HomeMy WebLinkAbout2019-09-03 BHAC MINUTES1
Behavioral Health Advisory Committee
(Mental Health-Substance Use Disorders)
Meeting Minutes
September 3, 2019
3:00-5:00 PM
draft
I. Call to Order/ Introductions: Called to Order by David Sullivan
Board Members:
X David Sullivan
X Patricia Beathard
X Jill Buhler-Rienstra
X Anne Dean
X Mike Evans
X Ariel Speser
X Sheila Westerman
Staff: Vicki Kirkpatrick & Anna Mc Enery
Guests: Brian Richardson, Jud Haynes, Jenny Manza, Whitney Friddle, Jason Kays, Gabbie
Caudill, Frank Hoffman, Talle Selhorst, Megan Smith, Natalie Gray, Julie Canterbury and Lori
Fleming
II. Approval of the draft agenda of September 3, 2019: Jill (M)/ Anne (S)/ Approved with no
changes.
III. Review and adoption of the draft minutes of March 5, 2019: Ariel (M)/ Jill(S)/ Approved with no
changes.
IV. Public Comments: No public comments.
V. 2018/2019 Budget Tracking Spreadsheet: Anna shared the updated budget tracking
spreadsheet. Revenues are up by 7% year and year to date, vendor expenditures are at 46%. If
vendors had spent all of their budget, we would be at 58.3% of our operating budget. Anna
suggested coming back to the budget during the discussion about a potential supplemental RFP.
VI. NEW BUSINESS:
Discussion about a potential 1/10th of 1% Supplemental RFP/ Anna shared that because we
have under expended funds and additional sales tax revenue, we thought it was important to bring
this information forward to the Committee. A discussion ensued about a potential recession that
could reduce consumer spending.
Staff Kirkpatrick shared that we could watch for a few months to see how the vendors are spending
and relook at the budget during the November meeting. Questions to consider; if we have
additional funding do we want to target a certain area, (like a Navigator in the jail) or do we want to
put it out in a RFP? Member Speser suggested we reexamine the idea of a supplemental RFP at
the November meeting, after we Philip Ramunno’ s 2018 1/10th Data Presentation.
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VII. STAFF UPDATES:
a. Mental Health Field Response Team Meetings/
Staff Mc Enery wanted to give the Committee an update about the Mental Health Field Response
Team meetings and why Public Health is working to reestablish them. We will focus on:
Networking about services that support people with mental health and substance use disorders
in Jefferson County. (Many services are new since our last meeting and funded by the 1/10 th of
1% fund.)
We would like to explore interest in applying for a Justice & Menta l Health Collaboration Grant,
(like the Pacific County Jail Screening & Referral Program received) to support additional
services at the Jefferson County Jail by looking at gaps/needs.
Explore grant opportunities for additional Navigator positions for our community.
The meetings began in 2018 because of a Washington State grant opportunity for a local
Navigator. The team decided not to apply for the State grant, (because funding was connected to
already having a Navigator position in place). But Chief Evans in collaboration with the MCS
Counseling Group, applied to the 1/10th of 1% fund for a Port Townsend Police Department
Navigator position and it was granted.
Some of the topics we learned about at the series of Mental Health/Field Response Team
Meetings:
Navigator Programs/Options in Washington State/Kim Hendrickson, Project Manager of the
City of Poulsbo’s Behavioral Health Navigator Program.
provided an overview of the Behavioral Health Navigator Program. Kim has also advocated to
the SBHO’s Executive Board for a Tri-County Diversion group that could work together within
the BHO on legislative priorities, approaches, and best practices.
We discussed how Navigator Services could work with Jefferson County Law Enforcement and
Fire & Rescue.
The Sheriff’s Office gave us an overview of the Pacific County Jail Grant- Jail Screening &
Referral Program.
Martiann Lewis from the BHO shared a large list of Diversion Programs for people with mental
health and substance abuse disorders.
Chris Tibbs, the Executive Director of the Arc of the Peninsulas, (who use to be a lobbyist for
Mason County talked about the process to obtain a legislative ask for a Crisis Stabilization
Center in Jefferson Co because people with a dual diagnosis need more options that the Jail
and the ER.
We explored an interim space option at Jefferson Health Care for people in a mental health
crisis (the timing wasn’t right).
John Nowak lead us through a LEAN Process Map to help gather information and clarify the
current process for Police/Fire calls involving a person with Mental Illness (MI) or Substance
Use Disorder (SUD). The sample case involved an assault which would be a criminal issue but
with an underlying MH or SUD issue.
NAMI shared Info a document about how Law Enforcement and People with mental health
issues.
Doctor Locke gave a presentation about the Opioid Problem.
Started a conversation about pre-diversion services.
Did networking and some problem solving in real time.
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b. Co-funding a Shared Data Platform w/Kitsap/Clallam/Jefferson
Staff Mc Enery shared that In March of 2018 Siri Kushner approached this Committee to discuss
helping to fund a regional One-Tenth Online (OTO) data platform that allows only permitted parties to
enter and view their own evaluation data.
With Kitsap County already utilizing the platform and Clallam County coming online this fall, the hope is
that Jefferson County will join so that there is a regional shared space where all one -tenth evaluation
data can be centralized. A future function of OTO could be a public-facing regional or county data
dashboard/report that would be subject to proper vetting to ensure appropriate confidentiality and
statistical reliability.
One-tenth evaluation across the three counties has been historically siloed. The One-Tenth Online
platform is a first step towards a unified approach across the three County region that still allows for
tailoring as necessary to accommodate unique needs and interests. Information reported to the
platform includes both universal (in-county or cross-county) and project-specific measures, as well as a
narrative component that together allow for quantitative and qualitative descriptions of the work being
done.
While the platform now exists in an initial phase, the vision for this platform is to reduce reporting
burdens to contractors, reduce evaluation costs through streamlined data management and to create a
centralized regional evaluation approach that provides a more cohesive picture of the impact of the
funds at both the county level and regionally.
The Kitsap County 1/10th of 1% fund has put forward $15,000 towards the initial build of the One-Tenth
Online (OTO) data platform system. Jefferson County has not put forward any funding yet.
Philip Ramunno will attend the November meeting to request one time only funding to meet with all
Jefferson County contractors and to develop/revise evaluation plans/ data trackers so he can create
the One-Tenth Online system for each vendor. The online platform will then require a review of each
submission, every reporting period (quarterly) and follow-up as necessary that will need to be included.
c. Jefferson County Trauma Informed-Community Summit @ Fort Worden/2020/2021?/
Staff Mc Enery said the timing might be right to consider sponsoring Trauma Informed Community
Summit @ Fort Worden sometime in 2020 or 2021. Member Dean said loves the idea of a Community
Summit, but would like us to consider how do we want to move the needle, what are the topics we want
to cover and who is our audience. Member Dean said that for such a small community with have a lot
of trauma informed services, but unfortunately we don’t have enough providers to offer the services.
Maybe capacity would be a good topic?
Staff Kirkpatrick said finding a focus is essential and yes we have a lot of trauma informed providers,
but our community needs to continue to changing norms around chronic disease and substance abuse
disorders. How do we create compassion for those individuals in the community?
Member Speser is very supportive of a Summit and would be happy to be on a subcommittee. Staff Mc
Enery said a committee would definitely be needed.
#Instagram hashtags/ Staff Mc Enery said that the work that the 1/10th vendors are doing and other
trauma informed providers in our County could be showcased on instagram through some trauma
informed hashtags. She will keep the Committee posted.
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d. PT Film Festival -Ernie & Joe
Staff Mc Enery reminded everyone that the Film Ernie & Joe Film will be shown during the PT Film
Festival @ The American Legion on 9/21/19 @ 9:30am. Ernie & Joe follows two skilled law
enforcement officers who work within the San Antonio Texas Police Department’s Mental Health Unit.
The goal is to divert people away from jail and into mental health treatment. A navigator interview panel
will follow the film. Panelists will be Chief Michael Evans, Jud Haynes, the PT Police Department
Navigator, Valerie Phimister from NAMI and Ernie from the film.
VIII. VENDOR REPORTS:
i. Dove House-Recovery Café- Brian Richardson shared that the Recovery Café helps people to
feel safe so they find recovery and maintain recovery. The Recovery Café is not treatment, a 12
step program or a drop in center, it’s a membership based organization. (Please see the Recovery
Café Powerpoint presentation for details.)
ii. Believe In Recovery- Jail SUD Assessment Program-Gabbie Caudill from Believe in Recovery
shared about her program in the Jail. Gabbie facilitates weekly relapse prevention classes in the
jail, (one for woman and one for men). She has done 58 drug and alcohol evaluation’s in the jail
since February. Twenty-two people have successfully gone to inpatient treatment and been
discharged, another nine have not completed treatment. Gabbie also refers people to DBH, OPHS,
Therapeutic Courts, medical providers or any service they may need.
The biggest barrier Gabbie sees is when people end up in Jail without insurance, as there is no
way to get people treatment services without insurance. Staff Mc Enery asked Gabbie how many
inpatient treatment centers exist in Washington State that take Medicaid. Gabbie said there are six
centers.
iii. PT Police-Navigator Program- Jud Haynes, the local Navigator shared that this service can help
to reduce law enforcement contact with people in a mental health crisis and help those same
individuals avoid incarceration. (Please see the PT Police Navigator Powerpoint presentation for
details.)
iv. MCS-School-Based MH Services– Julie Canterbury from MCS Counseling shared about how her
agency provides mental health services in each School District. (Please see the MCS School-
based Mental Health Services Powerpoint presentation for details.)
IX. OLD BUSINESS-None
X. Public Comments
Frank Hoffman said this was an extremely informative meeting and the vendor presentations were
impressive.
Natalie Gray said with integrated managed care in January 2020, DBH will be losing a lot of state
block funding, (non-medicaid and unrestricted funds) that is paying for people (on Medicare or who
are uninsurable) to attend their Day Program. Staff Mc Enery asked how much of a deficient they
are looking at. Natalie said it could be around $100,000, but is not sure of the actual number yet.
Meeting adjourned.
Next BH Advisory Committee meeting: Tuesday, November 5th 2019