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HomeMy WebLinkAbout2019-01-08 MHSA MINUTES1 Mental Health and Substance Abuse Advisory Committee Meeting Minutes January 8, 2019 3:45-5:45 PM FINAL I. Call to Order/ Introductions: Called to Order by Greg Brotherton Board Members: X Greg Brotherton X Patricia Beathard X Jill Buhler-Rienstra X Anne Dean ABSENT Mike Evans X Ariel Speser X Sheila Westerman RESIGNED Steve Workman Staff: Vicki Kirkpatrick, Anna Mc Enery & Veronica Shaw Guests: Jolene Kron, Gabbie Caudill, Apple Martine, Lori Fleming, Ari Dechant, Julie Canterbury, Beulah Kingsolver, Jill Hamilton, Tera Phillips, Lenora Johnson, Michael Johnson and Kathy Morgan Approval of the draft agenda of January 8, 2019: Jill(M)/ Sheila(S)/ Approved with no changes. II. Review and adoption of the draft minutes of December 18, 2018: Anne(M)/ Ariel(S)/ Approved with no changes. III. Public Comments: No public comments. IV. MH/SA Advisory Committee Member- Resignation/Staff-Anna said that Steve Workman contacted her and said that he would be sending a letter of resignation to the BoCC because he had decided to resign from this Committee. Anna will contact the Stephanie Lewis, the Regional Administrator of the SBHO to see if anyone else is interested in serving. Commissioner Brotherton will also follow up with Stephanie Lewis at the next Executive Committee meeting. V. 2018/2019 Budget Tracking Spreadsheet:/Staff/Veronica shared copies of the budget tracking spreadsheets for 2018 and 2019. We are projected to bring in $568,000, which is 17% over our budgeted revenue and we are projected to carry over $371,973. A discussion ensued about projecting sales tax and that it can be challenging when budgeting. VI. New Business: a) Understanding SBHO Funds-(Medicaid & State)/CJTA Funding/Jolene Kron/Salish BHO Jolene shared that the majority of SBHO funding is medicaid and is contracted out to agencies to provide mental health and substance abuse disorder services. Beacon of Hope and DBH are the two medicaid providers for Jefferson County and also provide non-medicaid services. The Criminal Justice Treatment Account, (CJTA) funding historically was created to help individuals before medicaid expansion and who were court involved (or involved in the criminal justice system). It is a payer of last resort. 2 An individual who is on medicaid and incarcerated will have their medicaid suspended and then it will be reactivated when they are released. Some other State funded programs:  HARP, is a housing bridge subsidy program. The SBHO contracts with OlyCAP. An individual coming out of a mental health institution or a treatment center can receive up to $500.00 a month for up to three months.  Peer Bridger program. Two positions at the State Hospital to provide wrap around services for individuals in the hospital, (up to 90 days) and then up to 120 days after they leave the hospital.  PATH is an assistance program for individuals who are experiencing homelessness and the current contractor is Peninsula Behavioral Health in Clallam County.  Peer Pathfinders: are funded by an opioid grant. It provides connections/services for individuals who have overdosed in the ER. This is just in Clallam County.  DMA-(Designated Marijuana Act). Youth without a parent, below income threshold and don’t have medicaid can access these funds.  SAMHSA stands for the Substance Abuse & Mental Health Services Administration and is a Federally funded. SAMHSA leads public health efforts to advance the behavioral health of the nation.  Substance Abuse block grant funding is only for medicaid providers. A discussion ensued about how to go about becoming a new medicaid provider with the BHO. Jolene said all the money for 2019 has been contracted out and the BHO is ending.  1115 Demonstration Waiver Grant-(Five years). Foundational community supports for housing support and supported employment services just began last year. OlyCAP has a contract in Jefferson County. This grant is through Amerigroup Insurance. The grant was intended to target people with mental health issues since they have the lowest employment outcomes of any group, (17% employment). b) Updating the Name of the Advisory Committee/Staff Anna shared that there will be legislation put forward to change the name in statute from substance abuse to substance use disorder and that maybe the Committee should consider a name change. So instead of Mental Health and Substance Abuse Advisory Committee, we could be the Mental Health and Substance Use Disorder Advisory Committee. Vicki said the term substance abuse disorder is a recognition of what we have learned. We want to move away from it being seen as a character flaw and instead look from the perspective of a chronic disease. Sheila said the name is already so long, but Anna suggested the name creates an opportunity to educate the community on the work of the 1/10th of 1% fund and the Committee. Anne suggested the name Behavioral Health Advisory Committee, especially since the SBHO will be changing to the ASO in 2020. A discussion ensued and the Committee decided to revisit the topic of the name at the next meeting. VII. VENDOR REPORTS:  OlyCAP: Transitional Housing-Kathy Morgan said that Justine had resigned and moved out of State. Kathy introduced Michael Johnson. He is the Shelter Manager, but has taken over the case management role for the Haines Street Cottages. The cottages have been clean and sober housing since 2010 and most people who live there are in the Court system. Individuals and families are able to stay there for up to two years, while they work their program and go through the Court system. Case Management helps them transition out to permanent housing through connections with community resources. 3  DBH CODIT: Tera Phillips works at DBH as a Chemical Dependency Professional and provides CODIT Services, which is an integrated treatment model for substance use disorder and mental health. Some of the services Tera provides: assessments, intake, crisis intervention, treatment placement/referrals, detox referrals and case management. Tera has provided services to 140 people in the last two years. A third of the clients are on Medicare and wouldn’t be able to be seen anywhere else. Clients are seen on a weekly basis, but DBH is seeing a lot more positive outcomes and progress with recovery for many individuals with mental health disorders who have been historically difficult to engage. CODIT has been a life changing service at DBH.  DBH Inmate Services: Tera Phillips gave an update about inmate services at the Jail. DBH did not apply for an RFP to renew the services. There was some confusion with the Jail about the services DBH was contracted for. The staff from DBH traditionally provided the GAIN-SS, (screening for substance use and mental health needs), screening and referral to appropriate services such as: SUD treatment, Mental Health Court, outpatient mental health treatment, DBH crisis services, JCJ medical services, DVR, primary medical care, housing and life skills groups. Tera mentioned a concern she has about medications at the jail. Clients who get incarcerated are on psychotropic drugs and may go through SRI withdrawals while in the jail. DBH doesn’t have jurisdiction over clients medications in the jail. So many clients may have to wait a week or more for an appointment with the jail psychiatric staff. A discussion ensued with Committee members about this issue. Staff will follow up with the jail.  DBH Transitional Housing: Lenora Johnson from DBH gave an update. People in need of transitional housing are referred from mental health court, drug court or from a hospital and are currently homeless. DBH can provide housing for up to a maximum of seven clients with chronic mental illness. This fund pays for one of the apartments, a room at Bayside Housing and some emergency hotel rooms. Lenora provides case management so these individuals can move into permanent housing. For example connections with OlyCAP, DSHS, DVR, Social Security and other agencies as needed. OLD BUSINESS: None VIII. Public Comments: No public comments. Future Agenda Items: o Truancy Court, Drug Court & Family Therapeutic Court-MARCH 5-2019 o Jumping Mouse/PT & Brinnon SD Pilot Project, MCS-School Based MH Services- MAY 7-2019 Next meeting: March 5, 2019