Meeting Minutes of the Children Come First Advisory Committee

Meeting Minutes of the Children Come First Advisory Committee

April 21, 2015

10:00 am - 3:00 pm

Goodwill Administrative Office, Madison, WI

In Attendance: Co-Chair: Scott Strong (Community Partnerships), Co-Chair: Phyllis Greenberger (Disability Rights WI), John Bauman (Dane County Juvenile Court), Bonnie MacRitchie, (Dept. of Children & Families), Carolyn Stanford-Taylor (Dept. of Public Instruction), Gail Chapman (Dept. of Health Services/Northern Regional Office), Lynn Green (Dane County Dept. of Human Services), Sarah Hotchkiss (Lutheran Social Services), Erin Sarauer (Winnebago Mental Health Institute), Thai Vue (WI United Coalition of Mutual Assistance Associations, Inc), Gordon Owley (Waukesha County Health and Human Services), Lori Martin (White Pine Consulting, Inc), Jim Moeser (WI Council on Children & Families), Scott Eithun (Juneau County DHS/WCHSA), Elizabeth (Liz) Aldred (Walworth County/WCHSA), and Hugh Davis (Wisconsin Family Ties)

DMHSAS Staff: True Lor (DHS/Northern Regional Office), Kathy Kloes (DHS/Northern Regional Office), Teresa Steinmetz, Joyce Allen, Tim Connor, Karen Bittner

Guests: Faye Begay (Ho-Chunk Nation Dept. of Social Services), Charity Thunder (Ho-Chunk Nation Dept. of Social Services), Nyree Kedrowski (Ho-Chunk Nation Dept. of Social Services), Carolyn Blackdeer (Ho-Chunk Nation Dept. of Social Services), Desiree Gearing-Lancaster (Ho-Chunk Nation Dept. of Social Services), Laura Newmann (Disability Rights WI, intern)

Welcome and Introductions

Those in attendance introduced themselves and briefly mentioned what is on their minds regarding children’s mental health.

Approval of Committee Minutes: October 2014 and January 2015

Thai made the motion to approve the October 2014 minutes. Carolyn seconded the motion. All in favor. No discussion. No abstentions. The motion passes.

Gordon made the motion to approve the January 2015 minutes. John seconded the motion. All in favor. No discussion. No abstentions. The motion passes.

Committee Membership Discussion

Scott stated that there were 3 new members. Lisa Saagimaakwe Stark works in the Lac Courte Oreilles Indian Child Welfare Office, Esie Leoso-Corbine is the Bad River Social Services Director, and Tiajuana Rice is the Director of Programs for the Workforce Development Board. Liz made the motion to approve the 3 new members. Gordon seconded the motion. All in favor. No discussion. No abstentions. The motion passes.

Scott referred members to the CCF Advisory Committee Open Positions document. Scott stated that there are open positions for Parents and Philanthropy, and the committee is open to having more than 1 parent. Members are to call or email Scott or Phyllis with the names of potential committee members and Scott and Phyllis will then contact the individuals. It was also noted that the group is beginning to outgrow the meeting space at Goodwill and when new members are added, the space will be too small. Lynn Green stated that Dane County has access to available meeting space and can help. Joanette Robertson, the on-going DMHSAS staff for this committee, can contact Lynn directly regarding this. There was also mention that if members are not being paid by an organization to participate in this meeting (for example parents) there is the possibility of mileage reimbursement, of which Joanette can provide more information on this when it is needed.

Scott then referred to the Children Come First Advisory Committee Handbook. Scott noted that this document is a draft and the purpose is to provide more structure to the committee. Members are asked to review the document and as a whole will discuss it during the July meeting.

Scott also stated that there is a plan to develop a formal way of bringing on new members. In November, the last meeting of the year, there will be a standing agenda item regarding membership. This time will be used to discuss what positions the committee needs to recruit for in the next year as a way to formalize the process and be proactive about recruitment and membership. New members can be added at any time of the year. There was also a short discussion on membership responsibilities including attendance and engagement. If a member sends a sub because they are not able to attend, it is that individual’s responsibility to bring the sub up to speed so they know what is going on. Scott and Phyllis stated they can help with this but the responsibility lies with the member to ensure it gets done. For this discussion in the future, members stated that it would be helpful to see the membership list and to include on that list how long each member has been on the committee.

System Change Discussion

Members reviewed the systems change definition. Members discussed that “systems change” is part of the statute and needs to be defined so that CST sites know that whether or not they are actually doing systems change. Questions that have arisen from the discussion:

1.  Is it more that a site is expected to provide a system of care for children’s mental health?

2.  Is the definition smaller than what the group has been talking about?

3.  What would system change look like if you saw it?

4.  What is the end goal of system change? Some stated the end goal is better services for consumers.

5.  How will systems change be measured?

In the fall, members will have a meeting with DMHSAS staff to discuss next steps with the definition. If members have additional ideas, please contact Scott and Phyllis.

CST Site Presentation: Ho-Chunk Nation

Carolyn Blackdeer is the CST Project Facilitator for the Ho-Chunk Nation. Carolyn brought 4 Tribal staff to help her describe how CST and other Tribal programs work together to provide services for Tribal members. They described how their Tribe is spread throughout the state and is located in 15 different counties as well as other states and that it can be difficult to provide services to all tribal members. They are currently working with other counties to find the best way to provide services to Tribal members in all areas. Ho-Chunk is currently working with 6 kids and families as well as a few others informally.

DMHSAS Update

Joyce Allen provided the DMHSAS update, starting with a few key points in the Governor’s proposed budget, including:

1.  Expand Medicaid coverage to Residential Care Centers for treatment programs.

2.  Revise the language in Emergency Detention area that would require a youth to be assessed by a mental health professional prior to an ED. This also looks at standardizing the ED process across the state.

3.  The Office of Children’s Mental Health would move from the governor’s office to being under the umbrella of DHS. It would still operate independently but would have office support.

4.  Streamline community mental health appropriations. DMHSAS has well over 600 contracts and this would allow for 1 contract with each county, which would cover all programs for the 5 different appropriations.

Joyce also stated that Lucas Moore, who is the Adolescent Substance Abuse Coordinator for the Division is involved in a SAMHSA Initiative of the Policy Academy. It will focus on school based diversion, to divert youth with mental health concerns from the juvenile justice system. Lucas and his core team will be working with the Safe Schools Healthy Students grant people in the Beloit School District and in Rock County. The initiative will provide technical assistance and time and experts to focus on this group of kids. In addition to the core team, Lucas will have a home team that consists of:

·  Rock County

·  OCMH

·  Division of Juvenile Corrections

·  Department of Children and Families

·  Jim Moeser and WI Council on Children & Families

·  Hugh Davis and Wisconsin Family Ties

·  Department of Public Instruction

·  Other local community agencies

The group will develop goals for working together and will develop a work plan. More to come on this at a later date.

Joyce then turned it over to Teresa Steinmetz, who is the new section chief for the Children Youth and Families Section at DMHSAS. After providing the group with background information about herself, Teresa provided a CYF section update. Teresa noted that the CYF section works on CST, day treatment, transition age youth, infant mental health, and suicide prevention. Teresa’s updates include:

1.  Now Is the Time Grant, Project YES! is currently hiring for 3 positions and the grant will be working with the 16-25 age group. It includes a huge youth voice component as well as a social media component. The grant is being piloted in Outagamie and Jefferson County.

2.  Joanette Robertson will be working on revising the administrative rule for day treatment and will be using the information gathered from a work group from a few years ago.

3.  CST:

·  Contracts started in January for counties. Teresa also explained the contracts process regarding work plans and budgets. Due to federal regulations, all subcontractors must submit their own budgets.

·  The spring Project Directors Meeting was held last week, of which Lori Martin from White Pine will provide an update later in the meeting.

·  Rock County will be working with Tim Connor to begin showing cost savings for CST.

·  There have been some TA changes that went in to effect February 1st. A communication went out to sites a couple weeks ago, of which Teresa provided a copy and went through with the group.

Teresa also stated that the funding streams for CST have been blended and in doing so, all counties are on a calendar year for a contract period and all tribes have a contract year that is consistent with the federal budget calendar, beginning October 1st and ending September 30th. To get to this point, in 2014 many counties and tribes had a short bridge contract.

Committee members also had a short discussion on the need to revisit the characteristic based contracting. Teresa explained that as many sites are just getting started and/or have had difficulties getting staff hired, now is not the time to move to this type of contracting. Committee members want to ensure that this is revisited at some time in the future.

White Pine Update

Lori provided a document with an update of WP activities. She went in to detail about the Project Directors meeting that was held last week in Stevens Point. Some highlights include:

·  105 individuals attended, including 85 representing CST sites from 54 counties and 10 tribes

·  64 evaluations were completed and attendees noted that they like opportunities to network with other sites and that 1 hour is not enough time for breakout sessions

·  The next PD meeting is scheduled for Wednesday September 9th in Stevens Point

Lori also noted that 3 of the 5 spring regional meetings have been held in which a total of 54 people have attended and the topics included Planning for Crisis (2) and Trauma Informed Care. WP has also provided 2 of the 5 two day care coordination trainings as well as 1 additional 2 day care coordination training, and trainings around:

·  planning for crisis

·  Coordinating Committee Workshops

·  Community Overview

·  Developing Plans of Care

·  Workshops for Educators

·  Advanced Facilitation Skills

CST 2014 Annual Report

Tim Connor discussed the 2014 Annual Report, stating there will be a section describing the expansion. And based on feedback from others, this report will have less text and more graphics. Tim also handed out a document in which he had compiled preliminary results from the Family Satisfaction Survey as well as data entered in to PPS from each site. Tim noted that a rough draft of the report can be submitted to committee members prior to the July meeting and members can discuss the report at the July meeting.

Wrap-Up and Planning for Future Meetings

Gail noted that she currently has staff, Kathy Kloes, who could devote time to coordinate the Program Subcommittee. One of the purposes of this group was to compare the National Wraparound Principles to those of CST. Previous members of this subcommittee have included Hugh, Dan, Phyllis, Gail, Joanette, Rebecca, Mary Jo Meyers, and Deb Ramacher. The future of this subcommittee will be revisited at the July meeting.

It was also noted that Scott and Phyllis sent a letter to Assemblyman Robin Vos thanking him for his support for the CST Expansion. Phyllis also reminded everyone that May 7th is Children’s Mental Health Awareness Day. The celebration will be held at the Overture Center, 1-2pm, and will include singers, dancers, and recognition of the Poster Contest winners.

July meeting agenda items:

·  Review the CCF Advisory Handbook

·  Do strategic planning

·  Review the 2014 CST Annual Report

·  Review recommendations for funding

Next Meeting: July 21, 2015 at the Goodwill Administrative Office

Submitted by: Karen Bittner

April 24, 2015

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