BOARD OF COUNTY COMMISSIONERS SUMMIT COUNTY 970.453.3414ph I 970.453.3535 f 208 East Lincoln Ave. I PO Box 68 COLORADO summitcountyco.gov Breckenridge, CO 80424 TO: Board of County Commissioners David Rossi Jeff Huntley FROM: Johanna Jacobsen RE: Work Session Meeting of March 25, 2025 DATE: Tuesday, March 25, 2025 Attendees: Elected Officials: Eric Mamula, Nina Waters, and Tamara Pogue- County Commissioners Staff: David Rossi, County Manager; Jeff Huntley, County Attorney; Steve Greer, Assistant County Manager; Andy Atencio, Assistant County Manager; David Reynolds, Finance Director; Cameron Turpin Valentine, Assistant County Attorney; Allison Hiltz, Director of Community Partnerships; Caitlin Johnson, Executive Administrative Manager; Johanna Jacobsen, Administrative Assistant; Eric Monk, Contracts Administrator, Shannon Brown, Grants and Community Partnerships Manager; Andrew Armstrong, Assistant County Attorney; Brandon Howes, Interim Housing Co-Director; Lina Lesmes, Interim Housing Co-Director; Corrie Burr, Combined Housing Authority Executive Director. Guests (in person or via Zoom): Peter Bakken, Matthew Belmar, Ken Hilt, Carol Kerr, Jim Benkelman, Matthew Belmar, Ryan Spencer, Kellyn Ender, Nicole Maynard, and others who did not sign in. I. Strong Future Mental Health Committee Bi-Annual Update Kellyn Ender discussed topics including but not limited to: Ms. Ender began the presentation by reviewing the 2024 Strong Future behavioral health programming totals. The total expenditure for the year amounted to $3.2 million, with the largest portion allocated to treatment. She reviewed the 2024 Strong Future funded programs, which fall under four primary categories: Prevention, Intervention, Treatment, and Crisis Services. Ms. Ender then dove into the different programs starting with the Family and Intercultural Resource Center's ALMA (Amigas Latinas Motivando el Alma) Program, a peer support service designed for the Spanish-speaking community. It is specifically targeted at Spanish-speaking women aged 16 and older. Ms. Ender also reviewed the ACCION Program, a similar initiative tailored for Spanish-speaking men. This program is structured around community events, fostering engagement while reducing isolation and breaking down mental health stigmas. It also serves as a pathway to more formal clinical therapy. The program fully utilized its allocated funding, and it is anticipated that future funding will be similarly maximized. She provided an overview of the Building Hope Suicide Prevention program, highlighting the 2024 program data and outcomes. This initiative, which reported 100% utilization of its allocated resources, is a collaborative effort involving SMART, Paragon, the local school district, and the coroner's office. In addition, she reviewed data from the In-Clinic Immediate Access program and discussed current efforts Summit County Board of County Commissioners' Work Session Meeting Minutes of March 25, 2025 Page 1 of5 by the Summit County Care Clinic to enhance mental health access within clinical settings. She also shared updates on the Common Spirit Health Emergency Department Behavioral Health Specialist role. This position engages directly with clients who enter the emergency department, offering critical behavioral health support. Notably, the specialist is fluent in Spanish and provides document translation services for both patients and staff. She provided an overview of Recovery Resources, an intervention program designed to serve adult clients who meet the criteria for withdrawal management. In 2024, 44.8% of patients engaged with medication-assisted treatment (MAT) services through Porch Light Health. The primary goal of this program is to enhance the availability and effectiveness of substance use disorder services. In to a question from Commissioner Pogue regarding staffing and funding, Ms. Kellyn noted that response while the program had experienced temporary closure, it is now fully staffed and operational, with no current concerns regarding funding. She also reported on the STARR Program, a collaborative initiative with the Summit County Sheriff's Office that delivers mental health services within the county's detention services division. Additionally, she presented updates on the Summit County Community Care Clinic's School-Based Behavioral Health Services. With 100% of its funds utilized, the program successfully expands access to behavioral health support across all schools in Summit County. It also helps eliminate common barriers such as transportation and scheduling conflicts. She shared data on Building Hope's Community Support Groups, which included 18 groups serving 559 residents. Of those who participated, 97% reported a sense of belonging, and 100% rated the groups as excellent. She then reviewed Building Hope's Provider Support efforts. The program offers professional development, therapist training, supervision for interns and recent graduates, and incentives to expand service capacity. She reported on Building Hope's Scholarships and Navigation Services. These services are designed to expand the use of mental health navigators and develop effective and affordable intensive outpatient treatment programs for youth and adults. She also reviewed the Adolescent Enhanced Outpatient Program by Mile High Behavioral Healthcare. In 2024, the program served 10 unique participants and completed 203 sessions. Acknowledging that the program did not meet expected utilization, they plan to restructure it in 2025 with a more flexible, access model. open- She provided an update on Mile High Behavioral Healthcare's Wellness Hub Operations, which reported 99% of funds spent. The Hub serves individuals across all ages and demographics, with a focus on vulnerable populations including youth, LGBTQ+ individuals, and those affected by substance use. She then highlighted Porch Light Health's Medication-Assisted Treatment (MAT) program, which now also offers psychiatric services. The program specializes in integrated care addressing both mental health and addiction. In response to a question from Commissioner Water about how this differs from Recovery Resources, it was clarified that Recovery Resources focuses on detox (withdrawal management), while Porch Light provides ongoing support post-detox to help individuals maintain recovery. She provided an overview of Wild Nature Wellness's Wild Youth Passages program, an intensive outpatient, outdoor-based therapy model designed for adolescents with higher-level mental health needs. The program served 17 participants with a total of 295 sessions. She also reported on the Women's Resiliency Dialectical Behavior Therapy Group, which serves adult Summit County Board of County Commissioners' Work. Session Meeting Minutes of March. 25, 2025 Page 2 of5 women experiencing chronic suicidal ideation. The program faced challenges with consistency and engagement, resulting in only 34% ofi funds spent. It was noted that the group requires strong, consistent support, and alternative models are being considered to better meet participant needs. She then shared updates on the Sheriff's Office SMART Program, a crisis intervention program that responded to 1,395 active calls and utilized 98% of its funding. She also discussed Building Hope's Immediate Access Slots program, which reported 91% fund utilization. This program has sunset following the launch of Paragon's new program for Crisis Intervention. Ms. Ender lastly reviewed Building Hope's next steps for 2025 which included, a Request for Proposal (RFP) for crisis continuum and children services, quarterly program data tracking for 2025, and a September BOCC budget presentation with the county's finance team. Ms. Hiltz added that the County will release a Request for Proposals (RFP), aligning it with the general annual application process. She noted that recommendations for process improvements and changes will be brought back to the Board of County Commissioners (BOCC) for consideration. Commissioner Pogue initiated a discussion on the Memorandum of Understanding (MOU), with Ms. Ender providing an overview and Mr. Rossi offering an update on the timeline for finalizing the agreement. Ms. Hiltz shared that quarterly reporting on actual metrics has been implemented, allowing for better tracking of trends and program impact. Finally, Ms. Ender concluded by thanking Ms. Hiltz and Mr. Monk from the grants team for their continued support. II. Managers & Commissioners Updates The Commissioners and Staff discussed topics including but not limited to: Andy Atencio None David Reynolds The 2024 financial audit will start at the beginning of April. Caitlin Johnson Provided an update on the details for the Colorado Counties Inc. summer conference. Discussed a letter of support for Family & Intercultural Resource Center (FIRC). Steve Greer Provided an update on the Wildfire Council meeting last week. Provided updates on three executive positions becoming available. He is setting up some screening phone calls. Jeff Huntley None David Rossi Provided an update on some upcoming structure changes to the BOCC meetings and agendas. Commissioner Waters Summit County Board of County Commissioners' Work Session Meeting Minutes of March 25, 2025 Page 3 of5 Provided schedule updates. Discussed her meeting with the Colorado Basin Round Table where they reviewed the Water Supply Grant Funds. Requested admin assistance finding the packet for the River District meeting. Commissioner Pogue Requested an executive session item for legal authority regarding fees. Mr. Rossi had a meeting with the customer advocate for PUC (Public Unities Commission). Provided some legislative updates. Commissioner Mamula The Representative Neguse event will be taking place this weekend and all Summit County commissioners will be attending. Discussed this year's fire ban strategy and suggested possibly changing the approach to more preventative. III. Lake Hill RFP Discussion Brandon Howes and Lina Lesmes discussed topics including but not limited to: Ms. Lesmes reported that the Request for Qualifications (RFQ) was published, resulting in seven proposals. Of those, four were selected for further consideration. The Request for Proposals (RFP) process is currently underway. Advisors have recommended including additional exhibits, which prompted several questions about the content and clarity of the RFP. Mr. Howes reviewed the assumptions on AMI and Commissioner Pogue highlighted the need for broader discussion among the commissioners and community. Commissioner Pogue also stressed the importance of distinguishing between rental and for-sale units and emphasized the need for lower AMI targets in both categories, as identified in the recent housing needs assessment. Mr. Mamula advocated for a mixed-income neighborhood to promote diversity. Commissioner Pogue would like to encourage developers to explore creative approaches for the structure of the project. Commissioner Mamula voiced that the RFP should avoid overly descriptive language regarding AMI targets. Commissioner Pogue agreed and instead would like to steer developers toward solutions that address the county's housing priorities. Commissioner Waters supported this approach. Commissioner Waters further expressed interest in exploring a land trust model to facilitate more affordable housing opportunities. Commissioner Pogue referenced that Silverthorne looked in to doing this for Smith Ranch and invited a follow-up presentation on what they discovered in that process. Mr. Howes introduced the topic of market rate units, suggesting that up to 20% of units could be market rate for subsidy purposes. Commissioner Mamula emphasized that any market rate units should still support the workforce housing goal and should not be used for second homes or vacation rentals. Mr. Howes clarified that any market rate home would essentially be a part of Housing Helps program. Commissioner Pogue would prefer not to lead with market rate and proposed removing the 20% specification and instead stating that a portion of units may be market rate, provided they are for local purchasers. Commissioner Waters agreed and suggested framing them as market appreciation units. Ms. Lesmes added that under the Housing Helps model, these units can still be rented to qualified applicants. Commissioner Mamula opened the conversation up to attendees from the Staying in Summit group. They noted strong interest in a multigenerational neighborhood, and Commissioner Pogue raised the potential for an assisted living component. Mr. Howes reviewed language concerning senior housing. Summit County Board of County Commissioners' Work. Session Meeting Minutes of March 25, 2025 Page 4 of5 Finally, Commissioner Pogue asked about incorporating climate technology. Mr. Howes responded that one developer had already raised this topic and confirmed that all projects must comply with Summit County's energy code. Commissioner Mamula supported language that invites developers to propose sustainable innovations, while recognizing cost constraints. Commissioner Pogue suggested encouraging developers to share their experience with conscious solutions. Jeff Huntley requested al brief Executive Session to discuss legal issues and real property matters subject to negotiation and receive legal advice pursuant to CRS 24-6-402 Subsection (4) (a)(b)(e) on the topic(s) of the Wintergreen Housing Grant, fee setting issues, the transit center property, and law enforcement regarding traffic. A motion was made by Commissioner Mamula and seconded by Commissioner Pogue to go into Executive Session to discuss legal issues and real property matters subject to negotiation and receive legal advice on the topic(s) of the Wintergreen Housing Grant, fee setting issues, the transit center property, and law enforcement regarding traffic. The BOCC voted 3 to 01 to go into Executive Session per CRS 24-6-402 Subsection (4) (a)(b)(e). The motion was approved. IV. Adjourn Staff will return to the Work Session on Tuesday, April 1, 2025. Commissioners thanked the team for their work. Meeting Adjourned. Respectfully submitted: Approved by: S Johanna Lacobsen, Deputy Cl rk 3 E jic Mamula, Chair Established 1861 COLORADO Summit County Board of County Commissioners' Work Session Meeting Minutes of March 25, 2025 Page 5 of5