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Board hears program and finance reports; staff flag wait times, opioid cycle and increased suicide deaths
Summary
Staff reported program metrics showing strong abstinence rates in treatment, low average wait times for grant-funded services, cyclical opioid trends and an increase in suicide deaths for the year; staff also said an RFP for building renovations will be posted and highlighted a 10-day service wait time to watch.
Board staff presented program and operational findings during the meeting. The ethics and compliance presenter said staff added a new maintenance-focused question to outcome reporting in 2025 to capture cases where maintaining function is a favorable result; because the measure is new, targets and reporting splits will be refined in future packets.
On domain-specific measures the presenter reported that 'abstinence while in treatment continues to be way above target' and that level-of-functioning metrics remain below some network targets but will be tracked as improvement or maintenance going forward. Social connectedness was described as difficult to measure reliably and adult day programs were cited as typical reporters for that domain. A few intellectual-developmental-disability programs were reported to have long wait lists that skew quarterly data, and ineligible referrals declined in Q4 attributed to increased provider education.
Under access grants staff reported that annual average wait times are low overall; under opioid response the presenter described cyclical patterns with higher numbers in Q2 and Q4 and lower values in Q3. The presenter said the wait time for a particular service was about 10 days and noted it was below regional and state averages but still an item to watch. The presenter also noted a steady increase in trainings and referenced NAMI’s use of training spaces and an anticipated opening that will free space.
Melanie provided a brief finance update, saying the board will see two sets of financials (December and a restated November) as year-end entries are completed and that sales tax revenues were higher than anticipated. She told the board that while FY25 originally budgeted using $1.9 million of fund balance, the expected use of fund balance is substantially lower; in the meeting she stated verbatim, 'it's probably gonna be about 9 or $480,000' as an approximation while final entries are completed.
Bridgette said an RFP for the planned facility renovations should be posted by the end of the week; the draft includes an option to add an extra stall and a changing table in an office adjacent to a water source to improve accessibility.
