Of the Local Business Planning Committee

September 30, 2002

 MINUTES

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

                         Densie Lucas, Assistant Area Director

                         William H. McDougal, Substance Abuse Services Director, CCMHC

                         Terry Eads, MIS Director, CCMHC

                         Stacy Martin, Clerk to the Area Board, CCMHC

                         Bert Bleakley, NAMI

                         Cleveland Wilson, Your New Beginning

                         Lena Klumper, Partnership for Children

                         Alfred Spriggs, L.I.F.E. Concepts

                         Alice Smith, Peterkin & Associates and IPA

                         Daniel Muldrow, Main Focus

 I.          Welcome

• Mrs. Jenkins expressed her appreciation to members for taking the time to be part of the LME process.

 II.        Introduction

• Mrs. Jenkins asked every one to go around the room and introduce themselves.

III.       Agenda Adjustments

            None

 IV.       Approval of Minutes from 9-20-02

            The Committee accepted the minutes as written.

 V.        Identify Service Gaps/Referral Sources

• Mrs. Jenkins led a discussion regarding the Evaluation Section of The Plan.
• Mrs. Jenkins asked if there were any questions or additional information committee members would like to present.

VI.       Review Elements and Criteria for Approval of Plan

• Mrs. Jenkins led discussion through the plan and discussed the following responses/options:

-           Re:  Section VII 1.a)  CARF/COA information.

-           Re:  Section VII 2 a) Looking at different evaluations.  Asked for evaluations from providers that they have done on their services or components.  Will bring in evaluation reports or satisfaction surveys.

-           Re:  VII 2b) Have information from CCMHC where we’ve conducted Static Record Review and will bring this information into this group to demonstrate acquiring feedback from staff.

-           Re VII 2c)  Need to determine of the data sets from Section VI 3a. providers are tracking.  Mrs. Jenkins went through each of the data sets and explained what each one represented.  Peterkin & Associates has information regarding referrals, service tracking, assessments/person centered development, summaries of grievances, service encounters, reports on restrictive interventions, satisfaction surveys, compliance monitoring (for Medicaid and internally, also)

·        Need to put plan together that shows how this information gets forwarded to the LME.

·        As we are looking at the Provider Network and putting together plan, need two years of information. 

-           Re:  VII 3a)  What percentage of people are actually receiving services?  Where are gaps in services?  Since the provider network is supposed to meet all needs, see if provider is willing to provide a service to meet gaps (with technical assistance). 

·         Minimal resources to meet the needs of clients coming out of State hospitals. Some resources that are needed will need to be developed by the community. 

·         CCMHC is in the process of developing an ACT Team.

·         During the Planning/Collaboration Committee, identified the following gaps:  High management group homes, social detox., services for substance abusing women with children (can check the Planning/Collaboration minutes on the web for extensive list).

-    Members identified additional gaps:  clubhouses, day facilities, no day treatment program for kids in the community, supportive employment, socialization programs, services for adult SP/MI.

·        There was discussion regarding working with HUD; possibly providing Residential Level IV using HUD property.  Network with Cumberland Interfaith Hospitality Network to learn more about how they have accessed Community Development Block Grant funds for residential placements.  Many funding sources require a match but it is not always a cash match – may be an in-kind matches.

·        Members discussed the need for transition services from detoxification units to next level of care before returning home.  Need a safe and clean transitional environment.  There was suggestion about putting clients up in hotels if can get the funds to do so.

-     There are two regional and one sub-acute (at Roxie –step down) for MR/MI diversion services.  (Need more).  There are no services of this kind for children.

-     Need appropriate placement for substance abusers with children.

             -          Re:  VII 3a)  Collaboration with other providers, government agencies, funding sources (e.g., HUD, VA, Cumberland Interfaith Hospitality Network, Salvation Army, Women’s Center, etc.)

·         Mr. Bleakley will bring in what is written with churches regarding providing residential services for the homeless.

·         The Plan has to document the process to show system is better as a result of these efforts.  Need process that looks at whole picture in the community.

·         Satisfaction Surveys are not standardized.  Mrs. Jenkins will bring to the next meeting the Satisfaction Survey and COI utilized by CCMHC; other providers will bring in what they are using.

             -          Re:  VII 3b)  Write a plan to collect and analyze data.  Ensure staff are cross-trained in ALL disability areas.  Staff need to feel equally comfortable for consistent and integrated treatment.

• Will bring reports from data sets listed on page 22 of the plan to share with members.

VII.     Next Steps

            Discussed above

 VIII.    Adjournment

The meeting adjourned with the next meeting scheduled for Monday, October 7^th at 8:30 in the morning.