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.,......PITKIN COUNTY STRATEGIC PLAN
Core Focus Areas&Success Factors I'flkln County
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1 2/20/201 7
BACKGROUND n,rx,x
Mental health and substance use— most significant health issue in Pitkin
County
• High rate of suicide. depression and anxiety
• Financial pressures of living in the valley ;�
• Mixed messages surrounding`party town" J;
• Lack of psychiatric care n
• Lack of specialized support for marginalized populations nod
• High cost of treatment
• Fragmentation and lack of cohesion in mental health system of care j
• Identified gaps in care
• Competition for financial support and duplicate services
• Significant combined resources/expenditures with unsatisfactory
outcomes
• Lack of accountability
• Prior success with RFP/IGA for Detox Services "•
Mental Health Strategic Funding Advisory Committee MTIN
ICCUUNTS1
a o
Key Stakeholders
• Pitkin County (Peacock, Disalvo, Koenemann, Sundeen, Ledingham)
Aspen Valley Hospital (Ressler, Maloy, Miscione)
• Aspen School District (Heald, Abraham, Sand)
• Aspen Community Foundation (Carlin, Davies)
City of Aspen (Mullins, Barwick, Ott, Ritter, Pryor)
Aspen Skiing Company (Hamilton)
Colorado Mountain College — (Doak)
2
12/20/2017
GOAL — Rapidly Improve Mental Health
tvic.c%Programs and Services in Pitkin County
Advisory Committee began meeting November 2016
✓ Research into Mental Health/Substance Abuse State-Wide
✓ 2 Day Strategic Funding Planning Event in February—pre-assessment of
strengths. concerns, barriers, role in advancing mental health in community
✓ Input from funded agencies, community members and stakeholders
✓ Collective Funding for Collective Impact model agreed upon by Strategic •
Funders Oversight Committee
✓ Request For Proposals (RFP) created
Request For Proposals AO,
�,OUNT�
• Improve messaging about the availability of mental health and
substance abuse services and programs •
• Establish a cohesive strategy to reduce stigma by improving
engagement in mental health and substance use services and •
programs
• Improve coordination and collaboration amongst providers as well as.
with jail, hospital, law enforcement, schools, primary care, private •
therapists and crisis staff
• Increase access along the continuum of care, including affordability
• Increase care coordination within the continuum of care for patients •
through prevention, intervention/treatment, aftercare
41 3
12/20/2017 •
1*rKIN
RFP Selection Criteria -LouN
Approach to Service
•
Collaboration Strategy �=
•
List of Similar Services 0 •
Estimated Funding Request for Services —
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RFP Process eINTICIN
(UurT1
• Announcement at POD meeting July 11
•
•July 17, 24, 31 - Aspen Daily News Notices
•July 17 - Bid Opening m.
•July 27 - Pre-Bid Meeting
•August 7 - Questions Due to County
•August 14 - Responses to questions
•September 29 Proposals Due .'` _
•October 12 - Selection Committee Meeting
•October 30 - Interview
•November 20 - Decision Meeting % rn
•November 28 - Bidder letters sent
4
12/20/2017
RFP Review Committee (Oct 12 and 30)
G•OAITV
Aspen Skiing Company — Matt Hamilton
Aspen School District — Tom Heald
Aspen Community Foundation — Valerie Carlin and Andy Davies
Aspen Valley Hospital — Dr. Lori Maloy and Dr. Michelle Miscione
City of Aspen Administration — Sara Ott •
immoun
City of Aspen Police — Richard Pryor
Pitkin County Citizen Grant Review Committee — Martha Campbell •
Pitkin County Human Services — Nan Sundeen and Mitzi Ledingham
Pitkin County Procurement — Ben Ferrera and Janet Mucci !' •
Pitkin County Public Health - Karen Koenemann
Pitkin County Sheriff — Joe Disalvo •
RFP AWARD-Mind Springs Health and Mountain
Family Health Centers 1(LO!NTS
• Vendors strongly demonstrated their strategy to collaborate with other
partners in the continuum (jail, LE, hospital, schools, crisis staff) and a
commitment to reduce fragmentation
• Vendors demonstrated ability to provide services to all residents without •
regard for ability to pay
Both MSH and MFHC are able to bring$to the table to offset costs
MSH has been primary mental health provider for over 40 years
MFHC in Basalt serving 2.200 with integrated physical. dental and behavioral
health will increase to 3,500 next year •
• Vendors proposed new services to fill existing gaps within Pitkin County
• Vendors agreed to a system of performance/outcome metrics to assure •
quality and that community needs are met
5
12/20/2017
WHAT'S NEW and ENHANCED 4 TKIN
k.,E►U NTS:
• Community Based Mental Health Team - S171,468
1 FTE Licensed Therapist Inner...bet ,
1 FTE Case Manager
Clinical Contract 60/hours APNP/Jail
• Integrated Care Program —$197,818
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2 FTE Behavioral Health Specialists
2 Patient Care Coordinators
• School-based Therapist -$118,715 ..:`� .
1.6 FTE Licensed Therapists at Aspen and Basalt Schools ` ,.
• Enhanced capacity and coordination within existing services
• Integrated health care, case management, psychiatric med management,
tele-psych access, crisis services
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• Citizen Advisory Committee 0
Ran:e of Mental Health and Substance Use Pro:rams and Services ,efrTKIN .
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Prevention Intervention Treatment Aftercare LouNTy .
and PREVEN110N INI ERVEN PON TR/ATMEW IL Old-GO(.G SE a VICES AFTERCARE
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12/20/2017
Intergovernmental Agreement
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•Pitkin County, Aspen School District, Aspen Valley Hospital, City
of Aspen
•Pitkin County to serve as fiscal agent
•Public Health to lead regular Strategic Funders and Operations
Review Committee Meetings
•Financial Contributions from each entity ($488,000)
Pitkin County= $304,507 .
I
Aspen School District= $40,000 . •
Aspen Valley Hospital= $73.275
City of Aspen = $70,550
*Term — Commences January 1 , 2018 and continues until any party
terminates �..
JUST THE BEGINNING � ��rTY
Strategic Funders Oversight Committee, Operations Review Committee,
Citizen Advisory Committee 4.,r1.641.•-.•
Collaboration with Aspen Community Foundation, Aspen Strong and
Community Collaborative to continue to review gaps, needs, etc.
Potential Future RFP's 4.
7
12/20/2017
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