PLANNING and COLLABORATION

SUBCOMMITTEE

OF THE LME

September 18, 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

                         William Robinson, Director- Residential Services, CMHC

                         Ed Whiteman- MIS, CCMHC

                        Colleen McComas , HIM Manager, CCMHC

                        Sharon Yates , Public Relations/Marketing Manager, CCMHC

                        Cleveland Wilson, YNP

                         Val Haynes, Director- Guardian Ad Litem Program

                         Ronald AC Butler, Apogee Counseling

                         Michael Strickland, DJJDP

                         Sonya Toman, CC Department of Social Services

                         Lee Roberts, CC Department of Social Services

                        Alice Smith, Peterkin & Associates/IPA

                         Phil Sprouse, Behavioral Healthcare of CFVHS

                         Weyher Dawson, CCMHC Board Member and Family Member

 I.                   Welcome and Introductions

                   New members were welcomed to the group and introductions were made.

II.                Review of Minutes

·        Minutes were reviewed and adopted as presented.

III.             Update on Resource Information

·        Debbie explained that this item would be on all agendas to  keep us focused on the need to identify resources for target and non-target populations throughout the process.

IV.              Update on Needs Assessment and Gap Analysis

·        Discussion on the need for all committee members to review the array of services and determine gaps in services for the target populations.

·        Debbie explained that at the South Central Regional Placement Committee it was announced that Whitaker School will stop admissions in October. A for profit group hopes to have an 18 bed facility open somewhere in the Eastern Region in the summer.

·        Wright School had a Medicaid compliance visit yesterday. Significant changes would need to be made to have the facility meet Medicaid billing guidelines.

·        Phil provided an update on changes at the hospital.  These plans were already being discussed before mental health reform. They plan to beef up psychiatric services in the Emergency Room. Many situations presented in the ED could be addressed without an admission for inpatient care if the right crisis services are provided up front. Interventions will include short stay, observation beds, treatment in the ED and then referral to other resources in the community. Busiest times in the ED are between 5:00 pm and 12:00 pm .

·        The Adult component at the hospital will be moving to their location in April. All beds will be ICU level beds. They will have 16 adult inpatient beds and 16 child/adolescent inpatient beds. Average census for adult is now 22 and child/adolescent is 10-12. Even though the adult census has been over the scheduled number of beds Phil does not anticipate a problem if they can institute the emergency/crisis response procedures. Length of stay for adult admissions is around 4 days and for children it is 6 days average.

·        The hospital has 32 PRTF beds: 12 on the adolescent sex offender unit and 20 other beds. Average LOS is 6 months for the sex offender unit and 90 days for the other unit.

·        Phil emphasized the need for everyone to think outside of the box and look at different ways of providing services. It will not help to keep doing things in the same way just because we always have.

·        Lengthy discussion on various ways to offer 24 hour access to behavioral health services in the community. DSS currently has on call social workers available evenings and week-ends for investigations, etc.

·        Discussion on the need to look at services/supports the community will need in order to handle changes in hospitals and state facilities. Difficult to do in some areas due to not knowing rates and uncertainty about authorizations. It was also noted that Medicaid for children  covers the child up until age 21 but facility licensure goes up to age 18 in most cases.

·        Discussion on having the most qualified clinicians doing assessments and the need to have this as the standard of practice in making recommendations.

V.                 Update from Subcommittee on Survey/Community Outreach

·        Sharon distributed updated version of the survey and letter.

·        Discussed the two formats for the survey information to be obtained: e-mail and written format.

·        The group recommends going to the heads of groups to ask for their assistance in getting feedback.

·        Committee accepted surveys and were encouraged to distribute them in other areas that they see fit to obtain as much feedback as possible from the community.

VI.              Consumer Family Advisory Committee Update

·        Members were asked to think about guidelines as discussed in last week’s meeting, to provide to the Consumer Family Advisory Committee. These guidelines will be developed from recommendations made by the Committee.

VII.           Discussion on Vision/Mission of Local Management Entity

·        Copies of the Vision and Mission of the State Plan, as outlined in the State Plan document, were again distributed to members. They were asked to review these and bring suggestions next week for what needs to be included for this community.

VIII.        Next Steps

·        Members are to look at needs and gaps in services that need to be addressed

·        Members asked to look at recommendations on guidelines for the Consumer Family Advisory Committee.

·        Members asked to review vision and mission of state plan and develop ideas for the LME.

 NEXT MEETING: September 25, 2002 at 3:00 in Room 124