PRESENT: Debbie Jenkins (recorder), Director-Child and Family Services, CCMHC

Densie Lucas, Director – Adult Services, CCMHC

Sharon Yates, Public Relations and Marketing, CCMHC

Colleen McComas, HIM, CCMHC

Kathy Wood, Clinical Auditor, CCMHC

Terry Eads, Director – MIS, CCMHC

William H. McDougal, Director – Family Recovery Services, CCMHC

Vince Wagner, Director – Managed Care, CCMHC

Stacy Martin, Administrative Support to LBC, CCMHC

William H. Robinson, Director – Residential Services, CCMHC

Terri Knight , Director – Developmental Disabilities Services, CCMHC

Michael Strickland, DJJDP

Richard Alligood, DJJDP

Phil Sprouse, CFVMC

Eugene Hines, Health Department

Cleveland Wilson, YNB

Judy Parker, C.R.E.S.T.

Donna Kieft, CONTACT

Bill Duke, CCDSS

Rita O’Connell, Mental Health Association

Richard Everett, CCDSS

Wayne Marshburn, Adult Probation and Parole

Janet Daly, Health Department

Bessie Magby, Magby Associates, Inc.

Sonya Tomar, CCDSS, Child Welfare

Lee Roberts, CCDSS, CPS

Gil Beeson, Fayetteville Family Life Center

Alice Smith

. Introductions

Introductions were conducted for the benefit of those not present at the last meeting.

The minutes were reviewed and adopted as written.

Debbie distributed Legislative Update (See ATTACHMENT A) which demonstrates the proposed cuts to the budget in both the Senate and the House.

- Debbie called on members around the room who represent various organizations in the community and asked them to report how much their budgets were being cut.

Debbie informed members that HB381 dictates massive changes particularly with target populations. Local Mental Health Centers have been tasked with developing a Local Business Plan (LBP) that conveys what the community is going to do to ensure services are provided.

Debbie reminded members that the first packet of materials they received prior to the first meeting contained an Executive Summary which introduces and explains the elements of the plan.

Program Directors went through the target populations. The Deaf and Homeless will be among the target populations for all disabilities.

- There was discussion led by Ms. Magby that addressed concerns with what the Center and the community are to do with those clients they have who do not meet the target populations. One area addressed was the fact that CBS does not cover living expenses and will be available only to the Target Populations.

- Debbie pointed out that CCMHC currently has 160 people waiting for CAP services.

- Stacy collected information from members who had compiled lists of known resources in the community. Debbie requested that Stacy generate a consolidated list for members.

- The Mental Health Association in Cumberland County is in the process of developing some support groups.

There is a need for locked/secure community facilities for Adults, given the fact that Dix and other State hospitals will be closing beds and will not be able to serve this population.

Dix closed 31 beds at the end of June (which equates to an entire building). Majority of these people are in the community in private group homes.

There was request from members who provide community-based services for there to be a projection of the number of people who do not meet target populations and who will require community-based services. Debbie responded that CCMHC is in the process of going through current case loads to identify those who do not currently meet target population. There is no way to determine any others who may try to access the system who are not currently receiving services at CCMHC. However, Densie offered that Adult Services receives approximately 18 new admissions per day.

Debbie distributed handout regarding Licensed Supervised Living Homes in Cumberland and Licensed Residential Treatment Group Homes for Children and Adolescents in CC (See ATTACHMENT B).

- This data demonstrates that there are more residential resources available in the community than is needed in the community.

- Would like to have some providers look into converting into another type of service.

V. Client Profile of Cumberland County (ATTACHMENT C)

Debbie briefly went through the Background Profile of Mental Health Catchment Area and asked that if anyone else has information, to please bring it in and we will copy and distribute.

VI. Glossary (ATTACHMENT D)

Debbie distributed this item so that members can become familiar with terms used by the State that may not necessarily be being used in the way that some are accustomed to hearing or using.

- For instance, Case Management (not listed in the glossary) is defined/used differently.

- Access (Uniform Portal of Entry) in the community is where a person can go and be assessed for target populations. (There are six allowed occurrences for assessment and referral).

VII. Array of Services for Target Populations (ATTACHMENT E)

This was distributed to members to demonstrate those services that will be covered under IPRS.

VIII. Review of Elements and Criteria for Approval of Plan (ATTACHMENT F)

Areas of concern for the Planning and Collaboration Committee were highlighted in blue.

Debbie pointed out that the first seven pages pertain in their entirety to Planning and Collaboration.

Some members have expressed desire to have specific tasks divided up and assigned to work on.

Providers have expressed concerns in their own communities regarding documentation and determining medical necessity.

- Debbie responded that one of the functions of an LME is to provide technical support in this area.

- Additionally, Debbie pointed out that a list of competencies will be provided and some "hand-holding" will occur to ensure competencies are met by providers.

Members should review all materials provided by the next meeting.

Members were asked to provide list of known resources in the community.

Members were asked to review grid on Planning/Collaboration from the Plan (ATTACHMENT F) and provide feedback on where they feel they can contribute to developing the plan.

Members were asked to identify gaps in services.

Next meeting will be Wednesday, August 21^st, 3:00 – 3:45 in Room 426 of the Executive Place Building.