AMENDING THE 2026 ADOPTED COUNTY BUDGET AS IT PERTAINS TO THE ASSISTED OUTPATIENT TREATMENT PROGRAM AND THE DEPARTMENT OF MENTAL HEALTH

BUDGET, FINANCE, & PERSONNEL RESOLUTION NO. 2026032 RE: AMENDING THE 2026 ADOPTED COUNTY BUDGET AS IT PERTAINS TO THE ASSISTED OUTPATIENT TREATMENT PROGRAM AND THE DEPARTMENT OF MENTAL HEALTH Legislators VALDÉS SMITH, ATKINS, POLASEK, BRENDLI, CASWELL, DRAGO, KAUL, KEARNEY, LAWLER, REDL, RHODES, SHAH and WINSBY offer the following and move its adoption: WHEREAS, the Department of Mental Health ("DMH") has advised that New York State Office of Mental Health ("NYS OMH") enacted the FY 2025-2026 Budget, which includes $16.5 million in new State Aid to local governments to strengthen and enhance the Assisted Outpatient Treatment ("AOT") programs statewide, and WHEREAS, this funding initiative is intended to improve outcomes for individuals with complex behavioral needs by increasing voluntary engagement, strengthening risk management, and enhancing coordination among counties, service providers, hospitals, courts, law enforcement, and emergency response systems, and WHEREAS, NYS OMH guidance requires that counties utilize this funding to employ at least one (1) Full-Time Equivalent ("FTE") to support AOT program enhancements, and WHEREAS, this position will be fully supported by NYS OMH AOT State Aid and reported in accordance with required Consolidated Fiscal Reporting ("CFR") guidelines, and WHEREAS, it is necessary to amend the 2026 Adopted County Budget to provide funds to authorize the hiring of one (1) Full-Time Equivalent (FTE) Behavioral Health Specialist I position to meet the County's obligation under NYS OMH AOT program guideline requirements, now therefore, be it RESOLVED, that the Commissioner of Finance is authorized, empowered and directed to amend the 2026 Adopted County Budget as follows: APPROPRIATIONS Increase A.4320.44.1010.1030 Positions Temp Help $71,640 REVENUES Increase A.4320.44.34900.02 Mental Health SA Claim $71,640 CA-018-26; CRC/rjw; G-1922; 01/30/2026; Fiscal Impact: See Attached. STATE OR NEW YORK ss: COUNTY OF DUTCHESS esolion Thi on to in it office of and dick, end lenico was adepretty of cleant on uch a bay or preed the fo 202 in that the a vid the mina. correct transcript of said original resolution and of the whole thereof. IN WITNESS WEFREOK, have hereunto sct my hand and scal of said I epilature this I day of Mard 2026. APPROVED susem Dre SUSAN . SERINO COUNTY EXECUTIVE Dete Marh 12,4026 Roll Call Sheets District Last Name District 16 - Fishkill and Beacon Valdés Smith District 9 - City of Poughkeepsie Atkins District 20 - Red Hook, Tivoli, and Rhinebeck YES District 3 - LaGrange Munn Polasek District 12 - East Fishkill District 1 - Town of Poughkeepsie District 2 - LaGrange, Pleasant Valley & Town of Poughkeepsie District 4 - Hyde Park and Town of Poughkeepsie Metzger Redl Amoff Lawler J District 5 - Town of Poughkeepsie District 6 - Town of Poughkeepsie Shah J Kaul District 7 - Hyde Park and Pleasant Valley Darrow District 8 - City and Town of Poughkeepsie Brendli District 10 - City of Poughkeepsie Johnson District 11 - Clinton, Pleasant Valley, and Rhinebeck Kearney District 13 - East Fishkill and Wappinger Giles District 14 - Wappinger and Town of Poughkeepsie Winsby District 15 - Wappinger Faust District 17 - Town and Village of Fishkill McHoul District 18 - City of Beacon and Fishkill Rhodes District 19 - North East, Stanford, Pine Plains, Milan & Red Hook Drago District 21 - East Fishkill Caswell District 22 - Beekman and Union Vale Tresca District 23 - Pawling, Beekman and East Fishkill Rolison District 24 - Dover and Pawling District 25 - Amenia, Washington, Pleasant Valley & Millbrook Alexander Resolution: House Total : 5 Motion: NO absent absent absent absent absent Present: Absent: Vacant: 10 Yes Abstentions: — No CONSENT AGENDA 2026025 - Bond Resolution Dated March 9, 2026 2026031 - Amending the 2026 Adopted County Budget (Opioid Settlement Fund) 2026032 - Amending the 2026 Adopted County Budget (OSF - Assisted Outpatient Treatment 2026036 - Authorizing Amendment of Funding Under Trade Adjustment Act 2026040 - Acquire Real Property Owned by Obsidian 2026041 - Maintenance Agreement with Town of Amenia and Harlem Valley Rail Trail 2026042 - Persons Required to File and Annual Statement of Financial Disclosure SUE SERINO COUNTY EXECUTIVE JEAN-MARIE NIEBUHR, LCSW-R COMMISSIONER DUTCHESS COUNTY GOVERNMENT DEPARTMENT OF MENTAL HEALTH MEMORANDUM To: FROM: DATE: SUBJECT: Sue Serino, Dutchess County Executive Sean Griffin, Director of Budget and Finance - DMH January 29, 2026 Resolution Request - Amending 2026 Budget to recognize and appropriate additional AOT State Aid The purpose of this resolution is to authorize the hiring of one (1) Full-Time Equivalent (FTE) Behavioral Health Specialist I position within the Department of Mental Health to support the administration, oversight, and enhancement of the Assisted Outpatient Treatment (AOT) program, as required under recently issued guidance from the New York State Office of Mental Health (OMH). In May 2025, the New York State Legislature enacted the FY 2025-26 Budget, which included $16.5 million in new State Aid to local governments to strengthen and enhance AOT programs statewide. This funding initiative is intended to improve outcomes for individuals with complex behavioral health needs by increasing voluntary engagement, strengthening risk management, and enhancing coordination among counties, service providers, hospitals, courts, law enforcement, and emergency response systems. OMH guidance requires counties to utilize this funding to employ at least one (1) FTE to support AOT program enhancements. This position will be fully supported by New York State Office of Mental Health AOT State Aid and reported in accordance with required Consolidated Fiscal Reporting (CFR) guidelines. Please do not hesitate to contact me if you have any questions or concerns. 230 North Road, Poughkeepsie, New York 12601 | (845) 486-2700 | Fax: (845) 485-2759 dutchessny.gov FISCAL IMPACT STATEMENT NO FISCAL IMPACT PROJECTED APPROPRIATION RESOLUTIONS (To be completed by requesting department) Total Current Year Cost $ 71,640 Total Current Year Revenue $ 71,640 and Source NYS OMH State Aid Source of County Funds (check one): Existing Appropriations, •Contingency, •.Transfer of Existing Appropriations, Z] Additional Appropriations, • Other (explain). Identify Line Items(s): 'A.4320.44.1010.1030 - $71,640 (Positions Temporary Help) A.4320.44.34900.02 - $71,640 (Mental Health State Aid Claims) Related Expenses: Amount $ Nature/Reason: Anticipated Savings to County: Net County Cost (this year): $0 Over Five Years: Additional Comments/Explanation: Approval of this resolution will authorize the hiring of one (1) Full-Time Equivalent (FTE) Behavioral Health Specialist I osition within the Department of Mental Health to support the Assisted Outpatient Treatment (AOT) program. The cost ssociated with this position will be fully funded through New York State Office of Mental Health (OMH) AOT State Ai made available under the FY 2025-26 New York State Budget. Approval of this resolution will result in no additional cost to Dutchess County. Behavioral Health Specialist I - Grade 15 Prepared by: Sean Griffin, Director of Budget and Finance Prepared On: 1/29/2026 Dut. paf NEW YORK STATE Office of Mental Health Assisted Outpatient Treatment State Aid Guidance Assisted Outpatient Treatment 170-A In May of 2025, the New York State Legislature enacted the FY 2025-26 Budget, that included $16.5 million in state aid to localities with the goal of increasing the opportunity for Enhance Voluntary Agreements (EVA's) and enhancing quality oversight and administration of NY Assisted Outpatient Treatment (AOT) "Kendra's Law" program. This includes working in partnership with the local government unit (LGU) and community supports and services to decrease high risk events, increase efficiency of outdated infrastructure, increase voluntary participation and improve individual outcomes. Since the inception of the program in 1999, counties have received an annual investment from OMH to administer their AOT program and support community services as required in statute. Pursuant to Mental Hygiene Law Sections 9.47 and 9.48, counties are required to administer and oversee services for individuals under an AOT order. This funding will remain a critical support for ongoing monitoring of complex needs populations, risk management, service coordination and all other AOT LGU activities as outlined in statute, legislation and guidance from New York State Office of Mental Health (NYS OMH). The addition of new dollars in the 2025 budget initiative allows the State and County to fill critical roles in the implementation and oversight of the AOT program to improve outcomes for individuals served. With a growing behavioral health services infrastructure, and an emphasis on a recovery-oriented approach to service delivery, diversionary opportunities and improved coordination of care will be necessary. This new initiative is intended to introduce Enhanced Voluntary Agreements (EVAs) as a statewide option and improve service coordination in communities across New York State, including efforts with hospitals, treatment providers, courts, local law enforcement agencies and emergency response stakeholders. Such funding will require and empower Counties to offer the opportunity for Enhanced Voluntary Agreements (EVAs) in accordance with guidelines established by OMH, as a part of every County AOT plan. Counties must demonstrate increased availability for EVAs and demonstrate improvements to their local risk management approaches. OMH will allocate funding to each Local Government Unit (LGU) to: • Develop and Implement Enhanced Voluntary Agreement (EVA) policy and procedure consistent with OMH issued guidance. Key elements of the EVA policy will include: • County tracking and monitoring plan for individuals on EVAs including technical assistance for providers and EVA utilization in accordance with any OMH issued guidance A county staffing plan to outline EVA related tasks including budge allocation Policies and procedures outlining follow up and care coordination activities for individuals on or stepping down from EVA. • Ensure the County AOT Policy and Procedure manual is kept up to date, with at least annual updates, to include the most current required county activities and 1 policies and procedures, including but not limited to the following requirements and best practices: • Ensure Local practices are aligned with current NYS MHL 9.60 statutory language including amendments with county attorney review. • Ensure Timely Investigation policy and procedure that reflects the statewide threshold of 6 months/180 days, as outlined in AOT Guidance found here: NYS Timely Investigation Policy Establish a weekly reporting process for all care management providers to the county for purposes of supporting and monitoring progress/ status of persons under AOT orders. _ocal service verification procedure to ensure services are being provide • AOT recipients according to AOT orders and are appropriatel supporting AOT recipients in their recovery. Transfer policy that reflects the process of sending and accepting transfers of recipients under AOT orders to and from other counties. • County AOT/EVA Staffing and budget plan. • Submit all AOT/EVA related data to OMH, as requested. • Communicate training and technical assistance needs to regional OMH AOT leads. • Establish or maintain a local service and support committee focused on collaboration and coordination with mental health providers, emergency services, local hospital, ERs and other local stakeholder groups interfacing with complex needs populations to improve individual outcomes (i.e., decrease emergency room use, increase voluntary services coordination/participation) with a focus on clinical care recovery and individual needs. • Ensure access and appropriate allocation of ACT and Care Management Consumer Service Dollars to support short-term or emergent social care related needs of AOT recipients, including but not limited to household items or other needs associated with housing or shelter, transportation or food. Guidance for use of service dollars is outlined on the OMH website: Consumer Service Dollars. Counties will work with service providers to ensure appropriate use of dollars and understand most significant local needs. In order to implement these objectives, the counties must use these dollars (2310) to: • Employ at least 1 Full Time Employee (FTE), at the county or by contract, to serve as a complex care expert who will: Work with existing County AOT staff to implement the County AOT plan including new policy and procedures related to EVAs and other required AOT program enhancements. Coordinate care with AOT and EVA service providers, local hospitals, OMH and all other AOT/EVA stakeholders. Ensure collaborative agreements are in place with hospitals in support of improved discharge planning for individuals being considered for AOT or EVA. Provide technical assistance to providers supporting individuals on EVAs. Monitor county utilization of EVA vs. AOT 2 • Work with local law enforcement to ensure appropriate use of removals and coordination of crisis responses. A budget and staffing plan for this funding will reflect time spent on EVA tracking, monitoring, coordination of care. *Exception for 1 FTE will be considered for the smallest counties where a partial FTE may be warranted. Counties must contact the OMH Field Office for such requests with an explanation of how all AOT/EVA requirements will be met absent this FTE. In addition, counties may use this funding to support other costs of operating the AOT/EVA management including: • AOT program administration related expenses including: • AOT psychiatric evaluations • AOT related court fees • Technology related to care coordination, transmission of AOT orders/EVA's or related data • Costs of facilitation of case consultations or stakeholder meetings to address complex care needs of individuals served under AOT or EVA or individuals who may be considered for AOT or EVA but may instead be effectively diverted to voluntary services. If AOT/EVA infrastructure is in place and related local needs are met, a county may seek approval from OMH to use underspend on related expenses and direct services for complex needs populations. The county will contact the OMH Field Office for approval of alternative or related spending including: • Supporting the provision of services for individuals with complex needs (i.e. increasing service dollars for an ACT team). • Outreach and engagement for complex needs populations. • Transportation, employment, or housing related expenses for complex needs populations that is not already funded. • Crisis services coordination or management across counties or regions that is not already funded. Maintenance of Effort Requirement: LGUs are expected to maintain funding levels for the AOT ("Kendra's Law") program in place prior to this new allocation of funds. As described above, the new funding is meant to enhance existing resources and is not an opportunity to re-direct existing county support for AOT activities. Reporting Requirements: An annual report will be required to track categories of spend/underspend as well as programmatic deliverables. To note: • AOT infrastructure money should be reported on the CFR under program code 2310. 3 • Funds given in 170A will not be eligible to be used in program code 0890-LGU Administration. • Please reach out to your field offices to request appropriate underspend use. • Tracking use of EVA and any issues or problems associated and outcome measures will be required. 4 Budget, Finance, and Personnel Committee Roll Call District Name Yes No X District 16 - Fishkill and Beacon Valdés Smith* District 9 - City of Poughkeepsie Atkins* X District 20 - Red Hook, Tivoli, and Rhinebeck Munn* X District 3 - LaGrange Polasek* X District 12 - East Fishkill Metzger* X District 1 - Town of Poughkeepsie Redl (VC) ABSENT District 4 - Hyde Park and Town of Poughkeepsie Lawler (C) X District 7 - Hyde Park and Pleasant Valley Darrow X District 8 - City and Town of Poughkeepsie Brendli X District 10 - City of Poughkeepsie Johnson ABSENT District 18 - City of Beacon and Fishkill Rhodes X District 21 - East Fishkill Caswell X 10 Present: ____ 2 Absent: ____ Vacant: ____ Resolution: ____ Motion: ____ 10 Total : ______ ______ Yes No Abstentions: ______ 2026032 AMENDING THE 2026 ADOPTED COUNTY BUDGET AS IT PERTAINS TO THE ASSISTED OUTPATIENT TREATMENT PROGRAM AND THE DEPARTMENT OF MENTAL HEALTH Roll Call Sheets District Last Name YES NO District 16 - Fishkill and Beacon Valdés Smith District 9 - City of Poughkeepsie Atkins District 20 - Red Hook, Tivoli, and Rhinebeck Munn District 3 - LaGrange Polasek District 12 - East Fishkill Metzger District 1 - Town of Poughkeepsie Redl District 2 - LaGrange, Pleasant Valley & Town of Poughkeepsie Arnoff District 4 - Hyde Park and Town of Poughkeepsie Lawler District 5 - Town of Poughkeepsie Shah District 6 - Town of Poughkeepsie Kaul District 7 - Hyde Park and Pleasant Valley Darrow District 8 - City and Town of Poughkeepsie Brendli District 10 - City of Poughkeepsie Johnson District 11 - Clinton, Pleasant Valley, and Rhinebeck Kearney District 13 - East Fishkill and Wappinger Giles District 14 - Wappinger and Town of Poughkeepsie Winsby District 15 - Wappinger Faust District 17 - Town and Village of Fishkill McHoul District 18 - City of Beacon and Fishkill Rhodes District 19 - North East, Stanford, Pine Plains, Milan & Red Hook Drago District 21 - East Fishkill Caswell District 22 - Beekman and Union Vale Tresca District 23 - Pawling, Beekman and East Fishkill Rolison District 24 - Dover and Pawling House District 25 - Amenia, Washington, Pleasant Valley & Millbrook Alexander X X X ABSENT X X X X X X X X ABSENT X X X X X X X X X ABSENT ABSENT ABSENT 20 Present: ____ 5 Absent: ____ Vacant: ____ Resolution: ____ Motion: ____ 20 Total : ______ ______ Yes No Abstentions: ____ CONSENT AGENDA: AMEND SOMETHING PREVIOUSLY ADOPTED (JANUARY 20, 2026 BOARD MEETING MINUTES); RESOLUTION 2026025, 031, 032, 036, 040, 041, 042