Meeting Minutes
Webster County
MH/DD Planning Committee
Meeting Minutes

Webster County Community Services
Planning Committee Meeting
August 4, 2011

Present: Richard Scisco, Diana Johnson, Mary Augustus, Linda Smith, Jim Burr, Irene Blair, Martha Miller, Ken Hays, Clark Fletcher, Brian Schmidt, Teresa Naughton

  1. Diana welcomed members.
  2. May minutes were reviewed and approved.
  3. CPC/Case Management Report
    1. A tour of the offices was given, to show new offices.  Clark Fletcher was fantastic to work with.  The construction was needed to increase confidentiality, move the VA offices closer to the elevators, better define space, and create an extra conference room.  Irene is very happy with the changes.
    2. Ashley Heck and Trin Lewis are newly hired Case Managers.  Steve Drew resigned.  There are now seven Case Managers, each having a caseload of around 30.
    3. Irene shared the Statistical Report
      1. There are 211 total individuals served by Case Management.  Of those 211, 129 have Intellectual Disabilities, 51 have a Chronic Mental Illness, 17 have a Brain Injury, three have Developmental Disabilities, and 11 are children served under the Children’s Mental Health Waiver.  Janet Gadbury works with around 20-30 others who do not have case management, and Ken also handles new CPC files and is working with a challenging individual.
      2. FY11 budget was $5,043,612 with expenditures (cash basis) being $4,027,077.  The county did not use as much money due to the stimulus dollars covering part of the Medicaid match.  Webster County will pay the full Medicaid match in 2012.
      3. In legislation, there are “Rebate” dollars.  Several months ago, Webster County learned they might be eligible for these Rebate dollars, even though their fund balance (without stimulus dollars) was around 18%.  If Irene pursued it, Webster County would send the State $354,000, and later the State would turn around and send them a check for $1.2 million.  At first Webster County declined, but then due to changes (in writing and signed!), Webster County later accepted.  The check will be sent, and dollars expected to be received sometime in January.
      4. The FY12 MH/DD budget should again be around $5 million.
      5. There is no inpatient psychiatric unit in Webster County, and the other hospitals are requiring that all people under commitments be medically cleared before admission.  This requires blood tests and more, which takes up the deputies’ time.
      6. Webster City has an old hospital, now that the Van Diest Medical Center is finished.  A group is looking at options, to include crisis and short-term residential care.  Bob Singer and Irene went to a meeting, and there heard about the high costs for renovation.  A few counties hired a consultant to look at the situation, and recently interviewed Irene.  The consultant’s report should be out by the end of the month.
    4. Legislation
      1. Branstad signed HF649 July 26.  This bill will put some extra dollars into the MH/DD system.
      2. The legislature wants to reorganize the MH/DD system.  There was disagreement between the House and Senate as to what should exactly change.  The current system utilizing the Central Point of Coordination as the gatekeeper will cease July 1, 2013 (revised from July 1, 2012).  Legislation requires committees, which were appointed August 2.  The committees will report to a Legislative Interim Committee.  The Committees must submit a report by mid-December to the Legislative Interim Committee, and key legislators will review recommendations in January.  The workgroup members, minutes, etc can be found at: www.dhs.state.ia.us/partners/mhdsredesign.html.   These are the five committees and their chairs:
        1. Children (Jennifer Vermeer)
        2. Brain Injury (Megan Heartwig)
        3. Mental Health (Chuck Palmer)
        4. Intellectual Disabilities/Developmental Disabilities (Carolyn Kuhns)
        5. Regional Administration (Chuck Palmer)
  4. Provider Reports:
    1. Fort Dodge Community School District: No report
    2. Iowa Vocational Rehabilitation:  After all was said and done with the budget, it appears IVRS will be able to maintain their current services.  There is presently a waiting list for the Most Significantly Disabled that’s about one month long, a one-year-long waiting list for Significantly Disabled, and a much longer wait for Other Eligible.  Their former administrator left, and the new IVRS Administrator is David Mitchell.  His push is to develop a “placement culture,” so work done for individuals must relate to the end result, employment.  Individuals served must truly want employment.  As for Workforce Development offices, there is some turmoil.  A line-item veto deleted funding for some of the offices.
    3. LifeWorks: Day Activities has seen enrollment increases.  The program used to be available M-W-F full days and T-Th half days.  It is now available full days M-F.  LifeWorks has several work crews, including a seasonal crew that cleans dorms at ICCC.  The ICCC dorm cleaning crew ended in June.  LifeWorks has done dorm cleaning for several years, and the hope is that it will return again next year.  There was a water main break at the vocational site June 28, causing over $13K in damage.  LifeWorks held a fundraiser July 28, and it was successful.  There are only 48 individuals in work services, the lowest number in many, many years. 
    4. Opportunity Village: Looking at moving in about one month.  The present vocational site will be change to a store.  There is a position open for ICF/ID Services Coordinator.  Time is being taken to hire the right person.  Linens are now being laundered internally, and machines are breaking down frequently.  The new pet in the house is having a very positive impact.  Northwoods is not being reimbursed presently for homeless services, but hopes to be reimbursed some day.  Tom Pomerantz has consulted, and there is now an implementation group.  Linda believes it will make them stronger as debate over the recommendations occur.
    5. Berryhill Center for Mental Health:  Dr. Maria Celis starts October 3.  She’ll see adults but also some children.  The Chemical Dependency program was not busy enough so it was discontinued.  The Mobile Crisis Unit was also discontinued due to underutilization.  The Berryhill Center is working with schools on a suicide prevention program, with Holly McClintock running it at this time.  The Center is also working with Community and Family Resources on some Mental Health First Aid trainings.
    6. Friendship Center:  There are over 40 people using the center per day.  Three peer staff have been hired, for a current total of 15.  They continue to be open 6am to midnight seven days per week.  Food is going too quickly.  More careful attention is being given to food handling, using gloves and such.  To be a member, a person must have a home address; the center was being used as a homeless shelter.  Irene said peer staff are doing a wonderful job of handling emergencies.
    7. Genesis: Continues to be very busy.  Martha commented how happy she was to hear there is another psychiatrist coming.  She also mentioned the Feds are rebating the from January 10, saying their rate was incorrectly too low.
    8. ACTION Program: Deb Delp is over this and also over the Community Support Program.  The current census in ACTION is 40 and in CSP around 50.
  5. Progress Report on Strategic Plan Goals:
    1. Acute Care/Crisis:  No report
    2. Education: They do not plan to have a Legislative Dinner this year.
    3. Co-Occurring: One person came to the last meeting.  Michael Flaum had a contract, but it has now been given to the Bob Bacon/University of Iowa’s Center for Excellence on Disabilities.  Notices under Michael Flaum’s group was much better, notices under Bob Bacon have not gone out.

Next meeting: Thursday, November 3, 2011 at 7:30am.

Respectfully Submitted,
Teresa Naughton