THE MONTEREY COUNTY MENTAL HEALTH COMMISSION September 29, 2016 MEETING MINUTES

Transcription

1 THE MONTEREY COUNTY MENTAL HEALTH COMMISSION September 29, 2016 MEETING MINUTES Meeting Held at Monterey County Behavioral Health, th Street (Training Room), Marina Attendance ~ MENTAL HEALTH COMMISSIONERS x = Present Barreras, Theresa, District 1 x Tack, Larry, District 2 Fosler, Linda, District 5 X Payne, Linda, District 1, CHAIRPERSON x Lopez, Mark, District 3, CHAIR-ELECT x Young, Cortland, District 5 X Sanchez, Linda, District 1 x Aldaco, Aidee, District 3 x Dicken-Young, Hailey, District 5 (Associate Member) Barrett, Jennifer, District 2 x Herrera, Jesse, District 4, PAST CHAIRPERSON Chief Brian Ferrante, Chief Law Enforcement Officer X McHoney, Alma, District 2 x Stewart, Lisa, District 4 x Supervisor John Phillips Attendance ~ COUNTY STAFF x = Present X Ambriz, Elizabeth, PEI Coordinator Robles, Lucero, QI Services Manager Jan Holmes, Deputy County Counsel X Hendricks, Alica, MHSA Coordinator X Sandoval, Marni, Deputy Director, Children s x Stacy Saetta, Deputy County Counsel X Hernandez, Miriam, Behavioral Health Finance Manager II Soskin, David, BH Medical Director Jimenez, Elsa, Director of Health Vandenberg, David, BH Patient s Rights Advocate x Miller, Amie, Behavioral Health Director VesgaLopez, Oriana, BH Deputy Medical Director Moreno, Rose, Management Analyst III for Prevention X Michael Lisman, Deputy Director, Adults Attendance ~ GUESTS x = Present x Joseph Harvin, Interpreter x Patricia Ogino x Adriana Bearse, Evalcorp Team x Hayden Hutchison, Evalcorp Team x Maribel Ferreira, Deputy Public Defender

2 Page 2 of 6 1. Call to Order The meeting was called to order by Chair Elect Mark Lopez at 5:45 p.m. with Chair Payne conducting the meeting when she arrived. 2. Introductions Chair Elect Lopez welcomed all attendees including new Deputy Director of Adults Michael Lisman, new Commissioner Cortland Young and Associate Commissioner Hailey Dicken-Young. 3. Corrections to the None Agenda The Clerk of the Commission will announce agenda corrections. 4. Public Comment (Regarding items not appearing on the agenda) None Limited to 5 minutes per speaker This portion of the meeting is reserved for persons to address the Commission on any matter not on this agenda but under the jurisdiction of the Mental Health Commission 5. Action: Approve July 28, 2016 Meeting Minutes of Monterey County Mental Health Commission. *19 minutes 41 seconds 6. Action: Approve MHC Meeting Schedule Change to have 11/17/16 meeting moved to 12/1/16. *20 minutes 20 seconds 7. Information: Receive a Fiesta of Hope Report on balance with Action Council and the Chair Payne reported that the Action Council 6/30/16 Fiesta of Hope report had a balance is $5, Health Department Director Elsa Jimenez and Dr. Miller support the transfer of the balance to NAMI if NAMI is going to oversee the event in its entirety. M/S/C: Supervisor Phillips/ Commissioner Sanchez/Carried to approve the MHC July 28, 2016 Meeting Minutes. M/S/C: Commissioners Sanchez/Herrera/Carried to approve MHC Meeting Schedule Change to have 11/17/16 meeting moved to 12/1/16.

3 Page 3 of 6 transfer of these funds to NAMI. *22 minutes 11 seconds Commissioner Lopez said that NAMI is willing to have this event if volunteers from the Commissioners are involved in the planning and organizing; NAMI will oversee the financial aspect of the event. Volunteers from the Commission will meet with NAMI to discuss the planning of next year s Fiesta of Hope event and Commissioner Lopez said he would facilitate the meeting. Chair Payne thanked Commissioners Linda Sanchez, Mark Lopez, and Alma McHoney as well as Paula Lewycky for all their work for the 2016 Fiesta of Hope. She said from the feedback she received, it was one of the best Fiesta of Hope events they have ever had. 8. Information: Continuum of Care in Foster Care System *38 minutes Before introducing Children s Deputy Director Dr. Marni Sandoval, Dr. Miller informed the MHC that there are major system changes in Behavioral Health (BH) with new State mandates as part of our key partnership with Child Welfare; however, no funding is provided. BH assesses 100% of the children in our foster care system (whereas other counties assess 50% or less). We have a commitment to serving this population to help reduce risk; it is considered part of prevention. Dr. Sandoval explained that the Continuum of Care Reform (CCR) in Foster Care, also known as Assembly Bill 403, will transform the entire Foster Care System and is scheduled to be implemented January 1, It will require that there are local resource families available for all youth that need Foster Care and this includes youth in Child Welfare, Probation, and the Education system. Services will be more tailored and individualized and the foster homes will shift to a TFC (Therapeutic Foster Care). Families will have to have specialized skill sets that include required training, oversight, and monitoring in order for them to provide this level of foster care treatment. Monthly meetings are being held with the Directors of Child Welfare (DDS), CSOC Deputy Directors, Probation, and Education to deal with multiple things to develop, shift, and change. The funding structure for Foster Care is changing to a tiered system which will make it challenging for foster families to afford cost of living in the greater bay area, and there is concern that the already limited homes will go away. STRTC (Short-term Residential Treatment Center) certification is required by the State and the foster family s local mental health plan which means a comprehensive treatment program must be provided in-house. BH will have to provide training, oversight, and monitoring because these programs will bill the Medi-Cal speciality mental health system. Qualified staff who are highly trained for this do not currently exist in the community; therefore, the youth will have to go out of County for residential care (currently 71 children). Details of the CCR are in the handout given. Dr. Sandoval said the challenge for BH is that currently there is a lack of resource family homes in Monterey County, and BH will be required to oversee all the certifications for specialty mental health services and the billing within CFTs (Child Family Team), within treatment foster care homes, and the STRTC. This is a huge responsibility with no allocation for funding. Reallocation of realignment dollars to help fund this is needed as well as a focus on Best Practices, CFTs, having ongoing assessment methods, tools and resources for these levels of services, having a more robust local network of services, figuring out how to do resource family recruitment and retention, quality assurance oversight, and have fiscal funding to support pilot programs to make sure this is a feasible model of having the cross agency system put in place.

4 Page 4 of 6 9. Information: Overview of MHSA (Mental Health Services Act) Program and Budget Revisions FY 17 *1 hour 1 minutes 45 seconds Dr. Miller said the focus for today s report is the second Annual Update of the three year plan where we look at what is happening with the MHSA Plan, the program outcome, and make adjustments to the budget. Because we have reserves ($2 million), we are not cutting programs in the current fiscal year; however, for the next three year plan, we will have to make some adjustments. MHSA Coordinator Alica Hendricks distributed and reviewed Monterey County MHSA Directory of Programs/Services Descriptions 09/29/2016 and the Monterey MHSA FY Annual Update. Dr. Miller added that being respectful of the Commissioners request, this information is a preview which is still being updated; it won t be posted for another 30 days. Ms. Hendricks explained that when the State gives Monterey County the MHSA funds, 80% has to go to CSS (Community Services & Supports), 20% goes to PEI (Prevention and Early Intervention), 5% of CSS goes to Innovations and 5% of PEI goes to Innovations. Ms. Hendricks reviewed the budget update and gave an overview of the changes for programs that will be no longer funded by MHSA money. The four changes to CSS are the TAY (Transition Age Youth) Vocational Services, Wesley Oaks and Soledad House supportive housing which are now part of the McHome program for both TAY and homeless adults, and Workforce Specialist, now funded with State Realignment. Ms. Hendricks will send the MHC a list of the changes. The PEI Program received $18 million, $2 million less than anticipated. The following programs will be funded with non MHSA dollars: The critical debriefing that staff do as part of the Critical Incident Team, Post-Partum Depression services will be supported by collaboration with Primary Care; The Success Over Stigma Program is now a fully funded by MHSA, as well as the Peer Health Navigation & Advocacy Bienestar program. There is not enough money for training and contracts for LGBTQ services. Mental Health First Aid is being funded by the Monterey County Office of Education, and the Positive Behavior Intervention & Supports (PBIS) Program requires a reduced contribution this fiscal year. Commissioner Sanchez questioned the elimination of funding for LGBTQ services. Ms. Hendricks explained that this was used as a place holder in the initial three year plan with the intent of coming up with a strategy on how to develop programs for this population. She said we do have the Epicenter which is a youth-guided program that reaches this community and there is the LQBTQ Program provided by Community Human Services. Commissioner Sanchez said that it does not have to be just staff doing everything in order to make something happen, such as the Postpartum program, with people wanting to participate to get something going. She said when programs are cut, she would like to know if there was effort with the community to keep a program. Also, she said that the MHC might know somebody that would match money for a program. Commissioner Sanchez said this Commission is supposed to have the opportunity to hear, advise, and recommend in the process, and with these program cuts the MHC should have been able to give their input, even if the ultimate decision comes from BH. Ms. Ambriz shared that she participates in a new LGBTQ collaborative in Monterey County which is a partnership with many nonprofit organizations such as Epicenter. She said there is a new movement to advocate for the LGBTQ recognizing their needs and to increase awareness of what is going on. Recently there was a film presented with over 400 people in attendance. Dr. Sandoval added that the Health Department has brought in a psychiatrist from Santa Cruz County who is an expert in working with LGBTQ youth in the health care field and several trainings are being developed

5 Page 5 of 6 for many of our public health staff to provide them with skills on how to engage youth by learning how to ask the right questions to get the them to feel comfortable to actually talk about their needs which leads to better referral options for them to get the services they need. Chair Payne said the MHC does have time to express their comments and concerns, and she asked that they be put it in writing for Commissioners to see how the process works. Commissioner Young asked about the Alternative Healing program in Innovations and Ms. Hendricks responded that they used to have a psychiatrist that specialized in these kind of practices; however, he left and they have not yet found a replacement. 10. Receive a Report from a Member of the Board of Supervisors *1 hour 39 minutes 11. Receive a Report from the Behavioral Health Director *1 hour 41 minutes, 7 seconds 12. Receive the Commissioners Reports/Updates *1 hour 43 minutes, 18 seconds Supervisor Phillips reported that the Board of Supervisors had a social equity presentation. In the course of the discussion they looked at the fact that peace officers have a tough job to do with part of their job dealing with suspects with mental issues, and they looked at better ways to deal with this. They also discussed and will look into the homeless issue which has to be a County and City partnership in dealing with the homeless, especially when 76% of the homeless are mentally ill and/or have an addition. Dr. Miller reviewed her report. In addition to the items she reviewed in her report, she said there is a statute requiring that we have an Alcohol and Drug Commission or the MHC needs to become a Behavioral Health Commission, and this decision needs to be made soon. Commissioner Lopez spoke about becoming the MHC Chair in January and he asked for Commissioners to consider becoming the 2017 Chair Elect. Commissioner McHoney requested an update on the County s CIT (Crisis Intervention Training) academy. Dr. Miller said they are planning a presentation for the MHC. Also, Commissioner McHoney asked about an article stating that the tricounties received $20 million for mental health and she asked the amount that Monterey County received. She will send the article to Dr. Miller. Commissioner McHoney reported on the Stand Down for the homeless Veterans on August 19-21, and she said it was amazing! She distributed information which shared details on the amount of services provided the cost that was waved. Also, she said the Library of Congress had an article about the Stand Down and they were at the event to record the Veterans stories. Commissioner Sanchez thanked Dr. Miller and Ms. Hendricks for setting up a PEI (Prevention and Early Intervention) evaluation meeting with Evalcorp who are shaping an evaluation for the County s PEI Plan. Commissioner Aldaco reported that she is creating a Parent Hub in Soledad where she will be servicing the middle school and will be bringing in new resources for them. Commissioner Stewart reported that CSUMB received a $1.2 million grant from the Department of Education to develop specialization of PPSC (Pupil Personnel Services Credential). The Psychology Department will receive a $20,000 grant to support 20 students. A $1.6 million grant was given by the Health Resources Services Administration for their Social

6 Page 6 of 6 Meeting adjourned at 7:35 p.m. Work Investment and Primary Care Education which will provide scholarships for disadvantaged and other underrepresented minority students with financial needs; this will increase the number of well trained, qualified primary care behavioral health specialists entering the work force in medically underserved communities in the central California coastal region. Students from Hartnell who may be interested in possibly pursuing a degree in social work are invited to CSUMB to hear what social workers do. They are mentored with current MSW students and then take a bus tour through the County, including South County, and stop at some of the sites that they have partnerships with and that serve members of our community. Also, they had a partnership with Alisal Family Resource Center in the Su Voz Hace La Fuerza project working with youth and parents (18-30 in each session). This is the social worker students (six or seven, all bilingual) who learn how to run a group and engage a community in the role of a social worker. All the sessions were in Spanish. Commissioner Stewart also announced that Dr. Altman will be stepping down from his position and they are actively searching for a new program director. Commissioner Young thanked everyone for welcoming him. Handouts: - Continuum of Care Reform-AB403-Dr. Marni Sandoval - Monterey County MHSA Directory of Programs/Services Descriptions 09/29/ Monterey MHSA FY Annual Update - Director s Report 9/29/16 - Drug Medi-Cal Organized Delivery System - Library of Congress: Monterey County Stand Down Recording Homeless Veterans Stories