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Minutes for November 16 2021


Call to Order
Meeting called to order at 5:02 PM by Chair Kathy Smith.

Roll Call
Bob Cobb, District 4
Betzy Chavez, District 1
Peter McAweeney, District 4
Carol West, District 2
Mary Ann Swanson, District 2
Kathy Smith, District 5
Vanessa Nava, District 3
Anabel Nygard, District 3


Robert Hales, District 5 

Absent:  Michael Johnson, District 3; Patricia Gray, District 1; Peterson Pierre, District 1 

SRJC PEERS Coalition Representative:  Matti Cottrell
Sonoma County Board of Supervisor:  no representative
County of Sonoma DHS, Behavioral Health Division:  Bill Carter
Community Members:  Kate Roberge, Erika Klohe, Jules Pelican, Sean Kelson, Elece Hemple, Allison Murphy, Susan Keller, Saraisabel Virgen, Michael, two members calling in, Matt Cottrell, Chris Kughn, Jeane Erlenborn, Susan Hertel, Lynda Kaufmann, Elizabeth Vermilyea, Katie Swan,

Announcements/Public Introductions & Comments

  • You may submit agenda items for consideration prior to the Executive Committee meeting, normally held on the first Wednesday of each month, 10:30 AM to Noon. Email or call MHB clerk Tori Bartholomew (565-4850), to verify the next meeting date.
  • There are three (3) vacancies: one in District 2 (Rabbitt), District 4 (Gore) and one in District 5 (Hopkins). If you are interested in serving on the Board, please contact Tori Bartholomew (565-4850),
  • Please direct all your questions to the Chair.

Approval of Minutes

  • There was a quorum of the MHB membership.  Minutes from the October 19, 2021 MH Board were approved.  Betzy Chavez motioned and Bob Cobb seconded.

Consumer Affairs

  • Kate Roberge presented shared about Mental Health Oriented Recovery language. Kate has been working as a peer for about 30 years. Kate shared a language document distinguishing the difference between Medical Model Language vs Recovery Model Language. The document will be posted on the Mental Health Board website.

Special Presentation:

Behavioral Health Director’s Report/hbh Fiscal Update/Mental Health System:  Bill Carter or DesigneeSonoma County’s Mental Health Services Act [MHSA] newsletter is available at the link 

  • Department of Health Services Director withdrew from consideration citing his concern regarding the treatment of Black leaders in Sonoma County.   We are waiting to hear from the Board of Supervisors regarding next steps for resuming the recruitment.
  • CAL-Aim is a very broad and deep reform of the Medi-Cal system. It will have a fairly significant impact on Mental Health and Substance Use Disorder Services system. The changes will take place beginning in January 2022 through 2027.  The BH Division should offer ongoing updates regarding its impacts.
  • The PHF (Psychiatric Health Facility) contract is scheduled to go before the Board of Supervisors in December with an opening date in January. The only potential delay would be the difficulties hiring staff for the positions required. The labor market is tough right now and difficult to hire in the medical fields.
  • MHSA Oversight Accountability Grants- the Mental Health Student Services Act went before the Board and we expect it to move forward now. It was a project DHS submitted on behalf of the Sonoma County Office of Education to provide enhanced mental health services on school campuses and to create a liaison with the Behavioral Health Division. The project will help students with higher levels of need access services through the standard county programs.
  • The Board of Supervisors announced that it will appoint the Measure O Oversight Committee at the December 14th board meeting.  The calendar is subject to change so check it regularly.
  • Progress on the Jail Diversion Project. This project relies on two funding sources to purchase a property; one is a grant from the California Health Facilities Financing Authority (CHFFA), which will purchase and remodel a facility.  We will utilize MHSA Innovation funds to support a Peer-led program at the facility, which will require approval of Mental Health Services Oversight and Accountability Commission. One barrier has been finding an appropriate property, we believe we have found it and can now move the process forward.

PEERS (People Empowering Each Other to Realize Success) Coalition Intern Report
(Matti Cottrell    Link to SRJC’s webpage about current health events around the campus: ;         

  • Matt Cottrell (they/them) representing PEERS. Welcome to the Mental Health Board meeting. Matti shared services happening at the SRJC and discussed what the PEER coalition program is.

Mental Health Board Appreciation:

  • Bill Carter, Behavioral Health Director for his wonderful service to the County. Wonderful words of appreciation were shared from the Mental Health Board and the community.

Other Agenda Items:

MHB Chair’s Report:

  • Data Notebook discussion to be held December 1st during the MHB Executive meeting. Board attendance is strongly encouraged.  

Board and Public Comments/Concerns/Accomplishments:

  • Chair Kathy Smith discussed the recent article in the Press Democrat newspaper regarding people of color not seeing our county as a good place to work. The Behavioral Health system was mentioned in relation to a person seeking therapy said “I don’t want to work with her, she’s black.” The comment was very racist and hurtful however, would a therapist want to work with a client/person who doesn’t want to work with him/her? This is a difficult situation to address as it comes down to client rights vs therapist/staff rights. This situation brought to the forefront the difficulty Sonoma County has with hiring persons of color into positions.

Motion by Carol West, Betzy Chavez seconded.
Meeting adjourned at 6:38 p.m.
Respectfully submitted,
Tori Bartholomew, Mental Health Board Clerk

Abbreviations & Acronyms

5150                Declared to be a danger to self and/or others
AB3632            Assembly Bill - State-mandated MH services for seriously emotionally disturbed youth - discontinued by State
ACA                 Affordable Care Act
ACL                  All County Letter
ACT                  Assertive Community Treatment (program run by Telecare)
ANSA               Adult Needs and Strengths Assessment – a “tool” for determining which services are needed by each particular adult client
AODS               Alcohol and Other Drugs Services – now a part of the Mental Health Division and called SUDS
ART                  Aggression Replacement Therapy
BHD                 Behavioral Health Division (Sonoma County)
CADPAAC        County Alcohol and Drug Program Administrators’ Association of California
CAHPS             Consumer Assessment of Healthcare Providers and Systems
CalEQRO         California External Quality Review Organization
CALMHB/C      California Association of Local Mental Health Boards & Commissions - comprised of representatives from many MHBs in the State
CANS               Child, Adolescent Needs and Strengths (Assessment) – helps determine which services are needed by each child client
CAPE                Crisis Assessment, Prevention, and Education Team; goes into the schools when called to intervene in student mental health matters
CAPSC              Community Action Partnership-Sonoma County
CARE               California Access to Recovery Effort
CBT                  Cognitive Behavioral Therapy
CCAN               Corinne Camp Advocacy Network - Peers involved in mental health advocacy
CDC                 Sonoma County Community Development Commission
CDSS                California Department of Social Services
CFM                 Consumer and Family Member
CFR                  Code of Federal Regulations
CFT                  Child Family Team
CHD                 California Human Development
CHFFA              California Health Facilities Financing Authority
CIP                   Community Intervention Program
CIT                   Crisis Intervention Training (4-day training for law enforcement, to help them identify and respond to mental health crisis situations)
CMHC              Community Mental Health Centers, Located in Petaluma, Guerneville, Sonoma, and Cloverdale (part of SCBH))
CMHDA           California Mental Health Directors Association
CMHL                          SCBH’s Community Mental Health Lecture series - open to the public - usually takes place monthly
CMS                 Centers for Medicare and Medicaid Services
CMSP               County Medical Services Program - for uninsured, low-income residents of the 35 counties participating in the State program
CONREP          Conditional Release Program (State-funded, SCBH-run, but will be turned over to the State 6/30/14)
CPS                  Child Protective Service
CPS (alt)          Consumer Perception Survey (alt)
CRU                 Crisis Residential Unit (aka Progress Sonoma-temporary home for clients in crisis, run by Progress Foundation)
CSU                  Crisis Stabilization Unit (Sonoma County Behavioral Health’s psychiatric emergency services at 2225 Challenge Way, Santa Rosa, CA 95407)
CSAC                California State Association of Counties
CSN                  Community Support Network (contract Provider)
CSS                  Community Services and Support (part of Mental Health Services Act-MHSA)
CWS                 Child Welfare Services
CY                    Calendar Year
DAAC               Drug Abuse Alternatives Center
DBT                 Dialectical Behavioral Therapy
DHCS               (State) Department of Health Care Services (replaced DMH July 1, 2011)
DHS                 Department of Health Services (Sonoma County)
DPI                   Department of Program Integrity
DSRIP               Delivery System Reform Incentive Payment
EBP                  Evidence-basis Program or Practice
EHR                 Electronic Health Record
EMR                Electronic Medical Record
EPSDT              Early and Periodic Screening, Diagnosis and Treatment (Children’s Full Scope Medi-Cal to age 21)
EQRO              External Quality Review Organization (annual review of our programs by the State)
FACT                Forensic Assertive Community Treatment
FASST               Family Advocacy Stabilization, Support, and Treatment (kids 8-12)
FQHC               Federally Qualified Health Center
FY                    Fiscal Year
HCB                 High-Cost Beneficiary
HIE                   Health Information Exchange
HIPPA              Health Insurance Portability and Accountability Act
HIS                   Health Information System
HITECH            Health Information Technology for Economic and Clinical Health Act
HSD                 Human Services Department
HPSA                Health Professional Shortage Area
HRSA               Health Resources and Services Administration
IHT                   Integrated Health Team (medical and MH services for adults)
IPU                   Inpatient Psychiatric Unit
IRT                   Integrated Recovery Team (for those with mental illness + substance use issues)
IMDs                Institutes for Mental Disease (residential facilities for those unable to live on their own)
INN                  Innovation (part of MHSA)
IT                     Information Techonology
JCAHO             Joint Commission on Accreditation of Healthcare Organizations - accredits hospitals & other organizations
LEA                  Local Education Agency
LG                    Los Guilicos-Juvenile Hall
LGBQQTI         Lesbian/Gay/Bisexual/Queer/Questioning/Transgender/Intersexed (also LGBTQ)
LOS                  Length of Stay
LSU                  Litigation Support Unit
M2M               Mild-to-Moderate
MADF              Main Adult Detention Facility (Jail)
MDT                Multi-Disciplinary Team
MHB                Mental Health Board
MHBG             Mental Health Block Grant
MHFA              Mental Health First Aid
MHP                Mental Health Plan
MHSA              Mental Health Services Act
MHSD              Mental Health Services Division (of DHCS)
MHSIP             Mental Health Statistics Improvement Project
MHST              Mental Health Screening Tool
MHWA            Mental Health Wellness Act (SB 82)
MOU               Memorandum of Understanding
MRT                Moral Reconation Therapy
MST                 Mobile Support Team - gets called by law enforcement to scenes of mental health crises
NAMI               National Alliance on Mental Illness
NBSPP              North Bay Suicide Prevention Project
NOA                 Notice of Action
NP                    Nurse Practitioner
OSHPD             Office of Statewide Health Planning and Development - the building department for hospitals and skilled nursing facilities in state
PA                    Physician Assistant
PAM                Program Assessment Matrix Work Group
PATH               Projects for Assistance in Transition from Homelessness
PC 1370           Penal Code 1370 (Incompetent to Stand Trial, by virtue of mental illness)
PCP                  Primary Care Provider (medical doctor)
PES                  Psychiatric Emergency Services – (open 24/7 for psychiatric crises – 2225 Challenger Way, Santa Rosa, CA  95407)
PEI                   Prevention and Early Intervention (part of Mental Health Services Act-MHSA)
PHF                  Psychiatric Health Facility
PHI                   Protected Health Information
PHP                  Parker Hill Place - Telecare’s transitional residential program in Santa Rosa
PHP                  Partnership Health Plan
PIHP                 Prepaid Inpatient Health Plan
PIP                   Performance Improvement Project
PM                   Performance Measure
PPP                  Triple P - Positive Parenting Program
PPSC                Petaluma People Services Center
QA                   Quality Assurance
QI                    Quality Improvement
QIC                  Quality Improvement Committee 
QIP                  Quality Improvement Policy (meeting)
QIS                   Quality Improvement Steering (meeting)
RCC                 Redwood Children’s Center
RFP                  Request for Proposals (released when new programs are planned and contractors are solicited
RN                   Registered Nurse
RRC                 Russian River Counselors
ROI                  Release of Information
SAR                  Service Authorization Request
SB                    Senate Bill
SBIRT               Screening, Brief Intervention, and Referral to Treatment
SCBH               Sonoma County Behavioral Health
SCOE               Sonoma County Office of Education
SDMC              Short-Doyle Medi-Cal
SED                  Seriously Emotionally Disturbed
SELPA              Special Education Local Planning Area
SMHS               Specialty Mental Health Services
SMI                  Seriously Mentally Ill
SNF (Sniff)       Skilled Nursing Facility
SOP                  Safety Organized Practice
SPMI                Serious Persistent Mental Illness (or Seriously Persistently Mentally Ill)
SUDs                Substance Use Disorders Services (formerly AODS)
SWITS              Sonoma Web Infrastructure for Treatment Services
TAY                  Transition Age Youth (18-25)
TBS                  Therapeutic Behavioral Services
TFC                  Therapeutic Foster Care
TSA                  Timeliness Self-Assessment
VOMCH           Valley of the Moon Children’s Home
WET                 Workforce Education and Training (part of MHSA)
WCCS              West County Community Services
WCHC              West County Health Centers
WPC                Whole Person Care
WRAP              Wellness Recovery Action Plan
WRAP (alt)      Working to Recognize Alternative Possibilities (alt)
Wraparound    Community-based intervention services that emphasize the strengths of the child and family
YS/Y&F            Youth Services/Youth & Family (Sonoma County Behavioral Health)
YSS                   Youth Satisfaction Survey
YSS-F                Youth Satisfaction Survey-Family Version