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THE STATE OF TEXAS THIS ORIGINAL EXECUTED BY

THE COUNTY OF VICTORIA, TEXAS,


COUNTY OF VICTORIA THE CITY OF VICTORIA, TEXAS,
AND THE GULF BEND CENTER

THE GULF BEND MENTAL HEALTH TASK FORCE


INTERLOCAL ASSISTANCE AGREEMENT

WHEREAS the mental health and welfare of children and adults in crisis in the

Crossroads area is of paramount concern to the parties; and

WHEREAS for these purposes the region is served by the Gulf Bend Center, which

is lawfully designated by the Executive Commissioner for the Texas Health and Human

Services Commission as the Local Mental Health Authority for Calhoun, DeWitt, Goliad,

Jackson, Lavaca, Refugio, and Victoria County; and

WHEREAS the Local Mental Health Authority is charged under the Texas Mental

Health Code with the responsibility for planning, policy development, coordination,

including coordination with criminal justice entities, and resource development and

allocation and for supervising and ensuring the provision of mental health services to

persons with mental illness in the most appropriate and available setting in the stated

service area; and

WHEREAS the array of service providers and community stakeholders

represented in the Gulf Bend Centers Consolidated Local Service Plan constitute a

continuum of available care, with each playing a role collectively and independently in

affecting patient outcomes; and

WHEREAS each service provider and stakeholder desires to work more

collaboratively with the Local Mental Health Authority to proactively identify and treat

THE GULF BEND MENTAL HEALTH TASK FORCE INTERLOCAL ASSISTANCE AGREEMENT
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patients, as well as monitor treatment resistant individuals with the goal of preventing

mental health crises; and

WHEREAS the Local Mental Health Authority, service providers and community

stakeholders, to include interested citizens, have endeavored to collaboratively produce

a service delivery plan they believe may be a model for rural crisis mental health care in

the State of Texas; and

WHEREAS Victoria County and the City of Victoria are centrally situated among

seven counties in the Gulf Bend Centers service area and represent the bulk of the

service demand; and

WHEREAS Victoria County and the City of Victoria employ peace officers who are

certified Mental Health Officers; and

WHEREAS experience indicates that cooperative efforts between law

enforcement agencies in and around Victoria County has proven effective on an array of

matters, and to the mutual benefit of all neighboring municipalities and contiguous

counties; and,

WHEREAS pursuant to Chapter 362 of the Texas Local Government Code,

Chapter 791 of the Texas Government Code, and other relevant laws of the State of

Texas, the principal entities to-wit: the Gulf Bend Center, Victoria County, Texas, the City

of Victoria, Texas, hereby agree to participate in, and be a part of cooperative multi-

jurisdictional investigative, enforcement, and prevention efforts which are herein known

and designated as the Gulf Bend Mental Health Task Force; and,

WHEREAS the Gulf Bend Center has secured initial funding, and the parties

pledge to seek and support further funding, for these purposes;

THE GULF BEND MENTAL HEALTH TASK FORCE INTERLOCAL ASSISTANCE AGREEMENT
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NOW, THEREFORE, BE IT KNOWN BY THESE PRESENTS:

That the Local Mental Health Authority, otherwise known as the Gulf Bend Center,

the County of Victoria, Texas, and the City of Victoria, Texas, acting herein by and through

their duly authorized chief administrative officers, as well as agencies that have executed,

are executing, or will execute substantially similar copies hereof at this time, or in the

future during the time that this original agreement is in force, do hereby covenant and

agree as follows:

TASK FORCE

The Gulf Bend Mental Health Task Force (Task Force) will be a part of the Local

Mental Health Authority (LMHA), otherwise known as the Gulf Bend Center, for

operational purposes. The activities of the Task Force shall be supervised by a Board of

Governors, consistent with this agreement and the terms of all governing statutes and

contracts. This Board, identified in Exhibit A and attached herein, will include as

permanent voting members, the Victoria County Sheriff, the City of Victoria, Texas, Chief

of Police, and a Chairperson, who shall be the Executive Director of the Local Mental

Health Authority, otherwise known as the Gulf Bend Center. Additionally, the Board of

Governors will consist of an executive from every additional agency that participates in

the Task Force by providing full-time paid personnel. Ex officio members of the Board

shall include the Chief of Clinical Services for the Local Mental Health Authority, the

Director of Medical Services for the County of Victoria, as well as an appropriate executive

level designee from Citizens Medical Center Hospital and DeTar Healthcare System.

Other ex officio members, if any, may be added by agreement of the voting members.

Any and all ex officio members shall be non-voting.

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The Board of Governors shall establish an Advisory Council, which shall be

comprised of representatives from each entity the Local Mental Health Authority identifies

as critical or relevant to the continuum of care, to include representatives from service

providers and stakeholders identified in the Gulf Bend Centers Consolidated Local

Service Plan. The Advisory Council shall not meet less than quarterly. A member of the

Board of Governors, selected by a majority of the governors, shall serve as the

chairperson of the Advisory Council for a period of one year, with no limitation on the

number of terms that may be held consecutively. The Chairperson shall select from the

Advisory Council members a Vice-Chairperson, who shall cause the minutes of each

meeting to be recorded and submitted to the Board of Governors. The Advisory Council

and any sub-committee thereof may advise the Board of Governors on any and all

aspects of Task Force operations. The Board of Governors may, at its discretion, appoint

other individuals as at-large members to the Advisory Council.

The Board of Governors shall have the responsibility for policy, direction, and

control of the Task Force, which shall be reduced to writing and adopted annually as The

Gulf Bend Mental Health Task Force Service Plan (Task Force Service Plan). The Task

Force Service Plan is herein attached as Exhibit B.

The Board of Governors will have direct responsibility for the selection of a

Commander for the Task Force, who shall be a sworn Texas peace officer holding at least

an Advance Peace Officer Proficiency Certificate from the Texas Commission on Law

Enforcement, as well as a Mental Health Officer certification under Texas Occupations

Code Sec. 1701.404. The Task Force Commander shall, for operational purposes, report

to the Gulf Bend Chief of Clinical Services. The Task Force Commander and all peace

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officers assigned to the Task Force shall remain under the administrative control of their

sponsoring agencies and bound by the policies and expectations of the Chief Law

Enforcement Official holding their commission. The Board of Governors will monitor the

activities and accomplishments of the Task Force to ensure orderly progress towards

attainment of all stated objectives and shall meet at least annually.

The Task Force will be one unit, which may form sub-groups or teams as

appropriate. The activities and investigations of these sub-groups or teams may be led

by the Task Force Commander, subject to the operational oversight of the LMHA Clinical

Director. These sub-groups or teams will have the duties assigned to them by the Task

Force Commander.

TASK FORCE OPERATIONS

The Task Force shall render services to mental health consumers in the service

area in a manner specified in the Task Force Service Plan adopted by the Board of

Governors, herein attached as Exhibit B. The assigned Mental Health Officers will

respond to requests for assistance in a timely manner. The Task Force will conduct

operations, training, investigations, public awareness education, and provide assistance

to other agencies in an effort to prevent and resolve mental health crises. Records related

to Task Force operations will be managed in a manner consistent with Texas statutes

and specified in the Task Force Service Plan. Commissioned members of the Task Force

shall work collaboratively and safely with non-sworn professional staff of the LMHA to

best affect positive patient outcomes.

OFFICER STATUS

Any peace officer assigned to the Task Force by a government entity which is a

THE GULF BEND MENTAL HEALTH TASK FORCE INTERLOCAL ASSISTANCE AGREEMENT
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party to this agreement shall be empowered to enforce all laws and ordinances applicable

in the jurisdiction of the county and municipal entities that are signatories to this

agreement. Authorities include the power to make arrests, execute search warrants, and

investigate related offenses outside of the geographical jurisdiction from which he or she

is assigned, but within the area covered by the jurisdictions of the counties and municipal

entities which are parties to this agreement.

While functioning as a peace officer assigned to the Task Force, he or she shall

have all of the law enforcement powers of a regular peace officer of such other political

entities.

A peace officer who is assigned, designated, or ordered to perform law

enforcement duties as a member of the Task Force, shall receive the same wage, salary,

pension and all other compensation and all other rights for such service, including injury

or death benefits and workers compensation benefits, as though the service had been

rendered within the limits of the entity from which he or she was assigned. Peace officers

assigned to the Task Force will not work overtime that is not reimbursable to their

assigning agency without prior approval from their assigning agency supervisor.

Except in accordance with the terms of a contract awarding a sub-grantee funds

for overtime reimbursement, each party to this agreement, when providing services of

personnel, expressly waives the right to receive reimbursement for services performed or

equipment utilized under this agreement even though a request for such reimbursement

may be made pursuant to Chapter 362 of the Texas Government Code.

It is further agreed that, in the event any peace officer assigned to the Task Force

is cited as a party defendant to any civil lawsuit, state or federal, arising out of his or her

THE GULF BEND MENTAL HEALTH TASK FORCE INTERLOCAL ASSISTANCE AGREEMENT
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official acts while functioning as a peace officer assigned to the Task Force, said peace

officer shall be entitled to the same benefits that such officer would be entitled to receive

had such civil action arisen out of an official act within the scope of his or her duties as a

member and in the jurisdiction of the law enforcement agency from which he or she was

assigned. Further, no entity shall be responsible for the acts of a peace officer of another

entity assigned to the Task Force.

GENERAL PROVISIONS

Each party to this agreement expressly waives all claims against every other party

for compensation for any loss, damage, personal injury, or death occurring as a

consequence of the performance of this agreement.

Third party claims against members shall be governed by the Texas Tort Claims

Act or other appropriate statutes and laws of the State of Texas and the United States.

It is expressly understood and agreed that, in the execution of this agreement, no

party waives, nor shall be deemed hereby to waive, any immunity or defense that would

otherwise be available to it against claims arising in the exercise of governmental powers

and functions.

The validity of this agreement and of any of its terms or provisions, as well as the

rights and duties of the parties hereunder, shall be governed by the laws of the State of

Texas.

Each party to this agreement agrees that if legal action is brought under this

agreement, the venue shall lie in the county in which the defendant member is located,

and if located in more than one county, then it shall lie in the county in which the principal

offices of said defendant member are located.

THE GULF BEND MENTAL HEALTH TASK FORCE INTERLOCAL ASSISTANCE AGREEMENT
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In case any one or more of the provisions contained in this agreement shall for any

reason be held to be invalid, illegal, or unenforceable in any respect, such invalidity,

illegality or unenforceability shall not affect any other provision thereof and this agreement

shall be construed as if such invalid, illegal or unenforceable provision had never been

contained herein.

This agreement shall become effective as to a party hereto on the day of the

execution of the agreement by the party. This agreement may be amended or modified

by the mutual agreement of the parties hereto in writing to be attached to and incorporated

into this agreement. This instrument contains the complete agreement of the parties

hereto and any oral modifications, or written amendments not incorporated to the

agreement, shall be of no force or effect to alter any term or condition herein.

To minimize the administrative difficulty of signature between the many parties,

each city or other law enforcement entity will sign a substantially similar agreement;

however, each party signing substantially similar copies is immediately bound one to

another and to all other entities participating during the time said agreement is in force,

even though the parties signatures appear on different copies of the substantially similar

copies. Any entity being added after the agreement is in effect need only sign the

documents which the Local Mental Health Authority signs to be fully a party bound to all

other parties, and such signature shall, as of the date of the signing, have the same force

and effect as between the joining and already-bound members as if a single document

was signed simultaneously by all then-participating entities. All such subsequent agency

agreements shall identify in an attachment, identified as Exhibit A, all entities then-

currently participating in the Task Force.

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This instrument contains all commitments and agreements of the parties, and no

oral or written commitments have any force or effect to alter any term or condition of this

agreement, unless the same are done in proper form and in a manner constituting a bona

fide amendment hereto.

The parties agree that their collective agreement may be evidenced by the

execution of an identical counterpart of this instrument by the duly authorized official(s)

of each participant and the failure of any anticipated member to enter into or renew this

agreement shall not affect the agreement between and among the parties executing the

agreement.

FUNDING AND BUDGETARY MATTERS

Funding for Task Operations may come from funds lawfully available to any party

to this agreement, to include grants secured by a party or parties to this agreement. The

parties may enter jointly into an arrangement to give effect to this agreement through

contracts, grant awards, sub-grantee awards, and contracts under terms specified in

those agreements. The parties to this agreement hereby resolve to work collectively, and

independently, to secure the funding necessary meet to the objectives specified in, and

conduct operations pursuant to, the Task Force Service Plan.

TERMINATION

Any party to this agreement may terminate its participation or rights and obligations

as a party by providing (30) days written notice to the Board of Governors of the Gulf

Bend Mental Health Task Force, 6502 Nursery Drive, Suite 100 Victoria, TX 77904. Such

termination shall have no effect upon the rights and obligations of the remaining parties

under this agreement.

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Upon termination of this Agreement, ownership of grant funded equipment,

hardware, and other non-expendable items will revert to the grantee for which it was

acquired, subject to the approval of the grantor. However, the terminating Party will not

be relieved of any financial reporting requirements under the terms of any applicable grant

or contractual agreement.

SIGNED ON THE DATES BELOW SHOWN.

WITNESSETH:

GULF BEND CENTER (LOCAL MENTAL HEALTH AUTHORITY)

________________________________________ ________________
STEVE HIPES, CHAIRMAN OF THE BOARD DATE

________________________________________ ________________
JEFF TUNNELL, EXECUTIVE DIRECTOR DATE

________________________________________ ________________
LANE JOHNSON, CHIEF OF CLINICAL SERVICES DATE

APPROVED AS TO FORM:

_____________________________________________
ATTORNEY

THE GULF BEND MENTAL HEALTH TASK FORCE INTERLOCAL ASSISTANCE AGREEMENT
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VICTORIA COUNTY, TEXAS

______________________________________ ________________
BEN ZELLER, COUNTY JUDGE DATE

_________________________________________ ________________
T. MICHAEL OCONNOR, SHERIFF DATE

APPROVED AS TO FORM:

____________________________________________
STEVEN B. TYLER, CRIMINAL DISTRICT ATTORNEY

THE GULF BEND MENTAL HEALTH TASK FORCE INTERLOCAL ASSISTANCE AGREEMENT
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CITY OF VICTORIA, TEXAS

______________________________________ ________________
PAUL POLASEK, MAYOR DATE

______________________________________ ________________
CHARMELLE GARRETT, CITY MANAGER DATE

______________________________________ ________________
JEFF CRAIG, CHIEF OF POLICE DATE

ATTEST:

______________________________________ ________________
APRIL HILBRICH, CITY SECRETARY DATE

APPROVED AS TO FORM:

_______________________________________
THOMAS A. GWOSDZ, CITY ATTORNEY

THE GULF BEND MENTAL HEALTH TASK FORCE INTERLOCAL ASSISTANCE AGREEMENT
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EXHIBIT A: TASK FORCE PARTICIPANT LIST

GULF BEND MENTAL HEALTH TASK FORCE


Board of Governors

Board Governors

Jeff Tunnell - Chairman


Executive Director Gulf Bend Center
6502 Nursery Drive, Suite 100
Victoria, TX 77904
361-582-2314

T. Michael OConnor - Member


Sheriff Victoria County Texas
101 N. Glass Street
Victoria, Texas 77901
361-575-0651

Jeff Craig - Member


Chief of Police Victoria Police Department
306 S. Bridge Street
Victoria, Texas 77901
361-485-3714

Ex Officio Members

Lane Johnson Chief of Clinical Services


Gulf Bend Center
6502 Nursery Drive, Suite 100
Victoria, TX 77904
361-582-2351

Mike Olson President


Citizens Medical Center
2701 Hospital Drive
Victoria, Texas 77901
361-573-9181

Bill Blanchard - President


DeTar Healthcare System
506 E. San Antonio Street
Victoria, Texas 77901
361-575-7441

Dr. John L. McNeill, D.O.


Director of Medical Services for the County of Victoria
2501 N. Navarro Street
Victoria, Texas 77901
361-573-4100

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EXHIBIT B: TASK FORCE SERVICE PLAN

Mental Health Law Enforcement


Officers and Case Workers For the
Gulf Bend Region
Final
(Version 6.0)
The Gulf Bend Community Collaborative
3/3/2017
EXHIBIT B: TASK FORCE SERVICE PLAN
Mental Health Law Enforcement Unit Officers and Case Workers Version 6.0 3-3-2017

The Gulf Bend Community Collaborative is an initiative taken to correct current mental healthcare
practices that do not reduce the incidence of mental illness within rural Texas communities and
provide little hope for those on a path to mental crisis.

The Collaborative undertakes initiatives to maximize the use of existing rural community resources
to benefit mentally ill persons

Currently, the Collaborative is taking actions to reduce the


potential for incarceration of the mentally ill due to mental
health crisis and if jailed, improving the potential for Jail

successful reentry into the community while reducing the


potential for recidivism

As necessary, the Collaborative identifies and defines Criteria for success: Break the cycle and take a new direction

priority resource needs for consideration by local and State leaders as ways to improve mental
healthcare within the Gulf Bend Region the proposed Collaborative plan identifies such a need

The Gulf Bend Community Collaborative proposes a solution to reduce criminalization of the mentally
ill as persons in crisis are placed into the care of community-based treatment and support programs
rather than jail.

Texans undergoing mental health crises stand an 8 to 1 chance of incarceration rather than
hospitalization

Jails and prisons which are not purposed, designed, or resourced to provide adequate mental
healthcare services have replaced hospitals as the primary facility for mentally ill individuals

Local governments assume the costs for criminalizing the mentally ill as healthcare programs such as
Medicare, Medicaid, and Veterans benefits are stopped or significantly reduced upon incarceration

Approximately 25% rural inmates require psychotropic medications accounting for


approximately 12-15% of total rural jail operating budgets

As healthcare programs are not automatically reinitiated upon discharge from jail, the mentally
ill demonstrate a high rate of recidivism due in part to self-medication by using illicit drugs

Local programs aimed at reducing criminalization of the mentally ill can leverage rather than
deny available funds such as Medicaid for mental healthcare programs

Criminalizing the mentally ill and high jail recidivism rates are indicators of a failed mental
healthcare model that is increasingly expensive to rural governments

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EXHIBIT B: TASK FORCE SERVICE PLAN
Mental Health Law Enforcement Unit Officers and Case Workers Version 6.0 3-3-2017

The Collaborative proposal is a coordinated, multi-phased, multi-year program to reduce


criminalization of the mentally ill, improve management of persons who suffer from mental health
illness, and reduce jail recidivism by the mentally ill.

This effort is supported by all local law enforcement agencies,


including all 7 County Judges and Sheriffs within the Gulf Bend Collaborative
Region. Also supporting this proposal is Victoria County Criminal Prioritized Needs
Defense Bar Association, Citizens Medical Center, Detar HealthCare 1. Mental Health Law
System, Victoria Economic Development and various concerned Enforcement Officers
citizens and small business owners. 2. Mental Health Case
Workers
In addition to community resources currently committed within
3. Assessment tools
the Gulf Bend Region, the Collaborative is seeking resources for
dedicated law enforcement officers and case managers to 4. Mental Health
support mental health programs throughout the Gulf Bend Region Network System

5. Mental Health
The program is proposed in two phases totaling a four-year
Database
period
6. Community Support
Phase I (2018-2019): The Phase I intent is to establish a
Services
centralizedprocess to populate, equip, prepare, and validate law
enforcement andcase management functions with people who 7. Mental Health Court
System
live and work within localcommunities
Phase II (2020-2021): The Phase II intent is to continue 8. Criteria for Program
facilitation of centrally controlled, standardized support for local Measurement
mental health programs throughout the Gulf Bend Region by law 9. Communication and
enforcement officers and case managers who live and work Education
within local communities
Centralized control during both phases of the proposed program
will facilitate uniform measures of program performance and
effectiveness as well as disciplined fiscal controls
While the proposed program seeks resources for dedicated law enforcement officers and case
managers to support mental health programs within the Gulf Bend Region, the Collaborative will
simultaneously develop other prioritized needs such as improved assessment tools, mental health
courts, and communication and education programs to name a few
The proposed fiscal resource requirements to man, train, and equip a dedicated law enforcement
and case management capability for the seven county Gulf Bend Region is $11.6 million over the
four-year prototype program period
The proposed program will be provided to State Legislators for their review,
input, and consideration for funding in the coming Legislati ve Biennium

The proposed program is a prototype as there are no comparable rural programs within the State
of Texas. If successful, the proposed program can serve as the basis for improving mental
healthcare for rural communities throughout the State of Texas.
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EXHIBIT B: TASK FORCE SERVICE PLAN

Proposed Way Ahead Revisited


This document is the culmination of a deliberate process conducted by the Gulf Bend Community
Collaborative
Where toare we?
identify waysRegion
to improveof rural
mental communities
healthcare for our citizens.with limited
With agreement
onwing
ways to behavioral were identified for resources that are outside of the reach of
health needs
move forward, requirements
the Gulf Bend communities. This document provides a brief outline of the operational concept and the
organizational
Where do we
design thatwant
serve toto be?
justify fiscalMeet
resourcebehavioral
requirements. health needs by
adapting and innovating collaborative ways and means
The following timeline serves to orient the reader on the state of effort required to prepare, brief, and
How do we want to progress? Identify preferred futures and
submit as final for legislative consideration. As noted below, the intent is to continue to revise this draft
as required in order to provide the best possible document for legislative consideration.
viable options to attain them justify resource requirements
Jul Aug Sep Oct Nov Dec Jan
14 18 TBD TBD Filing 10
ID program Gulf Bend Initial Brief Finalize Submit Support Support
priorities Regional
Refine Draft Coordinated Final
priorities Input Draft Draft

How do we compel support? The Gulf Bend Region serves as the prototypical Texas rural
community beh
EXHIBIT B: TASK FORCE SERVICE PLAN

The Way Ahead


1. Maintain Momentum 4. Resource A Preferred Future

Commitment
Proposed Cost

Jail
Preparations

Criteria for Success: Personnel Facilities


Break the Cycle and
Take a new
Direction 2. Prioritize Needs Operational Concept Technical and Nontechnical Tools
1. Mental Health Officers
2. Mental Health Case Managers
Organizational Design
3. Assessment tools
4. Mental Health Network system
5. Database 18 Aug Environmental Scan
6. Community Support Services
7. Mental Health Court System
8. Criteria for program measurement 3. Identify Requirements For Action
9. Communication and education
EXHIBIT B: TASK FORCE SERVICE PLAN
Mental Health Law Enforcement Unit Officers and Case Workers Version 6.0 3-3-2017

1. Environmental Scan:

a. Mental illness affects all segments of the Texas Crossroads also referred to as the Gulf Bend
Region.

1) It is estimated that approximately 26 percent of the Gulf Bend Regions population suffers
from a diagnosed mental illness

2) The potential for increased mental health needs will be affected by changing demographics
associated with socio-economic growth

b. Most often, the first community resource addressing a mental health crisis is local law
enforcement officer.

1) Local law enforcement officers must make an immediate determination about an


individuals mental stability and capability of harming oneself or others recent high profile
incidents resulting in mass murders or police involved shootings have involved persons who
suffer from mental illness.

2) Aside from responding to situations involving mental health crises, local law enforcement
agencies provide support for commitment actions directed by civil or criminal courts. Law
enforcement agencies throughout the Gulf Bend Region responded to more than 450
mental health-related calls during 2016 a figure that is expected to rise over the course of
the next year.

c. There are too few Gulf Bend Center case managers for current and projected non-serious
mental healthcare populations within the seven county Gulf Bend Region.

1) In 2016, the total calls for mental health crises within the Gulf Bend Region were 5,501
2,616 of which required assessments. This equates to an average of over 7 assessments per
every day of the year.

2) Without case manager advocacy, there is risk that client needs will not be properly assessed
nor will mental healthcare programs be properly coordinated and integrated with other
community agencies who are critical to achieving mental healthcare goals, objectives, and
priorities.

3) Persons who suffer from mental illness will not be capable of integrating fully and
contributing to their community

d. Current mental healthcare programs are ineffective while placing an increasingly expensive
burden on local governments

1
Authority For Further Distribution Granted by Collaborative Plenary
EXHIBIT B: TASK FORCE SERVICE PLAN
Mental Health Law Enforcement Unit Officers and Case Workers Version 6.0 3-3-2017

2. Purpose: Improve ability to decriminalize encounters with mentally ill persons throughout the Gulf
Bend Region

3. Concept of Operation: Execute a Figure I: Operational Concept

coordinated, multi-phased, multi- Rural LE Mental Health Unit and Case Management (proposed prototype)

year program to establish common Phase I: 2 Years (2018 / 2019) Phase II: 2 Years (2020 / 2021)
and sustained actions for Centralized Control Centralized Control
encountering and managing Centralized Execution Decentralized Execution
persons who suffer from mental
Establish common operational Sheriffs Offices opt to continue
health illness throughout the Gulf concept through centralized with execution of centralized
Bend Region. See Fig. 1 manning, training, education, operations from the Mental
equipping, and operations Health Unit or develop
Provide LE response to mental decentralized county capability
a. Phase I: Establish a centralized health needs throughout Gulf If opt to develop decentralized
24/7/365 support capability for Bend Region using MOA/MOU capability:
established with all Sheriffs Equipment transferred
the Gulf Bend Region. The Offices
Personnel admin transferred
Phase I goal is to develop, Expand and provide centralized
Case Management support for Centralized LE and Case
validate, and implement a Management control retained at
non-serious mental healthcare
single standard for preparing needs who live throughout the Victoria County w/ decentralized
Gulf Bend Region execution throughout Region
and employing law
Centralized operations from Massed LE and Case Management
enforcement officers and case response capability if required
Victoria County responsive to
managers in support of mental support region needs
health programs implemented
throughout the Gulf Bend
Region.

1) Mental health support consisting of law enforcement officers and case managers will be
centralized during Phase I within Victoria County for the Gulf Bend Region Communities that
include rural communities (Refugio, Goliad, Lavaca, Calhoun, Dewitt, and Jackson counties).

a) Law enforcement officers principal focus is to ensure the safety and security of persons
experiencing mental health crisis as well as medical and mental health practitioners who
are tending to their needs and bystanders. As possible, law enforcement officers will
coordinate with members of the judicial and mental health communities as a minimum
to take steps in diverting persons in need of mental healthcare from jail.

b) Case managers serve as advocates for persons throughout the Gulf Bend Region not
otherwise classified as Seriously Mentally Ill. As such, case managers coordinate
programs of support from throughout the community for the benefit of persons who
suffer from mental illness.

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Authority For Further Distribution Granted by Collaborative Plenary
EXHIBIT B: TASK FORCE SERVICE PLAN
Mental Health Law Enforcement Unit Officers and Case Workers Version 6.0 3-3-2017

2) Law enforcement officers employed by local Law Enforcement Agencies will be part of a
Mental Health Unit within the Gulf Bend Community Mental Health Center located in
Victoria County, Texas

a) The Law Enforcement Mental Health Unit facilitates personnel actions, training,
education, exercises, equipment, and sustainment requirements for unified law
enforcement operations in support of the Regions mental healthcare goals

b) Licensed Peace Officers will be recruited from throughout the region for assignment
during Phase I to the Mental health Unit centralized within Victoria County

c) Licensed Peace Officers will perform their daily duties in a direct support role to Gulf
Bend leadership

d) Memorandums of Agreement / Understanding established among all affected law


enforcement agencies and communities will govern Mental Health Unit operations in all
jurisdictions throughout the 7 county Gulf Bend Region

e) Law Enforcement Mental health Unit actions are coordinated with all affected law
enforcement agencies while directed and controlled by Gulf Bend Center

f) Law Enforcement Mental Health Unit operations will be centralized within the Victoria
County Gulf Bend Community Center facility for operations, support, and control

g) Calls for mental health assistance issues received by law enforcement agencies will be
transferred to the Gulf Bend Center operations center (dispatch) for action

h) Required law enforcement actions / operations not normally associated with mental
Health Officer roles and responsibilities are subject to the direction and control of the
sheriff within each county

3) The Law Enforcement Mental Health Unit and the Gulf Bend Mobile Crisis Outreach Teams
(MCOT) will comprise the Gulf Bend Regions Crisis Intervention Team (CIT) capability. As
such, the CIT brings together law enforcement, mental health providers, hospital emergency
departments and individuals with mental illness and their families to improve responses to
people undergoing mental health crisis

a) In coordination with the MCOT, the Law Enforcement Mental Health Unit will answer
calls from family and friends of mentally or emotionally disturbed individuals during
mental health crisis. The Law Enforcement Mental Health Unit will also:

a.1). Execute orders from Courts requiring actions relative to mental health needs

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Authority For Further Distribution Granted by Collaborative Plenary
EXHIBIT B: TASK FORCE SERVICE PLAN
Mental Health Law Enforcement Unit Officers and Case Worker Version 6.0 3-3-2017

a.2). Conduct crisis negotiation as required;

a.3). Assist with assessment and processing of persons with mental health problems
thereby getting appropriate care rather than relying on detention;

a.4). Provide documentation for Emergency Detention when requested by a doctor

a.5). Provide transport of persons needing assistance with mental health needs;

a.6). Transport involuntary persons to local facilities when they meet mental health
code criteria

a.7). Transport persons requesting assistance to local facilities under Emergency


Detention Warrants

a.8). As required, take someone into custody (when endangering themselves or


others), transport the person to a hospital for an evaluation, and remain with that
person until an evaluation can be completed; and

a.9). If required, executes an emergency committal or a temporary detention order


otherwise, facilitate diversion after evaluation.

b) The Mental Health Unit will divert persons who commit minor offenses while affected
by mental illness away from the criminal justice system and jail by putting them into the
care of community-based treatment and support service programs

4) Gulf Bend Case Managers will expand the ability to assess the needs of non-serious mentally
ill populations and then advocate for, coordinate, and integrate develop, and monitor the
implementation of personalized mental healthcare plans to meet client needs. Case
Managers will be under the direct supervision and control of the Gulf Bend Community
Mental Health Center located in Victoria County, Texas but will provide direct support to
assigned counties within the Gulf Bend Region. Accordingly, Case Managers will:

a) Collect information from clients and their families to help team members understand
clients' situations. Understand the personal history of assigned clients with long-term
mental healthcare needs and discern best available options to provide appropriate
mental healthcare treatment / service plans

b) Work closely with multidisciplinary teams to create treatment programs and case plans
that include diagnoses, prescribed treatments, and goals for becoming more
independent. Work with other community resources to coordinate appropriate

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community services and crisis intervention as required. Locate appropriate resources


that help clients resolve issues such as finding living arrangements, transportation,
financial assistance, group therapies, or other therapeutic services.

c) Ensure that persons in directed mental healthcare programs comply with their service
plan requirements this often requires monitoring client activities, such as
employment, training and counseling or treatment for substance abuse

d) Monitor services to ensure they are meeting clients' needs. Assess progress on
healthcare plans, report plan status, and make recommendations regarding further
treatment.

e) Determine whether an individual is abiding by the terms of an enforceable plan that has
been court directed

f) Serve as an advocate for clients in procuring social and medical services. If required,
recommend that the client is placed into a controlled environment in order to receive
appropriate mental healthcare

g) Provide on-going supportive and/or case management functions in accordance with the
problems, needs, and the strategies identified within client service plans

h) Serve as liaison between clients, families, and community service providers to facilitate
achievement of client mental healthcare needs. Educate clients and their families about
medical, nutritional, or home care needs.

i) Maintain case documentation including all records and correspondence

j) Assess clients for drug induced mental health issues and provide / refer / follow-up for
needed substance abuse treatment

5) Rural counties surrounding Victoria County support and supplement the initial centralized
process throughout Phase I by providing first response capability and information sharing as
required

6) Tempo of operations: As the focus of effort during Phase I is the development,


validation, and refinement of standard operating procedures and protocols, it is
imperative that the maximum amount of time is provided for personal and
professional development (see preparations paragraph 8). Accordingly, the
tempo of personal requirements is considered as paramount to the initial success
of Phase I and planned accordingly.

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a) The training tempo will be further described in paragraph 8

b) The daily duties are those required per the requirements set forth in this proposed plan

c) The administrative requirements are to allow personal recovery time as well as


considering other imposed administrative requirements not associated with normal
duties

7) Phase I begins immediately upon being resourced and continues over a two-year period.

b. Phase II: Centralized control continues through Phase II. Rural counties within the Gulf Bend
Region are given the option of executing decentralized LE Mental Health Unit and case
management operations from each of the Gulf Bend Region rural communities or retaining the
supporting / supported relationship established during Phase I. The Phase II goal is to
proliferate support capabilities newly developed during Phase I throughout the Gulf Bend
Region.

1) The intent of Phase II is to facilitate local support for mental health issues by law
enforcement officers and case managers who live and work within all of the Gulf Bend
Regions local communities on a continuous basis

2) Counties opting to evolve into decentralized execution roles will continue to provide
comparable law enforcement response and support to that established within centralized
Mental Health Unit operations during Phase I

a) Law Enforcement Mental Health Unit and case management operations control will
remain centralized under the Gulf Bend Regional operations center located in Victoria
County

b) Law Enforcement Mental Health Unit and case management execution will be
decentralized within those counties opting to develop a 24/7/365 response capability to
serve their county needs

c) As required, Law Enforcement Mental Health Unit officers and case management
personnel serving in decentralized roles will be available to augment Mental Health Unit
operations throughout the Gulf Bend Region as required

d) As required, mental health officers serving in decentralized roles will be augmented by


the others serving within the centrally controlled Gulf Bend Mental Health Unit
locations in Victoria County

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3) Support practices as described for Phase I will continue for counties not opting to conduct
decentralized operations

4) Tempo of operations: It is anticipated that the tempo of operations would be comparable


to that depicted in Phase I due to potential personnel turn-over and discovery of new or
improved techniques and procedures

5) Phase II begins after the initial two year organizational period and continue for 2 years
thereafter.

4. Organizational Design: See Figure 2

a. Law Enforcement Mental Health Unit:

1) 14 Certified Law Figure 2: Organizational Design

Enforcement Officers Gulf Bend 7 County /


City LE
Clinical
subordinate to 2 Law Director Dispatch

Enforcement Mental
Gulf Bend Gulf Bend Gulf Bend
Health Supervisors Case Crisis Crisis Hotline
Management Response (Dispatch)
comprise an LE Mental LE Task Force
Health Unit located for Case
Case
Mobile Crisis
Mobile Crisis
LE Mental
LE Mental
Manager Outreach
Mobile Crisis Health
Outreach
Mobile Crisis Health
duty during Phase I at Manager
Supervisor
Supervisor
Team
Outreach
Mobile Crisis
Team
Outreach
Mobile Crisis
Unit
Team
Outreach
Mobile Crisis
Team
the Victoria Gulf Bend Outreach
Team
Outreach
Team
LE Mental
LE Mental
Gulf Bend Gulf Bend Team Health
Center facility in Gulf
CaseBend Gulf
Case Bend
Health
Supervisor
Gulf Bend Gulf Bend Supervisor
Case
Manager Case
Manager
Victoria County Gulf
Case
Manager
Bend
Gulf
Case Bend
Gulf
Case
Manager
Bend
Gulf
Case Bend
Manager
Gulf Bend Manager
Gulf
Case Bend
Case
Manager Manager Mental Mental
Case
Manager Case
Manager Mental
Mental
Health Health
Manager Manager Mental
Health Mental
Health
a) 14 officers provide Officer
Mental
Health
OfficerMental
Officer
Mental
Health
OfficerMental
Health
Officer Health
Officer
Mental
Health Mental
Health
24/7/365 OfficerMental
Health
Officer
OfficerMental
Health
Officer
Health
Officer Health
Officer
capability for 7 Officer Officer

counties that comprise the Gulf Bend Region

b) 2 LE supervisors provide 24/7/365 capability and can provide additional support as


required

2) Mental Health Unit operates in Direct Support of a Gulf Bend Crisis Response capability
located within the Gulf Bend Center facility in Victoria County and works in collaboration
with the Mobile Crisis Outreach Teams (MCOT) and comprise the Crisis Intervention Team
(CIT)

3) Gulf Bend Crisis Hotline Center serves as the dispatch capability for the LE Mental Health
Unit coordinates calls regarding mental health calls for service with affected county
dispatch centers

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4) During Phase I, the Mental Health Unit is assigned from a Law Enforcement Task Force1 and
is subject to personnel actions, training, education, exercising, equipping, and sustainment
requirements required for certified law enforcement operations to be compliant with TCOLE
requirements

5) During Phase II, the Mental Health Unit retains the same basic structure with daily duty
locations for mental health officers determined by each county as they exercise the option
to continue centralized operations executed from Victoria County or opt to execute
decentralized operations within each county. Supervisors retained at the Gulf Bend Center
in Victoria County.

b. Gulf Bend Case Managers:

1) 12 Certified Case Managers subordinate to two Case Manager Supervisors. Case


Management office located at the Victoria Gulf Bend Mental Health Center facility in
Victoria County

a) 12 Case Managers provide 24/7/365 capability for 7 counties that comprise the Gulf
Bend Region

b) 2 Case Manager supervisors provide 24/7/365 capability and can provide additional
support as required

2) Case Managers work in close collaboration with all community services and agencies that
can provide for the needs of persons suffering from mental illness with the intent of fully
reintegrating the person back into a productive community role.

3) During Phase I, Case Workers are assigned to the Gulf Bend Community Mental Health
Center and are subject to personnel actions, training, education, exercising, equipping, and
sustainment requirements

4) During Phase II, the Case management Office retains the same basic structure with daily
duty locations for case managers determined by each county as they exercise the option to
continue centralized operations executed from Victoria County or opt to execute

1
For purposes of the Gulf Bend Community Collaborative, the term Task Force is a PERMANENT not temporary
COMMITMENT of multi-jurisdictional law enforcement agencies and designated officers within the Gulf Bend
Region who are formed to execute Mental Health Unit requirements as long as the program remains viable. Basic
certification of eligible law enforcement officers will remain the responsibility of each committed law enforcement
agency. The Gulf Bend Center will assume administrative and fiscal responsibilities for training, equipping, and
operating the Mental Health Unit. The Gulf Bend Center will administer and account for all public and private
resources granted to the Gulf Bend Community Collaborative.

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decentralized operations within each county. Supervisors retained at the Gulf Bend Center
in Victoria County.

5. Personnel Requirements:

a. Law Enforcement Mental Health Unit:

1) Supervisors must be certified peace officers and have a minimum of two years experience
in law enforcement operations (patrol, civil, warrants, courts, detention) or satisfactory
equivalent

2) Mental Health Officers must be certified peace officers and have a minimum of one year
experience in law enforcement operations (patrol, civil, warrants, courts, detention) or
satisfactory equivalent

3) All Law Enforcement Mental Health Officers are required to complete the Texas
Commission On Law Enforcement (TCOLE) mental health certification course

4) All Law Enforcement Mental Health Officers are required to complete a crisis negotiation
course within the first year of assignment to the Mental Health Unit

5) It is preferred that Law Enforcement Mental Health Officers receive cross training in Mental
Health case management as courses are made available within the Victoria Community
College, the University of Houston-Victoria, or provided through Gulf Bend

6) During Phase I, all law enforcement personnel will satisfy training, exercise, and education
requirements in order to comply with TCOLE requirements for certified law enforcement
officers

7) During Phase I, all personnel will participate and demonstrate progress in the completion of
a certified career progression plan developed jointly by the Victoria Community College, the
University of Houston-Victoria, and the Gulf Bend Center in collaboration with an Advisory
Board2 composed of members of all law enforcement agencies committed to the Mental
Health Unit

a) The career progression plan will include education, training, situational exercises that
are focused on improving encounters with mentally ill persons; managing persons
during encounters; establishing incident site command during major encounters with

2
The intent of the Law Enforcement Advisory Board is for all agencies irrespective of size to have an equal
voice in the professional development of officers committed to the Mental Health Unit. The Advisory Board
Charter will be developed and administered separately from the Gulf Bend Community Collaborative.

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mentally ill persons; and interfacing with mental health providers within the
communities represented within the Gulf Bend Region

b) Persons selected for duty within the Mental Health Unit will have a minimum of a 2 year
tour of duty with the Law Enforcement Mental Health Unit

b. Gulf Bend Case Managers:

1) Supervisors must have a minimum of two years work experience in mental health field
preferred.

2) Mental Health Officers should have a minimum of one-year experience in community or


social services with preference provided to work in mental health related field.

3) All case managers must have a minimum of a Baccalaureate Degree from an accredited
college/university.

c. During Phase I, all personnel will be available for duty on a rotational basis in order to provide
24/7/365 coverage for the Gulf Bend Region. During Phase II, personnel assigned to counties
that opt for decentralized execution will be on call in order to provide for a 24/7/365 capability.

6. Technical / non-technical tool requirements:

a. During Phase I, each person assigned to the Law Enforcement Mental Health Unit will have the
following items provided through the Gulf Bend Center using State appropriated funds:

1) Automobile with required communications, emergency lighting, and associated safety


equipment (take home vehicles for 24 hour response capability)

2) Maintenance programs for assigned vehicles and communications systems

3) Uniforms, personal communications systems, and personal protective equipment (vests,


gloves, facemasks, respirators, etc.)

4) Lethal and non-lethal firearms to include Tasers and beanbag systems

b. Each person assigned to the Law Enforcement Mental Health Unit will have the following items
provided through the Gulf Bend Center:

1) Workspace and access to personal computers, printers, telephones, and office materials

2) Access cards / codes for building entry, storage space for files, etc.

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3) Space for vehicle parking

c. During Phase I, each person assigned to the Gulf Bend Case Management Office will have the
following items provided through the Gulf Bend Community Mental Health Center using State
appropriated funds:

1) Automobile (take home vehicles for 24 hour response capability)

2) Cellular telephone communications to enable 24 hour response capability

3) Maintenance / service programs for assigned vehicles and communications systems

d. Each person assigned to the Gulf Bend Case Management Office will have the following items
provided through Gulf Bend:

1) Workspace and access to personal computers, printers, telephones, and office materials

2) Access cards / codes for building entry, storage space for files, etc.

3) Space for vehicle parking

e. During Phase II, each county that chooses to opt for decentralized execution will have the
property identified above laterally transferred to the responsible authority within each county

f. At the core of the process of deploying members of the Law Enforcement Mental Health Unit
and / or the Case Management Office is a viable knowledge base that is supported within HIPAA
parameters using information technical systems

1) The intent is to establish a process whereby members of the Law Enforcement Mental
Health Unit and the Case Management Office connect, communicate, and collaborate
during the execution of operations throughout the region using available virtual means

2) Video-teleconferencing will be used to allow members of the Law Enforcement Mental


Health Unit and the Case Management Office to receive pertinent information regarding
situations affecting mentally ill persons while enroute to an encounter, during an encounter,
or as a follow-up to an encounter as required

3) Video-teleconferencing will also facilitate communications during an encounter with Gulf


Bend case managers or other psychiatric care practitioners

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4) As a minimum, video-teleconferencing equipment will be located within hospitals located


within each county in order to facilitate assessments

7. Facilities:

a. During Phase I, office / workspace within the Gulf Bend Center as the primary duty station for
Law Enforcement Mental Health Unit and the Case Management Office

b. During Phase II, office / workspace outside of the Gulf Bend Center will be provided by counties
opting to conduct decentralized operations

c. As possible, during Phases I and II, create and use halfway houses within each county for
meetings involving Gulf Bend Patients, Gulf Bend Case Management Office, and Law
Enforcement Mental Health Unit personnel as required

8. Preparations:

a. The Gulf Bend Community Collaborative provides community advisory oversight for activities
conducted for Phases I and II to include program management for the development,
implementation, assessment, and reporting of the Law Enforcement Mental Health Unit and
Case Management Office operations and organization.

b. Program management for the development, implementation, assessment, and reporting of the
Law Enforcement Mental Health Unit and Case Management Office operations and organization
will reside within the Gulf Bend Mental Health Center

1) Victoria Community College and / or the University of Houston-Victoria develops Crisis


Intervention Team (CIT) training for members of the Law Enforcement Mental Health Unit,
Gulf Bend Mobile Crisis Outreach Teams and dispatchers

2) Victoria Community College and /or the University of Houston-Victoria develops career
paths and associated training, education, and exercise programs for Law Enforcement
Mental Health Unit and Gulf Bend Mobile Crisis Outreach Teams

3) Victoria Community College and / or the University of Houston-Victoria provides the venue
for the development of common protocols and education on mental health procedures
executed by JPs from throughout the Gulf Bend Region

4) Victoria Community College and / or the University of Houston-Victoria provides the venue
for the development of common protocols and education on hospital medical clearances
required for mentally ill persons encountered by the legal system.

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c. Community outreach requirements to ensure common understanding of the Law Enforcement


Mental Health Unit program will be a shared responsibility between Law Enforcement Agencies
and the Gulf Bend Center

d. The Law Enforcement Mental Health Unit and the Case management Office will function as a
community of practice whereby Gulf Bend case managers, mental health officers, and other
practitioners engage and interact in joint activities and discussions to share information and
enable learning from each other

1) Interactions will take place daily during shift briefs, weekly during encounter reviews, and
monthly during Mental Health Unit after action review periods

2) As possible succinct records of interactions will be collected for record

e. Tempo of training / education / exercise operations: As stated, the priority of effort during
phase I is the development of capable personnel and organizations. Accordingly, significant
amount of time during Phase I will be dedicated to specialized training, education, and
validating exercises at the individual, unit, and combined / joint levels. Figure 3 provides a brief
description of the events that will outline the first year of Phase I:

1) It is expected that as many as 9 separate training / education / exercise opportunities will be


made available over the course of the 24-month period that comprises Phase I.

2) Interspersed throughout the Phase I period are requirements for the team of Case Workers,
the LE Mental Health Unit, and the Mobile Crisis Outreach Team to develop, implement, and
refine operating procedures and protocols for day-to-day operations.

3) Training opportunities will include other community public and private agencies to
participate, i.e., mental health, veterans court officials, etc.

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Figure 3: Notional Training / Education / Operations Tempo

Month 1 Month 2 Month 3 Month 4 Month 5 Month 6 Month 7 Month 8 Month 9 Month 10 Month 11 Month 12

GBCC GBCC Conduct Operations in Support of Regional Mental Healthcare Needs

Recruit/Equip
Train Train Train Train
GB Units

Identify Client Initial Develop Refine


Operational Develop SOPs
Needs Procedures Procedures
Capability
Draft Procedure Report Report Report Report
Guide

Establish PGM
Measures
GBCC GBCC GBCC GBCC GBCC GBCC GBCC
Establish Facility

Develop Develop Gulf Bend Community


Communication Plan 4 Year Collaborative Strategy

Develop MOUs
Develop Policies
/ MOAs

Identify Training Assess/Refine


Needs Note: GBCC = Gulf Bend Community Collaborative Plenary Meetings Training Needs

9. Resource requirement (4 years):

a. The Gulf Bend Center will be the responsible and accountable agency for programmatic
administration of public and private funds made available for the Community Collaboratives
Mental Health Unit and Case Workers. Any reporting requirements incurred by public or private
entities supporting the Gulf Bend Community Collaborative will be met by the Gulf Bend Center.
Program management costs incurred by Gulf Bend Center will not exceed 2.5% of total allocated
public or private funds.3

b. Required resources will be distributed over a period of four years that allow for progressive
development of Mental Health Unit and Case Worker capabilities. The objective state is to be
fully manned, equipped, trained and operating to meet all Gulf Bend Mental health needs by the
completion of the third year. The fourth year is thereby a full year of observable performance at
the objective state.

c. Considerations for budget requirements included Salaries with Fringe, Overtime, Training, Law
Enforcement Vehicle Fleet (dedicated exclusively to the Mental Health Unit), Case Management
Vehicle Fleet, Data Systems (exclusively for the use of the Mental Health Unit and Case
Managers in the execution of their duties), Vehicle Fuel /Maintenance/Insurance, IT Systems
Video Teleconferencing Capability, and any Special Uniform or Clothing Allowances.
3
The structure of the administrative organization within the Gulf Bend Center will be subject to the oversight and
approval of the Gulf Bend Board of Trustees.

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d. The cost per phase is provided within figure 4:

Figure 4: Costs
Phase I Cost Phase II Cost
Total Cost
(years 1 and 2) (years 3 and 4)
Ramp Up Period $4,866,515.42
Objective State $6,719,772.26
$11,586,287.68

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