Draft Meeting Minutes November 2 nd, :00 P.M. to 5:00 P.M. Pea Soup Andersen s Pavilion Room, Buellton, CA

Transcription

1 SANTA BARBARA COUNTY ADVISORY BOARD ON OTHER ALCOHOL & OTHER DRUG PROBLEMS 300 North San Antonio Road, Santa Barbara, CA Phone (805) / Fax (805) Draft Meeting Minutes November 2 nd, :00 P.M. to 5:00 P.M. Pea Soup Andersen s Pavilion Room, Buellton, CA Members Present: Judy Blue, 2 nd District, Chris Burtness, 3 rd District; Barry Keenan, 1 st District; Jim Laponis, 1 st District; Sharon Rumberger, 2 nd District, Kati Smith, 3 rd District; James Rohde, 3 rd District; Tom Urbanske, 5 th District; Edwin Weaver, 4 th District (Absence) Sharon Byrne, 1 st District; Megan Cerney, 4 th District; Mike Cordero, 5 th District ADMHS Staff: John Doyel, Lucero Garcia, ADP/ADMHS. Public: Jennifer Smith, Legal Aid Foundation. I. Call to Order Advisory Board Vice Chair, Jim Laponis called the meeting to order at 3:06 p.m. Advisory Board members and attendees introduced themselves. II. III. Introductions/ Announcements Approval of Minutes Corrections to the October 5 th, 2015 minutes: Under item XI, 3 rd bullet, delete the phrase, the new proposal and will attend meetings regarding this matter. A motion to approve the minutes as amended was made by Board member Kati Smith and seconded by Board member Chris Burtness. The minutes were approved. IV. Public Comment No Comment. V. Propose joint meetings as additional meetings to regularly schedule meetings Vice Chair Laponis informed members that Sharon Byrne has received positive feedback from Mental Health Commission regarding the joint ADP Advisory Board and Mental Health Commission meetings. ADP Program Manager, Mr. Doyel observed that the Mental Health Commission input and advice would be vital in the ODS waiver planning process. Mr. Doyel advised creating partnerships and advocating for necessary services and residential housing 1

2 ADP needs. Mr. Laponis directed the question to Mr. Doyel: What are your thoughts on having quarterly versus semi-annual joint meetings? Mr. Doyel recommended quarterly meetings, that semi-annual meetings would be too infrequent. For integration to be realized, Mr. Doyel said, We need to have regular and not infrequent meetings with the MH Commission. There was a discussion over the concern of whether quarterly joint meetings would not allow enough time to address alcohol and drug related topics. Should we add the quarterly meetings to our regular monthly meetings? Would this be too much? Mr. Weaver suggested that when it is the Advisory Board s turn to host joint meetings, the Board would keep an open schedule to have one or two meetings that month. The ADP Advisory Board meetings would assemble PRN or as needed. Replacement of joint meetings will depend on the needs of the Advisory Board. Mr. Laponis added if quorum is met at the joint meetings then ADP could proceed with its business per usual. Mr. Rohde shared his opinion that he is not certain Mental Health and ADP are on the same page. He then reiterated his concern that Steering Committee meetings often fail to consider ADP issues. Mr. Doyel observed that the word recovery for mental health issues wasn t mentioned until about 4-5 years ago. He also added that System Change process was originally implemented to improve access for mental health clients with serious and persistent mental illness (SPMI) and only later, after Dr s Minkoff and Cline insisted, was ADP integrated into the systems change process. Mr. Doyel shared that ADMHS Mental Health has developed a standardized screening tool for Access calls and all clinics. During the development of the tool, Mr. Doyel suggested that substance use disorder (SUD) screening questions be moved to the top of the list or the beginning of the screening. He explained that the Regional Managers disagreed, responding that they were looking to assess for safety concerns first. Mr. Doyel suggested that SUD is a primary safety concern and that most people in crisis were under the influence of one or more intoxicants. The development of this tool and the discussion that followed is a good example of how much integrated services are needed. No one is to blame. Mr. Weaver shared he received a call from an individual who provides medical health services at the juvenile hall. Mr. Weaver was informed an 18-year old that overdosed on heroin, was released, but refused entry to the county mental health clinic because he only had substance abuse and not mental health issues. The consumer died shortly after. Mr. Doyel confirmed that the issue of mental health clinics not receiving substance abuse consumers is a current issue that is being addressed. Even though the clinics were responsible for clients with SPMI, clinic staff needed to work more closely with alcohol and other drug (AOD) professionals to ensure that clients with SUD get the services they need and this type of tragedy is not repeated. Ms. Burtness asked who is responsible for denial of services. Mr. Doyel explained that the question who do we serve? is most relevant and always a topic of scrutiny. He briefly mentioned Dr. Kenneth Minkoff s 4 Quadrant model and the one quadrant of low mental high substance use that ADMHS is grappling with most. Mr. Laponis, reverted back to the agenda item. 2

3 Vice Chair, Jim Laponis made a motion to have quarterly joint meetings with Mental Health Commission. He also motioned that additional Advisory Board meetings could be assembled as needed during the month when Mental Health leads the joint meeting. The motion was moved by Board member, Edwin Weaver and seconded by Board member, Chris Burtness. All were in favor by unanimous vote. VI. Education and Prevention Sub Committee Ms. Burtness shared that the Sub Committee did not meet prior to the Advisory Board meeting. She then announced that Operation Medicine Cabinet does not have collection locations. Ms. Burtness went to the Solvang location and observed there was no drop-box for disposal of prescription medications. She was informed an incident occurred in Lompoc, where the officer was hospitalized for handling the hazards material box. It posed major concern that the container box may not be as safe as it should be. Currently, the main drop off dispensary is at the Santa Barbara Sheriff s main office is on Calle Real. Ms. Burtness noted that Third District Supervisor, Doreen Farr, was working on shifting the burden of disposing prescription drugs from the Sheriff s Department to the drug manufacturers. She then reported that according to Leslie Robinson from Public Works stated, We are still moving forward with the Environmental Protection Agency (EPA) ordinance. Mr. Rohde clarified the EPA s involvement in this matter, because the improper disposals of drugs affect the drinking water in the county. Ms. Burtness would prefer to hear from the county to find out what the proposed solution may be. Ms. Burtness added she is not sure if Ms. Farr s ordinance will be moving forward since Ms. Farr is not seeking re-election as a BOS Supervisor. Mr. Laponis suggested this matter to be addressed at the next Advisory Board meeting. Site Reviews No Site Reviews reported. Ms. Smith noted she was not signed up for any site visits. The ones she would like to visit are Coast Valley Substance Abuse in Lompoc and Santa Maria. Mr. Laponis encouraged board members to visit ADP Prevention and treatment sites. Mr. Keenan commented that a list of services should be provided to clients and individuals who call into the ADMHS system and County employees who provide case management services. Mr. Laponis explained the 211 call in line. Ms. Burtness inquired if there was a list of available services, contracted or not, that could be made available. Mr. Doyel responded in previous times books existed, the contracted provider lists are updated periodically, but the rest of the information can be found be online. Mr. Weaver commented that lists can be created but within 3 months the lists become obsolete. VII. Program Manager s Report, MJ Legislation Update, SM Aegis Follow-Up 1115 Organized Delivery System (ODS) Waiver: Mr. Doyel focused most of his report on the ODS. He reminded the Board that the ODS Waiver was passed in mid- August to improve substance use disorder services by expanding covered benefits and integrating services. Mr. Doyel reported that Dr. Gleghorn and him believe the ODS 3

4 will focus on service integration - mental health, primary care or physical health and substance use disorders. The new service system, depending on the stakeholder process, may include adding more individual counseling sessions, medicated assisted treatment (MAT), recovery supports and transitional living for consumers. Another internal workgroup meeting will be scheduled in December to discuss the suggestions made by attendees of the first three stakeholder meetings. More stakeholder forum meeting will be schedules in January or February, Mr. Doyel will collate and organize all suggestions and then begin to draft the implementation plan with proposed rates in the Spring. Ms. Burtness inquired what will be Mr. Doyel s response if someone asked what is the ODS waiver? Mr. Doyel responded that ODS is essentially an expansion and transformation of the Drug Medi- Cal System in the state of California. Attendees discussed the possible effects of the ODS Waiver and what other counties are doing to implement the waiver. Mr. Doyel mentioned that housing was very important and would be an important consideration with the ODS. Sober living (SL) homes already exist and perhaps ADP can partner with them as part of the ODS. Ms. Burtness asked about zoning issues. Mr. Doyel responded most residential facilities are already established and acknowledged that the licensure for residential treatment facilities is stringent. Mr. Doyel posed the question, why don t we have Drug Medi-Cal certified mental health clinics. Ms. Smith posed a similar question but instead for the public health clinics. Overdose Prevention and Reversal: Mr. Doyel applied for a $60K grant for the OD Prevention and Reversal program to the address opioid abuse. IV Update: Two projects in Isla Vista, the Sobering Center and Intervention & Treatment Services, to provide mental health and alcohol and drug services. Mr. Doyel reported that preparations for the upcoming Halloween weekend were being made and strict controls were being placed. Aegis Treatment Center, SM, Update: Mr. Doyel reported that community complaints about the Aegis Treatment Center were being addressed vigorously. He and Dr. Gleghorn met with Supervisor Lavagnino, the CEO s Office, Mayor Patino and other important stakeholders to define and address the issue. A robust Good Neighbor Policy is being drafted and Aegis is committed to assuming all responsibility for their part of the problem. There is a large homeless population in the Fessler area that does not necessarily have anything to do with Aegis clients. MJ Update: The California Behavioral Health Association has written position paper MJ legalization, especially with regard to adolescent MJ use. Governor Jerry Brown has created the Bureau of Medical Marijuana Regulation or BMMR in anticipation of MJ legalization for recreational use. Aside from MJ legalization being passed, Mr. Doyel expressed his concern of where the tax revenues will go once the MJ legalization bill is passed. His primary concern is that prevention and treatment programs will not get the funding necessary to address the impacts of legalization. More TBA. Mr. Laponis reported that full page advertisements of marijuana medical dispensaries were already being distributed. MJ home delivery services were already in existence as well as information on how to acquire a medical marijuana card. In short, the infrastructure for MJ legalization already seems to be in place. Mr. Doyel mentioned that MJ legalization data from the state of Colorado is beginning to trickle in and there 4

5 appear to be negative impacts to health and safety in that state. Mr. Doyel said he would keep the Board informed of any relevant MJ news and data. VIII. IX. New Business Mr. Rohde suggested that either Ms. Byrne or Mr. Laponis contact Mental Health Chair, Michael Gorodezky to prepare for the next joint meeting. Mr. Rohde suggested the following agenda items for the joint meeting next month: Status of Integration of ADP and Mental Health, the ODS Waiver and along with the role of the integration plan, depletion of psychologists and physiatrists, and more available beds in the county instead of out-town referral/bed-stay. Mr. Rohde informed board members of the Board of Supervisors hearing on December 17 th, 2015, in which Dr. Gleghorn and ADMHS will present an update on the System of Change process. He urged Board members to attend the meeting and noted everyone has a chance to talk for 3 minutes in front of the BOS. Adjournment Vice Chair Jim Laponis entertained a motion to adjourn, Jim Rohde motioned and it was seconded by Barry Keenan to adjourn the meeting. The meeting adjourned at 4:48 P.M. The next ADP Advisory Board meeting will take place on December 7 th, 2015 from 3:00 PM 5:00 PM. This will be a joint ADP and MH Commission meeting. 5