Behavioral Health Resource Network Proposal Update
The update includes adjustments to the initial proposal for the Behavioral Health Resource Network in Linn County, focusing on services for substance use disorder (SUD) treatment, peer services, harm reduction, supported employment, and more. Changes were made per the concerns and feedback from the Oversight and Advisory Committee (OAC) to ensure effective implementation and allocation of resources. The revised budget reconciliation reflects shifts in funding allocation among the grantees to enhance services and address gaps in the initial proposal.
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Behavioral Health Resource Network Proposal Linn County Region July 27, 2022
Linn County Initial Matrix SUD Treatment Peer Services Harm Reduction Supported Employment Screening Intervention Housing Emergence X X X X CHANCE X X Community Services Consortium X X Albany Comprehensive Treatment X X X Faith, Hope, Charity X Family Tree Relief Nursery X Samaritan Health Services X X X X Note: Linn County was initially missing harm reduction services 2
Linn County Initial Budget Request TTL Linn County request: $5,589,618.79 Linn County Allocation: $7,250,540.33 Under allocation: $1,660,921.54 3
OAC Subcommittee Concerns/Feedback CHANCE: Remove harm reduction elements and clarify if the proposal is for beds and vouchers. The OAC wanted to make sure stable housing is a result of the housing program. CHANCE removed the harm reduction services per OAC guidance. The updated proposal is for a 6-bed women s and children s shelter for those with SUD, hotel vouchers for 15 rooms (was previously 50 rooms), rental assistance, and transitional homes focusing on families with SUD. Faith, Hope, Charity: Ensure a living wage for peer mentors and all other staff. Faith, Hope, Charity intends to pay equitable and living wages to all staff working on this grant and has increased staff salaries accordingly. Samaritan: Are peer services referred out? OAC wants to make sure clients aren t turned away for lack of insurance and would assurances that Samaritan bills for insurance first, and then uses M110 funds. Samaritan has its own peers, who can refer clients out to specialty services. Samaritan will see all clients regardless of their ability to pay and bill insurance as the primary payor, before using M110 funds. 4
Initial Budget Reconciliation Grantee Original Request New Request Difference Emergence $183,269.70 CHANCE Community Services Consortium Albany Comprehensive Treatment $3,050,452.09 $3,045,452.09 ($5,000) $390,494.00 $99,450.00 Faith, Hope, Charity $208,955.00 $337,086.26 $128,131.26 Family Tree Relief Nursery $786,795.00 Samaritan $870,203.00 TOTAL $5,589,618.79 $123,131.26 ALLOCATION Under Allocation $7,250,540.33 $1,660,921.54 $1,537,790.28 5
Adding harm reduction service element Albany Comprehensive Treatment provides TB testing, naloxone education, overdose prevention training, and infectious disease training. Additional funds are to purchase naloxone and increase disease screening. Samaritan will provide harm reduction services, including naloxone distribution and HIV/HepC testing. Emergence will provide naloxone distribution to clients. Note: in re- calculating their budget, they discovered their original submission was for 19 months; the new revised budget is for 17 months so it is less than their original ask, even with the addition of naloxone. Family Tree Relief Nursery will provide harm reduction services, including naloxone distribution. Family Tree is also proposing to subcontract with Family Assistance Center for syringe exchange service and has set aside $12,000 for a 12-month contract, based on their current availability to offer this service. 6
Harm reduction budget reconciliation Original/Amended Request Grantee New Request Difference Emergence $183,269.70 $175,388.05 $7,881.65 CHANCE Community Services Consortium Albany Comprehensive Treatment $3,045,452.09 $390,494.00 $99,450.00 $110,720 $11,270 Faith, Hope, Charity $337,086.26 Family Tree Relief Nursery $786,795.00 $819,915 $32,400 Samaritan $870,203.00 $970,197 $99,994 TOTAL $5,589,618.79 $135,782.35 ALLOCATION Under Allocation $7,250,540.33 $1,660,921.54 $1,525,139.19 7
County Region Under Allocation Guidance Reach out to approved housing providers within the county region to determine whether one or more can expand offerings to meet additional housing needs; or If the county region is still under budget after additional housing options are funded, we will pro-rate the remaining funds. 8
Overview of Housing Additions Chance The $50,000 for 20 additional low-barrier shelter beds was eliminated as we have found other funding for this and will still increase the beds by 20. The Hotel Voucher was reduced from 50 rooms to 15, which will act as temporary overflow for the shelter. A 6-bed women s shelter for those with SUD and their children in Lebanon was added. 4 transitional homes were added which will be focused on families and other specific groups with SUD in need of transitional housing. Rental Assistance was added to provide credit checks and rental assistance to those with SUD and ensure they either stay housed or find appropriate housing. Staffing was added for supports. Wages were increased to be a livable wage and match other providers. Community Services Consortium Additional funds will quadruple the amount of housing services CSC will be able to provide within the Linn County BHRN. CSC's model for housing services helps to fund and place individuals and families in units within the community that best meet their unique needs. This keeps families together, allows choice for participants, preserves existing suitable housing (when possible), ensures privacy and safety for vulnerable populations, and reduces stigma. This increased funding will allow CSC to increase the staffing capacity for these housing services and will provide nearly 5 times the amount of direct housing costs. This will allow CSC to both serve more people and provide more robust, longer-term services for those who receive help. 9
Budget Reconciliation with Housing Additions Original/Amended Request Grantee New Request Difference Emergence $175,388.05 CHANCE Community Services Consortium Albany Comprehensive Treatment $3,045,452.09 $3,645,179 $594,726.91 $390,494.00 $890,000 $499,506.00 $110,720 Faith, Hope, Charity $337,086.26 Family Tree Relief Nursery $819,195 Samaritan $970,197 TOTAL $5,589,618.79 $1,094,232.91 ALLOCATION Under Allocation $7,250,540.33 $1,402,007.93 $307,775.02 10
Pro-rating remaining funds $307,775.02 remained in allocation after harm reduction and housing additions Faith, Hope, Charity: Added a peer support specialist and related fringe benefits, staff training costs, and services & supplies costs for that position. Family Tree Relief Nursery: Increased staff salaries. Samaritan: Increased residential treatment costs to reflect current costs; increased media awareness & outreach budget to ensure a strong campaign to address stigma and overdose increases in the region and promote awareness of BHRN services. 11
Final Budgets pro-rating additions Original/Amended Request Grantee New Request Difference Emergence $175,388.05 CHANCE Community Services Consortium Albany Comprehensive Treatment $3,645,179 $890,000 $110,720 Faith, Hope, Charity $337,086.26 $504,211 $167,125 Family Tree Relief Nursery $819,195 $843,323 $24,128 Samaritan $970,197 $1,081,702 $111,505 TOTAL $6,947,765.31 $302,758,20 ALLOCATION Under Allocation $7,250,540.33 $302,775.02 $16.82 12
Linn County Final BHRN SUD Treatment Peer Services Harm Reduction Supported Employment Screening Intervention Housing Emergence X X X X X CHANCE X X Community Services Consortium X X Albany Comprehensive Treatment X X X X Faith, Hope, Charity X Family Tree Relief Nursery X X Samaritan Health Services X X X X X 13
Linn County Final Budgets Grantee Original New Request Difference Emergence $183,269.70 $175,388.05 $7,881.65 CHANCE Community Services Consortium Albany Comprehensive Treatment $3,050,452.09 $3,645,179.00 $594,726.91 $380,494.00 $890.000 $499.506 $99,450 $110,720 $11.270 Faith, Hope, Charity $208,955 $504,210.96 $295,255.96 Family Tree Relief Nursery $786,795 $843,323 $56,528 Samaritan $870,203 $1,081,702 $211,499.50 TOTAL $5,589,618.79 $7,250,523,51 ALLOCATION Under Allocation $7,250,540.33 $287,868.02 $16.82 14
