Meeting Minutes
Webster County
MH/DD Planning Committee
Meeting Minutes

Webster County Community Services
Planning Committee Meeting
February 2, 2012

Present: Lis Ristau, Diana Johnson, Deb Albrecht, Ken Hays, Teresa Naughton, Linda Smith, Mary Augustus, Clark Fletcher, Brian Schmidt

  1. A welcome was given.  Deb Albrecht was introduced, who will now be attending this meeting in place of Jim Burr.
  2. August minutes were reviewed and approved.
  3. CPC and Case Management Report:
    1. Irene will present the budget to the Board of Supervisors today.  There are significant changes coming with system redesign.  There is a draft bill, that the state will take over the non-Federal share of Medicaid-funded services.  However, there is nothing final at this time.  Because there is nothing final, Irene will budget considering what is current in the books presently.
    2. The budget for FY12 was $4,936,417 and has been amended to $5,436,517.  As of December, 51.1% of the budget was used.  The fund balance is $1,389,633.28 as of December 31, 2011.  Irene said  the increase in bills was due to the FMAP change.  The non-Federal share of Medicaid-funded services increased from 27% to 40%, and the majority of the bills are Medicaid bills.
    3. Irene explained last year the Webster County fund balance was at 18%.  She was told if she sent in $350,000 the State would send Webster County one million dollars at the end of January.  As of today, no check has been received.  It is anticipated to come soon.
    4. Commitments:









      Emergency Commitments




    5. Case Management is due for a survey, but since the state is behind it will be done around October instead of January.  The State is putting them off because they did extremely well when last surveyed.
    6. There is a family group that meets the third Thursdays of the month at 5pm.  At the February 23rd meeting, a spokeperson from NAMI (the National Alliance for the Mentally Ill) will come to inquire if the group would like to be a NAMI affiliate.  Notices for this meeting will be going out, including the Messenger.
    7. Case Management has been very busy, there are lots of needs.  There is frustration because children do not seem to be getting the help they need.  Children’s services are being considered in the system redesign.
  4. Mental Health Redesign Update:  There are three draft bills, one on MH/ID redesign, one on commitments, and one to change some terminology.  Irene summarized as follows:
    1. One bill changes the terminology from “mental retardation” to “intellectual disability.” 
    2. The bill on commitments included:
      1. A requirement that law enforcement officers must complete a 12 hour course on mental health first aid every three years
      2. An RCF is not required to accept a court-ordered individual
      3. Prior to filing for an involuntary hospitalization, they will be informed of a pre-application screening process.
      4. Language for a patient advocate study.
      5. A study for jail diversion
    3. There is a draft of a bill to replace the CPC system, which will end July 1, 2013 per legislation that passed last year.  The State will pay the non-Federal share of Home and Community Based Services, and the county will pay 12% of billing for Intermediate Care Facilities, Mental Health Institutes, and State Hospital Schools.  Irene said there are lots of counties who do not get enough in revenues to cover these bills. 
    4. Jack Hatch introduced SF2010, relating to the Rebalancing Act, part of health reform to take place January 1, 2014.  This bill instructs DHS to submit an application for an incentive program, and follow recommendations if accepted to the program.  Recommendations involve providing conflict-free case management the use of standardized assessment tools, identified data collection, a “no-wrong door single entry point system.”  It also sets a target percentage, to decrease spending in institutional services and increase spending in community-based services.
  5. Provider Reports:
    1. IVRS: They are working on a program, Transition Alliance Program (TAP), and are partnering with the Fort Dodge Community Schools.  This program will aid more students who are in transition, who are in special education but don’t qualify for case management or other traditional services (sheltered work, supported employment).  There will be a person who will support VR counselors, who will spend more hands-on time with the kids.  They will get experience with job skills, problem-solving.  Kids who have been in the TAP program have better success than those who don’t.  Ages for kids in TAP program range from 16 to 25.  This is for kids who want to stay in the local area, generally.  This program is targeted to start in the fall.
    2. Ford Dodge Community Schools:  They are very excited about TAP!
    3. LifeWorks: Had a Periodic Review by Home and Community Based Services in December.  The two Residential Care Facilities were surveyed by the Department of Inspections and Appeals in January.  The HCBS program was certified for another three years, based on the survey.  The DIA review went fairly well also.  LifeWorks is looking to have an educational forum on Special Needs Trusts in January, for parents and other stakeholders.  LifeWorks has a new job in the shop from a new customer, Vantec, and may be starting a crew in the summer with another new customer.
    4. Northwoods Living, a Service of Opportunity Village: The co-location is going very well.  Northwoods is doing quite a bit internally, updating job descriptions and better arrange how supervision/communication take place.  Fort Dodge will become a hub for training and the like in this area.  Linda said they are interested in hearing if there’s a need for more housing; there are 45 people on the waiting list for Town Square Apartments presently.  The Village General Store is going well.  There are eight clients who are approved to work, and it uses lots and lots of volunteers.  IVRS is finding this is a good volunteer site.  Northwoods has several openings presently, including a QMRP.
    5. Berryhill Center for Mental Health: They are learning more about the design of the Accountable Care Organization.  They hope to better medically manage mental health patients.  They have grant dollars for a suicide prevention program.  Bob Thacker was hired, and he works in 15 high schools in eight counties.  He works to assess and educate.  The Berryhill Center also has grant dollars to provide a Cultural Diversity Program and to fund their Med room.
    6. Friendship Center: It continues to be open 6am to midnight, seven days per week.  There are over 40 people who come in each day.  They replaced flooring recently.  The center will hold a superbowl party and a Valentines Day party.  There are 13 peer support staff members, and they may be looking to hire another.
    7. Genesis Mental Health Associates: no report
    8. ACTION Program: no report.
  6. Report on the Strategic Plan: Considering the CPC system will end in 2013, why should CPC’s work to create a strategic plan?  Irene said there is a bill, that counties won’t need to file such a plan.
  7. The next meeting will be held Thursday May 3. 

Respectfully submitted,
Teresa Naughton, Secretary