Napa City Council
October 3, 2023

955 School Street
Napa, CA 94559
www.cityofnapa.org

CITY OF NAPA
MEETING MINUTES - Draft

CITY COUNCIL OF THE CITY OF NAPA
Mayor Scott Sedgley
Vice Mayor Beth Painter
Councilmember Liz Alessio
Councilmember Mary Luros
Councilmember Bernie Narvaez
3:30 PM City Hall Council ChambersTuesday, September 19, 2023 3:30 PM Afternoon Session
6:30 PM Evening Session
3:30 P.M. AFTERNOON SESSION

1. CALL TO ORDER: 3:30 P.M.

1.A. Roll Call:

Councilmember Alessio, Councilmember Luros, Councilmember Narvaez, Vice Mayor Painter, and Mayor Sedgley

Present: 5 -

2. AGENDA REVIEW AND SUPPLEMENTAL REPORTS:

City Clerk Carranza announced the following supplemental documents:

Item 3.B. - Revised Proclamation
Item 6.A. - PowerPoint Presentations
(Copies of the supplemental documents are included in Attachment 1)

3. SPECIAL PRESENTATIONS:

3.A. 338-2023
Latinx Heritage Month
Mayor Sedgley and members of Council read the proclamation. Cathy Gillis, Vice President, Napa County Hispanic Network, received the proclamation and provided remarks.

ATTACHMENT 1

September 19, 2023CITY COUNCIL OF THE CITY OF
NAPA
MEETING MINUTES - Draft

3.B. 340-2023 Suicide Prevention Month
(See supplemental document in Attachment 1)
Mayor Sedgley and members of Council read the proclamation. Jeni Olsen, Prevention Coordinator, Mentis, received the proclamation and provided remarks. She was joined by Cassandra Eslami with Napa County Behavioral Health, and Denise Bleuel and Jim Warnock who also provided remarks.

4. PUBLIC COMMENT:

Michelle Singh - shared safety concerns regarding a Brown Street property, and encouraged the City to find funds to address the issue.

5. CONSENT CALENDAR:

Approval of the Consent Agenda
A motion was made by Councilmember Luros, seconded by Councilmember Narvaez, to approve the Consent Agenda. The motion carried by the following vote:

Aye: Alessio, Luros, Narvaez, Painter, and Sedgley5 -

5.A. 341-2023
City Council Meeting Minutes
Approved the minutes from the September 5, 2023 Regular Meeting of the City Council.

5.B. 344-2023 Compliance with Open and Public Meeting Procedures, and Proposed Action to Cure and Correct Alleged Violation of Brown Act Adopted Resolution R2023-094 (1) Documenting the City Council’s Compliance with the Open and Public Meeting Requirements of the Ralph M. Brown Act (California Government Code Sections 54950, and following) in Response to a Letter from the Napa County Farm Bureau dated August 28, 2023; and (2) Curing and Correcting an Alleged Violation of the Brown Act by Retracting a Letter Dated August 7, 2023, Signed by Three Members of City Council, and Providing Related Notices.

Enactment No: R2023-094

5.C. 311-2023
Gann Appropriation Limits for Fiscal Year 2023/24
Adopted Resolution R2023-095 establishing the Gann appropriations limit for Fiscal Year 2023/24.

Enactment No: R2023-095

ATTACHMENT 1

September 19, 2023CITY COUNCIL OF THE CITY OF
NAPA
MEETING MINUTES - Draft

5.D. 332-2023 Community Recovery Bank Funding
Adopted Resolution R2023-096 authorizing the City Manager to execute an amendment to City Agreement No. C2023-053 with Mentis to increase the American Rescue Plan Act (ARPA) grant amount from $110,000 to $145,000.

Enactment No: R2023-096

5.E. 301-2023
Acceptance of California Office of Traffic Safety Grants for 2023-2024 and Agreement with Napa County Bicycle Coalition
Adopted Resolution R2023-097 (1) accepting four grants from the Office of Traffic Safety, and authorizing the Police Chief to sign the Grant Agreements; (2) authorizing revenue and expenditure budget increases of $321,076 in the Non-Recurring General Fund for the Office of Traffic Safety Grant Programs for Fiscal Year 2023-2024; (3) authorizing the Police Chief to sign the agreement with the Napa County Bicycle Coalition in an amount not to exceed $90,726 to provide pedestrian and bicycle safety in Napa County; and (4) determining that the actions authorized by this resolution are exempt from CEQA.

Enactment No: R2023-097

5.F. 334-2023
Budget Amendment for Automated Traffic Enforcement System Program Increased the revenue and expenditure budgets of the Red Light Camera Fund by $583,550 each and increase the Fleet Fund revenue and expenditure budgets by $50,0000 each, as documented in Council Budget Amendment No. 20P03

5.G. 304-2023
Napa Pipe Block 16 Subdivision Final Map, a 28 Single-Family Lot Project Located on Elderberry Way
Adopted Resolution R2023-098 approving the Final Map of Napa Pipe - Block 16 (Project No. ENG22-0020), to subdivide property located on Elderberry Way into 28 single-family lots, authorizing the Mayor to sign said Final Map, and determining that the actions authorized by this resolution were adequately analyzed by a previous CEQA action.

Enactment No: R2023-098

6. ADMINISTRATIVE REPORTS:

ATTACHMENT 1

September 19, 2023CITY COUNCIL OF THE CITY OF
NAPA
MEETING MINUTES - Draft

6.A. 264-2023 Financial and Economic Indicator Update, Q3 2023, and Workforce Spotlight with Workforce Alliance of the North Bay (WANB), September 2023
(See supplemental document in Attachment 1)
Neal Harrison, Economic Development Manager, introduced the report.

Dr. Robert Eyler, presented the City of Napa Economic Development Dashboard.

Bruce Wilson, Executive Director of the Workforce Alliance of the North Bay, presented the City of Napa Workforce Spotlight.

Brendan Hurley, Economic Development Division, Program Coordinator, presented the City of Napa Internal Indicators.

Mayor Sedgley called for public comment; there were no requests to speak.

Discussion was turned over to Council. Individual questions and comments ensued.

6.B. 231-2023
Ace & Vine Card Room Annual Review
Senior Planner Michael Allen provided the report.

Mayor Sedgley called for public comment; there were no requests to speak.

Discussion was turned over to Council. Brief individual comments from members of Council ensued.

Michael leBlanc, Owner, provided additional comments regarding business operation.

7. COMMENTS BY COUNCIL OR CITY MANAGER:

Councilmember Narvaez shared the mural on Imola Street and Jefferson would be unveiled soon.

Councilmember Alessio thanked Napa Sunrise Rotary for a wonderful 9/11memorial event that was held the week prior.

ATTACHMENT 1

September 19, 2023CITY COUNCIL OF THE CITY OF
NAPA
MEETING MINUTES - Draft
CITY COUNCIL RECESS: 5:00 P.M.
6:30 P.M. EVENING SESSION

8. CALL TO ORDER: 6:30 P.M.

8.A. Roll Call:

Councilmember Alessio, Councilmember Luros, Councilmember Narvaez, Vice Mayor Painter, and Mayor Sedgley

Present: 5 -

9. PLEDGE OF ALLEGIANCE:

10. AGENDA REVIEW AND SUPPLEMENTAL REPORTS:

City Clerk Carranza announced the following supplemental documents:

Item 12.A. - revised PowerPoint Presentation from staff. (A copy of the supplemental document is in included in Attachment 2)

11. PUBLIC COMMENT:

Leslie Rota - shared safety concerns regarding a Brown Street property, and encouraged the City to find funds to address the issue.

12. ADMINISTRATIVE REPORTS:

12.A. 292-2023
Proposed Water Rates FY24-FY28
(See supplemental document in Attachment 2)
Deputy Utilities Director Joy Eldredge provided the staff report.

Mayor Sedgley called for public comment; there were no requests to speak.

Discussion was turned over to Council. Brief individual comments ensued.

A motion was made by Councilmember Narvaez, seconded by Vice Mayor Painter, to authorize City Staff to Provide Written Notice by Mail of the Proposed Update to Water Rates in Compliance with all Requirements of State Law, and Schedule a Public Hearing to Consider Adoption of Updated Water Rates on November 7, 2023, at 6:30 pm. The motion carried by the following vote:

Aye: Alessio, Luros, Narvaez, Painter, and Sedgley5 -

ATTACHMENT 1

September 19, 2023CITY COUNCIL OF THE CITY OF
NAPA
MEETING MINUTES - Draft

13. COMMENTS BY COUNCIL OR CITY MANAGER:

Councilmember Alessio acknowledged public comments received related to a Brown Street property. Assistant City Manager Habkirk shared that staff was looking into budget considerations to address the code issues.

Mayor Sedgley shared that it was National Voter Registration Day and encouraged everyone to register to vote.

Vice Mayor Painter shared that she read a proclamation over the weekend acknowledging 200 years since the signing of the United States Constitution.

14. ADJOURNMENT: 7:13 P.M.

The next regularly scheduled meeting for the City Council of the City of Napa is October 3, 2023.

Submitted by:
_______________________________
Tiffany Carranza, City Clerk

ATTACHMENT 1

ATTACHMENT 1

SUPPLEMENTAL REPORTS &
COMMUNICATIONS Office of the City Clerk
City Council of the City of Napa
Regular Meeting
September 19, 2023

FOR THE CITY COUNCIL OF THE CITY OF NAPA
AFTERNOON SESSION:

SUBMITTED PRIOR TO THE CITY COUNCIL MEETING

3. SPECIAL PRESENTATIONS:

3.B. Suicide Prevention Month
• Revised Proclamation.

6. ADMINISTRATIVE REPORTS:

6.A. Financial and Economic Indicator Update, Q3 2023, and Workforce Spotlight with Workforce Alliance of the North Bay (WANB), September 2023
• PowerPoint Presentations.

AFTERNOON SESSION:

SUBMITTED DURING THE CITY COUNCIL MEETING

3. SPECIAL PRESENTATIONS:

3.B. Suicide Prevention Month
• Handouts.

ATTACHMENT 1

CITY OF
NAPA

PROC

LAMATION

Suicide Pr
evention Month ~ September 2023

WHEREA
S, the Napa County Suicide Prevention Council (NCSPC), a public/private collaborative of people and organizations who are dedicated to reducing stigma around suicide, supporting those who have lost loved ones to suicide, identifying and advocating for resources and promoting a safe, connected and resilient community to reduce the risk of suicide; and

WHEREA
S, in the last six years NCSPC has worked tirelessly to reach their vision of a suicide-free community through education and training, stigma reduction, linkage to services, and provision of resources to combat suicide; and

WHEREA
S, from 2018- 2020, the suicide rate in California was 10.5 deaths per 100,000 population and Napa County’s was 10.9 deaths per 100,00 population, placing Napa County higher than the State average; and

WHEREAS, in Napa County, Caucasian men between the ages of 45 to 64 years old had the highest suicide rate. The most common mechanism for suicide is by firearms (46%), followed by hanging (28%) and overdoes/poisoning (15%); and

WHEREAS, Queen of the Valley Emergency Department discharged 54 patients who had a diagnoses related to suicide and self-harm in 2022, of these patients, 40.7% were under the age of 18, and 38.9% were between the ages of 18 and 35. The majority (83.3%) of the patients identified as white and (75.9%) indicated that they lived in Napa; and

WHEREAS, in Fiscal Year 22 -23, law enforcement responded to over 280 calls related to suicide and in 2022, 20 individuals completed suicide in Napa County; and

WHEREA
S, in Fiscal Year 22 -23, the NCSP trained 941 community members in the Question, Persuade, Refer (QPR) model of suicide prevention to help prevent suicides; and

WHEREA
S, every City of Napa resident can be an ally by knowing the signs of suicide, finding the words to communicate with someone they are concerned about, and reaching out to local resources for help.

NOW, THEREFORE, BE IT RESOLVED that I, Scott Sedgley, Mayor of the City of Napa, along with the Napa City Council, do hereby proclaim September 2023 as Suicide Prevention Month.

Dated
: September 19, 2023

________________________________
SCOT

T SEDGLEY, MAYOR

CITY OF NAPA
ATTACHMENT 1
City Council Regular Meeting
9/19/2023
Supplemental I - Item 3.B.

ATTACHMENT 1

Fin
ancial and Economic Indicator Update, Q3 2023,
and
Workforce Spotlight with
Workforce Alliance Of The North Bay (WANB)
September 2023
1 City Council of the City of Napa
9/19/2023
Supplemental - Item 6.A.

ATTACHMENT 1

2 Agenda

01. 02.

City of N
apa ED Dashboard
City of Napa Workforce Spotlight
Dr. Rob Eyl
er, EFA

03. City of N
apa Internal Indicators
Bruce Wilso
n, WANB
Brendan Hurley, City of Napa ED

ATTACHMENT 1

CIT
Y OF NAPA: DASHBOARD

CITY COUNCIL PRESENTATION
NAP
A, CA SEPT 2023
Robert Eyler
, PhD
President, Economic Forensics and Analytics Inc.

Professor, Economics, Sonoma State University
[email protected]
3

ATTACHMENT 1

Inf
lation’s Fall to Where? PCE Core Prices, 2007 to 2025
4 What to
Watch
• Continued downward
momentum
• Jobs losses as opportunity
cost for these changes
• Small to medium size
business and future
FED will not lower rates
until:

1. Job losses begin

2. This index moves more
completely through
these dots

ATTACHMENT 1

Core
PCE Inflation (%)Unemployment Rate (%)Real GDP (%)
Annual data (projections based on annual-average levels):

NewPreviousNewPreviousNewPrevious

3.73.73.63.72.11.32023

2.42.34.04.31.31.02024

2.12.04.24.42.12.42025
N/AN/A4.14.31.72.32026
Fed
eral Reserve Philadelphia
Forecast, Survey of Professional Forecasters
Source: Fe
deral Reserve Philadelphia Branch
These
data are from August 2023
Bottom
Line: Economy more resilient than previous forecasts, inflation beginning its descent; relatively high interest rates will continue pressure economy to 2025

ATTACHMENT 1

Nap
a at a Glance: end of Q2 2023
6

ATTACHMENT 1

Lab
or Market: Napa Residents, Quarterly
2019 Q1 to 2023 Q2
7

ATTACHMENT 1

Wag
e Data: Marin County and Selected Areas 2019,
2022 and 2023, 2023 $, Median Wages
8 $28.26

$23.64 $23.86
$34.31
$24.02
$29.40
$24.00 $24.29
$37.64
$24.73
$-
$5.00
$10.00
$15.00
$20.00
$25.00
$30.00
$35.00
$40.00
$45.00
Marin Napa Sonoma SF CA
2019 2022 2023
Sources:

California EDD and MEF

ATTACHMENT 1

Cit
y of Napa: Things to Watch
• Continued s
low movement and end of summer surge
• More op
timistic forecasts may help travel
• Some thr
eats to wine industry recovery and growth
• As infl
ation falls, will interest rates follow?
• Tra
vel industry:
• Septembe
r and October to finalize tale of 2023
• Slower
than 2022, had to expect that, still regional leader here in Napa • Workfor
ce Development regionally
• Napa as
a place to work: industry mix reduced in diversity
• Resources ar
e available: WANB
9

ATTACHMENT 1

Workforce
Alli
ance of
the North Bay
Bruce Wilson,

Executive Director

ATTACHMENT 1

About WANB
WANB R
egion:

Lake, Marin, Mendocino, Napa counties
Geographically large and diverse area ranging from urban to rural Diverse demographics, with median household income ranging from $47K in Lake County to $121K in Marin County
4 community college districts; 4 County Offices of Education, 3 Adult Education Consortia

ATTACHMENT 1

STRATE

GIC GOALS OF WANB

1. Increase ac
cess to education, training, and employment--particularly for people with barriers to employment.

2. Create a comprehensive, high-quality workforce development system by aligning workforce investment, education, and economic development.

3. Reduce welfare dependency, increase economic self-sufficiency, and meet employer needs.

4. Promote improvement in the structure and delivery of services.

5. Increase the prosperity of workers and employers.

6. Improve the quality and labor market relevance of workforce investment, education, and economic development efforts.

ATTACHMENT 1

Building a
Talent
De
velopment
Strategy

ATTACHMENT 1

14 Workforce
short
ages
have
become
structural
rather than
situational

ATTACHMENT 1

ATTACHMENT 1

Labor force
part
icipation
remains
depressed
since the
pandemic

ATTACHMENT 1

A community workforce
strategy
requires diverse
stakeholders to:

1. Coordinate a
nd collaborate across
organizations, understanding that the work
cannot be accomplished in siloes.

2. Follow the lead of employers , the end-users of
your region’s talent “supply chain.”

3. Focus on skills , the common language that
brings together job seekers, employers, and
educators for mutual benefit.
17

ATTACHMENT 1

18 Economic
Development
Economic Health and Internal Financial Indicators
Main Commerci
al Geo Areas within the City:
• Napa Premium Outlets
• Downtown Napa
• The Oxbow
• Jefferson Street Focus Area
• Trancas Street Focus Area
• Soscol North Focus Area
• Soscol South Focus Area

ATTACHMENT 1

19 Inv
estment levels by Geo Area
201
8-2023, Current Dollars
The Braydo
n
Apartments
As of
2/23
Sources:

Trakit Permit Data

ATTACHMENT 1

20 Res
idential and Commercial Permit Value
Cit
ywide, By Quarter , 2018-2023, Current Dollars
Sources:

Trakit Permit Data

ATTACHMENT 1

21 T ot
al Sales T ax Revenues by Geo Area
By
Quarter , 2020-2023, Current Dollars
Sources:

Trakit Permit Data

ATTACHMENT 1

22 Sal
es T ax Revenues by Geo Area
202
2 Q1 - 2023 Q1, Current Dollars
$5,174
,516
$0
$1,000,000
$2,000,000
$3,000,000
$4,000,000
$5,000,000
$6,000,000
Napa Premium
Outlets
Oxbow Public
Market
First Street
Businesses
Downtown The Oxbow Jefferson Focus
Area
Trancas Focus
Area
Soscol North
Focus Area
Soscol South
Focus Area
EIFD
Boundaries
2021 Q2 to
2022 Q1 2022 Q2 - 20
23 Q1
Sources:

CDTFA and HdL

ATTACHMENT 1

23 Sources:

CDTFA and HdL
-6.3%

4.9%
-3.2%
-5.9%
-2.5%

11.0%
-1.6%

1.6%
-

1.5%
-4.4%

7.5%
-8.0%
-6.0%
-4.0%
-2.0%

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%
Napa
Premium
Outlets
Oxbow
Public
Market
First Street
Businesses
Downtown The Oxbow Jefferson
Focus Area
Trancas
Focus Area
Soscol North
Focus Area
Soscol South
Focus Area
EIFD
Boundaries
Napa Total
Taxab
le Sales by Geo Area: Four-
Quarter % Change, 2021 Q1 –
2022 Q1 compared to 2022 Q1 - 2023 Q1, Current Dollars

ATTACHMENT 1

24 Sources:

Colliers
Commercial
Real Estate Summary
201
9-2023, Price and Vacancy Rates, Current Dollars

ATTACHMENT 1

25 Economic Hea
lth: Key Takeaways
• Investment levels
• Residen
tial improvements continue to outperform commercial.
• Amongst the Geo
Areas, Downtown is consistently invested in the most.
• Sales Tax
• Overall,
sales tax generation in each Geo Area remains strong.
• Q1 2023
has had lower sales tax revenue than the previous 2 years. • Commercial Real Estate
• Keep an
eye on office vacancies. As offices close and new leases go unfilled, will the price per square foot decrease?
• Need
for industrial square footage remains strong.

ATTACHMENT 1

26 End- Thank You!

ATTACHMENT 1

SUPPLEMENTAL REPORTS & COMMUNICATIONS
Office of the City Clerk

City Council of the City of Napa
Regular Meeting
September 19, 2023

FOR THE CITY COUNCIL OF THE CITY OF NAPA

AFTERNOON SESSION:

SUBMITTED DURING THE CITY COUNCIL MEETING

3. SPECIAL PRESENTATIONS:

3.B. Suicide Prevention Month
• Handouts.

ATTACHMENT 1

NAPA COUNTY
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Napa County - Strategic Plan for Suicide Prevention
2023 - 2026
Presented by
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9/19/2023
Supplemental - Item 3.B.

ATTACHMENT 1

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NAPA COUNTY
SUICIDE]
PREVENTION!
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^ Health & Human
Services Agency
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Table of Contents
Support is available: If you or someone you know needs help, please reach out today: ....................................3 Strategic Plan Aims, Goals and Objectives ...................................................................................................9 Strategic Aim 1: Maintain and Strengthen the Suicide Prevention Infrastructure.......................................... 9 Strategic Aim 2: Enhance Prevention to Minimize Risk for Suicidal Behavior........................................... 1 0 Strategic Aim 3: Increase Early Identification of Suicide Risk and Connect to Services.............................. 12 Strategic Aim 4: Coordinate Training Activities Countywide................................................................... 14 Together We Can Make a Difference!........................................................................................................14 Additional Resources to Learn More About Suicide Prevention ................................................................... 15 a s-
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For 24/7
confidential
trtsis support,
call or text 988.

People who receive support
from friends and family
and have access to
mental health services
are less likely to act
on suicidal thoughts.
-^
In 2019, LGBTQ+ high school
students were twice as likely
than their heterosexual
peers to plan how they
would attempt suicide.

For 24/7
confidential
crisis support,
call or text 988.
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In lOVi, 521 Californi.i youl!
aged 10 to 24 lost thc'ii
lives to suicide.
h>r 24/7
confidential
crisis support,
call or text 988.

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In 2020, California young adults
aged 18 to 24 experienced
suicidal thoughts more than
any other age group.

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ATTACHMENT 1

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Health & Human
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NAPA COUNTY

SUICIDE

PREVENTION

COUNCIL
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Support is available. If you or someone you know
needs help, please reach out today:

Napa County Mental Health 24-hour Crisis Line
707-253-4711
988 !•[ 988
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sa
|t: If you are in crisis, Call or Text
988 for the Suicide S Crisis Lifeline
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magpakamatay, tumawag o mag-text sa
988 upang humingi ng tulong
Si usted esta en crisis, Llame o Envi'e un Texto al
988 para la li'nea de suicidio o crisis
'!i--^"-%?%mnKr
National Suicide Crisis Lifeline
Call or Text 988
Press 1 to be routed to the Veterans Crisis Line
Press 2 to be routed to the Spanish Crisis Line
Press 3 to be routed to the LGBTQ+ Crisis Line
For people who are deaf or hard of hearing,
calf 800-799-4889
Crisis Text Line
Text HOME to 741741
Spanish Crisis Text Line
Texto HOLA para 741741
Law enforcement needing support,
call the COPLINE 800-267-5463
All other first responders needing support call the
Fire/EMS Helpline at 888-731-FIRE (3473)
For LGBTQ youth, call The Trevor Project
866-488-7386 or text START to 678678
For transgender people, call the Trans Lifeline
877-565-8860
For teens needing someone to talk to, call the TEEN LINE 310-855-4673 or text TEEN to 839863
rff.
*, you may be in search ot support toryourselt and others. I here are local resoui available to support those who have lost someone to suicide. You are not alone.

LOCAL MENTAL HEALTH RESOURCES FOR SUPPORT
Family Sulclda Survivor* Peer Support Counsalors
pftone si.ipport - no fee
Denise Bieual. LCSW (707) 226-9S3S
James Warnoc.k. MUiv C/07) ^.32-7S!6
Trauma and Grief Th»rapl»t«
Cs^ Co/f'-sbr'fc) snd i-isi< for Bere^vemffnt Cour^efor 414 S Jefferson Street, Napa • (707) 258-90.9,0
Napa County Mental Health Access: (70/1) 259 8151
24-hour Crisis Line: (707) 253-4,'n
Mobile Retponie Team M-F/Sarn-Spm: (707) 299-2'n
Mentis Outpatient Clinic: <707) 25& Q966 e xt. i.52
Aldea Children and Family Services: (707) 22.4 S266
OLE Haalth: (707) 254-1770
LGBTQ Connection: (707) 251-9432

SUPPORT GROUPS FOR SURVIVORS OF SUICIDE LOSS
Th® Compassionate Friends
Peer support grfiuo after a c.hiid diev • Jr<j Tt'.ursdays monfhty at 7piri Oueen of the V.ijtey Wtfllfiess Center
342i Viila Lane. N<i|»<» <707) 2S8-t623
Frlendt for Survival
Support: Groups tRe&ourCt-s W5S 392-0664, www.friendsf'ursurvival org Lost Helpline: 000) 646-,;'322
Collabria Cara
Siip/.mri: Groups f\'ir Survivors of Suicide Loss
cal! (707) 2i;S-9080 for more iitformatKii]
International Survivor's Day Conferenca
For Survivor', oi Siiiac/e Loss •• Annikli'/y, 'he Saturday before Thailk'sgivng For inform.ation and registratiurt: visit ."ifsp.org/si.'rvivorday Amarican Foundation For Sulclda Prevention "Healing Conversations" Peer support for Survivo.'s of Su'iade Loss
Visit'. wwvv.?.?;,p.org, fo'iow "ge!' help"
3 | P a g e

ATTACHMENT 1

NAPA COUNTY
^ Health & Human
|| Services Agency
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Bni
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I NAPA COUNTY
[SUICIDEl

I PREVENTION I

ICOUNCIL
Introduction
This plan was developed by Napa County Health & Human
Services Agency with the Napa County Suicide Prevention Coiincil. It is meant to reflect the priorities, accomplishments, and needs for suicide prevention in our county and outlines a comprehensive approach to suicide prevention. Only with a comprehensive approach can we move towards our vision of zero suicides in Napa County.

While this Vision is ambitious, the Napa County Suicide Prevention Council believes that prevention is possible if action is bold. Eliminating suicide will require the support of our whole community, from agency and organizational partners to individuals in all walks of life. Everyone has a role to play in suicide prevention. This plan puts forth strategies that are intended to help each of us find and step into those roles.

The Napa County Suicide Prevention Council supports existing local suicide prevention and stigma reduction efforts. We are working to identify and fill gaps in suicide prevention and postvention approaches across the County, as we develop an overarching Suicide Prevention plaii that addresses the needs aiid input of our comniimity and is based in data and the real experiences and stories of our commiinity members. The
strategies outlined are in alignment with California's Suicide Prevention Strategic Plan, Striving for Zero (which can be viewed or dowiiloaded in English and Spanish at: httRS,4/mhsoac^;a,goY), as well as the Suicide Prevention Resource Center's (SPRC) Framework for Strategic Planning.
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CALIFORNIA'S STRATEGIC PLAN

4.' FOR SUICIDE PREVENTION 2020 - 2025
Acknowledgements
Thank you to oiir Council Members, who
represent these and other groiips:

Aldea
American Foundation for Suicide Prevention
BanlcofMarin
CARE Network
City ofNapa
Disability Services & Legal Center
Napa County HHS/Mental Health
Napa County Probation
Individuals and families with lived
experience
LGBTQ Connection
Live Healthy Napa County
Mentis/Teens Connect
Napa County Sheriff's Office
Napa Valley College
Napa County Mental Health Board
Napa County Office of Education
Napa Valley Unified School District
NEWS Napa
OLE Health
On the Move
Private practitioners
Providence/QVMC
Saint Apollinaris Catholic Church
St. Helena Unified School District
St. Joseph Home Health
Up Valley Family Centers: Claro/a
Veterans VA NorCal Healthcare System
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The Problem of Suicide in Napa County
A comprehensive approach to suicide prevention requires telling an in-depth story about suicide and suicide prevention in our local communities. Data is one source of information that helps support a common understanding of the problem and allows us to develop long term goals for suicide prevention and to set priorities. Everything cannot be changed at once; however, including the gathering, review, and consideration of data in our process allows iis to:
• Dispel misconceptions and raise awareness about how
suicide impacts our community
• Focus efforts and resources where the need is most severe • Identify risk and protective factors to select interventions • Persuade funders and decision makers to invest in/prioritize suicide prevention efforts
• Evaluate and measure change over time
We also know that data does not tell the entire story. Methods and/or approaches can be biased based on who is gathering or analyzing data. Historically, some methods of data and reporting have been used to peqietuate inequalities and justify leaving out people who should be at the center of our work.

However, when used with the goal of advancing justice,
inclusion, and equity, gathering and sharing data can also be a powerful tool to help us get a more comprehensive view of the commimities we serve and the problems we seek to address.

Ideally these approaches work together to address health disparities - for instance pairing listening sessions and individuals' stories with data helps us answer questions like:
"Who is not at the table? Whose voice is not yet being heard?" Additionally, resource mapping of programs, trainings, services, supports, and community strengths as well as gaps can help us asses what we can build on and what gaps we need to fill.

Obtaining and reviewing data can help us answer these and other questions:

Who is seeking help by reaching out or accessing services? Who isn't?
Who is experiencing thoughts of suicide?
Who is attempting suicide?
Who is dying by suicide?
How long does it take for survivors of loss to access
support?
What risk and protective factors are present?
What care transitions exist? How well are these working? What can be improved?
What community strengths can support suicide prevention efforts? What are the gaps?
•
Data on suicide is often obtained through vital statistics data. The most up-to-date data tables for California
statewide violence-related causes of death, including
suicide, can be found here: .il[£Liiy.ii.^!!:^ M^n?!}!:1_S!:ate'>VJde yiol .;B:R,^|a!ridD^|^ni^uffi:ij_r'p[';. This data shows monthly counts of deaths using preliminary vital statistics data and are updated quarterly. Death data can take a full year to be finalized, and the most current final vital
statistics data are available on the EpiCentei- Dashboard.

Although the Injury and Violence Prevention Branch does not directly monitor mental health across the state, data on adulb/teen perceived need, access, and use of mental health services and overall mental health status can be found within the CaHfornia Health Lnterview Survey (CH1S), and
the Behavioral R.jsk_Factor Surveillance System (BRFSS).

Age-Adjusted Suicide Rate by County in California,
2018-2020, per California Violent Death Reporting
System (California Violent Death Reporting System
(CalVDRS): The overall suicide rate in California is 10.5, the highest county rate is in Shasta County (24.9) and the lowest rate is in Imperial County (5.8).

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Additionally, the Napa Suicide Prevention Council works to obtain local data in collaboration with Public Health, our healthcare and hospital partners, and answer pouits for the 988 Suicide and Crisis Lifeline, amongst others, to gain as detailed, updated, and accurate a picture as possible of how suicide risk, behavior, and loss are affecting our community members.
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The Stigma
When sharing information about suicide data, it is
important that we as individuals and organizations
represent this using non-stigmafizing language and safe and effective messaging principles.

Along with the Data Workgroup of the Suicide Prevention Council, the Marketing Workgroup will contiiiue to
incorporate safe and effective messaging and reporting
about suicide in Napa County. This includes messaging
guidelines put forth by the Suicide Prevention Resource Center (htt{^/Zs^c,<M^kcvs-tu;su^^ss^^^n^^
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suicide prevention, identifying opportunities to represent a positive narrative (such as, "Help is available") and following certain key guidelines to share information and data with the public in a safe, accurate, and effective manner.
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FRtENOSHIP LtNE CAUFORNIA CONNECTS Ot.DCR ADUtTS
WITH A FRIENDLY CONVERSATION. IT'S FREE. (88a) 670-1,360 What Works?
The problem of suicide is complex, and effective suicide prevention requires a combination of efforts working
together to address different aspects of the problem. A public health approach is comprehensive, including a
range of strategies at the population, community, and
individual levels to help prevent problems from
occurring and address access to effective care when
problems do occur. Programs that have taken the public
health approach to suicide prevention have demonstrated reductions in suicidal behaviors, as well as other
negative outcomes.
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SUPPORT YOUR COMMUNITY BY SHARING THE
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The Suicidal Crisis Path model1 helps conceptualize a public health approach within the context of an individual's suicidal experience. It is a framework to match strategies and interventions that would help prevent suicide at each stage of the crisis pathway. This model describes important components and considerations for state-level and local or regional suicide prevention planning. It is also a powerful way to visualize the components of a comprehensive suicide prevention approach and the goals, objectives, and activities needed to address this in a comprehensive and broad way in our community. The Suicide Crisis Path is paired above with the nine strategies adapted from the Suicide Prevention Resource Center.

Each can be advanced through an array of possible activities (i.e., programs, policies, practices, and services). Each are briefly defined below with sample strategies and, where available, examples of existing local organizations and/or activities that represent forward motion in this area - for example, the comprehensive bilingual database of resources that include programs and agencies that offer supportive relationships, connection, and support available in Napa County, such as Family Resource Centers, school Wellness Centers and programs like Mentis and Teens Connect: https://mentisnapa.org/resources^. This provides a substantial base of local resources and efforts aligned with these various components of a comprehensive plan.

Programs Serving Napa County
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Collective Values
We aim to integrate these principles throughout our work and across all areas of the plan:

Integrating suicide prevention into and across existing initiatives Establishing and maintaining collaboration and linkages for collective impact.

Striving for broad-based community representation and input Utilizing a lens ofinclusivity, as well as cultural and language equity Reducing stigma and increasing awareness of supports
Focus on thoughtful planning and timely implementation
1 Based on Suicide Prevention Resource Center Comprehensive Approach to Suicide Prevention and the Suicidal Crisis Path Model developed by Lezine, D.A. & Whitaker. N.J., published in Fresno County's Community-Based Suicide Prevention Strategic Plan, 2018
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Strategic Plans Aims, Goals and Objectives
The Napa County Suicide Prevention Plan includes a comprehensive approach that will have the greatest potential to reduce suicide risk in our county. The initial plan is intended to cover a 3-year period of 2023-2026, with efforts focused on meeting the goals and objectives for this timeframe, as well as ideas and visioning for the future.

Our plan includes goals that will reach as many county residents as possible with education about warning signs and how to help, as well as strategies that will focus on residents who are at disproportionate risk of suicide and provide support and healing to those who are impacted by suicide.

Strategic Aim 1: Maintain and Strengthen the Suicide Prevention Infrastructure Goal 1: Maintain a broad-based Suicide
Prevention Council that provides leadership and
supports the partnerships that are necessary to
reduce suicidal behavior in our county.

Suicide is a complex problem that requires ongoing solutions implemented by many sectors of society. Although behavioral health agencies are often tasked with leading suicide
prevention efforts, responsibility lies with the whole
community. No single agency or sector can solve this complex issue alone, but a diverse coalition that is truly representative of the community can ensure that suicide prevention gets the attention it deserves, as well as provide ongoing feedback and support to existing local agencies and their efforts.

Objective 1.1 Ensure continued administrative/staffing
support for the Council and designate Co-Chairs to lead and facilitate meetings and activities. Refine structure of Council to facilitate coordinated and effective leadership, as well as inclusive processes for Council and community member input.

Objective 1.2 Continue to recruit new Council members,
including from faith-based communities, first responders, health care, youth and seniors. Develop strategies to
encourage active participation in council and related activities |amongst existing and prospective members.

1.3 Work with Council members to identify how
^they will partner to implement strategies within the Plan. *t
yObjective 1.4 The Council and leadei-ship shall regularly ^review progress of strategies outlined in the plan to ensure the plan is being implemented as intended, as well as to modify the plan as needed to address emerging trends or other issues.

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Goal 2: Collect and review data to better
understand and address the problem and
impact of suicide in our county.

Wliile suicide can impact anyone, certain groups are
disproportionately affected by suicide. Learning where to target some of our efforts can help ensure that they will make a difference for those that have the greatest need.

Objective 2.1 Convene a work group to identify appropriate data indicators (and data sources) To track suicide mortality, morbidity, ideation, help-seeking and risk and protective factors.

Objective 2.2 Utilize available sources of data and continue to build partnership with key individuals and organizations, such as the Coroner, public health/vital statistics, hospitals, Emergency Departments, service providers, and outside
training evaluators.

Objective 2.3 At least once per year the Council will review suicide-related data.

Objective 2.4 As resources permit, publish an annual report to the community highlighting suicide prevention efforts in Napa County including the data related to the problem of suicide that is aligned with effective messaging around suicide
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Strategic Aim 2: Enhance Prevention to Minimize Risk for Suicidal Behavior by Promoting Safe Environments, Resiliency, and Connectedness.

Goal 3: Enhance protective factors by promoting wellness and prevention, ensuring more people in Napa County arc aware of suicide prevention and mental health resources.

People can learn skills to manage stressors, and to understand when they need to reach out for additional support. Increasing social connectedness can reduce stigma and isolation. Media, including the entertainment industry, can prevent suicide through responsible reporting of suicide death, by destigmatizing mental health needs, and by highlighting mental health resources.

Objective 3.1 Convene a Marketing Workgroup to educate Napa County about Suicide Prevention and Suicide Loss (Postvention), raise awareness, and break the stigma around suicide. The workgroup will design an overall marketing strategy for the Suicide Prevention Council, including efforts ongoing throughout the year and during Suicide Prevention Month in September. The Marketing Workgroup will implement outreach and information activities to educate the community about wellness and prevention and increase awareness of services and supports. Additionally, the workgroup will update the Suicide Prevention Council page on the Napa County website, and will coordinate partner efforts around marketing wellness-related resources, including and not limited to:

Live Healthy Napa County: L^CJ It-'.iltlT' Napa County - IJINC- lj\e 1-lealthy Napa County Each Mind Matters Resource Center: littps://emmresourcecenter.org/ Take Action for Mental Health: hltps:/7takeaction4mh.com' or hltI^L_c':LliUi^a • nivshopi fv.com/
Know the Signs: hilpj^; 'vvvvw.suicideispreventable.org/ Directing Change: lini^^rectinychanseca.org/
California Department of Public Health:
https://\vwwxdpi^ca.gov'Proyr;ims/C'C'DPtll> I)C'i)IC''SAC'B.'l>ai>c<'''SuictdePreventionProgram.aspx Objective 3.2 Share information and resources with local media representatives and public flgures/leaders. For example, write articles, provide information to the community, appear on local radio, etc. Utilize best practices for safe and effective messaging and responsible reporting on suicide preveiition, iiicludidg guidelines put furtli by the Following organizations:

The Suicide Prevention Resource Center
https://'sp!'t;.or<-: 1....'- --i^' .t,i\.\'~-' -.,i;:' .;'• ' •: .;•,. ii^^sayiny-iiiHl-rcporltnK/ and the Action Alliance
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Objective 3.3 Convene a workgroup to coordinate planning for Suicide Prevention event. Participate in and connect to existing activities and events (including during Mental Health Awareness Month and Suicide Prevention Week, as well as specific events e.g.

Awareness Walks, and the Youth Mental Health Summit).

Objective 3.4 Plan and organize community events that promote resoiirces and healing for those who have been impacted by suicide.

Objective 3.5 Increase the presence of the Suicide Prevention Council within diverse community settings such as health fairs, fanners markets. Family Justice Center, schools, and local organizations.

Objective 3.6 Continue to deliver community presentations (such as QPR) to gatekeepers and populations at disproponionate risk of suicide in Napa County. Convene a Training Workgroup to coordinate and track community education activities. 9 j Pa ge

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Goal 4: Create safe environments by reducing access to lethal means.

Reducing access to lethal means is the most evidence-based suicide prevention strategy. Risk for suicide can be reduced by reducing environmental threats to safety, while building individual, family, and community resiliency. Eliminating or reducing access to lethal means creates time and opportunity for intervention during what are often transient crises.

There are four basic ways to restrict or reduce access to lethal means by persons at imminent risk of suicide:

I. Place the person in a safer environment

2. Put a barrier between the person and the means

3. Create time between the person and the means

4. Make the means (and an attempt) less lethal
There are some common elements among any means safety efforts: a public awareness component, where information and resources are available to help people understand the importance of means safety and how they can use the information; training for key gatekeepers that offers specific information about their role in promoting and supporting means safety; and lethal means counseling from providers and others that are in an important position to intervene with those at highest risk. Means safety approaches vary depending on the means in question, its availability in the environment, legal issues, and individual factors. For effective suicide prevention strategies, it is important to know the means of death by suicide and how it varies between different socio-demographic groups.

Objective 4.1 Disseminate information to local gun shop and firing range owners, as well as local law enforcement agencies to increase awareness of suicide prevention efforts, suicide warning signs, and available resources. Examples include the resources available through:

American Foundation for Suicide Prevention (AFSP)
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National Shooting Sports Foundation & AFSP
https://ww\v.nssf.ory satcf. .siiicii.!e-pre\fiHi> i, i >iiiciJc-pri.'\eiui<)n-toolkit/?hilite-;:suicide Objective 4.2 Promote safe medication disposal methods in the community or through phanTiacies and other health care providers, including activities such as "take back" campaigns that help people dispose of unused or expired medications. Partner with local pharmacies to increase the availability of methods to dispose of unused medication and highlight suicide and overdose prevention resources for people filling prescriptions.

Objective 4.3 Disseminate information through local health departments to community partners about available overdose prevention resources, methods, and medications to counteract overdose, such as naloxone for opioid overdose. Partner with local efforts and organizations coordinating these or simitar activities. Example campaigns, toolkits, and resources include:

Napa Opioid Safety Coalition
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Statewide Striving for Safety Website
Home - MtiS< >AC' - ML'.H!-' Ssiielv is!riv!iitilorsa|etv.urg) Objective 4.4 Promote trainings such as Counseling on Access to Lethal Means '.i.s!l?v.. ./j-l'<"-!i!CKi'-'ii".!!l.lJ'y'clJA-';'n)-' ''' "'\'[ i'it'-."^.plip'?td -20 and resources such as the Bullet Points Project
h(tps://www.bulletpoiiitsproicct.ory/'
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Strategic Aim 3: Increase early identification of suicide risk and connection to services for those who are at highest risk in the least restrictive setting.

Crisis services are an important part of a comprehensive approach to suicide prevention. Although the term crisis services is often used to refer to hotlines or helplines, it also encompasses other programs that provide assessment, crisis stabilization, and referral to an appropriate level of ongoing care. Each of these supports and services can be provided individually but will have the greatest level of impact when all efforts are in place and connected.

A community's response to and support for someone in crisis starts much earlier (for example, earlier in the continuum, for someone who says "yes" when queried about suicidal thoughts, to consider for how we train and whom we train to assess or intervene in our communities.

Individuals may present with a need for crisis services in different ways, at different times, to different care providers or helpers. Creating and encouraging a system of collaboration, information sharing, and mutual support amongst crisis response service providers is to the benefit of the individual community members, organizations, first responders, and the overall community.

Providing a full range of crisis services can reduce suicides when paired with mental health follow-up care. Many communities offer two or three types of crisis care, but few provide a full continuum of services designed to provide the right care at the right time in the least restrictive setting. However, this is changing as we learn more about the cost-effectiveness and positive outcomes associated with providing a full continuum of care.

Similarly, the care and treatment following the initial crisis often impacts not only the length and severity of the current crisis, but - as a form of upstream prevention - can be critical to equipping the individual, organization, and community with effective strategies and skills to cope with and de-escalate future crises as they emerge.

Goal 5: Support and foster collaboration and improvement across systems and programs that serve those at risk. Identify and support activities across various community settings that can connect individuals thinking about suicide to effective interventions.

With education and support, anyone can recognize the warning signs of suicide and can learn to communicate effectively with people at risk to determine the type of support needed. Programs and partnerships that enhance connections between providers in different settings and ensure that people are aware of the resources that are available can empower people at risk to recognize their personal warning signs, identify coping strategies and a supportive social network, reduce access to lethal means, and seek professional, peer, and/or personal supports to help navigate and manage suicide crises.

Objective 5.1 Review existing programs to gain a comprehensive understanding of what programs and infrastructures are already in place to address suicide prevention.

Objective 5.2 Develop and keep updated a continuum of care guide for navigating the mental health resources in Napa County and ensure it is widely available.

Objective 5.3 Review data and establish a community engagement process to identify underserved populations and understand what services are in place and where the gaps need to be filled to better connect people to appropriate services and supports. 11 I Pa ge

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Goal 6: Improve the availability and accessibility oftimdy services and supports for people experiencing suicidal behavior.

Crisis services and support also can assist with assessing for suicide risk and connection to services, and must be widely available, accessible, and varied to benefit the diverse range of people in need of help.

Objective 6.1 Promote best practices such as screening, risk assessment, and safety planning for providers in key settings and schools to increase consistency of care.

Objective 6.2 Map out how individuals in a suicidal crisis are connected with help (crisis response system in Napa County) and recommend interventions that promote de-escalation and supports in the least restrictive setting.

Objecti\'e 6.3 Promote crisis resources and warm lines.

Objective 6.4 Partner with health, mental health, and substance use disorder care systems to identify and promote ways to improve contiiTuity of care when individuals are transitioning from care settings following services for suicidal behavior.

Objective 6.5 Identify and map existing follow-up programs for individuals who have received suicide-related services, such as after a suicide attempt. Explore the feasibility of enhancing existing services or implementing new programs.

Goal 7: Expand community response and support sen'ices after a suicide loss Objective 7.1 Establish and maintain a Survivors of Suicide Loss Workgroup of the Napa Valley Suicide Prevention Council. The workgroup will support survivors of suicide loss with education, resources, and professional support and continue to expand the availability of suicide bereavement support programs that are designed and implemented specifically by, for, and with suicide loss survivors.

Objective 7.2 Promote training opportunities and resources to equip mental health service providers to support individuals grieving a suicide loss.

Objective 7.3 [dentify and promote existing postvention resources or strategies in specific community settings (such as schools, workplace, corrections, etc.)
Objective 7.4 Organize annual event for suicide loss survivors in Napa or support/partner with neighboring counties.

Objective 6.5 Produce and distribute Resource Cards for Survivors of Suicide Loss with current information. Distribute to appropriate agencies or community partners, as outlined by Survivors of Suicide Loss Workgroup.

Goal 8: Support districts and schools in implementing comprehensive suicide prevention in the school-setting
Objective 8.1 Partner with Napa County Office of Education to assess how districts and schools are aligning with policy mandates for implementing suicide prevention, intervention and postvention efforts.

Objective 8.2 Promote trainings and educational resources to districts and schools. Examples include QPR, training on screening and risk assessment, re-entr^' after a suicide attempt, postvention in school settings, and youth & parent engagement.

Objective 8.3 Promote programs that increase protective factors and decrease risk factors, including peer-based clubs and approaclies.

Objective 7.4 Promote the free i^trectm^ChaH^t.' youth suicide prevention prograin to schools in Napa County to prepare young people to recognize signs of suicide and how to offer support. 12|Page

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Strategic Aim 4: Coordinate training activities countywide to ensure that more people recognize warning signs and how to help someone who may be thinking about suicide.

Training is an essential component of our strategic plan. Training helps to foster consistent knowledge, skills, and abilities for those who are in a key position to recognize and respond to suicide risk and helps connect the community in meaningful ways. Training models are available that vary in length and intensity and that are tailored for particular populations and settings. Implementing a range of training models can help ensure that more people in our community have the knowledge and skills needed to recognize and intervene when someone may be thinking about suicide.

Goal 9: Develop and implement a training plan that prepares the community and providers in Napa County to recognize and respond to suicide risk.

Objective 9.1 Establish a Training Workgroup within the Suicide Prevention Council to coordinate existing training resources and opportunities. The Training Workgroup, together with others, will also assess current training opportunities, models, and gaps and identic training opportunities and resources for organizations within Napa County.

Objective 9.2 Provide training to community groups on the prevention of suicide. Prioritize training on recognizing and responding to suicide risk within key settings such as workplaces, schools. youth-serving programs, older adult residential living facilities, and senior services programs.

Objective 9.3 Explore training formats that are infused with cultural norms ofunderserved and at-risk populations in Napa County.

Address the needs of vulnerable groups and tailor to the cultural and situational contexts within our community.

Together We Can Make a Difference!
Achieving our vision of eliminating suicide in Napa County will require the support of everyone in our community. We need your help. Whether it is providing us with feedback about this plan, learning more about warning signs and how to help yourself or someone else, or finding new ways to connect with others in our community, you too can make a difference. With the support and partnership of individuals, agencies, and organizations, we can prevent suicide.

To stay connected with current efforts and learn how to get involved, please visit our webpage:

Napa County Suicide Prevention Council | Napa County, CA (countyofnapa.ore,) Are you concerned for someone else?
Pain isn t always obvious. Reach out to someone you are concerned about if you observe one or more of these warning signs, especially if the behavior is new, has increased or seems related to a painful event, loss or change:

Warning signs to look for:
• Talking about or wanting to die
or suicide
• Looking for way to kill themselves
• Feeling hopeless, desperate, trapped
• Giving away possessions
Putting affairs in order
Reckless behavior
Uncontrolled anger
Increased drug or alcohol use
Withdrawal
• Anxiety or agitation
• Changes in sleep
• Sudden mood changes
• No sense of purpose
If you are concerned about someone, reach out and ask: "Are you thinking about suicide?" If you think the person is suicidal, take it seriously. Don't leave them alone. Call or text the National Suicide and Crisis Lifeline at 988 or call 911 for life-threatening emergencies.

Visit suicideispreventable.org to learn if someone you know might be at risk. 13 I P a g e

ATTACHMENT 1

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Additional Resources to Learn More About Suicide Prevention MHSGAC
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Mental Health Services Oversight and Accountability Commission Striving for Zero, California's Strategic Plan for Suicide Prevention Striving For Zero Learning Collaborative Modules and Resources t'ac.fiMit'id
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California Mental Health Services Authority
Know the Signs Strategic Planning for Suicide Prevention Learning Collaborative Know the Signs
The Surgeon General's Call to Action to Implement National Strategy for Suicide Prevention CDC
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Centers for Disease Control and Prevention
Preventing Suicide: A Technical Package of Policy, Programs, and Practices ACTION 0

ALLIANCE
National Action Alliance for Suicide Prevention
Transforming Communities: Key Elements for the Implementation of Comprehensive Community-Based Suicide Prevention National Action Alliance for Suicide Prevention
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Suicide Prevention Resource Center
Suicide Prevention Resource Center
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Suicide Is F:lreventableL_.—~
14 I P a g e

ATTACHMENT 1

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Condado de Napa - Plan Estrategico
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City Council Regular Meeting
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Supplemental - Item 3.B.

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Tabla de Contenido
Apoyo esta disponible: Si usted o alguien que conoce necesita ayuda, porfavor comuniquese hoy:......................3 Objetivos y metas del Plan Estrategico .....................................................................................................................9 Objetivos Estrategico 1: Mantenery fortalecer la infraestructura de prevencion del suicidio.............................9 Objetivos Estrategico 2: Mejorar la prevencion para minimizar el riesgo de coemportamiento suicida........... 10 Objetivos Estrategico 3: Aumentar la identificacion temprana de riesgo suicidio y conectar con servicios..... 12 Objetivos Estrategico 4: Coordinar actividades de entrenamiento en todo el condado..................................... 14 [Juntos Podemos Hacer la Diferencia! ....................................................................................................................14 Recursos Adicionales para aprender sobre la Prevencion del Suicidio...................................................................l5 •as.
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Personas que reciben apoyo
de amigos y familiares y
tienen acceso a servicios de
salud mental tienen menos
probabilidades de actuar
cuando tienen
pensamientos suicidas.

Paraapoyod«
crisis confittenciat
lai 24 horas del dia
7 dtas a ta scmana
cn espaffol, Hamc o
emit un mtnsajt de
tixto a) 988 y presione I
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En 2019, LGBTQ+ estudiantes dg
secundaria tenian el doble de
probabiiidades que sus
companeros heteroiexuales
de planificar como
intentarian sukidarse.

Para apoyo de
crisis confidcncial
las 24 horas de) di'a
7 dias a la s<mana
en cspaftol, llame o
envfe un mensaje de
texto at 988 y prcsione 2
at £."s
£ II
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tn 2020,521jovenes de California
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7 dias a la temana
en espaitol, Maine o
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En 2020, jdvenes de California de
entre 18 y 24 aRos experimentaron
pensamientos suicidas mas que
cualquier otro grupo de edad.
2 I P age

ATTACHMENT 1

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If you are in crisis, Call or Text
988 for the Suicide & Crisis Lifeline
Kung ikaw ay nakararanas ng krisis o nagtatangkang
magpakamatay, tumawag o mag-text sa
988 upang humingi ng tulong
Si usted esta en crisis, Llame o Envi'e un Texto at
988 para la tinea de suicidio o crisis
Apoyo es disponible. Si usted o alguien que conoce
necesita ayuda, por favor comuniquese hoy:

Linea de crisis 24 horas para Salud Mental
707-253-4711
988
SUtCIOE

DFEIEME
988
U%€AOC
Linea de Crisis Nacional de Suicidio
Llame o mande texto 988
Oprima 1 para ser transferido a la tinea para Veteranos Oprima 2 para ser transferido a la linea de Crisis en espanol Oprima 3 para ser transferido a la li'nea de Crisis LGBTQ+ Para personas que estan sordos o con dificultad
auditivas,
Ltame al: 800-799-4889
Linea de texto de Crisis
Linea de texto de Crisis en espanol
Manda texto HOLA a 741741
Apoyo para alguacil,
Llama a la Lfnea COPLINE 800-267-5463
Los demds socorristas necesitando apoyo llamen al
Fire/EMS Helpline at 888-731-FIRE (3473)
Para Jdvenes LGBTQ, llamen at Trevor Project
866-488-7386 o mande texto START al 678678
Para personas transgenero, llamen al Trans Lifeline
877-565-8860
Para adotescentes necesitando hablar con algun, llamen

TEEN LINE
310-855-4673 o mande texto TEEN al 839863
Si has perdido a alguien a causa del suicidio, tal vez esta en busca de apoyo para ustcd mismo o para alguien que conoce.

Recursos locates estan disponibles para personas que han perdido a alguien a causa del suicidio. No esta solo (a). r"

RECURSOS LOCALES PARA SALUD MENTAL
Terapeutas de Trauma y Dueto
U^i-'w s Coilabri.i y Fi'clc un Consciero de duelo u rvfesenaas p-:i'"r* lc'r'ap^ut^s oxi'e'ynos
414 S. Je»erson Streoi, N.ipa . (/'07-1 2S3-9080
Acceso a Salud Mental del Condado de Napa:
(707) ,759.8151
24-horaa Llnea De Crisis: (707) 353-4 :^'
Equlpo de Respuetta M6vil del Condado d» Napa
L.uDes a ./lernes, aam-Spin (707.1 39°-2!lt
Mentis'. (707) 255-0966 exr ).1.2
Sarvlclos Para NISoi/a» y Familial de Aldaa: (707) 224-8266 OLE Haalth: <707) 254-1770
LGBTQ Connection: <707> 251-9432

GRUPOS DE APOYO PARA
SOBREVIVIENTES OE PEROIDA POR SUiCtDiO
Los Amlgos Compaslvos
Grupo cE? flt;o*/<;s c}es,pi..c's d^ ?>? i'nuer^e de u'c itfny/a-C^f:lj '^'.' ^^'^ d^ ipv ^ \^ Ppn'i Oueen of the Valley SYI'IWUV i42I Vil'd t dtia. Napfl (,'07) 258 1623 Friends for Survival
Grupo de Apoya y Recuf.-.o;, (916'. 392-0664 • w.«/>.;y.frfe"i'.l'u''orsuf'/iva! ory Llnw de Ayuda para sobrevlvlentes de pArdldai por sulcldto: (800; 646-7.^22 Collabrla Care
Gnipos de aiioyo p.-ira sotsi-oviv'entes ue pwdicf.jis par suicii-i.o pt'op0!rc;'oi^d'::(o por co'';s'?jero^ •de ch.jielo
414 S Jeffersoil Street. Nap.;i • < 707) ?ci«-9080
Conferencia Intarnaclonal Dla d* Sobrevlvlentes
Para (os sobrcvivie-n.te'; dc la |.:>erciid;:i del .sui';K;tio Anu.a'mens'e. et sabac'lo antes del O'a d-: Accidn cie Gracias Pars mai ini'orm.iaon y registro:
visits afap orcj./su'viwirdc'y1
Fundacl6n Americana Para la Pravnclon
Dei Suicidio "CQf'r./er'.iaciones, Sanadoras" Gn.ipcs de apoyo paca sobre- viviente<? dio p$f<'iidas pc;' suiddio - Vi.sst'.^: ^v^w.^fsp.or^ystgue !os pa^o?; e-n <?) ^r;k "'gei: hei^'
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ATTACHMENT 1

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Services Agency
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[ SUICIDE I

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Introduccion
Este plan ha sido desarrollado par la Agencia de Salud y Servicios Humanos del Condado de Napa junto con el Consejo de
Prevencion del Suicidio del Condado de Napa. La intencion es de reflejar en las prioridades, logi-os, y las necesidades para la prevencion del suicidio en nuestro condado y describir el enfoque integral de la prevencion del suicidio. Solo con el enfoque integral podemos seguir adelante asi a nuestra vision de eliminar por completo suicidios en el Condado de Napa.

Esta vision puede parecer un poco realista, pero el Consejo de Prevencion del Suicidio del Condado de Napa cree que
prevencion es posible si la accion tomada es audaz. Eliminando el suicidio va a requerir del apoyo de nuestra comumdad entera, desde agencias y socios organizacionales a cada uno de nosotros.

Cada persona debe poner su gi-anito de arena para ayudar a preveiiir el suicidio. Este plan poiie en pie estrategias para que cada persona determine su lugar en este plan.

El Consejo de Prevencion del Suicidio del Condado de Napa apoya esfuei-zos que existen locaknente para la prevencion del suicidio y para reducir el estigma. Estamos activamente trabajaado en llenar cualquier espacio no identificado para la prevencion del suicidio en todo el pais, mientras desarrollamos un plan basado en las necesidades de nuestra comunidad y sea basado de las experiencias reales de nuestra comunidad. Las estrategias estan delineadas en alineamiento con el Plan Estrategico de Prevencion del Suicidio del estado de California, esfuerzos para eliminar el suicidio (que pueden ser vistos o descargados en Englcs y Espano! : htt{:is:A/mhsoac,ca,gov), Y tambien en Suicide Prevencion Resource Center's (SPRC) Framework oara el Plan Estratesico.

Agradecimientos
Gracias a miestros miembros del Consejo,
quienes representan a estos gnipos:

Aldea
American Foundation for Suicide Prevention
BankofMarin
CARE Network
City ofNapa
Disability Services & Legal Center
Napa County HHS/Mental Health
Napa County Probation
Individuals and families with lived
experience
LGBTQ Connection
Live Healthy Napa County
Mentis/Teens Connect
Napa County Sheriff's Office
Napa Valley College
Napa County Mental Health Board
Napa County Office of Education
Napa Valley Unified School District
NEWS Napa
OLE Health
On the Move
Private practitioners
Providence/QVMC
Saint Apollinaris Catholic Church
St. Helena Unified School District
St. Joseph Home Health
Up Valley Family Centers: Claro/a
Veterans VA NorCal Healthcare System
PAS01:

Describe el problema
y su contexto
PASO 2:

Elige objetivos
a largo plazo
PAS03:

Identfficar factores dave
de riesgo y protection
fEL ENFOQUE DE PLANIFICAC16N ESTRATEGICA
PARA LA PREVENC16N DEL SUICIDIO
PAS06:

Imptemehtai; evatifar
V mejorar
PASO 5:

Planificar la evaluacion
PAS04:

Seteccionar o desarrollar
intervenciones
4 I Pa ge

ATTACHMENT 1

NAPA COUNTY
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El Problema del Suiddio en el Condado
de Napa
El enfoque integral para la prevencion del suicidio requiere una historia profimda sobre el suicidio y la prevencion en nuestra comunidad. Estadisticas son im buen recurso que ayuda a entender el problema y permite el desenrollamiento de metas a largo plazo para la prevencion del suicidio y establecen prioridades. Todo no puede cambiar a la vez; sin embargo, reuniendo, revisando, y considerando las estadisticas en nuestro proceso nos pennite:
• Eliminar conceptos erroneos, y crear conciencia de como el suicidio afecta nuestra comunidad
• Enfocar nuestros recursos donde haiga mas necesidad
• Identificar riesgos y factores para seleccionar prevenciones • Convencer a fandadores y personas con voto a invertir/priorizar esfuerzos para prevenir el suicidio
• Evaluar el cambio a lo largo del tiempo
Estamos conscientes que las estadisticas no nos proveenla historia completa. Metodos o enfoques pueden ser parcial dependiendo quien esta colectando y analizando la infonnacion.

En el pasado, algunos metodos de colectar informacion y reportarla han sido usados parajustificar desigualdad y dejar fuera las personas que deben estar al frente de ese trabajo.

Sin embargo, tenemos la meta de avanzarjusticia, inclusion, igualdad, reunir y compartir informacion puede ser una
herramienta muy poderosa para obtener el punto de vista de las comunidades que servimos y los problemas que buscamos
emprender. Idealmente, estos enfoques trabajan juntos para resolver disparidades de salud - par ejemplo, uniendo sesiones de individuos de cousejo puede ayudarnos a contestar pregimtas como: "Qiiien no esta participando? Adicionalmente, podemos tomar apunte de recursos, programas, entrenamientos, servicios, apoyo, y si ay espacio donde podemos mejorar.

Obteniendo y revisando infonnacion nos puede ayudar a
contestar estas preguntas:
(,Quien esta buscando ayuda y estan llamando o recibiendo servicios?
(,Quien no?
(,Quien tiene pensamientos de suicidio?
(,Quien esta intentando suicidarse?
^,Quien esta faUeciendo a causa del siiicidio?
(,Cuanto tiempo demora ua sobreviviente para pedir ayiida? (,Que riesgos y factores estan presentes?
iQue transiciones existen? ^Como estan funcionando?
(,Que se puede mejorar?
(,Cuales esfuerzos de la comunidad pueden brindar apoyo para la prevencion del suicidio?
•
Informacion sobre el suicidio es obtenido por media del programa de estadistica vital. Para informacion actual para el estado de California de muertes causadas par violencia, incluyendo suicidio, se pueden encontrar en la siguiente pagina: pi^jiy [^^.r,_Myny ;i ;:.5.tate^iMj^lll'^e: Re^i6jl:i Deaj.h C0i^!j,jrjjrj. Se puede ver mes por mes cuantas
personas han fallecido usando informacion de estadistica vital que cada tres meses esta actualizada. Datos de
muertes pueden durar un ano para finalizarse, y la
infonnacion mas actual esta disponible enEpiCenter
Dashboard.

A pesar de que la Subdivision de Prevencion de Lesiones y Violencia no monitorea directamente salud mental en todo el estado, datos de adulto/jovenes, necesidadpercibida, acceso y el uso de servicios de salud mental pueden ser encontrado en California Health Interview Survey (CH1S), v Behavioral Risk Factor Surveillance System (BRFSS).

Tasa de suicidio ajustada par edad y por condado de
California, 2018-2020, segun el Sistema de Reporte de
Muertes Violentas de California (California Violent Death Reporting System (CalVDRS): La tasa general de suicidios en California es 10.5, la tasa mas alta del condado es en el Condado de Shasta (24.9) y la tasa mas bajo es en el Condado de Imperial (5.8).

CondadoCuentaTasaRango del Condado en el
Estado
Napa5210.928
Adicionalmente, el Consejo de Prevencion del Suicidio de Napa trabaja para obtener datos locales en colaboracion de Salud Publica, nuestros socios hospitalarios y de atencion medica y puntos de respuesta para la Ifnea 988 que es para la Prevencion del Suicidio y Crisis, entre otros, para obtener una imagen actualizada y precisa de como el comportamiento de riesgo de suicidio y perdida estan afectando a miembros de nuestra comunidad.
•
5 | P a g e

ATTACHMENT 1

1-*^•/LNAPA COUNTY
Health & Human
Services Agency
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El Estigma
Es importante que, al compartir informacion sobre datos del suicidio, individuales y organizaciones representen los datos sin usar un lenguaje estigmatizante y que sea un
mensaje scguro y efectivo.

Junto con el grupo de Datos del Consejo de Prevencion
del Suicidio, el grupo de Marketing va a continuar a
incorporar un mensaje efecrivo y seguro al compartir
mensajes sobre suicidio en el Condado de Napa. Esto
incluye recomendaciones que ha puesto el Suicide
Prevention Resource Center ('https://sprc.org./keys-to- sycces^afc-md-effcctiYi^messaging^am^ y el.

Action Alliance (syicid^Ercv^nJlonme.ssaging.org)
Estos kits de herramientas incluyen recomendaciones
especfficas para ser estrategicos en nuestros mensajes
sobre el suicidio y la prevencion del suicidio,
idenfificando oportunidades para representar un narrativo positivo (como, "Ayucia es disponible") y seguir ciertas recomendaciones para compartir infonTiacion y datos con el publico de manera precisa, segLira y efectiva.
^Que funciona?
El problema de suicidio es complejo, y para tener
prevencion efectiva del suicidio se requiere una
combinacion de esfuerzos que trabajan juntos para
afrontar diferentes aspectos del problema. Un enfoque
de salud publica es integral, incluyendo una estrategia en la poblacion, comunidad, y al nivel individual para
ayudar a prevenir problemas y de afrontar el acceso a
atencion eficaz cuando ocurren problemas. Programas
que han tornado un enfoque de salud publica integral a
la prevencion del suicidio han visto la reduccion en el comportamiento suicida al igual a otros resultados
negatives.

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APOYE A SU COMUNIDAD COMPARTIENDO IA tfNEA DE VIDA
EN CRISIS Y SUICIDIO, DISPONIBIE 24/7 EN El 988.
6 j Pa ge

ATTACHMENT 1

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NAPA COUNTY
Health & Human
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NAPA COU'jTY
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El modelo de ruta de Crisis Suicida ayuda a conceptualizar un eafoque de salad publica dentro del contexto de la experiencia suicida de un individuo. Es una estructura que coincide con estrategias y intervenciones que ayudan a prevenir el suicidio en cada etapa del camino de crisis. Este modelo describe componentes importantes y consideraciones a nivel estatal, local o regional de la planificacion de la prevencion del suicidio. Tambien es una manera de visualizar los componentes integrales de la prevencion del suicidio y afrontar las metas, objetivos, y actividades que son necesarias para compartir en nuestra comunidad. La ruta de Crisis Suicida es alineada con nueve estrategias que fueron adoptadas del Suicide Prevention Resource Center.

Cada uno puede ser avanzado par actividades (i.e., programas, polizas, practicas, y servicios). Cada uno estan braviamente definidos abajo con ejemplos y estrategias y, donde estan disponible, ejemplos de organizaciones locales y actividades que van hacia adelante en esta area - par ejemplo, base de datos bilingue integral de recursos que incluye programas y agencias que ofrecen una relacion de apoyo, conexion, y apoyo disponible en el Condado de Napa, como Family Resource Centers, Centres de bienestar escolares y programas como Mentis y Teens Connect: https://mentisnapa.ore/resources/. Esto provee una base de recurs os locales y esfuerzos alineado s con varios componentes del plan Integra.

Programas Sirviendo al Condado de Napa
NAPACO^NTY ^g^ »•,% ^ _^ j^T^ "-"
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Nuestro objetivo es integrar estos principios a traves de nuestro trabajo y en nuestro plan:

Integrando la prevencion del suicidio a traves de las iniciativas existentes Establecer y mantener la colaboracion para obtener impacto colectivo Esfuerzos por tener una representacion amplia en la comunidad Utilizando un lente de inclusion, y equidad cultural y linguistica Reduciendo el estigma y creando conciencia de la comunidad Enfocarse cuidadosamente en un plan y implementarlo a su tiempo •
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ATTACHMENT 1

Wf.NAPA COUNTY
Health & Human
^Services Agency
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[SUICIDE
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Objetivos y Metas del Plan Estrategico
El plan de Prevencion del Suicidio en el Condado de Napa incluye un enfoque integral que contiene un gran potencial de reducir el riesgo del suicidio en nuestro condado. El plan inicial es de cubrir un periodo de 3 anos- 2023-2026, enfocando los esfuerzos en cumplir los objetivos y metas para ese periodo, al igual de tener una vision para el futuro.

Nuestro plan incluye metas para alcanzar lo mas que se pueda a residentes del condado con educacion de cuales son los signos de alerta y como pueden ayudar, al igual de estrategias que enfocan en residentes que estan en riesgo del suicidio y proveer apoyo a quienes han sido impactados par el suicidio.

Objetivo Estrategico I: Mantenery Fortalecer la Infraestructura de Prevencion del Suicidio Meta 1: Mantencr un ConseJQ de base amplia para
la Prcvencion del Suicidio que pruporciona liderazgo
y apoya asociacioncs necesarias para reducir el
comportamiento suicida en nuestro eondado.

El suicidio es un problema complejo que requiere seguimiento de soluciones par varios sectores de la sociedad. Aunque el Departamento de Salud Conductua] se enfoca en esfuerzos para la prevencion del suicidio, es la responsabilidad de la comunidad entera. No existe una agencia o departamento que puede resolver solo este problema tan complejo, pero una colaboracion diversa que represente a la comunidad puede asegurar que se crea conciencia dentro de la comunidad para prevenir el suicidio y reciba la atencion que se merece al igual de recibir seguimiento y apoyo para agendas locales.

Objetivo 1.1 Asegurar el apoyo continuo administrativo y de personal para el Consejo y designar colider para dirigir y facilitar juntas y actividades. Refinar la estrtictura del Consejo para facilitar un liderazgo coordinado y eficaz. y proveer un proceso inclusive para que el Consejo y comunidad puedan opinar.

Objetivo 1.2 Continuar a reclutar nuevos miembros para el Consejo, incluyendo comunidades basados en la fe, personal de primeros auxilios, hospitales, jovenes y personas de la tercera edad.

Desarrollar estrategias para promover participacion en el consejo y actividades relacionados con miembros y posibles miembros.

Objetivo 1.3 Colaborar con miembros del consejo para identificar como pueden asociarse para implementar estrategias de el plan.

Objetivo 1.4 El Consejo y miembros de liderazgo deben revisar el progreso de las estrategias delineadas en el plan para asegurase que se esten implementando segun lo previsto y modificar el plan como vean necesario.

Meta 2: Colectar y rcvisar dates para
comprender mejor y tratar el problema del
impacto que el suicidio tiene en nuestro condado.

Mientras el suicidio puede afectar a cualquier persona, ciertos grupos son mas afectados. Aprendiendo donde dirigir nuestros esfuerzos puede hacer mucha diferencia para los grupos con mas necesidad.

Objetivo 2.1 Convocar un grupo para identificar datos para realizar un seguimiento de mortalidad porsuicidio, morbilidad, ideacion, busqueda de ayuda y factores de riesgo y proteccion.

Objetivo 2.2 Utilizar fuentes disponibles de datos para continuar a construir asociaciones con individuos y
organizaciones clave, como eljuez de primera instancia, salud publico/estadisticas vitales, hospitales, departamento de emergencia y proveedores de servicios.

Objetivo 2.3 For lo menos una vez al ano el Consejo revisara datos relacionados al suicidio.

Objetivo 2.4 Segun to permitan los recursos, publicar
anualmente un reporte destacando los esfuerzos sobre la prevencion del suicidio en el Condado de Napa para la
comunidad. Esto incluira informacion relacionada con el problema del suicidio con mensajes efectivos sobre el suicidio. ';
8 I Pa ge

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Objctivo Estrategico 2: Mejorar la Prevcncion para Minimizar Comportamiento Suicida Promoviendo Ambientcs Seguros, Resiliencia y Conectividad.

Meta 3: Mejorar los factores protectores promoviendo biencstary prcvencion, asegurando que mas personas en Napa csten conscientes de la prevencion del suicidio y de recursos para la salud mental.

Toda persona puede aprender habilidades para manejar situaciones estresantes, y cuando deben de pedir apoyo. Aumentando coneKiones sociales puede reducir aislamiento y estigma. Medios de comunicacion. incluyendo la industria de entretenimiento, pueden prevenir el suicidio reportando responsablemente muertes por suicidio, desestigmatizando las necesidades de sal ud mental, y destacando los recursos de salud mental.

Objetivo 3.1 Convocar un grupo de Marketing para educar a el Condado de Napa sobre la Prevencion del Suicidio y [a perdida asia el suicidio, aumentar conciencia, y romper el estigma acerca del suicidio. El grupo disenara una estrategia de marketing para el Consejo de la Prevencion del Suicidio, que incluye los continuos esfuerzos durante el ano y durante el mes de la Prevencion del Suicidio en septiembre. El Grupo de Marketing implementara actividades de publicar informacion para educar a [a comunidad sobre el bienestar y prevencion y aumentar conciencia de servicios y apoyo. El grupo tambien actualizara la pagina par internet sobre El Consejo de la Prevencion del Suicidio del Condado de Napa, y coordinara asociaciones y esfuerzos acerca de marketing relacionados de recursos para el bienestar. que incluye:

Live Healthy Napa County: L.ive I lealtln Napa Counlv - LHNC- Live Healthy Napa County Each Mind Matters Resource Center: http_s:/7emmresourcecenter.org/ Take Action for Mental Health: https://takeaction4mh.com/ or lmp^..^^i'll^a.invshopifv.com/
Know the Signs: hlips: wvvw.suicideispreventable.org/
Directing Change: hop^^lireclin.'.ichanyeca.org/
California Department of Public Health:
https://vvwwx'dph.ca.gov'11rograms;'CX'!)P! li)/(-)C i>IC' SACB, I'asiCs/SuicidePreventionPro.Krain.aspx Objetivo 3.2 Compartir infom-iacion y recursos con representantes de los medios y figuras publicas/Iideres. Por ejemplo, escribir un articulo, qiie comparte infonnacion para la comunidad. ir a la estacion de radio local, etc. Utilizar la mejor manera de proveer un mensaje efectivo de manera responsable que comparte informacion de la prevencion del suicidio con regulaciones que fueron proveidos por:

The Suicide Prevention Resource Center
https://sprc.<)ry.^cj. - -.' :;!..•'•..•, ^ill^"ii,'-''i'.'^!i>', r;' ;'-;.'}i!:L-l>yd^ejTorun^, and the Action Alliance
htt.ps:'/siiic!!.t?prevn>t!<v!*!n^ss.i^i!!j.;.<ir;j,
Objetivo 3.3 Convocar un grupo para coordinar y planear un evento enfocado a ta Prevencion del Suicidio. Participaren actividades y eventos que ya existen (durante el mes de Crear Conciencia de Salud Mental y la Semana de la Prevencion del Suicidio. y eventos especificos como Caminatas para Crear Conciencia. y Comite de Salud Mental de Jovenes).

Objetivo 3.4 Planear y organizar eventos en la comunidad que promueven recursos de sanacion para las personas que has sido impactadas par el suicidio.

Qbjetivo 3.5 Aumentar la presencia del Consejo de Prevencion del Suicidio en diversos entomos comunitarios como ferias de salud, mercados de agricultores. Centra de Justicia Familiar, escuelas, y organizaciones locates.

Objetivo 3.6 Seguir brindando presentaciones a la comunidad (por ejemplo, QPR) a la poblacion que esta en riesgo del suicidio en el Condado de Napa. Convocar un grupo que provee entrenamientos y puedan mantener seguimiento de educacion y actividades que han sido ofrecidos a la comunidad.
9 I Pa g e.

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Meta 4: Crcar un ambiente scguro reduciendo medios letales.

Reduciendo acceso a medios letales es la estrategia de prevencion del suicidio mas basada en evidencia. El riesgo de suicidio se. puede reducir reduciendo las amenazas ambientales, mientras construyendo una familia y resiliencia comunitaria. Eliminando o •reduciendo acceso a medios letales crea tiempo y oportunidad para intervencion durante lo que llamamos crisis transitorias.

Hay cuatro maneras basicas para reducir el acceso de medios letales para personas en riesgo del suicidio:

1.Poner a la persona en un ambiente seguro

2. Poner una barrera entre la persona y los medios [etales

3. Crear tiempo entre la persona y los medios letales

4. Hacer que el intento y los medios sean menos letal
Hay elementos comunes entre esfuerzos de seguridad: un componente es de crear conciencia para el publico, donde infomiacion y recursos estan disponibles para ayudar y entender la importancia de seguridad y como usar la informacion; entrenamientos para guardianes clave que ofrecen infonTiacion especifica sobre su funcion y responsabilidad de como promover y apoyarcon seguridad; tambien proveer asesoramiento de proveedores o de personas que estan en una posicion importante y puedan intervenir con personas de alto riesgo. Dependiendo del media es como se miden los enfoques de seguridad, al igual que si es disponible, si hay asuntos legates, y factores basados individualmente. Para estrategias efectivas para la prevencidn del suicidio, es importante conocer todos los medios letales, ya que varian entre diferentes grupos sociodinamicos.

Objetivo 4.1 Proporcionar informacion a duenos de tiendas de am^as de fuego y a duenos de campos de tiro, tambien a los aguaciles locales para aumentar conciencia de los esfuerzos para la prevencion del suicidio, senales de advertencia de suicidio, y recursos disponibles. Ejemplos de recursos disponibles:

American Foundation for Suicide Prevention (AFSP)
tytl^s^..Jl}_si?A'ry. 'n"earfns~llntl~sllLl^<:ie~PJj^eL!l^^ National Shooting Sports Foundation & AFSP
l'ittps;'/viww.iisst.iiry •-.,:i",.'\ •.;; il •V'v! t-11)t'" !^!L l^_^i\l'-'^ Objetivo 4.2 Promover maneras seguras para desechar medicamentos en la comunidad par medio de farmacias y proveedores de salud, actividades como "take back" ("devolver") que es una compana que ayuda a personas a desechar medicamentos expirados o que no usaron. Asociarnos con farmacias locales para aumentar la disponibilidad de maneras para desechar medicamentos expirados o no usados y destacar el suicidio y la prevencion de la sobredosis para personas surtiendo recetas.

Objetivo 4.3 Proporcionar informacion por medio de departamentos de salud locales a asociaciones de la comunidad de recursos de prevencion de sobredosis, metodos y medicamentos que contrarrestar una sobredosis. como naloxona para la sobredosis de opioides.

Asociarnos con esfuerzos locales y organizaciones que coordinan actividades similares. For ejemplo. campanas y recursos incluyen:

Napa Opioid Safety Coalition
! rii«>- "_s. ''^y ^i,;]'^>J'^'... ;'. .^•-.;.^!.^1
Statewide Striving for Safety Website
tjotiic - M! !SO \v - \^.!!i'. v~:il^il !.~.il:l^"i-.""^-il^ilLt11"g.l Objective 4.4 Promote trainings such as Counseling on Access to Lethal Means i'iitps:,'//C!ositici<Jcirakuny.cJc.i>rf, .;iii'»i if)i.ic\,j'>lip?id 2U and resources such as the Bullet Points Project
[rt!p^_\\'t',v,J-iy_ljejj,)y[iiNt'>i<'!>:tLori^
to mental health, substance use and health care providers. 10 j Pa ge

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Objetivo Estrategico 3: Aumentar la identificacion temprana del riesgo de suicidio y la conexion con el serv'icio para aquellos que estan en alto riesgo en la forma menos restrictiva.

Los servicios de crisis son una parte importante de un enfoque integral para la prevencion del suicidio. El termino servicios de crisis es usado a menudo como linea directa o linea de ayuda, tambien implica otros programas que proporcionan evaluaciones, estabilizacion de crisis, y referencias a el nivel apropiado de atencion medica continua.

Cada uno de estos servicios y apoyo pueden ser proporcionados individualmente, pero tendrian un mayor nivel de impacto si todos los esfuerzos estan conectados.

La comunidad responde mas pronto a alguien en crisis cuando esa persona ha respondido "si" cuando se Ie pregunta si tienen pensamientos suicidios, y asi consideramos como y a quien entrenamos y quien debe intervenir en nuestra comunidad.

Las personas pueden presentar la necesidad de servicios de crisis de diferente manera, a diferente hora, a diferentes proveedores de salud o ayudantes. Creando un sistema estimulante de colaboraciones, y el apoyo mutuo entre los proveedores de servicios de crisis u otros proveedores beneficia a los miembros individuales de la comunidad, organizaciones, personas de primeros auxilios, y la comunidad en general.

Proporcionando una gama complete de servicios de crisis puede reducir suicidios cuando es combinado con seguimiento de la salud mental. Muchas comunidades ofrecen dos o tres tipos de atencion de crisis, pero pocos ofrecen continuidad completa de servicios disenados para brindar la atencion adecuada en el momento adecuado en el modo menos restrictive. Cambios estan sucediendo a medida que aprendemos sobre la eficiencia de costos y resultados positives asociados con la prestacion de una atencion continua.

De manera similar, la atencion y el tratamiento posterior a la crisis inicial frecuentemente afectan no solo la duracion y la gravedad de la crisis actual y pueda ser fundamentales para educar al individuo, las organizaciones y a la comunidad de estrategias y habilidades eficaces para afrontar y reducir crisis futuras en cuanto surjan.

Meta 5: Apoyar y fomentar la colaboracion y mejorar entre sistemas y programas que atienden a quienes estan rn riesgu. Idcntificar y apoyar actividadcs en ambicntes comunitarios diversos que puedan conectar a las personas que tiencn pcnsamic'ntos de suicidio con intcrvcnciones cfcctivas.

Con educacion y apoyo, cualquiera puede reconocer las senales de advertencia del suicidio y puede aprender a comunicarse efectivamente con personas de riesgo para determinar el tipo de apoyo que necesitan. Programas y asociaciones que mejoran las conexiones entre proveedores en ambientes diferentes y garantiza que las personas conozcan los recursos disponibles y pueden empoderar a personas en riesgo para reconocer sus senates de advertencia personates, identificar estrategias de afrontamiento y una red social de apoyo, reducir el acceso a medios letaies y buscar apoyo profesional, apoyo personal que pueden ayudar a navegar and manejar una crisis de suicidio.

Objetivo 5.1 Revisar ios programas existentes para obtener una comprension integral de que programas e infraestructuras ya existen para abordar la prevencion del suicidio.

Objetivo 5.2 Desarrollar y mantener actualizada una guia de atencion continiia para navegar por los recursos de salud mental en el Condado de Napa y garantizar que este ampliamente disponible.

Objetivo 5.3 Revisar los datos y establecer un proceso de participacion comunitaria para identificar poblaciones desatendidas y comprender que servicios existen y donde deben de llenarse los espacios para conectar mejor a las personas con los servicios y apoyos adecuados.
11 j Pa ge

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Meta 6: Mejorar la disponibilidad y accesibilidad de servicios y apoyo para personas que estan padeciendo de cunductas suicidas.

Servicios de crisis y apoyo tambien pueden ayudar a evaluar el riesgo de suicidio y la conexion con los servicios, y deben estar ampliamente disponibles, accesibles para beneficial- a miembros de la coniunidad diversa que necesitan ayuda.

Objetivo 6.1 Promover mejares practicas como deteccion. evaluacion de riesgos y planificacion de seguridad para proveedores en ambientes y escuelas clave para aumentar la consistencia de la atencion.

Objetivo 6.2 [dentificar como las personas en crisis suicida estan conectados con la ayuda que existe (sistema de respuesta a crisis en el Condado de Napa) y recomendar intervenciones que promuevan des escalacion y apoyo en el ambiente menos restrictivo.

Objetivo 6.3 Promover recursos de crisis y li'neas calidas.

Objctivo 6.4 Asociarse con sistemas de atencion de salud. salud mental y trastornos por uso de sustancias para identificar y promover fomias de mejorar fa continua atencion cuando las personas estan en transicion de programas de apoyo despues de recibir servicios para conductas suicidas.

Objetivo 6.5 Ideiitificar programas de seguim lento que ya existen para personas que han recibido servicios relacionados con el suicidio, incluyendo despues de un intento de suicidio. Explorar maneras de mejorar los servicios que existen o implementar programas nuevos.

Meta 7: Ampliar servicios comunitarios dc respuesta y apoyo despues de una perditla por suicidio.

Objetivo 7.1 Establecer y mantener un Grupo para Sobrevivientes de Perdidas por Suicidio del Consejo de Prevencion del Suicidio de Valle de Napa. El grupo apoyara a los sobrevivientes de perdidas par suicidio con educacion, recursos y apoyo profesional y continuara ampliando la disponibilidad de programas de apoyo para el duelo por suicidio que estan disenados e implementados especiflcamente par, para. y con los sobrevivientes de perdidas por suicidio.

Objetivo 7.2 Promover oportunidades y recursos de entrenamiento para equipar a los proveedores de servicios de salud mental para que apoyen a las personas que sufren una perdida por suicidio.

Objetivo 7.3 Identificar y promover recursos o estrategias de posvencion existentes en entornos comunitarios especificos (como escuelas, lugares de trabajo. centros de correccional. etc.) Objetivo 7.4 Organizar un evento anual para sobrevivientes de perdidas por suicidio en Napa o apoyar/asociarse con condados vecinos.

Objetivo 6.5 Producir y distribuir tarjetas de recursos para sobrevivientes de perdidas par suicidio con informacion actualizada.

Distribuir a agendas apropiadas o socios comunitarios, segun la intbrmacion delineada par el Grupo de Sobrevivientes de Perdida por Suicidio indiquen.

Meta 8: Apoyar a los distritos y escuelas en la implementacion de la prcvenciun integral del suicidio en cl ambiente cscolar.

Objetivo 8.1 Asociarse con la Oficina de Educacion del Condado de Napa para evaluar como los distritos y escuelas se estan alineando con los mandates de las polizas para implementar esfuerzos de prevencion, intervencion y posvencion del suicidio.

Objetivo 8.2 Promoverentrenamientos y recursos educativos para distritos y escuelas. For ejemplo, entrenamiento para QPR, entrenamiento para deteccion y evaluacion de riesgos, reingreso despues de un intento de suicidio, posvencion en entomos escolares y participacion dejovenes y padres.

Objetivo 8.3 Promover programas qiie aumenten los factores de proteccion y reduzcan los factores de riesgo, incluyendo grupos que se enfocanenjovenes.

Objetivo 7.4 Promover el programa de L>irectmg_ChaM^e gratuito de prevencion del suicidiojuvenil en las escuelas del Condado de Napa. Este programa prepara a losjovenes a reconocer las senales de suicidio y como ofrecer apoyo. 12 I P age

ATTACHMENT 1

NAPA COUNTY
Health & Human
Services Agency
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[Recursos Adicion(Fapacitacion en todo el condado para garantizar qye mas ?eK&Ics dfc i<»J»tittitt£tS > <.utf«<> ayddai a itkia pfcraOiifa qiie ^u^L^ c^iar pehiitihdo cn suicidarse.

Capacitacion es un componente esencial de nuestro plan estrategico. La capacitacion ayuda a fomentar conocimientos y habilidades consistentes para aquellos que estan en una posicion clave para reconocer y responder a riesgo de suicidio y ayuda a conectar a la comunidad de maneras significantes. Hay ejemplos de entrenamientos disponibles que varian en duracion e intensidad y que se adaptan a poblaciones y ambientes particulares. Implementar una variedad de capacitaciones puede ayudar a garantizar que mas personas en nuestra comunidad tengan el conocimiento y las habilidades necesarias para reconocer e intervenir cuando alguien pueda estar pensando en suicida Meta 9: Desarrollar e implcmcntar un plan de capacitacion que prepare a la coniunidad y a los proveedores en el Condado de Napa para reconocer y responderal ricsgo de suicidio.

Objetivo 9.1 Establecer un grupo de capacitacion dentro del Consejo de Prevencion del Suicidio para coordinar los recursos y oportunidades de capacitacion que existen. El grupo de capacitacion, junto con otros, tambien evaluara las oportunidades, modeios y brechas de capacitacion actuates e identificar oportunidades de entrenamiento y recursos para organizaciones dentro el Condado de Napa.

Objetivo 9.2 Proporcionar capacitacion a grupos comunitarios sobre la prevencion del suicidio. Priorizar la capacitacion para reconocer y responder al riesgo de suicidio en ambientes clave como lugares de trabajo, escuelas, programas de atencion ajovenes, instalaciones residenciales para adultos mayores y programas de servicios para personas de la tercera edad.

Objetivo 9.3 Explorar diferentes maneras de capacitacion que estan mescladas con normas ciilturales de poblaciones desatendidas y en g; riesgo en ei Condado de Napa. Abordar las necesidades de los grupos vulnerables y adaptarse a los contextos cutturales y situaciones ^ dentro de nuestra comunidad. t'
^Juntos Podemos Hacer la Diferencia!
Lograr miestra vision de eliminar el suicidio en el Condado de Napa requiere el apoyo de todos en nuestra comiinidad.

Necesitamos su ayuda. Ya sea compartiendo opiniones sobre este plan, aprendiendo mas sobre las senates de advertencia y como ayudarse a si mismo o a otra persona, o encontrando nuevas formas de conectarse con otras personas en nuestra comunidad, listed tambien puede hacer la diferencia. Con el apoyo y colaboracion de personas, agencias y organizaciones, podemos prevenir el suicidio.

Para mantense conectado con los esfuerzos actuales y aprender como participar, visite nuestra pagina de web:

Napa County Suicide Prevention Council | Napa County, CA ('countyofnapa.ore) itsta preocupado por alguien?
El sufrimiento no siempre se nota, Si observa, aunque sea una de estas senates, especialmente si nota que el comportamiento es nuevo, ha aumentado o parece estar retacionado con un evento, p6rdida o cambio doloroso, actue o diga algo para ayudar a un ser querido:

Sefiales de alerta para tener en cuenta:
• Hablar de querer monrse o suicidarse
• Buscan una manera de suicidarse
• Sentirse sin esperanza, desasperado
o atrapado
• Regalar pertenencias
• Poner sus asuntos en orden
• Cornportamiento imprudente
• Enojo inexplicable
• Aumento en el consumo de
drogas o alcohol
•Aisiarsedelosdemas
• Ansiedad o agitacion
• Alteracion en el sueno
• Cambios repentinos del humor
• Sentirse inutil
Si esta preocupado par alguien, acerquese y pregunte: "(.Estas pensando en suicidarte? St cree que la persona es suicida, tomello en serio. No las deje solas. Llame a la tinea de Vida Nacional de Prevention de Crisis y Suicidio al 988 y pulsa 2 o Itame al 911 para emergencias que amenacen la vida.

Visite suicideispreventable.org para saber si alguien que usted conoce podria estaren riesgo.; 13 | P a g e

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Mental Health Services Oversight and Accountability Commission Striving for Zero. California's Strategic Plan for Suicide Prevention Striving For Zero Learning Collaborative Modules and R.esources ^fochMind
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California Mental Health Services Authority
Know the Signs Strategic Planning for Suicide Prevention Learning Collaborative Know the Signs
The Surgeon General's Call to Action to Implement National Strate.gy for Suicide Prevention CDC
Centers for Disease Control and Prevention
Preventing Suicide: A Technical Package of Policy, Programs, and Practices ACTION 0

ALLIANCE
National Action Alliance for Suicide Prevention
Transforming Communities: Key Elements for the Implementation of Comprehensive Community-Based Suicide Prevention National Action Alliance for Suicide Prevention
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Suicide Prevention Resource Center
Suicide Prevention Resource Center
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Suicide Is Preventable
14 I Pa ge

ATTACHMENT 1

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WHAT MAKES A

SPACE AFFIRMING
FOR 2SQT /
LGBTQ+ YOUTH
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Indigenous communities have historicaiiy celebrated
and venerated two-spirit individuals, someone who
was considered neither man or woman, and instead
represented a third gender. Why do we use 2SQT+
acronym? The acronym 2SQT stands for:

Two Spirit Queer and Trans+ and makes a
conscious effort to center Indigenous communities
and reclaim gender expansiveness.

Research consistently finds that 2SQT / LGBTQ+ youth
who live in accepting communities and feel high social
support frorri family and friends report significantly iower rates of attempting suicide. An affirming space may be at home, school, workplaces, or community events. On the
other side of this tip sheet are a few ways in which you can create a more inclusive and affirming space for young people who identify as two-spirit, lesbian, gay, bisexual, transgender, queer, and questioning.
2SQT / LGBTQ+ youth who reported having at least one
2SQT / LGBTQ+ affirming space had 35% i-whsced odds of
reporting a suicide attempt in the past year.
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2SQT/LGBTQ+
Affirming Suicide
Prevention Resources:
988SUICIDE & CRISIS LIFELINE
^ Call or text 988 or
; chat 9881ifeline.org ^ ^ • ' £
.LGBTQ+ youth & adults: Press 3:

En Espanol: Presione 2
For TTi' Users: Use your preferred relay
service or dial 711 then 988
; The Trevor Project
.1-866-488-7386
wv/w.thetrevorproject.org/get-help-now/
Phone.chat, and text support
^^'.for IGTBQ+ youth
I jtHE TRANS LIFELINE ,
|^1:.877-565-8860 ':
j|24/7 lifeline run by and for trans peopile
K-y^^:;'
's'^^
suicideispreventable.org
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City Council Regular Meeting
9/19/2023
Supplemental - Item 3.B.

ATTACHMENT 1

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^ As you look through the suggestions befow, it is important to consider that the process of coming out Is a deeply personal experience, and should onty ever be done on an individual's own terms, when they are ready.

II
0Obtain training for providing 2SQT/ LGBTQ+ affirming care and support.
^e
0 0
0 0
0 Explicitly state that you are 2SQT / LGBTQ+ affirming in conversations, meetings, and other opportunities.

Display a poster or visible sign of support (i.e., art by 2SQT/ LGBTQ+ artists) to send a message to everyone who enters a space that all identities are welcome and supported.

Ask and use the correct pronouns and name. There is no way to know someone's gender identity or pronouns based on their gender expression or appearance. Instead of assuming what pronoun a youth uses, for instance, create space where they feel confident and safe disclosing that to you. You can also provide spaces where they can try on names and pronouns they are considering.

Utilize gender neutral language and avoid heterosexist
language (e.g., "mother" and "father" vs. Caregiver") or gender binary language (e.g.."daughter" or "son" vs. children).

Advocate for and promote inclusion and non-discrimination policies that explicitly list. protections based on sexual orientation, gender identity, and gender expression.

Policies supporting 2SQT / LGBTQ+ youth should be
displayed prominently.

Utilize 2SQT / LGBTQ+ affirming paperwork, even if only used internai!y, it should always reflect the gender, pronouns, and names of individuals or employees.

Maintain youths' confidentiality. Be upfront and clear with youth about your dedication to confidentiality, which can help to build trust.

CREATING 2QST / LGBTQ+ AFFIRMING SPACES
seeing that LGBTQ {2SQT} people are out and happy in the space + a certain vibe + diverse authority figures + asking and using correct pronouns and name + if they have "LGBTQ {2SQT} friendly" in their description online + diverse LGBTQ {2SQT} staff + publicly out leaders / organizers + other LGBTQ {2SQT} people of color
) {^
- The Trevor Projects, 2022 National Suivey on LGBTO Youth Mental Health Source: The Trevor Projects, 2022 National Survey on LGBTQ Youth Mental Health ^

ATTACHMENT 1

International
Survivors of
Suicide Loss
Day 2023
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November 18,2023 (Saturday) J|
Aldea 4820 Business Center Dr.

Fairfield, CA 94534 8:30-12:30pm
This year Solano & Napa County are partnering to support Survivors of Suicide Loss. Each year, AFSP supports hundreds of large and small Survivor Day events around the world, in which suicide loss survivors come together to find connection, understanding and hope through their shared experience.

While each event is unique and offers various programming, all feature an AFSP-produced documentary that offers a message of growth, resilience and connection.

Check-in
8:30to9:00am
^Refreshments
will be served
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Register at:
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For more info:

Event Co-Coordinator
Lori Espinosa
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[email protected]
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Bring photos of
your loved one
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Keynote Speaker:

Local Journalist and
Author Tony Wade
American Foundation for
Suicide Prevention
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City Council Regular Meeting
9/19/2023
Supplemental - Item 3.B.

ATTACHMENT 1

ATTACHMENT 2

SUPPLEMENTAL REPORTS &
COMMUNICATIONS Office of the City Clerk
City Council of the City of Napa
Regular Meeting
September 19, 2023

FOR THE CITY COUNCIL OF THE CITY OF NAPA
EVENING SESSION:

SUBMITTED PRIOR TO THE CITY COUNCIL MEETING

12. ADMINISTRATIVE REPORTS:

12.A. Proposed Water Rates
• PowerPoint Presentation from City Staff correcting the date to November 7, 2023 at 6:30 pm on slide 21.

ATTACHMENT 1

City
of Napa Water Rates
“You don
’t know the value of
water until the well runs dry”
- Ben Franklin
Septem
ber 19, 2023
“Whisk
ey is for drinking...

Water is for fighting”
-Mark Twain
City Council Regular Meeting
9/19/2023
Supplemental - Item 12.A.

From: City Staff

ATTACHMENT 1

2 • Water S
upplies
 Lake Henn
essey
 Milliken Reservoir
 State Water Project
• Water Treatment - 3 Plants (43 MGD)
• Water Tr
ansmission
14 Storage Tanks
(31 million gal)
10 Pump Stations
11 Regulator Stations
• Water Distribution
 360 m
iles of Pipelines
 25,500 Water Services (City & Unincorporated
County)
$941 Mill
ion SystemCity of Napa
Water System

ATTACHMENT 1

3  Annual Bud
get $38 Million
 $6M annual Capital Improvements
 24/7 Operation
 68 full-time staff
 Real-time monitoring at treatment plants
 Hundreds of samples every week
 Certified, licensed professionals
operatin
g at all times
Turbidim
eters
City of Napa
Water System

ATTACHMENT 1

Water
Rates Cost of Service
 Revenue
Collected
 No taxes
 >90% of revenue is bimonthly water bills
 Cell tower leases, capacity fees/new connections
 Costs to Operate and Invest in System
 O&M
 Capital Improvements
 Non-recurring (Sanitary Survey of Watersheds,
Urban Water Mgmt Plan)
 Detailed review 6 years ago in 2017
4 ... costs
to provide
service

ATTACHMENT 1

Current S
tatus of Water Enterprise
 Rates not
adjusted since October 2021
 Budget deficit of $6.8 M if we maintain $6M annual
CIP commitment
 Proposed Rates are necessary
 Operate the system
 Purchase water supply
 Invest in infrastructure
… Reliable System …
5

ATTACHMENT 1

6 Demand Pr
ojections

ATTACHMENT 1

Operating
Expenses
 Inflationar
y Increases
 24/7 operation
 68 staff ensure Regulatory Compliance
 Water Supply - State Water Project (+$2M)
 Treatment – Chemicals (+$700k since 2020)
 Distribution –Repair Clamps, Fittings, Pipe
(+$250k)
 Risk/Liability – (+$700k)
7

ATTACHMENT 1

8 No Rat
e Increase

ATTACHMENT 1

9 Propos
ed Rate Increase
Meets nee
ds for operations, maintenance and water supply
costs
Increases annual contribution to CIP from $6M to $8M by 2028
Prepares for 30-Yr Master Plan and Financial Plan
Supports $100M Bond issuance in 2027 ($7.2M annual debt service)

ATTACHMENT 1

10 Identified
CIP Needs
 Water
Quality - focus on Hennessey Treatment Plant Upgrades in 2028- 2030 ($80M)
 Water Supply – Hennessey spillway expansion ($10M)
 Water Transmission – 12-in on BV Road, 36-in AC main 17 miles ($4M/mile)

ATTACHMENT 1

11 Current and
Proposed Rates

ATTACHMENT 1

12 Current and
Proposed Rates

ATTACHMENT 1

13 Residential
1-in meter
Indoor Consumption: 8 units (4 units per month)
$42.57
$47.88
$53.62
$58.45
$68.81
$63.71
Typical Win
ter Monthly Bill
Adjustment is approximately $5 per month
52% of all bills will be at this level or lower

ATTACHMENT 1

14 Residential
1-in meter
In/Outdoor Consumption: 16 units (8 units per month)
$62.86
$72.32
$81.00
$88.29
$103.93
$96.23
Adjustment
is approximately $8-10 per month
77% of all bills will be at this level or lower
Typical Su
mmer Monthly Bill

ATTACHMENT 1

15 Typical F
amily of Four

ATTACHMENT 1

Assistance Programs
 *RateShare
Program – $25 per bill discount for low-income
single f
amily residential customers who are enrolled in PG&E
CARE program.
 Low Income Household Water Assistance Program (LIHWAP)- Administer
ed through Dept of Health & Human Services, bills
are paid directly to City of Napa as eligible utility. Extended thru March 31, 2024.
* RateShar
e Program is funded by non-rate revenue received from cell tower leases.

ATTACHMENT 1

17 * Total
cost is higher; a portion of capital costs are paid through property taxes.

Compariso
n to Bay Area

ATTACHMENT 1

18 Clean, safe,
reliable tap water:
• 1 penny per gallon
• Delivered!
Value o
f Water

ATTACHMENT 1

 Clean safe,
reliable, low-cost water for our customers
 Manage the system and invest in infrastructure to:
 ensure system reliability
 reduce long-term O&M costs
Water
Enterprise Goals

ATTACHMENT 1

 Sept 22
– Prop 218 Notice of Public Hearing
 Nov 6 – 45-day period for Prop 218 Notice ends
 Nov 7 – Public Hearing to consider adoption of
proposed rates
2024
 Jan 1–
Adopted Rates take effect
 Mar 1- First bills under new rates delivered to
customers
Next S
teps
2023

ATTACHMENT 1

Author
ize staff to provide written notice by mail of
the proposed update to water rates in compliance
with all requirements of state law, and schedule a
public hearing to consider adoption of updated water
rates on November 7, 2023, at 6:30 pm.

Request
ed Action

ATTACHMENT 1

22 Question
s
or
Comments

ATTACHMENT 1