PLANNING and COLLABORATION

SUBCOMMITTEE
OF THE LME
September 11, 2002
3:00 p.m.

711 Executive Place ; Room 426

PRESENT: Debbie Jenkins, Director – Child and Family Services, CCMHC

Densie Lucas, Director – Adult Services, CCMHC

Vince Wagner, Director – Managed Care, CCMHC

William H. McDougal, Director – Substance Abuse Services, CCMHC

Terri Knight, Director – Developmental Disabilities Services, CCMHC

Terry Eads, MIS Director, CCMHC

Colleen McComas, HIM Manager, CCMHC

Sharon Yates, Public Relations/Marketing Manager, CCMHC

Stacy Martin, Clerk to the Area Board, CCMHC

Cleveland Wilson, YNP

Ronald AC Butler, Apogee Counseling

Donna Kieft, CONTACT Helpline

Dr. Gil Beeson, Fayetteville Family Life

Michael Strickland, DJJDP

Kathy Collins (for Sharon Koonce), Cumberland County Schools

Bessie M. Magby, Magby Associates, Inc.

Lee Roberts, CC Department of Social Services

Sarah Hemingway, CC CommuniCare

Alice Smith, Peterkin & Associates/IPA

Weyher Dawson, CCMHC Board Member and Family Member

I. Review of Minutes
At the request of Mr. Butler, will change the minutes to reflect the 12% reflected under Item IV is representative of Adult Services Clients only. The minutes were adopted with the noted change to item IV.

II. Update on Resource Information
Ms. Jenkins informed the group that CCMHC is talking with Judge Keever about strategies and funding to continue evaluations conducted re: parenting, custody, etc. as these services may not be available in the future due to mental health reform.

There was discussion on developing qualified provider network and criteria for network membership (ability to report outcomes, billing, reporting, etc.)
Ms. Jenkins led a discussion regarding the closing of Whitaker School (36-bed facility - nine beds for South Central Region, which includes our County. Of the nine beds, three are typically filled by Cumberland County children).
Additionally, Dix Hospital is shutting down. There will be no beds available for children at State facilities. Therefore, the community needs to address the needs of these clients. Have to look at Level IV placements. Not having Level IV placements available, places the community at risk. Need to look at who can develop a Level IV treatment facility.

- Providers present expressed their concern regarding only being allowed to provide Level IV treatment to a client for a 30-day period. Ms. Jenkins explained that the initial authorization for Level IV is 30 days but longer periods of time are available based on clinical review by Value Options.

- There was discussion noting that Training Schools were once used as the last resort. Under new juvenile code, there is a need to develop community alternatives.

- Need to identify gaps in service availability in the community.

- Ms. Jenkins shared a case with a child in Wake County where it was cited by the Division Director that the community failed the child.

- Ms. Jenkins solicited response from community representatives to see what types of problems they currently encounter.

III. Update from Subcommittee on Survey/Community Outreach

The group reported that they have been meeting to create a survey for distribution to the community. Distributed a copy of the draft. There was a recommendation from Committee Members to spell out “supportive services.” Looking at use of Public Service Announcements (PSAs), talk shows, etc., to gain community support.

Intend to do a mass mailing of the survey.
Requested names of organized religious groups or public service organizations to ensure complete mailing.
Members were asked to note changes/suggestions on the form and forward to Sharon Yates by 9:00 a.m. on Tuesday and she will present to the Subcommittee on Survey/Community Outreach.

IV. Review of Needs Assessments/Data from Committee members.

Ms. Jenkins asked if any providers knew of any gaps or needs. There was discussion regarding need for providers’ staff training: NCI, CPR, etc. Members present reported having difficulty getting into NCI classes being offered at CCMHC.
Ms. Jenkins informed members that there is a subcommittee of the Qualified Provider Network that is addressing training needs.

V. Consumer Family Advisory Committee (CFAC) Update

Ms. Jenkins showed a video produced by the NC Council with the Phase I LME’s demonstrating Consumer Family Advisory Committees in action.

· Ms. Jenkins distributed the draft policy proposed for creating the Consumer Family Advisory Committee.

· Dr. Beeson asked if outcome measurement tools were available. Ms. Jenkins responded that they are not as the LME is still waiting for the State to give definition of Best Practices. She further stated that the Service Management and Evaluation Committee will be meeting next week to address this issue.

· Program Directors shared names of (utilizing first names only) of individuals asking to be on the CFAC and asked for members support in appointing them to the committee.

- The LME will provide assistance with transportation for CFAC members

as needed.

- Program Directors reported that all nominees are able to participate and are articulate and cooperative.

- Ms. Smith mentioned that she knows of someone with a triple diagnosis who is also deaf and may be willing to participate.

- Dr. Beeson commented that given the diagnoses of persons presented for the CFAC, it sounds like “a recipe for disaster” as there was mention of diagnoses such as Oppositional Defiant and Explosive Disorder, etc. He conceded that without knowing the nominees personally, he can only rely on the recommendation of those who have presented/recommended them.

- Dr. Beeson suggested that a few basic rules should be in place for the CFAC. Therefore, at that next committee meeting of the Planning and Collaboration Committee, the members will develop some basic guidelines for the CFAC.