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File #:
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24-0473
Version:
1
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Type:
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Resolution
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Status:
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Approved
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On agenda:
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10/29/2024
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Final action:
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10/29/2024
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Title:
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Amend the 2024 Capital Budget to include capital project 1010890 Youth Behavioral Health Crisis Stabilization Center; transfer $15,000,000 in existing budget authority from six identified capital projects
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Attachments:
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1. RESOLUTION
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Item Description:
title
Amend the 2024 Capital Budget to include capital project 1010890 Youth Behavioral Health Crisis Stabilization Center; transfer $15,000,000 in existing budget authority from six identified capital projects
end
Resolution:
body
BE IT RESOLVED, that capital project 1010890 Youth Behavioral Health Crisis Stabilization Center be identified in the 2024 Capital Budget with an appropriation of $15,000,000 funded with a transfer of existing capital budget authority from six identified capital projects to cover design and construction costs; that following review and approval by the County Attorney's Office, the County Administrator be authorized to sign any agreements, certifications, and other documents as necessary on behalf of the county; and the Controller be authorized to transfer and disburse funds as directed.
BE IT FURTHER RESOLVED, due to the lack of available youth crisis stabilization facilities this capital project should proceed immediately.
end
Background:
Advocates, families, and practitioners have long recognized the need for fundamental structural reform of systems for youth with emotional and behavioral health needs and their families. Currently a number of youth-serving systems, each with its own mandates, perspective, and priorities, have responsibility to serve these youth. The access route generally defines the problem, goals and objectives based on the mandates of the specific youth serving system. Consequently, the available services within these systems require youth to fit the program's structure rather than structuring supports and services to meet the individual needs of the youth and family.
Hennepin County began a reform initiative to restructure the system for delivering services to youth with behavioral health needs and their families utilizing a federal best practice approach from Substance Abuse and Mental Health Service Administration (SAMHSA- System of Care), coordinated and integrated at the local level, and focused on improved outcomes for youth and their families. Hennepin County Behavioral Health's goal is to achieve the outcomes consistent with SAMHSA’s System of Care by applying the framework, values and services within the context of an initiative designed to target a particularly vulnerable population.
This project will create a Youth Behavioral Health Crisis Stabilization Center on the second and third floors of the North wing at the County's 1800 Chicago location in Minneapolis. The project will integrate three essential services:
• Crisis Stabilization: for short term care to help identify needs and supports for ongoing treatment planning. Crisis stabilization programming will be highly tailored to each individual youth and capable of serving (triage, assessment, family engagement, treatment planning, etc.) a wide range of clinical and non-clinical presentations.
• Family Respite: short term respite to help the household manage periods or dysregulated behavior.
• Withdrawal Management: for short term age-appropriate withdrawal management services to support the detoxification and coordination of recovery supports.
The space will be built-out to allow an integrated model of care that incorporates family and youth centered values and principles, follows best practices, and targets youth with complex mental health and behavioral needs. Capital funding is requested to design and implement the space for primarily residential services, though recognizing the adjacent community-based supports who will conduct onsite services as needed.
This project was previously slated to be included in the 2025-2029 Capital Improvement Program. However, a recent increase in demand for beds at the same time the supply of placement options decreased has necessitated the project be expedited. Following the pandemic, there has been a 36% decrease in residential treatment beds and a 31% increase in emergency room visits, almost 1 in 5 youth in detention have serious behavioral health disorders requiring immediate treatment.
This request expedites the project so that Facility Services is authorized to pursue direct consulting and contractor negotiations in 2024 to expedite the project to meet the emergency response in providing a facility for this program. The project in the prospective 2025-2029 CIP will be removed once the 2024 Capital Budget is amended to include this project.
Budget table 1: 1010890 Youth Behavioral Health Crisis Stabilization Center
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Revenue |
Budget to Date |
Current Request |
Future CIP Requests |
Total Project |
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County Bonds - 1010890 |
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15,000,000 |
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15,000,000 |
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TOTAL |
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15,000,000 |
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15,000,000 |
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Expense |
Budget to Date |
Current Request |
Future CIP Requests |
Total Project |
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Construction - 1010890 |
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15,000,000 |
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15,000,000 |
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TOTAL |
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15,000,000 |
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15,000,000 |
Budget Table 2: Transfers from various Capital Projects
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Revenue - County GO Bonds |
Budget to Date |
Current Request |
Future CIP requests |
Total Project |
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1001787 |
12,064,000 |
(3,000,000) |
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9,064,000 |
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0030332 |
11,640,000 |
(2,900,000) |
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8,740,000 |
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1004483 |
71,250,000 |
(3,900,000) |
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67,350,000 |
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1010190 |
1,700,000 |
(1,700,000) |
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0 |
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1004414 |
6,747,000 |
(1,000,000) |
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5,747,000 |
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1008705 |
6,900,000 |
(2,500,000) |
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4,400,000 |
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TOTAL |
n/a |
(15,000,000) |
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n/a |
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Expense - Various |
Budget to Date |
Current Request |
Future CIP requests |
Total Project |
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1001787 |
12,064,000 |
(3,000,000) |
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9,064,000 |
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0030332 |
11,640,000 |
(2,900,000) |
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8,740,000 |
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1004483 |
71,250,000 |
(3,900,000) |
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67,350,000 |
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1010190 |
1,700,000 |
(1,700,000) |
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0 |
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1004414 |
6,747,000 |
(1,000,000) |
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5,747,000 |
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1008705 |
6,900,000 |
(2,500,000) |
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4,400,000 |
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TOTAL |
n/a |
(15,000,000) |
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n/a |
recommendation
Recommendation from County Administrator: Recommend Approval
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