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HomeMy WebLinkAboutDDAB_Minutes-FINAL- 05-28-2019 Developmental Disabilities Advisory Board (DDAB) MINUTES Tuesday, May 28, 2019 Board Attendees: Carl Hanson (Co-Chair), Kelly Matlock, Pamela Adams, Laura Cook, Dale Wilson Absent: David Sullivan & Kim Rafferty (Co-Chair) Board Resignation: Claudia Edmondson-(will be retiring & moving out of State) Guests: Claudia Coppola, Robin Burdick, Sarah Hayward, Jake Baker, Catie Morton, Iris Wehrle, Natalie Gray, Diane Porter, Ari Dechant Staff: Anna Mc Enery CALL TO ORDER Member Hanson called the meeting to order. INTRODUCTIONS APPROVAL OF AGENDA Member Hanson called for approval May 28, 2019 meeting agenda. One change made to order of the agenda presentations. Member Adams moved to approve the changed agenda, Member Cook seconded. The agenda was approved with no changes. APPROVAL OF MINUTES FROM March 26, 2019 Member Hanson called for approval of March 26, 2019 meeting minutes. Member Wilson moved to approve minutes. Member Adams seconded. The minutes were approved with no changes. PUBLIC COMMENTS None were made. NEW BUSINESS AND PRESENTATIONS Presentation about Pathways Of Washington Behavior Support Program – Sarah Hayward, a Behavior Support Specialist introduced herself and the Pathways of Washington Behavior Support Program. Staff McEnery asked for information on how Pathways can support people with developmental disabilities. Sarah Hayward said they can provide behavior support and medication management for individuals with challenging behaviors. They provide support through DSHS, Home and Community Services – (Extended Community Services) which includes people in assisted living, adult family homes and other facilities. The Pathways of Washington Behavior Support Program recently signed a contract with O3A, to provide professional support services for in-home behavior services. The Program administrator advised us that we may be able to contract with individuals who have developmental disabilities with challenging behaviors through aging and long term care. This would be new for us. Case Managers need to provide a referral through DSHS-Home and Community Services. Extended Community Services, (ECS) allows us to provide behavioral support, which is similar to therapy but we don’t bill it as therapy which allows up to 10 hours a month to be provided instead of 12 hours per year. We offer more time and directed services with clients. We can work directly with individuals and staff, can provide CEU training listed on handout, and off-the-cuff training specific to a particular case. We can also sit in on care conferences to advocate for clients who live in facilities. A main focus is to maintain placement, in the home or in a facility to avoid trauma for individuals. Pathways can also provide psychiatric med management through ECS. We have a RN on staff who is trained in both geriatrics/ psychiatry. She administers the program through Telehealth, HIPPA compliant Skype type services. It is a Medicaid based program so individual has to be Medicaid eligible. Pathways is currently not working with Discovery Behavioral Health, but would collaborate with whomever is currently working with an individual. Staff McEnery asked for some scenarios on services being currently provided. Hayward provided details in dealing with a non-verbal individual whose disruptive behavior was challenging her residential placement. After working with the client, addressing her meds, educating staff on what could be causing the behavior along with different methods to handle it, the individual is staying in her facility. Staff McEnery asked about the training topics. Sarah Hayward does training on-site at the agency or facility. The agency/facility provides the topic, she does the research on the topic and provides the CEU training, (which is paid similar to direct service so there is no cost to the agency/facility). Presentation about the Jefferson County Parent to Parent Program – Diane Porter, the Jefferson County P2P Coordinator introduced herself and passed out brochures about the program. Diane provided an overview of P2P, which is a part of the Arc of the Peninsulas located in Kitsap County. Diane has lived in Jefferson county for 20 years and is familiar with the different cultures in the various locations of the county. She has been working with schools, special ed teachers, etc, trying to make connections parents and others in the community who are involved with children/adults with developmental disabilities. Diane has had some success in connecting with groups and individuals via Facebook and has been writing a column in the P2P newsletter of the Arc of the Peninsulas. Member Hanson asked Diane to provide information on the activities and efforts she is making to network with the community to Staff McEnery so that DDAB is aware of the information and could provide some network directions. Staff McEnery asked about the local Helping Parent group and the regional SEPAC (Special Education Parent Advisory Committee) group. Diane has met with several key persons/groups to try to set up a local SEPAC and a Helping Parent group for Jefferson County, but it hasn’t come about yet. Diane will keep Staff McEnery and DDAB updated on the progress of both groups. Presentation from Discovery Behavioral Healthcare (DBH) on Mental Health Services for People with Development Disabilities – Natalie M Gray/M.Ed, LMHC, MAC, CDP-CEO DBH has been in Port Townsend for number of years. Natalie Gray is the CEO of DBH. Her background is mental health and substance abuse and she has primarily worked in private practice. Natalie introduced Ari Dechant, who is a licensed mental health counselor and is now the Assistant Director at DBH. Ari has a PhD in clinical psychology and has been working in mental health since 2003. DBH provides a number of services, i.e., a DCR (designated crisis responder) who is available 24-7, working with community members who may harm themselves or others. DBH has crisis case managers who work with people in the community or jail, they work with inmates to help them be referred to mental health services. DBH has medical professionals on staff, e.g., therapists working clinically with children and adults, a med management side with ARNP, psychiatrist, nurse manager, and medical assistants. Some clients come in daily to take their meds, or pick up weekly meds, etc. They staff a Day Treatment center called Harbor House and have a WISE program which allows parents/children (birth – 21 year of age) to receive 10 hours of intensive family therapy every month. DBH services are paid by Medicaid, Medicare and private insurance. Staff McEnery mentioned that having a Disability Specialist (MSW) at DBH proved to be very helpful in the past. Staff McEnery indicated that Kim Rafferty praised the services and collaboration that Hamilton House has had with DBH. DD Coordinator Update/Anna Mc Enery Jefferson County Vulnerable Populations Estimate Handout 2019 – Enclosure Staff McEnery reviewed the document called Jefferson County Vulnerable Populations created by Kitsap County Epidemiologists. The data was designed for disaster preparedness and emergency planning for people with access and functional needs, but can be used for health and community planning work. Staff McEnery shared the document with Brian Richardson of the Dove House/Recovery Cafe and he used some of data when applying for a grant. Based on CDC population estimates, 522 people are believed to have a developmental disability in Jefferson County. But there are only 150 people in Jefferson County signed up with DDA. Staff McEnery uses a 1% estimate of the Jefferson County population for DD Program planning purposes, which is about 300 people. The County estimates there are a number of people who would be eligible for DDA, but they not aware of the services. Some other interesting statistics. About 16% of the Jefferson County population, age 5 years or older, have a disability. Another issue that stands out, approximately 4000 people in our county suffer from food insecurity. Jefferson County DD Program Budget for Fiscal Year 2019-2-20 Staff McEnery shared overview of the budget. Last fiscal year the budget was $325,501 and this fiscal year it’s $335,591, (which includes some funding for transition students). If every client in Employment and Community Inclusion uses their maximum hours allotted, the Jefferson County DD Program budget would be overspent. Jefferson County pays providers the maximum amount allowed by DDA, $75/hour for Individual Employment, $65/hour for Group Employment and $35/hour for Community Inclusion. DDA reimburses Jefferson County at the following rates, (via our budget) $59/hour for Jefferson County for Individual Employment, $59/hour for Group Employment and $35/hour for Community Inclusion. So if a County exceeds their contract because the rates they are paying their providers is too high, (not due to new clients or additional hours a Case Resource Manager has authorized), the County is responsible to adjust the rate of pay with millage. The DD Program will be working with DDA to obtain additional funding for new clients, transition students and if a client needs additional hours. Also Jefferson County has $16,125 for Child Development Services. Some of these funds were not used last fiscal year, so we will be working with DDA eligibility to help Chimacum School and local Family Resource Coordinators to streamline the process for children. Coffee with a COP Event - Update Staff McEnery attended the event with Kelly Matlock and her son. It appeared that all the deputies on patrol attended. It was helpful to hear from the Deputies about how they are interested in learning more about the community and its people. Kelly addressed the need to have clear expectations communicated to the deputies attending before the event. Staff McEnery said Kelly Matlock did a wonderful job organizing this event. ACAC Grant Funding/Projects List for 2019 - Update Staff McEnery shared that Kim Rafferty mentioned that the Tri Area Community Center didn’t have accessible doors. Staff McEnery spoke with Dale Wilson about asking Jefferson County to submit an ACAC grant to address the inaccessible doors at the Tri-Area and the Quilcene Community Centers and he did. Staff McEnery thanked Dale Wilson and Kim Rafferty for their advocacy. The YMCA received a $2500 ACAC grant to purchase books about kids with disabilities for their summer literacy program. Staff McEnery met with the YMCA, the Children with Special Health Care Needs Nurse and the Port Townsend and Jefferson County librarians regarding which books should be purchased. The YMCA might invite an individual using American Sign language and another individual with a cochlear implant to attend a literacy program. Transition Workshop – ABLE & DD Endowment Trusts - Update Staff McEnery said the workshop was wonderful and about 8-9 people showed up. Not sure if the County DD Program will continue to sponsor this series because of a lack of attendance with other workshops. We may need to revisit the topics to assure they are helpful. Scheduling Jefferson County Employment Provider Evaluations – DDAB Participation Staff McEnery said it’s time for the DD County Program to do Provider evaluations again. The evaluations are scheduled every 2 years and are open for board members to attend. It is a great way to educate yourself on the types and quality of services provided. Please contact Staff McEnery if you are interested in participating. OLD BUSINESS-INFORMATIONAL ITEMS & FUTURE MEETINGS Informational Items Update about FLASH (Family Life and Sexual Health) Classes - Kelly Matlock Olympic Neighbors is sponsoring the classes and Member Matlock has been volunteering to teach them. The attendees completed 10 classes of Phase 1 and were provided with certificates. Member Matlock is teaching from the Healthy Relationships and Sexual Health curriculum, shared by Mosaic from Clallam County. The Olympic Neighbors fundraiser is set for August 18 at the Pour House, with a goal of $25K in donations. Update from the Developmental Disabilities Administration (DDA) – Catie Morton from DDA did not have an update. Future Meetings/Events Accessibility Community Advisory Committee (ACAC) Regular Meetings (Grant from Governor’s Committee on Disability) to be held from 1-3pm on: June 3 – Public Health/Pacific Room July 22 – Coyle Community Center September 23 – Tri-Area Community Center November 25 - Public Health/Pacific Room Transition Network meeting to be held 3:45 – 5pm @ Tuesday, June 4, 2019 – Quilcene School District -Library Meeting Room PUBLIC COMMENTS Member Matlock said that she is impressed with the ACAC Committee and all the work that’s been accomplished. Member Wilson said part of the Admiralty Apartments, (the apartments above the water) have just been condemned because of storm damage/structural issues. Member Wilson said the new Hendricks project building, (will be built next to DCD in the parking lot) is moving forward. Staff Mc Enery said thank you to all of the DDAB members for their attendance. Future Agenda Items Early Intervention Services in Jefferson County – Concerned Citizens Employment Provider Evaluations Jefferson County DD Program Budget Update – Veronica Shaw/Deputy Director Jefferson County Quality Assurance document/Provider Acuity spreadsheet. Presentation about Updating Jefferson County ADA Plan - Mark Mc Cauley/Jefferson County Central Services Director/ADA Coordinator Update from the subcommittee on Goal Setting/DD Community Forum – Carl Hanson, Pam Adams & Kelly Matlock Wenatchee Community Summit Updates 2019 DDAB MEETINGS – from 2:45 pm – 4:30pm @ Public Health in Pacific Conference Room: Tuesday, September 24 Tuesday, November 26 Meeting was adjourned.