McHenry Times

McHenry County Mental Health Board met April 17.

Here is the minutes provided by the Board:

Board Members present: Mike Baber, Cathy Ferguson, Lynn Kasicki, Sam Melei, Connee Meschini, Dawn Pruchniak, Sarah Wilson (left at 6:45 p.m.)

Board Members absent: Paula Yensen

Others present: Jennifer Balleto, Scott Block, Jane Wacker, Pat Peterson and other interested parties

1. Call To Order – Connee Meschini called the meeting to order at 6:00 p.m. Roll Call was taken.

2. Public Comment – none.

3. Approval Of Minutes - For Action

Cathy Ferguson motioned to approve the Minutes of the March 27, 2018 Regular Board Meeting. Seconded by Lynn Kasicki seconded. A Voice Vote Was Taken. All in favor. Motion carried.

4. Reports

A. President's Reports - C. Meschini

Connee pointed out the Events and Announcements in the Board packet and made special mention of the upcoming Town Hall Meetings on May 3 and May 8. She also mentioned the upcoming Board officer elections and Committee appointments set for the June Board meeting. Connee encouraged members to let her know if they are interested in a position as a Board officer or Committee member.

Per the request of County Board member Donna Kurtz, Scott and Connee met with some neighbors of the New Directions Sober Living Home on Tile Line Road. Scott shared MHB compliance auditing and outcomes requirements as well as future annual reporting requirements regarding the Sober Living Home. Should the County Board pursue any further local certification/licensure of Sober Living Homes, the MHB will participate in the effort. This group will meet annually if needed but attendees were told that they should call the police if they have any issues.

B. Director's Report - S. Block

Scott reported that May is Mental Health Month and in efforts to increase awareness the MHB has many different events planned. Three different events through the McHenry Chamber, events at Woodstock library, Town Hall meetings, and a Drug Court graduation are among those occurring. Attached to the Director’s Report are both the publication from McHenry Area Chamber about Mental Health Mornings and the script of the Star 105.5 recorded radio spot running April 22-28 and May 6-12.

In follow up to the MHB’s past financial support of the Court Services and Probation Department’s EPICS-II training, an Evidence Based Programs (EBP) Supervisor position has been created and filled to institutionalize the training. The supervisor is tasked with training officers, ensuring fidelity to the EPICS II model through reviewing tapes submitted by officers and providing coaching, researching new trends with regard to evidence based practices and ensuring that Court Services is staying abreast of those trends. Court Services has also created two Evidence Based Probation Officer positions to review tapes and provide coaching along with generally supporting the efforts of the Evidence Based Programs unit while still maintaining their own cases.

The Next Meeting for the Buildings and Grounds Committee is Monday, April 30, 2018 at 4:00 pm. Among other items, the Committee will discuss the Facility Occupancy Plans and a potential rent increase for tenants many of whom are currently working on next year’s budgets and need this information soon. Scott noted that the MHB facility is used regularly, hosting more than 150 support Groups, 40+ meetings and 60+ trainings since December 1.

The Ethics & Compliance Committee met on April 11th and reviewed First Quarter Compliance Audits and Outcomes. The entire Board will be emailed a copy of the excel worksheets that were reviewed. In an effort to inform the full Board of more detail around the audits and outcomes it was decided that the MHB ED should provide bi-annual or annual presentations at Regular Board meetings. The MHB ED will plan a presentation for the July Board meeting.

C. Ethics and Compliance Committee - D. Pruchniak

Dawn reported on the meeting of the Ethics and Compliance Committee and that in addition to items mentioned in Scott’s report, Terry had reviewed new Outcome plans that allow the system to operate more as a network than as individual providers. The Committee discussed the Residency Policy and concurred that it was not necessary to develop one at this time.

D. Finance and Audit Committee - S. Melei

Because the Committee did not meet in April, Jane Wacker provided the report for the Finance and Audit Committee. She noted the following items:

On Packet Page 20 larger expenses noted were due to:

• Telecommunications - larger this month due to the regular phone bill and a quarterly payment for IT related to the fiber optic line

• Maintenance Agreements - included annual HVAC Maintenance

• Buildings Repairs - for CRC Server room as it has to maintain a certain temperature

On Packet Page 28 – the number shown in red is the amount projected Revenue Over (under) Expenditures for the Year. The MHB has budgeted utilization of Fund Balance of approximately $2M. This also includes billing above the cap for some providers of $184,000.

Related to the ERP System:

• Chart of account and budget are being put in

• Working on solution design document

• Discussed procurement today which involved differences between County and MHB

E. Network Council - C. Ferguson

Cathy noted that the Network Council meets on Monday, April 30. She does not have a report this month.

F. Board Site Visit Report(s)

i. Connee Meschini

A. 22nd Judicial Circuit

Connee met with Jason Sterwerf and reported the following:

• Three different specialty courts, Mental Health, Drug, and soon to be Veterans Court.

• Clients referred through attorneys or law enforcement, their team assesses each participant, charges dropped if clients follow through with plan.

• The 22nd has asked that the MHB continue funding program and allow funding for nurse training.

• McHenry County is first Specialty Court in State of IL to be certified.

• Participants may go through system 3 times and each takes up to two years to complete.

• The Courts use Moral Recognition Therapy (MRT), Outcomes of programs were discussed.

B. Association for Individual Development (AID)

Connee met with Bob Zima and Joanne Furnas and reported the following:

• AID does intakes in McHenry, Woodstock and Harvard.

• AID focuses on Outpatient Behavioral Health for Adults, a MHB funded Navigator, C&A and family therapy focusing on adults.

• They see about 500 individuals annually and have a Psychiatrist that uses tele-psychiatry services.

• AID collaborates with Genoa Pharmacy for an onsite pharmacy.

• They have noted a gap for bilingual therapists and child psychiatrists.

• AID is keeping an eye on the IL State budget.

• AID would like group meetings of “large players” with Cathy/Scott.

ii. Lynn Kasicki

A. McHenry County Sheriff’s Office

Lynn met with Alana Bak Social Service Case Manager at the MCSO and reported the following:

• Alana is new to position (6 months) and appeared to need some increased direction.

• Some officers are in favor of position and others are not.

• Ride-alongs would be helpful to get to know community and interact with officers.

• The number of calls for intervention vary from 0 – 2 / 3 per day.

• Lynn noted that MHB should have more involvement if continuing funding.

• Alana has received 65 referrals and has also done referrals of services for seniors.

• She is currently attending trainings including Stress Management.

• Supervisor, Sgt. Popovits, feels this is an important position for the department.

• Alana joined police social workers association

• MHB is committed to funding through fiscal year; Sheriff’s Dept. will take on funding after that.

Lynn suggested Alana schedule ride-along time with officers to develop rapport and/or network with AID Social Worker that does same work.

5. Consent Agenda - For Action

A. 201804-24 Treasurer's Reports for the Period Ending March 31, 2018

B. 201804-25 MHB Monthly Bills - $1,378,384.29

Sam Melei motioned to approve Consent Agenda Items A and B. Seconded by Sarah Wilson. A Roll Call Vote Was Taken. Mike Baber – Yes, Cathy Ferguson – Yes, Lynn Kasicki – Yes, Sam Melei – Yes, Connee – Meschini – Yes, Dawn Pruchniak – Yes, Sarah Wilson – Yes. All in favor. Motion carried.

6. Old Business - For Discussion/For Action – none.

7. New Business - For Discussion/For Action

Scott was contacted by Dr. Vemuri of Mathers Clinic. They have recruited a child psychiatrist who will work in McHenry County if the MHB Psychiatric Loan Program is available to them. MHB staff have not added dollars into the budget for this for FY19. The Board will need to approve this in New Business Item C. on tonight’s agenda.

A. 201804-26 MCMHB Requirements and Guidelines for Allocations of Funds

Scott noted the Requirements and Guidelines for Allocations of Funds on Packet Page 33. These are adopted on an annual basis based on current practice and readability. In the Board packet there is a lined-up version with comments by revisions. Scott noted that on Packet Page 34 in “Who may apply for MHB Funding?” the words “as defined by MHB” refer to a residency policy that the Ethics and Compliance Committee agreed the MHB did not need to develop. The wording “as defined by MHB” should be stricken from the policy as part of the approval. Other than that it is self-explanatory and has been made easier to read.

Sarah Wilson motioned that the McHenry County Mental Health Board, Board of Directors directs the Executive Director to adopt the Mental Health Board Requirements and Guidelines for Allocation of Funds as revised and presented with the wording “as defined by MHB” on packet page 34 stricken from the policy. Seconded by Mike Baber. A Roll Call Vote Was Taken. Mike Baber – Yes, Cathy Ferguson – Yes, Lynn Kasicki – Yes, Sam Melei – Yes, Connee – Meschini – Yes, Dawn Pruchniak – Yes, Sarah Wilson – Yes. All in favor. Motion carried.

B. 201804-27 Draft MCMHB FY19 Notice of Funding Availability

MCMHB FY19 Notice of Funding Availability is in the packet for review and is similar to last year. Scott drew the Board’s attention to the capital expenditure language that allows for funding of capital items if vital to carrying out the program. Services will take precedent and stand-alone requests will be considered on a case-by-case basis.

C. Draft MHB FY19 Budget

Scott reviewed the budget document provided to the Board members and projected the information on a screen for all present to see. He specifically noted highlighted items including:

• Audit and Management Services – 3 Year CARF and no Financial Audit needed for FY19

• Reimbursement to State Unemployment Insurance – no claims expected in 2019

• Telecommunications – new phone contract, reduction in cost

• Leasing – new copier and postage meter leases, lower cost

• Computer Program Maintenance – Policy Tech, Foundant, VM

• Consultants – maintain dollars depending on building use decisions, records reduction/retention

• Computer Components under $5,000 – wireless environment is end-of-life and needs updating. This needs to be tied to the use of the building which is yet to be determined

• Building Improvements over $50,000 – no drainage project this year

• Op Transfer Out (for Debt Payment) – Budget for building payoff

• Managed Community Funding – independent small contracts

• Promoting and Marketing – proposed reductions

• Transportation – network desire to maintain and increase Kaizen

• Occupancy Fees – items shared with tenants

• Repair and Maintenance Buildings and Grounds assumes sealcoating parking lot, roofing and flashing and repair of an exterior door in the CRC are urgent and priority items as identified in the Facility Condition Assessment

• MHB Personnel – includes FY19 budget and merit as well as a slight increase for three employees based on a County job survey if accepted by County Board

The Board concurred on the addition of funding for a Mather’s Child Psychiatrist with a five year commitment of funding from MHB. The psychiatrist then is also committed to remaining in McHenry County for the same five years. $60,000 annually will be set aside for this purpose.

This budget assumes utilization of fund balance of $2M with $750,000 for support of client services. The MHB Administrative Expenses are reduced again this year. With the debt payment removed Administrative Expenses are below 10%.

8. Presentation - Suicide Prevention Taskforce - Jen Balleto, Centegra Health System

Jennifer Balleto provided a Power Point presentation on behalf of the McHenry County Suicide Prevention Task Force.

9. Members' Comments

Cathy Ferguson mentioned the Crystal Lake Chamber of Commerce listing for MHB and the full page advertisement in the McHenry County Magazine. She also congratulated Shira Greenfield on being nominated for Women of Distinction

10. Public Comment – none.

11. Executive Session [Pursuant To 5 ILCS 120/2(C)(1) And 120/2 (C)(21)] – For Semiannual Review Of Closed Session Minutes And Personnel Matter

Dawn Pruchniak motioned to move into Executive Session at 7:38 p.m. Seconded by Sam Melei. A Roll Call Vote Was Taken. Mike Baber – Yes, Cathy Ferguson – Yes, Lynn Kasicki – Yes, Sam Melei – Yes, Connee – Meschini – Yes, Dawn Pruchniak – Yes. All in favor. Motion carried.

Lynn Kasicki motioned to move back into Open Session at 7:59 p.m. Seconded by Sam Melei. A Voice Vote Was Taken. All in favor. Motion carried.

No Action except for the approval of Executive Session Minutes as allowed within the Open Meetings Act was taken during the Executive Session.

The Board concurred on directing staff to follow through with the amended Executive Director contract.

12. Adjourn - Dawn Pruchniak motioned to adjourn. Seconded by Sam Melei. A Voice Vote Was Taken. All in favor. Motion carried. The meeting adjourned at 8:01 p.m.

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