Children’s Mental Health System Advisory Council CMHSAC Meeting Notes February 16, 2010 Present: Members: (in bold) Trish Backlar, Margaret Brayden, Vicki Creel, Kimberly Dunn, Family Cathe Dunwoody, Anna Guillen, Milele Hobbs, Carrie Leavitt, Representatives Brenda McSweeney, Adrianna Rickard, Moriah Vicknair, Zenn Vicknair Professional Deena Corso, Kathy Keim-Robinson, Drew McWilliams, Andrea Representatives Muzikant, Monica Parmley, Janie Richards, Courtney Towne, Thuy Vanderlinde, Elaine Wallick, Kirk Wolfe Youth Roman Dobbs, Gabe Rickard, Elicia Smith (recruiter) Representatives Guests: Jay Auslander, J.D. Belka, DeAnna Garcia-Dennis, Andrea O’Leary, Destinee Vongkhamchanh FamilyCare Margaret Scott for Sherri Simms Staff: Verity Charmaine Kinney, Godwin Nwerem Recorder: Sarah Mayfield Call to Order Zenn called the meeting to order. Brenda volunteered to be the acronym monitor and Roman volunteered to be the timekeeper. The minutes from the January 19, 2010 meeting were approved as submitted. Co-Chair Introductions New Co-Chairs Adrianna Rickard and Zenn Vicknair gave brief descriptions of their involvement in children’s mental health. Adrianna’s mental health experiences with her son led her to become a part of the Wraparound Oregon project, and now this approach is a strong interest for her. Zenn is Roman’s step-father. Zenn has both personal and familial experience in the mental health system. He is a psychology student as well. Membership There are open seats: 4 Family Representatives and 4 Youth Representatives. Elicia introduced potential Youth Representatives James (J.D.) Belka and Destinee Vongkhamchanh to the group. MOTION: Milele moved and Roman seconded to seat J.D. Belka and Destinee Vongkhamchanh as Youth Representatives. Motion carried. Advisory Group Satisfaction Survey Results Erin McCarley distributed a handout and fielded questions about how to interpret the graphs. She explained that this is the first year this survey has been done across divisions in the Department of County Human Services. It will continue to be done either yearly or every other year. Milele asked what the survey takers would be doing with the data; Erin replied that she will bring the results to each advisory committee and they will decide how to use the information. An example was given to use the data to create agenda points to revisit over multiple meetings. Godwin suggested using the data to inform official recommendations and citing the data to support decisions. Erin offered her support when revisiting the data next year. Procurement Godwin says they have received inquiries about how the proposals received through the current procurement process. It was stressed that Family Representatives were included on the panels grading proposals. Godwin reiterated that he can’t answer any questions about procurement at this time due to a rule prohibiting discussion once the process is underway. Wraparound Pilot Multnomah County is sending in an application to the State to be a part of the upcoming Wraparound pilot program. The application is due on March 25. Out of roughly 29 applications, 7 or 8 will be accepted. Godwin says if we are not accepted as a pilot county, Multnomah County will forge ahead with current Wraparound plan. Cathe noted that the Transition Team has looked at data collection models for the results of Wraparound usage. MHASD Strategic Plan Milele recapped that at the last meeting it was agreed that everyone would look at the plan and compile their comments. The feedback is due March 2. There is a discussion of the possibility of extending the deadline. Godwin says he will let Milele know about extending the date so she can email everyone about it. (NOTE: our deadline has been extended to March 17 to allow for discussion at the March 16 CMHSAC meeting.) Cathe brought up her frustration about some emails to County employees “bouncing” if sent from addresses outside of the County email system. She says she would like to have a plan for giving Family Representative input that is more reliable. Milele suggested this recommendation be made from the CMHSAC group. In the interim, she suggests calling the person being emailed (or, in Karl’s case, his assistant) to “release” the email. Wraparound Transition Planning Meeting report A list of 13 recommendations has been compiled for submission to Karl. The goal is to keep families involved in all phases of transition planning. The team would like input on how the family team should be modeled. They would like to develop a common transition language. The team would like feedback from County Family Care Coordinators and Milele offered to help with this. Input is need by the February 22. CMHSAC Priorities List Priority item #1 – Transitions The team, headed by Milele, worked on agency to agency transitions and transitions between levels of care. They also are looking at other areas of transition within the system. Milele requested permission from CMHSAC to continue this committee and asked for new members. The group approved continuation of the Transition Subcommittee. Priority item #2 – Verity & Families The subcommittee has finished its final report, which was handed out. Priority item #3 – Culturally Responsive Services/Cultural Needs There was a brief discussion clarifying the scope and language of the Cultural Competency Survey. Deanna asked if there could be a multi-agency committee to address assessment tools like this one. Some felt that the language was dated and that this might not lead to the best results. Charmaine replied that lots of feedback was received on that issue and they will work with the tool developer to update language and do more refining, but that they do not want to make drastic changes so they can accurately judge changes in responses over time. Major changes to the survey would not allow for accurate comparison between this and future surveys. Zenn asked the group if they still feel they have the same priorities or if they’d like to discuss making a new list. He would like that to be a decision made at the March meeting. Additional Priority Item – Crisis Response The final report by the Crisis Subcommittee was handed out. During the reviewing of the report, Milele asked if it would be a good idea to have a law enforcement representative at CMHSAC. Do we need a new position for that? Godwin said he knows of a Crisis Intervention Team (CIT) coordinator that he could invite. MOTION: Milele moves to amend the bylaws to increase the professional seats to 12 and designate the 12th spot to be a law enforcement professional; Brenda seconded. Motion carried. (NOTE: the format of this amendment did not follow the requirements of the bylaws; the amendment will be addressed again at the March meeting.) Member Concerns and New Issues Zenn handed out a draft of a letter he composed in response to Milele’s concern regarding a recent case where the Children’s Farm Home (CFH) recommended the use of the police as a response to a mental health crisis in their discharge report. There was a discussion of potential wording of the letter. Ron noted that CFH couldn’t legally respond to the letter due to HIPAA requirements. He suggested using the County complaint route or the CFH complaint route because in both there is an established system of review. Milele withdrew her concern. Charmaine suggested not pursuing both grievance processes simultaneously because once she gets involved the other process stops. Godwin concurred that this is beyond the scope of CMHSAC. Announcements Adrianna says that she and Zenn would love feedback. Godwin says an email will be sent soon regarding Karen Mayfield’s retirement party.