Mental Health Board

708 GENEVA COMMUNITY MENTAL HEALTH BOARD November 11, 2014 The Geneva Community Mental Health Board met at 6:00 p.m. on Tuesday, November 11, 2014, in the Geneva City Council Chambers, 109 James Street, Geneva, Illinois. Present: Chairman Ford, Members Goc, Goldstein, Hamilton, Shogren, Johnson, Wagner. Also present: Agency representatives and Recording Secretary Celeste Weilandt. 1. CALL TO ORDER/ROLL CALL Chairman Ford called the meeting of the Mental Health Board to order at 6:00 p.m. A quorum was present with seven (7) voting members. The chairman asked for a moment of silence in honor of Veterans Day. 2. AMENDMENTS TO THE AGENDA – Chairman Ford asked to move Agenda Item 5A to Agenda Item 7B. Moved by Johnson, seconded by Goc. Motion carried by voice vote of 7-0. 3. OMNIBUS AGENDA ( OMNIBUS VOTE ) All items listed with an asterisk ( * ) are considered to be routine by the Mental Health Board and will be enacted by one motion. There will be no separate discussion on these items unless a board member or citizen so requests, in which event the item will be removed from the Omnibus (Consent) Agenda and considered in its normal sequence on the Regular Agenda. Motion by Member Wagner, seconded by Member Shogren to approve the Omnibus Agenda. Motion carried unanimously by voice vote of 7-0. 4. APPROVAL OF MINUTES/PAYMENTS *A. Regular Meeting Minutes of October 7, 2014 – Approved by Omnibus Agenda. 6. NEW BUSINESS A. Funding Applicants to Present to Board – An explanation of the meeting’s protocol followed along with the chairman reading a statement to the providers as to some of the adjustments the agencies will be seeing next year due to changes initiated by the Affordable Care Act, changes in Medicaid and changes in managed care. Also announced was the fact that this board would be moving toward compliance with the concept of “supplementation.” Details followed with copies to be given to the agencies after their presentation. The following agencies came forward and presented: Ecker Center for Mental Health – Exec. Dir. Karen Beyer reported that 45 Geneva residents received outpatient services for mental health illnesses. An explanation of her agency’s services followed. Member questions followed whether the agency has seen changes in the severity of illnesses; how the agency was tracking the changes/reporting for the Affordable Care Act and Medicaid; and the ages of the Geneva clients. Ms. Beyer anticipates moving to a system where quality will be measured and not quantity and eventually using a software program called Budgeting for Results. Tri-City Family Services – Exec. Dir. Jim Otepka and Sasha Urban, co-development manager, were present. Mr. Otepka reported that the agency served 230 Geneva children and adults. A summary of his agency’s services followed along with program accomplishments from the past year. Goals for the coming year include increasing the easting disorder program, increased services to the Spanish-speaking population, and promoting support for some of the educational groups. Questions followed as to how long a client receives counseling, tracking clients, any increases in the severity of the illnesses, and what two service areas are mostly non-billable -- advocacy and accompanying a client to court for an order of protection, Fox Valley Special Recreation – Exec. Dir. Karen Nagle discussed what her agency’s services were and the disabled population that is served. Her agency offer programs, such as leisure activities, art, skill development but also providing Respid to family providers. Approximately 260 Geneva residents were served in 2014. She has no non-billable services and the funding her agency seeks is basically for those non- billable services, such as client assessments and inclusion observations/training that staff takes part in. Lazarus House – Exec. Dir. Liz Eakins reported that 307 individuals were served with 14% of them being Genevans; however, that percentage has been growing to 20%. She discussed the services that her emergency shelter service provides and pointed out that most guests (60%) suffer from mental illness or substance abuse. Two success stories were shared. Ms. Eakins explained that the 43 Geneva families are tracked but her agency does not track where individuals go when they leave Lazarus House. As to how Geneva homeless 708 Geneva Community Mental Health Board - 2- November 11, 2014 students travel to school, Ms. Eakins explained that federal legislation guaranties transportation to homeless students to their originating school. The shelter’s largest non-reimbursed expense is transportation to/from mental health/substance abuse service providers Haley’s Playground – President Jackie Olson stated her agency moved to Keeler Center in Aurora in order to provide additional services for the physically disabled. Approximately 14 Geneva children received weekend/evening program services, mainly those with autism who really have no friends. She would like to build her agency’s music program with the funding she receives to continue the services for the adults with disabilities. She also invites children with no disabilities to be peer leaders for the disabled children. Association for Individual Development – Exec. Dir. Lynn O’Shea distributed copies of the costs to provide services to Geneva residents, reporting that 191 Genevans were served with 131 of them in the Victim Services Program which come from Geneva’s first responders, resulting in more services to the city. Ms. O’Shea explained that the largest amount of service the agency provides is spent for development training. Total cost to serve Geneva residents for 2014 was over $812,640.00. Largest challenges include the growing waiting list with housing a major focus. Details followed. The board was updated on last year’s transition program as students aged out. O’Shea reported that almost 75% of the agency’s costs are reimbursed from Medicaid with the rest dependent upon other sources. The largest gap O’Shea sees, exists in the increased operating costs over the last 10 to 15 years which deal with staff wages, health insurance, etc. Suicide Prevention – Ms. Natasha Clark, director of education and training, reported that the agency served 237 Geneva residents for reducing suicide attempts or completed suicides. About 7% of the clients come from Geneva. She reviewed the programs that are funded by the board and stated the agency is seeing more clients with significant illnesses. Her agency receives no state/federal funding. Over half of the clients are adults or the elderly. (The board took a five minute break at 7:00 p.m. and reconvened at 7:05 p.m.) Geneva Community High School – Mary Jane Johnson, director of counseling and advising, commended all of the agencies and thanked the board for bringing in Josh Shipp to speak to the students about resiliency. To date, Ms. Johnson reported there were 60 total hospitalizations with the primary diagnoses of anxiety and depression. She believes there is a lack of resiliency among the students who need to learn how to cope with difficulties. It was pointed out by the chairman that while there was a total of 2000 clients listed on the application some of those clients did not live within the city limits and had to be within the taxing body; not the school district. Ms. Johnson stated she would like use the funding for smaller programming events throughout the year and in the future to fund a full-time intervention coordinator. This past year her office received funding for a part-time coordinator. Elderday Center – Dir. Tracy Eggleston reported that during the past year, Geneva clients were served in the adult daycare and the care-giver support program. An explanation of the agency’s services followed. Ms. Eggleston reported that many elderly clients experience depression and dementia and more outreach is taking place in Geneva. Per a question, Ms. Eggleston stated that, as an organization, the program had focused on caregivers this past year but more recently it hired a community outreach liaison. Greater Fox Valley – Operation Snowball – Sergeant/adult volunteer Tim Baker reported that Operation Snowball is a youth substsance prevention program. The program’s philosophy is to have one person make a positive difference on additional people, thereby “snowballing” that positive action on many individuals. Sgt. Baker explained the positive and healthy teen activities that take place under the program. The funding from this board provides a scholarship for those teens who cannot afford the program. Teens are brought into the program through friends, school, and word of mouth. The funding would go towards day to day costs and to pay for motivational speakers. Out of 100 attendees, Sgt. Baker estimates about 25% to 30% of the teens are abusing substances. Tri-City Health Partnership – No one present. 708 Geneva Community Mental Health Board - 3- November 11, 2014 Fox Valley Volunteer Hospice – Exec. Dir. Greg Whiter summarized that his agency’s services include strategies and support for those who have suffered the loss of a loved one and the depression that can result from same. His agency is a volunteer hospice receiving no state/federal funding. All programs/services are free. Approximately 53 Geneva residents were served last year with 39 dealing with grief loss. Within the hospice services versus the bereavement services, Mr. Whiter said he is seeing growth in the bereavement services. He also explained the difference between Medicare hospice and his agency’s hospice services. Day One Network – Exec. Dir. Steve Taylor explained the agency’s two programs: The Child and Family Connections (birth to age 3 program), which is an early identification/intervention program. At age 3 the educational component is turned over to the school system and at 18 (graduation) or at age 22, when the students are aged out, they return back to receive services under the Community Access program. Approximately 165 Geneva residents were served: 48 in Community Access Services and 117 in Child and Family Connections. Mr. Taylor reported that the state’s reimbursements to agencies have not changed in the last 9 years. Due to the recent election results as well as the expiration of the state’s income tax at the end of the year, the agency is preparing for a 20% to 25% funding reduction for the Life Time Services program. Copies of the agency’s annual report were also distributed. NAMI – Exec. Dir. Denise Edwards explained that her agency covers the southern half of Kane County which includes the Tri-City areas. Due to the amount of growth the agency expects she is asking for more money this year. Approximately 536 Geneva residents were served this year. Details followed. The $2500 request is to continue the funding for the Ending the Silence program at the high school. The other $2500 is to fund the Family to Family class, support groups and the alternative treatment court. Renz Addition – Exec. Dir. Jerry Skognow reviewed the alcohol and substance abuse treatment services his agency provides, along with the various prevention programs located in St. Charles, Elgin and Streamwood. For 2014, 26 Genevans were seen for alcohol and marijuana abuse. The agency partners with the Ecker Center. New programs his agency offers in the Geneva/St. Charles area include a homeless integration grant and a drug treatment support group for minority women, all free of charge. Asked if he was seeing increased heroin abuse, Mr. Skognow stated he had 35 individuals come in but none were from Geneva. He has seen an increase in cocaine and crack cocaine abuse. (The board took a break at 7:52 p.m.; reconvened at 8:05 p.m.) B. Distribution of Funds – The board proceeded to discuss its funding figures for the agencies and arrived at the following funding amounts: Agency Name $ Requested $ Funded Association for Individual Development 35,000 33,000 Geneva Community High School 10,000 3,800 Day One Network 7,500 4,500 Ecker Center 32,000 31,000 Elderday Center 6,000 3,200 Fox Valley Volunteer Hospice 5,000 2,000 Fox Valley Special Rec. Assoc. 3,500 3,000 Haley’s Playground 1,000 900 Lazarus House 19,214 11,400 NAMI 5,300 3,400 Greater Fox River Valley – Operation Snowball 10,000 2,600 Renz Addition 7,500 7,400 Suicide Prevention 7,000 6,300 Tri-City Family Services 29,500 25,000 Tri-City Health Partnership 3,000 1,500 $181,514 $139,000 TOTAL: Member Goldstein made a motion to accept the funding amounts for the above-listed agencies for the 2015 funding. Seconded by Member Goc. Motion carried unanimously by voice vote of 7-0. 708 Geneva Community Mental Health Board - 4- November 11, 2014 Member Johnson noted she had to recuse herself because she was on the board of directors for Tri-City Family Services. She expressed disappointment that the board gave larger amounts to some of the other agencies while Tri-Family’s data showed that they provided the most comprehensive services and served the greatest number of residents. 7. OLD BUSINESS *A. Approve Payment to Recording Secretary for Services – Approved by Omnibus Agenda, B. Review Comments for December – Members Shogren, Goc and Hamilton distributed copies of their prepared speeches for the December council meeting and read them. Chairman Ford read his introduction and Johnson shared her closing speech. The chairman agreed that the next step was for this board to talk to City Council about increasing its future funding. For next meeting’s agenda Shogren asked to have a discussion about inviting families from Geneva to a board meeting to discuss what their unmet needs are. Hamilton suggested that of the three large agencies they could suggest to their clients to attend a board meeting. Wagner asked about the funding of Operation Snowball, which ran its program out of Geneva High School, and expressed concern about duplicative funding. Chairman Ford shared that same concern, noting Suicide Prevention and NAMI also had programs at the high school. He was not sure how that topic should be addressed. 8. PUBLIC COMMENTS/MAIL A. Written Correspondence – None. 9. ADJOURNMENT The Geneva Mental Health Board was adjourned at 9:03 p.m. on motion by Goc, seconded by Johnson. Motion carried unanimously by voice vote of 7-0. Recording Secretary, Celeste K. Weilandt