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JAU-2 -19CO 14:A5 FR0M R.C.R.R.A. TO Policy, Planning and Innovations Committee Minutes, 1/16/90 Page 8 9.J l.14 R, t9 Ms. Stein replied that they are Ramsey County patients, some are from outside Ramsey County. One of the dilemmas when talking about these patients' is what, their residence is, 'There are people coming to the whole Twin Cities area specifically to the inner - cities because the services are here, because the communities they live in don't have adequate facilities for them. She said it is real hard to identify what the former residence was of these patients. • Commissioner Schaber said he hopes SPRMC is trying to keep track of that, because two other counties have been spoken to by himself and Commissioner Norgard, who are causing Ramsey County quite a severe problem at SPRMC. He said he hoped they would take their responsibility and pay the bills for their residents, but they are not doing that. Ms. Stein said they have followed up •with a letter identifying that information. Ms. Stein Said the second' issue is the Executive Director recommendation'. She said it is a crisis now, and the concern for SPRMC is that they are ready to proceed to provide these new beds. She said she understands that with CDBG money, they can't just begin the process and then wait for the money to come in. They are talking about delaying even starting letting out the bids until they obtain approval. She said she would like clarification on whether they could continue the process or if they have to delay until the probate .issue is resolved., Mr:, Schutten said that is a '90 -day 'process. He asked if tPRMC is planning to•be under construction in the next 60 days? He said he's ;not' sure •wha,t the timing issues are. He said it doesn't make a lot of sense for the Board to be taking action to add beds when currently out for an RFP .'to look at whether this is the appropriate location for those beds.. He'said he had, said to Ms. Karon that in the comments that this be approved contingent upon the results of the RFP. It is our indication that there may not be other facilities that are interested in providing those services, however,• we don't know that.. Ms. Stein said her response is that the probate issue is:again one small portion of the overall issue. Again, we are talking about psychiatric beds for the community where there clearly are not enough throughout the system. The only place you'd be able to find beds, if any can be found, would be at Hennepin. She said there have been calls from as far away as Rochester for placement. Commissioner McCarty asked if Ms. Stein is saying that whether or. not the commitment procedure will be at SPRMC, beds will still be needed for these express purposes? • Ms. Stein replied, yes, that is'her understanding. She said there is a crisis situation at the hospital and in the community. - Commissioner Salverda then directed discussion to the one proposal not being recommended, the tornado shelter in the City of 4ttle Canada. • Page 17