Clinical services report: wait lists persist and county shifts involuntary detoxes to Fond du Lac facility
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Summary
Clinical services reported 20 people on outpatient counseling wait list and 12 on CCS wait list; Tellurian will not provide BTEC services and the county will use Fond du Lac Healthcare Center for involuntary detoxes, which requires medical clearance and may lengthen law enforcement time in ERs.
Clinical services staff told the board that outpatient counseling wait lists remain a concern, with about 20 people waiting for outpatient services (some for six months) and 12 waiting for CCS supports; staff noted crisis-call volumes (265 calls for the year) remained in line with recent years.
Staff also reported recent provider changes: Tellurian notified the county it will stop providing BTEC/detox services, and the county plans to use Fond du Lac Healthcare Center for involuntary detox admissions. Staff warned the Fond du Lac facility requires medical clearance before admission, which increases the time law enforcement may spend in emergency rooms while screening patients. In addition, White Pines Consulting terminated a regional coordination contract; regional program leads will meet to divide coordinator tasks among the six counties in the region.
Staff discussed telehealth options and outreach for people on wait lists and said they proactively contact people on wait lists after 60 days to confirm continued interest and provide resource referrals. The board asked whether contracting with additional providers is feasible; staff explained state and federal requirements and budget constraints limit immediate expansion, but recruitment efforts continue.
