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Memorandum of Understanding
1. Involved Entities:
A. Crisis Connections
B. Correction aIInstitution— KittitasCountyJaiI
2. Preamble and Purpose:
A. The purpose of this Memorandum of Understanding (MOU) is to outline roles and
responsibilities in relation to individuals who are scheduled for a Bridger/ScalaNW
appointment. Crisis Connections (CC) and Kittitas County Jail will continue to operate as
separate organizations, assuming no liability for the actions of the other organization,
maintaining confidentiality as required.
3. Entity Overview:
A. Crisis Connections operates multiple free and confidential telephonic, text and chat services
to residents of Washington State including the WA Warm Line, WA Recovery Help Line, WA
Teen Link, King County 211, as well as the 988 Suicide and Crisis Lifeline, and regional crisis
lines for nine counties in WA State. Crisis Connections provides 24/7/365 crisis telephone
services in accordance with WAC (Washington Administrative Code) 246-341-0900/0905
and all other federal and state regulations for behavioral health crisis services, as well as all
appropriate International Council of Helpline accreditation standards. Annually, Crisis
Connections receives over 700,000 requests for help.
B. Kittitas County Jail is a Correctional Institution as defined by RCW 9,94.049.
4. Scope of Work:
A. CC will provide Kittitas County Jail 24/7 access to a scheduling phone line to make a
"Bridging Appointment" for patients who are discharging from a Correctional Institution in
the context of opiate use concerns. Three options of outpatient providers in their area will
be offered (at least one as a telehealth option).
B. Upon receipt of written consent to release the following information, Kittitas County Jail will
provide name, date of birth, dose/medication information (if given), insurance, brief
synopsis of clinical presentation and confirmation of verbal agreement of intent to attend
appointment provided by CC. CC will provide clinic/provider name/address/phone number
and specifics for the appointment to staff facilitating release to be given to the individual.
C. CC will initiate text, email, or phone call with reminder of upcoming appointments, based on
individuals' ability to receive communication.
5. System access and data sharing collaboration:
A. There will be no direct system access provided to Kittitas County Jail.
B. Personal Health Information will be shared confidentially and only directly through phone
connection. PHI will not be transmitted between Facility and CC via email, fax or text.
6. Confidentiality:
A. Both Crisis Connections and Kittitas County Jail will adhere to strict confidentiality protocols
and regulations to protect the privacy of callers and maintain the confidentiality of their
information, in compliance with HIPAA and 42 CFR. Information shared between the two
organizations will be used solely forthe purpose of providing continuity of care between the
Facility Provider, CC, and participating outpatient providers.
7. Term and Termination of Memorandum of Understanding:
A. This MOU will remain in effect until one or both parties request termination.
B. MOU maybe updated to include additional elements based on funding, community need,
and additional partnership opportunities.
Clay Myers
Sheriff
Kittitas County Jail
Signature:
Date: 7 - d9 -a
2
Michelle McDaniel
CFO
Crisis Connections !f�
Signature:
22/07/2026
Date