Madras committee members discussed improving coordination between code enforcement, law enforcement, health partners and outreach teams to address individual high‑need cases and neighborhood properties identified by staff.

Committee members said code enforcement officers recently briefed county commissioners on the need for better coordination and recommended a more regular way to share cases and resources. City staff and committee members said the county’s high-risk team — a multidisciplinary casework group — already handles some cases and meets quarterly, and they suggested code enforcement be invited to share cases or that staff make clearer referral pathways to existing teams.

“Why don’t you decide in your shop who you think would be able to provide some of that coordination? And then I’ll work with the police chief,” a committee member told code-enforcement representatives, asking for a named contact. Staff said the high‑risk team has caseworkers from multiple health-related agencies and sometimes creates ad hoc solutions such as ramps or arranging transfers to other care settings.

Staff also said Jefferson County Fire and EMS is assembling a practical field resource: Jessica Hari, a paramedic and firefighter who was introduced at the meeting, is working with fire/EMS to create a notebook of contacts and literature to carry on ambulances so first responders can quickly refer people to appropriate services. Committee members supported sharing that material with code enforcement and outreach teams.

The committee discussed existing outreach assets — the Homeless Leadership Coalition street outreach team, Saint Charles transfer-center connections and Mosaic behavioral-health navigation — and asked staff to map referral contacts so deputies and code enforcement officers know which agency to call for specific needs. No new enforcement policy or code changes were proposed at the meeting; members emphasized referral pathways, regular case review and using the high‑risk team to concentrate limited resources on individual cases first.

Staff said they will work on (1) inviting code enforcement to the high‑risk team meeting or establishing a clear referral contact, and (2) circulating a field resource notebook for first responders and outreach workers once completed.