Meeting Minutes of
The Governor's Council on Behavioral Health
8:30 A.M., Thursday, October 11, 2007
Council on Behavioral Health met at 8:30 a.m. on Thursday, October 11, 2007, in
Barry Hall's Conference Room 126,
Members Present: Richard Leclerc, Chair; Kai Cameron; Leo Cronan; Sandra DelSesto; Scotti DiDonato; James Gillen; Mitch Henderson; Peter Mendoza; Anne Mulready, Elizabeth Earls; Noreen Shawcross; Bruce Long; Karen Kanatzar of Parent Support Network; and Bruce Todesco, Mental Health Advocate's Office.
Members Present: Craig Stenning and Gene Nadeau, Department of Mental Health, Retardation and Hospitals (MHRH); Janet Anderson and Jeanne Smith, Department of Children, Youth and Families (DCYF); Fred Friedman, Department of Corrections (DOC): Paula Parker, Department of Elderly Affairs (DEA); and Colleen Polselli, Department of Health.
Staff: Corinna Roy, Charles Williams, Kristen Quinlan, Mary Ann Nassa and Elena Nicolella.
Guests: Jessica Lopes and Gabrielle Gibson.
Once a quorum was established, the Chair, Richard Leclerc, called the meeting to order at 8:35 a.m. After introductions were conducted, Richard entertained a motion to accept the Minutes of September 11, 2007. James Gillen motioned to approve the minutes and Scotti DiDonato seconded the motion. Jeanne Smith of DCYF made the following two amendments to the minutes: Page 5, UPDATES FROM DCYF, in Paragraph 2, change "because of a delay from CMHS to because of a delay from CMS" and also under UPDATES FROM DCYF, in Paragraph 5, strike "She offered to report on Project Early Start at the next meeting for everyone's information." All were in favor, and the minutes were approved as amended.
YOUTH INVOLVEMENT AND INPUT
Charles Williams introduced Sandra DelSesto. As a result from discussions regarding
meaningful youth involvement with the Council on Behavioral Healthcare, Sandra
invited Jessica Lopes, Assistant Project Coordinator at Initiatives for Human
Development (IHD) and Gabrielle Gibson, a senior at
After review of the outline, Sandra introduced Jessica Lopes of IHD. Jessica described the organization as outlined in the Rhode Island Teen Institute Q&A brochure attached (See Attachment III). Jessica and Garbrielle presented their proposal to start a Youth Advisory Council. They stated that decisions being made by advisory councils affect them as youth, and they feel that it is important for the Governor's Council to include their feedback. Jessica suggested that a staff person be assigned to work with the youth to make it accountable and also be able to provide the necessary tools for them to succeed. Corinna Roy asked what percentage of time they were suggesting for this staff person. Jessica stated that it would be about fifteen hours per month to support the group--with administrative to be delegated to Youth Council members. Regarding how the youth would be recruited, they suggested that a youth be recruited from each community or from a program that they are already involved in as illustrated on Page 5, Slide 3, No. 3 of the PowerPoint presentation (See Attachment I). Jessica also suggested that the Council produce projected outcomes as suggested on Page 6, Slide 2 of the PowerPoint presentation (See Attachment I). They also provided in their presentation suggestions regarding: Where Do We Start (See Attachment I). Jessica suggested that the youth representatives be accommodated by holding two to four meetings of the Council after 3 p.m. so that they would be able to attend after school. Jessica Lopes stated that if anyone had any questions, they could contact her at 401-490-2200, Ext. 208 or email at email@example.com.
Richard suggested that this subject be placed on the agenda for the next meeting in order to conduct further discussion about it.
UPDATES FROM DCYF
Janet Anderson stated that as a follow up to the IHD presentation, DCYF would be very much involved with such a venture depending upon what the Council decides.
She reported that the budget continues to be a challenge
for DCYF. She stated that RFP proposals
for the Family and Community Care Partnership (FCCP) were due on October 10th
and nine proposals were received. DCYF
will review the proposals within the next two to three weeks. Janet reported that presently there is a
re-procurement of the front-end services and supports that are funded by
DCYF. The FCCP has wrapped into what was
known as the CASSP System. The system is
being reformulated along with how it functions on a day-to-day basis in order
to take the next step in going further into implementing and operating the
CASSP principles within
Janet described a letter of interest that was circulated
through the DHS website looking for suggestions from people across the country
regarding organizing services and supports in
Janet stated that a huge benefit is the resources brought in from the SAMSHA
grant for the Positive Educational Partnership (PEP). Those dollars fund some of the training and help refocus
the need in
Liz Earls announced that a conference focusing on
Wraparound will be held on October 31st at the
MENTAL HEALTH BLOCK GRANT PEER REVIEW
Corinna Roy reported that the block grant was submitted on time
and is available to the public on the web.
She stated that for the second year in a row
Craig Stenning added that it was important to hear what the
Craig stated that the reviewers were very complimentary of
the Governor's Council especially in the areas of collaboration, advocacy,
monitoring and evaluation, and providing public input which is one of the
purposes of the Council to the Department and to the State. In particular, they mentioned that
Jeanne Smith's only concern was the reviewers' question regarding DCYF's capacity to report on the data because DCYF is struggling to be able to report on all the NOMS, but they are trying to integrate some of those measures into their new FCCP and other places in order for them to create a baseline by next year.
Corinna added that there is a trend reporter that publishes
a report from all of the states' perspectives which is distributed nationally,
and they are looking more specifically in that report at how states are fairing
with fewer resources and still trying to improve services. Since
Richard Lecher followed by stating that it was a very good review.
BEHAVIORAL HEALTH DATA ELEMENTS SUBCOMMITTEE
Mitch Henderson reported that the composition of the data to be included in the Behavioral Health Data Elements Outcome Measures report is complete. Mitch requested a motion to accept the list of performance measures which was distributed at the last meeting along with presentations of data by the departments to be made annually during the winter months.
Richard Leclerc clarified moving forward with the Council formally accepting the Data Elements Outcome Measures of the system. Richard accepted Mitch's motion, and Liz Earls seconded the motion. All were in favor. The Data Elements Outcome Measures were accepted as submitted in the report. Mitch thanked Kristen Quinlan for all of her hard work with the coordination of the efforts.
Mitch reported that a meeting was held regarding his consumer-oriented recommendations. They suggested that consumers and stakeholders be involved in providing block grant input in the next year's block grant plan starting in January. Mitch made a motion to form a subcommittee to start in the January timeframe to provide recommendations to state executives on service ideas to be included in the block grant application.
Corinna clarified that this would be an opportunity to make recommendations and set some priorities from the consumer perspective or from any Council member who is interested early on about the service system prior to submission. Richard Leclerc mentioned that another element to keep in mind is that the funding budget cycle runs ahead as well which creates a lag between recommendations and actual implementation.
Bruce Long seconded Mitch's motion to form a subcommittee. All were in favor and the motion carried. Richard stated that they would like to identify the members of this subcommittee within the next month to make sure that individuals can meet on a regular basis.
In additional, Mitch requested creating a small budget for general operating funds for the subcommittee. Mitch made a motion that the Council Steering Committee determines a budget for the subcommittee. Sandra DelSesesto seconded the motion. All were in favor and the motion was carried.
UPDATES FROM MHRH
Craig reported that he is in receipt of the official notice
from the Federal Government that
In answer to the question of what providers are on board, Craig stated that one of the major purposes of this national project is to expand the capacity and expand the delivery system; therefore, for the treatment aspect of the voucher, any current licensed provider is eligible, and they will have to agree to the terms and conditions of the program. In addition to that, benchmarks have been built in the application where the State expects and hopes to gain additional providers. There are several large agencies that provide behavioral healthcare services that are not currently funded or licensed by the State, and it is hoped that a few of those agencies will become licensed. Licensed providers who are not funded are also eligible. The provision of recovery services is wide open because the nature of those services. The types of services will include faith-based services and other services designed to follow people once they have finished with the traditional formal part of treatment. A Recovery Coach will be assigned to each client in the program to help them with their treatment as well as their recovery services. To help increase the capacity of the current system individual practitioners or group practices that do family counseling, and marriage counseling, etc. can become clinicians in this program as long as they affiliate with one of the licensed providers. Craig hopes that the ATR grant will serve as an incentive to such organizations as Crossroads and the Urban League to become licensed by the State.
Craig stated that screenings will be done by MHRH staff at
Craig stated with quick roll out, he will have a lot to report back at the next meeting.
Craig reported that the ACI project which is the $1 million dollars for treatment for individuals who are awaiting parole and who have been identified as needing substance abuse treatment or co-occurring treatment and are prevented from their final review because of the lack of availability oftreatment. The RFI has been drafted and reviewed by the Parole Board and DOC, as well as the House Finance Committee who initiated the project. It is currently waiting final review and approval by the Director of MHRH. Craig is hopeful that it will go to purchasing by the end of the week. Their target was originally to have individuals in treatment during the month of November but it is a few weeks behind schedule. He stated that it will be a rolling recruitment which reduces the timeframes. There will not be an RFP; therefore, if you are eligible, you will be one of the providers that will be considered. It includes two levels of residential care as well as a new definition of intensive outpatient services.
Ann Mulready asked who would provide the names of potential program clients. Craig stated that the Parole Board will provide MHRH with a list of names. MHRH will do the assessment and a treatment plan which will be given to the Parole Board. It will be their decision as to whether or not someone gets paroled. MHRH will also provide a risk assessment on the likelihood of that person being a risk to the community. The Parole Board has agreed that they will narrow the number of parole officers that will be assigned to these individuals. MHRH has made the same agreement that they will have a staff person that will track those individuals once they are out in the community, and the provider has to agree to assign someone to monitor the client creating a three-way conversation at all times. The first objective is to reduce the amount of time people wait at the ACI and the second objective is to reduce recidivism.
Bruce Todesco asked if those individuals are being identified prior to appearance before the Parole Board or is the Parole Board granting some type of provisional parole. Craig stated that it is still open for discussion because there will be some limits on how many assessments can be done in a given week. In some cases this may be their first time before the Parole Board, and in many cases people are not approved their first time. One of the reasons that they may not get approved the first time is because of the lack of clear assessment on their substance abuse history. Some have gone through ACI treatment and those are the people they will try to get released first. The next group is people who may have had drug related histories prior to their incarceration mostly as users and not as sellers. The third group is approximately 600 individuals in any given year to whom the ACI gives some type of review.
This program was designed for the group of approximately 30 people at any given time that both DOC and the Parole Board have deemed eligible for parole except for the fact that the plan before them does not include treatment availability for the individual.
Craig thanked everyone, especially Jim Gillan, who
participated in the Voices of Recovery Event at
Craig also announced the NAMI Walk which is scheduled for
October 13, 2007. There will be a team
from the Division of Behavioral Health who will be participating. The walk is a total distance of 3.2 miles and
Craig announced that on October 15th and 16th
a regional conference is being held in
Craig announced that on October 19th there will
be a teen conference at the
Craig added that there will be a visit from the White House
Office on drug abuse by the individual that is in charge of promoting brief
screening and intervention which is a model for best practice that the White
House Office and SAMHSA have been recently promoting. Both MHRH and DHS are meeting with them now
Craig announced receipt of notification that the
Craig reported review of the first quarterly report from the combined SSTAR contract and asked that the report be put on next month's agenda for presentation.
The proposed schedule of meetings for 2008 was distributed (See Attachment V). Richard stated that it was proposed in light of the recommendation of possibly starting a youth advisory board.
Noreen Shawcross announced that
Corinna Roy reported that the PATH application for seriously mentally ill homeless was complete and has been forwarded to the State Purchasing Office. Corinna looks forward to announcing something soon.
Craig reported that the proposed RFP for Safe and
Charles Williams added that the Substance Abuse Prevention and Treatment Block Grant was submitted on time. Craig added his commendation to the staff on both submissions.
Richard Leclerc add that an Executive Summary of that application would be available for December or January.
ADJOURNMENT AND NEXT MEETING
There was no further
business. Upon motion made and seconded,
the meeting adjourned at 10:20 a.m. The
next meeting of the Council is scheduled for Tuesday, November 13, at 1:00 p.m. in the first floor Conference Room
126 at the
Minutes respectfully recorded and written by:
Mary Ann Nassa
Secretary, Governor's Council on Behavioral Health
Attachment I: Working with Youth as Resources
Attachment II: Rhode Island Teen Institute
Attachment III: Rhode Island Teen Institute Q&A
Attachment IV: Executive Summary ATR Proposal
Attachment V: Proposed 2008 Schedule of Meetings