SHASTA COUNTY MENTAL HEALTH, ALCOHOL AND DRUG ADVISORY BOARD (MHADAB) REGULAR MEETING Minutes

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1 MHADAB Regular Meeting Minutes May 1, 2013 Page 1 of 5 SHASTA COUNTY MENTAL HEALTH, ALCOHOL AND DRUG ADVISORY BOARD (MHADAB) REGULAR MEETING Minutes May 1, 2013 Members: Dana Brooks, Dave Kent, Kari Hess, Charles Menoher, Sonny Stupek, Steve Smith, Sandra Tary, Marcia Ramstrom, Sam Major, Ron Henninger, Britt Baker, and David Kehoe Absent Members: Dave Honey and Steven Trujillo Shasta County Staff: Maxine Wayda, Donnell Ewert, Dean True, Cara Schuler, Jamie Hannigan, Roxanne Burke, Minnie Sagar, Doug Shelton, Tina Stewart, Kerri Schuette, Larry Lees, and Marc Dadigan Guests: Steve Keyser, Mary Graham, Marjeanne Stone, Lisa Kohn, Christy Wright, Susan Wilson, and Annelise Green Agenda Item Discussion Action Individual Responsible I. Introductions Vice Chair extended a warm welcome to all attendees. Sam Major Board members and audience members introduced themselves, if they chose. II. Public Comment Period None III. Provider Reports EMPIRE RECOVERY CENTER (Alcohol and Drug Marjeanne Stone Treatment): They are currently in the process of renovating the second floor of their California Street building, which was constructed in WRIGHT EDUCATION (DUI Provider): The DUI program Christy Wright numbers are up. With regard to the AB109 program, their first graduation was held with five graduates. IV. Approval of Minutes Minutes from the March 6, 2013 and April 18, 2013 meetings were presented in written form. Approved the March 6, 2013 and April 18, 2013 minutes as submitted. Charlie Menoher (Motion) Marcia Ramstrom (Second) V. Announcements Chair welcomed new Board member Britt Baker. Sam Major and Review of Correspondence VI. MHSA Update COMMUNITY SERVICES AND SUPPORTS (CSS) PERMANENT SUPPORTIVE HOUSING PROJECT: MHSA Coordinator provided a packet regarding The Woodlands development from PALM Communities. [See Attachment A]. March 28, 2013 A neighborhood meeting took place with 10 in attendance. There were no major concerns voiced. There is an open area that is proposed in the design, and there were some questions regarding due to the transient population, as well as the structure of the canal and its safety issues. April 15, 2013 First open negotiation meeting took place with PALM Communities. PALM is requesting 100% of the MHSA dollars for the project. A counter Jamie Hannigan HHSA Program Manager, MHSA Coordinator

2 MHADAB Regular Meeting Minutes May 1, 2013 Page 2 of 5 proposal was provided to PALM to hold back some of the funds to allow for a project in the Burney area. PALM proposed one bedroom units and HHSA proposed some two bedroom units to serve families and/or Transitional Aged Youths. PALM will be reviewing the numbers and get back to HHSA. April 16, 2013 The City Council approved the Land Use Agreement to lease the property to PALM for $1.00 a year for 60 years. There are some milestones set in the Agreement that PALM/NVCSS must meet. They must have financing secured by October 2015 and construction initiated by March May 6, 2013 MHSA Coordinator will have a phone conference with CalHFA (California Housing Finance Agency) to get a better understanding of the CalHFA loan parameters. May 10, 2013 HHSA will have a follow up meeting with PALM and City of Redding staff to continue negotiations and discuss the supportive services plan. May 16, 2013 MHSA Coordinator will be in Southern California and will tour two of the PALM sites in Riverside County and speak with service providers. There were questions brought up at the March MHADAB meeting regarding supportive services. PALM provides some services on site to all residents in the development. Items include: Emergency assistance programs, case management assistance for real life problems, educational classes, afterschool programs, senior services, mediation, social and community participation programs, volunteer programs, and resource information. HHSA would supplement those services by providing targeted case management services with linkage to community services. Types of services would include: Linkage to primary healthcare; mental health treatment; medication support and education; substance and alcohol use treatment; In Home Supportive Services, including access to home visits by Public Health Nurses; financial supports, including SSI; cash aid; job readiness and search; social supports, including Second Home,

3 VII. Directors Report VIII. Presentation linkage to volunteer opportunities; and education, including schooling, job readiness, and job search. CAPITAL FACILITIES PROJECT 2640 BRESLAUER MHSA coordinator gave a background of the Capital Facilities project at 2640 Breslauer for the remodel of the lobby and main mental health building. Two color scheme options were presented, along with a 3 D view of the proposed lobby design. The color schemes have been in the lobby for approximately 4 weeks for consumers, staff, and guests to vote on their favorite. Board members and guests were encouraged to vote and give input. The Directors Report was sent out prior to the meeting for the Board and guests to review. Vice chair asked if anyone had questions. Items on report included: [See Attachment B] Private Facility Updates Medi Cal Managed Care Outpatient Alcohol/Drug Services Update Katie A. Day Reporting Center Director Ewert also updated the Board and guests on the following additional items: Vivitrol overview of Vivitrol program and its participants. There will be an item on the Board of Supervisors (BOS) agenda for May 7, 2013 related to 1991 realignment transfer of funds from social services to mental health. The reason for the transfer is the mental health budget is in trouble due to the increase in high end placements (hospitalizations and Institutes for Mental Disease (IMD)). There is greater demand for those services than what was in the budget. Social Services received a large amount of growth during the last year. We are using some of that to add services to the Social Services side; however, we believe we can use some of those funds to help with Mental Health. BRAVE FACES Roxanne Burke gave a background of how Brave Faces started. Marc Dadigan showed a video of the Brave Faces project and James Herrington and Dee Lahey shared their stories. Sam Major Donnell Ewert, HHSA Director Roxanne Burke, HHSA Program Manager and Marc Dadigan, Community Education Specialist MHADAB Regular Meeting Minutes May 1, 2013 Page 3 of 5

4 IX. Discussions / Updates X. MHADAB Standing Committee Report XI. Other Reports Marc Dadigan went over upcoming events in the community for Mental Health Month and the Brave Faces Portrait Gallery [See Attachment C]. Steve Keyser will be appearing in a PBS documentary A New State of Mind. There will be a special screening on May 21, 2013 at the KIXE studio. It will preview on the local PBS station on May 30, TRAUMA FOCUSED COGNITIVE BEHAVIOR THERAPY (TF CBT) AND POSITIVE ACTION FOR AT RISK MIDDLE SCHOOL STUDENTS: A PowerPoint presentation was provided by Maxine Wayda, Children s Branch Director, regarding TF CBT and Positive Action for At Risk Middle School Students. [See Attachment D] AD HOC 2012 ANNUAL REPORT COMMITTEE The committee met on April 18, 2013 and are working on the report. The goal is to have a final report to Board for approval and then to Board of Supervisors in July. MHADAB EXECUTIVE COMMITTEE Next Executive Committee meeting will be June 17, 2013 at 11:00 am. COMMUNITY EDUCATION COMMITTEE (CEC) Brave Faces Portrait Gallery will have a display at the Redding Library in the month of May. Photos can also be seen at Barista s Coffee Shop, Second Home, and Burney High School. The Minds Matter Mental Health Resource Fair is Thursday, May 9 th from MENTAL HEALTH SERVICES ACT ADVISORY COMMITTEE (MHSAAC) There will be a special meeting May 22, 2013 to review the MHSA FY 13/14 Annual Update. SUICIDE PREVENTION WORKGROUP The Superior California Suicide Prevention Network will be having their next quarterly task force meeting on June 25, 2013 at the McConnell Foundation. It will focus on suicide prevention and youth. At the last Suicide Prevention Workgroup, there was a presentation on aging stating that the suicide rate among senior citizens is high. CALIFORNIA ASSOCIATION OF LOCAL MENTAL HEALTH BOARDS/COMMISSIONS (CALMHB/C) The April meeting took place in Ontario. The Board revised their Bylaws. Sandra provided a document stating their mission statement, purpose and Maxine Wayda Director, Children s Services Sam Major Sam Major Marc Dadigan, Community Education Specialist Jamie Hannigan HHSA Program Manager, MHSA Coordinator Steve Smith Sandra Tary MHADAB Regular Meeting Minutes May 1, 2013 Page 4 of 5

5 objectives. [See Attachment E] There are five regions in the state; Shasta County is in the Superior Region, which encompasses 17 counties. The Regional Coordinator is James Cavener from Siskiyou County. XIII. Reminders See Agenda. XIV. Adjournment Adjournment (7:18 p.m.) Kari Hess (Motion) Steve Smith (Second) Sam Major, Vice Chair Cara Schuler, Secretary MHADAB Regular Meeting Minutes May 1, 2013 Page 5 of 5

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15 Health and Human Services Agency Donnell Ewert, MPH, Director Donnell Ewert, MPH, Alcohol & Drug Program Administrator Dean True, RN, MPA, Adult Services Branch Director Maxine Wayda, LCSW, Children s Services Branch Director Directors Report Shasta County Mental Health, Alcohol and Drug Advisory Board May 1, 2013 CURRENT ISSUES: Private Facility Updates The Psychiatric Health Facility (PHF), owned and operated by RESTPADD, Inc., is now accepting individuals for inpatient treatment. In addition to operating the PHF, RESTPADD continues to provide a variety of crisis services including answering after-hours crisis calls, responding 24/7 to local emergency rooms to evaluate those in crisis, and placement services when inpatient hospitalization is needed. The Shasta Lake City Board and Care project being undertaken by Tom Ortner continues to move forward, but we received word recently that the city has not yet granted a conditional use permit. This is an essential first step to move the project forward in a meaningful way. Mr. Ortner and his group continue to work on matters the city wants addressed before the permit will be issued. They are cautiously optimistic that the project will move forward soon, including major renovations to the building. Medi-Cal Managed Care On Tuesday, April 23, 2013 the Shasta County Board of Supervisors approved the new Mental Health Managed Care Plan contract with the state that addresses continued services and funding for Medi-Cal beneficiaries with persistent serious mental illness. The contract covers a 5-year period that goes through June of We will be developing a Memorandum of Understanding with the Partnership Health Plan of California, which will be the Medi-Cal managed care provider for Shasta County after September 1, 2013, to clarify the roles of each of our organizations in providing mental health services to the Medi-Cal eligible population. Outpatient Alcohol/Drug Services update Due to staff retirement and prolonged unexpected medical leave, clients requesting routine outpatient drug/alcohol services are being referred to contract providers (Empire Recovery, Right Roads, etc). These contract providers can provide both initial intake assessments and/or ongoing services. There is no need for individuals to come by or be seen directly by county staff before seeking these services. County staff continues to provide services within the Addicted Offender Program (AOP). Katie A In regard to new mental health interventions being developed for foster children due to the Katie A legal settlement, counties are currently in process of completing Self Assessment and Service Delivery Plan documents. This process and documents are designed to pull together people and information from the Child Welfare Service system, the Mental Health system and other stakeholders. Areas covered include leadership, system and interagency collaboration, service array, involvement of stakeholders, cultural responsiveness, outcomes and evaluation capacity, and fiscal resources. Timeline for completion of these documents is May 15, There is a Directors Report Page 1 B

16 regional overview training on Katie A in Redding on May 22, A Fiscal Task Force is meeting at the state level to continue to work on funding resources for mandated services. Day Reporting Center The Community Corrections Center (CCC), which is a one-stop service center for the AB 109 population on Court Street in downtown Redding, began offering services April 8. Behavioral Interventions (BI) has begun offering intensive case management services for the most high risk offenders in the Day Reporting Center (DRC) within the CCC, and already has numerous clients. They can serve up to 100. Our Mental Health Clinician, who does screening and referral for mental health and alcohol/drug services, is housed within the CCC. BOARD OF SUPERVISOR STAFF REPORTS (March-April 2013): In-Home Support Services Advisory Committee Reappointments Authorize the HHSA Director to Approve an Amendment to Agreement with RESTPADD, Inc. Appointment to the Shasta County Mental Health, Alcohol & Drug Advisory Board Agreement with California Department of Health Care Services for the Mental Health Managed Care Plan First Amendment to Agreement with Becker & Bell, Inc. for Labor Relations Services Amendment to Agreement with Charis Youth Center Directors Report Page 2 B

17 Every mind matters! Mental Health Month Activities Out of the Darkness Campus Walk 9-11 a.m. Thursday, May 9 (check in at 8 a.m.) Shasta College quad Register at campuswalks.org Minds Matter Mental Health Resource Fair 11 a.m - 3 p.m. Thursday, May 9 The Downtown Atrium, 1670 Market St., Redding Exhibitors, presentations, live art gallery, stand-up comedy FREE admission! Brave Faces Gallery 6-7 p.m. Wednesday, May 15 Redding Library Community Room Multimedia storytelling presentation Brave Faces Portrait Gallery All month at the Redding Library Photographs and audio recordings tell the inspirational stories of local people who have dealt with mental illness or suicide loss Free admission! Learn more at standagainststigma.com Photo illustration by Sherry Morgan Everyone needs balance. Everyone has mental health. Learn how to take care of yours! For more information visit or contact Marc Dadigan at mdadigan@co.shasta.ca.us or (530) Sponsored by Shasta County Health and Human Services Agency in conjunction with the Community Education Committee and our many community partners and advisory boards. Funding for this event is provided through the Mental Health Services Act. C

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19 4/29/2013 MHSA Prevention & Early Intervention Evidence Based Practice Implementation: TF-CBT and Positive Action A Review Trauma Focused Cognitive Behavioral Therapy (TF-CBT) For Children and Adolescents D 1

20 4/29/2013 TF-CBT Overview > A therapeutic intervention designed to help children, adolescents and their parents overcome the impact of traumatic events. > Traumatic events include: sexual abuse, physical abuse, domestic violence, community violence, unexpected death of a loved one, natural disaster and war. > Children learn how to: Identify and manage their feelings Use safety skills Identify and replace negative thoughts Enhance and improve the course of the child s developmental trajectory Model and Staffing > Therapists Masters level clinicians > Individual sessions (weekly) with the child, parent and joint child-parent ( sessions) Psycho education and parenting skills Relaxation Affective modulation Cognitive processing Trauma narrative In vivo desensitization Conjoint parent-child sessions Enhancing safety and social skills D 2

21 4/29/2013 TF-CBT Sessions Flow Baseline Assessment Entire Process is Gradual Exposure Sessions Psycho education Trauma Narrative Conjoint Parent Parenting Skills Development and Child Sessions Processing Relaxation Enhancing Safety and In-vivo Gradual Future Development Affective Expression Exposure and Regulation Cognitive Coping Model Outcomes > Children ages 5-18 years > Decreases PTSD symptoms > Decreases s negative attributes (self-blame) about the traumatic event > Decreases externalizing problem behaviors > Improves parent-child relationship > Decreases parental depression > Improves parenting regarding g helping children deal with trauma D 3

22 4/29/2013 TF-CBT in Shasta County Training and Service Delivery > 8 cohort teams > 4 different organizations (HHSA & 3 Org Providers) = 50 original participants > 31 Completed Certification > Eligibility (Medi-Cal beneficiaries up to 18) > Outreach and Education (brochure) Clinical Training/Consultation > Complete on-line course (independent study) > Clinical training (2-days) + Supervisor training (5 (.5 day) > Booster training (1-day) + Supervisor training (.5 day) > Consultation calls (12 with team + 4 with supervisor) > Audio-tapes review (2 per practitioner) D 4

23 4/29/2013 Shasta County Training & Early Implementation Data > 28 Clinicians > 64 Children starting TF-CBT (N=64) Female 42.2% (n=27)/male 57.8% (n=37) Caucasian 78.1% (n=50) African American 4.7% (n=3) Hispanic 4.7% (n=3) Native American 4.7% (n=3) Other 7.8% (n=5) Shasta County Community Wide Outcomes Very Preliminary Data > Children who completed TF-CBT (N=9) Average length of therapy 7.5 months Average number of sessions 20.8 PTSD-RI Parent Score 48.2% improvement (n=9) PTSD-RI Child Score 52% improvement (n=5) YOQ (Parent) Score 47.5% improvement (n=9) YOQ (Child) Score 42.7% improvement (n=5*) D 5

24 4/29/2013 Positive Action for At-Risk Middle School Students Positive Action Program Inc. > An integrated comprehensive program designed to improve the academic achievement and multiple behaviors of children and adolescents 5 to 18 years of age. > The program is grounded in a theory of self concept that asserts that people determine their self concepts by what they do; in other words, actions determine self concept and making positive and healthy behavioral choices results in feelings of self-worth. > The program includes school, family and community components that work together or stand alone. D 6

25 4/29/2013 Evidence-Based Program > Research efforts have partnered with Oregon State University and University of Chicago > Recognized by: National Center for Mental Health Promotion and Youth Violence Prevention Substance Abuse and Mental Health Services Administration (SAMHSA) National Registry of Evidence-Based Programs and Practices (NREPP) Office of Juvenile Justice and Delinquency Prevention (OJJDP) CASEL (Collaborative for Academic and Social and Emotional Learning) Key Behavioral Outcomes Increase in honesty Increase in self-control Increase in respect for teacher Increase in respect for parent Decrease in aggressive problem solving Decrease in alcohol use Decrease in marijuana use Decrease in Depression Decrease in Anxiety D 7

26 4/29/2013 Key Character Outcomes Increase affiliation with good friends Increase in social problem solving Increase in Altruistic Behavior Increase in Self Control Decrease in aggressive problem solving Long Term Outcomes Academic Achievement Scores Truancy Drug Alcohol and Tobacco Use Violence Related Incidents Dissing Behaviors = threats, disobedience, disruptive actions, etc. D 8

27 4/29/2013 Positive Action Philosophy Based on the concept that positive thoughts lead to positive actions positive actions lead to positive feelings about yourself- positive feelings lead to more positive thoughts. Ultimately teaching the child that they can choose to stop and think before acting and control how they feel. Thoughts Actions Feelings = TAF How it Works > K-12 Curriculum with six focus units Unit 1: Self Concept: What it is, how it s formed and Why it s important. Unit 2: Physical and Intellectual Positive Actions for a Healthy Body and Mind Unit 3: Social/Emotional Positive Actions for Manageing yourself responsibly Unit 4: Social/Emotional Positive Actions for getting along with others Unit 5: Social/Emotional Positive Action for being honest with yourself and others Unit 6: Social/Emotional l Positive Actions for continuous self improvement > Additional/supplemental curriculum > TAF Philosophy is tied throughout all the curriculum D 9

28 4/29/2013 Shasta County Implementation > Focus on Community Day Schools serving Middle School populations > Core Curriculum: 6 th grade Kit (Units 1-6) (Total Lessons = 86) 7 th Grade Kit (units 1-3) 8 th Grade Kit (units 3-6) (Total Lessons for 7&8 = 84) > Supplemental Curricula Middle School Drug Kit interactive curricula building students resiliency to avoid drugs and alcohol Family Tool Kit- 2 hour session corresponds with individual units Secondary Climate Kit-uses activities like Pals Club and Salute our Students (SOS) box to promote positive action philosophy throughout the site. Shasta County Design > 2 Districts will be eligible to receive funding. Funding can be used to hire a coordinator to implement program activities > Selected Community Day schools will be provided with the 6 th, 7 th, and 8 th grade curriculum and the middle school drug kit. > Required to deliver 86 lessons for 6 th grade and 84 for the combined 7 th and 8 th grade. Additional lessons can be given at the teachers discretion. > Families of the students in the day school will receive the family kit intervention (1-2hr session per curriculum unit) > Coordinator will work with the school site council to implement the Climate Kit activities in both the day school and the middle schools in the district. D 10

29 4/29/2013 RFP > Eligibility: Community Day Schools serving 6 th,7 th, and 8 th grade students in Shasta County > Timeline: Release of the RFP: Monday, April 15, 2013 RSVP Attendance to Responder Conference: Wednesday, April 24, 2013 by 4:00 p.m. Responder Conference: Friday, April 10:00 a.m. RFP Notice of Intent Deadline: Wednesday, May 1, 2013 by 4:00 p.m. RFP Submission Deadline: Friday May 17, 2013 by 4:00 p.m. Proposal Review and Selection: May 17 May 24, 2013 *Contract Development and Approvals: June 2013 Tentative start date for contract: July 1, 2013 D 11

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