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County administrator says shift to integrated clinic model, outside providers will change HHS service mix; committee warned of monitoring needs

October 03, 2025 | St. Croix County, Wisconsin


This article was created by AI summarizing key points discussed. AI makes mistakes, so for full details and context, please refer to the video of the full meeting. Please report any errors so we can fix them. Report an error »

County administrator says shift to integrated clinic model, outside providers will change HHS service mix; committee warned of monitoring needs
County Administrator Ken Witt told the Public Protection and Justice Committee that the Health and Human Services department plans to shift certain behavioral-health services toward an integrated clinic model and to rely more on community partners, and he said staff do not expect those changes to have a negative public-safety impact.

Why it matters: The proposed change alters how the county bills and delivers substance-use and co-occurring services; if services move away from county delivery or if access changes, supervisors said they want to monitor for unintended impacts on public safety and service gaps.

Witt summarized a memo from HHS Director Bob Rort that identified two points: community partners can provide some services currently delivered by the county, and an integrated clinic model — where one counselor addresses co-occurring issues — has a higher billing rate and can be more cost‑effective than funding two separate counselors. Witt said the department believes the change is a business-model shift rather than a reduction in service quality and does not anticipate a negative public-safety outcome.

Witt and committee members discussed one data point in the memo: a reported 37% decline in substance-use‑specific county cases. Committee members cautioned that the drop does not necessarily mean fewer people need treatment; it may reflect choices by people to use other providers or to avoid county programs. Supervisor Lee and others urged collection of clearer statistics and suggested a dashboard or consolidated report combining data from courts, law enforcement, mental-health providers and other partners so the county could track trends such as competency evaluations and service referrals.

No formal action was taken; supervisors said they would monitor program metrics and could request program adjustments if the county sees service gaps affecting public safety.

Ending: Staff will continue to track usage and access metrics for behavioral-health services and report back if monitoring identifies a reduction in services or emergent public-safety concerns.

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Scribe from Workplace AI
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