Behavioral Health Board Meeting Minutes

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1 Behavioral Health Board Meeting Minutes Date: April 19, 2017 Start Time: 3:00 p.m. Adjournment: 5:00 p.m. Location: Parmac Conference Room, 109 Parmac Rd., #1, Chico, CA Board Members: Staff: Visitors: Absent: Present Chair Bill Kehoe, Vice Chair Salvador Ventura, Supervisor Maureen Kirk, Lt. Alan Smith, Susan Modlin, Jerald Lea, Butch Hastaran, Daniel Cavanaugh, Dave Dowlen, Jacob Durant, Patty McReynolds Dorian Kittrell, Holli Drobny, Scott Kennelly, Joel Chain, Dr. Sesha Zinn, Cheryl Grace, Geoff Davis Lisa Currier, Erica Friedeberg, Jason Tate, Thomas Kelem, George Siler, Bruce Baldwin Agenda Item/Issue: Discussion Summary: 1. Call to Order Meeting was called to order by Chair Bill Kehoe Quorum determined Board members and attendees introduced themselves 2. Correspondence Meeting hand outs were reviewed /Hand Outs Draft March minutes were reviewed Motion to approve by Salvador Ventura, seconded by Susan Modlin Minutes approved unanimously 3. Public Comments Jason Tate shared upcoming May is Mental Health Awareness Month Events Jason shared information on the April 30 th Diverse Minds Film Festival The Festival will feature movies, a skype discussion with the director of the featured movie, Borderline, and music by the Symptomatics band Jason also distributed an informational hand out on the annual Iversen Wellness and Recovery Fair which will take place on May 17 at the Chico Iversen Center Bruce Baldwin distributed a flyer on the Anyone CAN Quit seminar featuring keynote speaker Chad Morris, Ph.D. The seminar will focus on recovery from marijuana and tobacco addictions It is a free event, and will be held on April 28 th at the Chico First Christian Church 4. Announcements Bill Kehoe discussed the April 8 California Local 1 Result/Action/ Next Step/Person Assigned/Due Date: Approved March minutes will be posted on the Department s website

2 Mental Health Boards and Commission meeting Bill attended along with Daniel Cavanaugh and Patty McReynolds The meeting reviewed proposed changes to its bylaws Bill noted that it was a great opportunity to meet Board members and observe the dynamics of the statewide organization Vice Chair Salvador Ventura discussed the recent officer-involved shooting death in Chico Salvador cited the Board s by-laws which mandate the Board s responsibility to take action on such situations General discussion followed on best approaches to assist in the prevention of such incidences occurring in the future Director Dorian Kittrell noted his positive working relationship with Chico Police Chief Mike O Brien Bill Kehoe discussed the possibility of having local police chiefs present at the Board meetings to be held on Oroville and Paradise Lisa Currier detailed NAMI s and Crisis Care s efforts to collaborate with law enforcement in crisis situations, noting that they will be meeting with Chief O Brien on May 20 Lt. Alan Smith advised the Board that Captain Andy Duch has resigned from the C.I.T. (Crisis Intervention Team) Academy and Steering Committee Dorian asked the Board to utilize its feelings on the recent shooting incident to move forward with sustainable efforts over the long term Dorian also discussed the upcoming May 17 Police Advisory Board which will focus on the incident C.I.T. continuity in context of Andy Duch s resignation was discussed at length Salvador gave a brief history of C.I.T. in Butte County, including the development of the C.I.T. Committee Salvador stated he would be willing to serve on a C.I.T. Committee; Daniel Cavanaugh offered to join the committee It was agreed that the Board needs to take an active role in promoting C.I.T. Dorian advised that the tragedy should be seen as an opportunity to further strengthen relations with local law enforcement, citing past successes (ex., strong relationship with Butte County Sheriff Kory Honea and the pilot Chico PD Target Team which 2 Action Item: The Board will discuss the formation of an ad hoc C.I.T. Committee at the May 17 Town Hall meeting

3 reaches out to the homeless community) 5. NAMI (National Alliance on Mental Illness) -Lisa Currier 6. Consumer Perspectives 7. Law Enforcement -Lt. Alan Smith 8. Committee Follow Up Executive Membership 9. Director s Report -Dorian Kittrell Peer-to-Peer training in process Family-to-Family training has been postponed The Connections Program has been initiated White Cards are being distributed at the Torres Shelter and Jesus Center on a regular basis 100 White Cards have been produced C.I.T. training is be provided to Tehama and Yolo Counties NAMI continues to meeting on a quarterly basis Butch Hastaran shared his positive experiences at the Iversen Center Lt. Smith emphasized the importance of keeping C.I.T. going, noting that Butte College is still interested in the C.I.T. Academy Andy Duch will be retiring from the Sheriff s Department in May General discussion on law enforcement and C.I.T. ensued; it was noted that C.I.T. training is P.O.S.T.-certified The Executive Committee met on April 6 to form today s meeting agenda Bill noted the wide of array of representation provided by the current Board membership -Budget The Department s final budget is due at the end of May The next few weeks will be utilized to review budgeting options The Department s budget is subject to Board of Supervisors approval No cuts are currently anticipated with the exception of currently vacant positions The first repeal attempt of the Affordable Care Act was not successful The Federal Medi-cal Overhaul is anticipated to take effect on October 2, 2017 The overhaul is referred to as the Mega Rule The overhaul creates mental health plans with measurable milestone requirements (ex., 3

4 Methadone Providers 10. Ongoing Business Data Notebook scheduled appointment seven days posthospitalization) The overhaul impacts service contracts; those already submitted will be subject to amendments The emphasis on measurable outcomes will require additional QM staff The Department s administrative staff is currently 8-9% of total staffing; it could expand to 15% Until very recently, Behavioral Health has been the only methadone provider in Northern California with the exception of Yuba-Sutter 28% of the Department s methadone costs had been for out-of-county patients Shasta County has worked with methadone provider Aegis to establish a methadone satellite clinic in Shasta County The establishment of this clinic will save many patients from having to commute to Chico on a daily basis Assistant Behavioral Health Director, Scott Kennelly visited the Shasta methadone clinic, and was pleased with how the clinic is doing Scott stated his hope that counseling can provided locally in conjunction with the methadone service Discussion followed on the effect methadone has on users; it was learned that if used as prescribed, it does not alter the person s ability to drive, etc. The Data Notebook has been submitted to the State This year s Notebook focused on youth services; next year s focus will be on older adult services Approval of 2017 Strategic Plan Bill Kehoe asked the Board to put a motion on the floor to approve the 2017 Strategic Plan; Susan Modlin, first, Jerald Lea seconded the motion The plan was approved unanimously Paradise Treatment Center Assistant BH Director Joel Chain and Dorian Kittrell will meet with Paradise Treatment Center consumers on 04/26 to review the new center s plans and discuss concerns Dorian noted that things are status quo with the Paradise Treatment Center land lord 4

5 11. Presentation Mental Health Services Act (MHSA) Three Year Plan Review -Holli Drobny, Interim MHSA Manager 12. Public Comments Interim MHSA Manager Holli Drobny gave a detailed presentation on the proposed MHSA Three Year Plan The Presentation covered the main MHSA components (ex., Community Services and Support, Innovation) Dorian encouraged the Board members to submit comments either through the MHSA website or by hard copy The Plan is subject to a 30 day public comment period The public comment period is 04/10-05/10/17 Public comments need to be incorporated into the plan; if any comments are not incorporated, it needs to be explained why they were not Salvador asked about program review; Holli advised that programs outcomes are reported regularly to the State; further, these reports are available for review on the Department s MHSA website Bill asked how it is known if a program is MHSAfunded; Holli explained that MHSA-funded programs are indicated by an official MHSA emblem The presentation is a formal presentation to the Behavioral Health Board After the 30 day public comment period, the revised Plan will be subject to Behavioral Health Board approval at the May 17 Town Hall meeting If approved, the Plan will then be submitted to the Butte County Board of Supervisors for their review/approval before being submitted to the State Thomas Kelem shared that Transweek was a success, noting a significant increase in participation over last year Cheryl Grace announced that the Iversen Center Computer lab is close to reaching its 4,000 th session Bill announced that Mary Sherman of California Local Behavioral Health Boards/Commissions is anticipated to attend the May Town Hall meeting Daniel Cavanaugh reported that the recent Peer Impact forum was successful; he further shared his commitment in his new role as a Consumer member Daniel also shared his concern over the use of the 5 Action Item: Recommend the Three Year MHSA Plan for Board of Supervisors approval at the May 17 Town Hall meeting

6 term Target as part of the Target Team program Daniel explained that it is not appropriate for consumers to be seen as targets. Lt. Smith expressed his sensitivity to Daniel s concerns about terminology 13. Adjournment Meeting adjourned at 5:00 p.m. The Behavioral Health Board will have its annual Town Hall meeting on Wednesday, May 17, 2017, at 3:00 at the Chico Veteran s Memorial Hall, 554 Rio Lindo Ave., Chico 6

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