Mental Health Association of Portland



Unity Advisory Council (UAC)

Meeting Minutes

DATE: April 27, 2016

PRESENT: Chris Farentinos, Michele Veenker, Bailey Taylor, Ann Kasper, Kevin Fitts, Patricia TenEyck, Greg Ellis, Lindsay MacLean, Holden Leung, Mary

Claire Buckley, Sharon Meieran, Mark Lewinsohn, Sara Hatch, Jon Betlinski, Robin Henderson, Rick Ralston

Absent: Lakeesha Dumas, Mehera Christian, Nikki Mobley

| Subject |Discussion |Action |Owner |

|Advisory Council Transition |John Custer is no longer with Adventist so is not involved with Unity. Bailey Taylor has agreed to join the Advisory Council| | |

| |as Chris’ alternate. Bailey is currently manager for Legacy’s inpatient psych units and it was recently announced that she | | |

| |has been selected as manager of Unit 1 West and Unit 2 at Unity. Welcome, Bailey! | | |

|Approval of Minutes |March minutes approved (TenEyck/Veenker) | | |

|Update on Unity Hirings |350 positions have been posted this week on Legacy’s website. | | |

| |Wave #1 of postings will be open to employees currently in positions at Legacy, OHSU and Adventist that will be transferring | | |

| |to Unity. Wave #2 will be other applicants from Legacy OHSU, and Adventist. Wave #3 will be postings made available to the | | |

| |external community | | |

| |Greg Miller, MD, MBA, has been hired as Unity’s CMO. Was most recently Medical Director for adult services at the New York | | |

| |State Office of Mental Health. He was originally a Psychiatric Nurse. | | |

| |Kathy Flegel, MD, has been hired as Unity’s Pediatric Medical Director. Dr Flegel started her medical career at Good Sam in | | |

| |internal medicine. The past two years, she has been at OHSU teaching Residents. | | |

| |Interviews are in process for the PES Medical Director, Nursing Medical Director, and Director of Unity (over social work, | | |

| |peers, ancillary services, etc) | | |

|Latest renderings of Unity |We reviewed the latest slides showing Unity |See attached | |

|Role of peers at Unity |We recognized to have an excellent Peer program at Unity, there needs to be strong support, education about what peer support| | |

| |is, etc, so the decision was made to contract with Mental Health America of Oregon and Folktime to hire and support the | | |

| |PSS’s. Legacy is in the 2nd year of a project with MHAO where they hired a PSS in the Good Sam ED. This has gone well and | | |

| |is now being expanded to Emanuel ED. MHAO and Folktime are thinking of submitting a joint proposal for peer support at Unity| | |

| |Will have 4.2 FTE PSS at Unity. | | |

| |Input from the group about peer support at Unity: | | |

| |Unity needs a family peer working with adults as well as families of Peds patients. Also need a family peer when there is a | | |

| |civil commitment. | | |

| |Having peers in the ED is a good plan. Peers can help facilitate reduced ED admissions. | | |

| |Need to have more than one peer onsite at the same time so they can support each other. | | |

| |Peers in AZ run groups in the PES. | | |

| |Need to insure strong coordination between peers and other staff in the PES who are doing referrals and connecting patients | | |

| |to community resources. | | |

| |At Kaiser, they have NAMI Connection groups that can be attended by both current IP patients and patients who have been | | |

| |discharged and want to return for the groups. |Would be good to have a matrix of | |

| |Patients at Legacy have asked for post-DC groups. |possible groups, from IP to | |

| |Language barriers need to be addressed. The Alliance is looking at having a person physically at Unity. That person would |post-discharge | |

| |be the “Hub” for assisting patients with cultural needs to get the right resources. Lutheran Family Services has an approved|Chris see if we can pull data on | |

| |PSS training. Someone for Black Mental Health Oregon is working on developing a peer training for African-American peers. |race, ethnicity and preferred |Chris |

| |UPDATE: Following our mtg, Kevin Fitts provided this additional information: NW Family Services works with refugees and |language. | |

| |trains their peers in PSS in their language or with the help of those with more English. They even do some free training for| | |

| |people who don’t have English as a first language. | | |

| |Need to make sure peers working at Unity will be familiar with Clackamas and Washington county resources, in addition to Mult| | |

| |Co. | | |

|Transitions of care from Unity |We’re progressing on Transitions of Care work. This month, the meeting will be used for 3 sub-groups to work on workflows |Need to pull in community | |

|back into the community |showing how community organizations and peers will be part of the Unity process for IP discharge, PES discharge, and |organizations from Clark County into | |

| |Peer/Outreach worker process. |the conversation | |

|Crisis services interface with |Mult County’s Crisis team works out of Cascadia. In addition to the Walk-in Clinic, Project Respond responds to crises in | | |

|Unity |the field. Have an adult respite facility at Glisan Street site. In Wash Co, have 5-bed respite facility in Tigard. | | |

| |Have ED teams to help patients discharge from the ED back into the community. Services to patients in the ED are open to | | |

| |patients with all insurance. | | |

| |At Unity, have been having discussions with Crisis Services about having someone based at Unity to be able to quickly respond| | |

| |to crisis needs. | | |

| |Discussion of how to best provide help for patients with addictions issues. Concern that HUD housing evicts people with | | |

| |active addictions so housing becomes a key component of the recovery model. | | |

| |Chris met with several community leaders regarding housing. The county is dedicating additional funds to housing for |Invite Marc Jolin, Director of A Home|Chris |

| |patients with mental health and addiction needs. |for Everyone to attend our May | |

| |Would weekly coordination meetings be helpful where each organization “touching” the patient gets together to discuss how |Advisory mtg | |

| |best to assist the patient? This has worked well in other venues. |Go to County to request additional | |

| |Geriatric patient’s needs need to be addressed. Do we need geriatric information available? Providence will be opening |Transitional beds | |

| |gero-psych beds in late July, hopefully. | | |

|Interface with the VA |We want to insure connections and collaboration with the VA |Patricia will send David Greeves |Patricia |

| | |contact info to Chris so she can |Chris |

| | |reconnect with him. | |

|Communicating information about |Would like “Talking Points” from Unity’s PR person so everyone can give the same accurate information when people ask |Legacy is hiring Communications | |

|Unity |questions about Unity. |person dedicated to Unity. This | |

| |Unity has developed a PowerPoint slide deck for a “Road Show” on Unity. It is being finalized this week and will be used in |person will be developing “Talking | |

| |many venues to share about Unity. |Points” and other communications | |

| | |tools. | |

|Topics for next meeting |Invite Marc Jolin, A Home for Everyone Director, to attend May mtg | Chris |

| |Early discharges | |

| |Discuss how to assist patients with high utilization | |

|Parking Lot topics | Topics the group would like to discuss in the future (Rick included topics raised in previous meetings as well) | |

| |Families in the PES | |

| |Discussion about how much addictions will be a focus at Unity? | |

| |Review data that will be collected at Unity. What are the key indicators? | |

| |Information regarding which organizations will be co-located at Unity | |

| |Learn about the In-Reach process from the community as it gets clearer | |

| |After Unity gets started, hear from police and AMR how it’s working transporting patients to Unity | |

| Next Meetings: May 25, June 22, July 27, No mtg in Aug, Sept 28 |

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