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HomeMy WebLinkAboutOut of State Travel Request - RenewGRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12,00pm on Thursday) REQUESTING DEPARTMENT- Renew REQUEST SUBMITTED BY: Anna Serrano CONTACT PERSON ATTENDING ROUNDTABLE:Dell Anderson CONFIDENTIAL INFORMATION: []YES IONO DATE:9/11/25 PHONE: (509) 765-9239 ext 5353 !,TYPE S) OF DOCUMENTS SUBMITTED: (CHECK ALL THAT APPLYY: DAgreement / Contract DAP Vouchers .. ...... DAppointment i Reappointment DARPA Related 0 Bids / RFPs / Quotes Award DBid Opening Scheduled El Boards / Committees El Budget OComputer Related DCounty Code 0 Emergency Purchase 0 Employee Rel. 0 Facilities Related ElFinancial Ell Funds C1 Hearing [I Invoices / Purchase Orders F-1 Grants — Fed/State/County 01-eases 0MOA / MOO 0 Minutes 00rdinances Fm Out of State Travel C1 Petty Cash C1 Policies El Proclamations E]Request for Purchase 11 Resolution C] Recommendation 0 Professional Sere/Consultant 01 Support Letter 0 Surplus Req, 01 Tax Levies El,]Thank You's OTax Title Property []WSLCB .SUGGESTED WORDING FOR AGENDA* ()qho, What, When, Why, Term, cost, etc Out-of-state travel request for Hector Zavala - Crisis Con 2025 Sep 28 - Oct 1, 2025 !Indianapolis, IN / Estimated Cost $2,754.30 Funding - MH (Crisis) 108.150.00.8082.564.41.xxxx If necessary, was this document reviewed by accounting? 7, YES ---- - ------------- --- LEGAL REVIEW., 10 If this document reggires legal review, route to legal for review prior If necessary, was this document reviewed by legal? 11 YES ED NO DATE OF ACTION: fA6 7g:�� APPROVE: DENIED ABSTAIN D1: D2- D3: 4/23/24 El NO R N/A DEFERRED OR CONTINUED TO: 8 N/A Out of State Travel Request Application DEADLINE: Due by Thursday at 12:00 p.m. to the Commissioner's Office with BOCC Consent Agenda Request Form, to be on the following week's Consent Agenda. Traveler's Names o. Hector Zavala Department/Office:1 Renew l Purpose of Travel: Crisis Con 25 Destination: Indianapolis, IN Dates of Travel: September 28 - October 1, 2025 ]Total Trip Cost Estimate. $ 2,574-30 (This line will auto -sum the costs listed below) I Travel Type (Select One): (�j Out of State Travel 0 Out CONUS Travel (AK, HI or US Territory) 0 Foreign Travel Q Extradition Fund Number/Department: MH - Crisis 108.150-00-8082.564.41.xxxx Grant Funded? If Yes, List Grant Amount: Cost Application (Select One): 0 Yes 0 Government Rate No © Conference Rate 0 Regu [a r Rate Hotet - GSA Rate: Hotel - Nightly Rate: Hotel Total*. $ 133.00 E$ 229.001 i$ Explanation for Rate: Required if hotel cost is greater than per them orgovemment ra No government rate available. I Rental Car Required? If Yes, Rental Car Cost: 0 Yes 0 No Air Carrier: Cost of Flight, 687.001 Southwest I Preparer's Name/Title: Anna Serrano 807-301 Conference Fee: $ 800.00 Total Estimate of MI&E During Travel: $ 280-001 Preapproved by EO/DH? Q Yes 0 No Additional Expenses: (Addn costs for extended stays, flight upgrades, etc. at the expense of the traveler) If Yes, EO/DH Name: Dell Anderson *0 y© 0 9 * renew Grw,t "bav4orol He*1th 6 Wmfllae-� **.* Must attach training information including agenda, start and end times and meat information. 4#'* Forms missing any of the required information will be returned for completion. *�-'* All fields must be fitted incompletely. D In -State Training A Out -of -State Training (Must be received 30-days in advance) (Must be r�ceived 90-days in advance) Employee Name* Hector Zavala Training Name: CrisisCon25 Dates of training: 9/29/25-10/l/25 Departing Date* 9/28/25 Departing Time: Registration Cost: $850.00 Hotel: A Yes 0 No Are there any room blocks for this training at a specific hotel.? -RENEW 0 Webinar Today's Date: 9/6/2025__, Location: Indianapolis, IN Returning Date: 10/1/25 Returning Time Transportation: 0 Personal Car Company Car (if requesting to take personal car, direct supervisor signature is required below) Al rfa re - ]A_ Ye s El No Flight/ airport preferences? How Witt this training add value to the organization*7. The training provides learning opportunities provided by other crisis providers, partners, and advocates. This training will promote successful crisis interventions and program support that can be implemented to our crisis team at Renew Behavioral Health. TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estimated Cost: Fundinc, Source: r_� Training Approved: Z-_Yes 0 No Direct Supervisor Signature: ------- - ------ Personal Car Approval: El Yes Direct Supervisor Signature: Executive Staff Approval: Z<e s 0 No 9 Executive Staff Signature: Date: Date: C17SISo HOME REGISTER HOSTHOTEL AGENDA SPEAKERS SPONSOR EXPLOREINDY FAQ SHOP MORE+ Search Join us on Sunday, September 28, from 12 — 4Prn at the JW Marriott Hotel in Indianapolis. This convening is open and free -to all CrisisCon registrants from 988 Lifeline crisis centers, state mental health agencies, and SAMHSA tribal grantees. Limited Capaclty. Additional Ticket Required Crisis Center Tour: Aspire Indiana Health - Noblesville Monday, September 2g,2025 - 5-700 PM - 9:00 PM An exclusive preview of one of our state-of-the-art integrated healthcare facilities, Aspire Indiana Health in Noblesville. On Monday, September 29th, we are pleased to offer a firsthand look at our innovative approach to comprehensive care. This unique center searrilessly integrates several crucial services: a cutting -edge Psychiatric Urgent Care, a brief-St2y 23-Hour Crisis Stabilization Unit (offering a special pre -grand opening tour), a patient -centered Primary Care Federally Qualified Health Center (FQH4 and a Community Mental Health Center (CMHC) featuring same -day access. This is an exciting opportunity to tour our facility and witness how these vital services operate in concert to provide holistic and timely care. You will also have the chance to engage with our subject matter experts across these specialized areas.. Experience this integrated model firsthand while enjoying a selection of appetizers, finger foods, and refreshments. We believe this event will offer valuable insights into the future of accessible and comprehensive healthcare delivery. Limited Capacity. Additional ticket required Transportation to and from the center will be provided 1 0 0 Let's connect, Let's innovate., Let's strengthen cris I is care - together., 1 0 # We can t wait to see you in Indy! CI'ISIS • HOME REGISTER NOSiHOTEi. AGENDA SPEAKERS SPONSOR EXPLORE{NDY FAQ SHOP MORE+ Search CrisisConz5: Where the Nation's Crisis UniteLead rs e JW Marriott Indianapolis I Sept 28 o­ OCt 11 2025 Get ready for CrisisCon25 - the national gathering designed for the full crisis care continuum. From 988 call centers to mobile crisis teamrs, residential programs to psychiatric urgent care, this is where your peers, partners, and purpose come together. What to Expect.? * Practical learning tracks built for your day-to-day challenges and actionable takeaways * Unbeatable networking with over 1,000 crisis leaders from across the country * High -impact keynotes from change -makers * Engaging plenary sessions on the most pressing issues ire crisis care Whether you're on the frontlines or shaping policy behind the scenes - this is the conference you've been waiting for. ftistration Fees $725-Member (registration open Monday, May.5,2025) $800 - Non -Member (registration open MondayMay 12, 2 025) $350 - Single Day ................ = HOME REGISTER HOSTHOTEL AGENDA SPEAKERS SPONSOR EXPLOREINDY FAQ SHOP MORE+ S e- a. rc h Refund and Transfer Policy,.- Conference registration is non-refundable. You are welcome to transfer your ticket to a different individual until September-12, 2025, To transfer your registration, please complete the form linked here. If you believe you have a UeSt special circumstance, please contact us at info CK sts(zon,org I .... . �yJ11,A with details, Your req will then be brought to the conference committee for review. This program is approved by the National Association of Social Workers (Approval # 886839046-3352)for 15 continuing educatl ion contact hours. * The following states do not accept National CE Approval Programs and require individual programprodder application processes: New Jersey (Applications may be filed with the NASW New Jersey Chapter), New York (Applications may be r filed with the NASW New York State Chapter), West Virginia * The Following Board does not have Continuing Education Requirements: Puerto Rico Pre -Conference Event Violence and Mental Health* Enhancing Crisis Services t 0 through Behavioral Threat Assessment & Management Sunday, September2812o25-12.*30 Pm - 430 PM (4 CEUs for soci*al workers available) Presented by Adam Graham, TBD Solutions For decades, the professional threat assessment community has engaged and researched the psychology of violence.. the functions of violence, the pathway to intended violence, and proximal risk dynamics of violence. This workshop will unpack best practices in threat assessment and management based on this research, will illustrate these best practices at work in real world cases, and will apply the best practices to behavioral health crisis assessment, intervention, and treatment. At the conclusion of the workshop, participants will be able to, Identify the 3 primary functions of violence, how each can present itself in behavioral health care, and how each can be effectively engaged and treated in behavioral health care. Apply the Pathway to intended Violence model to current behavioral health crisis assessments and management strategies. Utilize Structured Professional Judgement tools (SPA) and the proximal risk factors' of violence to assess risk of violent behavior. Articulate the steps to forming and best practices for operating an agency Behavioral'Threat Assessment Team. Engage in effective strategies for behavioral health threat management. ,