Loading...
Contract with Lewis County Sheriff's Office & Cascade Mental Health PERSONAL SERVICES AGREEMENT CASCADE MENTAL HEALTH CARE, 2428 Reynolds Ave, Centralia, WA(hereinafter, CONTRACTOR), and THE LEWIS COUNTY SHERIFF (hereinafter, COUNTY) agree as set forth in this Agreement, including: General Conditions, Exhibit A(Scope of Work and Payment) and Exhibit 8 (Special Conditions), copies of which are attached hereto and incorporated herein by this reference as fully as if set forth herein. The term of this Agreement shall commence as soon as legal arrangements are finalized. Unless work is completed prior to the expiration of one year, this agreement is renewable in one-year increments unless written notice of termination is provided either by the COUNTY or the CONTRACTOR ninety or more days prior to the expiration of the term. CONTRACTOR acknowledges and by signing this contract agrees the Indemnification provisions set forth in Paragraphs 5, 13, 19 and 22, are totally and fully part of this contract and have been mutually negotiated by the parties. IN WITNESS WHEREOF, the parties have executed this Agreement this3__day of______ 2014 CONTRACTOR: STEVE MA FIELD y_01 Lewis Sheriff Name: Villa,C44 Title of Signatory.- e-EY, 4 a&[4.1 Mailing Address: Kevin Hanson, Jail Administrator Cascade Mental Health Care 2428 Reynolds Ave Centralia, WA 98531 Federal Tax ID No: 910836093 1 age GENERAL CONDITIONS 1. Scope of Contractors Services: The Contractor agrees to provide to the County services and material set forth in the project narrative identified as Exhibit"A"during the agreement period. No material, labor, or facilities will be furnished by the County, unless otherwise provided for in the Agreement. 2. Accounting and Payment for Contractor Services: Payment to the Contractor for services rendered under this Agreement shall be as set forth in Exhibit"A" and"C". Where Exhibit "A" requires payments by Lewis County, payment shall be based upon billings, supported unless otherwise provided in Exhibit "A", by documentation and agreement of work performed during the time period for which the bill has been submitted.. Unless specifically stated in Exhibit"A" or approved in writing in advance by the official executing this Agreement for Lewis County, (hereinafter referred to as the"Contracting Officer") the County will not reimburse the Contractor for any costs or expenses incurred by the Contractor in the performance of this contract. Where required, the County shall, upon receipt of appropriate documentation, compensate the Contractor, no more often than monthly; through the County voucher system for the Contractor's service pursuant to the fee schedule set forth in Exhibit"A". 3. Assignment and Subcontracting: No portion of this contract may be assigned or subcontracted to any other individual, firm or entity without the express and prior written approval of the Contracting Officer, or as set forth in Exhibit"A". 4. Labor Standards and Contract Assistance: The Contractor shall comply with the provisions of the Lewis County Contract and Procurement Assistance Program as applicable, attached hereto as Special Conditions in Exhibit"B". 5. Independent Contractor: The Contractor's services shall be furnished by the Contractor as an independent Contractor and nothing herein contained shall be construed to create a relationship of employer-employee or master-servant, but all payments made hereunder and all services performed shall be made and performed pursuant to this Agreement by the Contractor as an independent Contractor. The Contractor acknowledges the entire compensation for this Agreement is specified in Exhibit "A" and the Contractor is not entitled to County benefits including, but not limited to: vacation pay, holiday pay, sick leave pay, medical, dental, or other insurance benefits, or any other rights or privileges afforded to Lewis County employees. Contractor will defend, indemnify and hold harmless the County, its officers, agents or employees from any loss or expense, including but not limited to settlements,judgments, setoffs, attorneys'fees or costs incurred by reason of claims or demands because of breach of the provisions of this paragraph. Wage 6. No Guarantee of Employment: The performance of all or part of this contract by the Contractor shall not operate to vest any employment rights whatsoever and shall not be deemed to guarantee any employment of the Contractor or any employee of the Contractor or any subcontractor or any employee of any subcontractor by the County at the present time or in the future. 7. Taxes: The Contractor understands and acknowledges the County will not withhold Federal or State income taxes. Where required by State or Federal law, the Contractor authorizes the County to make withholding for any taxes other than income taxes (i.e., Medicare). All compensation received by the Contractor will be reported to the Internal Revenue Service at the end of the calendar year in accordance with the applicable IRS regulations. It is the responsibility of the Contractor to make the necessary estimated tax payments throughout the year, if any, and the Contractor is solely liable for any tax obligation arising from the Contractor's performance of this Agreement. The Contractor hereby agrees to indemnify the County against any demand to pay taxes arising from the Contractor's failure to pay taxes on compensation earned pursuant to this Agreement. The Contractor must pay all other taxes including, but not limited to: Business and Occupation Tax, taxes based on the Contractor's gross or net income, or personal property to which the County does not hold title. The County is exempt from Federal Excise Tax. 8. Regulations and Requirement: This Agreement shall be subject to all laws, rules, and regulations of the United States of America, the State of Washington, and political subdivisions of the State of Washington, and to any other provisions set forth in Special Conditions. 9. Right to Review: This contract is subject to review by any Federal or State auditor. The County or its designee shall have the right to review and monitor the financial and service components of this program by whatever means are deemed expedient by the Contracting Officer. Such review may occur with or without notice, and may include, but is not limited to, on site inspection by County agents or employees, inspection of all records or other materials which the County deems pertinent to the Agreement and its performance, and any and all communications with or evaluations by service recipients under this Agreement. The Contractor shall preserve and maintain all financial records and records relating to the performance of work under this Agreement for 3 years after contract termination, and shall make them available for such review, within Lewis County, State of Washington, upon request. 10. Modifications: Either party may request changes in the Agreement. Any and all agreed modifications shall be in writing, signed by each of the parties. 11. Termination for Default: If the contractor defaults by failing to perform the obligations of the contract or becomes insolvent or is declared bankrupt or commits any act of bankruptcy or insolvency or make an assignment for the benefit of creditors, the County may, by depositing written notice to the Contractor in the U.S. mail, postage prepaid, terminate the contract, and at the County's option, obtain performance of the work elsewhere. If the contract is terminated for default, the Contractor shall not be entitled to receive any further payments under the contract until work called for, as may be applicable under Exhibit "A", has been fully 3IPage performed. Any extra cost or damage to the County resulting from such default(s) shall be deducted from money due or coming due to the Contractor. The Contractor shall bear any extra expenses incurred by the County in completing the work, as may be applicable under Exhibit "A", including all increased costs for completing the work, and all damage sustained, or which may be sustained by the County by reason of such default. If a notice of termination for default has been issued and it is later determined for any reason the Contractor was not in default, the rights and obligations of the parties shall be the same as if the notice of termination had been issued pursuant to the Termination for Public Convenience paragraph hereof. 12. Termination for Public Convenience: The County may terminate the contract in whole or in part whenever the County determines, in its sole discretion, such termination is in the interests of the County. Whenever the contract is terminated in accordance with this paragraph, the Contractor shall be entitled to payment for actual work performed at unit contract prices for completed items of work. An equitable adjustment in the contract price for partially completed items of work will be made, but such adjustment shall not include provision for loss of anticipated profit on deleted or uncompleted work. Termination of this contract by the County at any time during the term, whether for default or convenience, shall not constitute a breach of contract by the County. 13. Defense &Indemnity Agreement: The Contractor agrees to defend, indemnify and save harmless the County, its appointed and elective officer and employees,from and against all loss or expense, including but not limited to judgments, settlements, attorney's fees and costs by reason of any and all claims and demands upon the County, its elected or appointed officials or employees for damages because of personal or bodily injury, including death at any time resulting there from, sustained by any person or persons and an account of damage to property including loss of use thereof, whether such injury to persons or damage to property is due to the negligence of the Contractor, his/her subcontractors, its successor or assigns, or its or their agent, servants, or employees, the County, its appointed or elected officers, employees or their agents, except only such injury or damage as shall have been occasioned by the sole negligence of the County, its appointed or elected officials or employees. It is further provided no liability shall attach to the County by reason of entering into this contract, except as expressly provided herein. 14. Industrial Insurance Waiver: With respect to the performance of this Agreement and as to claims against the County, its officers, agents and employees, the Contractor waives its immunity under Title 51 of the Revised Code of Washington, the Industrial Insurance Act, for injuries to its employees and agrees the obligations to indemnify, defend and hold harmless provided in this Agreement extend to any claim brought by or on behalf of any employee of the Contractor. This waiver is mutually negotiated by the parties to this Agreement. 14a.Insurance Requirements The Contractor shall, at the Contractor's own expense, maintain, with an insurance carrier licensed to do business in the State of Washington, with minimum coverage as outlined below, commercial automobile liability insurance, and either commercial general liability insurance, or, if any services required by the contract must be performed by persons licensed by the State of Washington, professional liability insurance: 4IPage • Commercial Automobile Liability: Bodily Injury Liability and Property Damage Liability Insurance$1,000,000 each occurrence OR combined single limit coverage of $3,000,000, with not greater than a$1000.00 deductible. • Commercial General Liability: Bodily Injury Liability and Property Damage Liability Insurance $1,000,000 each occurrence OR combined single limit coverage of $3,000,000, with not greater than a $1000.00 deductible. • Professional Liability Insurance: Shall include errors and omissions insurance providing $1,000,000.00 coverage with not greater than a $3,000.00 deductible for all liability which may be incurred during the life of this contract. Lewis County shall be named as primary-noncontributory additionally insured on all required policies except professional liability insurance, and such insurance as is carried by the Contractor shall be primary over any insurance carried by Lewis County. The Contractor shall provide a certificate of insurance to be approved by the County Risk Manager prior to contract execution, which shall be attached to the contract. Lewis County shall have no obligation to report occurrences unless a claim is filed with the Lewis County Risk manager; nor shall Lewis County have an obligation to pay premiums. 15. Venue and Choice of Law: In the event litigation should arise concerning the construction or interpretation of any of the terms of this Agreement, the venue of such action of litigation shall be in the courts of the State of Washington in and for the County of Thurston. The Agreement shall be governed by the laws of the State of Washington. 16. Withholding Payment: In the event the Contractor has failed to perform any substantial obligation to be performed by the Contractor under this Agreement and said failure has not been cured within the times set forth in this Agreement, then the County may, upon written notice, withhold all monies due and payable to Contractor, without penalty, until such failure to perform is cured or otherwise adjudicated. 17. Future Non-Allocation of Funds: If sufficient funds are not appropriated or allocated for payment under this contract for any future fiscal period, the County will not be obligated to make payments for services or amounts incurred after the end of the current fiscal period. No penalty or expense shall accrue to the County in the event this provision applies. 18. Contractor Commitments,Warranties and Representations: Any written commitment received from the Contractor concerning this Agreement shall be binding upon the Contractor, unless otherwise specifically provided herein with reference to this paragraph. Failure of the Contractor to fulfill such a commitment shall render the Contractor liable for damages to the County. A commitment includes, but is not limited to any representation made prior to execution of this Agreement, whether or not incorporated elsewhere herein by reference, as to performance of services or equipment, prices or options for future acquisition to remain in effect for a fixed period, or warranties. -5-'P-age 19. Patent/Copyright Infringement: Contractor will defend and indemnify the County from any claimed action, cause or demand brought against the County, to the extent such action is based on the claim that information supplied by the Contractor infringes any patent or copyright. The Contractor will pay those costs and damages attributable to any such claims that are finally awarded against the County in any action. Such defense and payment are conditioned upon the following: • Contractor shall be notified promptly in writing by County of any notice of such claim. • Contractor shall have the right, hereunder, at its option and expense, to obtain for the County the right to continue using the information in the event such claim of infringement is made, provided no reduction in performance or loss results to the County. 20. Disputes: A. General Differences between the Contractor and the County, arising under and by virtue of the Contract Documents, shall be brought to the attention of the County at the earliest possible time in order that such matters may be settled or other appropriate action promptly taken. Except for such objections as are made of record in the manner hereinafter specified and within the time limits stated, the records, orders, rulings, instructions, and decisions of the Contracting Officer, shall be final and conclusive. B. Notice of Potential Claims The Contractor shall not be entitled to additional compensation which otherwise may be payable, or to extension of time for(1) any act or failure to act by the Contracting Officer or the County, or(2)the happening of any event or occurrence, unless the Contractor has given the County a written Notice of Potential Claim within 10 days of the commencement of the act, failure, or event giving rise to the claim, and before final payment by the County. The written Notice of Potential Claim shall set forth the reasons for which the Contractor believes additional compensation or extension of time is due, the nature of the cost involved, and insofar as possible, the amount of the potential claim. Contractor shall keep full and complete daily records of the work performed, labor and material used, and all costs and additional time claimed to be additional. C. Detailed Claim The Contractor is not entitled to claim any such additional compensation, or extension of time, unless within 30 days of the accomplishment of the portion of the work from which the claim arose, and before final payment by the County, the Contractor has given the County a detailed written statement of each element of cost or other compensation requested and of all elements of additional time required, and copies of any supporting documents evidencing the amount or the extension of time claimed to be due. 21.Ownership of Items Produced: All writings, programs, data, public records or other materials prepared by the Contractor and/or its consultants or subcontractors, in connection with the performance of this Agreement shall be the sole and absolute property of the County. The Contractor may keep duplicate records. 61 Page 22. Confidentiality: The Contractor, its employees, subcontractors, and their employees shall maintain the confidentiality of all information provided by the County or acquired by the Contractor in performance of this Agreement, except upon the prior written consent of the Lewis County Sheriff or an order entered by a court after having acquired jurisdiction over the County. Contractor shall immediately give the County notice of any judicial proceeding seeking disclosure of such information. Contractor shall indemnify and hold harmless the County, its officials, agents or employees from all loss or expense, including, but not limited to settlements, judgments, setoffs, attorneys'fees and costs resulting from Contractor's breach of this provision. 23. Notice: Except as set forth elsewhere in the Agreement, for all purposes under this Agreement, except service of process, notice shall be given by the Contractor to the Lewis County Prosecuting Attorney for whom services are rendered,to wit: Lewis County Prosecuting Attorney, 360 NW North St., Chehalis,WA 98532. Notice to the Contractor for all purposes under this Agreement shall be given to the address reflected above. Notice may be given by delivery or by depositing in the U.S. mail, first class, postage prepaid, and shall be effective upon delivery or three days after mailing, respectively. 24. Severability: If any term or condition of this contract or the application thereof to any person(s) or circumstances is held invalid, such invalidity shall not affect other terms, conditions or applications which can be given effect without the invalid term, condition or application. To this end, the terms and conditions of this contract are declared severable. 25. Waiver: Waiver of any breach or condition of this contract shall not be deemed a waiver of any prior or subsequent breach. No term or condition of this contract shall be held to be waived, modified or deleted except by an instrument, in writing, signed by the parties hereto. 26. Survival: The provisions of paragraphs 5, 7, 9, 11, 12, 13, 14, 15, 17, 18, 19, 20, 21, 22, and 25, and the provisions of any non-collusion affidavit required by paragraph 4, shall survive, notwithstanding the termination or invalidity of this Agreement for any reason. 27. Entire Agreement: This written contract represents the entire Agreement between the parties and supersedes any prior oral statements, discussions or understandings between the parties. 71 Page EXHIBIT "A" SCOPE OF WORK AND PAYMENT 1. CONTRACTOR shall provide mental health counseling services within the Lewis County Jail facilities, in the form of a "Lewis County Sheriffs Office Corrections Bureau Mental Health Counselor" (hereinafter, Counselor), as defined and designated in the attached job description. 2. The CONTRACTOR shall notify the COUNTY of the identity of the initial proposed Counselor and shall provide requested documentation tending to establish or relate to personal and professional credentials necessary to perform the services required of the position. The proposed Counselor shall be subject to a criminal history check and jail security clearance, for which a signed authorization shall be provided the COUNTY. 3. The COUNTY and CONTRACTOR shall mutually agree upon the suitability of a proposed Counselor prior to the Counselor being accepted under this contract. This contract is for an independent contractor to provide 2.5 full time equivalent staff at least .5 of which will be a mental health professional OR provide 2.0 full time equivalent staff at least 1 of which will be a mental health professional.. 4. The nature of the services called for herein are of such a nature as to require they each be provided by the Counselor, and no other person may be substituted in place of the Counselor without written consent of the COUNTY. 5. The CONTRACTOR may retain, upon written approval of the COUNTY'S contact officer, designated under GENERAL CONDITIONS, such additional persons, consultants and experts as may be necessary to provide contractor services to the County under this Agreement, and CONTRACTOR shall be reimbursed for the services of said additional personnel at rates agreed upon in writing 6. The annual maximum fees and charges in connection with this project shall not exceed $140,000.00, without prior written authorization from the COUNTY, which shall be paid to the CONTRACTOR for services provided at the direction of jail administrator or designee.. Yearly budget as follows: 91000 Salaries 34580 Benefits 2400 Lead staff salary 3500 Longevity bonuses 2250 Training 500 Travel (mileage, etc.) 500 Staff recruitment/orientation 450 Staff registrations costs 1600 Non capital equipment 600 Supplies 3000 Computers (1x/3 years) 8IPage EXHIBIT"B" SPECIAL CONDITIONS A. Definitions The COUNTY is the recipient of CONTRACTOR'S services, and at all times acts through its Board of County Commissioners. The Contact Officer of the COUNTY will be Kevin Hanson, Jail Administrator, or designee. B. Contractor Registration The CONTRACTOR agrees and covenants to furnish unto the COUNTY proper evidence the CONTRACTOR has fully complied with the State Licensing Law. CONTRACTOR shall include its contractor's license number in the space provided in the "Conditions of Proposal". C. Non-Discrimination (Lewis County Funds) The CONTRACTOR should be aware public funds are being used to assist in this project. During the performance of this contract, the CONTRACTOR agrees as follows: • 1. The CONTRACTOR will not discriminate against any employee or applicant for employment because of race, creed, color, or national origin. Such action shall include, but not be limited to, the following: employment; upgrading; demotion or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The CONTRACTOR agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided by the contracting officer setting for the provisions of this non-discrimination clause. • 2. The CONTRACTOR will, in all solicitations or advertisements for employees placed by or on behalf of the CONTRACTOR, state all qualified applicants will receive consideration for employment without regard to race, creed, color, or national origin. • 3. The CONTRACTOR will send to each labor union or representative of workers with which he has a collective bargaining agreement or other contract or understanding, notice to be provided by the agency contracting officer, advising the labor union or worker's representative of the contractor's commitments under Section 202 or Executive Order No. 11246 of September 24, 1965, and shall post copies of the notice in a conspicuous place available to employees and applicants for employment. • 4. The CONTRACTOR will comply with all provisions of Executive Order 11246 of September 24, 1965, and of the rules, regulations and relevant orders of the Secretary of Labor. • 5. The CONTRACTOR will furnish information and reports required by Executive Order No. 11246 of September 24, 1965, and by the rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his books and records for purposes of investigation to ascertain compliance with such rules, regulations and orders. 9 I P a g e • 6. In the event of the CONTRACTOR'S non-compliance with the non-discrimination clauses of this contract or with any such rules, regulations, or orders, this contract may be canceled, terminated or suspended in whole or in part and the contract may be declared ineligible for further government contracts in accordance with procedures authorized in Executive Order No. 11246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order No. 11246 of September 24, 1965, or by rule, regulation or order of the Secretary of Labor, or as otherwise provided by law. • 7. The CONTRACTOR will include the provisions of Paragraphs (1)through (7) in every sub-contract or purchase order unless exempted by rules, regulations or orders of the Secretary of Labor issued pursuant to Section 204 of Executive Order No. 11246 of September 24, 1965, so that such provisions will be binding upon each subcontract or vendor. The CONTRACTOR will take such action with respect to any sub-contract or purchase order as the contracting agency may direct as a means of enforcing such provisions, including sanctions for non-compliance: Provided, however, that in the event the CONTRACTOR becomes involved in, or is threatened with "litigation with a sub-contractor or vendor as a result of such direction by the contracting agency", the CONTRACTOR may request the United States to enter into such litigation to protect the interest of the United States. D. Original Specifications It is hereby expressly agreed by and between the parties involved in any matter, dispute, suit, or proceedings arising or in any way growing out of this contract in which it may be necessary to introduce into evidence the original of such specifications, that a printed copy thereof may be used in lieu thereof with like force and effect as though the original was produced. CONTRACTOR further agrees that said contract is terminable in case the CONTRACTOR shall violate the provisions of such act. The CONTRACTOR, and sub-contractors shall further verify: • It had not employed or retained any company or person (other than a full time bona fide employee working solely for the CONTRACTOR)to solicit or receive this contract; and • It has not paid or agreed to pay any company or person (other than a full time bona fide employee working solely for the CONTRACTOR) any fee, commission, percentage, or brokerage fee contingent upon or resulting from the award of this contract; and • It has not been asked or otherwise coerced, whether express or implied, into contributing funds, for any purpose as a condition to doing business with the COUNTY. It is further agreed that in case any dispute arises as to what are the prevailing wages for the work of a similar nature and such dispute cannot be adjusted by the parties involved, the matter shall be referred for arbitration to the Director of the Department of Labor& Industries of the State and his decision therein shall be final, binding, and conclusive on all parties. 10IPage EXHIBIT"C" CASCADE MENTAL HEALTH CARE JOB TITLE: Clinician I(Jail Counselor) DEPARTMENT: Emergency Support Services/Jail Services SUPERVISOR: Emergency Services Program Manager FLSA/TYPE: Exempt FTE Job Summary: To provide assessment and intervention to inmates exhibiting symptoms of a mental disorder to assure they are not inappropriately incarcerated,but diverted and linked to appropriate community care. Essential Job Characteristics: The employee must be able to accomplish the following tasks with or without accommodations: 1. Provide assessment and intervention as well as referral to the Jail Mental Health Professional when appropriate to ensure: A. linkage to services within the community B. decreased risk of recidivism C. reduced likelihood of psychiatric hospitalization 2. Provide written reports and testimony to courts as required. 3. Provide consultation,education, and liaison to law enforcement,health personnel,and other appropriate agencies and groups. 4. Participate in supervision, consultation,and training at the direction of the Program Manager. 5. Maintain records and reports in accordance with CMHC policies and procedures. Other Responsibilities: 1.Provides reports in accordance with agency policies and procedures. 2.Ensures that ethical and professional standards of practice are maintained. 3.Participates in other selected activities at the direction of the Emergency Services Program Manager. Job Qualifications & Requirements: I. Bachelor's Degree in Social/Behavioral Sciences required; two years experience working with individuals with severe and persistent illness preferred. 2. Washington State Counselor Registration required. 3. Must be able to pass WA State Patrol and FBI background checks. 4. Must be able to represent the Agency in a positive and professional manner. 5. Must be able to communicate clearly,both verbally and in writing. 6. Must be able to enter information into a computer network system. 7. Must comply with agency policies and procedures. 8. Must have a valid driver's license. 9. Must be able to operate a motor vehicle. 10. Must be able to gain access to all types of buildings and residences regardless of the structures' handicapped accessibility or lack thereof. 11. Must maintain current home telephone and address on file with the personnel office. 11IPage Relationships: Reports to the Emergency Services Program Manager. Hours of Work: This position will normally require that the employee work a standard, Monday through Friday forty (40)hour week. This position is classified as being"exempt"according to the Fair Labor Standards Act. Specific Duties and Responsibilities: 1. Job Function: Provide assessment and intervention as well as referral to the Jail Mental Health Professional when appropriate to ensure: A. linkage to services within the community B. decreased risk of recidivism C. reduced likelihood of psychiatric hospitalization Performance Standard: A. Provides assessment and intervention to all new inmates within 24 hours of request either by staff or inmate 95%of the time. B. Provides assessment and intervention to inmates upon request of a sergeant or medical staff within 24 hours 95%of the time. C. Provides assessment and intervention to all appropriate requests by inmates according to order received and priority. D. Screens and refers inmates exhibiting symptoms of a mental disorder to the Jail Mental Health Professional 100%of the time. 2. Job Function: Provides written reports and testimony to courts as required. Performance Standard: A. Provides 100%of required verbal/written court testimony within timeframe allotted by the courts. B. Provides 90%of all other written reports to the designated authority within the timeframe designated by that authority. 3. Job Function: Provides consultation, education,and liaison to law enforcement,health personnel,and other appropriate agencies and groups. Performance Standard: A. Meets at least quarterly with the jail administrator or designee and the JJial Mental Health Team Lead to discuss ongoing needs and concerns and consultation/training needs. B. Provides training at least annually to jail staff regarding the referral process. C. In conjunction with the Program Manager, meets at least annually with the court authorities and Prosecuting Attorney's office to discuss protocols and areas of concern. 12IPage 4. Job Function: Participates in supervision,consultation and training at the direction of the supervisor. Performance Standard: A. Meets at least weekly with the Program Manager for supervision and to discuss needs/concerns 90%of the time. B. Attends 90%of all program staffing. C. Attends 90%of monthly All Staff meetings. D. Complete all training as outlined on the Annual Training Plan within the allotted timeframes. 5. Job Function: Maintains records and reports in accordance with CMHC policies and procedures. Performance Standard: A. Completes 95%of Service Reports and Progress Notes and provides them to MIS within 72 hours of the day following completion of services. 13IPage JOB TITLE: Jail Mental Health Professional DEPARTMENT: Emergency Support/Jail Services SUPERVISOR: Emergency Services Program Manager FLSA/TYPE: Exempt/Regular Job Summary: Provide intake assessment,diversion, case management and discharge services to assure persons with a mental disorder are not inappropriately incarcerated,but diverted and linked to appropriate community care. Essential Functions: The employee must be able to accomplish the following tasks with or without accommodations: 1. Provide intake assessments and case management to pre-trial and sentenced mentally ill inmates, within 45 days prior to and following release, to ensure: A. Linkage to services within the community B. Decrease the risk of recidivism C. Reduce the likelihood of psychiatric hospitalization 2. Provide transition meeting between clients and assigned case manager to ensure continuity of services. 3. Provide written reports and testimony to the courts as required. 4. Assist inmates identified as having a mental disorder with the Health Plan finder benefits process to ensure benefits are activated upon release. 5. Provide consultation, education, and liaison to law enforcement,health personnel, and other appropriate agencies and groups. 6. Maintain records and reports in accordance with CMHC Policies and Procedures. 7. Participate in supervision, consultation and training at the direction of the supervisor. Other Responsibilities: 1. Provides reports in accordance with Agency policies and procedures. 2. Ensures that ethical and professional standards of practice are maintained. 3. Participates in other activities at the direction of the Program Manager. Job Qualifications & Requirements: 1. Master's Degree in Social/Behavioral Sciences and two years of post-graduate experience in mental health services required;experience in providing mental health service in a correctional setting preferred. 2. Washington State Counselor Registration required/License preferred. 7. Must be able to pass WA State Patrol and FBI Background checks. 3. Must be able to represent the agency in a positive and professional manner. 4. Must be able to communicate clearly, both verbally and in writing. 5. Must be able to enter information into computer network system. 6. Must comply with agency policies and procedures. 7. Must have a valid driver's license. 8. Must be able to operate a motor vehicle. 9. Must be able to gain access to all types of buildings and residences regardless of the structures handicapped accessibility or lack thereof. 141 Page 10. Must maintain current home telephone and address on file with the personnel office. Relationship: Reports to the Emergency Support Services Program Manager Hours of Work: This position will normally require that the employee work a standard,Monday through Friday forty(40)hour week. This position is classified as being"exempt"according to the Fair Labor Standards Act. Specific Duties & Responsibilities: 1. Job Function: Provide intake assessments and case management to pre-trial and sentenced mentally ill inmates, within 45 days prior to and following booking,to ensure: A. Linkage to services within the community B. Decrease the risk of recidivism C. Reduce the likelihood of psychiatric hospitalization Performance Standard: A. Contacts Prosecuting Attorney's,jail staff, law enforcement or other necessary individuals within 48 business hours of receiving a referral on an inmate pre/post booking, for 90%of all referrals. B. Meets with 90%of all referrals within 48 hours of referral to do intake assessment. C. Submits 90%or all intakes to CMHC Care manager within 48 hours of intake assessment. D. Meets with 90%of all assigned clients at least weekly to ensure compliance with recovery/diversion plan. 2. Job Function: Provide transition meeting between clients and assigned case manager to ensure continuity of services. Performance Standard: A. Meets with 90%of all assigned clients and assigned case manager to discuss transition process and complete Transfer form within 48 hours of case manager assignment. B. Review 90%of Initial Recovery/Diversion plan with case manager for all assigned clients. C. Meet with 90%of all clients and assigned case manager to assist in transition process within 5 business days of case manager assignment. 3. Job Function: Provides written reports and testimony to the courts as required. 151Page Performance Standard: A. Provides 100%of required verbal/written court testimony within timeframe allotted by the courts. B. Provides 90%of all other written reports to the designated authority within the timeframe designated by that authority. 4. Job Function: Assist inmates identified as having a mental disorder with the Health Plan fmder process to ensure benefits are activated upon release. Performance Standard: A. Assists 90% of assigned clients with completing Health Plan Finder benefits application within 10 business days after assignment. 5. Job Function: Provides consultation, education, and liaison to law enforcement, health personnel, and other appropriate agencies and groups. Performance Standard: A. Meets at least quarterly with the jail administrator or designee and Jail Mental Health Team Lead to discuss ongoing needs and concerns and consultation/training needs. B. Provides training at least annually to jail staff regarding referral process. C. In conjunction with Program Manager,meets at least annually with court authorities and Prosecuting Attorney's office to discuss protocols and areas of concern. 6. Job Function: Maintains records and reports in accordance with CMHC Policies and Procedures. Performance Standard: A. Completes 95%of Service Reports and Progress Notes and provides them to MIS by noon the next business day. B. Completes 90%of the following forms within the allotted timeframe: i. Intake assessment ii. Initial Recovery/Diversion Plan iii. Entry documents iv. Transfer of Primary Clinician C. Completes 95%all quarterly reports by the specified due date. 7. Job Function: Participates in supervision, consultation and training at the direction of the supervisor. 16IPage Performance Standard: A. Meet at least weekly with the Program Manager for supervision and to discuss needs/concerns 90%of the time. B. Attend 90%of all program staff meetings. C. Attend 90%of monthly All Staff meetings. D. Complete all trainings as outlined on the Annual Training Plan within the allotted time frames. Jail Mental Health Case Aide The Jail Mental Health Case Aide will work collaboratively as a part of Cascade's Jail Mental Health Team.This position will focus primarily on assisting clients/inmates as they transition from custody,back into our community.This work will require strong interpersonal skills and the ability to work comfortably in a variety of settings,including the Lewis CountyJail,area courtrooms,office settings, and independently in the community. Duties to include: Meeting one on one with clients inside the Lewis County Jail. Coordinate appointments for clients with other providers and community resources. Communicate effectively with other Jail Mental Health team members and Sheriff's Department staff. Provide collaborative information and testimony as necessary to area courts, prosecuting attorneys and defense attorneys. Requirements: Pass a criminal background check High School Diploma/GED Valid Driver's License DOH Agency Affiliated Counselor Credential or ability to gain one within 30 days of hire - ------ 17 ! Page • • • • • • • • • • • • . • • • • • • . 18`� Pa`ge • Lewis County Sheriffs Office Request for Proposal Jail Mental Health Services The mission for every member of the Lewis County Jail is to support the feeling of community safety and security in Lewis County by consistently contributing toward a secure custody environment in a professional, ethical, and competent manner. Increasingly meeting this mission requires our facility respond to inmates living with mental illness. Each year the impact of this population grows, as does the complex custody issues which arise as a result. In order to effectively address this population, we enlist the services of mental health professionals who can help us identify, engage, and manage these inmates. This report explains how our mental health programming has arrived where it is today, and provides a plan to more effectively address this population, and in doing so, better meet our mission. Mental Health Services in the Jail For as long as any of our administration can remember, we have received an annual budget of $34,000, derived from millage dollars, to provide mental health services inside the jail. This money has provided for one part-time employee which we have contracted through a variety of providers. In April of last year, we began contracting with Cascade Mental Health to provide these services in the form of one 28-hour per week position titled Jail Liaison. The second mental health position in our facility, the Criminal Justice Transition Specialist, is the most recent iteration of funding allocated by House Bill 1290 (2005). This legislation provides funding to community mental health agencies to provide Medicaid re-enrollment services. Using these funds, Cascade first hired a part-time employee in 2005; however, this position was never able to make the impact on Medicaid re-enrollment, or our jail population, as intended due to the very restrictive processes mandated by the Department of Social and Health Services (DSHS). In 2012, Cascade Mental Health approached the Timberlands RSN and requested they allow these funds to be spent less restrictively. The RSN approved of some changes and allowed the funds to be spent on mental health services beyond Medicaid enrollment inside the facility. Using this money, Cascade hired a Criminal Justice Transition Specialist, who has now been working in our facility full-time for two years. In late 2013, we were advised by Cascade the funding for this Criminal Justice Transition Specialist position had been restricted by the legislature and future funding was in jeopardy. While the RSN has reported they can likely continue to fund this 1290 position through June of 2015, there is no guarantee of funding beyond that time. This is very concerning to our facility as we depend on these professional contract staff to ensure we are able to address our mentally ill inmates. Late last year, Cascade agreed to also provide six hours of service by their Engagement Specialist. This position has been working in our facility one day a week, providing services to inmates who have been or are hoping to enroll in services with Cascade. Our current jail mental health programming consists of 1.75 FTE's, with six additional hours per week of engagement services. While this level of staffing is higher than we have seen in years past, there seems to be no end to the number of inmates entering our facility showing signs of acute mental illness, requesting to meet with a counselor, and needing help getting connected with resources in our community upon release. Statement of Need and Gaps in Service While we knew the mental health needs of our inmate population continued to outpace our capacity to address them, we were unsure how to best highlight this issue. In the beginning of this year, we asked Cascade's jail mental health staff to closely track their work in an attempt to document how our current programming was working, and how we might improve going forward. We also supported our mental health staff's efforts in conducting a mental health survey in conjunction with the Lewis County Public's Health "Point in Time" homeless count. While we always thought these studies would support our belief the jail population was in need of increased mental health services, the findings were more dramatic than we ever expected. Attached is a copy of that report. Highlights include: • Almost half the inmates had unmet mental health needs, despite our existing mental health program. • Almost half the inmates had unmet chemical dependency needs. • More than two-thirds of the inmates surveyed were homeless. • Almost two-thirds of the inmates surveyed lacked health insurance and would be Medicaid eligible upon release. • There is a 2-3 week wait for an inmate to speak to a counselor for non-emergent mental health needs. • For ongoing mental health treatment, inmates with non-emergent mental health needs wait approximately 4-6 weeks between visits. Our jail has always been difficult to serve time in, and it's my intention to keep it that way. However, improving our ability to address mental illness and other related problems such as homelessness and chemical dependency better enables us to have an impact on community safety and better meet our mission. I believe these goals are in line with the Tax Advisory Boards' mission statement, which is why I am requesting an additional $100,000 from the .1 Sales Tax to establish sufficient mental health programming in our facility and meet the gaps in service highlighted above, and detailed in the attached report. Proposed Program Approach This money, along with our millage funds, would provide us with a yearly total of$134,000. This would enable us to contract for a minimum of two full-time mental health staff. These positions would ensure our facility had adequate staffing to improve our screening processes, decrease wait times for mental health visits, and make appropriate referrals for chemical dependency treatment. In doing this, we would be substantially growing our program from 1.75 FTEs to three FTEs (including position funded by RSN). At least one of the positions would be for a Mental Health Professional (Masters Degree in counseling or related field + 2 years experience). This would enable the positions to function with a more independent nature as the MHP staff could conduct evaluations to determine the presence of a mental health disorder, while coordinating the other workers to ensure inmate contacts and coordination efforts were adequately addressed. This funding would also have a dramatic impact on the work of our Criminal Justice Transition Specialist. As of today, this position spends an average of 30-hours of each week addressing requests for services from our inmates and ensuring our most critical mental health cases are sufficiently staffed. The addition of two mental health staff would free this position to develop the type of transition programming we would all like to see; including increased collaboration with the courts, an improved screening process for inmates entering jail, and a streamlined Medicaid enrollment strategy. This funding will: • Ensure we have adequate mental health staffing, regardless of RSN funding. • Increase our ability to enroll inmates into mental health treatment upon release. • Improve our ability to identify and address high utilizing citizens. • Increase our ability to coordinate with Lewis County Shelter. • Increase our ability to coordinate with area Veterans' benefits specialists. • Increase our ability to partner with local courts. • Increase our ability to work with Prosecuting Attorneys and "follow-up" on Judgment and Sentences requiring mental health follow up. • Protect the County from potential liability by ensuring mentally ill inmates are receiving timely and effective services. (The average length of stay in the Lewis County Jail is nine days. Often, non-emergent requests for mental health services are not being provided due to the minimal mental health staffing). • Assist in alleviating the burden placed on Corrections Officers who deal with severely mentally ill inmates. This will assist in maintaining a safe atmosphere for both the inmates and the Corrections Officers. Staff and Organizational Experience The positions will be staffed by clinicians working for Cascade Mental Health under the supervision of the Crisis Services Manager, Sarah Hockett, LMHC. JP Anderson, MSW, will act as team lead and on-site supervisor. Hiring for the new positions will be conducted by Cascade Mental Health, with consultation and confirmation by the Lewis County Sheriff's Office. Evaluation Using the same information gathering processes used for the attached report (Cascade's Chrystal reports and annual inmate census data), we will evaluate new programming annually on its ability to: 1. Provide direct visits to inmates. 2. Respond in a timely manner to inmate requests for mental health counseling. 3. Respond in a timely manner to officer referrals. Inmate visits and direct service information will be gathered each month by Cascade staff and delivered to Captain Jim Pea. Average inmate wait times will be calculated by Cascade staff and delivered when requested by Jail administration. Qualitative data will also be gathered from Corrections Sergeants and Corrections Officers on a regular basis. We intend to use the results of these evaluations to improve our approach to addressing this population. This ongoing self-evaluation will continue to take place during our quarterly management and administrative team meetings. As always, we believe these objectives can best be accomplished using a collaborative and outcome-oriented approach. Thank you for considering this additional financial support of our mental health programming. I believe this request satisfies the intent of the .1 %tax money and I'm confident this funding will make an impact in our facility and our community. Respectfully, Kevin Hanson, Corrections Chief Lewis County Sheriff's Office Budget for Services Contracted through Cascade Mental Health Spending Category Cost(per year) Salary/FTE $42,000 (Master's level clinician) Benefits $14,700 _m Overhead (supervision, materials, etc.) $5,000 Miscellaneous (travel,training,group/counseling materials, etc.) $5,000 I Spending Category Cost (per year) Salary/Part-time $21,312 Benefits $7,326 . m_.. Overhead (supervision, materials, etc.) $2,331 i Miscellaneous(travel,training,group/counseling materials,etc.) $2,331 TOTAL: $100,000 Jail Mental Health Services: Inmate Census Results Renee Strode, M.A.T., A.A.C. Cascade Mental Health Care Prepared for The Lewis County Jail Administration February 14, 2014 Jail Mental Health Services: Inmate Census Results A jail-wide inmate census was conducted by Cascade Mental Health employees JP Anderson and Renee Strode on January 21, 2014, with the support of the Lewis County Jail administration and staff. This point-in-time survey assessed unmet inmate needs in the areas of mental health, chemical dependency, health insurance, and housing. Inmates identified as homeless completed additional documentation which was provided to the Department of Public Health as a part of project Homeless Connect 2014. This report discusses the results of the census,the status of the current mental health program in the jail, and program recommendations. Jail Census On the day of the census, 260 inmates were housed in the jail. Five inmates declined to participate in the survey and seven survey results were discarded due to interviewer error, resulting in inclusion of data in this report for 248 participants. A graphic representation of the survey results is shown in Figure 1. The largest unmet need identified by inmates was housing, with 69%of all inmates reporting homelessness and 68%of inmates residing in Lewis County reporting homelessness (Fig.2). 63%of all inmates and 66%of inmates residing in Lewis County were without medical insurance prior to incarceration and met the maximum income requirements for Medicaid enrollment. 45%of all inmates and 49%of inmates residing in Lewis County reported unmet mental health needs (Fig. 3),and 40%of all inmates and 42%of inmates residing in Lewis County reported unmet chemical dependency treatment needs(Fig.4). These results indicate significant gaps in services in all areas of measure: 1) Almost half of inmates surveyed had unmet mental health needs despite an existing mental health program, described further in this report. 2) Almost half of inmates surveyed had unmet chemical dependency needs. Currently there are no chemical dependency services accessible from jail, and there is no designated program to address this need. 3) More than two-thirds of inmates surveyed were homeless. There is no designated program to address this need. 4) Almost two-thirds of inmates surveyed lacked health insurance upon entry and would be Medicaid-eligible upon release. There is no designated program to address this need. Due to the unique motivational state of offenders in the jail environment,these service gaps likely represent a significant loss in opportunity to reduce recidivism. The National Institute of Corrections (2007) identifies offender motivation to change as the result of internal factors (i.e. offender sees personal benefits) highlighted by external pressure (e.g. legal and financial consequences, possible loss of job or relationship). Studies of motivation and change have found that the best outcomes for change occur when both internal and external pressure are elevated (Prochaska & Levesque, 2002, Ryan & Deci, 2000, Ryan, Plant, &O'Malley, 1995). Jail incarceration increases both of these pressures on an offender, creating a window of higher motivation to change. Motivation is also susceptible to influence and can be effectively raised through trained intervention efforts (NIC, 2007). Thus interaction with professionals in the jail setting is more likely to be successful in promoting change and reducing recidivism. Jail Mental Health Program Mental health staff at the Lewis County Jail are employees of Cascade Mental Health Care (CMHC). Service requests are triaged by mental health staff according to emergent need and referral source. Priority is given to inmates identified by corrections officers to be in an immediate mental health crisis. Inmates also interact with mental health staff directly through the electronic kiosk system, allowing counselors to gather information for the triage process and provide ongoing therapeutic contact with inmates. Inmates who identify nonemergent mental health needs are placed on a waiting list to speak with a counselor. Because of the need to prioritize crisis response in the jail environment and the overall volume of requests for mental health services, there is an approximate wait to speak with a counselor of 2-3 weeks for an inmate who has identified a nonemergent mental health need. Due to the dynamic nature of the jail population, inmates placed on the waiting list for a mental health visit may be released or transferred to another facility prior to being seen. For ongoing mental health treatment, inmates with nonemergent mental health needs typically experience waits of approximately 4-6 weeks between counselor visits. At the direction of the jail administration, CMHC staff will soon expand program data collection by recording the triage level and the response time for all mental health interactions. Jail mental health workers require expertise beyond the fields of counseling and psychology. The abilities to navigate within the jail, effectively prioritize and respond to mental health needs, and work cooperatively with the law and justice system and other community partners stem from a niche area of knowledge. These skills can only be acquired within the context of the jail itself and typically require several months to develop. A historic challenge of the jail mental health program has been a high degree of turnover in personnel (often around 12 months), resulting in a loss of institutional knowledge which may or may not be rediscovered by replacement staff. An additional consideration is that more than half of the jail's existing mental health program operates at the discretion of the Timberland Regional Support Network (TRSN),whose funding guidelines are subject to change. There are currently three mental health staff members in the jail; the duties of each are described below. Staff members have worked to refine program processes, placing an increased emphasis on a global approach to meeting the mental health needs of the jail population. Shared responsibility rather than discrete division of duties allows for more consistent coverage regardless of individual staff member absences.This cooperative approach may result in the performance of duties which vary from an individual's formal job description.The descriptions below are attempts to reflect actual staff member activity. Jail Transition Coordinator,40 hours per week(funded by TRSN) Crisis intervention, mental health screening and assessment, brief therapy, point-of-contact with courts and prosecuting attorneys for in-custody inmates, liaison with outside agencies and community members for in-custody inmates,facilitate involvement of inmates with mental health services upon release, program development. Monthly Averages of Jail Transition Coordinator Activity(past six months): • 66 direct services (including inmate visits and coordination contacts) • average direct service length is 1.36 hours • 20 distinct inmate visits Jail Liaison, 28 hours per week Crisis intervention, mental health screening and assessment, brief therapy, liaison with courts, outside agencies, and community members for in-custody inmates, program development. Monthly Averages of Jail Liaison Activity(past six months): • 53 inmate visits • 40 distinct inmate visits • 246 inmate kiosk requests responses • 101 officer referrals • 37 referrals from other sources Engagement Specialist, 6 hours per week beginning Feb 2014 (funded by TRSN) Crisis intervention, facilitate involvement of inmates with mental health services upon release. In addition to the above staff, CMHC also provides 24-hr on-call response by Designated Mental Health Professionals who conduct Involuntary Treatment Act(ITA) investigations and provide after-hours crisis support. Recommendations Possible strategies to address the gaps identified by the census in housing and social service resources and chemical dependency services as well to enhance the effectiveness of the existing mental health program are as follows: ➢ Increase information-gathering activity by mental health staff to explore what processes are in place in other county detention centers to address these service needs. > Create sustainable staffing solutions by solidifying program funding sources and exploring retention strategies for mental health staff members. > Address chemical dependency and mental health service needs simultaneously through the creation of a specialist/globalist position (i.e. CDP/crisis interventionist)working in cooperation with other mental health staff members. > Increase partnership with the High Utilizers Case Manager from the Lewis County Shelter to respond inmate housing and social service needs. > Support training opportunities for mental health staff to increase their effectiveness in working with the incarcerated population. References National Institute of Corrections. (2007). Motivating offenders to change (N IC Accession Number 022253). Washington, D.C.: U.S. Government Printing Office. Prochaska,1.0., and Levesque, D.A. (2002). Enhancing motivation of offenders at each stage of change and phase of therapy. In M. McMurran (ed.),Motivating Offenders To Change:A Guide to Enhancing Engagement in Therapy, 57-73. West Sussex, England:John Wiley and Sons. Ryan, R.M. and Deci, E.L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. The American Psychologist, 55(1), 68-78. Ryan, R.M., Plant, R.W., and O'Malley, S. (1995). Initial motivations for alcohol treatment: Relations with patient characteristics,treatment involvement, and dropout.Addictive Behaviors, 20(3), 279- 297. Point-in-time Survey of Inmate Needs Lewis County Jail 01/21/14 248 Total Respondents 180 160 Ln 140 E 120 • 100 o • 80 a Inmates Identifying as WA E 60 Residents Z 40 Inmates Identifying as Lewis 20 County Residents Homeless Unmet Unmet Uninsured Mental Chemical with Income Health Needs Dependency <$18K Treatment Needs Fig.1 Inmate-Identified Inmate-Identified Housing Needs Mental Health Services Needs ■Needs ■Housed Met/No Need ■Homeless ■Unmet Need Fig.2 Fig.3 Inmate-Identified Chemical Dependency Needs ■Needs Met/No Needs ■Unmet Need Fig. Executive Summary BOCC Meeting Date: 2015-02-09 Contact: Kevin Hanson Department: Sheriff Wording A Resolution to approve a service contract between Cascade Mental Health Care and the Lewis County Sheriff's Office. Description The goal of the Mental Health tax dollars is to reduce recidivism by addressing high-utilizers of the local Criminal Justice and Health systems. Over the last 10 years, the Lewis County Jail experienced a significant increase in mentally ill and alcohol/chemically dependent inmates. Resources were inadequate to manage this population. In July 2014, we proposed to the Sales Tax Advisory Board (STAB) an additional $100,000 annually to contract with Cascade Mental Health Care to provide an additional 1.25 full-time Mental Health workers to facilitate new programs directed at reducing recidivism and enhancing transition services to inmates being released from jail. These new programs will provide funding for a 1.25 full-time employee (FTE) Jail Mental Health Case Aide. This position will assist inmates released from jail to comply with court orders for treatment, housing, and mental health care. This position will also provide collaboration, testimony, and information between the Prosecutor, Courts, and Jail. Recommendation Approve resolution for revised contract between Cascade Mental Health and the Lewis County Sheriffs Office with funding from Fund 110. Other BOCC AGENDA ITEM SUMMARY Resolution #: 1c—o4 BOCC Meeting Date: Feb 09, 2015 Suggested Wording for Agenda Item: Agenda Type: Consent A Resolution to approve a service contract between Cascade Mental Health Care and the Lewis County Sheriffs Office. Brief Reason for BOCC Action: Approve a revised service contract between Cascade Mental Health Care and the Lewis County Sheriffs Office. This contract provides new Mental Health programs to care for inmates in the Lewis County Jail. This program will be funded from the .1%sales tax dollars (Fund 110) designated for individuals with chemical dependency,alcohol,and mental 1t pitted By: Hanson, Kevin Phone: 360-740-2617 Date Submitted: Jan 22, 2015 Contact Person Who Will Attend BOCC Meeting: Kevin Hanson Action Needed: Approve Resolution Publication Requirements: Hearing Date: Publications: Publication Dates: Approvals: User Group Status Guenther, Sherri Pending Cover Letter To Lewis County Sheriff Sheriffs Office,Corrections Chief Kevin Hanson; Cascade Mental Health Care,Richard Stride Additional Copies Steve Walton,Budget Administrator Suzette Smith, Senior Financial Analyst Carolyn Price,Mental Health Liaison