February 7, 2003; 9:00 a.m.

MINUTES

 MEMBERS    Michelle Davis, Davis & Associates

PRESENT:      Jacqueline Adams Cook, Providers Resource Network

                        Alice Smith, Peterkin & Associates and IPA

                        Nancy Szymkowiak, The Arc of Cumberland County, Inc.

                        Carol Doyle, Cardinal Clinic

                        Thomas Maxwell, S&T We Care

                        Rose Ferguson, PFCS/Fergie’s Behavioral Center

                        Ira Taylor, Hosanna Youth Facility

                        Sandra Taylor, Hosanna Youth Facility

                        Barbara Bosey, Changing Lifestyles RTC

 STAFF           William H. McDougal, Substance Abuse Services

PRESENT:     Director, CCMHC

                        William H. Robinson, Residential Services Director, CCMHC

                        Debbie Jenkins, Child and Family Services Director, CCMHC

                        Stacy Martin, Clerk to the Area Board, CCMHC

 I.          Welcome

             Members were welcomed and introductions were made.

 II.        Announcements

·          Mrs. Jenkins provided an update from her meeting on Monday in Raleigh stating that the following was discussed and/or recommended:

-    Clearly acknowledged the need for authority along with the responsibility of monitoring.

-    Discussed the process of tracking children in terms of who is responsible for this and in what capacity.

-    Looking at creating a form that if child presents at any door in the County, all agencies can share information.

-    There is a need of for some support of the law that requires Area Program that sends client out of county for services to notify the Area Director of the receiving county.

-    Talked about ICF-MR facility’s ability to move consumers without notification based on being granted authorization from the parent/legal guardian to move the consumer into another ICF-MR placement if that is warranted

-    Talked about the basic information that needs to pass through each human services agency.

-    Discussed putting sanctions in place for providers who do not follow the rules.

-    There is a need for one unique identifier per child that all agencies utilize.  There was a recommendation to MIS at the state level to have data base and funding for carrying this information.

·          Mrs. Jenkins spoke to the consultant assigned to Cumberland’s LME who communicated to her that the Strategic Plan that was submitted will pass.

·          Will be receiving the latest version of the competencies.  There is a need for two levels of competencies. 

-    There was discussion regarding staff turnover that occurs after extensive training is conducted.

-    Need to have basic level of competencies regarding health and safety and not hiring staff without at least this basic level.

-    If training needs to be person-centered, then must look at the types of services provided as well as the population being served.

-    Also there was discussion about allowing a specific window of time to complete training.

-    While training should be specific to the level of the professional, the supervisor should be trained across all disability and professional levels.

-                If the LME is to assume responsibility for ensuring competency of providers, then need money in administrative costs to provide the training.

-    There was discussion regarding the need for the community to tailor the training to the needs of the community.  The Planning and Collaboration Subcommittee are looking at needs and will create a standardized curriculum for specific types of training.  Need to have standards in every area of training with involvement of community, clients, families, etc.  The individual training will be based on individual client needs.

-    Suggestions were made to collaborate with AHEC, Universities, and Tech Schools to offer this training to develop a network of competent providers.

-    Rules for competency will be implemented April 2004.

   III.       Agenda Adjustments

            None

 IV.       Approve Minutes of January 31, 2003 Meeting

            Motion was made by Ms. Smith to accept the minutes as written.  Motion was seconded by Mr. Maxwell. 

 V.         Continued Discussion on Planning

·         Ms. Smith announced that next week is the deadline for providers to offer feedback from their utilization of the new forms.  Will critically review the forms to ensure that they cover all elements needed.  The feedback that she has obtained so far from providers is that it is a helpful tool.

·         Ms. Smith also commented that they are working at updating a form that offers a monthly report that covers all areas.  Intention is to submit a monthly report to the LME and track numbers.  This will be helpful in generating an annual report.

·         Analysis of any “risky situation” should be available to be provided on a moment’s notice.

·         Mrs. Jenkins requested that providers track information  (i.e. interventions; what type used and why).  This information will be utilized to determine why certain interventions were required to be used. 

·         Also, Mrs. Jenkins cautioned members to ensure that they communicate immediately with consumer’s families, etc., when incidents occur.

·         Mrs. Jenkins encouraged members to “beef up” what they are doing as it is going to be required with monitoring.

·         Mrs. Jenkins offered to share a form utilized by CCMHC, and required by COA, to report out and analyze staff turnover, clients rights issues, etc.

 VI.       Round Robin

·          Mrs. Jenkins reported that Lena Klumper with the Partnership for Children is heading up the Evaluation Group and the committee will consist of advocates, clients, families, LME staff, etc.

-    Members were asked to forward contact information about anyone who might be interested in becoming part of this process.  Will forward information to Mrs. Klumper.

-    Will create a comprehensive evaluation plan.

-    Ms. Szymkowiak will talk with Ms. Klumper and set up a time to present Pennsylvania and Utah’s citizen monitoring plan.  Will invite other sub-committee groups who may want to attend presentation.  Also, will take this information to CFAC. (Ms. Szymkowiak has already spoken to the chair of CFAC about this).

 VII.      Next Meeting

            Friday, February 14, 2003 at 9:00 a.m.

 VIII.    Adjournment