CCW Minutes and Attachment 1

COUNCIL COMMITTEE OF THE WHOLE The Council Committee of the Whole met on July 10, 2018 at 6:02 p.m., with Council President Slavin presiding. Members of Council present were Mr. Anderson, Mr. Sudler, Mr. Neil, Mr. Lewis, Mr. Polce, Mr. Hare, and Mr. Lindell. Mr. Cole was absent. Mayor Christiansen was also present. Civilian members present for their Committee meetings were Mr. Caldwell and Dr. Warfield (Parks, Recreation, and Community Enhancement), Mrs. Doyle and Ms. Scarborough (Utility), and Mr. Shevock and Dr. Stewart (Legislative, Finance, and Administration). PARKS, RECREATION, AND COMMUNITY ENHANCEMENT COMMITTEE The Parks, Recreation, and Community Enhancement Committee met with Chairman Sudler presiding. AGENDA ADDITIONS/DELETIONS Mr. Lewis moved for approval of the agenda, seconded by Mr. Neil and unanimously carried. Update - Healthy Neighborhood Subcommittee on Behavioral Health (Polce) Councilman Polce reviewed a presentation entitled “Healthy Neighborhoods, Behavioral Health Subcommittee” (Attachment #1). He reminded members that he was appointed by Council President Slavin to the Delaware Center for Health Innovation (DCHI) Dover/Smyrna Healthy Neighborhoods Council. Mr. Polce explained that the Healthy Neighborhoods Council is tasked to implement Centers for Medicaid and Medicare Services (CMMI) State Innovation Models (SIM), which is $175,000 of grant money the State applied for approximately five (5) years ago. He stated that the Healthy Neighborhoods Council had been part of the SIM process for the past four (4) years and had developed two (2) subcommittees, one related to chronic disease and wellness lifestyles, which actually presented the Play Streets program that was implemented in the City, and one related to behavioral health, of which he serves as the chair. Mr. Polce noted that the Behavioral Health Subcommittee consists of advocates, and individuals from the provider community, including Bayhealth, Nemours, Dover Behavioral Health, and State agencies, including the Division of Substance Abuse and Mental Health and Public Health. He stated that the main goal is to bring initiatives and proposals to the local area that garner local support and greater health outcomes to increase access to care in populations that necessarily have not received specific types of care. Mr. Polce advised that, over the past month, the subcommittee had put forth three (3) initiatives in partnership with a number of working groups: 1) Lockers for Engagement Initiative, 2) Domestic Violence Engagement Initiative, and 3) Police Connections Alliance. Mr. Polce provided an overview of the three (3) initiatives. Referring to the Domestic Violence Engagement Initiative, he indicated that there had been a 25% increase in domestic violence incidents in Kent County on the Domestic Violence Hotline; however, there had been a decrease in providers specific to domestic violence situations. Mr. Polce stated that, currently in Dover and Kent County, there is a complete lack of a provider network for treatment for individuals who are experiencing this trauma and these

COUNCIL COMMITTEE OF THE WHOLE MEETING OF JULY 10, 2018 PAGE 2 types of crises. He informed members that the Domestic Violence Engagement Initiative utilized a community health worker based model and People’s Place would now be employing an additional community health worker and a high-risk advocate, who is trained with deep confidence in domestic violence situations, to help individuals who are experiencing these crises and trauma move through the health system and receive adequate quality care. Mr. Polce, referring to the Police Connections Alliance initiative, noted that Delaware is at the fastest growing rate of overdose fatality, and is currently the eighth state with the highest overdose fatality rate in the nation. He informed members that just over a month ago Delaware was reported as having over 225 overdoses this year, which is well beyond the pace from last year. Mr. Polce indicated that the Police Connections Alliance program was adapted from the New Castle County program which began two (2) months ago, where a master-level social worker was embedded in with the police entity, and the master-level social worker has been able to triage situations, ranging from substance use disorder to individuals experiencing a mental illness crisis. He stated that they were partnering with Connections and local police agencies and were looking into piloting this program in Dover, Milford, and Smyrna. Mr. Polce advised that, based on statistics gathered from epidemiologists at Public Health, approximately 12.5% of the population in Kent County self- identify as having a substance use disorder and a co-occurring disorder, which means there’s an underlying mental illness as well. He noted that although local policing entities may have received Crises Intervention Training (CIT) through the National Alliance on Mental Illness (NAMI), officers may not necessarily be equipped to deal with comorbid individuals who are both crippled with addiction as well as an underlying mental health issue. Mr. Polce advised that a partnership has also been struck with Nemours and Dover Behavioral Health to offer mental health training 101 to churches, community centers, etc. He stated that they did their first training three (3) months ago and it was geared specifically to the ecumenical community, noting that it is really important for the ecumenical community to be aware of what individuals in their community are facing and the stigma associated with brain health. Mr. Polce informed members that these trainings are offered at no cost and can be tailored to the community. He stated that a member of the subcommittee is the point of contact, and if anyone is interested in taking a training to a community organization or church, to let him know. Mr. Polce informed members that the subcommittee is also exploring harm reduction options, explaining that harm reduction is a component of substance use disorder more specific to opioid use disorder. He stated that they have also been working with Capital School District to implement the Botvin Program, which is an evidence-based program and curriculum that will better equip youth to deal with mental health issues. Mr. Sudler thanked Mr. Polce for the very detailed and informative presentation. Mr. Neil stated that he thought that this was phenomenal. He asked Mr. Polce whether enough information had been accumulated yet to gauge the response of the people who he is reaching out to and what their reaction is. Referring to the locker initiative, Mr. Neil asked whether individuals have access to medications or medical services they may need. He also asked if there was any measurable data yet regarding the domestic violence type of situations. In response to Mr. Neil, Mr. Polce stated that this is an example of a great opportunity for the City to play a collaborative

COUNCIL COMMITTEE OF THE WHOLE MEETING OF JULY 10, 2018 PAGE 3 role, noting that the full onus of all of these programs are with the providers who have been identified. He explained that, specifically with Interfaith, they have done a great deal of work ensuring that they have point of contacts and connections with all of the critical services they might need. Mr. Polce advised that one of the benefits of having a collaborative working group is having these points of contact identified and accessible. He noted that both the domestic violence proposal as well as the homelessness locker engagement initiative have point of contacts for Bayhealth, Dover Behavioral Health, Connections, the Department of Labor, Delaware State Housing Authority, and Medicaid and Medicare at the State and federal levels. Mr. Polce informed members that having points of contact accessible does not necessarily guarantee access; however, they have had tremendous feedback from Bayhealth, Dover Behavioral Health, and Connections regarding their awareness that this pilot is ongoing and allocating specific resources, including beds and staffing capacity for these projects, since there will be an influx of services called upon. Mayor Christiansen thanked Mr. Polce for his service on the subcommittee and asked him to pass along the City’s gratitude to all of the members. He stated that he thought that this dispels the notion that the members of Council were not compassionate towards those who are less fortunate and are in great need. Mayor Christiansen explained that the fact that the City had put together a blue ribbon commission and the Council President appointed Mr. Polce to the Healthy Neighborhoods subcommittee shows that members are compassionate and are looking for answers to this ongoing issue. He thanked the members of Council for their continued support of the issues and the final results that are going to come back from the blue ribbon commission. Mr. Anderson praised the subcommittees for the great work they are doing, noting that the interaction that he had experienced had been extraordinarily positive. He stated that he appreciated the tremendous amount of work that Mr. Polce had dedicated to this. Noting that Mr. Polce indicated that there were 225 overdoses this year, he asked whether those were all fatal overdoses. Responding, Mr. Polce stated that 225 was the number of fatal overdoses statewide. Mr. Anderson asked how many overdoses and overdose deaths had occurred in Kent County and how many people had been saved by naloxone. In response, Mr. Polce stated that he could provide members with Kent County specific data. He advised that, historically, Kent County had trended 2% lower than New Castle County; however, he stated that he would reconfirm that information as well. Mr. Polce noted that he could also provide the accessible data regarding Narcan, with the caveat that Narcan had just become widespread in the past year, so anyone can administer it and the data would not necessarily be recorded accurately. He explained that he can compile and provide the State and County level data; however, the data does not go to the census track, so there will not be very specific data for Dover. Mr. Anderson noted that a lot of people are getting into substance abuse as an effort at self-medication, and that Mr. Polce had indicated a rate of 12.5% behavioral health comorbidity. Mr. Anderson asked if this was 12.5% of the people who are admitted addicts or 12.5% of the population. Responding, Mr. Polce explained that this is self-identified data, and most of this data is compiled by three (3) sources: 1) intake forms when someone receives treatment, 2) point-in-time (PIT) counts for the transient community, collected by the housing alliance, and 3) emergency department (ED) numbers, which are based on individuals who self-identify as a user/misuser and indicate their drug of choice when they go to the ED.

COUNCIL COMMITTEE OF THE WHOLE MEETING OF JULY 10, 2018 PAGE 4 Mr. Anderson asked when Kent County Connections partners would be joining the New Castle County model. He stated that it had obviously not started yet; however, he thought that it seemed like it would be a natural enhancement and progression from the Angel program and others. He asked if Mr. Polce knew what the target start dates were or whether they were waiting on more statistics from New Castle. In response, Mr. Polce advised that they were waiting on the check from the federal government. He explained that Connections is the fiduciary steward of the allocated funds and CMMI was in the process of final approval last week. Mr. Polce noted that he wanted to ensure that the approval was given on all three (3) of these initiatives, which was why a copy of his presentation was not available prior to the meeting. He stated that the locker program was an earlier initiative and, there was about a two (2) month lag, so they have been operational for approximately a month now. Mr. Polce stated that he could only speculate regarding the start date, and would never want to speak for the federal government, but he anticipated that a strong start date would be the middle or end of August. Mr. Lewis commended Mr. Polce for his due diligence, serving on the subcommittee, and trying to implement as many changes as possible to help the needy in the community and the local area. In regard to Mr. Neil’s question regarding medical programs, he noted that he served on the board of directors and volunteered for many years with Dover Interfaith Mission for Housing (DIMH) and DIMH has a trailer on-site that is like an intake center. Mr. Lewis clarified that the DIMH locker program had actually been in existence since 2014, noting that he had donated lockers from the old high school; however, it had advanced along with other programs and is an excellent program. Mr. Lindell stated that he applauded Mr. Polce’s efforts on this issue, noting that he knew that Mr. Polce had focused on this issue at the State level for quite awhile as well. Noting that these programs are funded by a State grant, he stated that he would hate to see the programs disappear when that funding runs out. Mr. Lindell asked whether there was a commitment at the State level for the programs that work to continue to be funded after the grant expires. Responding, Mr. Polce stated that he was hoping that someone would ask about sustainability because it is critically important. He informed members that there is not funding coming directly from the State; however, the work of the Healthy Neighborhoods Council and the SIM will continue. Mr. Polce advised that they would be using community benefit dollars from the hospital systems, explaining that, essentially, each hospital gets a pot of money for community good and the hospital systems have pretty much stepped up to the plate and are going to continue to fund highly effective programs. He stated that they will be reporting all of the data from their three (3) initiatives, and Wilmington and Sussex County also have a number of initiatives. Mr. Polce advised that the Connections Police Alliance is actually going to be funded in a different way because it’s now part of the State's overdose system of care which is a new program that the State is taking on and ensuring that first responders have an individual with them who’s trained in behavioral health in specific crisis scenarios. Mr. Neil moved for adjournment of the Parks, Recreation, and Community Enhancement Committee meeting. The motion was seconded by Mr. Lewis and unanimously carried. Meeting adjourned at 6:36 p.m.

COUNCIL COMMITTEE OF THE WHOLE MEETING OF JULY 10, 2018 PAGE 5 UTILITY COMMITTEE The Utility Committee met with Council President Slavin presiding in the absence of Chairman Cole. AGENDA ADDITIONS/DELETIONS Mr. Sudler moved for approval of the agenda, seconded by Mr. Lewis and unanimously carried. Evaluation of Proposals - Schutte Park Grading Plan Engineering Design Support Mrs. Donna Mitchell, City Manager, reviewed the background and analysis regarding the evaluation of proposals for the Schutte Park Grading Plan Engineering Design Support. Staff recommended awarding the contract to Duffield Associates for the Schutte Park Grading Plan Engineering Design Support, Bid #18-0031PW, for the amount of $42,300. Mr. Anderson asked if the bid prices were adjusted for local business preference. Responding, Mrs. Mitchell stated that she would have to check with Mrs. Sharon Duca, Public Works Director/City Engineer, explaining that the local vendor preference is typically noted on the action form when applicable. Mr. Hare moved to recommend awarding the contract to Duffield Associates for the Schutte Park Grading Plan Engineering Design Support, Bid #18-0031PW, for the amount of $42,300, as recommended by staff. The motion was seconded by Mr. Lindell. Responding to Mr. Lewis, Mrs. Mitchell stated that the City had used Duffield Associates in the past and they did good work. She noted that the City had also used Century Engineering, and Pennoni Associate in the past and they were good vendors as well. The motion to recommend awarding the contract to Duffield Associates for the Schutte Park Grading Plan Engineering Design Support, Bid #18-0031PW, for the amount of $42,300, as recommended by staff, was unanimously carried. Evaluation of Proposals - Wellhead Redevelopment Program Mrs. Donna Mitchell, City Manager, reviewed the background and analysis, and the budgeted and historical spending amounts regarding the evaluation of proposals for the Wellhead Redevelopment Program. Staff recommended awarding a three (3) year contract, with the City option of two (2), one (1) year extensions, for the Wellhead Redevelopment program to A.C. Schultes of Delaware, Inc. as per the pricing included in the proposal submittal. Mr. Neil moved to recommend awarding a three (3) year contract, with the City option of two (2), one (1) year extensions, for the Wellhead Redevelopment program to A.C. Schultes of Delaware, Inc. as per the pricing included in the proposal submittal, as recommended by staff. The motion was seconded by Mr. Hare and unanimously carried.

COUNCIL COMMITTEE OF THE WHOLE MEETING OF JULY 10, 2018 PAGE 6 Mr. Hare moved for adjournment of the Utility Committee meeting. The motion was seconded by Mr. Neil and unanimously carried. Meeting adjourned at 6:43 p.m. LEGISLATIVE, FINANCE, AND ADMINISTRATION COMMITTEE The Legislative, Finance, and Administration Committee met with Chairman Hare presiding. AGENDA ADDITIONS/DELETIONS Mr. Lindell moved for approval of the agenda, seconded by Mr. Anderson and unanimously carried. Proposed Ordinance #2018-07 Amending Chapter 106 - Traffic and Vehicles, Article III - Stopping, Standing and Parking, Division 1 - Generally, Section 106-130 - Wrecked, Nonoperating, or Improperly Parked or Equipped Vehicles Mr. David Hugg, III, Director of Planning and Community Development, reviewed Proposed Ordinance #2018-07, explaining that it amends language that has created confusion regarding the difference between vehicles that are abandoned in an inoperable condition and vehicles that are in an operable condition but are not properly licensed or registered, and the length of time those vehicles can remain on a property. Mr. Hugg informed members that staff recently lost an enforcement action on appeal to the Construction and Property Maintenance Code Board of Appeals regarding Section 106-130 and the proposed amendment was developed at the request of that Board and in consultation with the City Solicitor. Responding to Mr. Hare, Mr. Hugg confirmed that Mr. Hare could park an unlicensed or untagged car in his driveway and work on it for 90 days, if the car is in an operable condition. Mr. Hugg informed members that the situation that staff recently encountered was that an individual had a vehicle that was in an operable condition parked on his property but not properly registered and staff ordered it towed after two (2) warnings and ten days. He stated that the individual appealed and, upon reviewing the language in the Code, it was clear that the vehicle could have been there for up to 90 days. Mr. Hugg explained that the proposed amendment does not change the intent of the ordinance, it simply clarifies the wording. Mr. Lewis asked if the Department of Planning and Inspections explored State Code to ensure that there are no conflicts. In response, Mr. Hugg advised that the City is not conflicting with State Code. He stated the City does not enforce State Code, the City enforces the City ordinances that relate to vehicles. Mr. Hugg noted that City staff relies on the State Code and State offices to confirm whether a vehicle is registered and has a proper owner, etc. Mr. Neil moved to recommend adoption of Proposed Ordinance #2018-07, seconded by Mr. Sudler and unanimously carried. Mr. Lewis moved for adjournment of the Legislative, Finance, and Administration Committee meeting. The motion was seconded by Mr. Shevock and unanimously carried.

COUNCIL COMMITTEE OF THE WHOLE MEETING OF JULY 10, 2018 PAGE 7 Meeting adjourned at 6:46 p.m. Mr. Anderson moved for adjournment of the Council Committee of the Whole meeting. The motion was seconded by Mr. Neil and unanimously carried. Meeting adjourned at 6:47 p.m. Timothy A. Slavin Council President TAS/TM/dd/jt S:\AGENDAS-MINUTES-PACKETS-PRESENTATIONS-ATT&EXH\Committee-Minutes\2018\07-10-2018 CCW Minutes.wpd Attachments Attachment #1 - Presentation entitled “Healthy Neighborhoods, Behavioral Health Subcommittee”

ATTACHMENT #1 Council Committee of the Whole Meeting of 07/10/2018 Healthy Neighborhoods Behavioral Health Subcommittee

What? Who? Why?  Subcommittee tasked to implement CMMI State Innovation Models (SIM)  Providers, state agencies, advocates  Improve health outcomes, while increasing access to care to additional populations

SIM Drivers Lower Health Care Costs Population Health Promotion Bring the growth of health care Expand access to services (for one of the costs in line with GDP growth in most vulnerable, “costly” populations in the next 5 years, with at least 1% Kent County) reduction in cost of care trend by 2019 (by supporting individuals who are homeless to access community Population Health Promotion services and supports and reduce Improve integration among community reliance on high cost organizations and care delivery systems emergency/acute services) (on behalf of individuals who are homeless)

Lockers for Engagement Initiative  Provider: Dover Interfaith Mission  Utilization of their Resource Center  Community Health Worker  Screening Brief Intervention Referral to Treatment (SBIRT) framework  Behavioral Health 101 Training  Warm hand offs to provider community

Domestic Violence Engagement Initiative  Provider: People’s Place/Domestic Violence Coalition  DV Community Health Worker & High Risk Advocate  Partner with “traditional” healthcare agencies to increase access to care & provide immediate trauma response.

Police Connections Alliance  Provider: Connections, in conjunction w/ local police agencies  Network of “rapid response” to engage individuals experiencing brain health issue  Builds on the “overdose system of care”  Brings together key stakeholders, including police agencies

Additional Topics/Works  Mental Health 101  Offering trainings, at no cost, for community member  Harm Reduction  Exploring/researching harm reduction options  Education/Prevention  Botvin Program  Partnership with Nemours