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HomeMy WebLinkAbout09-25-2023 Behavior Health Subcommittee Minutes MEETING MINUTES CJCC BEHAVIORAL HEALTH SUBCOMMITTEE September 25, 2023 10:30 AM St. Croix County Services Center -Room 172 1752 Dorset Lane, New Richmond, Wisconsin CALL TO ORDER Chair Rohret called the Sept. 25, 2023, meeting of the Community Justice Collaborating Council (CJCC) Behavioral Health Subcommittee to order at approximately 10:30 AM. ROLL CALL Attendee OrganizationTitleStatusArrived Name Dave OstnessSt. Croix County SupervisorPresent County Mark RichertSt. Croix N. Hudson Police ChiefPresent County Peter St. Croix Director Clinical Counseling, Present VanDusartzCountyHudson Hospital Gordon YoungSt. Croix River Falls Police ChiefPresent County Kelli EngenSt. Croix Public Health AdministratorRemote County Selena St. Croix Health & Wellbeing Educator, Present FreimarkCountyUW Extension Amy WalshSt. Croix Emergency Physician, Excused CountyWestfield's Hospital Sharlene LopezSt. Croix Administrator, Behavioral Present CountyHealth Kait BreuerSt. Croix Treatment Court CoordinatorPresent County Eilidh Pederson St. Croix CEO WWH Remote County Brandie Hart St. Croix SCCSO Lt. Special Services Present County Stephanie St. Croix Attorney Manager Excused Schmidt County Bob Rohret St. Croix Director, HHS, Chair Present County Others in Attendance: Justice Support Services Director Phil Galli, Justice Support Services Case Manager Keara Aubert, BH Supervisor Natalie Radich, Recovery Coach Jared Norlander, and Justice Support Services Intern APPROVAL OF MINUTES 1. CJCC Behavioral Health Subcommittee Regular Meeting July 24, 2023 10:30 AM Chair Rohret asked if after review of the minutes from the CJCC Behavioral Health Subcommittee July 24, 2023 meeting if any editing was needed. With no changes requested the minutes were accepted as submitted. RESULT: ACCEPTED PUBLIC COMMENT Chair Rohret opened the meeting to Public Comment. No Public Comment today. BUSINESS ITEMS 1. CJCC Behavioral Health Subcommittee Work Group Update Chair Rohret and others from the workgroup provided an update on the workgroup's progress on drafting a white paper. Rohret shared that the group is looking to draft a policy paper that addresses the target population of high utilizers of care. These people are encountered through the court system, emergency departments, police departments, and other crisis services. The paper will look at current systems of care and recommend how we might redesign county services, and include our community partners, to be more effective in serving this population. The workgroup has compiled some good data and are beginning an outline, all with a public safety/public health focus. The hope is to have a rough draft for the next meeting of this subcommittee with the intention of having a final product by the beginning of the next legislative session for review by the full CJCC. A 1-2 page summary of the paper could then be drafted for dissemination at the state legislature and local Board levels. RESULT: DISCUSSED 2. Update on Medication-Assisted Treatment (MAT) in the St. Croix County Jail Justice Services Director Phil Galli provided an update on how things are going with Medication Assisted Treatment (MAT) in the jail. Galli informed that a few weeks ago himself, Lopez, and others attended a conference in Washington, D.C, put on by the federal agency that distributes funding for the MAT grant. It was very informative and we were able to see that the progress we've made in the last 9-12 months puts us in a good spot. One area to look at is the sustainability of this program, there is 1 yr. left with the Dept. of Justice grant, but uncertain what funding will look like after that. They've drafted a wish list on what is needed to keep moving forward and sustain into 2025. This is a great program and seems to be helpful. Deputy Director Lopez informed that she learned at the conference that the collaborations we have made thus far are so far ahead of others across the U.S., and we have a great start on what we need. They also learned that the MAT grant focus will be moving from just MAT to all people having substance use disorders and will work to get them connected to services, resources, and some basic need items upon release. Also, the SOR (State Opioid Response) grant can be used to help support these consumers once they are released from jail. RESULT: DISCUSSED 3. Year 3 State Opioid Response Grant Update & Potential Implications for Criminal Justice-Involved Populations Shar Lopez informed that they are working on utilizing these grant funds. They are using $44,500 in ordering Deterra, drug disposal kits to make drugs inactive and neutralized so they can be safely put into the regular garbage. These will be made available to community partners and the public. They will also be ordering additional Narcan as well as Fentanyl test strips as our supply is becoming low. The new year 3 SOR funds start Sept. 29th. In our application we budgeted for treatment for participating clients with stimulant and/or opioid use histories, transportation needs (taxi vouchers), and recovery housing for 45 clients for 1 months' rent. This would be for both residential and outpatient treatment. RESULT: DISCUSSED 4. Eilidh Pederson presented the "Rack Card" that was developed describing outpatient withdrawal management services, entitled "Recovery Support Solutions", and suggested that it can now be used to promote this service. She shared that the program is going well, and though they did a slow roll out they are feeling good about the work so far. They are looking to open this program up now and think they could connect to the population in the jail program as they leave the jail. Pederson also mentioned that the Peer Recovery Specialist program is also going well as is the partnership with County Behavioral Health Services. Pederson informed that the WI Hospital Association (WHA) is working through Rule 75 regulations which are critical for substance use disorder care, and this has been helpful for them to learn more of what they can provide. WHA is also doing promising work to remove barriers to Rule 75 in determining which providers can provide withdrawal management services. Questions and discussion followed. RESULT: DISCUSSED 5. Harm Reduction: Educating Boards and Committees on Preventive Care Chair Rohret discussed the use of harm reduction strategies to reduce the harm associated with using drugs through a variety of public health interventions such as overdose prevention (Narcan), Fentanyl test strips and clean syringe services. HHS is looking to better define harm reduction and how it can save lives and encourage engagement in treatment. Rohret is working with HHS Board members Dr. Anwar from WWH and Julie Smith from Onyx House as well as Public Health Educator Mary Boe to provide some basic knowledge about harm reduction to the Board and then build on this to educate the public. We need to recognize the mixed perception of these interventions by the public. RESULT: DISCUSSED REQUEST FOR FUTURE AGENDA ITEMS Chair Rohret asked for any future agenda items. Subcommittee Members are encouraged to contact Chair Rohret or Colleen Linder if any items come up prior to next meeting. * Workgroup update ANNOUNCEMENTS & CORRESPONDENCE Chair Rohret asked if there were any announcements today. Vandusartz informed that * WHA is having a Mental Health and Addiction Care conference on Wed. Oct 18th with focus on many of the things we address in this group. There will be presenters from various areas across the U.S. to get a look at other models used to address mental health crisis and response Rohret shared that * COVID-19 is increasing again, vaccines will be only available at clinics and hospitals. COVID-19 tests are available at the SCCSC for free and you can also order online * Will look into what the guidelines are regarding remote appearances at these meetings DATE OF NEXT MEETING November 27, 2023 @ 10:30 AM in the SCCSC, New Richmond, WI ADJOURN Chair Rohret called this Sept. 25, 2023 meeting of the CJCC Behavioral Health Subcommittee adjourned at approximately 11:40.