Child and Adolescent 10 11 11 minutes

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					                     Indiana Council of Community Mental Health Centers

                       Child and Adolescent Committee Meeting Minutes


Attendance: The meeting of the Child and Adolescent committee was attended by Angela
Comsa of Regional Mental Health, Tina Cloer of Adult and Child, Doug Davis of Aspire
Indiana, Angi Johnson of Gallahue, Donna Augenbergs of Midtown, Margaret Richardson of
Meridian Services, Crista Milholland of Meridian Services, Bob Coles of Meridian Services,
Karen Bloomer of Swanson Center, Stacey Cornett of CMHC, Inc., Chris Hamm of Cummins
BHS, Inc., Mark Hill of Samaritan center, Jody Horstman of Hamilton Center, Dianna
Huddleston of Wabash Valley Alliance, Bonita Schrod of Oaklawn, Wayne Stephen of Bowen
Center, Letecia Timmel of Bowen Center, Polly Hoover of Oaklawn, Jan Lanning of Oaklawn,
Jennifer Olston of Cummins BHS, Christi Cage of Cumming BHS, Danny Brown of Aspire
Indiana and Donna Culley of Southwestern Behavioral. Guests in attendance were Rebecca
Buhner of DMHA, Stephanie Woodcox of DMHA, and Andrea Goodwin of DCS.

Stephanie Woodcox, Bureau Chief for Child and Adolescent Services presented to the group
regarding the Block Grant, CA-PRTF sustainability and partnerships that DMHA is interested in
pursuing. This is focused on non-Medicaid funded services. The 4 priority areas include
SA/MH gap’s in programming, Integration of Primary/Behavioral Healthcare, Recovery Support
and Safe and Affordable Homes. The sustainability plan is approved with no changes. The
transition for children receiving CAPRTF services will be Sept 30, 2012. Partnerships interested
in being pursued include LGBQ2 and Suicide Prevention.

Rebecca Buhner discussed that the CAPRTF grant ends on Sept 30, 2012. She discussed options
for continuing to serve the 750 youth anticipated. The CMHI grant was not funded.

The DCS Call Center Director, Andrea Goodwin presented on the procedures and issues related
to reporting. Ms. Goodwin presented that there are 9 supervisors and 62 intake specialists that
staff the center 24/7. They have as a goal to ensure that bias is not occurring on what families
are screened out based on history. Ms. Goodwin described the high level of supervisory review
and the committee process that oversees this as well. She reviewed procedures for physical
abuse, sexual abuse, domestic violence, educational neglect, drug exposed infants, suicidal
youth, infestations, and the decision tool that informs their decision making process.

The hiring process for DCS contracts was discussed by Dianna Huddleston. It was pointed out
that the background checks have caused many to struggle with the hiring process. This is
doubling the time for hire in some cases. It is working better when one person organizes the
process. It is driving the turnover rate up and is more of a problem in rural areas.

DCS issues were discussed and it was reported that the CANS is not being completed well by
DCS probably due to training issues and not being as familiar with family at time of assessment.
Email issues notifying KID TRACK referrals also discussed. Ineligible diagnosis was discussed
for young children as a barrier. Some centers reported that the 24 hour time frame is being
requested for non emergent situations.

The addictions subcommittee has asked for the Child and Adolescent Committee to collaborate
in cross training. The opportunities for this were discussed and highlighted especially in regards
to the need to better assess and treat the needs of adolescents. Dan Brown of Aspire pointed out
that there is a need for SA therapists and to further develop competencies with the Child and
Adolescent Committee could be advantageous.

The July Conference was reviewed and attendance was primarily CEO’s and the benefit to others
attending was discussed. Addictions, information for CEO’s, and Round Table for Secondary
Institutions was identified as possible topics in 2012.

It was discussed that feedback to secondary institutions regarding what the Child and Adolescent
programs at the various CMHC’s are seeing as needed curriculum content could be valuable and
improve workforce issues in the future. The idea for the Committee to develop a white paper
was discussed and Stacey Cornett agreed to take the lead in organizing this project. Issues that
were identified were poor documentation skills, therapy training is weak, Recovery orientation
and Trauma Informed Services are not understood, Home and Community Based Services are
not understood, the values and principles associated with Systems of Care and Wraparound are
not understood, Medicaid changes and government issues are not clear, boundaries and ethics
and overall issues related to working at CMHC’s were weak. Further the group agreed that
aligning with the institutions on placement expectations would be beneficial. Stacey Cornett
agreed to solicit feedback from the group.

The next meeting is scheduled for January 10, 2012 from 10-2.

Respectfully submitted,

Stacey Cornett, LCSW, IMH-IV


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