Location:
Oak House
333A
Port
____________________________________________________________________
THE PUBLIC FORUM WAS CALLED TO ORDER BY Sue A. Kane, Chair, at 6:00 p.m., noting that these forums are offered as a means of gathering community feedback and input which can then be incorporated into the ongoing Continuous Quality Improvement Planning Process. It is a time for the Board to listen, not for response.
Kenny Baughman noted that once these activities are completed, the next step in the Continuous Quality Improvement Planning framework is the analysis of data and information such as outcomes, fiscal and service utilization and client characteristics. This includes the search for data driven by the opinions shared in the various forums. This leads to the development of recommendations for programming and funding relative to the implementation of board priorities. As a result of these processes, the recommendations are balanced across the various local needs and priorities and are consistent with State and Federal funding requirements and performance targets.
This is the beginning of the annual Continuous Quality Improvement Process with which the Board makes its major value decisions.
Comments/Suggestions/Concerns:
§
NAMI recovery/support groups meet at the
§ CIT trained individuals are desperately needed. Prison and jail time for those with mental health illness is not the answer.
§
CIT training for law enforcement is vital. It is
being offered in
§
Need CIT trained officers in Port Clinton and
§ Love and patience is needed to help those with mental illnesses. They can be productive and lead healthy lives, and supporting them is crucial.
§
Concerned that there is no “detox” facility
available in the area, and wondered what could be done about that. Those in of
need are forced to drive to
§
Thanks to the Board, NAMI, Oak House and Giving
Tree for sending consumers to the Annual 2-day NAMI conference in
§ Would like a guardian who is more personal, one who takes calls themselves, a direct line of communication would be helpful.
§ Chris
Galvin,
§ Judge
§ The Volunteers of America supports having an adult facility and noted that they receive a lot of calls for placement.
§ Son placed residential in Marion County is not receiving the help that he needs.
§
Housing needed in
§ Mariann Davids thanked the board for their progressive thinking, and agrees that housing is desperately needed in Ottawa County.
§
Lisa Byers, Oak House, thanked the board for
sending consumers to
The Oak
House is offering many services, some that do not exist in
The Board thanked everyone for their participation tonight
and continues to encourage the public to come and voice their concerns at
anytime. The board is appreciative of
the wonderful turn-out tonight and looks forward to addressing the
concerns/issues of the
MH&R
BOARD of
—
— the
oak house, port
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Present: |
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Dan
Ward |
Toni
DeLuca |
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Kenny
Baughman |
Bill Kimberlin |
Bob
Kasayka |
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Barbara
Hemphill |
Steve
Lippert |
Barbe
Limpert |
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Pam
McGlothlin |
Robert
Warner |
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Eric Zgodzinski |
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Office Staff: |
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Beth
Williams |
Patty
Notestine |
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Excused: |
John
Fellhauer |
Marlene
Boas |
Leroy
Sizemore |
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Absent: |
Steven Prentice |
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Guests: |
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Mariann
Davids |
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Jim
Fisher |
Tom
Courtney |
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Marty
Williams |
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The Mental Health and Recovery
Board of
Introduction of Guests: All guests
present were welcomed by the Board.
Approval of Agenda:
Kenny moved to add
an agenda item under new business, discussion and motion for interim board
member appointments, seconded by Eric, motion carried.
Vee moved the agenda
be approved as revised, Toni seconded; motion carried unanimously.
Secretary’s Report:
Steve noted revisions
to be made to the April minutes.
Kenny moved to
accept the minutes of the April 15, 2008 meeting as amended (Lippert to Limpert, 11-F and 11-G to
II-F and II-G), Barbe seconded; motion carried unanimously.
Executive Director’s
Report:
Dr. Halliday reported on the
following: a) Monitoring Reports – no questions. b) Monthly Update: 1) The Conestoga Program in Ottawa County is moving
forward with the assistance of the Mayor and the Community Developer. They have
put forth a progressive and energetic plan to begin within the Conestoga target
area expenditures for sewer, water, and street improvements in the amount of
2.5 million dollars starting next year. This indicates that this program is
taking off and will have the additional services necessary to grow. We are also
in a position to work with Judge Hany on the intervention court that has been
started there. Hopefully, this will start to take place in actual usage next
month. 2) We have applied for the continuation of the Mental Health and
Collaborative Grant. 3) In Erie County the weed and seed program continues to
be our main vehicle for the next step in the Conestoga Program. A clean-up day has
been scheduled in June. c) Other: It is time again to conduct the executive
director evaluation as indicated in our policies. Although we need to review
and revise this policy as part of our continuing update of our rules and
procedures, it would be wise to use the procedure that was done before. Kenny
Baughman took the liberty of re-preparing the same format that was used for the
last executive director evaluation, noting that this should take only a few
minutes to fill-out, and once all forms are received back results can be
presented next month (reference policy number III-B). Kenny moved to enter into Executive Session to discuss personnel
matters at the conclusion of tonight’s meeting, seconded by Robert Warner. Roll
call vote as follows: Kenny; yes, Toni; yes, Barbara; yes, Bob; yes, Bill; yes,
Barbe; yes, Steve; yes, Pam; yes, Vee; yes, Dan; yes, Robert; yes, Eric; yes,
and Sue; yes. Motion carried unanimously. d) Program Division Report review (reports
included in packet), progress is moving ahead on the behavioral
health program at the detention home, we are now providing assessment,
consultation, counseling and intervention to youth and families. Firelands, as
the implementing agency, has a clinician on-site for 24 hrs. per week, spread
across four days. Early Childhood Mental Health Treatment Expansion: Bayshore
will be working with the Help Me Grow and Health Depts. in each county to
develop referral and program protocols around the expansion of the ECMH
consultation and treatment program. Board-Agency System Integration Meeting:
Board and agency staff met to review programming and reporting requirements
under the FY09 contract. The next meeting will include feedback on revision to
the Agency and Board/System Progress Reports, access/waiting list protocols,
service/intervention mix consistent with Stages of Change Model, and
identification of training/community implementation of Stages of Change into
the alcohol/drug treatment system. System Reform Update: at the state wide
level there is a move to change the funding structure. The state is thinking
about taking over the responsibility to provide the match for Medicaid. Those
Board’s that will benefit mostly include; Cleveland, Columbus and Cincinnati.
We do expect to lose monies in this process. The state will also take away many
of the state funds in order to pay for this. Our upcoming board training will
discuss this issue in more detail. The Training will be held at the Sandusky
Artisans on Wednesday, June 4th,
CQI –
Continuous Quality Improvement planning: Board/System and Agency Progress
Reports – Monitoring: (see hand-out provided).
Presented by Beth Williams; the contract provision measures that we are
monitoring have been static for this quarter. This is not an indicator of lack
of progress; services are happening and are pointed out in the comments of each
individual agency report.
These contract provision measures
will be changed for the FY09 contracting period. We are implementing a new
reporting form that better reflects board priorities and planning initiatives.
The specific measures will be modified to reflect current programming such as
the new detention home services that is occurring in Erie County or the newly
developed Indigent Drivers Funds (still being developed) in Ottawa County.
Expenditures: This quarter reflects
the full 12 month period, the prior quarters were for the first six months. The
AoD Medicaid usage is up in this quarterly report. The youth/family services
are well under the cap, whereas Ottawa is about equal to where it should be if
you combine the MH/AoD usages. These dollars should be more utilized in FY09.
The AoD treatment service group usage is within the bounds of the yearly caps.
The Indigent Drivers Funds have not been used to date but there are now
approximately seven clients referred to Bayshore by the courts.
System Wide Outcomes: We did not get
a chance to meet with the agencies prior to presenting this information to the
board. The Giving Tree Adult and Youth AoD abstinent rate should have been
closer to the 80% goal. This would have increased the system wide by
approximately 10%, erasing the decline in the percent from the prior period for
youth.
For the MH system wide outcomes, the
GP measure will no longer be collected starting the beginning of this fiscal
year. We will be collaborating with agency staff to identify new ways and any
new reporting measures that we will want to monitor for FY09.
Access: On a system wide level 58%
of both MH and AoD clients receive their first assessment within three to
twenty days.
The actual consumer surveys were a
topic of discussion; they are hard to understand and time-consuming to
fill-out.
Consent Agenda:
Beth Williams presented a brief overview of the
consent agenda.
Discussion:
Kenny moved to strike
item two, designation of health officers for Firelands from the consent agenda (incorrect information listed), seconded by Eric, motion carried.
Discussion concerning
the amount of dollars allocated for legal services, particularity Vickie
Ruffing, Board Solicitor, and Linda Van Tine, Guardianship Services. It was
noted to have Linda Van Tine come to the Board at some point and explain what
it is that she does.
Resolution No. 05-2008-01:
Whereas the revised Consent Agenda has been reviewed for appropriateness and
compliance with Board Policies; therefore Eric Zgodzinski resolved the Mental
Health and Recovery Board of Erie and Ottawa Counties approve the business
contained in the Consent Agenda, Toni DeLuca seconded. Roll call vote as
follows: Kenny; yes, Toni; yes, Barbara; yes, Bob; yes, Bill; no, Barbe; yes,
Steve; yes, Pam; abstain, Vee; yes, Dan; abstain, Robert; yes, Eric; yes, and
Sue; yes, resolution carried.
Board Concerns:
Bob Kasayka would like to see more advertising done for our public forums. Beth Williams will check into advertising in the newspapers and on the radio for a public service announcement. Other resources mentioned; local schools, buckeye cable, 211 line information system, and billboards.
The future of the Boards and funding streams are of great concern and it was mentioned that we use every resource possible to voice our concerns.
Pam McGlothlin asked again for all members to please support and join NAMI, everyone’s help is needed for them to continue their programs.
Old Business: None
New Business:
The Board Chair read a letter she had received from Patty Notestine confirming her graduation from Terra State Community College and her sincere thanks to the Board for their continued support.
Thank you Lisa for providing us with the wonderful food, and thanks to all for the great turn-out for tonight’s public form.
Kenny Baughman noted that under 340.02 it states that each board member shall be appointed for a term of four years commencing on the first day of July. No member will serve more than two consecutive four year terms, a member may serve for three consecutive terms only if the term is for less than two years, therefore totaling less than ten years. Kenny Baughman moved to direct the executive director send notice to the appointment authorities that this board would like to see the continued service of those members who have reached the end of their second term until such time as an appropriate replacement can be named for a time period not to exceed twenty-three months. Seconded by Bill Kimberlin, motion carried. Discussion: Dr. Halliday would like to run this by the Board’s legal council, Ms. Ruffing. Bob Kasayka would be interested in extending his term, although Toni DeLuca and Vee Reifsnyder have already served eleven years on this board and do not wish to extend their terms.
Commentary:
· Lisa Byers thanked everyone for coming tonight.
· Jim Fisher supports advertising especially with a levy coming in 2010. The community needs to know what we’re doing, what the providers are doing, and where the monies are going.
· Tom Courtney, BCS, wanted to recognize Barbara Feldmar and Marge Hoyt, having them at Bayshore has been a great asset to us with their combined experience and expertise in their fields.
Review Decisions Made and Action:
·
Approval of agenda as amended,
motioned by Vee, seconded by Toni, motion carried unanimously.
·
Approval of Secretary’s Report as
corrected, motioned by Kenny, seconded by Barbe, motion carried unanimously.
·
Kenny
moved to go into Executive Session to discuss personnel issues immediately following
the board meeting, seconded by Robert. The Chair recognized the motion to have
an Executive Session to discuss personnel matters at the end of the agenda and
the conclusion of business. Motion approved and roll call vote taken.
·
Kenny moved to strike item two, designation of
health officers for Firelands from the consent agenda (incorrect information listed), seconded by Eric, motion carried.
· Kenny Baughman moved to direct the executive director to send notice to the appointment authorities that this board would like to see the continued service of those members who have reached the end of their second term until such time as an appropriate replacement can be named for a time period not to exceed twenty-three months. Seconded by Bill Kimberlin, motion carried. Dr. Halliday would first like to run this by the Board’s legal council. Bob Kasayka would be interested in extending his term, although Toni DeLuca and Vee Reifsnyder have already served eleven years on this board and do not wish to extend their terms at this time.
The Board entered
into Executive Session at this time.
Respectfully submitted,