>> To,
>> everyone and welcome to the December 1220 23 Board of
County Commission meeting here in Seminole County we hear ball
hereby call this meeting to order.
If you'd please silence all electronic devices cell phones.
Any other thing that may disrupt the meeting we
sincerely appreciate it
want to take a moment and on behalf of the county Commission
wish each and every one of you a merry Christmas and a happy
holiday season. And that we hopefully that everybody will
reflect upon this holiday season why we're so thankful
and why we're able to assemble here and thank those veterans
that that made that possible for sure that as we ask.
Pastor Jim Lynch of East Coast, Billy rich first to lead us an
indication place please stand warning everyone morning
morning.
Forgive me I'm using my phone this morning feel like a
millennial let's bow our heads this morning father we come
before you this day to pray for our County government.
>> We pray that these leaders and their families would be
strengthened by you and that you would give them wisdom and
strategy to make the best decisions for the people
families schools and businesses of Seminole County.
I prayed for unity among them supporting each other for good
and bad times supporting each other when they may not agree
and standing together one that people try to divide them
as we end this year and look to 2024. I pray that you would
give them a special blessing this morning to withstand and
overcome any challenge that might come their way
at a time where people are divided give them a boldness to
stand up for what is right. Making the right decisions they
can for this County.
At a time where people want to tear down given the strength to
look to you to help build them up Lord.
We believe that there's nothing impossible for those who
believe and I pray that great things will come from this
group of people that they would build a legacy and be
remembered not for their mistakes. But for their wisdom.
Their resolve their boldness and hard work and what they're
about to do.
And Lord during this Christmas season. We pray that you would
bless us with peace that passes all understanding.
Joy that is beyond material possessions love that knows no
boundaries and strength that only comes from you and we pray
all of these things in Jesus name. A man.
Commissioner Lockhart with the latest in the pledge of
allegiance please join me in the last.
>> I states of America and to the Republic for which it
stands one nation under God indivisible with liberty and
justice for all.
>> Thank you pastor. Thank you commissioner, Lockhart
first up is our wards and presentation.
First presentation will be the veteran a month read by
commissioner Constantine
thank you Mister chairman and
it's an honor to do this today.
It is always an honor for all of us to do this with the
veteran of the month.
In this particular case. I've known Richard Lee for a
long long time and he has been
and exemplary citizen of this community.
And of the world and I would move
the proclamation of Seminole County Board of County
commissioners recognizing United States Navy lieutenant
Richard Lee for his outstanding service to the United States
and Seminole County.
Yes, the brave men and women of our army Navy Marines Air Force
Coast Guard and space force
demonstrate resolve spirit resolute spirit and unmatched
selfishness reminding us there are few things more American
than giving of ourselves to make a difference in the lives
of others.
And whereas throughout our country's history. Generations
of service members have answered the call to leave
their families their jobs and put their futures and even
their lives on the line to valiantly defend our nation.
Whereas for many service members. The sacrifices ended
in permanent injury or death.
Yet their spirit remains in the continue preservation of our
freedoms and the promise of Liberty.
And whereas there are more than 30,000 living veterans in
Seminole County who served our nation in times of peace and
war through their service they kept America strong.
Whereas lieutenant Richard Lee served in United States Navy
from July 1965 until 1970 with service in Vietnam from 1967 to
1968.
He received numerous awards, including the Navy achievement
medal.
The Navy unit citation
and the veteran the Vietnam service medal.
Whereas lieutenant Richard Lee serves served as a Jag lawyer
and adviser for enlisted non-judicial punishment.
He was assigned to 15 cases and was designated as a military
judge. The 5 summary court marshals in Pensacola Florida
and whereas lieutenant Richard Lee separated from the Navy in
1970 and moved out to mount Springs.
And later to Casselberry
he worked as a partner with trickle in Lee for 27 years
since 2002 he has worked with Maynard nexton formally sworn
Hadley as an adviser specializing in wills and
trusts
achieve at active in the in the community. He has served as a
member of the Seminole County bar, legal Aid Society from
1983 to 1989.
He is currently an elder in the covenant Presbyterian Church of
Oviedo and plans to continue to volunteer work with the
Seminole County bar our after his retirement
and whereas lieutenant Richard Lee has brought great credit
and distinction upon himself. The United States of America,
the United States Navy and Seminole County.
Now therefore be it proclaimed that we the Board of County
commissioners of Seminole County Florida express our
gratitude and admiration and respect for rep for the tenant
Richard Lee for his outstanding service to United States Navy
and the residents of Seminole County be it further proclaimed
that this proclamation is presented to lieutenant Richard
Lee along with the sincere congratulations and recognition
as Seminole County's veteran of the month second.
The motion by Constance second by commissioner
any discussion
all in favor. Aye oppose like sign Kerry knows unanimous
congratulations. Thank you.
Mission to join us on the floor for
photograph and presentation of proclamations are.
The clouds.
And the Sunday after
>> chairman zembar commissioners I thank you for
this honor.
I came to Seminole County and 19 70 units in my home every
sense of him.
I love this so this area I grew up in Nebraska.
My wife and I meant. She came and joined me on our door
and why one it known.
And she told me the better not get station anywhere outside of
Florida because she is in
learned to love Florida. She could really guns and
butter issues and so here we are and it's been my pleasure
to serve the Seminole County bar.
I also serve Russa
commissioner Constantine on the Florida hospital.
Foundation board for was so
that again thank you it's a great honor appreciate it.
Thank you Sir, thank you very much appreciate it.
>> Our next presentation of the people of Florida Association
of counties with ginger de la call.
>> Good morning. Good morning. Mister chairman thank you so
much, I M ginger de La Salle the executive director of the
Florida Association of counties and I have brought with me my
partner in crime credit. Moss teller she is out our
director of external affairs and that particular department
handles all of our conferences and events and all of our
private marketplace partnerships on behalf of all
of the counties of Florida. I'm super quickly. The Florida
Association of counties is a voluntary not-for-profit
corporation we are are headquartered in Tallahassee
Florida and the capital County of Leon. Our headquarters is
actually right downtown 2 blocks from the state Capitol
why am I mentioning that because it is also your home
and so anytime you happen to be in Leon County whether it be
for business going on in the capital if you're meeting with
agencies if you're just meeting with other officials from
around the state of Florida please call me please, let me
know you are in town we have conference room space available
for you we have a small hospitality suite during the
legislative session where you can host your meetings do your
own work get a cup of coffee get a freshly baked cookies,
etcetera so please let us know when you happen to be in town.
Our mission is to serve the counties in the state of
Florida and we are incredibly privileged for the last several
years to have all 67 counties of the state of Florida to be
members of the organization that doesn't seem perhaps
important on its service, however, if you all know other
counties course not Seminole that you all are different from
each other and so having an organization where every county
in the state of Florida volunteer early chooses to
participate with our organization on an annual
basis. So it's an every year decision it's quite an
accomplishment on behalf of the organization. That success is
actually come about because of the leadership of you all and
there are several of you on this County Commission who had
given up their time and talents and energy over the years to
serve on our board of directors to serve on our policy
committees to help in our educational programming in a
very active way. And certainly not the least of home of you
all is commissioner Constantine who is our immediate past
president leading all of the counties and all of the county
commissioners in the state of Florida and the last couple of
years. Well why am I here I'm I'm here actually to announce
today that Seminole County is the recipient of only the
forest ever the county's helping counties a word be
stowed by the organization and Seminole County is only the
second County of those 4 to receive this award for hosting
a conference. So this is not something that is given out
every day we host for major conferences every single year.
I counted up the other day how many I had been involved with,
let's just say it makes me sound really old as I can tell
you what that number is, but it gives you some sense of this is
in every County this isn't every year it isn't every event
and you're only the second one so we actually have an award
that we will we'll be sending to you and those of us in
government service. We certainly love I were would
plaques. This is not a with black and so it is in
production. It is a custom made a Ward that is being made into
bucket. The county will receive one that we hope you will be
proud to display in the appropriate place, the second
one will in fact be hung at the headquarters of the Florida
Association of counties. So that is why I'm here to be
stoic on you all and to announce the county's helping
County award for Seminole County specifically why
Seminole and be given this award this year will you all
posted our 2023, innovation and policy conference back in
September here in Seminole County we have a couple of
pictures and slides for you today that just sort of tell
the story of the innovation day which is in fact in the day
that you all Dave of your efforts from this County
Commission but most importantly gave the time and the talent of
your staff and selfishly and you want to tell you how
closely we work with staffs on these organizational events and
selfishly because your staff work so hard we have actually
become professional and personal friends with some of
them and so I personally want to say thank you for allowing
them to work with us because that is an extra bonus and
privilege for us. So you all here in Seminole County for the
innovation day had 48 of the 67 counties representing either 3
of County commissioners Ward through County staff who works
here with us in Seminole County. And we exceeded our
registration goals as well as our sponsorship goals, which
yes is how we actually find these activities to the tune of
a 128% of exceeding those goals. So you all knocked it
out of the park for us.
We started the day with this and chairman amy lockhart
welcoming all over our attendees for the innovation
day to Seminole County. We had a presentation from one of the
designers. All the design team that helped you with what kind
of hard way and that particular project and speaking of
innovation and why some of these events that you all
chosen certainly activities and services and programs that the
counties involved with here why those were selected is because
of some of the unique qualities of them, it's not so much that
it is an innovation as we all think of that that might be
able to be exactly jaded and other parts of Florida. That is
about learning the lessons that you're all right and in
actually executing a particular program or service that really
is the learning tool for County commissioners and county staff
members from all across the state and obviously I parked
the way is in fact, one of those flagship projects where
you had that said the state all and manner of local governments
here in this region, not just in Seminole County and the
environmental group you had designers and private
marketplace consultants that helped over the course of time
including state officials and so you were able to actually
showcase that to the county officials from around the state
of Florida. Another great example, all of the services
and programs and projects that are here in your County is in
fact the dot the region, 5 transit management center and
while you're thinking, hey that state government what does that
have to do with us right we became being given credit for
innovating because they're here and because it is in fact,
a part of York County. And I can tell you that the attendees
at this part of the tour. They want to leave and as a
nerd myself I really could have stood in the middle, some of
those rooms and watched all of those dot officials throughout
the course of the day, the screens themselves also on our
something to behold and I know small medium and large
commissioners who were there that day all took something
away from that particular part of the tour as route. The boom
Bah sports complex so this was one of the highlights.
The day that you all and your staff put together for the
organization's attendees at the innovation day. Again a great
example, how you all have come together as a community here in
Seminole to really stop some economic development that your
staff, not only did we do a tour of the sports complex and
obviously sports tourism to the state of Florida. People know
logically and intellectually how that connects to their
local economic base and for economic development, but your
staff even brought in food products. The most delicious
cookies I had and in a very long time from local bakers and
shared those with the intent. These they also brought in
local coffee products. And one thing that happened so the the
picture on the left is actually a county commissioner out of
Monroe County. And you all had your new high water vehicles
there on site out at the complex and so while not
connected to sports that County commissioners spent an hour
talking to the individuals who were out there because she is
from Monroe County. And I will admit to you that this seems a
little counterintuitive to me they don't have any of these
and not so she sped and Gordon out of time in a positive way
seeking in connection so that she could bring that back to
Monroe County. I don't need to tell you all that Monroe was
the center of the universe when it comes to hurricane season.
It was pretty blown away to to learn myself that they do not
have these high water vehicles down in Monroe. Again clearly
innovation a rot in the transportation area was
showcased on that day so they were Thomas vehicles that were
available for attendees as well I am out at the city of
Altamonte Springs and one of their facilities. For County
commissioners around the state to be able to see feel touch
get in
talk to some of the operators understand again from the
private marketplace, how all of that comes together and
speaking of the city of Altamonte Springs, one of the
other lessons that the county officials really took away from
their day here in Seminole County was your outstanding way
that you do get our governmental relations and at
the end of the day our County officials know they don't do
anything that you all our heart in the partnership business and
certainly all of the things that you all and your staff put
together for the attendees around the state really
showcase that throughout the day again more exciting things
that were going on by the city. Altamonte Springs, sped quite a
lot of time in the Heat out there. It was a beautiful for
today and then certainly in the state of Florida and in this
region in particular no sunrail and the transportation space is
one of those innovations and again showing the partnership
intergovernmental relations and then finally we're here just to
say again, thank you so much for hosting all. These
officials from around the state of Florida. They walked away
learning lessons and those lessons are in fact sayings
that they can replicate back in their homes. And so it is an
expression of gratitude to say counties helping counties run
at the big pillars of our strategic plan is collaboration
and education, and certainly this day is something that you
all and your staff helped to fulfill the mission of the
organization by bringing together all of these officials
from around the state. Last thing on a personal note,
you all know your staff, you all know how hard working they
are how talented they are and they experience thing putting
this conference together for the entire state of Florida
from a county official standpoint that you all
experience every day as well family emergencies that
happened and they pushed through and they would say air
for your peers from around the state of Florida and I
personally want to take a moment to say thank you and
thank you to you all for your support and lending that I
frankly to the entire state of Florida. And so congratulations
on being only the 4th recipient of the county's helping
counties award from the Association of counties.
Thank you Mister on.
We have some questions any questions loom
commissioner Lockhart I'm sorry my hands are freezing.
>> I just want to echo the thanks to our staff. It
incredible job and and a lot of heartburn I think along the way
because frankly as chairman I've already apologized
publicly for this some of the things that commissioner
Constantine thought we're going to be fabulous I was like that
sounds really Dame.
Yeah, I mean we write and so I would call Trisha I just don't
know if this is kind of people from Monroe County really going
to enjoy X y and Z. Our Dew in it. And so wonderful kudos to
commissioner Constantine as well for his 4 brought in in
some of these things and seeing them as being innovative and
collaborative because we did not all see the same vision.
And it turned out beautifully really because our our team was
willing to to see it through with you all and a great way so
thank you all very much.
>> Commissioner Constantine he I think that ginger said it all
and thank you commissioner Lockhart junior said it all
that this was a very much of collaborative and euna and you
never even before I became president for cessation.
I was pushing ginger in and Craig and to have a conference
here and you know me they have wonderland every year you know
down at the Disney area. The Big One. And so there was a
lot of question marks as to whether we want to come to
Seminole County and if we could do it, but they they they did
it and our staff did it and I just got to tell you I was so
proud of them I was I was so proud of of the hotel which
somebody give them another, you know, I mean they call
themselves. Orlando, Lake Mary Mary I but Lake Mary very did
and and
I just did an incredible job, I mean I I got nothing but praise
from all the commissioners, this was the best staff from a
hotel standpoint that they'd ever see that they'd ever been
part of and we you know we have 4 come to meetings a year.
And like I said our staff. What we decided what we're
going to do Tricia Wright. You know it went off like
clockwork and they they love the ride on what kind of a lot
of people you know why they would be on the bus. They love
the ride on what kind of a they we want to because we did a
collaborative we wanted to highlight.
Our relationship with the count with the city's the other
County counties and the state and by doing dot out much
brings in their innovative things and of course our
collaboration with everybody in Mumbai and etcetera etcetera
sunrail you know it really highlighted all of that and
that's what I wanted to show that in the region and I think
that's what we all want to show it so I want to thank the staff
publicly again I want to thank ginger in craigan and the
entire staff of Florida Association counties. Our
fellow County commissioners who came down and I will tell you
we've had
one conference to conferences since then I think one
conference since then. And also meetings with the National
Association counties and
every time I talk to somebody they bring back up the fact
that they really enjoyed Seminole County they really
enjoyed coming here and learning about what we do.
And most important I think for us in the in the tourism.
They said the next time we come to central Florida to go to the
attractions we're going to stay in Seminole County because it's
convenient it's cheaper and there's a lot of other things
to do not just you know the Taurus related thing. So that's
exciting for all of us and and I want to you know. Thank
commissioner Lockhart who spend a lot of time down there also
and appreciated and you know went along and eventually with
my case.
>> Kicking and screaming. Thank you ginger, so seriously
thank you Mister chairman thank you anyone else.
Here commissioner Constantine and
commissioner Lockhart is the chair of leading this
initiative and putting the 4th and I know commissioner
Constantine was you're very involved in the wekiva Parkway
and and has a great depth of knowledge and bringing all that
together and I appreciate Florida Association of counties
recognizing that and highlighting that and also our
County management for having our staff engage. And all of
our staff to do so thank you. Mister.
Safe travels.
All right next to one of our County investment advisor
report Mister Macintyre he is going to be it tending form
only do we have him cued up by Craig.
We're waiting for him to get cued up and coming to the
meeting I want to remind everyone the consent agenda is
right around the corner.
If you desire to speak on the consent agenda.
You need to go to the lobbying grab one of these forms filled
out whether you want to speak or just make a written comment.
She and you're going to hand it to Dominick Dominick raise your
hand right here. Our board clerk.
If you're and that the first one of the advance. Thank you
very much.
Okay can you guess can you guys hear me, okay, we can hear you,
but we can't see but we do need to see.
>> I've got my camera and so if if if I think it's probably in
your side are showcasing I know you can see my presentation
correct weekend, yes, OK you're talking to get the it person to
advance to the first slide which is major economic seems.
We just got CPI this morning we which is included I will tell
you that several inflation measures have made some
progress better than expected today really might have been a
bit of an exception on that. So there is a little bit hotter
CPI report this morning so so yields moved up a bit we don't
sing. Right now you have to leave it up a bit is that big a
deal frankly I was like this is for
actually over to making some purchases here. I don't I don't
have any issue at all was healed up just a bit because
market sentiment has shifted dramatically, you know for sure
please lower than they were last month November was
actually the best performing market for bonds since 19 85.
I'm just basically took a nosedive in November. What was
happening there is that
it wasn't really that bad of the pushed it down it was
sentiment, people felt like the Fed was going to cut rates
sooner rather than later, but that might not actually turn
out to be the case, the Fed meets tomorrow. And despite the
fact that the markets have concluded that the Fed is going
to has already wrapped up its rate hikes.
The market believes the Fed is going to start cutting in March
and the Fed is probably get pushback on that I don't
believe the Fed is going to start cutting rates until May
at the earliest, but nevertheless, the market
expects the Fed is going to cut a 125 basis points when I 2024.
It frankly is
you know the question continues to move lower over time that
may come to pass we we actually think that the market has
gotten ahead of itself a little bit.
And you know frankly since November and early part of
December yields have moved back up a little bit it's still well
down from where it was and then finally a government shutdown
it is mid November that was pointed out once again it's
going to come back up in rear its ugly head at the beginning
of January you sooner or later some war I think politicians
are going to have to address to the data said which was
after they went through looked at all the numbers to the
budget deficit for 2023 school year was 2 trillion dollars
which was about 1.3 trillion higher than expected when the
year began so that's a that's a big concern that is something
that's going to have to be addressed.
Next slide.
Is by market expectations. And this is moving around like
crazy and I know that
this is a little bit difficult if you're not used to looking
at this particular screen. But I would urge you to look at
the bottom graph and really that's a graphical
representation of what's expected to happen between now
and the January.
I 29 meeting in 2025, so essentially 17 winds from now
the the expectation is that the overnight rate will be really
close to 4%.
And you know for what its worth right now some of the overnight
investors that the county has earning you know somewhere in
the neighborhood of 5.40 to 5.50 so the expectation is for
next year to the threats are going to move quite a bit
lower. The next slide.
This current investment choices.
Is you guys have gotten used to it, I try to put the last
couple meetings where where rates were so you can see where
the the market has moved and how the market is moved.
If you look at the 24 month area. The last time I was
speaking to you guys the two-year Treasury note was
trading at 5 oh 02:00AM it is currently of 4.70 wanted
actually a few days ago got down to 4.15.
And dia just 3 year which is now trading close to 4.33 and
was almost 4.80 at the last meeting actually got down to
4.20 a couple days ago so a lot of volatility that the general
trend seems to be down quite a bit.
Overnight rates are still way they are they're going to
they're going to remain very close to where they are until
the Fed actually decides that they're going to cut which
again the market believes could be as soon as March. We believe
we won't happen any sooner than may you know if I had to put
money on it, I would guess that was the June meeting, you know
midway through next year. But nevertheless, rate cuts are
on the way. So as we tried to do is is you guys have gotten a
lot of prop pretty tax money and a lot of that we're going
to need to try to you know put to work obviously the overnight
rates are paying higher. Expectations rates are going to
be lower next year so one of things we tried to do is a
general strategy is lock in where we can a recent
investments if you guys remember, did a CD last month
that was turned out to be a very good investment. The
amount of money that was really available to spend according to
the clerk's office was about 25 million so 25 million was
put to work at it 5 Shorty out 2 years.
Really glad we did that that's going to I think that's really
going to look to excellent, you know within my to what looks
right now because we went back to the banks and we had asked
them what they'd be willing to pay on a 2 year in the best we
saw was was for 70. So a lot has changed within a month.
You know who knows what's going to happen in the coming months,
but the expectation again as things will be lower. One
upcoming maturity in December, don't really position too much
to ensure during the months when when you expect property
tax money to come in. But there is a politics investment coming
off later in the month. So recommended investments given
the property tax money that's come in. There's a lot that's
very very looking good right now. There is some room to go
out and increase the Palm first picks investors. Those are a
little bit riskier than us government investments, but we
feel very very comfortable with 7 nonetheless talked over in
November of next year which are obviously is not real long but
were able to put on what I expect will be closed at I 35,
so recommending 30 million there position those really
because we know that you're suppose estate the county
typically spends so we want to position money to to me those
spending needs and then once we've done that we're going
back out into 2025, filling in some gaps where there are
maturity so we can position. Attorneys and also trying to
lock in to the step that we can some yields. They're still
close to 5% so that from a budget standpoint, you know the
the yarn is on the portfolio are going to be you know high.
The team.
The earnings from work for last school year world and you guys
can look at those not going to trumpet out but the attorneys
were
higher than than the county has seen in its history. I'm part
of that has to do with your higher balance part of that has
to do with the fact that users highs they are what we want to
do is try to keep as much of that as we can into the next
fiscal year and even the next fiscal year possible. So this
is this is the. It's a total of 5 believe 165 million in
spending a lot of this on aim going to try to push out into
2025. You still have ample liquidity. In on all of 2024,
especially once we make these these 2 purchases in the fall
of 2024, you have a full maturity is for every month
going forward to meet expenses so I am
that is that is my report is anybody have any questions or
anything I can go into additional detail long before
we we asked to to further this recommendation to be approved.
>> Thank you. Mister mcintyre any questions or inquiries by
the board
seeing none I'll look for a motion.
>> On the move to implement the recommendations of the
financial advisor based on the report submitted today says it.
>> Motion by commissioner her second by commissioner dallari
all those in favor aye
opposed like sign hearing none passed unanimous merry
Christmas and thank you Mister mcintyre for your time we
finally see you best wishes to you and your family.
We say here you guys have a happy holidays and merry
Christmas. No CJ Nord thank you appreciate it. I
alright, next item up is going to be miss Jenny Spencer from
the clerk's office who is going to give us a update on our
financial risk Hardin software on behalf of
Mister Malloy's office thank you for being here and thank
you Mister Mulloy for getting this to us sure thing and this
is a follow-up if you remember for we rise up producing
monthly reports on investment it's very important have
accurate financial data, transparency taxpayers and then
with the bank mergers, the previous think that was
producing and helping us with data stopped that service so we
came to the board we've found a couple different platforms and
Jenny has been working very closely.
>> What's qaeda and the different investment. Partners
we have and I find to be very helpful you all have a car,
the of it and we're going to start producing is on a monthly
basis to take a lot of work to get the data all accurate
enough I thought you give us a quick overview.
>> And to that point real quick with that the post online for
the first want to see it. Fisher, thank you, thank you
very much, I missed cents or 0.
>> Good morning. Commissioners. You may recall in the past
Kasey is to get this type of investment report pro-choice as
the clip and Gentry was discontinued its income
division, which is to prepare the report. So we came to to
the boy didn't ask for budget transfer to find software that
would accommodate us to provide the report, according to the
investment policy so after implementation of were first
starting with the August pounds is too weak show the starting
at the right place for them to Kate in August then was real
comfortable with the August pounds is we then it all the
September activity and this is the final report. The report
the way comes out of some pro is not and this format can you
do for the site of what we have to do is present in a format
that could be published to the public. And so this is the
final report, the first pages as a summary of all the
investments and it shows you all the the columns that are
they are required for the investment policy. But at the
end of the year this is really just although the securities to
market value. So the calm that has a market value, 776 million
to 21 to be 54. This is the amount that agrees to the
county's general ledger and we provided the detail of those
counts to resource management for them to cooperate the
members. The other thing that's on me and that was not in the
past is the credit ratings. The counties of us with policy
performance reporting requirements requires ratings
to be revise these ratings are published what it means to see
what the ratings are for the securities counties invested
in.
And we added the pie chart just to really provide a concert.
The component of the investment policy. The other slides to
throw for just a detail of what makes up those securities at a
summer as a different level.
So with that I'll take any questions thank you very much.
Inquiries commissioner. I would love to see the report as it
comes out of the system shorts or whatever system generated I
just always like to figure out we invest in software and then
it doesn't necessarily produce a report that doesn't require
human input after the fact so I'd just like to compare the 2.
We provided a copy to resource management that will be happy
to provide that to a young manager and the board.
Any other ways.
>> Thank you very much with Spencer thank you Mister Mulloy
for bringing that to our attention and appreciate all
the hard work you all did put that together for the public.
Next up is our consent agenda. And the
county attorney is capable Tory will read and the rules and
regulations for public participation.
>> Thank you chairman Florida law provides the members of the
public shall be given a reasonable opportunity to be
heard on propositions before the Board of County
commissioners except when the board is acting on emergency or
Ministerio matters or conducting a meeting exempt
from the requirements of the sunshine law, individuals shall
be permitted 3 minutes for each
public participation or 6 minutes when the individual is
an official representative of a formal Association, a group.
The chairman may modify the maximum time for public
participation at his sole discretion when appropriate
public participation on quasi judicial or other hearing items
will occur during the board's consideration of those items
this afternoon, public participation on pending
procurement matters are on non agenda items shall not be
permitted at this time. Members of the public desiring to make
public comment must fill out a speaker farm and present from
to staff firms are available and the lobby.
>> Thank you miss Le sorry. Mister County manager any
updates on the consent agenda. Yes, just 2 changes. Mister
chairman under the county managers consent agenda,
I'm going to a poll item 7, 9, and I will be bringing both of
those back to the board those are the only changes I have 7,
9, correct.
And you've heard nothing from the constitutional officers
went in there that's kind.
So we have 4, 5,
6
then 10 through 42 is that correct. That's correct.
Is there any members from the public to which to comment on
any of the consent items on today's agenda. No Sir
nothing has been delivered.
Thank you very much, we will close for public participation
go to the board as any the commissioner desire to have any
of the items pulled for separate discussion.
Seeing none I'll entertain a motion.
>> Moves approval of the consent agenda 6 through 42
with the exception of 7, 9,
I think it's 4.41, you would make an amendment to that.
>> Want to get the constitutional consent or
OK I start we had already been yes for threw for 2 excuse me
for through 42 with the exception of 79 seconds.
I motion a second all in favor, aye opposed like sign hearing
none passes unanimous.
Thank you all very much we appreciate if you all they're
not going to continue to join us the rest of the morning.
If you will
quietly make your way out of the chambers, we appreciate you
all being here today.
I don't know how quietly you can make your way out when your
little skipping up the holla hey man the entirety of the
U.S. Mister sheriff.
We have what I think will be a couple of quick items that are
following your presentation do you mind if we switch gears and
bring those in front of your presentation.
I think maybe a little longer years anybody on the board have
a fall that shifting gears okay, staff are you prepared to
move forward with the regular agenda items, 4445, yes,
Sir OK, let's bring number 44.
This is consider a request to reduce the code enforcement
special magistrate lean Liz Parkhurst actually I'm going to
miss him like a coming okay, both of these presentations to
miss hammock good to see this morning.
Glad you're able to pick up the ball and keep rolling.
>> Good morning. Thank you. I'm presenting on behalf of
lives this morning.
So for the record of economic development services director
item 44 is a request from Ahmed Mohamed property owner for
reduction of a code enforcement lean, the property is located
at 3451 done court Lake Mary case number 18 dash 23 CS AM
the lean totals, $84,300. Mister Muhammad is requesting a
reduction from a 4,300 to $4,000.
On 11/8/2018, the previous property owner was found to be
in violation of Seminole County code section, one oh 5.1
construction without the required permits an order was
issued by the code enforcement special magistrate giving the
respondent a compliance date of 1/10/2019, and a fine of $50
per day if the violation was not corrected.
On March 1420 19 the code enforcement special magistrate
issued an order finding noncompliance and imposing a
lean in the amount of 3,150 dollars for 63 days of
noncompliance with the finding could continuing to accrue
until cooked a compliance is achieved.
A 6/23/2023, the inspector filed an affidavit of
compliance after the applicant obtained the permits to cover
the cited violations.
On July 8th, twenty-twenty to the property was sold to to the
investment homes LLC as part of a short sale.
On 2/6/2023 a quit claim deed was recorded transferring
ownership of the property to the registered agent who is the
applicant for the reduction.
The applicant did purchase the property and knowing that the
lien had been imposed and was recorded
due to the costs incurred to obtain the permits and complete
the unpermitted work the applicant is requesting the
reduction of lean the permit is still current and the work is
still ongoing
based on sections 3.2 0 V to of the Seminole County
administrative code staff recommends the Board of County
commissioners denied their request to reduce the lien
amount of 84,300 to $4,000 for the code enforcement special
magistrate lean for case, 18 dash 23 CSM property located at
3451 done court Lake Mary and by that Mister Muhammad and
authorize the chairman to execute the release of lien
upon payment in full that concludes my presentation of
the happy to answer any questions. Thank you miss
hammock hang tight, there is Mister Muhammad here.
And did not see him presentation will certainly
does not want to make a statement to the board okay.
It questions from the board.
>> Is there anybody from the public to desires to speak on
this item
seeing none we'll close public participation. This is
commissioner hers district commissioner.
>> Be a very brief I move to deny the request for the
reduction of the code enforcement special magistrate
lean.
>> Motion second any further discussion
seeing none all those in favor aye opposed like sign. Hearing
none carries unanimous.
Thank you miss hammock next item up is consider a request
for a total waiver could unfortunately totaling 36,500
for case number fall, that's 59 dash CSM.
>> Yes, again for the record economic development services
director item 45 is a request from Linda lap applicant in
previous property owner for a waiver of the code enforcement
mean due to medical and financial hardships.
The property is located at 9918. Bear Lake road. Apopka
case number 1259 C E S him to lean totals, 36,500. The
applicant is requesting a complete waiver of leaving
on 6/14/2011 the property is found to be in violation of
Seminole County code section, one oh 5.1 construction without
the required permits.
Responding close a scream with Windows to make a living space
without the required permits
an order was issued by the code enforcement special magistrate
giving the respondent a compliance date of 11/13/2013,
and a fine of $250 per day if the violation was not
corrected.
At the request of the respondent the special
magistrate continue the compliance date and waived fees
several times to allow them more time to obtain the
required permits.
After reinspection on July 1120 14 inspector filed an affidavit
of noncompliance
on 10/9/2014, they couldn't force mismatched social special
magistrate issued an order imposing a fine. I mean in the
amount of 15,750 days for 89 days of noncompliance that $250
a day until compliance was obtained
January 2020 15 minute Specter filed an affidavit of
compliance after the respondent obtain the necessary comments
as the property owner remain in compliance, they received the
notice of the amnesty program and started the process of
applying due to several medical conditions but there's and the
families they were unable to complete the process before the
program ended
as part of the sale the home and ask where was set aside to
the law to allow the applicant to resolve the lien by
12/31/2023.
The applicant has submitted documentation demonstrating
medical and financial hardships
and based on that staff recommends that the board of
County commissioners approved a reduction of the code
enforcement special magistrate, the from 36,500 to
administrative cost of 1074 dollars and $0.59 for case 1259
CSM on the property located at 9918, bear Lake road,
previously owned by Linda lap who is the applicant and
authorize the chairman to execute the release of lien
that concludes my presentation and be happy to answer any
questions. Thank you miss amick is the.
>> The applicant present and they desire to make a
presentation or speak to the board missus lap.
Please come forward if you if you desire to speak for the
board
just come right up where
that microphone at the podium.
>> These are tears of life.
>> Because well it is it is the season. Let's let's see if we
can get things moving Air Force there.
>> It is it's a plus your name and address for the record
place.
And my name is Linda Davidson lap.
The address is 9, 9, 1, 8, barely cracked.
For city. 3, 2, 7, 0, 3,
>> Very well go ahead and proceed to have 3 minutes.
Okay. We are requesting a waiver to 2.
Medical and financial.
I am a single mom.
>> What you're up to full special needs child.
We'll continue to cool
for the rest of her life.
>> So
we tried to do this as quickly as we could it was an act of
love
from friends and family that came in put this therapy room
together for my daughter who spent 4 for beginning years in
the hospital.
But it's been like an albatross around their neck because I
didn't know it was it permanent
for for for years, I was in the hospital, you know try to
and so it wasn't until.
After my divorce that we realize that there was a lien
that had to happen per minute. So I spent several years going
to all the different places getting all that different.
Engineering
needed to show that permitting have been done correctly by
these contractors, I just did not know that
you know due to all the medical.
There was no permits.
So that's the reason it wasn't permitted. But we worked very
hard to show that it was done correctly I corrected
everything
and
so that's the reason we're asking for the waiver.
>> Very good. Thank you very much. Thank you can have your
seat.
Anyone from the public wish to weigh in on this or have any
comments saying nope Locos close public comment
commissioner Constantine this is your district. Thank you.
Mister chairman I will move the recommendation of the staff
and that we waive the $36,500.
>> And and do
>> have a administrative fee of $1074.59
motion by Constantine second by the lorry any further
discussion
seeing none all in favor. Aye opposed like sign hearing
none passed unanimous.
Congratulations and merry Christmas hahaha
and I would also say as Allison and the room House and called
on the ballot. And if you could stand up for a minute misses
lap. If you should ever getting into a situation or need help.
From the county, if you would
hook up with missus stall you'll find should be very
helpful and perhaps some of the needs you may encounter so
thank you very much.
>> Thank you Ted Tom Kelly and Mister Watson.
It is in all of you have just that
of less to my family.
>> It came down.
People,
they just could not have been.
Well thank you so high and so my family and I are so thank
you we appreciate it, thank you very much
have a happy holiday season.
Thank you does anybody in the board need a break before we go
to the presentation.
Okay, let's take let's take 10 minutes and sheriff will get
you up. Soon as we take a 10 minute recess for 10 minutes.
>> I go back on the record at 10:36AM.
Next up is our work session opioid settlement the Seminole
County Sheriff's office rescue plan act work session Trisha
Johnson deputy County manager sheriff Dennis lemma Kellie
Wells community services, the county health division manager.
>> Thank you Mister chair. Trisha Johnson deputy County
manager. And welcome to this combined work session on
today's work session will highlight 2 separate but
related presentations which is why we decided to do this one
out report session first sheriff lemma and then chief
Lisa Spriggs will discuss progress related to the opioid
epidemic. Planning for the use of the 9 million in American
rescue plan funds,
long-term funding for the hope and healing center. Then doctor
Scott Tucker's he's many to advance the sides doctor Scott
Tucker with advent health will provide an update related to
have been healing center.
Then we will visit a bit in terms of topics too.
I'm County Attorney's Office doesn't allow.
And Kelly Welch our community health division manager who
will provide recommendations for the use of the county's
opioid settlement funds
as you know today is a work session. We are not requesting
formal decisions but rather your feedback, your questions
and directions so that we can convene and then follow up this
you dinner day probably January February time frame to give
your final record recommendations excuse me
related to the opioid settlement funds.
Some housekeeping items for you you have a very thick pack,
it wanted to make sure you had those sea power point
presentation as well as the backup documents in your packet
seal finds that.
In addition to the power point the sheriff's office funding.
Worksheet which Lisa will address when she speaks a year
one and year to report related to the hope and healing center.
Then a document detailing the Seminole County opioid
settlement distribution which Kelly will address as well as
print out of the opioid medical subcommittee members and the
opioid task force invitees so with that sheriff lemma the
floor is yours.
>> About the thank you so much and it's an honor to be here
with you I understand that all of you have been working in the
space for some time so as a matter of protocol like to
start off for all of the people who may watch this back or may
not be as directly engaged to explain why a sheriff may be
opining an opinion on why we're going to go down this past.
Starting back in really 2017 or so I started working with of at
the time Florida attorney general Pam Bondi to address
the aftermath of what we now know the story of big Pharma
overprescribing and the Sackler family I won't mention them
again in my presentation because I think that now is
pretty well documented.
The effects of overprescribing our country.
When attorney general Ashley Moody was on the campaign
trail.
One of the top priority. She had and was the
unprecedented death as a result of the opioid epidemic in the
state of Florida at the time 19 people a day were dying as a
result of the opioid epidemic and as she described people.
Parents were crying on her shoulder asking her if she was
to be elected as attorney general, what will she do to
combat this
when she was attorney general actually asked me to serve on
her transition team want to 7 members on her transition team
and asked me to take the lead on addressing a strategy to
combat opioid use disorder across the state of Florida.
We assembled a 17 person working group and provided a
list of recommendations for the attorney general on Day one to
consider which ultimately became the document that was
reviewed by. Governor Ron DeSantis of the Senate
president and the speaker of the House as a result of those
recommendations and included in those recommendations was put
together a state opioid task force which the governor did by
executive order. He named attorney general Moody as the
chair of that and I was nominated and elected to serve
as the vice chair and then we
went across the state of Florida talking with experts on
the 17 person panel from all diverse walks of life.
In addition to that I serve as the co-chair of the the effort
called project opioid across the state of Florida that has 5
different jurisdictions in the state of Florida and now has
expanded out to Santa Barbara California. I am a a board
member of Victoria's voice Foundation the foundation that
is run by David and Jackie Siegel after the loss of their
daughter.
And then most recently I was once again appointed on the
statewide opioid abatement Council to serve as attorney
general Moody's proxy and I know commissioner Lee
Constantine is one of the 10 members that serves on that
that represents 2 members from the Association of counties,
both large and small. 2 members of the League of cities both
large and small of the 5th to rotate between the 2
every 2 years and then the remaining 5 positions are state
positions, one attorney general will chair that or her designee
the secretary of the Department of children family services
will serve as the vice chair of the governor has selected and
the speaker of the House has selected one of the Senate
president has selected one. In addition to that on the
statewide opioid settlement I was one of the 3 expert
witnesses on behalf of the state of Florida and and again
so this shapes up that rounds out some of my opinions of of
of our strategy what we've done specific to Seminole County.
It was back in 1988 where a new effort was created high
intensity drug trafficking organization in 1990. Haida as
is commonly referred to as brought into the Orlando
metropolitan area.
In 2015 as a result of the unintended consequences of of
of overprescribing
harrowing group was actually created.
And when you look at the time of 2015 2016. The unprecedented
guess that we were experiencing from heroin in Seminole County
was a number hovering just at or below 20 deaths for the
entire year.
At that time County leaders with with the leadership of our
County health officer, Donna Walsh put together a state are
are a Seminole County task force that consisted of that
government agencies from the cities. Health care providers
medical examiners and at the time it was largely evaluated
based upon the mortality numbers that were incredibly
dated right you wouldn't get reports on what actually
happened to that system until 12 to 15 months later. It was
hard to strategize a move based upon information that was
outdated
that group of largely consisted of middle managers and
practitioners from the various organizations and had. In my
opinion very little political capital to move resources and
funds and to get things going
as I became more informed of the work that was being done
across the state of Florida and the need to come up with a
strategy. I think handily probably commandeered the task
force because I felt like they were only meeting 4 times a
month, the meetings will last one hour. I typically consisted
of a guest speaker that would come in and and the
collaboration on a strategy moving forward, was was just
short of a few hours per year.
So we assembled a group many of you were in that first meeting
we had a couple 100 people that were in our IOC
and then we broke into very subsection sub groups
at the time we saw significant increase when you look at your
packet has just as reflection.
2022 numbers of 728 overdoses are poisoning. In the year
2022.
And sadly, 118 fatalities as a result of that
we are experiencing a slight decrease in that a 21% decrease
in overdoses and then 11% decrease in fatalities.
It was right around this time were covid started to really
create a presence and we started to move people into a
more remote working space right week for the people who did not
have to come into the office we sit stay home, turn your
computers on work remotely. And I remember sitting and
having a conversation with all of the executive leadership of
the major providers of health care services in Seminole
County that was Orlando health aspire and of course
adventhealth
all of them are doing incredible work in the space
that they occupy but it was a conversations I had with that
at the time CEO Tim Cook. Actually at the state of the
county where I had asked him that if if we could work with
the county Commission
to take a building that was normally occupied for work
release and create some version of a drug treatment center that
could be open to people regardless of their ability to
pay would you be interested in retaining idea and helping us
partner in run that that facility under 3 conditions
condition won't there be no reference to the sheriff's
office on the branding and marketing of that building a
condition to there being no reference to the county or
County clinical County government on the outside of
that building and condition 3 you market in brand this
facility in the same world class matter that you would you
would market in brand. Any one of the advent health facilities
in any of the 9 states that you operate
within days. I had the opportunity to hear back from a
Tim that he says were and we'll figure everything else out
later and we're going to pivot and we're going to move want to
make this happen in the course a lady her from doctor Scott
Tucker. And that's once Scott Tucker was brought in to be on
the onset of this
at the same time. Us commissioner said you know what
will give this building to 2 adventhealth a at little to no
charge because we believe in this concept we think that this
is going to help people out and now we have more than 2 years
of success thousands of people who have been treated untouched
and nobody was turned away.
At the same time we shifted it became the second Correctional
facility in the country a second Correctional facility in
the country to address the the underlying conditions that lead
people down the Pat to commit crime in the first place and we
did that in a scientific way that brought medicine.
We do. You know 3 of the FDA approved treatment remedies on
the inside of a correction facility that's either
methadone people nor thin or fit that role mostly it's
people North and quite frankly on the on the inside of the
facility as well as our advent health facility.
We we created what was commonly referred to now as the score
team, the Seminole collaborative opioid response
effort and we determined that the most significant thing that
we can do
to help a family of a person who is navigating this course
is to find out where they operate where they live how we
can actually come in contact with them and then of course
towards the top of the list of people who are suffering from
substance use disorder was involved with the criminal
justice system involvement with EMS in and the hospitals and
voluntarily walking into some clinic in some facility to get
help.
At the time. Adventhealth started to re-engineer their
intake process at the Altamonte Springs hospital. So that we're
going to put navigators we're going to help not only the
individual, but their family as well and quite frankly prior to
this when somebody would overdose they would be revived
with no walks and they would be stabilized at the hospital and
and more often than not they would return to the exact same
environment that they just left in or just left from increasing
their likelihood of overdosing and dying by by nearly a 1000
times right.
And we knew that that can no longer work out.
So adventhealth is working that plan. We're having
conversations about what this drug treatment center will look
like and we know funding is a significant hurdle.
So over 3 various legislative sessions are local delegation
has secured 1.7 or 1.8 million dollars from from state
resources to help offset and support our effort.
And I'm in a very much a bipartisan way we had former
congresswoman Stephanie Murphy put a $400,000 appropriate
appropriation and that was secured to support the hope and
healing center.
We had walmart executives right in 2 separate checks, 1,
5, $100,000 check and a $250,000 check all in $750,000
to support it and local organizations here in Seminole
County we have contributed in a big big big way the you know
the the rotary's the chambers and of course leadership
Seminole with a fundraising effort that that was over
$80,000 to support. The effort.
We knew that addressing substance use disorder could
not occur without also addressing the co occurring co
president mental health conditions that goes along with
it. It is really a a cognitive disadvantage, somebody who is
dependent on drugs. There's something also going on in the
mind at the same time. And unfortunately many times as
resources in different spaces in different pockets to address
that. So we knew that there was some additional money with the
the American rescue plan I came to this board and asked for a
9 million dollars. I know that you partner with some of the
city municipalities to come together and secure that
9 million dollars for the next step in the process was to
create this expanding growing effort to address substance use
disorder and mental health all under one umbrella or one
signature umbrella for this expansion to adventhealth
again. Orlando health still does remarkable work in the
space a spy or serves a lot of clients throughout the region.
But but there is a significant need to expand this. The most
recent numbers we have is around 33 to 3500 people in
Seminole County each year are involuntarily admitted under
Florida's Baker act law.
And we see a an ever-growing increase with adolescence that
are in need of services and I I say this quite a bit that's an
unintended consequence of of of covid sheltering-in-place
wearing a mask, a, you know victimization of change
children was actually increasing when the reports of
that would decreasing because they were in school.
Again we have a we have a great partnership with with
adventhealth
we have a partnership with the city of Altamonte Springs.
They are all in on this partnership when you look at
the score team. The Seminole collaborative opioid response
effort that's a partnership between adventhealth
the city of Altamonte Springs, both the city and the Police
Department,
our public safety partners here in Seminole County or EMS the
fire chief
our public health officer when Donna Walsh was in in the role.
It is a is a truly a collaborative effort
to do these things lastly as I wrap up here, we also had such
significant legislative victories in winds that extend
beyond the the securing of funds
we've created 6 new laws here in the state of Florida we lead
the country in the prosecution of first-degree murder for drug
dealers. And this is all a really a significant
accomplishments of the collaboration and the work that
we do together so the next step was to create a a a process
where we can create a level of sustainability I think that
right now if you look at what the state opioid task force
does in the role that we have on that commission
is to make sure that the spirit of which the money was secured
for spent for the right stuff statistically strategy wise and
all of that so I think the presentation here today,
we'll create maybe a landscape for you to consider over the
next 18 years knowing that that there's just shy of 4 million
dollars coming in the first year this is clearly a tiered
where it's heavily loaded on the front and to get control of
this and then balances out for the next 14 years or so about
1.6 million dollars a year we think that there's a past
towards sustainability and opening this up the last thing
that I'll say before I turn it over to Lisa is going next is
is you know, we're always mindful and I think it goes
without saying for the commission. But but you know we
never want this to be a government facility, we never
wanted this to be a government effort week we're hopeful that
we could help get this up and running and then eventually
create some level of cell sustainability 2 other revenue
sources from adventhealth and I've spoken to executives on
their Foundation and other things but but not putting our
name on it not putting the county names on be simply
because I felt like people would be reluctant to come in
off the street and use it if it was a part of a government
complex or if it had any one of our names that that are on it.
We're not only diverting people to the criminal justice system
but this new expansion in Altamonte Springs is a 15,000
square-foot facility that has a residential component in it as
well so with that all your for now unless there's any
questions of me, I'll turn it over to Lisa we and lessors you
want to wait, whoa.
>> Everybody's present. I think is his best. Thank you sheriff
Spriggs okay,
welcome to share of consumed all but about 3 and a half
minutes here time so going to proceed.
>> 60 Minutes is like incredibly uncharacteristic
haha.
>> It's a part of what we wanted to accomplish today was
to give you an update on the 9 million that the board had
granted to us to be able to continue with all the efforts
that the sheriff was speaking as and the slide that I have up
there in front of you provide you with the agreement that you
approved in December 2021. The initial plan and then what
we have actually spent from a funding standpoint through
September 30th of 2023. And our initial planned all just review
for men it was laid out in 4 really different areas, one was
to expand our score team and we did that by adding 7 additional
fte to that team that team consist of 16 scso employees at
this time, and they both work on non-fatal overdoses fatal
overdoses in mental health area.
Then we also had a about 2 million dollars that we had
anticipated at the time to use toward expansion of our our
community-based partnership and not was specifically with
adventhealth as the sheriff spoke about. And as you can see
we haven't spent a lot in that area but we have secured the
building at this time and that's what we want to talk
about today, it's a 15,500 square-foot facility. It's 6.14
East out to my it's across the street fun, the main advent
Hospital
and that is something that doctor Tucker will talk about
how he for CNN operating the facility and some of the
changes that would be brought forward.
And the 3rd area we looked at our juvenile, a mobile crisis
unit and just as a reminder at the time we had secured a
federal grant we had started a mobile crisis program. It was
operating that grant was expiring at the end of 2021,
and you are able to provide funding within our our pay
agreement for us to continue that program expand that
program and also provide some additional behavioral services
in our juvenile programming area. And then the final area
was just program coordination and outreach we had originally
anticipated to fte there. We only added wind. In speaking
with the county we record an aiding and the county was also
adding a coordinator and that could Nader's Kelly who will
speak here in a minute. So we decided it would be better
served if if there was just one coordination within the county
department.
From a standpoint of status with our 5 for scso one of the
things that we talked about
at the very beginning was well if we're going to add a lot of
employees how are we sustain this past the arpa agreement
which was intended for 3 years and so one of the things that
we looked at was in the juvenile area we knew that at
the time we were doing the construction for the juvenile
assessment center that was going to be a part of the
facility at the juvenile detention center we operate at
those facilities separately that facility was I've been
this year and we worked efficiencies and staffing
within that
and we can from the sustainability standpoint cover
the 7 positions that we added in the mobile crisis area and
the juvenile programming area for sustainability after the
arpa funds run out so we're prepared to do that the only
funding that we would have after arpa dollars. Right now
is we do contract licensed therapists energy even on the
crisis area.
And then the funding to sustain the 7 FT that we added for our
score team enhancements at the time of the agreement we talked
with County management. We had looked to potentially
utilizing. Some of the opioid settlement money which at the
time was up in the area didn't really know what exactly we're
going to have coming into the county. So that was sort of the
the
not for mold that informal plan of how we would sustain that
operation
and then lastly from scso requirement standpoint. We
talked about this at work session and we're prepared to
add to FT on our fatal a unit
to be able to work cases for fatal overdoses we have that
funding available within our up and 9 million we'd like to get
forward and add those but again we're we're conscious of
sustainability so we wanted to have that discussion.
The next slide. Outlines the partnership with hope and
healing and with adventhealth
we did secure the facility as we already mentioned.
We do have with in and I'll show you here in a minute on
side with in our 9 million dollars the potential to cover
the lease facility 3 October of 2027.
We also have the ability to cover the leasehold
improvements that are necessary to bring the facility to an
operation. That doctor Tucker will talk end it, that's
anticipated to cost in the neighborhood of 3 million
dollars.
What advent would ask of us is the same relationship that you
currently have with the current have been healing center.
They would like us to supply the cost and the building and
they will completely run the actual facility.
On this side it kind of brings all together what I currently
talked about and I'm in a focus on the middle COLUMN, we did
estimates that at 3 different animals, but the middle COLUMN
is really the ending of our current arpa agreement with the
county would be December of 2024. We started with 9 million
dollars. We spent 2 million 1 57 3 September of 2023 that
leaves us. With 6.8 million to provide for the services that
were continuing within the CSA programs that would be about 2
and a quarter million.
And that would leave about 4.6 million that we then could
cover like I said the lease to October of 2027 and then the
leasehold improvements of 3 million dollars.
We also provided you in your packet. A handout. As Trisha
Johnson mentioned previously and we put this in a little bit
different format from a funding standpoint to show you. Power
looking at tying the arpa agreement dollars and then
filtering into the at the white settlement dollars to then find
the partnership with adventhealth and then continue
our score team efforts three's potentially that funding source
and I know we talked about the partnership a lot of the
discussion is well, what would you at all and cost be and you
can see that between arpa and at the white settlement.
Roughly around $550,000 a year for us to partner without the 2
run, the expanded facility.
And in your packet we've given you a conceptual outline we've
already worked with advent and the design team to actually
work 3 what we would do in the forward and we're ready and
prepared to move forward with the construction of the
leasehold improvements in that building and without them it
turned the over to doctor Tucker, so he can talk more
specifically about how the new facility would work and how the
current facility would operate.
Very good. Thank you Mister Spriggs doctor talker.
>> Thank you very much it's it's an honor to be here today.
I appreciate this the opportunity to talk about hope
and healing center and what we've been able to
so work with the sheriff's department in the county to
help individuals, you know that are struggling with substance
use disorder.
When I first came on. It was right, you know that the
sheriff described as right after the decision had been
made to move forward with hope and healing center.
And you know I wanted to make this something different and
something special that and what you would C and just and just
an average treatment center.
And you know one of the things that we're able to do as we are
able to sit down
and of of course follow you know the Florida's statutes and
what needs to be in a treatment center.
But I was able to sit down with all of the staff to 20
individuals that we hired originally
to open a center and get feedback from all of those
individuals from a receptionist to the peer recovery
specialists to the therapist to the behavioral health tax
that had a lot of experience in this field and say, here's what
we have to do and really the now let's make a program,
let's make something that's different.
And let's make something that's special.
So with all of the statistics that would gathered from the
sheriff's department and and looking at what are we going to
do to begin with.
So we decided that we were going to start with 2 programs,
one was going to be a level 2 residential facility. Which was
is a 30 day program. They come in and there able to stay there
for 30 days while we help them get back on their feet. The
process starts at adventhealth Altamonte Springs. So everybody
that comes into the center goes to the emergency department
first. They're seen by a physician
history and physical is completed so that they under so
we understand that they're OK physically that they you know
that we that they don't have any substances in their system,
they're able to detox off of that type of situation. And
they're met by one of our sons uses this order navigators that
are located in all of our emergency departments across
central Florida division, so that they can get an assessment
and determine what the best level of care is if it's
determined that they need the residential level of care
and they don't have the funds to provide treatment.
And we receive that individual hope and healing center to a
residential facility.
We also have a second program which is an intensive
outpatient program that is operated on a 4 to six-week
bases and it depends on where they are and we always meet the
individual and complete treatment plans and things like
that, but it's typically a 4 to six-week program by a licensed
clinical social worker, our licensed mental health
counselor. And it's 3 hours of group therapy 3 times a week so
it's 9 clinical hours of of out patient group therapy. They
also have access to our peer recovery specialists that are
within that facility and at aultman hospital.
Some of the highlights that I'd like to give you and I can
start with just last year so it's a 10 bad mail now.
Originally we wanted to we wanted to have males and
females residential however, with the limitations that bill
has isn't enough space. It's about 5,000 square feet.
And with the design of that building we were able to have
won and we know we decided that we would go with it the need of
the community. First the highest to meet first, which is
male and that's the reason why it's it's only male at this
point for for residential.
So we you know we eat obviously want to to be successful and
help those individuals make it through these programs. Last
year we were able to have a 67.9 6 success rate. And that's
on a national average of 54% so across the nation, the average
is 54% of the people that started a program will finish
the program and I give you know huge kudos to the staff there
and the and the compassion and caring that they give the
residents as they come in.
We we had about it 126 individuals that come through
that program now we only have 10 with 10 bad, so you know,
and that's a 30 day programs here looking at it that's
that's the average of what you're looking at Dew
limitations of the bed availability. And a 99% of
success rate for our
residential program. And again that really has to do with the
staff's the caring kind staff to take care of these
individuals. One of the things that I look for as I hire these
individuals is just the caring compassion. We have the the
individuals there that understand and have the
experience in this field.
And you get that across the different places but when you
are hiring people
have that caring compassionate want to. The mission vision and
values of adventhealth you you really do get a higher success
rate because they're caring for the individuals and it's not
just numbers. If you talk to any one of the individuals that
have come through our programs regardless of if they were
successful or not the one thing that you'll hear is I I wasn't
just a number I could tell that they truly cared about the
outcome and where I was when I finish and then there's you
know some of the statistics for our intensive outpatient the
success rate of 72.7 5 on a national average of 26%.
A huge difference and again it's it's the staff how we how
we set up the programs for those kind of things 51 people
served and and again the satisfaction rate for those
individuals coming through.
Since March of 2021. We've had about 500 people that we've
been able to service through
through the services, those 2 services that hope and healing
center. And this isn't just as it's that I put up here for
client satisfaction and accessibility and we're able to
you know drive people to and from the center when they don't
have vehicles and different things I am and one of the
things that I do want to point out is the relapse rate of the
individuals that come through so the national average for
relapse for subjects uses between 4060%. And our relapse
rate last year was 30% and 30% may sound like a large number,
but when it comes to substance use it is it is truly is a very
small number because relapse is a part of recovery most people
that start on their journey don't get the first time they
have you know they are going through treatment and they
relapse and they go through treatment and they relapse and
finally something clicks and they decide OK this time I can
do it, but it's it really is through Trump time and time
again of going through these kind of treatment so that we're
very you know we're very proud of of that number I included
some pictures in case you haven't been to the center.
This is of the different rooms that we have there and as you
can see it's not a very large facility.
So you know we had to weigh the needs of the individual and the
needs of the community and that's how we kind of came up
with a 30 day if we had any more than a 30 day program and
this building.
We wouldn't have any room to to bring those individuals and
that truly need that kind of help so I wanted to include
some pictures that you can just kind of see what that looks
like and if you haven't been to the center.
>> So shifting a little bit into what do we want to do
next.
So you know we have our existing building at Sanford
and then we have the the new proposed building across the
street from adventhealth Altamonte Springs and that was
just luck of the draw that came across the street from the
hospital that wasn't something we're seeking but
it was definitely it's definitely going to be an
advantage for us. So we're looking at using most of the
buildings that we currently have
the current building that we have there were in the Sanford.
We're looking at having assessment center
and with that so we'll have males and females in that
building and the reason why we can do that with assessment
center and not for a residential facility is because
and residential they're there for a long period of time so
they're living in that building with an assessment center we're
going to have beds for individual to come in. So we're
we're really looking for a very very short term was too.
It hopefully no more than 3 days to where we can figure out
what is the need and get them to where that is so it is hope
and healing Center at the new location which will have
expanded services for male and female residential beds.
Intensive case management peer recovery support outpatient
therapy, a medication assisted therapy all of those kind of
service will be able to move them over to the new location.
And the Sanford building. We're looking at having that
short term but will have are substance use disorder
navigators behavioral health therapist that will be able to
again assess what is the need and and where do we want to
where do we need to move those individuals.
It's it's a place to where if you if you need help you can go
that we are able to get you where you need to go because
even even individuals that are not suffering with mental
health conditions and substance use disorder. It's hard to
navigate this behavioral health system that we have
let you know try to let alone somebody that's struggling with
a mental health issue or substance use disorder we need
to be able to help them and have those have the ability to
get them where they need to go so you know that's what we're
looking at doing at that current building and expanding
their there's so many times that individuals with mental
health conditions such use disorder. Get Baker acted and
get taken to receiving facilities or to the hospital
that truly that's not what's needed there. It's it's a
disservice to that individual. And it really creates a burden
upon the hospital's up on the receiving facilities. For the
jail, what they want him going to the jail because they don't
what else are we going to do with those and so lot of times
and and and good phase.
Law enforcement winds of Baker acting an individual because
there's no other way to get that help.
This is another way to get them help with that with any utilize
the law all the the way that it was written and and we can all
work together as far as that as far as that kind of goes.
It is a rendering of of the new building that we talked about
that has the male and the female residential unit has I
hope he has outpatient has physician consul rooms, you
know has staff areas has the ability to host and present to
large groups. When they come in and kind of go from there so it
it's this building is around 15,000 square feet.
And even with a building that size still needing to buildings
to be able to to handle all the services that we want to offer.
What we're looking at as far as financial forecasts currently
it takes between 1.3 1.5 million dollars a year to
operate the current Sanford building. And that's just what
the 10 beds and the intensive outpatient program and then the
the the
financial directors and going through it's it's looking to
between 2.5 3 million dollars to per year to run the new
senator. So when you when you had the beds to Sanford to be
able to to have male and female and then the new building it's
going to be approx about 5 million dollars a year to
run. Both of those buildings.
You know I I will tell you that that the success of this of the
current hope and healing center and moving forward is is
because of the community. It you know we can run, but the
clinical piece of this. But we have so many community
providers that come in and assist us with being able to
provide the services that we give to those individuals.
You know when they come in there. These individuals are
broken and they're looking for help and many of them
are coming. The homeless are coming from situations to where
they they don't have the resources and no and that's
been so long since safe lived a normal life that they just
don't know where to begin so we have like 5th 35th bank that
comes in and they do financial classes and we have Christian
help come in and they teach him how to do resume is and how to
explain the gap some employment because of substance use and
mental health issues. We have the the for change come in and
they do yoga classes. We have this core team come in and day
to really help bridge that gap between those individuals in
law enforcement so they can see a different side of of the
Sheriff's department and that they're truly there to help
they're not there to to rest a month though in jail and all
its some of the experiences they may have in the past and
what we're looking at to help those individuals. The Health
Department and you know we've been providing therapists and
being and we've had programs with the help her do lots of
different things with community paramedicine and intensive
outpatient evening proves and I mean just in the list goes on
and on and on of providers and and
those those organizations in the community that believe in
what we're doing and want to assist with
helping these individuals become whole. So that's a very
short if you believe it or not because I could talk about this
for days because Boca Mister Tucker so the sheriff.
>> Haha.
>> So you know, I'd be happy to answer any questions at the
end.
>> Or or whatever you might want to know of of what we're
looking at.
Thank you very much miss Welch going to speak.
>> Yes, I was going to introduce doesn't care if it's
okay, Mister chairman. So we're going to pivot from a thank you
to the sheriff and chief Spriggs and doctor Tucker for
their presentation to Desmond and Kelly to talk further about
the opioid settlement funding. I would like to mention because
in our briefings we didn't get into great detail on this
piece, but the fees funding recommendations were developed
based on specific criteria and guidance that Kelly will share
with you. They were produced by the opioid medical task force
excuse me subcommittee which is made up of approximately 60
individuals from hospitals, not for profit organizations.
The county government and the sheriff's office followed by
the opioid task force which is made up of about a 100 invitees
the medical subcommittee is chaired by doctor Todd husty it
was co-chaired by doctor has to end on a watch until she
retired said that position will be filled the co chair position
will be filled in short order I do want to mention that any
changes this board they recommend and follow-up
questions rec that about those recommendations that Kelly will
be sharing with you will go back to that medical
subcommittee since they were part of developing those
recommendations initially that's all I have thank you
miss Johnson before we see over here.
>> What's the flavor of the board you do want to ask any
questions of the individuals that have already spoken they
want to get into the finance side and then go back through
it all
all what's your what's your pleasure to keep going to
continue on.
>> Mister Morales and thank you excellent. Good morning.
Commissioners does Monroe senior assistant County
attorney today will be providing a brief procedural
history regarding the opioid litigation.
So as you all may recall in 2018 with the blessing of you
all Seminole County pursued the multi-district litigation
regarding the opioid crisis for this litigation. We saw cities
and counties from all 50 states pursue 11 manufacturers
distributors and pharmacies a related to the opioid crisis.
The idea being that the drug makers aggressively marketed
these opioids in the treatments while downplaying the addictive
effects and the secondary effects which we're all seeing
to this day.
The multi district litigation has largely been resolved.
With 26 billion dollars in settlement funds being awarded
nationwide with 500 million of those dollars coming directly
to Florida
because Seminole County was able to establish itself as a
qualified County. We will be receiving direct funding into
not only our local fund but to our regional fund without any
managing entity without any pass through. And that's
because we were able to establish that we had the tools
and mechanisms to spend this money most appropriately and
effectively within our community.
The money that is going to Seminole County is is set to be
spent according to what is known as a an allocation model
and that was memorandum of understanding that was put
together at the state level and which the county and several
other cities in other jurisdictions signed on to
essentially determine the best practices for spending these
these funds, the idea here is abatement through the form of
preventative care treatment. Etcetera. In addition to this
Seminole County has entered into an inter local agreement
with our municipalities in order to devise the best
strategies to spend that regional pie again we're one of
15 counties within the state that were designated as a
qualified County Kelly and her team have done an excellent job
in collaborating and working through these initiatives and I
will turn it over to Kelly, so she can give a little bit more
insight as to some of the proposed strategy is that we
have as far as abatement and the use of these funds.
>> Thanks. Kelly both Seminole County community health.
Thank you for allowing me to provide an update on the work
that go to the next one.
>> You could put your microphone a little closer
forced to speak a little louder thank you.
>> Thanks for allowing me to provide an update on the work
that we've been doing for the past year. I'll just provide
will be there. Provide an overview the work that we've
been doing and then share some recommendations with you for
your consideration. The opioid settlement agreement that
Guzman reference provides a direct local communities to
create mitigation strategies in accordance with the core
strategies and approved uses
the Seminole County opioid Council medical subcommittee,
which is a subcommittee of the Seminole County opioid Council
is a group of community partners representing several
community agencies, including area hospitals, behavioral
health providers and the Florida Department of Health
just to name a few.
The group of professionals has been meeting really for years
and he's very knowledgeable about the needs of the
community and engaging and solution focused discussions to
improve health services for some residents. The group was
provided with several guidance documents, including the 2022
community health needs assessment. The principles for
use of funds from the opioid guiding principles and the
opioid abatement strategies based on discussions and
feedback from the group a draft list of proposed strategy is
was created.
The draft list which you should have in your packet is intended
to be a living document to be continually reviewed and
updated as new evidence based and evidence for practices
emerge the list was compared against the core strategies and
approved uses to ensure that we are aligned with the settlement
agreements. Then the proposed ravages for presented to the
larger Seminole County opioid Council in July of 2023.
To ensure that we're engaged with Al Central Florida
players. We have been working with our local managing entity,
central Florida cares and neighboring counties orange
Osceola and Brevard to share our progress collaborate where
we can ensure we're not duplicating funding
recommendations.
Will we will receive the opiate opioid settlement funds for the
next 17 years as the sheriff mentioned funding is both the
front loaded meaning that the 2 well now we're if we receive
will reduce over the years and as doesn't mention we are one
of 15 qualified counties. So we receive funds directly
and more importantly we are responsible for reporting back
to the state on our spending.
There's a 5% maximum allowance for administrative fees and we
must spend the funds in accordance with the approved
uses and to avoid potential claw back.
This slide shows the total dollar amount Seminole County
will receive has received in year one and is projected to
receive in your 2 in your packet you should have
projections for both the county and the cities for the next 5
years. It's important to know the funding allocations are
only projections until the funds are received this has
been clearly stated and several state right meetings and for
this reason we will typically not remember recommend a
funding for projects in a specific dollar amount. But
instead for percentage of the funds that we receive
we're really very fortunate in Seminole County to have many
collaborative partners who are doing exceptional work and the
opioid epidemic to mitigate the opioid epidemic in our
community. The Seminole County Sheriff's office core team in
adventhealth's hope and healing center are 2 primary partners
and we want to continue to support the great work that
they're doing
additionally, we learned recently that are managing
entity will be working with us with Seminole County be part of
the governor's next rollout of the core initiative which will
provide an opportunity for the community paramedicine team and
other partners to provide a coordinated system of addiction
care for individuals, suffering from substance use disorder.
We'll share additional details on that in the coming months
and finally to ensure that we're using dollars to fund
programs supported by emerging and evidence-based practices an
annual notice of funding availability will be released
to allow community partners to submit solution focused
proposals to the Abate the opioid at opioid epidemic.
The proposals will be reviewed scored and ranked by an
interagency team of reviewers
and to ensure the community in the border kept informed of
provide an annual update to on our spending and our progress
and any future funding recommendations and I will turn
it back over to Trisha.
Thank you miss Welch.
>> With that we will talk about recommendations and next steps
in as some of you may have questions for our subject
matter experts will lead to 14. Thank you, Mister Johnson.
>> Okay, who would like to go first you want to start of the
far end commissioner Constantine work our way back
for.
I'd like to hear from some others because I have units.
The reason is I'm sorry for us to want to hear from the well,
whoever else wants to talk right now from the Midwest we
would like to go first. Let's.
We'll start this way we'll do that I'll be glad to start
these questions or no
particular order but as a as the presentation went.
>> First of all a huge shout shout out to Tim cook who
I realize it's not far away, but we missed dearly he he
really is visionary and we owe a great amount of gratitude to
him.
So
I would tell you that I'm going to come back to this at the end
but my initial response and to that he knows this is that I am
not a fan of the no 5 well for about a 1000 reasons and I'm
going to come back to that so I don't want you to think that
I've left out off of the conversation.
I did not see although it's probably in here, what is the
total number of beds that we think this facility will have
broken down by male and female.
>> Sure so when you look at both facilities. We're going
from 10 male dads too
about 17 mail-in feel that so 11 mail that's that's in the
Sanford building and that's the building that we're look
looking at using 4. The assessment center and then and
the new facility in Altamonte you're looking at if you do
single bad single rooms, you're looking at 15 male and 12
female now any of these beds could be bought
because they are I mean the way that we purchased these beds
there but that's what we use them as a single so it just
depends on what that space is able to handle and the way
we're able to utilize that within that building.
>> And you made you made mention of current facility
only allows for 30 days is it intended that the new facility
would be longer than the 30 day stay.
>> So we're we're trying to figure out and with the with
the way things are so that there will be a portion of that
program that will be 30 days, there's individuals that will
need longer than that.
The plan is to have that program at some point that may
be able to extend that stay for.
>> You know for 69 days that kind of thing so I'm still
trying to work through some of those things. But the intention
is that we should do some of this. On on a longer-term basis
at some point.
>> So probably not for today, but at some point I'm going to
need some evidence based medicine medicine indicators
around the longer stay absolutely and that's I mean
it's there is lots of there's lots of data that shows that
the the longer they stay in treatment up to 6 months you're
going to get an increased or a decreased the amount of relapse
after treatment, so there's plenty of data that I that I
did that I'd be happy to share.
>> Right so we're just to give you a full, I am always fully
transparent. I'm going to be looking to what is that
decrease compared to the cost for extending those stays to
the 6090 days. And so that the direct correlation of cost to
outcome is really important to me.
And and I'm sure they've given you my background in cost
containment and health care spending all that good stuff.
So yeah.
>> Yeah, and and honestly as we open up that will be a 30 day
just like we are now and really the reason why we did that is
it's it's it's a measure of minutes, it's really weighing
the community versus the individual and how long will it
take us to
figure out what do those individuals need before we
transition them to the next step for them. And so that's
the reason why we really kept it 30 days because there were
just too many individuals that needed help in Seminole County
to extend a state past that now when we open up these beds to
1215 if we will find that were in the same position that we
would be able to have that longer-term stay would keep it,
you know what 30 days and 3 days really does give us a good
amount of time to figure out what is the plan was a
transition plan when they leave because everybody gets 01:00AM
because we're not putting individuals back on the streets
and were not put him in homeless shelters were trying
to find what is that and I mean if they choose to do that
that's what their choices. Weekend Stoppard's a voluntary
and involuntary treatment. But we have never put anybody
back on the street would never put anybody in a homeless
shelter that did not want to go there.
>> It's is it safe for me to say that it's up to 30 days or
zip resumed at the start.
>> One in for the full 30 we're going in for the full 30 so we
talk about successful completion, it's individuals
that have
have were admitted to the program that stay there 30 days
now I will tell you there's some individuals that's that's
harder to place and others and you know we've had people there
for 37 days 40 days, 45 days because we were not going put
him on the street we're not going put him in a homeless
shelter, so there's individuals that have stayed longer in of
course. You know there's individual elected a 29 because
of that open some place that we're going to send them and we
didn't want them to lose that bad but that is a 30 day
program to where the programming is 4 weeks because
we have providers that come in that have 4 weeks worth of of.
>> Programs that they're that they're giving this residents
who do you have the relapse rate I o P versus I P.
>> So the I I do that was the average between both of them
for intensive outpatient and residential and I can
definitely provide that to you. Yeah, and then just a little
bit more detail, the rate for comparison was 40 to 60 and
that is a gigantic range, so it is a little bit more granular
in the detail there and I would love to provide that to you and
I will tell you that anywhere you look at all of the Sisters
of statistics, it's going to tell you between 4060% and
marrying that down. It is very difficult because that's where
when you look at the samhsa websites and you look at all of
the data that's being collected that's where they're it that's
what the range would be for substance use disorder.
Where do women go now.
So we have we have our substance use disorder
navigators that are sitting inside of the hospital there at
all central Florida vision hospitals that cover all of our
emergency departments. Either that are said or the main
hospitals when they come into that those navigators
have all of that all of the treatments, not just a central
Florida but across the state of Florida to be able to provide
those. So it's female that comes into the emergency
department they are placed into whatever treatment facility.
It is that they find depending on what their insurance is
depending on you know that they have funds to be able to do
that or not you know those types of things so you know
each one of them are you know they're trying to hear what is
the best place for them as they come into the emergency
department and then they make that decision
as far as that goes.
>> And then these are probably more for the sheriff, I think
there was a reference to us giving the building I think
we're lending the building do I misunderstand that.
>> I think it's a an incredibly attractive police.
>> Haha yeah we didn't give a building a way for the record.
And then you made a reference to I think it was 3500 Baker
acts. But I couldn't pull the correlation you did a little
bit doctor Tucker pull it back to an upper Senate to the Baker
acts are related to this situation can you provide us
with just a little more insight. Yes that thank you for
the question.
>> So I think right now we have evolved 2.18 incredibly
considerate society particularly in the policing
space. You know once upon a time people would see somebody
in the mental health crisis and then have limited options
typically, the first option was to incarcerate somebody and I
think that we we recognize that that is incredibly expensive
and typically in effect of a you can look at that and
reflect the numbers in recidivism rates where people
were just coming and going.
I think over time as we've trained our policing
professionals across this country quite frankly they
became more mindful of looking at other options in lieu of
incarceration.
I think we do a pretty good job, but it's not typically the
best place for you to get the mental health care and services
that you need so I think the spirit in which the involuntary
admission under the Baker act has been stretched to its
maximum potential and it's overloaded with people who are
in a mental health crisis but are not so severe that they're
going to present a threat to themselves or somebody else.
This is one of the reasons why
somebody is involuntarily admitted to Baker acted only to
be turned and released just hours later to the frustration
some time to the police and professionals because they were
never intended to be that population that at all I call
it
its condition, Crimson red it's like you have limited limited
availability to services until you you evolve so significantly
that you're going to harm yourself and then we tell you
to a system
and then we really shoe only after you stabilize.
I think we can do a better job so when we talk about this
entering the residential component of the senator we're
talking about potentially coming in contact for those 33
3500 people where they can be screened by licensed clinicians
and not simply policing professionals that are doing it
as as as collateral duty and responsibility to have
navigators that connect the dots and somebody who may come
to the door who may have built military. Benefits who may have
insurance coverage, but has a difficult time kind of
understanding what they're entitled to as individuals and
then lastly
when we look at all of these numbers that we're able to
report statistically.
They are typically in 4 general categories right you become a
stat when you're either revive with the use of naloxone
you're either involuntary admitted or or incarcerated and
involved with the criminal justice system
or or force year normal mortality, statistic and
everyone scratching their head and saying wish we could've
done something more we did some research to project opioid and
the Orlando metropolitan area.
Had about 60,000 people in need of some type of service either
on substance use or mental health. The numbers probably a
lot larger than that but they never come in contact with our
systems of tracking.
So we look at this facility as a safe haven for family to say
you know what we don't know what to do we're not trained in
this. You know, we've we've spoken to our partners at the
school who do a remarkable job we want to just walk through
the door, see some professionals even for
uninsured and underinsured and find somebody that's a
professional that can help us and I think that that's kind of
the spirit in addition to the residential component of it.
>> So I guess the question then becomes the 3500 or not all
opioid
>> you know the shows are just in involuntary. Whatever the
number of of the amount of people who are substance
dependence that are being involuntary minute because
they're not coming into our system necessarily those are
just the involuntary missions from all 7 municipalities
sometimes the school system these are people that are just
being baked Baker acted I would imagine that a an overwhelming
majority of them we are not substance dependent. They're
just in a mental health crisis and and I think that more than
50% of them. We are probably not the purest intention of
qualification of involuntary mission.
>> And so the reason I ask that question is because ongoing
funding for that portion of this program cannot come from
opioid settlements as I understand it.
So it's so we're going to have to separate out costs related
to that portion of this program, I'm assuming it's
running through the assessment center so it's limited to the
one building I don't know but some somewhere somehow that's
going to have to get figured out because it's just sort of
baked up in here. Now and we know that that fund and there's
a bunch of unfunded here but we know that that will not be
permitted to use of the opioid
dollars.
>> I think that that that is something that can be
accomplished with a screening tool I would imagine everyone
is coming in is being screened for the presence of co-workers
Coker issues and all of that it may be occurring at the
hospitals already I just I just don't know.
>> I think it just needs to happen on our side from knowing
how we're spending dollars and where these where this money is
coming from
for the hope and healing center now and the future vision for
this is it only for uninsured or under-insured you made a
reference to there's a screening done in the hospital.
If they're insured they're placed in beds elsewhere it was
that that was my interpretation, yes, so.
>> With the individuals that are coming if if the individual
does have insurance that winds coming to hope and hearing
center it's because their insurance doesn't cover that
service. So it would be individuals that don't have the
ability to pay and their insurance does not cover
that service if
if they're coming to the center. So we're not billing
insurance is that hope and healing center.
So some insurances don't have the you know they don't have
the residential component to it where they don't have an
intensive outpatient or they don't have a mental health
component to their insurance. And so those are the we do have
those individuals there. But the target is for
individuals that don't have the ability to pay that don't have
insurance that that that need that service if they do have
insurance that are navigators because they check all of those
benefits of the hospital when they come through the hospital
if they do have insurance they do have a benefit they are
going to other places because individuals that have insurance
have the ability to get help the individuals that don't have
insurance that's where you find the struggle, those are the
individuals that continually go through the system, you know,
and it's over and over and over and over.
>> So that's probably going to require a little bit more
explanation because I don't know that there are many
policies out there that excludes substance use and
there's mental health parity rules within the state of
Florida and federally
2 different things of it is not covered meaning it's excluded
versus it is denied meaning 30 days automatic inpatient isn't
automatically granted. Those are 2 entirely different things
absolutely and it's not and if they don't have.
>> The benefit they come in most of the end of it is that
come through our don't have any type of insurance whatsoever.
>> I would imagine because of the number of beds at the point
that we expand that may be different.
>> Possible but it's the same but but it's the same.
The criteria that we use for these individual we have.
There is there such a crisis here in central Florida that I
have no doubt that we'd be able to fill every one of those beds
with individuals that don't have insurance that don't have
the ability to pay.
>> I'm going to come back to the know FA.
The piece of this that I have the least comfort with
aside from the overall financial commitment to
long-term financial commitment of this is pretty significant
and we need to going with eyes wide open.
We have decreasing funds, there's a gap in the funds from
the year one which I'm not saying we shouldn't do it,
I'm just saying we need to go in with eyes wide open
is spreading out the limited funding that we have to know
foot to start going through a process of approving.
Right maybe fledgling organizations that want to come
in and get there $50,000 and starting nickel in dining away
from the true need here for things that organizations come
together to 2.
2 from an emotional standpoint.
This is now gotten to the point where it is big enough that I'm
not sure if the county is going make that commitment that we
should be splitting that out
and you all have heard me talk at nauseum up here about giving
folks very small amounts of money with very little data for
outcomes I would rather give large chunks with real data for
outcomes and the one thing that you all have done extremely
well is tracked and trended every single step of this
program so I would lean toward 3 buckets and not for for this
and with that I'll yield.
>> Okay, it's 1145. 40 all stocks.
I have questions keep trying to get a sense keep going my God,
he nurse the on Westergaard thank you Mister chairman.
>> We not just to put us put our community.
I want to thank you all for your hard work.
To say thank you start going individually be impossible
because he's been so many people have put a lot of
hard work on this but more important want to thank the
the families in the residence and the citizens to be patient
with us trying to figure this out.
So the questions I have is I think it's important that the
facility as you stated sheriff, a stand alone, and it's near
the hospital.
Outside of our existing real estate portfolio
but I would like to as we dive deeper into this, I know you
have a lease on it, I would like to see since he's going to
be a long-term commitment is it potentially at some point
that the Biden just lease and how that would actually work
out is to lease purchase agreement, but I think that
could be worked at a later date and I think that's important.
I like to understand a little more about the city's
involvements in the settlement distribution.
Do we have agreements and if we don't that's fine. But I'd like
to understand that more from a legal standpoint
which QB other cities all in
and we're using this as one
fit or are there some efforts with the cities as well as want
to make sure that we're on the same page sure doesn't need to
be answered today.
And then with that.
I like to understand the
the ages, it's just going to be
anyone or is there an age bracket for this is it only
minor is only adults is both minors and adults.
>> We're looking at 80 adults, 18 and up okay. So the my
question would be.
>> What happens to the minors. In this
endeavor as well and is there some way to address that
somehow I don't know.
This is not something that I get that involved in a regular
basis. But I do know that
you know you hear the stories and reports that there are many
miners that are very involved in the opioid addiction as well
so just want to address that
what is the annual projection of people go through this
facility is it or 3501 point is that the number annually going
through this.
>> That was not the number that it that it 3033 to 3500 are
just the involuntary missions and I suspect that the number
may be as as close to that as possible course we're not going
to prevent people from going to the look the the the local
receiving facility whether to hospital emergency room so so
some of those are going to kind of balance out here. I think
that this may be a resource as Orlando Health's shifts to
Orange County. For their for their main facility, I know
that there are that you've got a strategy with some of their.
We full-service hospitals to to accept and receive patients
that that are there so actions that that you have as far as
the numbers.
>> No not necessarily I mean just when you when you look.
>> The when you look at the numbers as far as the current
facility and project them into the number of beds and we're
going from 10 mail to to no beds to 15 male 12 female,
the new facility and then you know 11 or 12 5 or 6 at the
current facility and were able to stay, I'm very close to full
all the time. If you're looking at 30 program is a
multiplication of the number of beds.
>> You know that kind of thing and I think in 20 for its 324
of your perfect to the 30 day stay right and we're going to
get there but thank you myself
>> so you know I think that you know, we're we're we stay
pretty full as we as we are not only not full because there's
discharges on a Friday. There's not somebody currently you know
those types of things as far as that goes but.
>> And I do think it's important. We don't box
yourself into a corner because the problem today is opioids
and mental health that does not mean that's going to be a
problem 10 years from now understands. I think that we
have to be able to a pivot and shift to to accommodate
whatever crisis that we're facing at any given time.
>> So the reason I'm asking about the dissipating annual
number because I like to understand what the actual
demand is we know what that is.
>> Well, I know that the man would at bare minimum start at
the 3300 people who are being service now. In addition to
anybody that goes to the hope and healing center and and I
think that it's important to think about like the in the
1999 2000 legislative session. We change Florida's Baker act
law here after the murder of deputy Jim Gregory to allow for
court-ordered assisted outpatient treatment.
The only problem was we were the only County to ever use
that and I think that when you look at mental health services
to provide those services in a community type of environment
in a least restrictive mode of form is something that will
look at so the number of people that come into the residential
component will be absolutely different than the people who
are coming through the doors that are navigated to one of
these other health care providers or community-based
health care.
>> I think I can also tell you that threw out to my hospital
there's between 4060 per 60 console for 76 order per week.
So there's a high number of individuals that are going to
the hospital but hope and healing center doesn't even
touch.
>> And the last comment if I can make is is this is one of
those situations where
it's hard to anticipate because I think that if you build it,
they will come how many people that are out there that fit
into these categories that feel currently right now that unless
they're getting involuntary minute under the Baker act,
there's nowhere for them just to walk in. And go so I think
that that is really the unknown here is if we market and we ran
this and advent continues to have their success how many
people that would normally not step in for for for care.
We're going to this facility so.
>> And again I think you said a couple minutes ago, this is
basically for the uninsured correct
want to make sure the U.S.
and then we talked about Baker acts just as this is not to
take the correct
individuals that's another topic for another day because
that's even another issue that we have to try to address in
the future I understand that I just want to be clear with that
and then I know that Miss Johnson talked about report,
I'd like to see a semi-annual report as well because if you
just wait to the end of the year, you know we may have to
be part of the pivot as well.
And I think that would be just important.
>> I think that that we will put this in our system where
not only do we quarterly and annually we track our numbers
daily. Any given day what would know the numbers and what I
envision is because quite frankly we're doing this on
your behalf and that we will give you access to that
database where you can looking at any given time and see what
the numbers are in real time. I think that is so incredibly
important when it comes to pivoting in strategizing on on
what we can do to combat it.
>> Because I just don't wait annually it's needs to be done
so more quarterly. Sheriff, you know the system better than we
do from that perspective that we rely on your judgment that's
the end of my questions at this time.
The pressure off guard.
>> Obviously incredibly needed. No no question in terms of the
quality and the value of the service that's being provided
the expansion is significant.
The committee that the dollar commitment is significant that
time commitment is significant. So I I appreciate you being so
willing to answer questions that may be you know typically
we wouldn't be in the weeds and frankly.
There is a mention of crime that for the opioid settlement
money where are we with in terms of the arpa dollars and
timeframe of getting that plan
submitted and the information to wherever that information
goes, I know we've been
pretty
pretty aggressive with some other folks with their arpa
funds where are we now it's our time line.
>> Are you referring it to the 9 regular reporting the yeah,
yeah, so anyone who receives arpa funds a not-for-profit
sheriff's office. The county has to report on a quarterly
basis, the expenditures so I don't want to speak in
incorrectly to that that's managed by or grants team.
So if you would like I can get that follow-up information and
share it with this board in the morning, but police on that
that be great in our cities involved. As we mentioned that
the fact that the cities are involved in that in those arpa
dollars have been allocated toward this 9 million as well.
Our day is it all 7 of the cities that have allocated some
toward that I believe 5 of our cities have allocated some of
their dollars to the total 9 million dollar agreement
again I would follow up with you on that just off the top of
my head, and they would utilize those same numbers to report
back to us Treasury, okay, and then to spread sheets.
But I'm trying to reconcile
one green and one blue.
>> The one in blue is actually the five-year projections that
is from the state attorney's portal where they up a little
project what our funds are receiving receiving the other
one is chief Spriggs actually put this together.
>> Again I hate to be in the weeds but the numbers are
vastly different so can you you're okay, so you're want
well vastly you you're talking with millions of dollars of.
So you're one on the state attorney's dollar.
Some of the regional funds 3.6 million for year one is this
3.9 million. On on the.
It's a sheriff's office spreadsheet is that the same
we've we comparing apples and oranges with these 2
spreadsheets and topple styles.
>> It includes both the regional funds and the city
County funds which are all coming to the county directly
so for the first year you have the 3 million 9.50.
On the spreadsheet that we're showing you if you add the
bottom 2
rose where it says city County 321,000 and then regional
3 million 6.28. That's what the county received in total.
Absent the city funds that are should reflect just the top
about cheat.
>> I I'm so sorry there in fact it's I'm sorry it's essentially
there are 3 there are 3 buckets of funding in total for the
opioid dollars so Seminole County is a qualified County.
So instead of our regional dollars going to central
Florida cares are managing entity. They come directly to
us and we would always receive the city County dollars that
was a pocket of money that cities will get the money that
they are entitled to and the county will get are dollars
that was never in question. But if we were not a qualified
County. The dollars that are regional caught would go
through central Florida cares and then they would decide how
they're spent because we are what 15 qualified counties that
come directly to us. Okay, so there's 2 pots of money that
you have to add to get together again are going on now got
okay, thank you that I.
>> The math girl probably pick that up immediately if I need
somebody to walk me through it so thank you. I'll take the
compliment just to mention for the record the city's also
receive separate funding. That's not part of the city
County or names buckets probably could have done a
little better job said they have separate city dollars as
well but those are not included on either of those either the
stock that's okay. And after all is totally respectful by
the way I didn't mean that just just the meta in trouble later,
but it's a.
>> So the the lease is already been signed that was news to me
in our briefing the other day.
And there's already a schematic from architectural firm.
Who's so this is the sheriffs lease agreement who is doing
the construction procurement Whos whose procurement, what
policies are we falling for this adventure.
>> So where before you today and we have done nothing at
this point other than the design. So it is ready to be
prepared it could be done to our office. It was intended
that it would come out of the 9 million, however that could
be a discussion that we have with County management.
>> It's no our procurement practices policies are
different than yours and so when you when you already see a
design that's been done unless they in kind of that gift is a
part of the project.
I imagine so that money came from somewhere and that design
firm was chosen somehow not maybe not for our policies
right.
>> If I could I actually asked Mister Swensen from my my
office to work with the sheriff's office to work
through that, so I can report back to you based on the
findings that we have so we'll work through it.
>> I just want to make sure when we know partnerships and
collaboration are great, but when you don't know which Lane
you're in for which part of the process at the end of the think
there could be misunderstandings and I rather
have all those conversations up front. So that at the back and
we're not going to the world why did that happen.
There was a so out on. Mister March isn't here and I know he
they're a huge part of this and forgive me if I'm not
recognizing Altamonte
patches on the back wall no no okay so as a significant
partner and this I would love to see to have them be
in on these conversations and work sessions from the
beginning you probably had lots of conversations with them,
I don't think I don't think that we have
there's also something mentioned about an in an
informal plan on the use of the opioid settlement with the
county manager and I'm assuming that was the former County
manager is that right.
>> Cracked those were the conversations when you are
going to be asked to approve the 9 million dollars that
included approximately 1516 FT dating app and how do we
sustain. So when we look to score team that was the common
conclusion was we would love today for the settlement money
to sustain
those programs.
>> And so a 100% of the opioid funding was your interpretation
that would that with that former leadership.
>> At the time the lawsuit was in progress said there was not
I really a determination on what the county would even get
we just knew that at some point that would come to fruition.
It had gotten that far South. That specific seconds so it you
didn't speed did not assume through those conversations
that it was all going to be allocated to this particular
yeah, we just need that they would you have to come from
somewhere obviously you're really trying to take pressure
off the general fund and use specific special revenue
dollars for those purposes awesome okay.
>> The.
>> My notes were not as as it was early as commissioner hers.
I also expressed concern over the Nova process. And our
briefing. I envisioned the same kind of thing that we go
through with the the CSA funding and this is this is
such a significant left that that I I think the again the
03:00AM out of 4 is probably where where I would lean
personally
with that the overall committee that is compare that to the I
mean a committee of 5 as difficult a committee of
30 or a 100 I would imagine is completely unmanageable how
many of the how many people participate.
>> In those committee meetings it varies and we don't always
have the same people in the medical subcommittee we have
some that always come doctor Tucker is usually there.
Doctor husty is their daughter was there every time it was
there so doctor Barbosa normally comes from formally
Lotus behavior also that we have some that are standard in
every meeting, but it does vary we have a large distribution
list and not everybody is like every committee not everybody
comes every single meeting okay, but we've had discussions
after that to just to kind of in Sharon we've actually just
of the the recommendations based on somebody who perhaps
wasn't at the meeting but hadn't ideas. We've had about
to the spreadsheet as well.
>> Okay, and I love the fact the sheriff that you mentioned
the ability to pivot and and because of the amount of money
that we're talking about that the ability to legally
within the bounds of these different pots of money that
we're working with be able to be nimble and shift with the
needs of the community is is so critical.
You know the the crisis does your
is is likely not going to be the crisis in 10 years just by
the nature of of
the world though not that that's
already been identified.
It was on the back.
And I'm sure we'll have more questions and lots more
conversation as this moves forward, and I know our team
you know working with you all he's already done a lot and
we'll all be looking to the county manager to kind of help
pull all of these pieces together. So that
all the questions are answered our partners all feel like
you're working by calling. Right because this is this is
super important and so we want to make sure that everybody is
valued and and with we have all the right.
Seats at the table for. For now. Thank you.
>> Commissioner, Constantine yeah, I'll try to be brief and
I'm not really going to do
ask you to answer the questions I just want to throw the
questions out on the table because I think
I think the the rest of the commissioners did an incredible
job of of kind of like putting
different not only questions to be answered but
issues that are concerning and I have the same many of the
same concerns and
so I'll just write of our articulate that a little bit
first of all it sheriff, I do have to note
being on both the state and the federal
opioid task force that I am that you are such a leader in
this and you you took this from the beginning and I I just want
to tell you I'm I'm very thankful. As a citizen of
Seminole County that you have done that and I also want to be
very thankful to our to both Kelly and our Health Department
and everything that they've done as well as
our legal team, who got us to be a quote fight County.
I mean this is not something that everybody got and so we're
in a position much different.
Then many many other counties.
In the night or across the nation.
And when I go to the some of these meetings the Wahoo there
are a lot of things that resonate that we're doing that
many of the other counties wish they could do from a money
standpoint, everything, as well as the fact
they are impressed
that our sheriff is so involved because they wish there's where
many of them just think it's a you know it's a health problem.
And they don't look at it from a criminal or a for of an
opportunity to prevent or to stop
saying that.
I still think that you know from this standpoint as all of
my can follow commissioners have said this is the next big
step.
This is not something to take lightly and this is not
something that you make a decision in a day.
I have concerns
the cause.
I live in Altamonte Springs
of you know in the location.
You know the the concerns I have and in many cases, our
security now doctor Tucker I do have one question as
adventhealth have any other facilities where they have
actual people staying across the street for 36, I think
everything is I don't know of any facility that you have
actual people
living or staying on the other side of 4.36 is that correct we
do and we're the only residential facility across the
country. So so this would be a first moving that
and I don't have to tell you for the sheriff. We're
certainly Altamonte Springs
but because of the location I think it's great that the right
location have this facility.
But the cause of the location you've got them all the
hospital.
Many fast food restaurants.
Publix on either side.
It is a.
It is a congregation place already.
For many people that will be walking up and down the street
with public shopping carts
filled with everything that they own and
and you know you know when you're doing this you don't
want to exasperate the problem, I know that out too much
Springs.
You know, I mean like as as commissioner.
Lockhart indicated, you know we have to have a lot of stuff,
you know sit downs with them also when we're talking about
sure
the partnership that different people have different
interpretations of what the partnership is
and I think we need to know that but it's in the location,
we're talking about 3 million dollars
for security.
I'm sorry for renovation
but in that renovation I think that there are as you know the
citizens of says about a month Springs, and others they're
going to you know expect also
security for all sites.
And that needs to be something that that I you know in in
looking at
schematics you know, I'm not you know that just a snapshot,
I'm just suggesting as you go forward
that is something that needs to be on the forefront.
I was mentioning during the whole thing the parking I know
the facility where there's very little parking they're also now
I don't know if you could have had a need for parking but you
know that's that's another consideration. In that thing
can I point out the fact that what you said.
A sheriff is if you build it, they will come.
So we're anticipating it being used we're anticipating more
activity we're anticipating those
that you know are related to those folks needing to visit in
6 real like that, but
we're also concerned about the addition and the potential of
of more drug related activity and that needs to be
considered.
The other thing that
but you know as well as I do sheriff in these committees.
There are so many other forms of abatement that are coming
down the pike
we see a
a decrease right now that's a beautiful thing
Bateman programs everywhere, some cost a light summer brick
and mortar some don't cost as much. They're coming down the
pike tomorrow, the state or that the federal on abatement
the federal leadership
of opioid network leadership program is coming out with a
report, not a final report on the wing report but talking
about a lot of debate and programs.
The state abatement task force which you're now going to be
the designee for the weekend before the attorney general and
I want we are just scratching the surface
of some of the various abatement programs to use the
money more efficiently and everything so
we we've
the word, pivot was very important to me too.
We want to be able to
on some of these things
because the 3rd thing is the sustainability
of this hole process.
I'm old enough to remember we crack cocaine was the big thing
and we put together not we.
But the nation the state put together a lot of programs to
reduce that and there have been other health slash drug related
programs.
Let's hope that this is reached the pinnacle
and he's on the way down to some of our statistics
indicate.
But are we willing or are we putting ourselves in a position
to transition.
To the next thing it does the sheriff want to be in charge of
that also or you know be a major part of it maybe maybe
not just Health Department community services so we have
to be very careful about the long-term sustainability in the
commitment that we talk about
and then I then I also have a concern about
but given the funding
we're talking about arpa funds right now
as much as I would love to think that we're going to get
the 18 million qualified dollars over the next number of
years.
As Kelly indicated
that's only
every we can't guarantee.
I think we all know about the
a group that you don't want to mention again is trying to go
under bankruptcy.
How much because they're a major part of this settlement,
how much that might you know a cause a concern about
when it comes to funding long-term funding.
So that's another thing that I think we need to address as we
move forward in this
and I am I've mentioned already
and but I think it it needs to be noted is a separate thing.
Altamonte Springs is going to be he has to handle obviously
because you know the first response that security and and
and the cost of a number of different things within that
area and they already identified that there's a
problem in that area.
Right now.
So we need to really shore up exactly who's responsible for
what and who's going to be paying for what
and with all that I think the commissioner glory also
indicated about the report.
I think we need to have an ongoing reports and you know
annual is fine semi-annual is better.
Quarterly is even better, you know mean if you've got the
statistics on a daily basis. I think we need to see this as
it goes through because again,
I'm not worried about
I'm very concerned about this, but I'm not worried about the
long-term situation for opioid I'm looking for the long term
situation of what's next what's down the line and are we ready
and prepared to do that.
So with all the other things that my fellow commissioners
have indicated those are those are my concerns, those are
things that need to be addressed. I think we need to
be very careful that we watch what others are doing.
Sheriff you and I'll be very much active in that being that
we're both on that committee, but we need to really
invest our time and energy in not just right. We're asking
for in brick and mortar and and an ongoing effort tv's now,
but we have to be prepared for sustainability in transit and
transition.
And with that.
Thank you thank you I I don't have anybody else have anything
else to commissioner.
>> I do I I look at this very differently I think then maybe
we're looking at it.
I think the opioid crisis is very different from
previous drug crises in the country. I think the death
rates are higher, I think they method for addiction was often
not voluntary it was helped by the medical community and the
dental community and
the drug company that
got us into this situation. I don't want to be in the long
term business of drug addiction. Abatement
I just don't I don't think I thank you very crafty
in terms of how you've done this with its branded to
advent. But it is a government run facility because of the
funding not to minimize advent investment in this at all.
But you know
public-private partnerships we can lean in there. But I don't
know that I want to actively pivot. I would like to put
ourselves out of business.
That's what I'd like to do.
This should be an opioid
centered solution that isn't looking for a pivot.
It's looking to put itself into extinction by virtue of the
fabulous results where we can take opioid ejection back down
to what the typical level of addiction in the marketplace is
there's always going to be addiction.
One might say we're all addicted to the chocolate ball
that Jay brings because I think it's called my name I believe
that this is the nature of humans.
So I look at it very differently and I thought I
should get that on the record.
>> Mister chair, if I could I you know I I respect what
you're saying commissioner, but I want you I just want to make
it clear I'm not talking about pivoting to the next thing.
I'm talking about. There are many
Bateman solutions. Coming down the pike right now for opioids
that's when I took that's what I'm talking about and pivoting
I understand, but I do I understand I'm not like it was
too late to the race here okay, but I just want you to know
that I'm not looking when I say this I'm not looking. It's
getting to the next crisis. I just want to make sure we're
you know, I mean what you know that we don't put all of,
you know, I mean our resources into this this one solution for
this one thing. But that we can look at other abatement
programs coming down the pike
happening right now as we speak in real time.
>> Commissioner Lockhart so philosophically I align a 100%
with what you're saying.
But I think the ask is for longer term than what we are
comfortable with that philosophy and so I don't know
if the majority of us.
I feel like I'm playing offense and defense. Wrap this up in
just a second, I just want to make sure that you know my my
comments of my questions are based on whichever way this may
wind up going because I don't know if the majority of this
court is interested in making this a long-term adventure or
not to put a face on what has been presented to us. So so I'm
I'm in the category of
a great partnership to kick off to meet a crisis that exists
currently great use of the funds I believe to meet the
needs.
But not government's job long term sheriff us.
That's just my my personal vantage point.
>> The chair of the would be for your Apple can I just make
one brief. Comment.
You know I think that you I agree with everything and
what's interesting about this is
I've known my Lane from the beginning Lane, one was to
identify problems come up with a strategy and then find
somebody more confident and in the health care field to take
this over because I am not my team is not that was at that
health
and I think that we're finding ourselves kind of shifting
again where it's moving out of my Lane and out of Scots Lane
into your Lane. I mean it's your job to make the decisions
on the financial interests of the county but being a good
steward of our partnership I thought it was incredibly
important to kind of bring some suggestions that are yielding a
pretty significant results, you know 20% reduction in overdoses
and fatalities in a 11% reduction and the and the the
deaths
is is nothing short of remarkable. So I worry
sometimes that this comes across like actually I feel
like I am in the middle man a spot here where it's needed now
the county and our good friends at Altamonte a note bill Frank
Martz is a partner in this process, but I want to have if
it makes more sense to get us out of that process as long as
it doesn't slow down things.
I mean we're more than happy to do that I feel like we've got a
good strategy, good, good plan. To commissioner Constantine's
appoint everyone just going to be a developing every single
product. That's going to help on this thing over the next 18
years of trying to sell it to us so I do think that there
needs to be a little bit of wiggle room there to embrace
kind of new strategies new concepts to to abate this issue
but I do think that the county. The Fire Department the
municipalities adventhealth it is so incredibly unique.
I think that I envision this going into the private sector
Elaine, under advent umbrella because I have no interest in
my tax dollars funding this or my kids tax dollars funding
this for ever and ever and then lastly one of the things that
we can't track statistically is as people are diverted from the
normal criminal justice system as people are getting healthy
and becoming gainfully employed and and finding sobriety it
means generations of their families are not being raised
in our tax dollars and it's hard to statistically show that
now I think that we're going to be truck tracking numbers,
the best of our ability. But this is something that will
be reflected decades later as far as what we do now.
>> Thank you. I thought I've got nothing to say on I think
everybody said I've got my own opinions it's been set aside
some married to a woman has been in this industry for 20
plus years probably knows more than I care to know and we'll
probably from being completely when I get home to see anyway
any other questions for
any of our guests here today.
Do you believe you have direction it sounds like go
down the list. It sounds like you want our staff
to continue to work with the sheriff's staff and all the
partners to come back to us.
Additional information and what course
we want to go down including financially.
>> Yes, Sir that's what I heard I will mention 2 things
I think between the 2 of us we captured the majority of your
follow-up questions so we'll work together to compile those
that want to dress today and follow up with you and then our
follow-up timing also depend on the medical subcommittee,
when they meet again the of the task force because some of your
recommendations and suggestions were tied to those 4 buckets of
funding which may need to sound like they'll need to be
revisited that those groups thank you.
>> An additional and put our guests have anything to follow
up with before we close this meeting
we'll stand just one very thank you.