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HomeMy WebLinkAbout02-16-2017 Mental Health Minutes MEETING MINUTES MENTAL HEALTH SUBCOMMITTEE OF THE COMMUNITY JUSTICE COLLABORATING COUNCIL February 16, 2017 8:00 AM SCCSC Room 172 1752 Dorset Lane - , New Richmond, Wisconsin CALL TO ORDER This February 16, 2017 meeting of the Community Justice Collaborating Council (CJCC)- Mental Health Subcommittee was called to order by Chair Fred Johnson at approximately 8:00 AM. ROLL CALL Attendee Name Organization Title Status Arrived Fred Johnson St. Croix County Chair Present Liesl Nelson St. Croix County Supervisor Present Scott L. Cox St. Croix County Corporation Counsel Present Mike O'Keefe St. Croix County CJCC Coordinator Present Alison Page St. Croix County Medical Community Present Representative Dan St. Croix County Captain Present VanSomeren Mark Richert North Hudson Police Chief Late 8:04 Police AM Steve Kirt St. Croix County Behavioral Health Late 8:10 Administrator AM Peter Health Partners Hudson Hospitals Present VanDusartz Others in Attendance: River Falls Police Chief Gordon Young and Donavon Schumacher, State of WI Department of Heath Services APPROVAL OF MINUTES 1. Mental Health Subcommittee of the Community Justice Collaborating Council Regular Meeting December 13, 2016 8:00 AM Chair Fred Johnson asked if after review of the December 13, 2016 minutes if there was a need for any additions, changes, or other updates. With nothing noted a motion was made by Captain VanSomeren to approve the minutes as submitted and was seconded by Chief Richert. A voice vote was taken and all approved. RESULT: APPROVED \[UNANIMOUS\] MOVER: Dan VanSomeren, Captain SECONDER: Mark Richert, Police Chief AYES: Fred Johnson, Liesl Nelson, Scott L. Cox, Mike O'Keefe, Alison Page, Dan VanSomeren, Mark Richert, Peter VanDusartz ABSENT: Steve Kirt PUBLIC COMMENT Chair Fred Johnson opened the meeting to public comment for items on or off the agenda. No public comment. BUSINESS ITEMS 1. Community Justice Collaborating Council Mental Health Subcommittee Membership Chair Fred Johnson shared that the Community Justice Collaborating Council (CJCC) bylaws have been updated and now allow subcommittees to add members as necessary.. River Falls Police Chief Gordon Young is here today and is interested in joining our CJCC Mental Health Subcommittee. Chief Young is also a member of the Pierce County Criminal Justice Collaborating Council. The consensus of the group was to add Chief Young as an official member. RESULT: DISCUSSED 2. Valley Co-op Behavioral Health Steering Committee Report Peter VanDusartz provided an update regarding recent work of the Valley Coop Behavioral Health Steering Committee. He shared that there is an updated resource guide regarding mental health services available in Pierce and St. Croix Counties. Please feel free to forward to others and use it as your own. It is a great tool. Valley Coop has joined with Healthier Together in the "Make it OK" campaign and will share more information during announcements. RESULT: DISCUSSED 3. Mayo Clinic Health Systems-Eau Claire Hospital Inc. and Hospital Sisters Health System Emergency Detention and Other Mental Health Service Programming Chair Fred Johnson shared that Peter VanDusartz, Alison Page, Steve Kirt, Donavon Schumacher and himself participated in a conference call with two area Eau Claire Hospitals regarding mental health services. Alison shared that the discussion included capacity or interest in building capacity for inpatient emergency detention needs. This is not part of the planning for the two hospitals, both indicated a willingness to be part of the dialogue in meeting the needs of the area. Discussion included development of partial hospitalization programs, which provides all the metal health services without staying the night. This could then help open up beds more quickly. Steve Kirt shared that one of the big issues with inpatient services is also the lack of psychiatry services More discussion was had on other for profit providers in the area that could or potentially would expand services into this area. Billing Medicaid could be an issue, and Donavon has a call with an out of state private provider today and may have some clarification regarding the Medicaid billing after that call. Donavon will share any updated information with this group. RESULT: DISCUSSED 4. St. Croix County Community Justice Collaborating Council Mental Health Subcommittee Presentation to the Pierce County Criminal Justice Coordinating Council Report Chair Johnson along with Mike O'Keefe and Alison Page went to Pierce County and attended their Criminal Justice Coordinating Council meeting to provide an overview of the work plan here with the St. Croix County CJCC. They were pleased to hear of what St. Croix County is working on regarding the area needs and would be interested in staying in close communication and collaborating efforts regarding hospitalization and access. Pierce County shared they have had some conversations at the state level with Attorney General Brad Schimel, Alison Page is planning to reach out to him. Chief Young shared he is working with River Falls Hospital on emergency detentions and why the medical evaluation of the patient is taking so long, as this takes a lot of police resources out of the community. Captain VanSomeren shared that part of the issue is "medical clearance" which to the jail is defined as a medical doctor not Emergency medical Services ( EMS) staff. RESULT: DISCUSSED 5. Western Wisconsin and Eastern Metro Minnesota Behavioral Health Collaboration Meeting Report Steve Kirt, Donovan Schumacher and Peter VanDusartz provided a report on the collaboration meeting between Eastern Minnesota Counties and Western WI Counties. The Minnesota Counties (Washington, Dakota and Ramsey) have a group, with a long history, working on the impacts and utilization of programs across the counties. The 3 counties began to share services and create trust and efficiencies, like contracting with each other for the tele-health. Minnesota has pulled together county human services, local hospitals, along with community members and National Alliance on Mental Illness (NAMI) to participate in their discussion. One area of interest is their emergency medication program for crisis situations to get treatment going right away to ward of hospitalizations. They seem to be targeting crisis services in order to promote diversion and shorten the length of stay in hospitals. Another program in these eastern Minnesota counties is the urgent care for mental health needs.The intent is to hold another meeting with MN and continue to collaborate Discussion had regarding the legal issues in crossing the state lines, and also the diversion policy changes within the metro hospitals that have limited bed availability. This could be a future agenda item . RESULT: DISCUSSED 6. Community Justice Collaborating Council Mental Health Subcommittee Work Plan Report on Area Bed Need for Emergency Detentions, Hospital Emergency Department Tele-Health and Law Enforcement Crisis Intervention Training. Updates on the progress with the work plan were provided by the group. Crisis Intervention Training (CIT)- Captain VanSomeren reports that the January training was very successful, though they learned a few things and will make some adjustments. VanSomeren feels the scenarios were a valuable part of the training, they were very realistic and hands on. The participants developed some good tools and made adjustments to their practice over the 3 days. VanSomeren reports CIT is the best current training available, is nationally recognized and is highly utilized. The funding for CIT can be an issue. In 2017, NAMI and St. Croix County Health and Human Services helped with the budget costs. In 2018 charging a fee for the training will need to be considered. The next scheduled CIT training is Sept. 11, 2017 and is full, after that it will be Jan. 2018 and sign up will begin shortly. Liesl Nelson shared that there is a shorter training, perhaps a 4 hour or a 2 day, available by NAMI. This training could potentially help with the budget issues, but is no substitute for CIT. Captain VanSomeren will look into this as a potential fill in for next year or for others that would benefit from some training. Hospital Emergency Mental Tele-Health- No updates, working on a business model. Determine Area Bed Needs- As discussed in previous agenda items; we have reached out to area providers to see what others are doing and began some conversations on collaborations. Chair Johnson began the discussion of what will be the focus moving forward. Some ideas are: **Partial hospitalization - a very good model and proven to be sustainable in metro areas, but in the rural areas transportation would need to be considered. **Inpatient bed access and availability in the area, with conversations to continue with the state as well as creatively looking at how to use what we currently have. We will look to include Pat Cork, Brad Schimel and other state representatives at another meeting to look at broadening the conversation as the reality is we need more beds in this area. Chief Young reported a conversation is already planned with Senator Harsdorf. **Other facilities that could be utilized for transition back into the community. **Continue collaborative conversations with Metro area on bed availability and what has worked for them. Peter VanDusartz will take the lead on this. Steve Kirt will provide updated 2016 data on emergency detention bed usage. RESULT: DISCUSSED 7. Consideration of Additional Community Justice Collaborating Council Mental Health Subcommittee Work No new area of focus recommended. RESULT: DISCUSSED 8. Community Justice Collaborating Council Mental Health Subcommittee Meeting Schedule Suggesting the 3rd Thursday of every other month from 8-9:30 to get more of a planned schedule in place. Colleen will email these dates out. April 20, June 15th, August 17th, October 19th, and December 21st RESULT: DISCUSSED REQUEST FOR FUTURE AGENDA ITEMS Invite State and Federal legislators to the April meeting. Update on collaboration with Minnesota counties. ANNOUNCEMENTS & CORRESPONDENCE The" Make it OK " Campaign has a kickoff event planned on March 28th at the Phipps in Hudson. They will be addressing the issues of access to and the stigma surrounding Mental Health. Baldwin has hired an another Psychiatrist so they have coverage 5 days a week. ADJOURN Chair Fred Johnson called the meeting adjourned at 9:35 AM. DATE OF NEXT MEETING To be determined. Will tentatively schedule April 20th but may be dependent on when representatives are available.