{"id":23934,"date":"2025-01-21T23:31:58","date_gmt":"2025-01-22T06:31:58","guid":{"rendered":"https:\/\/dh.durangoherald.com\/tj\/mancos-adopts-former-county-crisis-intervention-program\/"},"modified":"2026-03-30T22:45:15","modified_gmt":"2026-03-31T04:45:15","slug":"mancos-adopts-former-county-crisis-intervention-program","status":"publish","type":"post","link":"https:\/\/dh.durangoherald.com\/tj\/mancos-adopts-former-county-crisis-intervention-program\/","title":{"rendered":"Mancos adopts former county crisis intervention program"},"content":{"rendered":"<p><figure class=\"wp-block-image naviga-inline-image\"><img decoding=\"async\" src=\"https:\/\/imengine.public.prod.dur.navigacloud.com\/?uuid=23ad8b5e-57ab-55bc-a513-c3174bffcbe5&amp;function=cover&amp;type=preview&amp;source=false&amp;width=2000\" width=\"2000\" height=\"1333\" alt=\"Charlee Sharp, a certified addiction specialist, and Quinn Deffenbaugh gear up and ready to respond to a noncriminal call, as part of the Community Intervention Program. (Haley Leonard-Saunders\/Courtesy photo)\" class=\"naviga-image\" loading=\"lazy\"><figcaption><span class=\"caption\">Charlee Sharp, a certified addiction specialist, and Quinn Deffenbaugh gear up and ready to respond to a noncriminal call, as part of the Community Intervention Program. (Haley Leonard-Saunders\/Courtesy photo)<\/span><\/figcaption><\/figure>\n<\/p>\n<p>At the Mancos Town Board meeting Jan. 8, the five trustees unanimously agreed to approve the town\u2019s adoption of a crisis intervention program that had been under county control.<\/p>\n<p>In that same motion, the trustees agreed to donate $10,000 to it.<\/p>\n<p>\u201cMancos needs it,\u201d said Mancos Town Administrator Heather Alvarez. \u201cIf we\u2019ve got to keep a countywide program just for the benefit of people in Mancos, we will.\u201d<\/p>\n<p><figure class=\"wp-block-image naviga-inline-image\"><img decoding=\"async\" src=\"https:\/\/imengine.public.prod.dur.navigacloud.com\/?uuid=714c5573-c86a-5e03-ac44-345296dec10b&amp;function=cover&amp;type=preview&amp;source=false&amp;width=2000\" width=\"810\" height=\"728\" alt=\"Mancos Town Administrator Heather Alvarez.\" class=\"naviga-image\" loading=\"lazy\"><figcaption><span class=\"caption\">Mancos Town Administrator Heather Alvarez.<\/span><\/figcaption><\/figure>\n<\/p><p>That program, the Community Intervention Program, sends a behavioral health clinician and an EMT to noncriminal calls in lieu of law enforcement \u2013 think substance abuse or behavioral health crises.<\/p>\n<p>As of Dec. 11, the CIP team had responded to 2,460 calls since it started two years ago.<\/p>\n<p>Mancos Town Marshal Justen Goodall, who had the initial idea to start the program, said it takes a load off law enforcement time-wise and liability-wise.<\/p>\n<p><figure class=\"wp-block-image naviga-inline-image naviga-align-left alignleft\"><img decoding=\"async\" src=\"https:\/\/imengine.public.prod.dur.navigacloud.com\/?uuid=53bb194a-fe45-5f38-962d-80e1ff24342c&amp;function=cover&amp;type=preview&amp;source=false&amp;width=2000\" width=\"1110\" height=\"1608\" alt=\"Mancos Town Marshal Justen Goodall.\" class=\"naviga-image\" loading=\"lazy\"><figcaption><span class=\"caption\">Mancos Town Marshal Justen Goodall.<\/span><\/figcaption><\/figure>\n<\/p><p>\u201cLaw Enforcement is liable civilly and criminally when responding to and interacting with a subject in crisis,\u201d Goodall said in an email. \u201cIf an officer uses deadly force instead of deescalation, they can be prosecuted criminally, and the individual officer and department sued civilly.\u201d<\/p>\n<p>That\u2019s where the need for the Community Intervention Program comes in: \u201cIt allows for mental health clinicians to work with the subject in crisis and law enforcement is there for scene safety only,\u201d Goodall said.<\/p>\n<p>From the program\u2019s official start in May 2022, then, it has operated as a collaboration.<\/p>\n<p><figure class=\"wp-block-image naviga-inline-image\"><img decoding=\"async\" src=\"https:\/\/imengine.public.prod.dur.navigacloud.com\/?uuid=76c0fcf7-acbb-55a7-b486-3b96a32464e7&amp;function=cover&amp;type=preview&amp;source=false&amp;width=2000\" width=\"720\" height=\"420\" alt=\"Officials from Montezuma County, law enforcement, area towns, Axis Health and public health celebrated the launch of the Community Intervention Program on May 2, 2022. (Journal file photo)\" class=\"naviga-image\" loading=\"lazy\"><figcaption><span class=\"caption\">Officials from Montezuma County, law enforcement, area towns, Axis Health and public health celebrated the launch of the Community Intervention Program on May 2, 2022. (Journal file photo)<\/span><\/figcaption><\/figure>\n<\/p><p>Axis Health Systems has provided behavioral health clinicians; Cortez Fire Protection District, EMTs. The county\u2019s three municipalities \u2013 Cortez, Mancos and Dolores \u2013 provided funding \u2013 $177,000, $32,000, and $18,500, respectively \u2013 at the start, to support it.<\/p>\n<p>At the same time, the county assumed the role as its fiscal agent and paid $292,000 in ARPA funds.<\/p>\n<p>\u201cThe county did not provide any additional funding,\u201d said Montezuma County Public Information Officer Vicki Shaffer in an email.<\/p>\n<p>And so even though it was almost entirely grant-funded, the program was set to end on Dec. 31, as the county didn\u2019t re-up its contracts with Cortez Fire and Axis Health.<\/p>\n<p>\u201cThe county never intended to run the program indefinitely,\u201d Shaffer said.<\/p>\n<p>The program began under the county\u2019s Office of Emergency Management, and switched to the Public Health Department in 2023, Shaffer said.<\/p>\n<p>\u201cThe purpose of the Public Health Department is education and prevention, not response. The Community Intervention Program does not fit within those goals. Likewise, it did not fit within Emergency Management, whose purview includes planning for and mitigation of disasters,\u201d Shaffer said.<\/p>\n<p><figure class=\"wp-block-image naviga-inline-image naviga-align-left alignleft\"><img decoding=\"async\" src=\"https:\/\/imengine.public.prod.dur.navigacloud.com\/?uuid=ec3a879e-6924-4303-8f84-a3fcc7d2c6ed&amp;function=cover&amp;type=preview&amp;source=false&amp;width=2000\" width=\"936\" height=\"1261\" alt=\"Montezuma County Commissioner Jim Candelaria.\" class=\"naviga-image\" loading=\"lazy\"><figcaption><span class=\"caption\">Montezuma County Commissioner Jim Candelaria.<\/span><span class=\"credit\">du1-i-syn<\/span><\/figcaption><\/figure>\n<\/p><p>Additionally, Montezuma County Commissioner Jim Candelaria said it\u2019s hard to quantify the success of a program like this one since much of the information and data detailing it is confidential.<\/p>\n<p>What\u2019s more, the program is outside the county\u2019s statutory requirements, which are things it must fund, Candelaria said.<\/p>\n<p>\u201cWe gave it a shot, now we\u2019re passing it on,\u201d said Candelaria. \u201cAs funding dwindles, we have to evaluate what we can and cannot do.\u201d<\/p>\n<p>And so the county worked with Mancos and passed over all the program\u2019s equipment \u2013 namely the Mercedes van \u2013 to help in the transition.<\/p>\n<p>\u201cIt\u2019d be really hard to do this without that,\u201d said Mancos Mayor Cindy Simpson of the equipment when the town agreed to take over the program at its board meeting.<\/p>\n<div class=\"naviga-element naviga-subheadline1\">How\u2019s the Community Intervention Program funded?<\/div>\n<p>As it stands, the program is fully funded through July 1.<\/p>\n<p>The SouthWest Opioid Response District awarded the program $77,548 of opioid settlement dollars, which covers the cost of Cortez Fire\u2019s EMTs.<\/p>\n<p>Behavioral Health Administration money that Axis reallocated will cover the cost of its behavioral health clinicians through June 20, said Haley Leonard-Saunders, Axis Health System\u2019s public information officer. She has worked on CIP from its start.<\/p>\n<p><figure class=\"wp-block-image naviga-inline-image\"><img decoding=\"async\" src=\"https:\/\/imengine.public.prod.dur.navigacloud.com\/?uuid=b66b7a5b-f480-557a-b3ef-bf4bfa99071c&amp;function=cover&amp;type=preview&amp;source=false&amp;width=2000\" width=\"2000\" height=\"1734\" alt=\"Haley Leonard-Saunders, the public information officer for Axis Health Systems.\" class=\"naviga-image\" loading=\"lazy\"><figcaption><span class=\"caption\">Haley Leonard-Saunders, the public information officer for Axis Health Systems.<\/span><\/figcaption><\/figure>\n<\/p><p>Alvarez said they\u2019re also in the process of setting up an online donation platform, and, Leonard-Saunders said they\u2019ve identified 18 possible funding sources.<\/p>\n<p>All things considered, Alvarez said, \u201cI\u2019m not sure it\u2019ll cost the town anything.\u201d<\/p>\n<p>And if it does, in the MOU\u2019s Alvarez used her \u201cadministrative discretion\u201d to sign at year\u2019s end to save the program, Mancos has an \u201cout\u201d in the event it can\u2019t come up with funding for the latter part of the year.<\/p>\n<p>\u201cJust want you to know you\u2019re not trapped by the fact that I went rogue and signed some MOU\u2019s at the end of December,\u201d Alvarez said with a laugh at the board meeting.<\/p>\n<p>But the departments involved \u2013 Axis Health, Cortez Fire and the town of Mancos \u2013 are confident they\u2019re eligible for grants that\u2019ll keep the program going in a town that, pre-audit, is working with $2,082,979 in 2025, compared with the county\u2019s preaudited budget of $26,079,052.<\/p>\n<p>\u201cOur budget is nothing to write home about,\u201d Alvarez said.<\/p>\n<p>Yet, when she heard the program might be discontinued at year\u2019s end, \u201cI said, what do I need to do to keep it going.\u201d<\/p>\n<p>\u201cWe scrambled to save it,\u201d Alvarez said.<\/p>\n<p>Shaffer said the only cost to the county in covering this program was \u201cthe time of those working on the program.\u201d<\/p>\n<p>Nobody in Mancos will be billing the program for their administrative time, Goodall said.<\/p>\n<p>When the program started and was put under the county\u2019s Office of Emergency Management, Emergency Manager Jim Spratlen oversaw it and \u201cdid not bill CIP for his hours,\u201d Shaffer said.<\/p>\n<p>That\u2019s because, when Spratlen oversaw it, American Rescue Plan Act money funded the program, she said.<\/p>\n<p>In 2023, when Public Health took over the program, it was grant-funded, and Health Director Bobbi Lock and Assistant Director Laurel Shafer billed CIP for their time.<\/p>\n<p>For the year, they charged $16,593 and $11,375, respectively.<\/p>\n<p>\u201cHealth department employee salaries were not increased to oversee the program,\u201d Shaffer wrote in an email. \u201cSome hours were billed to the CIP.\u201d<\/p>\n<p><figure class=\"wp-block-image naviga-inline-image\"><img decoding=\"async\" src=\"https:\/\/imengine.public.prod.dur.navigacloud.com\/?uuid=c1f6bebb-c31c-5dce-8133-e595a865545b&amp;function=cover&amp;type=preview&amp;source=false&amp;width=2000\" width=\"978\" height=\"906\" alt=\"Montezuma County Public Health Director Bobbi Lock (right) and Assistant Director Laurel Shafer (left).\" class=\"naviga-image\" loading=\"lazy\"><figcaption><span class=\"caption\">Montezuma County Public Health Director Bobbi Lock (right) and Assistant Director Laurel Shafer (left).<\/span><\/figcaption><\/figure>\n<\/p><p>The Public Health Department got an additional $26,609 to cover indirect costs, which is \u201ca set amount \u2026 in a grant that the administration of that grant can charge to the grant to cover costs that are not specified in the grant,\u201d Shaffer said in an email. \u201cThese costs include items that are the cost of doing business \u2013 phones, lights, office supplies.\u201d<\/p>\n<p>The Public Health Department declined to talk with <em id=\"emphasis-a7a1d0b68ab729f8533e142af8f88d76\">The Journal<\/em> for this article, saying they could speak only with the county\u2019s public information officer.<\/p>\n<div class=\"naviga-pdf-embed\"><iframe class=\"article-pdf\" src=\"https:\/\/dur-prod-public-pdfs.s3.us-west-2.amazonaws.com\/f7y8162Ze6jN6oVQeeROOxzUfgk.pdf\" style=\"width:100%;height:500px;border:1px solid #ddd\" loading=\"lazy\">\n<p><a href=\"https:\/\/dur-prod-public-pdfs.s3.us-west-2.amazonaws.com\/f7y8162Ze6jN6oVQeeROOxzUfgk.pdf\" target=\"_blank\" rel=\"noopener\">Balance sheet.pdf (Download PDF)<\/a><\/p>\n<p><\/p><\/iframe>\n<p class=\"naviga-pdf-link\"><a href=\"https:\/\/dur-prod-public-pdfs.s3.us-west-2.amazonaws.com\/f7y8162Ze6jN6oVQeeROOxzUfgk.pdf\" target=\"_blank\" rel=\"noopener\">Balance sheet.pdf<\/a><\/p>\n<\/div>\n<div class=\"naviga-element naviga-subheadline1\">Who uses the program, and why does it matter?<\/div>\n<p>Of the calls the Community Intervention Program has responded to, only 5% came from Mancos.<\/p>\n<p>The bulk \u2013 81% \u2013 came from Cortez.<\/p>\n<p>So when the county was first talking about not re-upping contracts to continue the program, the city considered taking it over.<\/p>\n<p><figure class=\"wp-block-image naviga-inline-image naviga-align-left alignleft\"><img decoding=\"async\" src=\"https:\/\/imengine.public.prod.dur.navigacloud.com\/?uuid=804b8e97-602e-5666-a2e4-7ff3da2ef4b4&amp;function=cover&amp;type=preview&amp;source=false&amp;width=2000\" width=\"566\" height=\"630\" alt=\"Cortez City Manager Drew Sanders.\" class=\"naviga-image\" loading=\"lazy\"><figcaption><span class=\"caption\">Cortez City Manager Drew Sanders.<\/span><\/figcaption><\/figure>\n<\/p><p>\u201cI don\u2019t really want to get into it. There were several reasons, but we decided it wasn\u2019t a good idea to take it on,\u201d said Cortez City Manager Drew Sanders.<\/p>\n<p>In Dolores, which accounts for 3% of the calls, Town Manager Leigh Reeves said they\u2019ll \u201cfind a way to help out.\u201d<\/p>\n<p><figure class=\"wp-block-image naviga-inline-image\"><img decoding=\"async\" src=\"https:\/\/imengine.public.prod.dur.navigacloud.com\/?uuid=dccae219-8583-5d82-8897-6142b228f303&amp;function=cover&amp;type=preview&amp;source=false&amp;width=2000\" width=\"1800\" height=\"1730\" alt=\"Dolores Town Manager Leigh Reeves.\" class=\"naviga-image\" loading=\"lazy\"><figcaption><span class=\"caption\">Dolores Town Manager Leigh Reeves.<\/span><\/figcaption><\/figure>\n<\/p><p>\u201cWe definitely have a need for mental health services,\u201d Reeves said.<\/p>\n<p>Commissioner Candelaria cited staggering statistics in a speech at the Community Intervention Program\u2019s kickoff on May 2, 2022.<\/p>\n<p>During the pandemic, there was an:<\/p>\n<div class=\"naviga-element naviga-x-im-unordered-list\">11.8% increase in welfare checks.25% increase in hospital and ER admissions for substance-related visits.21.5% increase in suicide dispatch.74% increase in calls relating to overdoses.8.7% increase in diagnostic evaluation Cortez integrated health walk-ins.<\/div>\n<p>Plus, in Montezuma County, there were 11 suicides in 2022. In 2023 and 2024, there were 12 each year, according to County Coroner George Deavers.<\/p>\n<p>\u201cThe number of behavioral health-related things increased after the pandemic,\u201d said Leonard-Saunders at Axis. \u201cLaw enforcement was under a lot of pressure in how they responded and were not trained in that way,\u201d<\/p>\n<p>\u201cRather than being defeated, the county is engaging our changing environment by collaborating with our local partners to enhance emergency response to the behavioral health crisis,\u201d Candelaria said in 2022 at the Community Intervention Program\u2019s start.<\/p>\n<p>Cortez Fire Battalion Chief Rick Spencer said the program goes beyond responding to a person\u2019s immediate need; the program also has provided people resources, like food, transportation to doctor\u2019s appointments or even help finding housing.<\/p>\n<p>Roughly 80% of the Cortez Fire\u2019s responses are EMS-related, and of that, 90% involve an intoxicated person, Spencer said.<\/p>\n<p>\u201cThe CIP team isn\u2019t a case management-based program. It\u2019s an immediate need, resource guidance kind of thing,\u201d said Spencer. \u201cIt\u2019s very successful.\u201d<\/p>\n<p>The Sheriff\u2019s Office also depends on the program.<\/p>\n<p><figure class=\"wp-block-image naviga-inline-image naviga-align-left alignleft\"><img decoding=\"async\" src=\"https:\/\/imengine.public.prod.dur.navigacloud.com\/?uuid=942129c4-1e60-5f86-bbc0-0b24374ff3f9&amp;function=cover&amp;type=preview&amp;source=false&amp;width=2000\" width=\"938\" height=\"1066\" alt=\"Montezuma County Sheriff Steve Nowlin.\" class=\"naviga-image\" loading=\"lazy\"><figcaption><span class=\"caption\">Montezuma County Sheriff Steve Nowlin.<\/span><\/figcaption><\/figure>\n<\/p><p>\u201cWe call CIP several times a week,\u201d said Montezuma County Sheriff Steve Nowlin. \u201cWe can\u2019t do without something like this.\u201d<\/p>\n<p>An interventionist that travels around the state and nation named Marlyce Bowdish echoed Nowlin\u2019s point.<\/p>\n<p>\u201cI was just in court in Cortez yesterday,\u201d said Bowdish. \u201cEvery single case was substance abuse and mental health-related. Every single case.\u201d<\/p>\n<p>\u201cMy friend from Denver next to me asked if it was a special drug court and I said no, it\u2019s Cortez.\u201d<\/p>\n<p>Bowdish said that in a rural place like Montezuma County, issues often are related to drugs or mental health.<\/p>\n<p>\u201cIt\u2019s important to respond in a way that\u2019s helpful and not hurtful,\u201d said Bowdish. \u201cThat saves lives.\u201d<\/p>\n<p>When police get involved, Bowdish said, \u201cthe outcome can be punitive and not helpful, or can escalate to a point where it never needs to go.\u201d<\/p>\n<p>\u201cThere needs to be a mental health professional there to advocate for intervention. If there isn\u2019t, the police will write a citation and walk out the door. Meanwhile the drug use and mental health problems continue,\u201d Bowdish said.<\/p>\n<div class=\"naviga-element naviga-subheadline1\">Why Mancos took it over<\/div>\n<p>\u201cWe just keep coming back to the citizens. They use it and need it, and every first responder I\u2019ve talked to supports it,\u201d Alvarez said.<\/p>\n<p>To be sure, even though Mancos is now the fiscal agent, the Community Intervention Program will still respond to noncriminal calls across the 2,040 square miles of Montezuma County.<\/p>\n<p>Plus, it will still be based in Cortez at Fire Station 3 and run as-is, since its current M.O. is \u201cgold standard,\u201d Alvarez said.<\/p>\n<p>And since it\u2019s funded for the next six months, the town has time to figure out \u201chow to move,\u201d Alvarez said.<\/p>\n<p>\u201cWhat we historically do at the town is, we will take on and assume ownership for projects. We did that for the farmers market, the creative district,\u201d said Alvarez. \u201cThe farmers market is still going, and the creative district is great.\u201d<\/p>\n<p>In essence, Alvarez said Mancos works with citizens and groups for a three- to five-year period. After that time is up, \u201cwe\u2019ll kick you out of the nest and you\u2019re on your own.\u201d<\/p>\n<p>\u201cThat\u2019s what we\u2019re looking at potentially doing here,\u201d said Alvarez. \u201cUltimately the goal is to make the program sustainable so it can run on its own.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u2018Ultimately, the goal is to make it sustainable so it can run on its own,\u2019 Mancos town administrator says <\/p>\n","protected":false},"author":1,"featured_media":21359,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[],"tags":[28,83,60,29,2638],"naviga_topic":[],"class_list":["post-23934","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","tag-headlines","tag-mancos","tag-montezuma-county","tag-newsletter","tag-opioids"],"acf":[],"author_name":"dh_admin","_links":{"self":[{"href":"https:\/\/dh.durangoherald.com\/tj\/wp-json\/wp\/v2\/posts\/23934","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dh.durangoherald.com\/tj\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dh.durangoherald.com\/tj\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dh.durangoherald.com\/tj\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dh.durangoherald.com\/tj\/wp-json\/wp\/v2\/comments?post=23934"}],"version-history":[{"count":1,"href":"https:\/\/dh.durangoherald.com\/tj\/wp-json\/wp\/v2\/posts\/23934\/revisions"}],"predecessor-version":[{"id":78329,"href":"https:\/\/dh.durangoherald.com\/tj\/wp-json\/wp\/v2\/posts\/23934\/revisions\/78329"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dh.durangoherald.com\/tj\/wp-json\/wp\/v2\/media\/21359"}],"wp:attachment":[{"href":"https:\/\/dh.durangoherald.com\/tj\/wp-json\/wp\/v2\/media?parent=23934"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dh.durangoherald.com\/tj\/wp-json\/wp\/v2\/categories?post=23934"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dh.durangoherald.com\/tj\/wp-json\/wp\/v2\/tags?post=23934"},{"taxonomy":"naviga_topic","embeddable":true,"href":"https:\/\/dh.durangoherald.com\/tj\/wp-json\/wp\/v2\/naviga_topic?post=23934"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}