defusing potentially dangerous incidents to better protect both the individual, the community and responders. The Alameda County Behavioral Health Care Work Group recognized the need for increased data sharing capacity. In their October 2014 Report they state: The workgroup recognizes the overlap of people with recurrent psychiatric

emergency room visits and hospitalizations and the criminal justice system,

and recommends working to increase capacity to share data between

Behavioral Health Services, the network of providers and the Sheriff for

client care and systems level evaluation. Recognizing legal impediments to

data-sharing must be addressed, this may include a centralized database,

data warehouse, or other mechanism to share data.

There is little doubt that such a system has a number of issues that must be carefully handled, in particular the legal issues regarding confidentiality of data concerning an individual's health. That is not to say that such a system cannot or should not be implemented. It has been said that Los Angeles

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County reduced hospitalizations and jail time by focusing on the subset of the population that is defined as "seriously mentally ill" - those who are violent offenders and those hospitalized frequently. A carefully crafted system is doable, so we urge action to begin the process of setting one up through the appointment of a special work group.

4. Engage in discussion with the Governor, Covered California and other appropriate agencies regarding increasing the number of psychiatric beds covered by Medicare and Medicaid. 5. Engage is discussion with other communities in Alameda County regarding making a regional response to mental health issues. One community cannot do this alone, it must be an united response. The murder of a Berkeley resident a few years ago by a SMI individual who was a city of Oakland resident is an example of why this must be a regional approach, not only in terms of responses and services, but in costs as well. Additionally, there must be a serious commitment on the County's part to the implementation of Laura's Law and cooperation between the cities of Alameda County with each other and with the County. To implement AB 1421 (the provision of assisted outpatient care) there must be a vote of the County Board of Supervisors. 6. Consider the formation of a mental health crisis "hot line" coupled with a "buddy" system in which volunteers will work with individuals who have not yet become seriously mentally ill with the goal of preventing the individual from escalating into a situation which would require hospitalization or precipitate acts of violence. Having a person to talk to at a critical time in a person's life could help prevent many problems and be a less expensive alternative than the escalation into a SMI pattern. Explore whether existing health service agencies might be willing to take on such a program, what funding might be possible and what training would be necessary. 7. Refer to the budget process the addition of police patrol positions. As more and more patrol officers are engaged in response to SMI individuals, patrol officers from residential areas are depleted. It frequently takes multiple patrol officers to respond to incidents involving the mentally ill, and additional time is needed when taking such individuals repeatedly to County

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facilities for evaluation and possible hospitalization. This requires the remaining officers to undertake coverage of larger areas. BSNC agrees with the following and ends by quoting the conclusion expressed in the Alameda Council AB 1421 Planning Process report as follows:

.... participants shared a common view that in order to meet the needs of this

target population and others served by the public mental health system in

Alameda County, energy should be invested in strengthening the linkages

across programs and services, as well as increasing coordination across

systems, to include the criminal justice system. At the conclusion of the

process, most participants expressed the hope that the recommended

programs would create more “warm handoffs” to those exiting

hospitalization and to those in treatment. Participants also expressed a

belief that the planning process, and the opportunity to work closely with

peers with different perspectives and opinions, would strengthen future

planning and advocacy efforts.

This work and these relationships can be leveraged as BHCS* undertakes

an expanded planning process to address its crisis system in the coming

months, using the strengths and gaps identified through this process as a

starting point towards enhanced integration across services and providers.

*Note: Reference is to Alameda County Behavioral Health Care Services

BSNC does not believe that our recommendations constitute a solution to these problems. Our recommendations should be viewed as the beginning of the conversation to arrive at a solution. We thank you for your attention to this letter and look forward to your positive response to our report. Sincerely, Shirley Dean, President Berkeley Safe Neighborhoods Committee

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ATTACHMENT:

Key points from Officer Shannon’s presentation at the April 13th

Berkeley Safe

Neighborhoods meeting.

• We believe Alameda County has one of the highest overall numbers of

5150’s in the state.

• From 2009-14 the city of Berkeley saw a 43% increase in the number of

5150’s.

• The number of 5150 calls in the downtown area has gone up every year

over the last five years (54% overall).

• We estimate half of all police contacts in the downtown area are with

persons with mental health challenges.

• From the perspective of BPD, the number one challenge is building more

capacity into the mental health system.

• John George Psychiatric Pavilion is the county’s only locked in patient

psychiatric hospital for uninsured patients.

- They have 69 beds.

- They receive approximately 45-60 intakes per day.

- They have three psychiatrists on duty.

- We believe the average evaluation by a psychiatrist at the hospital

is 10- 15 minutes.

- The hospital admits approximately 25% of all the patients sent

there on 5150 holds.

• 21% of patrol personnel at BPD have had crisis intervention training.

• Calls involving persons with mental health challenges is the number one

drain on BPD patrol resources.

• Our vision is to, as a community, begin the work of shifting the primary

onus of managing those with mental health challenges away from the

police.

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� � W C H C � I ? I � C A K E N C I V � ? � C G G C ^ I C @ E J @ N I � � @ G J I J ? @ v � N C E D ? K I � G � C B I C � � ? K � GA C D ? @ E T J @ I C � F ? @ I � G WQ � � w x � P � � =� ? @ E J I J ? @ G J @ ? K � � ? F F C � � J � B � � C � G � V � � I J � K B � � B D I � C � ? T @ I ? T @ � @ E ? @ � C B C N � � V �� X C @ K C � � C d K J � C ? K � � I I C @ I J ? @ W y z g q h i q { s i q r r j o n o k p | q f j p l } r i ~ g q r q { s i q r r q � j n o ~ iC ^ J G I J @ N B � T G � � @ E J @ � H C T @ C T ? � E J @ � @ � C G � T J B B N ? � B ? @ N T � D I ? C G I � A B J G � J @ N � B � � J I D H ? �B � T C @ H ? � � C F C @ I � @ E C @ G K � J @ N I � � I I � C C @ I J � C V K A B J � � � G � � � C G G I ? I � C V K A B J � G I � C C I G � @ EV B � ] � G K @ J F V C E C E W � K � V � � R G � � C � X � J B � A B C E K � J @ N I � C E � D H ? � � @ D ? @ C T � ? @ C C E G� C G V J I C � @ E � � C K G C E H ? � I � � I V K � V ? G C H � C d K C @ I B D W� � � I J G V � ? V ? G C E � A ? X C T J B B � � C � I C � ? @ G J G I C @ � D J @ I � C C @ H ? � � C F C @ I ? H � K � � C @ I? � E J @ � @ � C G W � � C G C ? � E J @ � @ � C G � � X C ? H I C @ A C C @ � C H C � � C E I ? � G A C J @ N � E C d K � I C J @N ? X C � @ J @ N G I � C C I A C � � X J ? � � A K I I � C D @ C C E I ? A C � B � � J H J C E � � @ E @ C T ? � E J @ � @ � C G� ? @ G J E C � C E W � � C V � ? V ? G C E ? � E J @ � @ � C G T ? K B E V � ? I C � I I � C V K A B J � J @ H � � G I � K � I K � C � C @ � A B CF � J @ I C @ � @ � C � C @ G K � C G I � C C I � B C � @ B J @ C G G � C @ � A B C H K B B V K A B J � � � � C G G I ? � B B H � � J B J I J C G � � @ EV � C G C � X C ? K � B � @ E G � � V C E � � C � G � I ? @ � F C � H C T W � � J G � C � ? F F C @ E � I J ? @ � B G ? � C d K C G I G I � � IT C � N � J @ � E E � C G G I � C @ C C E H ? � V K A B J � � C G I � ? ? F G I � � I � � C � X � J B � A B C � a [ � � @ E � � C T C B B vV K A B J � J ] C E W � G � V K A B J � C @ I J I D Q � � G � ? K B E A C V � � I ? H I � C G C E J G � K G G J ? @ G WL � � � � � � � � � � U � � � � � � � � O =O � ? K B E J F V � ? X C F � J @ I C @ � @ � C C H H J � J C @ � D � V � C X C @ I E � F � N C � @ E I � C @ C C E H ? �� C V B � � C F C @ I G � � @ E J @ � � C � G C V � I � ? @ � N C ? H ? K � � ? F F C � � J � B � � C � G \ G I � H H I J F C � ? G I G \ � ? G I GJ @ X ? B X C E J @ � C G I � ? ? F H � � J B J I J C G � ? K B E A C G J N @ J H J � � @ I \ A K E N C I � C H C � � � B H ? � C ^ I C @ E J @ N G � C B I C �� ? K � G Y K @ R @ ? T @ � I I � J G T � J I J @ N Z W� � � � � � � =� ? K @ � J B F C F A C � � J @ E � � � J ? � � J G I � J � I � � � � � v e c � v � � � �

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Proposed changes to the enabling motion (65,945-N.S.) Section 1 – Add. This Mental Health Commission shall advise the Berkeley/Albany Mental Health District and shall have two members representing the City of Albany. Section 4 (3). Representative of the City of Albany shall be selected in a manner parallel to the selection of members representing Berkeley. The City of Albany shall publicize the availability of any vacant Albany seat on the Commission. Albany shall direct qualified candidates to make application to the Commission. Applicants will be reviewed by the Commission which will recommend appointment or non-appointment to the Albany City Council. The Albany City Council will make final appointments to the Commission. As Albany members of the Commission represent that City, Albany members should report to and advise the Albany City Council and relevant Albany City staff, Commissions and Committees on actions of the Mental Health Commission. From Commissioner Grossman 5/13/15

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Office: 2640 Martin Luther King, Jr Way • Berkeley, CA 94704 • (510) 981-7721

(510) 981-5255 FAX • [email protected]

Health, Housing & Community Services Department Mental Health Commission


By-Laws Subcommittee

Agenda

May 11, 2015 at 7:30 pm

North Berkeley Senior Center

1. Introductions 2. Public Comment

3. Assign Note taker

4. Old Business

A. Amending the Enabling Resolution No. 65,945-N.S B. Reviewing Draft By-Laws C.

5. Date and Time of Next meeting 6. Follow Up Tasks

Communications to Berkeley boards, commissions or committees are public record and will become part of the City’s electronic records, which are accessible through the City’s website. Please note: e-mail addresses, names, addresses, and other contact information are not required, but if included in any communication to a City board, commission or committee, will become part of the public record. If you do not want your e-mail address or any other contact information to be made public, you may deliver communications via U.S. Postal Service or in person to the secretary of the relevant board, commission or committee. If you do not want your contact information included in the public record, please do not include that information in your communication. Please contact the secretary to the relevant board, commission or committee for further information. The Health, Housing and Community Services Department does not take a position as to the content.

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[email protected]

Contact person: Carol Patterson, Mental Health Commission Secretary at 981-7721 or [email protected].

Communication Access Information: This meeting is being held in a wheelchair accessible location. To request a disability-related accommodation(s) to participate in the meeting, including auxiliary aids or services, please contact the Disability Services specialist at 981-6342 (V) or 981-6345 (TDD) at least three business days before the meeting date. Please refrain from wearing scented products to this meeting. Attendees at trainings are reminded that other attendees may be sensitive to various scents, whether natural or manufactured, in products and materials. Please help the City respect these needs. Thank you. SB 343 Disclaimer Any writings or documents provided to a majority of the Commission regarding any item on this agenda will be made available for public inspection in the SB 343 Communications Binder located at the Adult Clinic at 2640 Martin Luther King, Jr. Way, Berkeley.

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