Behavioral Health Resource Network Proposal for Clackamas County Region
This proposal outlines various organizations and services involved in the Behavioral Health Resource Network in Clackamas County. It includes details on service providers, budget allocations, concerns addressed by the OAC subcommittee, and additional budget considerations such as Central City Concern dropping out. The proposal emphasizes initiatives like peer support services, harm reduction, supported employment, and housing interventions.
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Behavioral Health Resource Network Proposal Clackamas County Region July 6, 2022
Clackamas County Initial Matrix SUD Treatment Peer Services Harm Reduction Supported Employment Screening Intervention Housing X X X X X Bridges to Change Cascadia X X X Harmony Academy X LifeStance X X X MetroPlus X Morrison Child & FS X New Avenues X NW Family Services X X X X X Outside In X Parrott Creek Child & Family Services X X X X Phoenix Rising X Recovery Works NW X X X X X 4th Dimension X X Mental Health Assn of Oregon X X Transcending Hope X Volunteers of America X X X Youth ERA X 2 Central City Concern X X X X X
Clackamas County Initial Budget Request TTL Clackamas County request $11,208,396 Clackamas County Allocation: $14,472,176 Under allocation: $4,103,366 3
OAC Subcommittee Concerns/Feedback Harmony Academy Recovery had a lot of high staff salaries Payroll costs for public school employees add an additional 46%-61% on top of salary. For example, our one full time teacher at Harmony makes $55,000 annually and the payroll costs on top of the annual salary of $55,000 are $33,584. LifeStance: Are all services, specifically employment, low-barrier? Yes; all of LifeStance s services are considered low-barrier, including supported employment. Morrison Child & Family Services: Increase peer wages Morrison s revised budget raised peer wages New Avenues for Youth: What is the classification of staff being hired? 1.0 FTE CADC, 2.0 FTE PPS Staff, and 1.0 FTE Peer Trainer/Manager Outside In: Clarification that Outside In will serve black and indigenous individuals Outside In does not turn anyone any from services we want to explicitly state that if awarded Measure 110 funding, we will provide services to Black and Indigenous people. Phoenix Rising: Is the organization providing culturally-specific services? Phoenix Rising is committed to using new M110 funding to hire a more diverse staff, increase wages for peers, and support culturally-specific outreach. 4
Additional budget considerations Central City Concern dropped out of the Clackamas County BHRN. 5
Initial Budget Reconciliation Grantee Bridges to Change Cascadia Behavioral Healthcare Harmony Academy Recovery LifeStance MetroPlus Association Morrison Child and Family Services New Avenues for Youth Northwest Family Services Outside In Parrott Creek Child & Family Services Phoenix Rising Recovery Works NW The 4th Dimension Recovery Center The Mental Health Association of Oregon Transcending Hope Volunteers of America Oregon Youth ERA TOTAL Original Request $1,289,060.55 $219,190.59 $895,597.93 $327,050.00 $42,710.00 $135,146.00 $564,781.98 $861,258.00 $256,329.00 $605,927.00 $69,466.27 $1,567,072.96 $1,251,634.77 $646,235.20 $828,543.19 $270,440.00 $346,269.00 $10,176,712.44 New Request Difference $192,097.00 $56,951.00 $10,368,809.44 $56,951 Under/Over Allocation $4,103,366.56 6
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 and allocate the additional funds to providers that can expand housing; or If the county region is still under budget after additional housing options are funded to the fullest extent possible, we will pro-rate the remaining funds based on each provider s proportion of the current budget. 7
Overview of Housing Additions Bridges to Change Bridges to Change proposes to offer 50 recovery-oriented housing beds, between two service models: 20 Stabilization housing beds a recovery-oriented, low-barrier housing model for individuals new to recovery or undecided in recovery process. Peer providers and onsite support are included. 30 Supportive housing beds a recovery-oriented housing model that aims to enhance the outcomes for those navigating recovery. Peer providers and onsite support are included. Transcending Hope Transcending Hope proposes to add 6 new low-barrier houses: 2 culturally-specific homes for the Latinx population in partnership with Juntos Podemos and Latina Network for referrals. Transitioning 2 sober rental homes to a low-barrier program house and a women/women & children program house. 2 low-barrier program men s homes. Includes housing managers and navigators. 8
Budget Reconciliation with Housing Additions Grantee Original Request New Request Difference Bridges to Change $1,289,060.55 $2,493,469.61 $1,204,409.06 Cascadia Behavioral Healthcare $219,190.59 Harmony Academy Recovery $895,597.93 LifeStance $327,050.00 MetroPlus Association $42,710.00 Morrison Child and Family Services $192,097.00 New Avenues for Youth $564,781.98 Northwest Family Services $861,258.00 Outside In Parrott Creek Child & Family Services $256,329.00 $605,927.00 Phoenix Rising $69,466.27 Recovery Works NW $1,567,072.96 The 4th Dimension Recovery Center $1,251,634.77 The Mental Health Association of Oregon $646,235.20 Transcending Hope $828,543.19 $1,079,702.86 $251,159.67 Volunteers of America Oregon $270,440.00 Youth ERA $346,269.00 TOTAL $10,176,712.44 $3,573,172.47 $1,455,568.73 9
Pro-rating $2,839,895.43 remained in allocation after housing additions 15 organizations eligible for pro-rated funding 4D: Adding additional funds for 2 additional peers and 1 additional supervisor; additional office space and a client van; $50k for a supportive housing fund; funding for recover center furnishing and equipment; increased funds for client support expenses. Harmony: 1 Office Manger, .75 School Counselor, a Director of Peer Services, and Recovery Mentor Staffing Phoenix Rising: Hiring a supervisor and associated costs to oversee the work of Certified Peer Recovery mentors. New Avenues: Will lease & retrofit a drop-in space in Clackamas County for youth & young adults to access prevention, harm reduction, and recovery supports. Will also hire a 0.5 FTE mental health therapist to support the peer support team. 10
Pro-rating, cond Parrot Creek: Will increase salaries to match inflation, hire an additional LCSW, increased costs of supplies, IT, office space due to inflation. MAHALO: Will hire 2-3 additional peers/CRMs; adding increasing rent budget; adding Chess Health, a virtual recovery platform. NW Family Services: Will add an additional CACD, case manager, Peer Support Specialist, and a Certified Recovery mentor and bring salaries to comparable for today's market and inflation. Youth ERA: Hiring & associated costs of adding 1.0 FTE and increased mileage budget to a new standard rate. Outside In: Added a 0.5FTE syringe exchange specialist; increased budget for staff training and transportation; increased budget for harm reduction supplies; increased some staff salaries and van budget to align with rising inflation and costs. Cascadia: Added 0.5 supervisor to manage M110 program and updated admin costs that were previously understated. 11
Pro-rating, cond Outside in: Eliminated funds for a property lease, added purchase price of a new facility, reduced vehicles budget. Volunteers of America, Oregon: Added a peer mentor to conduct outreach and engage with indigent clients. 12
Budget Reconciliation with Pro-rating Remaining Unallocated Funds Grantee Bridges to Change Cascadia Behavioral Healthcare Harmony Academy Recovery LifeStance MetroPlus Association Original Request New Request Difference $1,289,060.55 $219,190.59 $895,597.93 $327,050.00 $42,710.00 $2,493,469.61 $306,607.82 $1,246,600.56 $327,050.00 $42,710.00 $1,204,409.06 $87,417.23 $351,002.63 $0.00 $0.00 Morrison Child and Family Services New Avenues for Youth Northwest Family Services Outside In $135,146.00 $564,781.98 $861,258.00 $256,329.00 $192,097.00 $786,131.26 $1,198,802.13 $356,789.43 $56,951.00 $221,349.28 $337,544.13 $100,460.43 Parrott Creek Child & Family Services Phoenix Rising Recovery Works NW $605,927.00 $69,466.27 $1,567,072.96 $843,594.00 $96,691.48 $2,181,240.00 $237,667.00 $27,225.21 $614,167.04 The 4th Dimension Recovery Center $1,251,634.77 $1,742,400.40 $490,765.63 The Mental Health Association of Oregon Transcending Hope Volunteers of America Oregon Youth ERA TOTAL Under/Over Allocation Allocation $646,235.20 $828,543.19 $270,440.00 $346,269.00 $10,176,712.44 $4,295,464.16 $14,472,176.60 $719,896.94 $1,079,702.86 $376,414.40 $481,978.70 $14,472,176.60 $73,661.74 $251,159.67 $105,974.40 $135,709.70 $4,295,464.16 $0.00 13
Clackamas County Final BHRN SUD Peer Services Harm Reduction Supported Employment Screening Intervention Housing Treatment X X X X X Bridges to Change Cascadia X X X Harmony Academy X LifeStance X X X MetroPlus X Morrison Child & FS X New Avenues X NW Family Services X X X X X Outside In X Parrott Creek Child & Family Services X X X X Phoenix Rising X Recovery Works NW X X X X X 4th Dimension X X Mental Health Assn of Oregon X X Transcending Hope X Volunteers of America X X X Youth ERA X 14
