Minutes for November 16 2021
Call to Order
Meeting called to order at 5:02 PM by Chair Kathy Smith.
Roll Call
Present:
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
Excused:
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), Tori.Bartholomew@sonoma-county.org 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), Tori.Bartholomew@sonoma-county.org).
- 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:
- Petaluma-South County Programs. Panelists: Carol West; Mary Ann Swanson; Allison Murphy-Mothers Care; Jules Pelican-COTTS/Mary Isaacs; Elece Hempel-Petaluma People Services Center; Erika Klohe-Providence Health System; Sean Kelson-Petaluma Peer Recovery Center. Each panelist shared specifics about his/her services in South County.
- Links shared by presenters: Warrior Tickets for 12/4/2021 https://am.ticketmaster.com/warriors/quickbuy?e=RUdTMTIwNA==&promoCode=TUhBV0FSRU5FU1M=; Petaluma Peoples Services Center https://petalumapeople.org/m/about.html; COTS https://cots.org/housing/; Mother Care Support Allison@mothercaresupport.com, https://www.sonomacf.org/nonprofits/the-sonoma-county-youthtruth-survey/ ; Path to Hope Live- Social language justice and this event can be found here: Path to Hope Live - www.buckelew.org. The videos for Sept 2021 series will be in both English and Spanish. Total Community Attendance: 2109 Unduplicated Attendance: 809; Please reach out to Erika Klohe if you have questions or want to join us! Teamwork makes the dream work erika.klohe@stjoe.org; Adriana Arrizón, Director
- aarrizon@sonomaconnect.org; Saskia Garcia, Deputy Director sgarcia@sonomaconnect.org
- Dana Swilley Network
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 http://www.sonoma-county.org/health/about/pdf/mhsa/
- 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 srjcpeers.maria@gmail.com) Link to SRJC’s webpage about current health events around the campus: https://events.santarosa.edu/calendar-events ; https://shs.santarosa.edu/health-promotion-wellness
- 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