Loading...
HomeMy WebLinkAbout11 19 2020 Substance Abuse Minutes MEETING MINUTES CJCC SUBSTANCE ABUSE SUBCOMMITTEE November 19, 2020 10:00 AM SCCSC Room 172 St. Croix County Services Center - Room 172 - 1752 Dorset Lane, New Richmond, Wisconsin CALL TO ORDER Chair Rohret called the Nov. 19, 2020 meeting of the Community Justice Collaborating Council (CJCC) Substance Abuse Subcommittee meeting to order at approximately 10:00 AM. ROLL CALL Attendee Name Organization Title Status Arrived Dave Ostness St. Croix County Supervisor Present Scott Knudson St. Croix County Sheriff Present Mike O'Keefe St. Croix County CJCC Coordinator Present Kathleen Avoles St. Croix County Attorney Present Kimberly Kitzberger St. Croix County Drug Court Coordinator Present Mike Waterman St. Croix County Judge Absent Julie Krings St. Croix County Children Services Administrator Present Phillip Galli St. Croix County UWRF Present Kelli Engen St. Croix County PH Administrator Absent Kristen Deprey St. Croix County AODA Supervisor Present Agnes A. Ring St. Croix County Family Resource Center Present Selena Freimark St. Croix County UW Extension Present Bob Rohret St. Croix County Chair Present Amy Walsh St. Croix County Physician-Westfields Present 11:00 AM Others In Attendance via Zoom: Treatment Court Caseworker Tina Sitz, Behavioral Health Administrator Sharlene Lopez, APPROVAL OF MINUTES 1. CJCC Substance Abuse Subcommittee – Regular Meeting – September 24, 2020 10:00 AM Chair Rohret asked if after review of the minutes from the CJCC Substance Abuse Subcommittee meeting from Sept. 24, 2020 if any editing is needed. With nothing noted the minutes were accepted as submitted. RESULT: ACCEPTED PUBLIC COMMENT Chair Rohret opened the meeting to public comment for items on or off the agenda. No public comment today. BUSINESS ITEMS 1. Community Justice Collaborating Council Substance Abuse Subcommittee Work Plan-St. Croix County Substance Abuse Survey Kimberly Kitzberger and Phillip Galli provided some history about this survey and an update as to where things are at. Kitzberger shared that they have been working on a research survey to gather data around substance use risk factors that are most prevalent in St. Croix County to determine next steps in prevention and early intervention strategies. They were able to get paper copies in the hands of approximately 100 people and also did a 400- person mailing, but response was less than they had hoped. That data is being tracked. With some of the grant funds they also purchased 2 iPads, hoping to get them out to consumers where or when they are receiving services to collect survey data. With the pandemic that never came to fruition. Recently they have asked Western WI Health if an iPad could go into their facilities to try to get the survey out there again to patients waiting for appointments. Also, Kitzberger will be meeting with Adam Kastonek, Public Information Officer (PIO) hoping to draft a flyer or implement other resources to communicate with employees to share with the families they are serving. There is concern that this electronic process will be too cumbersome for consumers. Galli shared that the data received, (about 10% of surveys returned), was entered into an excel spreadsheet. One point of interest that showed up is from the question on mentorship. Many responses list that mentorship is lacking and this may be an area to begin our focus. Discussion and questions. Thoughts are to partner with self-help groups or other programs that are already in place and educate them on what we are seeing from this data. Also thinking that Peer Recovery Support Services could fit this need as it is an allowable Medicaid benefit for some service areas such as Comprehensive Community Services as well as implementation of The Families 1st Act which is a form of preventive care targeting early intervention and peer recovery support in the child protection area. Dr. Walsh shared that she believes Health Partners would be interested in distributing this survey as well. RESULT: DISCUSSED 2. Healthier Together Update Regarding the Substance Use Priority Chair Rohret and Selena Freimark Health and Well Being Educator from UWEX are both members of the Healthier Together Leadership team. Selena provided an overview of the goals and strategies they have made around the priority of substance use. Questions and Discussion. Agnes Ring brought up that at CJCC Executive Committee meeting last week Judge Nordstrand wondered what resources and services are available for substance use disorders. Kiztberger believes that in saying this the Judge fears there is a shortfall of services so some information may need to be shared. The courts lack in the triage of services for those appearing in court. Kitzberger thinks the resources are there, just need the connection from court to services. This may be something this subcommittee could work on. We have information on the services available, may need to have conversation with judges on this as well as working on a warm handoff for client engagement to these services. Selena also shared information on a $3000 grant that the extension has been awarded and program areas that they plan to use this funding in. Chair Rohret commented on ways to treat addiction effectively and believes there are benefits to cognitive/behavioral change, and having appropriate resources is necessary, but broader health care coordination involving the medical community is essential. Use of Medication-Assisted Therapy and comprehensive health exams are needed to improve outcomes when treating substance use disorders. RESULT: DISCUSSED 3. Update on Grant Applications and Systems Reform Chair Rohret shared that unfortunately St. Croix County was not chosen as one of the pilots for the Hub and Spoke Behavioral Health Home pilot project. Rohret is hopeful that if these pilots show good outcomes in the selected pilot sites areas that were chosen we may see behavioral health homes replicated around the state. DePrey reports that she has submitted the proposal for the Treatment Alternative Programs grant which was due in October and is waiting to see if we have received an award. The results are due in Jan. 2021. Public Hearing on Rule 75-- public hearing focused on public comment testimony about the rule, not much information given out. Most comments focused on changes to medication assisted programs and changes to supervision from licensed professionals to those with other degrees with minimal experience within substance use. Rohret shared that there is talk around the state of WI in exploring Certified Community Behavioral Health Clinics (CCBHC) providing Medicaid-funded services to those with co-occurring disorders. This was successful in MN and is structured much like a Behavioral Health home but paid on a cost reimbursement rate. There is an encounter rate they receive, and the idea is to serve anyone who has an addiction or mental health disorder (primarily for outpatient services). This would be similar to a health home as it is a coordinated whole-person care experience and would be like a triage or outpatient environment to get a variety of services. The state is interested in looking at this and may be a way to go moving forward. Changing the system of care along with state involvement is where Health and Human Services is looking for the future of behavioral health care. Discussion on the need to educate the legal system on addiction as it points to why people do the things they do and is a vicious cycle. Family Resource Center Director Agnes Ring shared they have a grant opportunity announced this week. It is a preschool development grant to promote early childhood programming. The evidenced based program called Parent Cafes is something they are interested in implementing if awarded a grant and would have parent educators trained and include parents as partners. Ring would like input on key areas of need and any parent groups that could participate. This may serve as a support or recovery group. Kimberly Kitzberger and Julie Krings would be interested in learning more. Please get any feedback to Agnes. RESULT: DISCUSSED REQUEST FOR FUTURE AGENDA ITEMS * Follow up on plan to educate the courts on the need for system change * Update on CHIPS Cases with children removed due to drugs * Day report data to be added to this agenda packets per Sheriff Knudson If other items come up, please reach out to Chair Rohret or Colleen Linder ANNOUNCEMENTS & CORRESPONDENCE Sheriff's Office Informed: * Fentanyl use/overdoses are increasing, they have had 2 deaths recently and an arrest for possession * Calendar contest for grades 4-7 had 961 submissions and will be printed soon. It should be really nice as the kids do a great job. * Inmate Program Coordinator position posting soon- - this position will be dedicated to preparing inmates to transition to the community. ADJOURN Chair Rohret called this Nov. 19, 2020 meeting of the CJCC Substance Abuse Subcommittee adjourned at approximately 11:15 AM. DATE OF NEXT MEETING January 28, 2020 at 10:00 AM. This gets us back to meeting on the 4th Thursday of the month as planned.