McHenry Times

McHenry County Mental Health Board met May 28.

Here is the minutes provided by the board:

Board Members present: Mike Baber, Rachel Boldman, Tracy Champion, Cathy Ferguson, Sam Melei, Connee Meschini, Dawn Pruchniak, Sarah Wilson

Board Members absent: Paula Yensen

Others present: Scott Block, Terry Braune, Jane Wacker, Kris Doherty and other interested parties

1. CALL TO ORDER – Connee Meschini called the meeting to order at 6:01 p.m. Roll Call was taken.

2. PUBLIC COMMENT

 Ashley & Edward Abraham, McHenry receive TBI services from the Epilepsy Foundation and thanked the Mental Health Board for all of their support.

 Tony DiVittorio, Clearbrook, President thanked the MHB for their support of the Choice Program. They also opened two residential homes, one for women & one for men. Clearbrook recently started a vocational program and opened a store, Naturally Gifted, where clients make and sell products. They were also awarded 3 grants for respite programs which will be used in our community.

 Holly Puchner, Turning Point read a letter from an abuser who successful completed their Partner Abuse Program and still occasionally attends sessions.

 Lisa Solarz, Turning Point shared a letter from a client who received counseling and attended support groups in trauma recovery called the Trauma Recovery and Empowerment support group (TREM). The client is thankful for the knowledge & compassion she received from the advocates at Turning Point.

 Bobby Gattone, Consumer Credit Counseling, Executive Director thanked the MHB for continued support. They have built up their vocational literacy workshops by partnering with several agencies including some funded by the MHB. CCC served 267 clients last year with MHB funds. They are working on a new logo and encouraged the Board members to check out their website.

 Guy Stedman, Johnsburg recently received his one year of sobriety coin. He spoke in support of Rosecrance’s IOP services.

 Shawn Baker, a 6-month resident at Rosecrance, receiving IOP services, said his life is back on track.

 Sam Tenuto, Pioneer Center, CEO spoke in support and appreciation of the MHB.

 Lupe Ortiz, Youth & Family Center of McHenry County, Executive Director thanked the MHB for their 10 years of support for the agency.

3. APPROVAL OF MINUTES - FOR ACTION

Sam Melei motioned to approve the Minutes of the April 23, 2019 Regular Board Meeting. Seconded by Mike Baber. A VOICE VOTE WAS TAKEN. All in favor. Motion carried.

4. REPORTS

A. President's Reports - C. Meschini

i. Notice of Upcoming Nomination/Election of Board Officers

ii. Annual Board Self – Assessment

Connee reminded the members that next month is the Nomination/Election of Board Officers. If existing officers wish to change their position, or anyone else would like to serve, let Connee know within the month. The Annual Board Self-Assessment has been e-mailed to members to fill out. She noted that her report also included flyers for:

 MAPP Annual Meeting on Wednesday, June 5 at the Mental Health Board

 Northern Illinois Recovery Center Open House on Wednesday, June 5 at their new site in Crystal Lake

 QPR Suicide Prevention Training June dates

 Fifth Annual Behavioral Health Resource Fair for School Professionals on Tuesday, August 13

 McHenry County Suicide Prevention, Mental Health Wellness and Recovery Conference on Friday, September 13, 2019 at McHenry County College

 Rosecrance Bridge to Recovery Program

B. Director's Report - S. Block 

Scott noted items in his Director's Report Packet included:

 Clinical Reviews at the MHB

 Kaizen Health Transportation -18 agencies are signed up for transportation services

 Ralph Sarbaugh, McHenry County Associate Director of Finance, attended MHB F&A Meeting to discuss the MHB levy, abatement process, etc.

 Resolution for the Year-round Homeless Shelter was unanimously approved by the County Board 

C. Finance and Audit Committee - S. Melei

Sam reported that the Finance and Audit Committee met last Tuesday and discussed:

 Treasurer’s Report was reviewed and found to be in good order

 Due to changes in state reimbursement codes that are also used by MHB, the fee-for-service report does not project anticipated utilization. Impacted providers are making the electronic health record changes to accommodate the new codes.

 FY 2020 Budget was reviewed with Ralph Sarbaugh McHenry County Associate Director of Finance, discussing the PTELL and the impact of recent reductions in the overall County levy due to the abatement and the effect on future MHB budgets.

 Consensus of MHB Finance and Audit committee is that more information is needed about the abatement impact. The Committee did not vote to recommend any further FY20 MHB budget numbers until answers are provided. They hope to review again next month.

 Reviewed MHB NOFA, the application and directions for funding. All seemed good noting that many providers receive state funding and are in-line with state fiscal year. The County fiscal year is not something that the MHB can change

 The Committee reviewed the FY20 provider budget worksheet template and noted provider challenges to balance multiple fiscal years while projecting MHB fiscal year expenses/revenues.

D. Network Council - C. Ferguson

Cathy reported that the Network Council met on Monday, May 20. Discussion items included:

 Network Council had a presentation from ReGroup Therapy on telehealth services, not just psychiatry but therapy as well, Aunt Martha’s and AID using their service

 CoC is working with local landlords for availability of more housing rentals

 QMT and Intake Coordinators meeting updates were noted

 TBI Taskforce will be holding a Fall event

 Substance Abuse Coalition graduation upcoming. Chris Reed noted opening of partial hospitalization and IOP program for adults

 Suicide Prevention Taskforce – the group is growing in numbers to better serve the county. They reported 7 completed suicides year-to-date in the county.

 IDD Taskforce – ISC issues and updates of lawsuits Service Inc. is still looking to come to McHenry County and will be transferring services from Options and Advocacy

 MHB FY20 Budget/Abatement was addressed and agencies are looking to draft a letter to send to County Board members advocating for MHB funding to remain in full.

E. Board Site Visit Report(s)

i. Dawn Pruchniak - Live4Lali, Mathers, NAMI

Dawn provided a report on the three agencies that she has visited.

Live4Lali: met with Laura Fry & Alex Mathieson. The agency provides an array of services and does legislative work.

Mathers: Operate opiate clinics in Elgin and Fox Lake Opiate and see about 250 per month with 40% from McHenry County. They felt that 85% addictions start in doctor’s office.

NAMI: met with Alex Campbell, Scott Campbell & Phyllis Seyler, Family Support education and advocacy. They would love to have MHB funding for first responders.

ii. Mike Baber – Thresholds –

Mike met with Anneliese Thurston. Their discussion included:

 Crisis intervention, all service levels of care offered in house

 Would like to see improvement of communication between agencies

iii. Connee Meschini - Northwestern Medicine

Connee met with Todd Schroll, Shira Greenfield and Judy Pasternak at the Doty Road site. Discussion included:

 Gaps in child and adolescent services

 Growth in unfunded clients

 Needs for detox treatment in the county

iv. Cathy Ferguson – Aunt Martha’s

Cathy met with Rebecca at Aunt Martha’s in Woodstock. Originally Aunt Martha’s came to McHenry County to fill a gap in services. They were impressed with the professionalism and collaboration of agencies within the County. Bullet points of discussion were:

 Clients must receive medical care to receive psychiatry

 Start clients as early as age 8 for psychiatric services

 Dr. Brown, psychiatrist, will start soon; also use tele-psychiatry

 Bilingual therapy available

 Discussed Integrated Health Homes and Universal Release

 Won an Organizational award for meeting goals and client satisfaction

5. CONSENT AGENDA - FOR ACTION

A. 201905-34 Treasurer's Reports for the Period Ending April 30, 2019

Treasurer's Report for the Period Ending April 30, 2019

B. 201905-35 MHB Monthly Bills - $1,523,256.17

Cathy Ferguson motioned to approve Consent Agenda items A and B. Seconded by Sarah Wilson.

A ROLL CALL VOTE WAS TAKEN. Dawn Pruchniak – Yes, Sarah Wilson – Yes, Michael Baber - Yes, Rachel Boldman – Yes, Tracy Champion – Yes, Cathy Ferguson - Yes, Sam Melei – Yes, Connee Meschini – Yes. All in favor. Motion carried.

6. OLD BUSINESS - FOR DISCUSSION/FOR ACTION

A. FY20 Draft Budget documents were discussed at the Finance and Audit Committee meeting.

1. 25Org20 – remaining at 10.67 FTE

2. 25Goals20 – required budget document that highlights achievements and sets goals for coming year.

Goals for FY20 include: Recertification in CARF as Behavioral Health Network, create a program to serve frequent users and identify gaps identified in Substance Abuse Needs Assessment for Detox, inpatient, and MAT services.

3. 25PerformanceIndicators20 – include: compliance audits on work plans, measurable outcomes achieved by providers, consumer satisfaction rate, number of evidenced based practice, number of trainings, number of QPR trainings and attendees

4. 25PotentialBudgetReductions20 – county budget resolution already adopted states that department budgets are developed with cognizance of fiscal needs and trends. MHB feels it creates its budgets with attention to all fiscal factors and its budget will reflect such stewardship. Therefore, once the budget is developed no more reductions shall be considered.

5. 25AlternativeServiceDelivery20 – reference relationship with county D365 finance system. Saved money working with County on new finance system and will continue to develop reports internally with County and MHB staff.

These budget documents are presented as drafts for review and will be presented in June for a formal vote.

B. FY20 Funding Application Timeline Review

FY20 Funding Application Timeline is in the packet for review and preparation of funding. NOFA information is ready to go out on Monday, June 3.

7. NEW BUSINESS - FOR DISCUSSION/FOR ACTION A. FY20 Notice of Funding Availability

B. FY20 Provider Funding Application

C. FY20 Provider Budget Template

D. FY20 Provider Funding Application Board Summary – Example

Board members were provided with a packet including each of these documents as they are not published yet. Scott reviewed each document and explained their purpose.

E. 201905-36 Insurance Provider

Jane Wacker provided Board members with an informational handout ant discussed the proposals for Insurance Provider. She explained the decision process for choosing an Insurance Provider. Mike Baber motioned that the McHenry County Mental Health Board approves the selection of First Mid Insurance Group Inc., and directs the Executive Director to execute a contract with the First Mid Insurance Group Inc., for insurance broker/consultant services as detailed in RFP01-2019 for Provision of Insurance/Broker Consultant Services approved by the board March 21, 2019. Seconded by Dawn Pruchniak. A ROLL CALL VOTE WAS TAKEN. Dawn Pruchniak – Yes, Sarah Wilson – Yes, Michael Baber - Yes, Rachel Boldman – Yes, Tracy Champion – Yes, Cathy Ferguson - Yes, Sam Melei – Yes, Connee Meschini – Yes. All in favor. Motion carried.

8. PRESENTATION – None.

9. MEMBERS' COMMENTS - Cathy Ferguson attended a conference: Collaboration Between Agencies During A Community Crisis. Talking points included the universal release, collaboration, and Police dealings on mental health issues and sentinel events response.

10. PUBLIC COMMENT -

 Cindy Sullivan, O & A – discussed the lawsuit filed as Division of DD violated federal law in developing

the new system. She noted that Region A has 11 openings which means shortage of provision of services.

 Holly Puchner, Turning Point invited all to the June 4th ribbon cutting for their new Partner Abuse Intervention Program (PAIP) building.

11. ADJOURN - Sarah Wilson motioned to adjourn. Seconded by Mike Baber. A VOICE VOTE WAS TAKEN. All in favor. Motion carried. The meeting adjourned at 7:33 p.m.

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