State Mental Health Planning Council of Florida



State Mental Health Planning Council of Florida

Winewood, Tallahassee, Fl

Tue-Wed, April 11/12, 2006

Present

Julie Mamani, Dave Shaver, Doug Jones, Rene Anderson, Jeffrey Ryan, Helene Sohn, Rachel Diaz, Wayne Lewis, Angela Fazio, Loren Groble, Doris Nardelli, Beverly Whitely, Neil Bush, Bobbie Lubar, Susanne Homant, James Taliaferro Sr, Lee Clark, Michelle Comeaux, Gayla Sumner, Allan Zauche, Megan Bishop, Steve Poole, Denise Barber, Sue Ross, Catherine Jackson, Julie Lomantie, Steve Pittman.

Excused Absense

Nelson Kull, Dianne Côté, Kate Lyon, Kate Hale,

Unexcused Absence

Joseph Haley, Irene Barouh

Chairman called the meeting to order at 9:05

February Minutes Approved

‘06 - ‘07Budget - Sheryl Fordyce

Meeting 1: July/Aug – appx 21 members @ $500 $ 10,500.00

Meeting 2: Oct – appx 21 members @ $500 $ 10,500.00

Meeting 3: Jan/Feb – appx 21 members @ $500 $ 10,500.00

Meeting 4: Mar/Apr – appx 21 members @ $500 $ 10,500.00

Committee Business

Membership (Books, Awards, Presentations) $ 500.00

Legislative (Handouts) $ 150.00

Monitoring (3 Members/3 Visits) $ 7,500.00

Newsletter Quarterly Issues $ 6,878.00

Website Annual Maintenance $ 500.00

Misc. Expenses TBD $ 1,000.00

Total Fiscal Year 2006-2007 Request $ 58,528.00

Steven Poole reported the federal monitoring team would like for the council to meet during their visit so they can meet with us. Aug 15th, 16th, 17th. Members of the council will be interviewed on August 16th. *

The council would not be able to move the July meeting to August because the July meeting, we will be working on the Block Grant. There would be no time for review or corrections if we meet in August because of the Application must be in the Governors office before August 15th. The council will send volunteers to meet with the team on August 16th.

Discussion about whether we should increase Meeting Expense from $500 because per diem will be increased this year and Air Fares are expected to be raised also. Council decided to keep the budgeted item as proposed because there is room for deviations built in to the budget. Any needed changes would be built into the next year’s budget.

Doug Jones made a motion for the council to accept the budget as modified, above. Beverly Whitley made a second to the motion. The motion passed with unanimous vote.

Staff Reports

Children’s Mental Health - Sue Ross

Sue asked the council to refer to Februrary 2005 Minutes - Children’s Update on page 2

Line 18 pg 2 -The department partnered with FMHI to pilot a training project to promote coaching model in District 7. The model is up and running. Sue will be going down there today to see how it is working, what they are doing.

Line 21 - Residential Licensing rule is back out for another publication and we are waiting to hear if anyone has any concerns about the rule. Typically it will go out in the Florida Administrative Weekly. It will involve residential treatment centers and residential group homes for children.

Line 23 - we have funded a couple of sites with SEDNET the project is underway to talk about bringing in family participation and to send out information to all districts so families participate in meetings.

Lee reported that this is the very first time that DOE and DCF have collaborated in over 20 years that we have co-mingled funding to support a project.

Line 25 - Contract with FSU Center for Prevention and Early intervention, we have done a request for information. We have received a response and are in the process of moving that contract through the Department. What that particular project is going to do is we have been working on

dyadic therapy for infants and toddlers and parents. This is for the group of children who have been kicked out of child care. This will be the beginning of looking at research in and looking at programs for child care overlay and consultations.

Line 30 - Children’s Specialist meeting was in Feb. We are in the process of scheduling an end of the session meeting at the end of May. The piece I wanted to tell you is how expected I was about what is happening in all of the districts. Our staff has going around to the districts to tell them what has been going on in transformation in their area. The problem is it is piece here and piece here, there is n

Our staff had a retreat last week and we have deiced that we were going to move back to the principals of care that is a part of Chapter 394 in how we are supposed to work with families and children, so we are asking all of our districts what they are doing in that area. When have done that, I will give the council are report on what we are doing statewide, our progress and what our next steps will be.

Line 31 - We have completed our part of the Agency for Persons with Disabilities concerning access for children who have dual diagnosis, that document is over at APD right now. In session it has lost some momentum, we have been trying to get that back on the peoples radar screen.

Sue reported; “Tonight, I will be meeting with the Orlando NAMI Chapter to talk with parents of children under the age of 18. We have already met with two Federations of Families Chapters in District 9. We have heard some different things that come out of the adult meetings, we have heard of issues of school system, continuity of care. Our families are looking for respect. We are continuing to collect that information. We have had staff in District 12; I’ll be in District 7 tonight and Bradenton sometime on Wednesday.”

Lee - I think there is a different issue, I think we are not just listenting to the issue, we are litenting to the consumer sand families in how we can solve problems, . A few years ago, we just listenend to you, we listened to me of what the problems, were, and themw e listend to the professionals. Today we are involving the consumers more and that is making a greater difference in what wee have dopne before.

Adult Mental Health - Steve Poole

Steve reported that Cindy Holland has new duties; her primary duty will be moving the department forward in transformation.

Steve assumed the position as Chief of Adult Mental Health on March 10th,

Steve gave the council a brief biography.

He reported; the most recent event is our 2007 Community Mental Health Block Grant, I along with Sue and Nichole participated in a teleconference with SAMHSA. The Feds are asking all states using Block Grant funds to use the funds in transformational activities. They haven’t defined the activities, but in the next Block Grant we are supposed to use a considerable amount of that money for transition.

We will have a delegation attend the 2006 National Conference on the Block Grant at the Mayflower Hotel in Washington, D.C. May 30th – June 2nd.

August 15, 16, 17th is the scheduled date for the Federal Block Grant Review

Steve provided the following handouts;

o Draft Agenda for the CMH Block Grant Monitoring Visit, this agenda has been created from the Feds template.

o Letter to Stephen Poole from Sheila Lancaster Graham, Project Director, dated 3/28/2006

o Letter to Dr. Hall from Joyce T. Berry, Ph.D., J.D, received March 23, 2006

Bylaws – Kate Hale (Presented by Dave Shaver)

Kate has asked that all members of the council send any suggestions for changes to our bylaws before April 15th, After that date, the Bylaws Committee will have a teleconference to discuss changes.

Neil made a comment that he has reviewed past minutes of the council. We have voted for changes to our bylaws to be made, but the changes have not actually been made.

Membership Committee – Jeffrey Ryan

Teleconference about three weeks ago, we discussed some membership issues. We came up with a sheet that shows when each member has been appointed, when each term is up. Members who have terms expiring may apply to continue their membership.

Motion

Wayne Lewis has applied for membership on the council as a representative from 11B. The Council voted unanimously to approve his membership.

The membership committee will come up with a template for each district to have a format to use to make their district reports.

Juvenile Justice Presentation – Gayla Sumner

Gayla Sumner presented a Powerpoint presentation about the Juvenile Justice System in Florida.

The presentation is avaialbe on the internet at resources

Monitoring Committee – Dave Shaver

The monitoring committee has decided to use the current instruments that the department uses. The instruments are available on the DCF Intranet. The committee will meet with Denise to download the appropriate instruments.

The First monitoring will be conducted before the next council meeting.

Department of Corrections -

123 facilities throughout the state

Inmate population has grown quite a bit during the past ten years

Currently 84,901 inmates incarcerated in Sate Correctional facilities, of those 5,680 are females

We have had a 45% increase sine the 94-95 Fiscal Year

Inmate Intake Process

Medical staff reviews records received from county jails to see if the inmate needs any mediations.

Those inmates who received inpatient mental health are within the past six months

and/or psychotropic medication for mental problems at any time during the 30 day period preceeding arrival.

These inmates receive a complete psychiatric evaluation within 10 calendar days of arrival.

Wednesday, April 12, 2006

Meeting Called to order at 9:00,

Chairman welcomed members.

Department of Education Presentation – Lee Clark

Lee Clark presented a presentation about Exceptional Education laws, practices, and resources in Florida. Powerpoint presentation is available online at resources

Initiative

There is a shortage of teachers of special education students due to inadequate pay scale. The chairman of the council has asked that our legislative affairs committee incorporate the issue in our work to educate legislators about mental health issues.

Block Grant Committee – Rene Anderson

Members of the committee are Gayla Sumner, Lee Clark, Julie Mamani, Doug Jones, Angela Fazio, Nelson Kull, and Denise Barber

Rene has made a reservation for a conference call for the Block Grant Committee, an email will be sent out to the committee as soon as the call-in number is known.

It is the planning councils charge to make recommendations for adult and childrens’ mental health services in Florida. With those recommendations we are to submit a strategic plan to the state.

Rene submitted the following report;

1. Getting an early start to review and make recommendations to the 2006-07 Mental Health Block Grant is now the goal of the Block Grant committee members.

The past process has been effective - and if the council agrees to the suggestion of allowing the Block Grant committee members to review and make necessary recommendations after adequate input and review from all council members then we can proceed with this process for the next review. The final recommendations and letter will be presented for final approval by the council. (7/06 meeting)

2. A copy of the 2005-06 Block Grant should have been sent to all committee members and also the latest copy of the Implementation report. Please review all materials and make a list of your concerns or questions for each document.

3. I have asked for a 1-800 number for the next conference call in which the Block Grant committee and anyone else who wishes to join us can be set up so that we can discuss concerns, questions and future goals for the Florida Block Grant.

4. Following this meeting Megan or Denise will send an email with possible dates and after everyone has responded the conference call will be set up.

5. The Block Grant committee will also work on getting the Block Grant application out for public review and input earlier and in more locations for a greater response from consumers and family members.

6. At this time any council members who would like to join the Block Grant committee is welcome to do so. Please send me an email or let Neil, Megan or Denise know and they will add you to the committee.

Discussion

Doug - It seems like this Block Grant gives us an unusual opportunity because we have been directed to dedicate at least 50% of the next Block Grant to transformation. So it would be helpful if we could get an early start to work on it.

Rene – I have asked the department to help us set up a face to face meeting in Tallahassee with staff and Dr. Hall so we can work on the Block Grant draft.

Rene - Part of the Block Grant is a requirement that we receive public comment. We talked about how we are going to do the public comment this year, last year we stole an idea from Ohio, so we put it on the internet and requested public comment for about 30 days. We got very little that way, so this year we don’t know what we are going to do yet and we welcome suggestions from the council.

Susan - NAMI has about 3-4 thousand members throughout the state. IF you could put together a one pager questionnaire, we could put it out to our people. I’m sure other organizations in Florida can do that.

Denise - We can do that, but [a survey] would be slanted. Public input has to be from the public and not generated by the department.

Dave suggested using the media.

Rene said we can do that, newspaper, radio, tv, other organizations newsletters, I think that is great

Lee - in the Block Grant, to make it easy, we take the application each component and take the key components out and make it user friendly and develop targeted questions. If you do it in that kind of format, then it would be easy for multitudes of people to understand it.

Doug – you could use something that I have participated in the education department is focus groups. We could go to various organizations and put the issues on the table and get ideas that way.

Second, if there are statewide conferences, we can use those opportunities to put out information about the Block Grant and get input.

New organization, 5000 friends of Florida, since they have voluntarily registered, they are interested in mental health issues and actually participate in the process.

Loren - I assume we have some kind of associaotin with providers. If we can send notices out to them in easy-to-understand format, as people are waiting in their waiting rooms, they can actually fill out the survey and send them to us.

Chairman referenced the 2004-05 report.

Steve – one thing you could do is create an executive summary of what the Block Grant review process and maybe the Block Grant components, to view it on the website and maybe receive input through the internet.

Rene - there are a lot of people who don’t have access to the internet.

Neil – Sue Ross was going to speak to a NAMI group, she was making a presentation, during her presentation, and she could give information about the Block Grant. Steve was just giving a suggestion for electronic input.

Denise – Rene if your committee wants to create a tool, I am sure the department would love top help the council develop a tool that Sue recommended earlier.

The Chairman has directed that the committee conduct a teleconference April 26th 2:00 – 4:00pm.

NAMPAC Workshop – Susanne Homent

In February, the council had a workshop with representatives from NAMPAC and we developed a list of goals and objectives.

Sue handed out Notes from Meeting of SMHPC Meeting February 9-10, 2006 and asked the council to review the notes.

The Goals are

1. Mental Health is Essential to Overall Health

2. Mental Health Care is Consumer and Familiy Driven

3. Eliminating Disparities in MH Services

4. Early MH Screening, Assessment, and Referral to Services are Common Practice

5. Excellent MH Care is Delivered and Research is Accelerated

6. Technology is Used to access MH Care and Information

Doris – we could use the State Plan to help us develop our goals in the Block Grant.

Lee –NAMPAC asked me to be a Planning Council trainer. I have learned, if you are looking for what you are going to support or advocate for, you should identify in order 1, 2, 3, etc. it should be concise

Say [for example] if we support prescreening for mental health, we should write “prescreening for mental health, as evidenced by … “

When we go to the transformation workgroup, then we will know this is what we should work toward.

In establishing an identity, clearly it would be through the Block Grant, we need to create a quality way of identifying issues to address in the Block Grant review.

Chairman recommended that the Block Grant Committee take suggestions from the Council so they can decide in committee the target issues that we would address in our Block Grant Application.

District Updates

District 3 had 4th CIT Class graduated March 31st. As of that date, 88 officers have been trained. The Mental Illness Workgroup is working on identifying recidivism.

District 4 – Most alarming thing on the Block Grant spending in District 4 is; about $300,000 is being spent on Baker Beds. This is a bad indicator of the state of community mental health in this district. This is an indicator that too much money is going into damage control, instead of effect therapy that leads to recovery.

District 11B Housing opportunities for this district is drying up because Boarding Homes/ALFs are being closed and moved to other county. The Keys need more money for transportation.

District 13 A lot of money is being spent on substance abuse in Marion County. Loren used to work for a place that refered people to substance abuse services, but they were only familiar with SA services in Gainesville. There is a need for funding for a referral service for the entire region to help people link up with appropriate services.

District 11 There is a growing need for funding for services and prescriptions for indigent care in Miami-Dade County.

District 14 Robin Adams is a reporter for the Ledger Newspaper. They are doing a year long series on mental illness. [Sunday Editions] I have a sample of our paper. Quite a nice job she is doing and our Substance Abuse.

Also our County Commission along with Citizens Oversight Committee passed a ½ sales tax in the area to expand indigent healthcare. This includes behavioral healthcare, no inpatient, about 4500 people are enrolled in this plan, Polk County.

We need a Central Receiving Facility in our area to adequately cover the geographic area and get services for people as they need. This would stop tying up law enforcement in our area. Ideally the service would be fore adults and children. We have looked at the models in Hillsborough and Orlando.

We need Child CSU Beds, we currently have 4 and that number hasn’t changed in about 30 years even though our population has increased. When we have overflow, we send them to Hillsborough County.

We need a Substance Abuse Adolescent facility and SA beds for Pregnant Women and Teen Girls. We have some beds available at Tri-County, but that is not what these populations need.

District 1 Julie Talked to Toni Beard about Clubhouses, there are not enough activities for people with mental illness, there are day treatment services, but they are not appropriate for these people. It doesn’t look like our district will be interested in a Clubhouse. In Ft. Walton Beach, there is an adult day care program, which is not serving people well. In Okaloosa County, there are children’s mental health services but very limited.

Transformation: An update from DCF - Dr. Hall [Letty Ballard presented]

Handout – Brochure; Transforming Florida’s Public Mental Health System

I am the transformation coordinator for mental health.

To work as a liaison with Dr. Hall and the Corporation. Florida applied for a transformation grant, we didn’t get it last year. Lucy Hadi and Rod hall have decided that even though we didn’t get the transformation funding, we will still move ahead to transform the mental health system.

There is a task force that meets once a month, to address transportation housing, and all of the issues that we come up with. Next meeting is May 10th.

The task force wants to hear from consumers and consumer advocates. At the last meeting, two consumer attended. The other thing that is happening is, the department will contract differently. We want to buy different services. The way it was, we used to be a provider led system instead of a consumer led system. We want to do a flip flop. My telephone number is 850-410-1182.

Cindy Holland has been promoted. She now works in the secretary’s office. Her new title is Assistant Secretary for Transformation. Cindy works in Building 1. Her task is getting the word out that Florida is changing the way we deliver mental health and substance abuse services. Our transformation workgroup has the Recovery & Resiliency Task Force which has a 50/50 mix of consumers and agency staff. Each district has a transformation workgroup in each district.

Vocational Rehabilitation Presentation – Allan Zauche

Handouts – Building CAREERS Brochure and Division Highlights 2004-05

Alan talked about the Mission of VR, funding and venders, eligibility and examples of services.

VR also has an Independent Living Program that helps give participants control over their life based on their choice of acceptable options that minimize reliance on others in making decisions.

VR provides grants for Floridians with disabilities who may not have employment as a goal but providing programs that enhance the individual’s quality of life, health, and well being or lifelong learning.

VR improves the quality of life for all Floridians with disabilities through advocacy and awareness activities that increase access to and acquisition of assistive services and technologies.

Roundtable

Chairman reminded members of terms that will be expiring soon. Members may serve up to 4 - 3 year terms. Those who have terms expiring soon may reapply if they qualify for continued services. Applications may be downloaded on our website and submitted to SAMH staff. The applications will go to the membership committee for consideration.

Susanne – we heard last Friday that Resperidol is being taken off the formulary. If anyone knows of someone who will need help getting their prescription, let us know, we will be able to help them find a way to keep their meds. NAMI Florida is watching bills that affect people with mental illness. One concern is S372/H783. Also, I defended my dissertation and earned my doctorate.

Angela Fazio – Presented a short video produced by Novartis. The subject was about how Clozaril benefits her in her recover.

Neil we will have a conference call for all District Reps. Allan Zauche is appointed chair of the Nominating Committee other members are Michelle and Ken.

Adjourned 3:00pm

* FEDERAL REVIEW

The following members have volunteered to attend the Federal Review Team Interview

Sue Homant, Dave Shaver, Gayla Sumner, Doris Nardelli, Lee Clark, Beverly Whiteley, Doug Jones, Jeffrey Ryan, Wayne Lewis, Angela Fazio, James Tallaferro, Neil Bush

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