Milwaukee County CCS Program

Meeting Agenda

May 11, 2017

9a.m.-11a.m.

Meeting is at:

1126 S. 70th Street. Room N101, Instructions to get to this conference space are as follows: Pull into the parking lot behind the West Allis Center and park near the 1126 South 70th Street entrance to the building (this entrance is located in the middle of the building – look for the glass double doors). Upon entering the building you should see a security desk. Walk past the security desk and take a right, and almost immediately to your left you’ll notice a hallway. Turn left to go down the hallway, walk past the women’s and men’s bathrooms, and N101 is the very last door down that hall.

RAC minutes 5/11/17

  1. Introductions: Welcome. The group introduced themselves. See attendance sign in sheet.
  2. Introductions and voting in of new members. Aaron is here and he filled out an application. Today, he will merely observe the meeting. After today’s meeting, if he decides he would like to officially join, a formal vote will occur in July.
  3. Review and Approval of minutes from last RAC meeting. Pam F. moves to approve and Liz seconds and all are in favor to approve the minutes.
  4. Programmatic improvement suggestions.
  5. Kenyatta asked if Peer Support was available at all sites. Jen W. explained that Peer Support is available to all CCS consumers. Liz stated that a consumer she knows of a consumer that has a Peer Specialist that is ending services with her because her case load is too big. The Care Coordinator should be sitting down with the consumer to make an informed choice about a new Peer Specialist. Jen A. will email the CCS group to inquire about openings in the Peer Specialist network. Jen A. will also speak to the CCS work group about arranging services, utilizing the Program Directory, and helping the consumer choose from all available agencies. Jen A. will also talk to the agencies about making sure that the Peer Support Specialists are doing services that are specialties to being a peer rather than doing other generalized CCS work, such as med management or physical health monitoring. Robin makes a point that the state peer specialist network can help with recruitment. Robin thinks that we should get more diverse peer specialists in our network so that consumers can choose the culture of their peer. Jen A. asked Robin to email the contact person at the state to share with providers so that they can contact the state and try to get connected to a peer that needs a job. Pam added that she is on the state listserv and she gets notices of trainings and tests. Pam uses her as a resource to post peer jobs. Other CCS programs should get on that listserv. Pam shared that APC is beginning a group where Peer Specialists help teach the consumers person centered planning. The group is beginning in July. Kim R. told the group more about this new group that she is leading with a co-peer, Lindsey. Pam is inquiring about ongoing training of staff for how to deliver services in a person-centered planning method. Liz talked about how many agencies for CSP and TCM are accustomed to writing the plan for the consumer and presenting it to them. In CCS, we need to make sure that staff are getting trained to not do it that way. The consumer needs to be a part of the process and the conversation needs to occur over a series of weeks. Kim points out that after orientation, person centered planning should also be a refresher. Jen W. talked about all the different trainings that Milwaukee County provide and will continue. Agencies will also need to look for opportunities. Pam made the point that training is just a moment in time and that the supervisors direction is really important in guiding staff.
  6. Updates
  7. CCS for Youth – Brian McBride gave the group an update. Milwaukee County is looking to enhance the service of Youth through CCS. The Children’s division is commonly referred to as “wraparound” and this department will spearhead the efforts to enroll youth. Brian is working with APC to begin the enrollment of youth. The goal is to enroll a youth within one month. APC has identified one service facilitator and an MHP. For youth, the initial 30 days will look different than adults, but at the end of the process the CCS program will look similar between youth and adults. Brian is working on the screening process and also working on developing the ancillary network for youth. Today, Brian is going to promote CCS for youth at Children’s Hospital program “Care for Kids”. The goal is to have a youth enrolled by June 1st. The CCS program is very similar to REACH and Wraparound so the consumers getting the correct program is very nuanced. For CCS, the staff will need to use Avatar/Provider Connect, where the other youth services use an electronic medical records called Synthesis. More education and options counseling needs to happen with the youth population. CCS will provide an option for more youth and youth that weren’t otherwise eligible for the current services. The current system services approximately 1300 youth/families. Liz Ford stated she can see how it would be difficult as a parent to choose which program is best for their child and he asked Brian if they plan to put together a brochure that compares/contrasts the programs. The youth intake worker will need to look closely at risk for crisis and out of home placement. Those youth will need to go to Reach or Wrap. For those programs, an eligibility requirement is “as risk of an out of home placement”. While in CCS, it does not provide crisis services. Wraparound and Reach are a Managed Care carveout so when you enroll, you become a Medicaid MCO that trumps other coverage. CCS youth would not have that happen. They keep the Medicaid HMO that they have already chosen. Kenyatta asked if the youth will have access to ancillary services at other agencies and the answer is yes. Kim R. asked if Peer Support Specialists would specialize in youth. The certification process is the same, but he youth network uses peer specialists that can specialize in working with youth. They are looking to train more young adult peers.
  8. Current CCS Enrollment numbers. 568 with 5-6 pending enrollment. The group commented that the growth seems a bit slower and Jen A. pointed out that the admission rate is similar, but the discharge rate is high. Discussion about why people are being discharged. Jen A. can run some stats of reasons why they are discharging. Danny is asking how long the CCS tries to outreach before discharging a consumer and it was shared that the regulations are 90 days. CCS holds the agencies accountable to make diligent efforts to locate and need to staff consumers in a team meeting. The MHP’s role is important as they need to find out what the CC tried to locate the consumer and give advice on more things to try. Pam would like to review the Policy and Procedure and instructions for Care Coordinators. Kim encouraged every consumer to have a crisis plan. There was a question about the prescription. It does need to be renewed yearly in order to bill Medicaid.
  9. Outreach activities and efforts. Focusing on outreach to youth. Liz would like to discuss the newsletter as an outreach tool. Nobody seems to be getting the newsletter. They suggested that they should be displayed at Care Coordination agencies. Some ancillary staff have reported that the CC’s are saying that they are overwhelmed with paperwork. Another idea is to put out the newsletter at drop in centers. Also, to put out orientation packets. We need to disseminate them more! Liz asked about volunteers from this committee to help drop them off. Robin suggested using the Mental Health Task Force. The next newsletter should be done by the time this group meets in July. Danny suggested sending them to transitional living places so that consumers who are leaving transitional living can see the newsletter. Will discuss more at next RAC meeting!
  10. Policies and Procedures. Not addressed today.
  11. Subcommittee reports
  12. Bylaws. Reviewed annually and that just occurred. Changes are highlighted on the hard copy. The meeting documentation has added a standard template format and additional agenda items can be added at the start of the meeting. It is also added that the RAC bylaws will be reviewed at least annually in April of each year. Ad hoc committee will be established as needed to address specific needs. Danny made a motion to approve and Liz seconded. All in favor and the new bylaws are approved.
  13. Consumer Orientation. Not discussed today.
  14. Upcoming events –
  15. Next change agent meeting is May 24th. This year’s topic is “Tools you can use”. May topic is about DBT (Dialectical Behavior Therapy) given by Dr. John Prestby.
  16. The next bylaws subcommittee meeting will be the second Thursday of June at BHD. It takes place in the month opposite of the RAC meeting.
  17. NAMI walk on 5/20.
  18. Other agenda items. None today.
  19. Adjournment