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HomeMy WebLinkAbout04-12-2018 Mental Health Minutes MEETING MINUTES MENTAL HEALTH SUBCOMMITTEE OF THE COMMUNITY JUSTICE COLLABORATING COUNCIL April 12, 2018 8:30 AM SCCSC Room 172 St. Croix County Services Center - 1752 Doreset Lane, New Richmond, Wisconsin CALL TO ORDER This meeting of the Community Justice Collaborating Council (CJCC) Mental Health (MH) Subcommittee was called to order at 8:30 AM by Chair Fred Johnson. ROLL CALL Attendee Name Organization Title Status Arrived Fred Johnson St. Croix Chair Present County Liesl Nelson St. Croix Supervisor Absent County Scott L. Cox St. Croix Corporation Counsel Absent 8:32 County AM Mike O'Keefe St. Croix CJCC Coordinator Present County Alison Page St. Croix Medical Community Present County Representative Dan St. Croix Captain Absent VanSomeren County Mark Richert St. Croix Police Chief Present County Steve Kirt St. Croix Behavioral Health Administartor Present County Peter St. Croix Hudson Hospitals Present VanDusartz County Gordon Young St. Croix Police Chief Present County Others in Attendance: Donovon Schumacher, State of Wisconsin Dept. of Health Services, Via Phone Brad Munger, Programming and Planning Analyst-Advanced, Bureau of Prevention, Treatment and Recovery-Division Care and Treatment Services, WI Dept. of Health Services, Kevin Hamlin, Crime Data Analyst with St. Croix County Sheriff's Office APPROVAL OF MINUTES 1. Mental Health Subcommittee of the Community Justice Collaborating Council Regular Meeting February 7, 2018 8:30 AM CJCC-MH Subcommittee Chair Fred Johnson asked if after the review of the February 7, 2018 meeting minutes if any edits needed to be made. With no changes noted the minutes were accepted as submitted. RESULT: ACCEPTED PUBLIC COMMENT Chair Johnson opened the meeting to Public Comment. No Public Comment. BUSINESS ITEMS 1. Unlocked Receiving Facility for Emergency Detentions Brad Munger, Programming and Planning Analyst-Advanced, Bureau of Prevention, Treatment and Recovery-Division Care and Treatment Services, WI Dept. of Health Services appeared by phone to be part of the discussion around requirements for an unlocked receiving facility for emergency detentions (ED). Mr. Munger informed the group that around the state (Rock and Kenosha Counties) unlocked facilities have and are being used for emergency detentions. Chapter 51 requires that clients be placed in an approved facility. Using these facilities is done thoughtfully with respect to the needs of the client and the others within the facility for safety and risk. Generally, considerations discussed but specific information on process could come form the existing facilities. Questions and discussion followed regarding how unlocked crisis facilities are licensed, certified, and the required training/supervision, as well as determining the appropriate fit for clients in these type of unlocked facilities. Additional questions regarding the availability of psychiatry services and nursing to provide medication, as well as doing evaluations for probable cause were raised. This committee would also be interested in the number of times law enforcement is called to these unlocked facilities and their relationship with law enforcement. Data on the ratio of individuals taken to unsecured CBRF's, who are evaluated, and then determined they need a secured facility or end up going to court. Mr. Schumacher plans to reach out to the CBRF's in Jefferson, Dane and Rock counties to ask some follow up questions. Discussion on what additional work this committee wants to focus on. The thought is this is worth discussing and could be a possibility with significant stakeholder input. We may need to include Dunn County and possibly Polk and Pierce in this discussion, as it would seem it would take 3 to 4 counties accessing the facilities to keep it sustainable. This discussion would also need the involvement of local law enforcement, crisis staff , the County Board, Corporation Counsel as well as other stakeholders. RESULT: DISCUSSED 2. 2017 St. Croix County Law Enforcement's Emergency Detention Transportation Cost Analysis Kevin Hamlin, Crime Data Analyst with St. Croix County Sheriff's Office reviewed a power point with the CJCC-MH Sub Committee regarding the costs of transportation for emergency detentions. Discussion followed. RESULT: DISCUSSED 3. Western/Northern Wisconsin Regional Behavioral Health Emergency Detention Bed Space Workgroup Report Chair Fred Johnson reported on the work being done by the Western/Northern Wisconsin Regional Behavioral Health Emergency Detention Bed Space Workgroup. At a recent meeting they discussed where things are now regarding bed space and the costs involved. They also discussed barriers they see and possible solutions. Consensus of the workgroup is that subsidies for Medicaid payments would make a significant difference in making facilities sustainable. A Subcommittee was formed to look at regional data, not certain the larger committee will continue. Fred will keep the CJCC MH Subcommittee informed on the continued work of the Western/Northern Wisconsin Regional Behavioral Health Emergency Detention Bed Space Workgroup. RESULT: DISCUSSED 4. Community Justice Collaborating Council Mental Health Subcommittee Work Plan on Area Bed Need for Emergency Detentions The group will be interested in Donovan's follow up on the unlocked facilities questions raised during agenda item #1 and the conversation with Mr. Munger. Chair Fred Johnson proposed generating a resolution or letter regarding emergency detention bed needs and share with other counties and local city councils, healthcare facilities, NAMI etc. for their support or endorsement. Consensus of the Subcommittee is this is a good idea and will keep the conversation in front of legislatures. Chair Johnson will work to draft a resolution with areas needing to be addressed, such as the Medicaid rate. This draft resolution will be brought back to this group for their review and input. Another suggestion is pulling together an event where all local and regional legislatures are available to be part of the conversation or listening session. RESULT: DISCUSSED 5. Community Justice Collaborating Council Mental Health Subcommittee Work Plan on Hospital Emergency Department Tele-Health Pete VanDusartz informed the subcommittee that things are on track with tele-health and are ready to move forward in working with counties/state for application in certification process. * All applications are completed and moving forward, waiting on a few points. * A staff person has been hired who will be doing the assessments. * Meetings are scheduled or in the process of being scheduled with the various hospitals to discuss the day to day operations of tele-health within their facilities. Discussion being had on how billing and documentation will be done, and working on getting all facilities trained, staff certified, and obtaining all necessary credentials. * The legal teams at Health Partners are drafting the agreement and contracts. Roll out not determined yet, though they will do some trial runs prior to full implementation. RESULT: DISCUSSED 6. Community Justice Collaborating Council Mental Health Subcommittee Work Plan on Law Enforcement Crisis Intervention Training No updates today as Law Enforcement was unavailable. RESULT: NO ACTION REQUEST FOR FUTURE AGENDA ITEMS Review major points of draft resolution with suggested solutions for next session. The possibility of holding a Legislative event around the need for regional beds. The staff hired for the Tele-video pilot may come to next meeting and provide some information to this Subcommittee. ANNOUNCEMENTS & CORRESPONDENCE The legislation about opening the Mendota location and the regional grant programs did not pass. ADJOURN This meeting was called adjourned by Chair Fred Johnson at approximately 10:00 AM. DATE OF NEXT MEETING Currently scheduled for June 14, 2018 @ 8:30 AM at the St. Croix County Services Center, New Richmond.