Behavioral Health Board Meeting Minutes
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1 Behavioral Health Board Meeting Minutes Date: October 21, 2015 Start Time: 3:03 pm Adjournment: 4:50 pm Location: ASD Conference Rm., 109 Parmac Rd. #1, Chico, CA Board Members: Staff: Visitors: Absent: Present Butch Hastaran, Kristina Kaufman, Salvador Ventura, Bill Kehoe, Jacob Durant, Cynthia Harvey, Maureen Kirk, Jerald Lea Jeremy Wilson, Dorian Kittrell, Michael Allen, Sesha Zinn, Scott Kennelly, Madison Wyman, Gabriela Pappalardo, Dawn Rollins Tom Kelem Anthony Porter, Lieutenant Alan Smith, Dennis Hyde, Patty McReynolds Agenda Item/Issue: Discussion Summary: 1. Call to Order Meeting called to order at 3:03 pm Attendees introduced themselves Quorum determined Handouts reviewed September minutes approved with one change 2. Public Comment A community member requested if there was funding available to train officers and other members of law enforcement with better ways of handing individuals that have mental or behavioral health problems. She explained she had a family member with mental illness in the County Jail and noted that she has submitted a formal complaint to the sheriff regarding this experience. Butch Hastaran explained that there is CIT (Crisis Intervention Training) that is available to law enforcement that specifically addresses the treatment of individuals with mental health issues. Cynthia Harvey suggested that the community member communicate these concerns with the county jail regarding this situation. Dorian Kittrell noted that new legislation will expand training regarding mental health 1 Recommendation/Result/Action/ Next Step/Person Assigned/Due Date: Approved September Minutes will be posted on the Behavioral Health Department website.
2 awareness for all members of law enforcement. 3. Medical Staff Report None for this meeting 4. Announcements Bill Kehoe shared that he had recently read an interesting article regarding schizophrenia in the New York Times and urged other members to read the article as well. 5. NAMI (National None for this meeting Alliance on Mental Illness) 6. CIT (Crisis Intervention Team) None for this meeting 7. Committee Follow Ups -Consumer Advisor Committee -Community Outreach/Education -Behavioral Health Board Training Discussion 8. MHSA (Mental Health Services Act) -Training Coordinator Butch Hastaran shared that the horse they created had won 3 rd place in a competition and won the most creative award as well. The horse can be seen at the Iversen Center. Cynthia Harvey informed the Board that Dennis Hyde was unable to attend the Board meeting today. She also announced that Anthony Porter has indicated in an he may be withdrawing from the Board. However, she has not received anything formal yet in writing. Kristina Kaufman noted that on October 21, 2015 the Board participated in a training. She explained that a trainer from Sacramento, CA provided useful information to the Board regarding ways of more effective advocacy. Jeremy Wilson noted that Mary Wittenberg had recently retired from her role as the training coordinator for Butte County employees and explained that he will be taking on some of her duties temporarily until her position is 2
3 -MHSA Community Meetings -Reducing Disparities Project -Library Grant -Chico News and Review Insert -Therapeutic Solutions letter 9. Performance Review Unit -Paradise Treatment Center filled. Jeremy Wilson informed attendees that there are MHSA Community Meetings scheduled in Paradise, Gridley, Oroville and Chico over the following week. He also noted that the state bill for peer classification will be sent to legislators in January Jeremy also explained that a focus group for peer advocates within the workforce is currently in development. He also defined the California Reducing Disparities Project. This project is a collection of pilot projects in Butte County to better address the needs of minority populations including Hmong, Spanish and LGBQT+. Jeremy updated the Board regarding the library grant. He noted that Each Mind Matters will be implementing the grant. He also noted that along with Each Mind Matters they are working to expand this improved access to mental health information to other libraries across the state of California. Jeremy Wilson noted the recent insert in the Chico News and Review and thanked Tom Kelem from Stonewall for all of his efforts. Jeremy also noted that a flier for International Survivors of Suicide Day will be advertising a documentary regarding this subject in November Jeremy Wilson informed the Board that he has received a response from the letter sent Therapeutic Solutions and that he will continue communications with their organization. Tony Stefanetti and Program Manager Dawn Rollins shared their experience working at the Paradise 3
4 Adult Services Center. Tony Stefanetti and Dawn Rollins presented a PowerPoint presentation regarding The Hub, a consumer driven unit that provides recovery oriented services. Tony and Dawn both expressed their gratitude to Jeremy Wilson for funding assistance for The Hub through the MHSA (Mental Health Services Act). Salvador Ventura asked how many clients had been served at The Hub. Tony Stefanetti responded and explained that The Hub was relatively new and that they had only just recently started handing out calendars and informing the community of its services. Salvador Ventura asked if the clients of The Hub were returning individuals or if new clients were reaching out for services. Tony Stefanetti responded and stated that the majority of clients served were new individuals. Jeremy Wilson explained that peerto-peer services were available at The Hub. Tony Stefanetti added that familyto-family services are currently being discussed. Kristina Kaufman asked if employees of The Hub were pleased with the location and building. Tony Stefanetti responded that yes, he and other employees were pleased with the location. Kristina Kaufman asked if there were computers at The Hub. Tony Stefanetti responded and explained that there was a computer lab at The Hub. Sesha Zinn noted that the data collected from The Hub was new but that Systems Performance will be tracking information collected over the next year to present to the 4
5 10. Director s Report - Human Resources -Drug/Medi-Cal Waiver -Crisis Residential Board. Bill Kehoe asked if The Hub was similar to Iverson. Dorian Kittrell responded that The Hub was similar to Iverson, however Iverson has access to medication. He noted that both locations offer a computer lab and peer-to-peer counseling. Kristina Kaufman noted that The Hub was more similar to CAS (Chico Adult Services). Dorian Kittrell informed the Board of existing Human Resource issues currently faced by the department, but expressed his gratitude towards staff for stepping up their work to compensate. Dorian Kittrell provided updates to the Board regarding the implementation of the Drug/Medi- Cal waiver. He explained that the larger counties (for example, the Bay Area) will be the first to implement the Drug/Medi-Cal waiver followed by the medium sized counties. Dorian noted that the small counties would be the fourth stage of implementation and that it was still unclear when that stage would begin. He also explained that the fiscal impact of implementing the waiver is currently unknown and that the county will eventually need to develop an implementation plan if it would like to participate in the waiver. He explained that the department is currently looking throughout the region to locate potential providers as they are needed to qualify for the waiver. Dorian noted that a strategic meeting regarding the Drug/Medi- Cal waiver is scheduled to take place in November Dorian Kittrell informed attendees 5
6 -New Hires/Promotions -Housing Unit -Administration that the department had identified a potential contractor regarding the Crisis Residential and that plans are currently in negotiation. Dorian Kittrell noted that the completion of the interior construction is scheduled for January or February Dorian Kittrell congratulated the new hire of Bob Winkels at the Gridley Outpatient location. Additionally, Dorian congratulated Karen Vasquez on her recent promotion as the new Program Manager of the Chico Youth unit. Dorian Kittrell shared with the Board that he had been notified by the State of California that Butte County had received a tax credit to build the new Valley View permanent housing by the Torres Shelter in Chico, CA. He explained that this was the result of a joint effort by the City Chico, NVCSS (Northern Valley Catholic Social Service), Palm Communities, as well as the County of Butte. Dorian noted that he has no dates to share with the Board regarding the new housing unit at this time. Maureen Kirk asked if Stepping Stones was going to be relocated to Oroville, CA. Dorian Kittrell responded and explained that Stepping Stones Chico was being integrated with Stepping Stones, Oroville. Maureen Kirk asked if there were plans to move Stepping Stones back to Chico, CA. Dorian Kittrell responded that as of right now it is unknown if Stepping Stones will be relocated back to Chico, CA. He further explained that all clients will be provided transportation to and from services as they always have. Bill Kehoe asked if the Community Counseling Center will be opening 6
7 relocation 11. Ongoing Business - Nominations for 2016 Chair/Co- Chair according to schedule. Dorian explained the Center was opening and functioning and that that future planning was underway for permanent space for the clinic. Dorian Kittrell also noted that the current plan continues to include the Administrative Offices relocating to the La Dolce Plaza in Chico, CA as well as moving the Chico Community Counseling Center to 109 Parmac Rd, Chico, CA where the Administrative offices are currently located. Salvador Ventura asked if the Department of Behavioral health had conducted an impact study regarding the relocation of the Administrative Offices. Dorian Kittrell responded that the employees at the Administrative Offices are data analysts, accountants, and other similar positions and as a result of this very few consumers visit the location. He also noted that on-site Program Managers will not be moving. Kristina Kaufman expressed her concerns over the relocation of the Administrative Offices. She noted that she believed consumers would be further discouraged from visiting Administration as a result of the move. Additionally, she disagreed with the use of MHSA (Mental Health Services Act) dollars to fund the relocation. Dorian Kittrell responded and explained that he while he respected her views he disagreed with Kristina Kaufman s assertions. Cynthia Harvey informed the Board that voting for the 2016 Chair and Co-Chair of the Behavioral Health Board would occur at the November 2016 regularly scheduled Board meeting. 7 Board members shall submit their nominations to Geoff Davis or Dorian Kittrell within 10 days following the October 2015 Board meeting. Geoff Davis will have ballots
8 -PHF (Psychiatric Health Facility) Site Visit Discussion Maureen Kirk shared with the Board that she felt the physical environment in the PHF was not nurturing. For example, she felt the low ceiling in the location was not pleasant. Dorian Kittrell noted that he had recently approved the purchase of a ping-pong table for recreation purposes at the PHF. Kristina Kaufman expressed that she felt the current paint color at the PHF location as well as the low ceiling did not seem like calming features during times of crisis. Maureen Kirk suggested that a wall at the PHF facility be dedicated to showing client artwork. Dorian Kittrell shared that the Department of Behavioral Health had recently invested money into the PHF to improve the showers and fences at the facility. Bill Kehoe noted that he was impressed with the counseling provided at the PHF as well as the increased number of programs and activities available to clients. Maureen Kirk agreed with Bill Kehoe that staff seemed very caring of clients. Maureen Kirk asked if there were any plans to expand the number of available beds at the PHF. Dorian Kittrell responded and explained that the PHF would no longer be Medi-Cal eligible if the number of beds at the facility were increased. Salvador Ventura noted that he was impressed with the staff at the PHF but expressed concern regarding client privacy at the intake location at the facility. Dorian Kittrell responded and explained that the location of the intake desk was important to allow staff to address issues should they 8 prepared for the November 2015 Board Meeting
9 - Consumer Camping Trip develop. He added that the addition of a half-wall was a possibility to increase client privacy. Cynthia Harvey suggested that the PHF should separate areas for clients and staff for improved preventative measures in the event of a critical incident. Cynthia praised the quality of the staff at the PHF but believes a better location may improve staff morale. Dorian Kittrell noted that the camera and surveillance system at the PHF is currently being expanded upon to increase safety for clients and staff. A member of the public suggested that an outdoor garden that clients can participate in maintaining may provide a beneficial and healing activity for clients at the facility. Jerald Lea expressed concern regarding the safety of female staff with larger clients and asked if additional staff was available to address such a situation. Dorian Kittrell responded that additional staff was available. He added that the department had recently introduced a five percent staff differential between sites. He also explained that he has recently been able to promote staff nurse positions to psychiatric nurse to increase their salary. Additionally, Dorian informed attendees that psychiatrist salaries had been increased 16% to attract interest in working for the County. Kristina Kaufman explained that the consumers of the Iversen center desired to participate in a camping trip. Kristina noted that she understood there were conflicts involved with insurance that may cause issues with the scheduling and discussion of the camping trip. Dorian Kittrell responded and 9
10 explained that he would bring up the camping trip as an agenda item to the quarterly meeting with NVCSS (Northern Valley Catholic Social Service) in November. Bill Kehoe suggested that the consumers interested in a camping trip consider holding events like bake sales to help fund the trip. Dorian Kittrell will make an agenda item regarding the camping trip for the quarterly meeting in November with NVCSS. Additionally, Dorian will also research more information regarding the liability and insurance concerns related to the trip. 12. New Business None for this meeting 13. Public Comment None for this meeting 14. Adjournment The meeting adjourned at 4:50 pm The Behavioral Health Board will meet on November 18, at 3:00 pm at the ASD Conference Room, 109 Parmac Rd., Ste. 1, Chico 10
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