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HomeMy WebLinkAboutPacket Health Board Apr 2 2019Whatcom County Council as the Health Board COUNTY COURTHOUSE 311 Grand Avenue, Ste #105 Bellingham, WA 98225-4038 (360) 778-5010 Meeting Agenda Tuesday, April 2, 2019 10 AM Council Chambers COUNCILMEMBERS Barbara Brenner Rud Browne Barry Buchanan Tyler Byrd Todd Donovan Carol Frazey Satpal Sidhu CLERK OF THE COUNCIL Dana Brown -Davis, C.M.C. Council as the Health Board Meeting Agenda April 2, 2019 Call To Order Roll Call Director Report Proposed Public Health Advisory Board Code Revisions AB2019-198 Proposed Public Health Advisory Board Code Revisions to WCC 24.01.051 Public Session Consideration of Proposed Resolution For additional meeting information see the attachment in the Meeting Details. AB2019-197 Resolution Affirming Commitment to Whatcom County's Young Children and their families Adiournment Whatcom County Pure 2 Printed on 112912024 WHATCOM COUNTY PUBLIC WORKS DEPARTMENT JON HUTCHINGS Director [Eel THROUGH FROM: DATE: RE: MEMORANDUM The Honorable Jack Louws, Whatcom County Executive, and Honorable Members of the Whatcom County Council Jon Hutchings, Director Gary S. Stoyka, Natural Resources Program Manager April 8, 2019 April 16, 2019 Council Surface Water Work Session NATURAL RESOURCES 322 N. Commercial Street, Suite 110 Bellingham, WA 98225 Telephone: (360) 778-6230 FAX: (360) 778-6231 www.whatcomcounty.us Please refer to the proposed agenda below for the next Surface Water Work Session. Additional supporting documents may be distributed at or before the meeting. AGENDA Date: Tuesday, April 16, 2019 Time: 10:30 a.m. to 12:00 p.m. Place: Civic Center Garden Level Conference Room Time Topic Council Action Background Information Requested Attached 10:30 AM — Watershed Planning Update Discussion None 10:45 AM 10:45 AM — Presentation of Public Works Natural Discussion 2018 Annual Report 11:00 AM Resources 2018 Annual Report 11:00 AM — Overview of Funding Study and Introduction Discussion None 12:00 PM of Lake Whatcom Stormwater Utility Rate Recommendation If you have questions, please feel free to call me at (360) 778-6218. cc: Mike McFarlane Joe Rutan Paula Harris Beth Bushaw Jeff Hegedus John Thompson Tyler Schroeder Josh Fleischmann Karen Frakes Sue Blake Roland Middleton Dana Brown -Davis George Boggs Ryan Ericson Lonni Cummings John Wolpers Kraig Olason Jennifer Schneider Atina Casas Kristi Felbinger Mike Donahue Erika Douglas Jill Nixon Cathy Craver Mark Personius WHATCOM COUNTY COUNCIL SPECIAL COUNCIL MEETING AS THE HEALTH BOARD 10:00 a.m. Tuesday, April 2, 2019 Council Chambers, 311 Grand Avenue AGENDA Meeting Topics 1. Director Report 2. Proposed Public Health Advisory Board Code Revisions 3. Public Session 4. Young Children and Family Resolution Whatcom County ' HEALTH Department Pages Time no ppr 10:00-10:15 1 - 5 10:15-10:30 no ppr 10:30-10:50 6 - 14 10:50-11:30 GOM CO P y s*a A HEALTH BOARD Discussir n Fr rm April 2, 2019 AGENDA ITEM #2: Proposed Public Health Advisory Board Code Revisions PRESENTER: Regina Delahunt BOARD ACTION: Discussion SIGNIFICANT POINTS OR EXECUTIVE SUMMARY At the July 17, 2018 Joint Health Board/Public Health Advisory Board (PHAB) meeting, board members reviewed the Roles and Responsibilities Matrix which outlined the roles and responsibilities of the Department, the Health Board, and the Public Health Advisory Board. This led to a discussion about the appropriateness of the PHAB member segment representation specified in the code. Health Board members agreed that it was time to revisit the code (WCC 24.01.051) and propose updates as necessary. PHAB discussed draft code revisions including proposed changes to segment representation at the November 2018, as well as the 2019 February and March PHAB meetings. The following revisions to the code are proposed in the attached draft: • Term length changed from 4 to 3 years • Clarified term limits • Language added to emphasize focus on board diversity • Board size changed from 9 to a minimum of 9 and a maximum of 13. • Segment descriptions updated and expanded to provide more flexibility in choosing members • Language and structure was modified to reflect current practices and language. BOARD ROLE/ACTION REQUESTED Discuss and comment on proposal for PHAB segment representation. Recommend moving forward with ordinance revision process. ATTACHMENT(S) Draft revisions to WCC 24.01.051 redline and final markup versions. Wh Whatcom County 0 f@ HEALTH fL Health Board Packet 040219 Page 1 Department 24.01.051 Health department advisory board created. A. The county health department advisory board, referred to in this chapter as the "public health advisory board," is created and shall serve in an advisory capacity to the Health Board and the health department director in the following areas: 1. Recommend public health policies; 2. Recommend public health priorities; 3. Provide community forums/hearings as assigned by the Health Board; 4. Establish community task forces as assigned by the Health Board; 5. Review and make recommendations for annual budget and fees; 6. Present annual report to the Health Board. B. 1. The public health advisory board shall consist of at least nine and not more than thirteen members who are residents of the county. Members shall be appointed by the executive, subject to confirmation by a majority of the county council, except that one member of the Health Board shall be appointed by the county council. 2. The term of office for the members appointed by the executive shall be three years; except, that four terms shall remain staggered. In accordance with WCC 2.03.030 a member may be appointed to serve up to two consecutive full terms, regardless of whether that member has served a first term of less than a full term. No board, commission or committee member shall serve more than two consecutive full terms; however, after serving two consecutive full terms a member may become eligible for reappointment to a board, commission or committee after a one-year period of separation from the respective board, commission or committee on which he or she has previously served. 3. The term of office for the member appointed by the county council shall be for one year, from the time of the council's reorganization meeting in January to the next such meeting the following year. 4. The public health advisory board shall be broadly representative of the character of the county. Board diversity is valued and shall be a factor when considering membership. Membership consideration shall be given to tribal, racial, ethnic minorities and other populations that experience health inequities. The board shall consist of a balance of persons with expertise, career experience, and consumer experience in areas impacting public health and with populations served by the health department. The public health advisory board's composition shall include at least one member in the each following areas of expertise/experience: • Health Care Access and Quality (Health Care System, Mental Health, Substance Abuse, Health Care Provider) • Physical Environment (Built Environment: Transportation, Parks; Natural Environment: Air, Water, Food) Health Board Packet 040219 Page 2 • Social and Economic Factors (Housing, Basic Needs, Education, Employment) • Business and Philanthropy (Large/Small Business, Charitable Foundations) • Communities that experience health inequities (for example, but not limited to: Tribal, Hispanic, Immigrant, People with Disabilities or Special Health Needs, Seniors, and other communities) • Government (City of Bellingham, Small City/Rural) • Tribal Community Member/Tribal Government Representation. C. At its initial meeting, or as soon thereafter as practical, the public health advisory board may elect officers, adopt bylaws and such rules and regulations of procedure as are necessary for the conduct of its business. Meetings of the public health advisory board shall be subject to the Open Public Meetings Act, Chapter 42.30 RCW et seq. (Ord. 2004-004; Ord. 99-025; Ord. 93-024; Ord. 91-040 (part)). Health Board Packet 040219 Page 3 24.01.051 Health department advisory board created. A. The county health department advisory board, referred to in this chapter as the "public health advisory board," is created and shall serve in an advisory capacity to the bA--Rrd- A_f healt#Health Board- and the health department director in the following areas: 1 AdyioerY GapaGity to the heard of health; -2 4rlvicery nanarity to the health department rdirenter- -1.- Recommend public health and pregram policies; 2. Recommend public health priorities; 43. Provide community forums/hearings as assigned by the beard Aaf healthHealth Board; 64. Establish community task forces as assigned by the bea d-ef he -Alt -,"Health Board, 5. Review and make recommendations for annual budget and fees; 67. Present annual report to the beard ef healthHealth Board. B. 1. The public health advisory board shall consist of at least nine and not more than thirteen r�ir�e members who are residents of the county. Members shall be appointed by the executive, subject to confirmation by a majority of the county council,=, and eexcept that one member shame of the beard ef� "ealt"Health Board shall be appointed by the county council. 2. The term of office for the members appointed by the executive shall be three years; except, that four terms shall remain staggered. In accordance with WCC 2.03.030 a member may be appointed to serve up to two consecutive full terms. regardless of whether that member has served a first term of less than a full term. No board, commission or committee member shall serve more than two consecutive full terms; however, after serving two consecutive full terms a member may become eligible for reappointment to a board, commission or committee after a one-year period of separation from the respective board. commission or committee on which he or she has previously served. 3. The term of office for the member appointed by the county council shall be for one year, from the time of the council's reorganization meeting in January to the next such meeting the following year. 4. The public health advisory board shall be broadly representative of the dernegr-aph'G character of the county. Board diversity is valued and shall be a factor when considering membership. Membership consideration shall be given to- tribal, racial, ethnic minorities and other populations that experience health inequities. The board shalland consist of a balance of persons who are representative of yens mere and pmfessiewith expertise, career experience, and consumer experience in the Various areas impacting public health pFegfafn-s and with populations derserved by the health department_t�s jurisdiGtOGR, OnGluding adrAinistr-atio.n.4'sGal, nursing, and enviFE)RMeRtal health. However, the publiG health The Health Board Packet 040219 Page 4 public health advisory board's composition shall include at least one member in the each following areas w+t#of expertise/experience On the ooph fell.,. MRq • Health Care Access and Quality (Health Care System, Mental Health, Substance Abuse, Health Care Provider) • —Physical Environment (Built Environment: Transportation, Parks; Natural Environment: Air, Water, Food) • Social and Economic Factors (Housing, Basic Needs, Education, Employment) • Business and Philanthropy (Larae/Small Business. Charitable Foundations) • Communities that experience health inequities (for example, but not limited to: Tribal, Hispanic, Immigrant, People with Disabilities or Special Health Needs, Seniors, and other communities)-( • Government (City of Bellingham, Small City/Rural) • Tribal Community Member/Tribal Government Representation. C. At its initial meeting, or as soon thereafter as practical, the public health advisory board may elect officers, adopt bylaws and such rules and regulations of procedure as are necessary for the conduct of its business. Meetings of the public health advisory board shall be subject to the Open Public Meetings Act, Chapter 42.30 RCW et seq. (Ord. 2004-004; Ord. 99-025; Ord. 93-024; Ord. 91-040 (part)). Health Board Packet 040219 Page 5 HEALTH BOARD Discussion Form April 2, 2019 AGENDA ITEM #4: Young Children and Families Resolution PRESENTER: Rachel Lucy, Chair, Public Health Advisory Board BOARD ACTION: 0 Action Item Discussion FYI — Only SIGNIFICANT POINTS OR EXECUTIVE SUMMARY On February 5, 2019, the Health Board adopted a 2019 Policy Agenda that includes a focus on early childhood. The policy agenda calls for the development and adoption of a resolution which formalizes the County's commitment to young children and families in Whatcom County. As per the Policy Agenda, the resolution will: • Incorporate priorities established by the multi -sector Generations Forward Children's Collaborative, including development of sustainable financing mechanisms for child and family services and supports • Encourage development of ongoing public -private partnerships • Prioritize actions and investments that help close early childhood opportunity gaps associated with race, ethnicity, income, and family adversity • Include accountability processes and measurements to track progress The Public Health Advisory Board working with Health Department staff was tasked with developing and bringing back a resolution for Health Board consideration. A draft resolution was submitted to Public Health Advisory Board on March 7, 2019 for initial review, comment, and edits. The resolution was also distributed to partners and community members affiliated with Generations Forward, and additional input was incorporated. BOARD ROLE / ACTION REQUESTED • Review and approve resolution A TTA CHMENT(S) • Draft Resolution Affirming Commitment to Whatcom County's Young Children and their Families Whatcom County HEALTH Department Health Board Packet 040219 Page 6 03/22/19 RESOLUTION NO. PROPOSED BY: Health INTRODUCED: Health Board Resolution Affirming Commitment to Whatcom County's Young Children and their Families WHEREAS, mounting scientific evidence points to the first years of life as a critical time period for the healthy development of the brain and other body systems; and WHEREAS, the Center on the Developing Child -Harvard University, a national center of excellence focused on the science of child development, identifies three necessary ingredients for healthy development in the first years of life —stable nurturing relationships; sound nutrition; and safe, supportive environments; and WHEREAS, family adversity, such as financial hardship, homelessness, parental incarceration, substance use, or mental illness, can interfere with parent and caregiver ability to provide stable nurturing care, sound nutrition, and safe environments for young children; and WHEREAS, a toxic stress response can occur when a child experiences strong, frequent, and/or prolonged adversity such as physical or emotional abuse, chronic neglect, caregiver substance abuse or mental illness, exposure to violence, and/or the accumulated burdens of family economic hardship —without adequate adult support; and WHEREAS, toxic stress and emotional trauma in the first years of life impact brain development and contribute to physical and behavioral health concerns, and future social and academic challenges; and WHEREAS, Indigenous children, children of color, children with disabilities, and children and families living in poverty are more likely to experience adversity due to historical and persistent patterns of discrimination, oppression and lack of equitable opportunities; and WHEREAS, disproportionate levels of adversity contribute to health and social disparities and inequities; and WHEREAS, investment in healthy development for young children is a promising cross- cutting strategy to promote lifelong physical and mental health, academic success, and future employment; to reduce criminal justice involvement and other social challenges; and to advance equity; and WHEREAS, return -on -investment for evidence -based programs focused on young children and families is as high as 9:1; and WHEREAS, families, community members, and organizational partners from many sectors working together in a coordinated and systematic way can create the environments and opportunities children and families need to thrive; and Health Board Packet 040219 Page 7 WHEREAS, community leaders in Whatcom County have recognized the importance of and have come together as part of the Generations Forward initiative to envision a future where all Whatcom County children thrive; and WHEREAS, the Whatcom County Health Department and Opportunity Council co-sponsor the Generations Forward initiative; and WHEREAS, the Generations Forward initiative involves more than 100 families and stakeholders representing diverse sectors throughout Whatcom County; and WHEREAS, the Generations Forward initiative focuses on young children and families, emphasizing the prenatal and early childhood periods to age 8 years; and WHEREAS, while young children are the primary focus of Generations Forward, participants and community partners acknowledge that trauma and hardship can show up in a family at any stage and will consider that while proposing and creating solutions for young children and their families; and WHEREAS, Generations Forward is working to achieve the following results in Whatcom County: • Children are safe, healthy, and ready to learn, • Families are strong, stable, and supported from the start, • Communities are supportive and welcoming places for children and families to live, learn, work and play; and WHEREAS, participants in the Generations Forward initiative have adopted a series of collective commitments focused on: • Equity: honoring all families and the diversity therein • Parenting Education and Family Support: expanding family support, mentoring, and education • Family Economic Stability: removing barriers to upward economic mobility • Child Care and Early Learning: increasing access to quality, affordable child care and early learning opportunities • Housing: increasing access to safe, affordable family housing throughout the county • Health and Social Services: improving access to coordinated family -centered services and integrated health care, including behavioral health services and supports • Neighborhoods and Communities: building community connections and resilience • Funding: developing reliable financing for child and family programs and services; and WHEREAS, the Health Board adopted an annual focus on early childhood in 2017 and again in 2018; and WHEREAS, the Health Board adopted a Healthy Planning Resolution in 2015 that affirms the county's commitment to incorporating a health perspective in all county planning processes and calls out consideration of children and families; and WHEREAS, the Health Board adopted a Compassionate Communities Resolution in 2013 calling for compassionate, trauma -informed approaches to health and human services, recognizing the impacts of childhood adversity on lifelong health and well-being; Health Board Packet 040219 Page 8 THEREFORE BE IT RESOLVED that the Health Board shall affirm the Generations Forward collective commitments and take steps to support policy and funding that align with these commitments; and THEREFORE BE IT FURTHER RESOLVED that the Health Board shall appoint one member to participate in the Generations Forward initiative to recommend policy options and explore development of a sustainable public financing mechanism for child and family programs and services; and THEREFORE BE IT FURTHER RESOLVED that the Health Board shall task the Public Health Advisory Board to collaborate with Generations Forward partners and Health Department staff to create a Whatcom County Child and Family Action Plan, building on Generations Forward commitments and using a public health approach; and THEREFORE BE IT FURTHER RESOLVED that the Child and Family Action Plan shall include an accountability process that outlines desired results and key indicators of success, an approach to ongoing monitoring and evaluation of progress, and transparent mechanisms for sharing progress with the community; and THEREFORE BE IT FURTHER RESOLVED that the Child and Family Action Plan shall be presented to the Health Board no later than January 31, 2020; and THEREFORE BE IT FURTHER RESOLVED that the Health Board shall ensure that the needs of young children and families are included and prioritized in county plans and policies addressing: Housing, Behavioral Health, Incarceration Prevention, Economic Development, and Land Use; and BE IT FINALLY RESOLVED that the Health Board will review this resolution on an annual basis. APPROVED this day of 2019. ATTEST: WHATCOM COUNTY HEALTH BOARD WHATCOM COUNTY, WASHINGTON Dana Brown -Davis, Clerk of the Council Rud Browne, Health Board Chair APPROVED AS TO FORM: Civil Deputy Prosecutor Health Board Packet 040219 Page 9 Health Bard Rescluti,,o!.d:n Affirming Cc mmitment tc Young Children & Families Rachel Lucy, Public Health Advisory Bard (PHAB) Chair April 2, 2019 Whatcom County 0 00� HEALTH —��.� Deaartment Health Board Packet 040219 Page 10 fulL Whatcom County HEALTH Department Building blacks fir healthy development o stable, nurturing relationships o sound nutrition o safe, supportive environments Center on the Developing Child at Harvard University Health Board Packet 040219 Page 11 Budding men tu i�, tc..4 act fUIL Whatcom County HEALTH Department 2013 Compassionate Communities 2015 Health Planning 2017- Health Board (HB) 2018 adopted Early Childhood Focus 2017 Generations Forward Launch Health Board Packet 040219 Page 12 fulL Whatcom County HEALTH Department Affirm Gen Fwd collective commitments Time is Appoint one H B member to participate in Gen Fwd initiative to recommend policy options n nW, and explore sustainable public financing Task PHAB and partners to create Action Plan, including accountability process, by no later Therefnre, than 1-31-2020 be it Ensure needs of young children and families resNvedt are prioritized in county plans and policies fort Housing, Behavioral Health, Incarceration Prevention, Economic Development, Land Use Review this resolution annually Health Board Packet 040219 Page 13 When we make investments that support young children and families early nn, we can build more RESILIENT COMMUNITIES and we can create a future where EVERY0N E THRIVES. fulL Whatcom County HEALTH Department COMMUNITIES ere welcoming & supportive places for children & famiIiesto live, FAMILIES learn, work,& play. are strong, stable, & supported from the start. DREN �, healtF— & \ ready to learn. "in Health Board Packet 040219 Page 14 INVESTING IN YQUNG CHILDREN & FAMILIES Many young children � I and families in Whatcom i P0.0 N(, I) County are experiencing ■ P brain development high levels of IN YOUNG , health outcomes CHILDREN , social & emotional development AFFECTS: , learning ability STRESS SHOWS UP IN OUR COMMUNITIES WHEN: E& = Aws, "' experience abuse and neglect don't meet school readiness goals aren't economically stable • outof Whatcom County 46 every children are referred for i IL, 000 child abuse and neglect • a ■ ■ ■ W. _ _ r • Children of color are least likely e ready for ki rgarten * 23.2% 47.2% 20.0% 23.5% 54.55/o AVAN Asian Black Hispanic White • a ■ ■ ■ ■ ■ ■ ■ I+f+ /0 • D• of Whatcom County families lack lack a safe and stable home • ■ ■ ■ ■ ■ ■ don't offer enough affordable childcare • n economic security. Whatcom County fami •:& 68were homeless in 2018. I0 It fill■ There are only 4 childcare spaces for every I C children in Whatcom County. have housing that is 0/ of renters in Whatcom too costly • n ■ ■ ■ ■ ■ • 0 Q County are cost - burdened. 'Percent of Whatcom County children Who demonstrate characteristics of entering hingergarteners in all six domain areas. OSPI: 2017-18. WIC rking tc gether, we can achieve better resu Itst CPMMUNITIES are welcoming & supportive places for children & families to live, FAMILIES learn, work, & play. are strong, stable, & supported from the start. CHILDREN are safe, healthy, & ready to learn. WHEN WE MAKE INVESTMENTS THAT SUPPORTYOUNG CHILDREN AND FAMILIES EARLY ON, WE CAN BUILD MORE RESILIENT COMMUNITIES AND CREATE A FUTURE WHERE EVERYPNE THRIVES. whatcom Country '. #. HEAL H April 2019 Department W Stress image: By priyanka from Noun Project Whatcom County Agenda Bill Report File Number: AB2019-198 COUNTY COURTHOUSE 311 Grand Avenue, Ste #105 Bellingham, WA 98225-4038 (360)778-5010 File ID: AB2019-198 Version: 1 Status: Discussed File Created: 03/22/2019 Entered by: TAxlund@co.whatcom.wa.us Department: Health Department File Type: Discussion Assigned to: Council as the Health Board Final Action: 04/02/2019 Agenda Date: 04/02/2019 Enactment #: Primary Contact Email: Click here to enter text. TITLE FOR AGENDA ITEM: Proposed Public Health Advisory Board Code Revisions to WCC 24.01.051 SUMMARY STATEMENT OR LEGAL NOTICE LANGUAGE: Proposed Public Health Advisory Board Code Revisions to WCC 24.01.051 HISTORY OF LEGISLATIVE FILE Date: Acting Body: Action: Sent To: 04/02/2019 Council as the Health Board DISCUSSED Attachments: Staff Memo Discussion Form for Proposed Public Health Advisory Board Code Revisions, WCC 24.01.051 revised draft redline.pdf, WCC 24.01.051 revised draft.pdf, Public Hearing Sign in, 2019.04.02 Letter to Senate Whatcom County Page 1 Printed on 1/29/2024 HEALTH BOARD Discussir n Fr rm April 2, 2019 AGENDA ITEM #2: Proposed Public Health Advisory Board Code Revisions PRESENTER: Regina Delahunt BOARD ACTION: Discussion SIGNIFICANT POINTS OR EXECUTIVE SUMMARY At the July 17, 2018 Joint Health Board/Public Health Advisory Board (PHAB) meeting, board members reviewed the Roles and Responsibilities Matrix which outlined the roles and responsibilities of the Department, the Health Board, and the Public Health Advisory Board. This led to a discussion about the appropriateness of the PHAB member segment representation specified in the code. Health Board members agreed that it was time to revisit the code (WCC 24.01.051) and propose updates as necessary. PHAB discussed draft code revisions including proposed changes to segment representation at the November 2018, as well as the 2019 February and March PHAB meetings. The following revisions to the code are proposed in the attached draft: • Term length changed from 4 to 3 years • Clarified term limits • Language added to emphasize focus on board diversity • Board size changed from 9 to a minimum of 9 and a maximum of 13. • Segment descriptions updated and expanded to provide more flexibility in choosing members • Language and structure was modified to reflect current practices and language. BOARD ROLE/ACTION REQUESTED Discuss and comment on proposal for PHAB segment representation. Recommend moving forward with ordinance revision process. ATTACHMENT(S) Draft revisions to WCC 24.01.051 redline and final markup versions. Wh Whatcom County 0 f@ fL HEALTH Department 24.01.051 Health department advisory board created. A. The county health department advisory board, referred to in this chapter as the "public health advisory board," is created and shall serve in an advisory capacity to the beard ef healthHealth Board- and the health department director in the following areas: 1 AdVioerY GapaGity to the heard of health; -2 4rlvicery naparity to the health department direnter• 31.- Recommend public health and program policies; 2. Recommend public health priorities; 43. Provide community forums/hearings as assigned by the Health Board; 64. Establish community task forces as assigned by the bear'eard ofr he-Alt"Health Board, 5. Review and make recommendations for annual budget and fees; 67. Present annual report to the beard ef healthHealth Board. B. 1. The public health advisory board shall consist of at least nine and not more than thirteen niee members who are residents of the county.Qght-mMembers shall be appointed by the executive, subject to confirmation by a majority of the county council,=, andexcept that one member shame of the beard ef— RHealth Board shall be appointed by the county council. 2. The term of office for the members appointed by the executive shall be three years; except, that four terms shall remain staggered. In accordance with WCC 2.03.030 a member may be appointed to serve up to two consecutive full terms. reaardless of whether that member has served a first term of less than a full term. No board, commission or committee member shall serve more than two consecutive full terms; however, after serving two consecutive full terms a member may become eligible for reappointment to a board, commission or committee after a one-year period of separation from the respective board. commission or committee on which he or she has previously served. 3. The term of office for the member appointed by the county council shall be for one year, from the time of the council's reorganization meeting in January to the next such meeting the following year 4. The public health advisory board shall be broadly representative of the dernegr-aphiEcharacter of the county. Board diversity is valued and shall be a factor when considering membership. Membership consideration shall be given to- tribal, racial, ethnic minorities and other populations that experience health inequities. The board shalland consist of a balance of persons whe are representative of yens mere and pmfessiewith expertise, career experience, and consumer experience in the Various areas impacting public health pFegfafn-s and with populationsderserved by the health department_t�s The public health advisory board's composition shall include at least one member in the each following areas w+t#of expertise/experience On the ooph fell.,. MRq • Health Care Access and Qualitv (Health Care Svstem. Mental Health. Substance Abu Health Care Provider) • —Physical Environment (Built Environment: Transportation, Parks; Natural Environment: Air, Water, Food) • Social and Economic Factors (Housing, Basic Needs, Education, Employment) • Business and Philanthropy (Large/Small Business, Charitable Foundations) • Communities that experience health inequities (for example, but not limited to: Tribal, Hispanic, Immigrant, People with Disabilities or Special Health Needs, Seniors, and other communities)4 • Government (City of Bellingham, Small City/Rural) • Tribal Community Member/Tribal Government Representation. C. At its initial meeting, or as soon thereafter as practical, the public health advisory board may elect officers, adopt bylaws and such rules and regulations of procedure as are necessary for the conduct of its business. Meetings of the public health advisory board shall be subject to the Open Public Meetings Act, Chapter 42.30 RCW et seq. (Ord. 2004-004; Ord. 99-025; Ord. 93-024; Ord. 91-040 (part)). 24.01.051 Health department advisory board created. A. The county health department advisory board, referred to in this chapter as the "public health advisory board," is created and shall serve in an advisory capacity to the Health Board and the health department director in the following areas: 1. Recommend public health policies; 2. Recommend public health priorities; 3. Provide community forums/hearings as assigned by the Health Board; 4. Establish community task forces as assigned by the Health Board; 5. Review and make recommendations for annual budget and fees; 6. Present annual report to the Health Board. B. 1. The public health advisory board shall consist of at least nine and not more than thirteen members who are residents of the county. Members shall be appointed by the executive, subject to confirmation by a majority of the county council, except that one member of the Health Board shall be appointed by the county council. 2. The term of office for the members appointed by the executive shall be three years; except, that four terms shall remain staggered. In accordance with WCC 2.03.030 a member may be appointed to serve up to two consecutive full terms, regardless of whether that member has served a first term of less than a full term. No board, commission or committee member shall serve more than two consecutive full terms; however, after serving two consecutive full terms a member may become eligible for reappointment to a board, commission or committee after a one-year period of separation from the respective board, commission or committee on which he or she has previously served. 3. The term of office for the member appointed by the county council shall be for one year, from the time of the council's reorganization meeting in January to the next such meeting the following year. 4. The public health advisory board shall be broadly representative of the character of the county. Board diversity is valued and shall be a factor when considering membership. Membership consideration shall be given to tribal, racial, ethnic minorities and other populations that experience health inequities. The board shall consist of a balance of persons with expertise, career experience, and consumer experience in areas impacting public health and with populations served by the health department. The public health advisory board's composition shall include at least one member in the each following areas of expertise/experience: • Health Care Access and Quality (Health Care System, Mental Health, Substance Abuse, Health Care Provider) • Physical Environment (Built Environment: Transportation, Parks; Natural Environment: Air, Water, Food) • Social and Economic Factors (Housing, Basic Needs, Education, Employment) • Business and Philanthropy (Large/Small Business, Charitable Foundations) • Communities that experience health inequities (for example, but not limited to: Tribal, Hispanic, Immigrant, People with Disabilities or Special Health Needs, Seniors, and other communities) • Government (City of Bellingham, Small City/Rural) • Tribal Community Member/Tribal Government Representation. C. At its initial meeting, or as soon thereafter as practical, the public health advisory board may elect officers, adopt bylaws and such rules and regulations of procedure as are necessary for the conduct of its business. Meetings of the public health advisory board shall be subject to the Open Public Meetings Act, Chapter 42.30 RCW et seq. (Ord. 2004-004; Ord. 99-025; Ord. 93-024; Ord. 91-040 (part)). N List of those planning to give public comment APR 0 2 2019 Print name if planning to be in audience Des S Unity Care NW (note - needs to leave by liam) Tamara Tregoning, Unity Care Australia HernAndez Cosby P a Maria ,April Barker Vesla. Kasimir, parent and WELA Coordinator (+child) Reina. Yaari Beverly Porter (or staff person), The ARC Kay Ingram, co-chair League Women Voters Racial Equity Shovia. Muchirawehondo, barriers to economic mobility Ken Gass 'G?4,',AJNTY ti April 2, 2019 Senate Ways and Means Committee Dear Senators Rolfes, Frockt, Braun, and Brown, DATE RFCF I�If i3Y; _ _ R a4-- , We are writing in strident support of one-time operational funding of $1 million for the Whatcom County Crisis Stabilization Facility proposed in the House operating biennial budget. This facility will offer a pilot project for individuals struggling with behavioral health crises who would be better served in treatment as opposed to incarceration or inpatient hospitalization. The state is compiling daily financial fines as a result of the Trueblood lawsuit due to insufficient resources dedicated to timely mental health evaluations of individuals in county jails. The state is also facing challenges at Western State Hospital due to inadequate resources. Whatcom County's Crisis Stabilization Facility can serve to mitigate both these pressing concerns. This facility will allow law enforcement to divert individuals from arrest and incarceration into community -based treatment under RCW 10.31.110. The facility will be certified as "Triage with Involuntary Placement" under the criminal code as opposed to the civil code. We believe it will be one of the first of its kind in the state. It will also divert individuals from hospital emergency departments and inpatient settings and provide effective, yet less costly stabilization and treatment. These measures will reduce the demand for in -jail mental health evaluations as well as mental health deterioration that leads to the need for state hospital care. The move to fully integrated managed care creates some funding uncertainty over the next few years since these services are considered discretionary within available funds. It is clear that these services will save money and improve lives earlier, but it will take some time for the new system of publically-funded health care to smooth out all the challenges to unstable funding. It is critical that pilot projects like the Whatcom County Crisis Stabilization Facility are fully operational during this transitional phase. Sincerely, Whatcom County Council Whatcom County Agenda Bill Report File Number: AB2019-197 COUNTY COURTHOUSE 311 Grand Avenue, Ste #105 Bellingham, WA 98225-4038 (360)778-5010 File ID: AB2019-197 Version: 1 Status: Approved File Created: 03/22/2019 Entered by: TAxlund@co.whatcom.wa.us Department: Health Department File Type: Resolution Assigned to: Council as the Health Board Final Action: 04/02/2019 Agenda Date: 04/02/2019 Enactment #: RES 2019-020 Primary Contact Email: TAxlund@co.whatcom.wa.us TITLE FOR AGENDA ITEM: Resolution Affirming Commitment to Whatcom County's Young Children and their families SUMMARY STATEMENT OR LEGAL NOTICE LANGUAGE: See Attachment HISTORY OF LEGISLATIVE FILE Date: Acting Body: Action: Sent To: 04/02/2019 Council as the Health Board APPROVED AS AMENDED Aye: 7 Brenner, Browne, Buchanan, Byrd, Donovan, Frazey, and Sidhu Nay: 0 Attachments: Agenda Bill Report, Approved Resolution 2019-020, Supporting Document Discussion Form, Proposed Resolution for Apr 2 2019, PowerPoint Presentation for 4-2-2019, Email from WCHD regarding resolution Whatcom County Page 1 Printed on 1/29/2024 Whatcom County Agenda Bill Report File Number: AB2019-197 COUNTY COURTHOUSE 311 Grand Avenue, Ste #105 Bellingham, WA 98225-4038 (360)778-5010 File ID: AB2019-197 Version: 1 Status: Approved File Created: 03/22/2019 Entered by: TAxlund@co.whatcom.wa.us Department: Health Department File Type: Resolution Assigned to: Council as the Health Board Final Action: 04/02/2019 Agenda Date: 04/02/2019 Enactment #: RES 2019-020 Related Files: Primary Contact Email: TAxlund@co.whatcom.wa.us TITLE FOR AGENDA ITEM: Resolution Affirming Commitment to Whatcom County's Young Children and their families SUMMARY STATEMENT OR LEGAL NOTICE LANGUAGE: See Attachment HISTORY OF LEGISLATIVE FILE Date: Acting Body: Action: Sent To: 04/02/2019 Council as the Health Board APPROVED AS AMENDED Aye: 7 Brenner, Browne, Buchanan, Byrd, Donovan, Frazey, and Sidhu Nay: 0 Attachments: Approved Resolution 2019-020, Supporting Document Discussion Form, Proposed Resolution for Apr 2 2019, PowerPoint Presentation for 4-2-2019, Email from WCHD regarding resolution Whatcom County Page 1 Printed on 12/13/2023 • Whatcom County COUNTY COURTHOUSE 311 Grand Avenue, Ste #105 Bellingham, WA 98225-4038 (360) 778-5010 Agenda Bill Master Report File Number: AB2019-197 File ID: AB2019-197 Version: 1 Status: Agenda Ready File Created: 03/22/2019 Entered by: TAxlund@co.whatcom.wa.us Department: Health Department File Type: Resolution First Assigned to: Council as the Health Board Agenda Date: 04/02/2019 Next Mtg. Date: Hearing Date: Primary Contact Email: TAxlund@co.whatcom.wa.us TITLE FOR AGENDA ITEM: Resolution Affirming Commitment to Whatcom County's Young Children and their families SUMMARY STATEMENT OR LEGAL NOTICE LANGUAGE: See Attachment HISTORY OF LEGISLATIVE FILE Date: Acting Body: Action: Sent To: 04/02/2019 Council as the Health Board APPROVED AS AMENDED Attachments: Supporting Document Discussion Form for Young Children and Families Resolution, Proposed Resolution for Apr 2 2019, PowerPoint Presentation for 4-2-2019 Final Action: 04/02/2019 Enactment Date: 04/02/2019 Enactment #: RES 2019-020 Whatcom County Page 1 Printed on 4/2/2019 PROPOSED BY: Health INTRODUCED: RESOLUTION NO. 1019-020 Resolution Affirming Commitment to Whatcom County°s Young Children and their Families WHEREAS, mounting scientific evidence points to the first years of life as a critical time period for the healthy development of the brain and other body systems; and WHEREAS, the Center on the Developing Child -Harvard University, a national center of excellence focused on the science of child development, identifies three necessary ingredients for healthy development in the first years of life —stable nurturing relationships; sound nutrition; and safe, supportive environments; and WHEREAS, family adversity, such as financial hardship, homelessness, parental incarceration, substance use, or mental illness, can interfere with parent and caregiver ability to provide stable nurturing care, sound nutrition, and safe environments for young children; and WHEREAS, a toxic stress response can occur when a child experiences strong, frequent, and/or prolonged adversity such as physical, sexual or emotional abuse; chronic neglect; caregiver substance abuse or mental illness; exposure to violence; and/or the accumulated burdens of family economic hardship —without adequate adult support; and WHEREAS, toxic stress and emotional trauma in the first years of life impact brain development and contribute to physical and behavioral health concerns, and future social and academic challenges; and WHEREAS, Indigenous children, children of color, children with disabilities, and children and families living in poverty are more likely to experience adversity due to historical and persistent patterns of discrimination, oppression and lack of equitable opportunities; and WHEREAS, disproportionate levels of adversity contribute to health and social disparities and inequities; and WHEREAS, investment in healthy development for young children is a promising cross- cutting strategy to promote lifelong physical and mental health, academic success, and future employment; to reduce criminal justice involvement and other social challenges; and to advance equity; and WHEREAS, return -on -investment for evidence -based programs focused on young children and families is as high as 9:1; and WHEREAS, families, community members, and organizational partners from many sectors working together in a coordinated and systematic way can create the environments and opportunities children and families need to thrive; and WHEREAS, community leaders in Whatcom County have recognized the importance of and have come together as part of the Generations Forward initiative to envision a future where all Whatcom County children thrive; and WHEREAS, the Whatcom County Health Department and Opportunity Council co-sponsor the Generations Forward initiative; and WHEREAS, the Generations Forward initiative involves more than 100 families and stakeholders representing diverse sectors throughout Whatcom County; and WHEREAS, the Generations Forward initiative focuses on young children and families, emphasizing the prenatal and early childhood periods to age 8 years; and WHEREAS, while young children are the primary focus of Generations Forward, participants and community partners acknowledge that trauma and hardship can show up in a family at any stage and will consider that while proposing and creating solutions for young children and their families; and WHEREAS, Generations Forward is working to achieve the following results in Whatcom County: • Children are safe, healthy, and ready to learn, • Families are strong, stable, and supported from the start, • Communities are supportive and welcoming places for children and families to live, learn, work and play; and WHEREAS, participants in the Generations Forward initiative have adopted a series of collective commitments focused on: • Equity: honoring all families and the diversity therein • Parenting Education and Family Support: expanding family support, mentoring, and education • Family Economic Stability: removing barriers to upward economic mobility • Child Care and Early Learning: increasing access to quality, affordable child care and early learning opportunities • Housing: increasing access to safe, affordable family housing throughout the county • Health and Social Services: improving access to coordinated family -centered services and integrated health care, including behavioral health services and supports • Neighborhoods and Communities: building community connections and resilience • Funding: developing reliable financing for child and family programs and services; and WHEREAS, the Health Board adopted an annual focus on early childhood in 2017 and again in 2018; and WHEREAS, the Health Board adopted a Healthy Planning Resolution in 2015 that affirms the county's commitment to incorporating a health perspective in all county planning processes and calls out consideration of children and families; and WHEREAS, the Health Board adopted a Compassionate Communities Resolution in 2013 calling for compassionate, trauma -informed approaches to health and human services, recognizing the impacts of childhood adversity on lifelong health and well-being; THEREFORE BE IT RESOLVED that the Health Board shall affirm the Generations Forward collective commitments and take steps to support policy and funding that align with these commitments; and THEREFORE BE IT FURTHER RESOLVED that the Health Board shall appoint one member to participate in the Generations Forward initiative to recommend policy options and explore development of a sustainable public financing mechanism for child and family programs and services; and THEREFORE BE IT FURTHER RESOLVED that the Health Board shall task the Public Health Advisory Board to collaborate with Generations Forward partners and Health Department staff to create a Whatcom County Child and Family Action Plan, building on Generations Forward commitments and using a public health approach; and THEREFORE BE IT FURTHER RESOLVED that the Child and Family Action Plan shall include an accountability process that outlines desired results and key indicators of success, an approach to ongoing monitoring and evaluation of progress, and transparent mechanisms for sharing progress with the community; and THEREFORE BE IT FURTHER RESOLVED that the Child and Family Action Plan shall be presented to the Health Board no later than January 31, 2020; and THEREFORE BE IT FURTHER RESOLVED that the Health Board shall ensure that the needs of young children and families are included and prioritized in county plans and policies addressing: Housing, Behavioral Health, Incarceration Prevention, Economic Development, and Land Use; and BE IT FINALLY RESOLVED that the Health Board will review this resolution on an annual basis. APPROVED�t}hj� 2 day of Apri yr' C �I U .- Daria Brown Davis' Clem of the Council APPROVED AS TO FORM: b ivil Deputy Prosecutor 019. WHATqW COU HEALTH BOARD WHA COM CO N , WASHINGTON Rud rowne, Health Board Chair HEALTH BOARD Discussion Form April 2, 2019 AGENDA ITEM #4: Young Children and Families Resolution PRESENTER: Rachel Lucy, Chair, Public Health Advisory Board BOARD ACTION: 0 Action Item Discussion FYI — Only SIGNIFICANT POINTS OR EXECUTIVE SUMMARY On February 5, 2019, the Health Board adopted a 2019 Policy Agenda that includes a focus on early childhood. The policy agenda calls for the development and adoption of a resolution which formalizes the County's commitment to young children and families in Whatcom County. As per the Policy Agenda, the resolution will: • Incorporate priorities established by the multi -sector Generations Forward Children's Collaborative, including development of sustainable financing mechanisms for child and family services and supports • Encourage development of ongoing public -private partnerships • Prioritize actions and investments that help close early childhood opportunity gaps associated with race, ethnicity, income, and family adversity • Include accountability processes and measurements to track progress The Public Health Advisory Board working with Health Department staff was tasked with developing and bringing back a resolution for Health Board consideration. A draft resolution was submitted to Public Health Advisory Board on March 7, 2019 for initial review, comment, and edits. The resolution was also distributed to partners and community members affiliated with Generations Forward, and additional input was incorporated. BOARD ROLE / ACTION REQUESTED • Review and approve resolution A TTA CHMENT(S) • Draft Resolution Affirming Commitment to Whatcom County's Young Children and their Families Whatcom County HEALTH Department 03/22/19 RESOLUTION NO. PROPOSED BY: Health INTRODUCED: Health Board Resolution Affirming Commitment to Whatcom County's Young Children and their Families WHEREAS, mounting scientific evidence points to the first years of life as a critical time period for the healthy development of the brain and other body systems; and WHEREAS, the Center on the Developing Child -Harvard University, a national center of excellence focused on the science of child development, identifies three necessary ingredients for healthy development in the first years of life —stable nurturing relationships; sound nutrition; and safe, supportive environments; and WHEREAS, family adversity, such as financial hardship, homelessness, parental incarceration, substance use, or mental illness, can interfere with parent and caregiver ability to provide stable nurturing care, sound nutrition, and safe environments for young children; and WHEREAS, a toxic stress response can occur when a child experiences strong, frequent, and/or prolonged adversity such as physical or emotional abuse, chronic neglect, caregiver substance abuse or mental illness, exposure to violence, and/or the accumulated burdens of family economic hardship —without adequate adult support; and WHEREAS, toxic stress and emotional trauma in the first years of life impact brain development and contribute to physical and behavioral health concerns, and future social and academic challenges; and WHEREAS, Indigenous children, children of color, children with disabilities, and children and families living in poverty are more likely to experience adversity due to historical and persistent patterns of discrimination, oppression and lack of equitable opportunities; and WHEREAS, disproportionate levels of adversity contribute to health and social disparities and inequities; and WHEREAS, investment in healthy development for young children is a promising cross- cutting strategy to promote lifelong physical and mental health, academic success, and future employment; to reduce criminal justice involvement and other social challenges; and to advance equity; and WHEREAS, return -on -investment for evidence -based programs focused on young children and families is as high as 9:1; and WHEREAS, families, community members, and organizational partners from many sectors working together in a coordinated and systematic way can create the environments and opportunities children and families need to thrive; and WHEREAS, community leaders in Whatcom County have recognized the importance of and have come together as part of the Generations Forward initiative to envision a future where all Whatcom County children thrive; and WHEREAS, the Whatcom County Health Department and Opportunity Council co-sponsor the Generations Forward initiative; and WHEREAS, the Generations Forward initiative involves more than 100 families and stakeholders representing diverse sectors throughout Whatcom County; and WHEREAS, the Generations Forward initiative focuses on young children and families, emphasizing the prenatal and early childhood periods to age 8 years; and WHEREAS, while young children are the primary focus of Generations Forward, participants and community partners acknowledge that trauma and hardship can show up in a family at any stage and will consider that while proposing and creating solutions for young children and their families; and WHEREAS, Generations Forward is working to achieve the following results in Whatcom County: • Children are safe, healthy, and ready to learn, • Families are strong, stable, and supported from the start, • Communities are supportive and welcoming places for children and families to live, learn, work and play; and WHEREAS, participants in the Generations Forward initiative have adopted a series of collective commitments focused on: • Equity: honoring all families and the diversity therein • Parenting Education and Family Support: expanding family support, mentoring, and education • Family Economic Stability: removing barriers to upward economic mobility • Child Care and Early Learning: increasing access to quality, affordable child care and early learning opportunities • Housing: increasing access to safe, affordable family housing throughout the county • Health and Social Services: improving access to coordinated family -centered services and integrated health care, including behavioral health services and supports • Neighborhoods and Communities: building community connections and resilience • Funding: developing reliable financing for child and family programs and services; and WHEREAS, the Health Board adopted an annual focus on early childhood in 2017 and again in 2018; and WHEREAS, the Health Board adopted a Healthy Planning Resolution in 2015 that affirms the county's commitment to incorporating a health perspective in all county planning processes and calls out consideration of children and families; and WHEREAS, the Health Board adopted a Compassionate Communities Resolution in 2013 calling for compassionate, trauma -informed approaches to health and human services, recognizing the impacts of childhood adversity on lifelong health and well-being; THEREFORE BE IT RESOLVED that the Health Board shall affirm the Generations Forward collective commitments and take steps to support policy and funding that align with these commitments; and THEREFORE BE IT FURTHER RESOLVED that the Health Board shall appoint one member to participate in the Generations Forward initiative to recommend policy options and explore development of a sustainable public financing mechanism for child and family programs and services; and THEREFORE BE IT FURTHER RESOLVED that the Health Board shall task the Public Health Advisory Board to collaborate with Generations Forward partners and Health Department staff to create a Whatcom County Child and Family Action Plan, building on Generations Forward commitments and using a public health approach; and THEREFORE BE IT FURTHER RESOLVED that the Child and Family Action Plan shall include an accountability process that outlines desired results and key indicators of success, an approach to ongoing monitoring and evaluation of progress, and transparent mechanisms for sharing progress with the community; and THEREFORE BE IT FURTHER RESOLVED that the Child and Family Action Plan shall be presented to the Health Board no later than January 31, 2020; and THEREFORE BE IT FURTHER RESOLVED that the Health Board shall ensure that the needs of young children and families are included and prioritized in county plans and policies addressing: Housing, Behavioral Health, Incarceration Prevention, Economic Development, and Land Use; and BE IT FINALLY RESOLVED that the Health Board will review this resolution on an annual basis. APPROVED this day of ATTEST: Dana Brown -Davis, Clerk of the Council APPROVED AS TO FORM: Civil Deputy Prosecutor 019. WHATCOM COUNTY HEALTH BOARD WHATCOM COUNTY, WASHINGTON Rud Browne, Health Board Chair Health Board Resolution Affirming Commitment to Young Children & Families Rachel Lucy, Public Health Advisory Board (PHAB) Chair April 2, 2019 M® Whatcom County HEALTH Department Ij7flL Whatcom County HEALTH Department Building blocks for healthy development o stable, nurturing relationships o sound nutrition o safe, supportive environments Center on the Developing Child at Harvard University Building momentut, to act fifIL Whatcom County HEALTH Department 2013 Compassionate Communities 2015 Health Planning 2017- Health Board (HB) 2018 adopted Early Childhood Focus 2017 Generations Forward Launch lj7flL Whatcom County HEALTH Department Affirm Gen Fwd collective commitments Time is Appoint one HB member to participate in Gen Fwd initiative to recommend policy options now. and explore sustainable public financing Task PHAB and partners to create Action Plan, including accountability process, by no later Th e ref o re, than 1-31-2020 be it Ensure needs of young children and families resolved: are prioritized in county plans and policies for: Housing, Behavioral Health, Incarceration Prevention, Economic Development, Land Use Review this resolution annually When we make investments that support young children and fam ilies early on, we can build more RESILIENT COMMUNITIES and we can create a future where EVERYO N E THRIVES. CHILDREN are safe, heaithy, & ready to learn. COMMUNITIES are welcoming & supportive places for children & families to We. FAMILIES learn, play. ay. are strong, stable, & supported from the start. IJ7N Whatcom County HEALTH Department Dana Brown -Davis From: Tammy Axlund Sent: Tuesday, April 02, 2019 11:49 AM To: Dana Brown -Davis Subject: Early Childhood Resolution Final Attachments: Early Childhood Resolution Final.docx Dana, I added the word "sexual," to the 4th Whereas, as approved by the Health Board, adjusted the punctuation (commas to semi -colons in that sentence), and removed the version date from the top. The attached final version of the resolution is ready for signature. Thanks for all your help. r 4L�„, Tammy Axlund I Office Coordinator Whatcom County Health Department Direct: 360 778-6006 1 Main: 360 778-6000 Website I Facebook I Twitter Leading the community in promoting health and preventing disease My incoming and outgoing email communication is subject to disclosure. WHATCOM COUNTY COUNCIL SPECIAL COUNCIL MEETING AS THE HEALTH BOARD 10:00 a.m. Tuesday, April 2, 2019 Council Chambers, 311 Grand Avenue AGENDA Meeting Topics 1. Director Report 2. Proposed Public Health Advisory Board Code Revisions 3. Public Session 4. Young Children and Family Resolution Whatcom County ' HEALTH Department Pages Time no ppr 10:00-10:15 1 - 5 10:15-10:30 no ppr 10:30-10:50 6 - 14 10:50-11:30 GOM CO P y s*a A HEALTH BOARD Discussir n Fr rm April 2, 2019 AGENDA ITEM #2: Proposed Public Health Advisory Board Code Revisions PRESENTER: Regina Delahunt BOARD ACTION: Discussion SIGNIFICANT POINTS OR EXECUTIVE SUMMARY At the July 17, 2018 Joint Health Board/Public Health Advisory Board (PHAB) meeting, board members reviewed the Roles and Responsibilities Matrix which outlined the roles and responsibilities of the Department, the Health Board, and the Public Health Advisory Board. This led to a discussion about the appropriateness of the PHAB member segment representation specified in the code. Health Board members agreed that it was time to revisit the code (WCC 24.01.051) and propose updates as necessary. PHAB discussed draft code revisions including proposed changes to segment representation at the November 2018, as well as the 2019 February and March PHAB meetings. The following revisions to the code are proposed in the attached draft: • Term length changed from 4 to 3 years • Clarified term limits • Language added to emphasize focus on board diversity • Board size changed from 9 to a minimum of 9 and a maximum of 13. • Segment descriptions updated and expanded to provide more flexibility in choosing members • Language and structure was modified to reflect current practices and language. BOARD ROLE/ACTION REQUESTED Discuss and comment on proposal for PHAB segment representation. Recommend moving forward with ordinance revision process. ATTACHMENT(S) Draft revisions to WCC 24.01.051 redline and final markup versions. Wh Whatcom County 0 f@ HEALTH fL Health Board Packet 040219 Page 1 Department 24.01.051 Health department advisory board created. A. The county health department advisory board, referred to in this chapter as the "public health advisory board," is created and shall serve in an advisory capacity to the Health Board and the health department director in the following areas: 1. Recommend public health policies; 2. Recommend public health priorities; 3. Provide community forums/hearings as assigned by the Health Board; 4. Establish community task forces as assigned by the Health Board; 5. Review and make recommendations for annual budget and fees; 6. Present annual report to the Health Board. B. 1. The public health advisory board shall consist of at least nine and not more than thirteen members who are residents of the county. Members shall be appointed by the executive, subject to confirmation by a majority of the county council, except that one member of the Health Board shall be appointed by the county council. 2. The term of office for the members appointed by the executive shall be three years; except, that four terms shall remain staggered. In accordance with WCC 2.03.030 a member may be appointed to serve up to two consecutive full terms, regardless of whether that member has served a first term of less than a full term. No board, commission or committee member shall serve more than two consecutive full terms; however, after serving two consecutive full terms a member may become eligible for reappointment to a board, commission or committee after a one-year period of separation from the respective board, commission or committee on which he or she has previously served. 3. The term of office for the member appointed by the county council shall be for one year, from the time of the council's reorganization meeting in January to the next such meeting the following year. 4. The public health advisory board shall be broadly representative of the character of the county. Board diversity is valued and shall be a factor when considering membership. Membership consideration shall be given to tribal, racial, ethnic minorities and other populations that experience health inequities. The board shall consist of a balance of persons with expertise, career experience, and consumer experience in areas impacting public health and with populations served by the health department. The public health advisory board's composition shall include at least one member in the each following areas of expertise/experience: • Health Care Access and Quality (Health Care System, Mental Health, Substance Abuse, Health Care Provider) • Physical Environment (Built Environment: Transportation, Parks; Natural Environment: Air, Water, Food) Health Board Packet 040219 Page 2 • Social and Economic Factors (Housing, Basic Needs, Education, Employment) • Business and Philanthropy (Large/Small Business, Charitable Foundations) • Communities that experience health inequities (for example, but not limited to: Tribal, Hispanic, Immigrant, People with Disabilities or Special Health Needs, Seniors, and other communities) • Government (City of Bellingham, Small City/Rural) • Tribal Community Member/Tribal Government Representation. C. At its initial meeting, or as soon thereafter as practical, the public health advisory board may elect officers, adopt bylaws and such rules and regulations of procedure as are necessary for the conduct of its business. Meetings of the public health advisory board shall be subject to the Open Public Meetings Act, Chapter 42.30 RCW et seq. (Ord. 2004-004; Ord. 99-025; Ord. 93-024; Ord. 91-040 (part)). Health Board Packet 040219 Page 3 24.01.051 Health department advisory board created. A. The county health department advisory board, referred to in this chapter as the "public health advisory board," is created and shall serve in an advisory capacity to the bA--Rrd- A_f healt#Health Board- and the health department director in the following areas: 1 AdyioerY GapaGity to the heard of health; -2 4rlvicery nanarity to the health department rdirenter- -1.- Recommend public health and pregram policies; 2. Recommend public health priorities; 43. Provide community forums/hearings as assigned by the beard Aaf healthHealth Board; 64. Establish community task forces as assigned by the bea d-ef he -Alt -,"Health Board, 5. Review and make recommendations for annual budget and fees; 67. Present annual report to the beard ef healthHealth Board. B. 1. The public health advisory board shall consist of at least nine and not more than thirteen r�ir�e members who are residents of the county. Members shall be appointed by the executive, subject to confirmation by a majority of the county council,=, and eexcept that one member shame of the beard ef� "ealt"Health Board shall be appointed by the county council. 2. The term of office for the members appointed by the executive shall be three years; except, that four terms shall remain staggered. In accordance with WCC 2.03.030 a member may be appointed to serve up to two consecutive full terms. regardless of whether that member has served a first term of less than a full term. No board, commission or committee member shall serve more than two consecutive full terms; however, after serving two consecutive full terms a member may become eligible for reappointment to a board, commission or committee after a one-year period of separation from the respective board. commission or committee on which he or she has previously served. 3. The term of office for the member appointed by the county council shall be for one year, from the time of the council's reorganization meeting in January to the next such meeting the following year. 4. The public health advisory board shall be broadly representative of the dernegr-aph'G character of the county. Board diversity is valued and shall be a factor when considering membership. Membership consideration shall be given to- tribal, racial, ethnic minorities and other populations that experience health inequities. The board shalland consist of a balance of persons who are representative of yens mere and pmfessiewith expertise, career experience, and consumer experience in the Various areas impacting public health pFegfafn-s and with populations derserved by the health department_t�s jurisdiGtOGR, OnGluding adrAinistr-atio.n.4'sGal, nursing, and enviFE)RMeRtal health. However, the publiG health The Health Board Packet 040219 Page 4 public health advisory board's composition shall include at least one member in the each following areas w+t#of expertise/experience On the ooph fell.,. MRq • Health Care Access and Quality (Health Care System, Mental Health, Substance Abuse, Health Care Provider) • —Physical Environment (Built Environment: Transportation, Parks; Natural Environment: Air, Water, Food) • Social and Economic Factors (Housing, Basic Needs, Education, Employment) • Business and Philanthropy (Larae/Small Business. Charitable Foundations) • Communities that experience health inequities (for example, but not limited to: Tribal, Hispanic, Immigrant, People with Disabilities or Special Health Needs, Seniors, and other communities)-( • Government (City of Bellingham, Small City/Rural) • Tribal Community Member/Tribal Government Representation. C. At its initial meeting, or as soon thereafter as practical, the public health advisory board may elect officers, adopt bylaws and such rules and regulations of procedure as are necessary for the conduct of its business. Meetings of the public health advisory board shall be subject to the Open Public Meetings Act, Chapter 42.30 RCW et seq. (Ord. 2004-004; Ord. 99-025; Ord. 93-024; Ord. 91-040 (part)). Health Board Packet 040219 Page 5 HEALTH BOARD Discussion Form April 2, 2019 AGENDA ITEM #4: Young Children and Families Resolution PRESENTER: Rachel Lucy, Chair, Public Health Advisory Board BOARD ACTION: 0 Action Item Discussion FYI — Only SIGNIFICANT POINTS OR EXECUTIVE SUMMARY On February 5, 2019, the Health Board adopted a 2019 Policy Agenda that includes a focus on early childhood. The policy agenda calls for the development and adoption of a resolution which formalizes the County's commitment to young children and families in Whatcom County. As per the Policy Agenda, the resolution will: • Incorporate priorities established by the multi -sector Generations Forward Children's Collaborative, including development of sustainable financing mechanisms for child and family services and supports • Encourage development of ongoing public -private partnerships • Prioritize actions and investments that help close early childhood opportunity gaps associated with race, ethnicity, income, and family adversity • Include accountability processes and measurements to track progress The Public Health Advisory Board working with Health Department staff was tasked with developing and bringing back a resolution for Health Board consideration. A draft resolution was submitted to Public Health Advisory Board on March 7, 2019 for initial review, comment, and edits. The resolution was also distributed to partners and community members affiliated with Generations Forward, and additional input was incorporated. BOARD ROLE / ACTION REQUESTED • Review and approve resolution A TTA CHMENT(S) • Draft Resolution Affirming Commitment to Whatcom County's Young Children and their Families Whatcom County HEALTH Department Health Board Packet 040219 Page 6 03/22/19 RESOLUTION NO. PROPOSED BY: Health INTRODUCED: Health Board Resolution Affirming Commitment to Whatcom County's Young Children and their Families WHEREAS, mounting scientific evidence points to the first years of life as a critical time period for the healthy development of the brain and other body systems; and WHEREAS, the Center on the Developing Child -Harvard University, a national center of excellence focused on the science of child development, identifies three necessary ingredients for healthy development in the first years of life —stable nurturing relationships; sound nutrition; and safe, supportive environments; and WHEREAS, family adversity, such as financial hardship, homelessness, parental incarceration, substance use, or mental illness, can interfere with parent and caregiver ability to provide stable nurturing care, sound nutrition, and safe environments for young children; and WHEREAS, a toxic stress response can occur when a child experiences strong, frequent, and/or prolonged adversity such as physical or emotional abuse, chronic neglect, caregiver substance abuse or mental illness, exposure to violence, and/or the accumulated burdens of family economic hardship —without adequate adult support; and WHEREAS, toxic stress and emotional trauma in the first years of life impact brain development and contribute to physical and behavioral health concerns, and future social and academic challenges; and WHEREAS, Indigenous children, children of color, children with disabilities, and children and families living in poverty are more likely to experience adversity due to historical and persistent patterns of discrimination, oppression and lack of equitable opportunities; and WHEREAS, disproportionate levels of adversity contribute to health and social disparities and inequities; and WHEREAS, investment in healthy development for young children is a promising cross- cutting strategy to promote lifelong physical and mental health, academic success, and future employment; to reduce criminal justice involvement and other social challenges; and to advance equity; and WHEREAS, return -on -investment for evidence -based programs focused on young children and families is as high as 9:1; and WHEREAS, families, community members, and organizational partners from many sectors working together in a coordinated and systematic way can create the environments and opportunities children and families need to thrive; and Health Board Packet 040219 Page 7 WHEREAS, community leaders in Whatcom County have recognized the importance of and have come together as part of the Generations Forward initiative to envision a future where all Whatcom County children thrive; and WHEREAS, the Whatcom County Health Department and Opportunity Council co-sponsor the Generations Forward initiative; and WHEREAS, the Generations Forward initiative involves more than 100 families and stakeholders representing diverse sectors throughout Whatcom County; and WHEREAS, the Generations Forward initiative focuses on young children and families, emphasizing the prenatal and early childhood periods to age 8 years; and WHEREAS, while young children are the primary focus of Generations Forward, participants and community partners acknowledge that trauma and hardship can show up in a family at any stage and will consider that while proposing and creating solutions for young children and their families; and WHEREAS, Generations Forward is working to achieve the following results in Whatcom County: • Children are safe, healthy, and ready to learn, • Families are strong, stable, and supported from the start, • Communities are supportive and welcoming places for children and families to live, learn, work and play; and WHEREAS, participants in the Generations Forward initiative have adopted a series of collective commitments focused on: • Equity: honoring all families and the diversity therein • Parenting Education and Family Support: expanding family support, mentoring, and education • Family Economic Stability: removing barriers to upward economic mobility • Child Care and Early Learning: increasing access to quality, affordable child care and early learning opportunities • Housing: increasing access to safe, affordable family housing throughout the county • Health and Social Services: improving access to coordinated family -centered services and integrated health care, including behavioral health services and supports • Neighborhoods and Communities: building community connections and resilience • Funding: developing reliable financing for child and family programs and services; and WHEREAS, the Health Board adopted an annual focus on early childhood in 2017 and again in 2018; and WHEREAS, the Health Board adopted a Healthy Planning Resolution in 2015 that affirms the county's commitment to incorporating a health perspective in all county planning processes and calls out consideration of children and families; and WHEREAS, the Health Board adopted a Compassionate Communities Resolution in 2013 calling for compassionate, trauma -informed approaches to health and human services, recognizing the impacts of childhood adversity on lifelong health and well-being; Health Board Packet 040219 Page 8 THEREFORE BE IT RESOLVED that the Health Board shall affirm the Generations Forward collective commitments and take steps to support policy and funding that align with these commitments; and THEREFORE BE IT FURTHER RESOLVED that the Health Board shall appoint one member to participate in the Generations Forward initiative to recommend policy options and explore development of a sustainable public financing mechanism for child and family programs and services; and THEREFORE BE IT FURTHER RESOLVED that the Health Board shall task the Public Health Advisory Board to collaborate with Generations Forward partners and Health Department staff to create a Whatcom County Child and Family Action Plan, building on Generations Forward commitments and using a public health approach; and THEREFORE BE IT FURTHER RESOLVED that the Child and Family Action Plan shall include an accountability process that outlines desired results and key indicators of success, an approach to ongoing monitoring and evaluation of progress, and transparent mechanisms for sharing progress with the community; and THEREFORE BE IT FURTHER RESOLVED that the Child and Family Action Plan shall be presented to the Health Board no later than January 31, 2020; and THEREFORE BE IT FURTHER RESOLVED that the Health Board shall ensure that the needs of young children and families are included and prioritized in county plans and policies addressing: Housing, Behavioral Health, Incarceration Prevention, Economic Development, and Land Use; and BE IT FINALLY RESOLVED that the Health Board will review this resolution on an annual basis. APPROVED this day of 2019. ATTEST: WHATCOM COUNTY HEALTH BOARD WHATCOM COUNTY, WASHINGTON Dana Brown -Davis, Clerk of the Council Rud Browne, Health Board Chair APPROVED AS TO FORM: Civil Deputy Prosecutor Health Board Packet 040219 Page 9 Health Bard Rescluti,,o!.d:n Affirming Cc mmitment tc Young Children & Families Rachel Lucy, Public Health Advisory Bard (PHAB) Chair April 2, 2019 Whatcom County 0 00� HEALTH —��.� Deaartment Health Board Packet 040219 Page 10 fulL Whatcom County HEALTH Department Building blacks fir healthy development o stable, nurturing relationships o sound nutrition o safe, supportive environments Center on the Developing Child at Harvard University Health Board Packet 040219 Page 11 Budding men tu i�, tc..4 act fUIL Whatcom County HEALTH Department 2013 Compassionate Communities 2015 Health Planning 2017- Health Board (HB) 2018 adopted Early Childhood Focus 2017 Generations Forward Launch Health Board Packet 040219 Page 12 fulL Whatcom County HEALTH Department Affirm Gen Fwd collective commitments Time is Appoint one H B member to participate in Gen Fwd initiative to recommend policy options n nW, and explore sustainable public financing Task PHAB and partners to create Action Plan, including accountability process, by no later Therefnre, than 1-31-2020 be it Ensure needs of young children and families resNvedt are prioritized in county plans and policies fort Housing, Behavioral Health, Incarceration Prevention, Economic Development, Land Use Review this resolution annually Health Board Packet 040219 Page 13 When we make investments that support young children and families early nn, we can build more RESILIENT COMMUNITIES and we can create a future where EVERY0N E THRIVES. fulL Whatcom County HEALTH Department COMMUNITIES ere welcoming & supportive places for children & famiIiesto live, FAMILIES learn, work,& play. are strong, stable, & supported from the start. DREN �, healtF— & \ ready to learn. "in Health Board Packet 040219 Page 14 INVESTING IN YQUNG CHILDREN & FAMILIES Many young children � I and families in Whatcom i P0.0 N(, I) County are experiencing ■ P brain development high levels of IN YOUNG , health outcomes CHILDREN , social & emotional development AFFECTS: , learning ability STRESS SHOWS UP IN OUR COMMUNITIES WHEN: E& = Aws, "' experience abuse and neglect don't meet school readiness goals aren't economically stable • outof Whatcom County 46 every children are referred for i IL, 000 child abuse and neglect • a ■ ■ ■ W. _ _ r • Children of color are least likely e ready for ki rgarten * 23.2% 47.2% 20.0% 23.5% 54.55/o AVAN Asian Black Hispanic White • a ■ ■ ■ ■ ■ ■ ■ I+f+ /0 • D• of Whatcom County families lack lack a safe and stable home • ■ ■ ■ ■ ■ ■ don't offer enough affordable childcare • n economic security. Whatcom County fami •:& 68were homeless in 2018. I0 It fill■ There are only 4 childcare spaces for every I C children in Whatcom County. have housing that is 0/ of renters in Whatcom too costly • n ■ ■ ■ ■ ■ • 0 Q County are cost - burdened. 'Percent of Whatcom County children Who demonstrate characteristics of entering hingergarteners in all six domain areas. OSPI: 2017-18. WIC rking tc gether, we can achieve better resu Itst CPMMUNITIES are welcoming & supportive places for children & families to live, FAMILIES learn, work, & play. are strong, stable, & supported from the start. CHILDREN are safe, healthy, & ready to learn. WHEN WE MAKE INVESTMENTS THAT SUPPORTYOUNG CHILDREN AND FAMILIES EARLY ON, WE CAN BUILD MORE RESILIENT COMMUNITIES AND CREATE A FUTURE WHERE EVERYPNE THRIVES. whatcom Country '. #. HEAL H April 2019 Department W Stress image: By priyanka from Noun Project