This is the January 9th, 2026 BHB Access Wellness and Recovery Committee meeting.

The

start time is 12 o 'clock p .m.

I

am calling the January 9th Access Wellness and Recovery Committee meeting to order. Thank you all for coming, including our guests, our illustrious guests in the rear,

whether

or not they choose to let us know anything is fine. And for now, we will take... You

had a choice, huh?

Yes, we will take a roll.

Elisa, if you will take a roll, please.

Candice Deku. Here.

Mary

Crocker -Cook.

Here. Jolie

Liu.

Here.

Sigurd Pitski.

Here. Matt

Savage. Here.

You

have a quorum.

All right. Very good.

Now,

this is the part where we ask for public comment.

We

do have one question.

Very nice.

Thank

you very much. So, I...

You

may get up, Sandra, and... Oh, yes. Is this like the old trust?

Yes.

Yes. Yes. Very familiar with trust.

Okay.

My

son was just totally involved.

Yes,

please.

Let

us know what's on your mind.

It's for item four, Candice.

Oh.

Huh? The

speaker... Oh,

it's for item four, not this part?

So,

we wait until four?

Oh.

Okay. Fine.

All

right.

Thank you.

Thank you.

Remind me when we get to item four.

Okay. Next,

we need to approve the minutes of the last meeting,

which

was November 14th of the Access Wellness and Recovery Committee.

Do

I have a motion to approve? So moved.

I'll

second.

And

we're all in favor, aye? Aye. Very nice. That's moved.

And

now we come to the regular agenda item,

which

is Sue Young, Director of Adult and Older Adult Cross -Systems Initiatives and... Okay. ...Crisis Services, Behavioral Health Services Department.

And

Sandra, I assume you'll jump in at some point or...

She's the Division Director over at the Immobile Crisis Services. Oh, okay. Very good.

Very good. Yeah.

I'll be doing the presentation. Yeah.

Nice.

All right.

So,

before we get started, thank you for having us.

I

know I've been here many times, as we do this, as well as other committees. And there has been a lot of different questions, so I thought it would be helpful because there's also... There's a lot of confusion about, you know, mobile crisis services, PIRD. There's all these questions about that, and so I thought it would be helpful to kind of explain different type of mobile response programs that we have and what they respond to, because there are different levels.

And

so that's why Sandra is here.

There

was also a question about, you know, how is HR1 impacting our divisions?

So

we wanted to kind of broadly address that because there's a lot of budget stuff and that should be... That should be really addressed by our CFO, but pertaining to our program, we could kind of discuss it in a more broad way, and some of the things that we're trying to do to kind of help mitigate some of the impact, you know? So that's kind of where we're at. And so I thought Sandra could just start with doing a little presentation, and she could share the slides with you guys so that you guys could look at it after. And then if there are questions, we could also address them as well.

So first of all, welcome, and thank you for having me today to speak to you about mobile crisis services. As Sue mentioned, I'm the division director. We're seeing the mobile crisis services in Santa Clara County. And so I have a few slides that I wanted to share, and I will definitely share with you if you want to see them and kind of review them on your own, that's fine. But I wanted to kind of give you a sense of... an overall sense of how... how mobile crisis functions in this county, so that you have a knowledge of that. So we have, as I hope everybody in this room knows, 988. Hopefully that's something everybody's very

familiar with. As we have 988 as our sort of portal to how we access... we can access services through 988 to get to these mobile crisis programs. So 988 plays a very vital and pivotal role in our work as mobile crisis services. And so 988, a caller calls 988, as you can see, can either go to an in -person response kind of request or a phone response. Phone response is of course going to be able to provide some phone support, maybe some resources and information. And then it's the in -person response part that when a caller calls and is requesting something such as an in -person response, they're providing us information that will be on

the other side. So it helps give you perspective. It gives us information about what's going on with the situation, so that we have a better understanding of what type of request is being made. Is it the appropriate request? Because we want the right team for the right response at the right time, okay? So that's kind of how we think about things. So as the slide there shows, we have three main teams. We have our MCRT team, we have our MRSS team, and we have our trust team. So the MRSS team is our trust team. Our MCRT team is a county -funded position, program that has, yeah, it is staffed with master's level clinicians, licensed and

licensed labor, so they're getting their hours to complete to become licensed clinicians. And they work in teams of two. They are, they use their own vehicle to respond to calls. There was a time when, in the past, where probably they responded more so with law enforcement, but that has changed dramatically in the last couple of years. It's two years, probably, where it's a lot less, where we only call them as needed. It's not automatic that we need to have law enforcement on every single call. We've learned that through just experience. And the fact that it's just, I think our skills are better. The team's felt more, the training that they've received has given them more

of the tools to feel confident in that we don't always need law enforcement for every little call that comes through. So they're a 24 -7 program, Monday through Thursday. Friday 8 to 5, but they're 24 -7 weekends as well. All of these programs actually are 24 -7. So moving on to the next program would be MRSS, our mobile response and stabilization services. That is a contracted provider through Pacific Clinics, and they have a different type of staffing. They have clinicians. They also have family specialists. The population they serve is really ages 4 to 20, 20 years old. So it's young is 4, old is 20. And with MCRT, I forgot to mention, they rarely serve

18 and over, though they can work with the other children when MRSS is not available. But primarily, the MRSS program will work with youth and their families, of course. And they do a lot of work in the community, particularly at schools. A lot of calls to schools for children are really struggling. Some folks, some of these kids are having early childhood depression. These are really signs of very serious mental health concerns, problems, some as young as 5 and 6. And of course, many teenagers who are still struggling with a lot of what's going on in our world today. Some of them have very serious eating disorders, maybe, other issues that come up. Like MCRT, MRSS

can write 5150 holds. That's the ability to detain somebody, to take them to EPS, refer them to a doctor, and do their psychiatric evaluation. So they do have what we call 5150 writers who are able to assess.

Yes. And do they transport them to there, or does Log Force Med get called for that? To where?

On a 5150 call. Yeah. Great question. So with MCRT and MRSS, and actually trust, if needed, we have a contract agent, a contract with West Med to provide transportation to EPS, or an LPS designated facility. With MRSS, we have a contract agent. With MRSS, they have a crisis stabilization unit for youth, it's at Pacific Clinic's campus. So they do have that ability to take a child to that facility as well. And then they will determine whether this child needs more acute kinds of services or help. Because it's not a 24 -7, like seven days that they can stay there. They have a minimum amount of time that they can stay. Basically, kind of a 24

-7, 24 -7, 24 -7, 24 -7, 24 -7, 24 -7, 24 -7, 24 -7, 24 -7, 24 -7, 24 -7, 24 -7, 24 -7, 24 -7, 24 -7, 24 -7, 24 -7, 24 -7, 24 -7, 24 -7, 24 -7, 24 -7, 24 -7. And they will have to wait maybe 23 hours, or 59 seconds, I guess. Because they really can't go over. And those children probably really are going to need a higher level of care. So it's good to have a stabilization unit because it does really help to maybe stabilize and maybe regulate some children so that they're in a better space. And then maybe with some good safety planning, some good opportunities to maybe

access other resources. they can definitely go home with their family members, or wherever they need to go from there at that point. Then we have our newest program, which is really not new anymore, but it is our newest addition to the crisis continuum, and that is our TRUST program. It stands for Trust Response Urgent Support Team. This is a different kind of funding source in that it is funded through MHSA dollars. It's an innovation grant. I don't remember the number, but it is an innovation grant, which will actually term in November of 26. So it's been up and running for several years, about four and a half total years, we will say, that it's going

to have been up and running. This program is also, there's two contracted providers who provide services to this program, because it's countywide. There is a program in the north region that is provided through Momentum Services, and then there is the remaining part of the county provided by Pacific Clinics. So that's our San Jose region, our West Valley region, and what we call South County region. They have a dedicated staffing of an EMT who acts as a first responder. They have a peer, and they have a paraprofessional. So they are really groups of three in many ways. It could be two, but often times it's three.

They serve more of a non -law enforcement need, dedicated to more of a care first model, an outreach and engagement, resources kind of model. We've looked at all the ways. SAMHSA has defined mobile crisis services, and in their most recent description of that, 2025, that is how they're defining mobile crisis services in terms of how the trust program has been configured. So it's a low -level, non -law enforcement type service.

But the population, it sounds like, mentally ill?

It's going to be a group of individuals. We can probably move on to the next slide. Let me do that. And then I can explain to you, because I have some examples of what that might look like in terms of who they serve. So this is what we call our new Santa Clara County mobile crisis continuum. So if you look at it from a pyramid perspective, you have the mobile crisis team on top. You have the mobile response, our MRSS program, and then you have our trust program. And you can see how they're each activated through 988. With the difference being MRSS and the trust program currently have a, they have their own dedicated 10

-digit phone number. That they have, you know, the community has access to. So this is where you're seeing the age, you know, determinations. But this is a description of how each team would be activated, basically, and for what reasons. So you're going to see, like, with the MCRT team, it's much more clinically -based safety concerns, potential or possibility for a 5150 hold, law enforcement is as needed. It's going to be a higher level of response due to a crisis that might be occurring. And I can, again, in the next slide, it will show you a little bit of what that might look like or the sorts of scenarios that they might respond to. And then

you have the MRSS team. And, again, as I mentioned, serving youth ages 4 to 20. Sometimes those calls can be de -escalated through the phone, and oftentimes there is no need then to deploy a team, which is good. And, you know, when that's possible, it's a good option that we like to see. They have minimal law enforcement involvement, again, typically not very high in that population that's being served there. And then with trust, as I mentioned, it's a community outreach without police. There's no law enforcement. It incorporates peers, and they do have the ability to transport individuals as well in their van to certain dedicated sites, not to everything. They cannot go to, like, an

ED to a hospital. They cannot go to an LPS -designated facility like UPS to take somebody. So they're going to really be selective and judicious in who they take and why they take them. So it could be, let's say, you know, the sobering center, maybe, that they are saying, you know, this person could benefit from this. And so they will make accommodations and transport. Which is great. They might transport somebody to the CSU crisis

services

that Momentum runs. So they may need some kind of crisis stabilization so they can get a bed in. It's an ideal opportunity to get somebody into that kind of facility. They'll transport for that. They're not going to transport for other kinds of things that are just like, hey, could you just drop me off at so -and -so place? Or I can do some shopping. They're not. That's not what it is. They're going to be very judicious in where they go and what the, you know, the need or the request is. It could be they are being returned home, maybe to a family member's home, who they, like, now feel would be best to, could I

stay with my aunt? Yes. Okay. Yes, we'll drop you off because I don't have another means to get to that location. Rather than leaving somebody outside just trying to figure it out, they will transport. So that's a relevant question. So what happens if they determine that someone may need 1558? Yes. If there is a determination, because the nice thing, although it's not shown in this slide, it's really a bidirectional flow with any of these programs. So if there is a need for, let's say trust comes upon a call that has really kind of morphed into something different than the original call turned out to be, it could have started as somebody feeling lonely, depressed at

home, and family were really concerned. And now it's escalated to something else. The trust team can certainly call the MCRT team. They don't have to go back through 988. It's all internal, back line kinds of phone numbers that we have internally. They can make a phone call to the MCRT team and ask for support and an evaluation for 1558. And vice versa. MCRT may encounter somebody and say, hey, I don't think this is really for us. We think this could be better suited to you and the resources you have. We're going to share it with you. And kind of do what we call warm handoffs so that, again, we're not telling people, well, hang up

and call this number. We don't want to do that. We want to avoid those extra steps. We want to make it so it's on us to make those determinations. And again, just noting the sorts of activities that might come across. Again, outreach, looking for resources, things like that. Sort of prevention focused is how we want to look at it. And it's not just mental illness. It also includes substance abuse. Our substance abuse. We look at the whole person and what the needs are of that individual. And then sort of tailor it to what's needed and what we can provide. So you can go on to the next slide. Thank you. So here's kind of a,

again, it's not all inclusive at all. But it is an example of some of the way the teams might, you know, find somebody. They've been referred. So like with MCRT, it could be an adult who's threatening suicide. It could be somebody hearing voices, maybe to hurt somebody or themselves. You know, it could be an adult refusing to, you know, stop dating. Maybe they're not getting along with their family. Maybe they're actually destroying property in the home and people are afraid of them. And so it could result in an MCRT type call. And that's just, again, just a little sampling of the kinds of calls MCRT might get. With MRSS, it could be child or youth,

again, threatening suicide. Because they can write 5150 holds. Somebody, maybe a child or youth, starting to show early signs of mental illness. And so maybe hearing voices. Maybe they're having difficulties in school, not just with, you know, getting along with others. But having serious difficulties where they're not. Not able to function at school. And everybody's kind of noticing this. And they're really not doing well. And so there might be underlying other things going on in the classroom. Another could be a child or youth refusing to eat. Again, malnourished. Maybe problems at home. There may be some kind of abuse occurring. We've had a few where that's come to light in some situations.

And then with the trust program, again, it could be another adult. Feeling just overwhelmed due to recent loss. They could be new to the area. They could be feeling like, I don't have any friends. I don't know where to start to find places I can go to feel comfortable. I know at one of our recent meetings, the Momentum manager provided an example of, over the holidays, somebody who she said identified as Jewish. And they were feeling very alone. They were from out of state. They had just moved here. Didn't know where to go, where they could get some support. And they felt it was a real positive thing. A positive experience. They were able to

help spend some time with them, number one. But direct them to where they might go to get some support. And maybe some, you know, feeling a sense of community that they were probably missing prior. So it was nice. Happened over the Christmas holidays. She said it was a nice outcome. It could be an adult with addiction who wants support.

Doesn't know where to start. A lot of folks don't know where to start. Or how to start. Or what to say. Or what not to say. So it's sort of starting at that point of helping them and direct them. So these folks are really great at resources. I think all of them are. But I think Trust probably is really good at providing good resources to the community. Because it's so important that we connect people to what's out in the community. That people don't sometimes even know about or hear about. And if we can't find it, we'll do our best to look. And give back to individuals. And then it could be an adult experience. And

then it could be a child experiencing some instability. Again, just feeling disconnected within their community. As I mentioned. The nice thing is with all of this is, again, it's bi -directional. You know, if we, you know, we try to share resources amongst each other. We meet quarterly. So that we can go over these kinds of, I guess, diagrams. Make sure that we're all clear on sort of which is who does what. What is, you know, the protocols. We're constantly reviewing, updating our sort of policies and procedures. Our operations manuals. Looking at who we serve and what we're going to do to meet those needs. Looking at keeping a perspective through the SAMHSA guidelines. Because all

of these programs do fall into a category within the SAMHSA guidelines. We also talk about the follow -ups. Yes, yes. Because now, just so for your awareness. The other piece, the financial piece to this is. Medi -Cal, these are all Medi -Cal providers here.

They change the guidelines for this particular service. So we bill by the encounter. Not by, you know, the traditional way of what they call regular Medi -Cal. Where you have maybe an hour assessment. And then you bill for case management. And then you bill for this and you bill for that. This is based on engagement. This is based on encounters. So they, within that encounter, you have, the staff have about, they have 72 hours. To provide additional services as needed. So it could be you start out with the assessment. But then, you know, you're getting back to that individual. Hey, did you do the follow -up? Or do you need some more resources? Did you,

you know, what was it like when you called so and so? Did they give you what you needed? Oh, let's help you find maybe a different resource. Maybe that

one

wasn't for you. So they have 72 hours to do that. Follow -up. And they all are doing that. That's part of the requirement of the program. Is that they have that ability to do that. And it's part of a bundled rate. So when I said, you know, you have an assessment. And you do case management. You do an evaluation. It's all bundled into one rate. So the rate is a little bit higher than, of course, you would traditionally see in a Medi -Cal provided program. So that's nice. But it's a bundled rate. So that means everything is within that rate. And you have three days, so to speak. 72 hours to provide the full array

of services if that's what's

required or needed at that moment. So when a call comes in and you have to determine that a follow -up would be appropriate, then you make sure that you do everything within that

three days. Correct. Correct. Correct. Yeah. So it's not like, okay, we saw you. We're done. Goodbye. It's we saw you. We're going to be contacting you again. We're going to follow up. See how it went. Now, of course, people may say, don't call me. I don't want to talk to you anymore. That's okay. I mean, we still might. We don't know. But we might. You know, we might just check in and say, hey, I know you were pretty upset yesterday. Any chance maybe you'd still be interested in wanting to talk to us? Sometimes there is a yes to that. Like, yeah, I was really upset yesterday. So, yeah, tell me. What is it you have?

Or it could be that, yes, I did follow up. I did try. I called that 1 -800 number you gave us and I got an appointment. So, you know, that's great. You know. Or I contacted my prior provider. Because this is, all these programs serve the entire county. We see everybody. So, you may have Medi -Cal. You may not have Medi -Cal. Right? So, we may say, well, did you follow up with Kaiser? Or did you follow up with your private psychiatrist? Great. Because that's what you probably want to do is get reconnected to your provider. So, you're, you know, getting the services that you need or restarting your medication that you stopped that wasn't

healthy. And as you know, it resulted in. Whatever happening. It might have been a hospitalization. It might have been something else. But you want to, you know, follow up and make sure people get connected. If we find out that there are people who are connected to a current provider, we'll reach out to that provider, too, and say, hey, we saw your person. We had this kind of encounter on this date and time. Did you know that they were struggling or they stopped their medications three months ago? They may not know. Because sometimes we've gotten that kind of feedback where people realize, like,

I

didn't know any of this. This had happened. No, they didn't tell me. They said they've been doing all these things. Taking their meds. Doing this. Doing. And they haven't. They haven't been going to maybe their volunteer job. Or they stopped working. Or they were arrested. You know? Sometimes that happens. So, you know, we want to make sure that we're doing that due diligence to try to reengage them into services where we can and when we can. And if nothing works. I'm sorry? I'm sorry? And if nothing works.

Yeah. Well, let me ask this first. How do you get paid if they're not

Medi -Cal? Right now, that's the struggle we are addressing. We have, there was a form letter that we received from the state, our state entities that are addressing this as well. And we've given it to our county council. Because we really want to start to approach these providers and say, hey, you know, you're benefiting from our services at a cost. That we incur. You're absorbing. Exactly. We incur. So, there's one of these financial impacts. And we believe strongly that people should have that ability to, you know, take, you know, connect these providers to their, I mean, connect our services to their providers so we can get payment in return. So, we're working to address that.

We don't have anything specific at this point that has been concretely worked out. But it's something that throughout the state, all providers that do mobile crisis support. No, of course. I would think so. And some are at varying degrees of, oh, yeah, this is what we do. This is what others do. Or we don't do anything. We have started to take photo copies of people's insurance cards. Letting them know, oh, you have, oh, you have Aetna. You have whatever. And say, well, you know, this is important because, you know, we want to maybe reach out to that provider. And so. Well, because you're doing

enhanced care management basically. Right. Yeah. At that point. And so. And I mentioned. Somebody needs to pay for it. And I talked

about this

at the

other committee that I was at, like, a couple months ago. And so, as a department, we are looking into working with insurance companies, you know, Kaiser, for example. Right. And they're a big population that we serve. Trying to either get some kind of MOUs with them so that we could get some kind of reimbursement. So, that's why she's mentioning that they're really tracking the type of insurance carriers that we are actually serving. So that we have the data to back up. And then, so, our managed care team, actually, they're working on that right now. So that hopefully in the near future we have something in place that we are able to actually fill them regularly

and get reimbursement for their patients. Because the

one I'm worried the most about is trust because that potentially is a lower level of care. Okay. And so, you said it's coming up in November. So, that they're running. Their contract's running out. November

26, right? The innovation project is ending. The innovation project. The innovation project. Okay. So, who's going to pick it up? Yeah. So, that's another piece when you talk about funding. Okay. We're really working towards a fee -for -service model of care. Oh, okay. Rather than cost -based. And so, that is the goal is next year, next fiscal year. Okay. We turn to fee -for -service. Okay. Because I know we've been building that in

in other places. Right. But even in the crisis area. Yeah. Yeah. Because they may, the customer may not have that.

Exactly.

They don't have any money. Yeah. So, I think that there's... Some of them. I mean,

you're... Some of them are like... There's the private insurance issues. Right. There are people without any insurance. Exactly. And then there's Medi -Cal, which we... Right. Exactly. Right. And so, the goal is for people without any insurance, connect them to benefits management people to help them get connected to insurance or Medi -Cal. Right. That makes sense. And then, hopefully in the near future, build the private insurances for the services that we provide. So, that's one thing. But going back to the fee -for -service, I mean, all of our providers have been billing for services. Yeah. No. They've been moving for that. Yeah. It's just that we haven't been up to actual fee -for -service level.

But we've been talking about it and prepping with them for a while. I think 2027 is when you have to do it, right? Yes. Correct. Yeah. Correct. Yeah.

And trying to provide any technical assistance

that

we can to help them to increase their billing for all the services that they're providing at this point.

Yeah.

So, that's kind of what we're doing.

Yeah.

This one's really challenging because it's so like basically whoever calls.

I

mean... Yeah. Exactly. I mean, it's like Brando,

right?

We don't... And we do get a fair number of VA clients as well. VA clients. Okay. And again, we're not getting anything... Nope. ...from the feds.

So,

it affects pretty much every person.

Exactly. It's a tough one.

Yeah.

It is.

It is. It's a tough one. Another thing I do want to mention, since we're talking about the mobile crisis, is there was a lot of confusion over PERT. And there were questions around, well, what's happening with the PERT staff and all these different things. So, I'm going to just kind of go back and provide a little bit of information on it. And so, it was already decided that... Well, first of all, PERT, in case you don't know...

Yeah.

Yeah. So, PERT is Psychiatric Emergency Response Team. We only had PERT in four different regions. One in San Jose, Santa Clara, and then through the sheriff's office.

And

they are co -response model, where the clinicians are actually in the sheriff's office or San Jose PD. And when a call comes that's in the most intensive crisis, where there may be some violence involved and things like that, they have an online call. So, we have an office with them that's kind of in a way partners,

and

then they'll go out and respond together.

As you know, with the budget challenges and things like that, and PERT, they are not able to leverage Med -Cal because there's a law enforcement involvement. And so, with all the budget situations that we are in, and also not just that, but really there has been a lot of request from the community and also nationwide, just a movement about we really want minimal law enforcement involvement. Yeah. If possible. There are maybe cases where it's needed.

Yes,

we totally get it. But really, they're really seeking minimal involvement from the law enforcement. And so, with that, we made the decision that we will no longer fund PERT. Oh, PERT. And it's not available to all county anyways, and it's not 24 -7. Right? It's only when the clinicians are working like eight hours. That's right. But

weren't there some that have picked it up on their own and they're like, I don't know, I just want a car, I believe. Right.

So, I was going to mention that. Right. So, what we proposed was, hey, cities, if you're still really interested in keeping or starting PERT, we encourage you,

we

will help you in recruitment and all that, but you fund it and do at least a five -year commitment because what we've done in the past is they funded for a year and then they said they can't fund it, so then you have to pick it up. You know what I mean? And so, we really need a little bit of long -term commitment. And so, Palo Alto and Santa Clara said, hey, we're willing to do everything

that's

valuable. And so, the two PERT clinicians have remained. One has already been working with Santa Clara, so she's remaining there. And then another senior clinician opted to go into the Palo Alto one. And so, the other two remaining clinicians, we've offered a position with MCRT because, you know, they still have great skills and experiences. Oh, sure. They're still interested in crisis work, but I think they have opted to take other positions in the county. So, I just wanted to, because there was a question about that. Yeah, thank you. Yeah. And so, I just wanted to... I was one of the ones who had a lot of questions. Yeah, yeah, yeah. So, I wanted to at

least clarify that, you know? Yes, thank you.

And

so, you know, they're not losing their job.

We

have offered other options to them, and they've chosen what they feel is best for them. Now, you wanted to ask something.

I interrupted you. Go ahead. No.

I have all sorts of questions.

Okay.

Can I ask a clarifying question

first?

Yes, you may. When you say Santa Clara, do you mean the city of Santa Clara or the county? City of Santa Clara. Yes. Got it. So, the sheriff's office is not going to have PERT anymore? No. No.

No. Yeah. It's the city of Santa Clara serves the city of Santa Clara, just like Palo Alto. Okay. It'll be that particular configuration. So, let's stay within the city limits. Where

does the sheriff travel throughout the county? And so, with that, you know, I think there's also confusion that, you know, there's a lot of confusion that MCRT is taking on PERT functions, which is not the case. Because there's no officer. Yeah. Yeah. Right. And the level of, the type of trainings and all this required to actually correspond with an officer is very different.

However, when we actually, we met multiple times with other law enforcement agencies as we're making a change, because we really wanted to work with them to say, hey, I know it's not available to everybody. But for those who had, they thought it was great. So, we still want to, you know, hear some of the concerns. And one of the biggest feedback they provided to us was we really liked that we had direct access to a clinician. Because, you know, PERT, I mean, there's a clinician with them as part of the team. Okay. So, then they could look up all of our HR system, you know, and provide clinical support. And so, what we did then

is we created a back line. So, any time a law enforcement agent comes in, you know, and says, hey, you know, we're

looking for a patient and they want to consult with you.

We created a back line. So, they could call directly. They don't have to go through 988. They don't have to go through 911. They could just call that number directly and get access to a clinician.

Well, theoretically, you could even send out one of these MCRT people. Right. That's who they... That's who who's going to... So, they would just say, hey, can you send one of these guys out? That's exactly what's happening. Got it. That's who they would just... Got it. That is actually MCRT staff will be...

That makes perfect sense. Right. Right. And so, then they could provide consultation. They could also determine together over the phone, hey, yeah, we could go out with you guys. Can you secure safety? Exactly. And then we'll go, you know. Exactly. So, that's what they'll be doing. And so, we're going to continue to meet with them on a regular basis to see how that is going. I believe we have a meeting scheduled at the end of this month to just kind of see how this is going. Right. Yeah. And so, we're at least trying to create that kind of resources so that they don't feel like they're completely

losing out. Well, we don't want to go back to, you know, people getting shot because the situation got out of control. The officers are not social

workers. Right. I was going to say, that's the reason why they're not on this pyramid because they are dispatched through 901, not 988. Got it. Okay. Okay.

Sure. I have a question. You know, if I were to call 901... I had a loved one who was experiencing a crisis. Does that ever get routed to any of these or does that only go to law enforcement? They could. They

can. They could. They could. Yes. That's awesome. Yeah. So, then if they determine over the phone that, hey, this is not really the crisis level that 911 handles, then they'll direct and connect to 988 and they'll let them know. And then they will then make a decision as to which team. And then 988 can assess. Yeah. Correct. Is it the MCRT type or is it trust type and they'll connect?

Yeah. That took a while for you guys to make that happen. I remember last year, maybe earlier. Yeah. Last year. You guys were talking about that. Somebody was talking about working with 911. Yeah. Yes. Getting the merger. Yes. Correct. Yes. Great. That's excellent. You guys got that done. Excellent.

Any other questions? Any questions?

Yeah. I don't have a question so much as a comment. And then we do have a public comment that I'd like to be able to address. But my comment is just in general, we get your team that comes in and we get other teams Margaret Obelair comes in and some other team comes in and there's all these different teams and you're all saying that 988 or 911 is funneling all these people to these.

Where

do you guys fit in?

I

mean, what do they call you and go, oh, by the way, we just got XYZ client and we sent them over to MCRT or trust or, I mean, how do you guys fit into that and what's the difference?

What's

the delineation between your responsibility? What's your responsibility as a county department and what's going on on the street

because

it sounds like everything is being managed either by 988 or 911

and

I don't need you to answer right now. I'm saying stick that in your hat because I don't really think we have time to talk about that today. Just know that that's in the back of my mind

that

I'm feeling the need to kind of figure out how that all fits together.

Why

is your group different than another group? Right.

I

could give you an answer on a more high level.

So

they're all under behavioral health. So 988 is managed by another team or division in behavioral health. Correct.

And