PLANNING and COLLABORATION

SUBCOMMITTEE

OF THE LME

October 9, 2002

3:00 p.m.

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

                        Densie Lucas, Assistant Area Director, CCMHC

                        Chris Dempster, Roxie Avenue Center Administrator, CCMHC

                        Sharon Yates, Public Relations/Marketing Manager, CCMHC

                        Dr. Sylvia Branson Ellis, Director – Psychological Services, CCMHC

                        Terri Knight, Director – Developmental Disabilities Services, CCMHC

                        Michael Strickland, DJJDP

                        Lee Roberts, CC Department of Social Services

                        Bessie Magby, Magby & Associates

                        Alice Smith, Peterkin & Associates/IPA

                        Sarah Hemingway, CC Communicare

                        Donna Kieft, CONTACT

                        Rod Ford, Employment Source

                        Ron Butler, Apogee Counseling Services

                        Weyher Dawson, CCMCH Board Member

I.                   Review/Adoption of Minutes

Minutes were adopted as written.

                II.        Update on Resource Information

Mrs. Jenkins asked Mr. Strickland to give some information regarding an upcoming NC Council Conference. (See ATTACHMENT A).

                III.       Update on Needs Assessment/Gap Analysis

·        Mrs. Jenkins will put together all the information that comes in from other committees regarding identified gaps.

·        Mr. Butler talked about adolescents with significant behavior problems who can’t read and the fact that there are not programs available to help these children overcome their literacy obstacles.

-     Discussion on Youth Build, a program for those who dropped out of school or who were “kicked out” of school ages 16-24 that helps with literacy as well as other issues.

-     Discussion regarding problems parents face trying to get their children tested.  Mrs. Jenkins informed committee of Federal law which requires schools to test within certain period of time after parent makes written request.

-     There was information shared about Haymont United Methodist offering Literacy Program through their ministries.

-     Mrs. Jenkins commented that there is a high correlation between children with literacy/learning problems and involvement with the Juvenile Justice/Court System and defiant behaviors.

·        Identified gaps will be listed in grid format. (Additionally identified gaps:  enrichment settings for adults; places that offer literacy programs).

·        Mental Health Reform will help redefine roles across the system.  All human services agencies will have to come to the table and agree on functions/roles and spread resources out.

·        Mrs. Jenkins mentioned that there will be an MOA created at the State level that is tied to funding for services to children in Target I population that will include DPI, MH, DSS, and Juvenile Justice.

IV.       Update for Subcommittee on Survey/Community Outreach

·        Will be looking at free or sliding scale fee including Christian Intervention programs.

·        Mr. Butler commented that from a private practice perspective, not permitted to offer sliding fee scale unless you set up a not-for-profit organization.

·        Mrs. Yates gave an update on the surveys commenting that 369 have been mailed and have received approximately 20 back.  Some people responded that they do not offer any services.  There does not seem to be a problem for recipients to fill out the form.  Have received good contact information.  A member of the media will be joining the committee at it’s next regularly scheduled subcommittee meeting and will a do a feature article.

V.        Discussion on Vision/Mission of Local Management Entity

·        Revisited discussion about ensuring that no adversarial relationship occurs during process of LME authorizing services.

·        Ensure underlying principles are in best interest of client and their family.

·        Mr. Butler commented that when setting hours for operation, ensure they are consumer- and family-friendly.  (i.e. keeping in mind when children are in school, etc.)

·        The following ideas were mentioned when asked for input in writing the vision/mission statement for the LME:

-     Accessibility

-     Continuum of Services to deal with Intervention and Treatment

-     Ensure Quality Assurance (overseeing the capabilities of service providers)

·        Committee members expressed an interest in having a resource guide for non-target populations that has been thoroughly scrutinized by the LME to ensure that no one listed will take advantage of clients and are reputable and credible.

VI.       Review of Planning and Collaboration Strategic Plan Grids

·        Distributed a grid for the Planning Section (See ATTACHMENT B) as well as a grid for the Collaboration Section (See ATTACHMENT C).

·        Need to be able to fill in all the areas with a response.

·        Mrs. Jenkins requested input from members regarding acceptable completion dates.

·        The committee went through the grids to determine what to write in each section.

·        Mrs. Jenkins will write the planning narrative based on discussions over the last couple of weeks.

·        There was discussion on the needs assessment and Mrs. Jenkins reported that there is a template that can be followed.

·        Ms. Lucas distributed information regarding Request Letters of Interest, 2003 Affordable Housing Opportunities for Mental Health Association in NC. (See ATTACHMENT D).

·        Need to tailor system to what community needs by looking at demographics like single parent households, poverty level, people over age 65, etc.

·        There was discussion regarding the NC Medicaid Plan needing to be modified to correspond with mental health reform.  There is disconnect between HB 381, State Plan, and the Medicaid Plan.  Ms. Lucas encouraged members to watch the paper and other media that invite community to contact legislators as this will be very critical.

·        The Cumberland County Provider’s Association met last night and talked about HIPPA and Medicaid.  Ms. Smith shared information regarding HIPPA (See ATTACHMENT E).  A plea went out to providers to be part of the LBP process and to attend meetings at CCMHC and participate.

·        Mrs. Jenkins gave overview of Senator Rand’s Bill (SB 163) which states that an owner, principle, or affiliate of a facility who is sited for a Type A or B penalty or has a provisional license or gets their license revoked or suspended will not be permitted, by law, to open another services for a five-year period.  Mrs. Jenkins distributed a copy of the Bill (See ATTACHMENT F).  There was discussion regarding number of non-county clients in CC group homes.  Large numbers of clients are not being taken through the single portal process.  Until this Bill, there was not much that could be done about this problem.

VII.     Round Robin

·        Mrs. Jenkins encouraged committee members to bring in questions, comments, and concerns.

·        Ms. Magby expressed her frustrations with community providers not following guidelines and processes in place in the community, particularly with single portal.

VIII.    Next Meeting

Wednesday, October 16, 2002 at 3:00 p.m; Area Board Room