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Helen Farabee Centers Board of Trustees Minutes - 05/06/2010 4 , HELEN FARABEE REGIONAL MHMR CENTERS BOARD OF TRUSTEES • May 6,2010 48\ 11:00 AM Child and Adolescent Services 516 Denver Street Wichita Falls,Texas Board of Trustee Ken Andrews, Chair; Carla Kay Ainsworth; Robert Clement; Bill Coombs, Members Present: Vice-Chair; Shelley Owen; Sara Rugeley; Board of Trustee Sue Nunn, Secretary/Treasurer; Bobby Smith; Billye Ruth White Members Absent: Senior Roddy Atkins, Executive Director; Gianna Harris, Essential Services and Management Staff Clinical Accountability Director; Lynn Hartje, Behavioral Health Services Present: Director; Connie Johnston, Community and Consumer Support Director Other Staff and Kim Beck,Procurement and Contracts Manager; Valerie Mandela, Director of Guests Present: Mental Retardation Service Coordination; Rhonda Poirot, Local Aide Senator Craig Estes' Office; Scott Reeves,Network Administrator, Management Information Systems; Jana Simpson, Chief Accountant; Jerrie Sowards, Local Aide Representative David Farabee's Office; Jan West, Administrative Assistant/Board Liaison, Recorder AGENDA TOPICS 050610-1 CALL TO ORDER Ken Andrews, Chair called the meeting to order in open session at 11:05 AM with a quorum of six present. A)Introduction of Guests Jerrie Sowards, Local Aide Representative David Farabee's Office was introduced as a guest. Rhonda Poirot, Local Aide Senator Craig Estes' Office arrived later and was introduced upon her arrival. 050610-2 PRESENTATIONS A) Open Citizen Comment to the Board No citizen comment was offered. 050610-3 APPROVAL OF MINUTES RECOMMENDED ACTION: That the Board of Trustees approves the minutes of the April 01, 2010 Board of Trustees meeting. The Board of Trustees approved the minutes of the April 01, 2010 Board of Trustees meeting. Motion: Ms. Rugeley Affirmative: 5 Second: Mr. Coombs Negative: 0 Citizen Comment: None 050610-4 TRAINING A)MRA Service Coordination for Home and Community—Based Services Valerie Mandela,Director of Mental Retardation Service Coordination provided training on the MRA (Mental Retardation Authority) Service Coordination for Home and Community—Based Services (on file). Board of Trustee Meeting Minutes 1 May 6,2010 050610-5 RECOMMENDATIONS A. BOARD OF TRUSTEES 1) Executive Director's Performance Evaluation RECOMMENDED ACTION: That the Board of Trustees approve the Executive Director's Evaluation Tool prior to the Fiscal Year 2010 Evaluation, and that the Chairman appoint a coordinator. Ken Andrews, Chair asked Bill Coombs to coordinate the Executive Director's annual Performance Evaluation. Bill Coombs,Vice Chair asked members to complete the Evaluation Tool (on file) and mail it back to him as soon as possible, but no later than May 25t. The Board of Trustees approved the Executive Director's Evaluation Tool and the Chairman appointed Bill Coombs to coordinate the Executive Director's annual Performance Evaluation. Motion: Mr. Coombs Affirmative: 5 Second: Ms. Rugeley Negative: 0 Citizen Comment: None B. BUDGET AND FINANCE 1)Financial Statements RECOMMENDED ACTION: That the Board of Trustees approve the financial statements for March 2010. Jana Simpson, Chief Accountant presented the financial statements for March 2010 (on file). The Board of Trustees approved the financial statements for March 2010. Motion: Mr. Clement Affirmative: 5 Second: Ms. Owen Negative: 0 Citizen Comment: None C. CONTRACTS AND PLANS No Agenda Items D. FACILITIES AND EQUIPMENT 1)Hardeman and Foard County Mental Health Center Facility RECOMMENDED ACTION: That the Board of Trustees approve the renovating of the existing Hardeman and Foard County Mental Health Center located at 510 King Street in Quanah; and select a Contractor and approve their bid for leveling and strengthening the floor. Kim Beck, Procurement and Contracts Manager presented the information on the Hardeman and Foard County Mental Health Center(on file). Copies of the current Floor Plan; Wish List; Suggested Revised Floor Plan; and Building Leveling Estimates Evaluatons (on file) were distributed and discussed. Board of Trustee Meeting Minutes 2 May 6,2010 The Board of Trustees approved the renovating of the existing Hardeman and Foard County Mental Health Center located at 510 King Street in Quanah; selected AAA Guardian as the Contractor and approve their bid for leveling and strengthening the floor at a cost not to exceed $19,890.00; and approved additional renovation costs not to exceed$25,000.00. Motion: Ms. Rugeley Affirmative: 5 Second: Ms. Ainsworth Negative: 0 Citizen Comment: None THE BOARD OF TRUSTEES RECESSED FOR LUNCH AT 11:45 AM. THE MEETING WAS RECONVENED BY KEN ANDREWS AT 12:25 PM WITH FIVE BOARD OF TRUSTEE MEMBERS IN ATTENDANCE. 2)Replacement Video Conferencing Camera RECOMMENDED ACTION: That the Board of Trustees approve the purchase of a Polycom QDX 6000 Video Conferencing Camera for$3,736.93. Scott Reeves,Network Administrator, Management Information Systems presented the information on the purchase of a Polycom QDX 6000 Video Conferencing Camera(on file). The Board of Trustees approved the purchase of a Polycom QDX 6000 Video Conferencing Camera for $3,736.93. Motion: Ms. Rugeley Affirmative: 4 Second: Mr. Coombs Negative: 0 Citizen Comment: None 3) Vehicle Purchases RECOMMENDED ACTION: Information item only. Kim Beck, Procurement and Contracts Manager presented the information on the three vehicles purchased after the approval in February (on file). No action required, for information only. Citizen Comment: None E. POLICIES AND PROCEDURES No Agenda Items F. PROGRAM AND PERSONNEL No Agenda Items 050610-6 QUARTERLY REPORTS A. ESSENTIAL SERVICES AND CLINICAL ACCOUNTABILITY No Agenda Items Board of Trustee Meeting Minutes 3 May 6,2010 • B. PLANNING AND NETWORK ADVISORY COMMITTEE 1) Second Quarter Report RECOMMENDED ACTION: Information item only. Connie Johnston, Community and Consumer Support Director presented information on the Planning and Network Advisory Committee activities for the second quarter of fiscal year 2010 (on file). No action required, for information only. Citizen Comment: None C. EXTERNAL AUDITS No Agenda Items D. TEXAS COUNCIL RISK MANAGEMENT FUND MEETING No Agenda Items E. OUTPATIENT MEASURES ADULT SUBSTANCE ABUSE SERVICES No Agenda Items 12:31 PM Robert Clement returned to the meeting 050610-7 EXECUTIVE DIRECTOR'S REPORT 1) Budget We received notice two days ago that North Texas State Hospital is on official diversion. That means if we have a patient that needs Hospitalization, we will have to work with North Texas State Hospital to locate a bed in another State Hospital. The state does not fund enough State Hospital Beds. HHS (Health and Human Services) as part of their budget cuts is recommending cutting 150 State Hospital beds including 50 from the Wichita Falls Campus of North Texas State Hospital. We can use Red River Hospital if they have a funding source, or we have a limited number of beds. The individual can be held in jail. If we do lose the 150 State Hospital beds, I expect there will be no State Hospital beds available across the state. We have seen an upsurge state wide of Forensic admissions. The average length of stay for a civil admission is less than 30 days while the length of stay for a Forensic admission is a minimum of 90 days. This further compounds capacity problems. We have had diversion of Child and Adolescent Services beds at North Texas State Hospital. There are only a couple of other State Hospitals that have Child and Adolescent Services beds. Out State Hospital utilization is at 75%. We have been doing a lot of good work to avoid hospiitalization. I want you to be aware of the situation and what will happen if they decide after the election to execute the recommended budget cut. The biggest psychiatric facility is the Psychiatric Unit of Harris County Jail. If they should decide to, they could flood the State Hospital system in a heart beat. This will be a tough Legislative Session, it will be up to us to articulate our concerns. The Community Centers and the Texas Council have made great strides through collaboration with the Sheriffs' Association; the Police Chiefs' Association; and the Texas Association of Counties in increasing our level of credibility. Board of Trustee Meeting Minutes 4 May 6,2010 2) Crisis Services As you are aware we had an incident last week where a gun man engaged in shooting at Hastings and Tobys. Lynn has coordinated our efforts to offer CISM (Critical Incident Stress Management) help to their employees and patrons. We have provided that service to 14 individuals providing a total of 17 hours of service. We were asked to hold a session with the Television News Staff involved in reporting the incident. 3)HCS(Home and Community—Based Services) Case Management Conversion As Valerie reported earlier the HCS (Home and Community—Based Services)transition will take place June 1st 4)Local Planning and Network Development We have been working with the Planning and Network Advisory Committee on the Local Planning and Network Development. We have three interested parties for contracting services. They are the Wood Group, Avail Solutions, and an individual practitioner here in Wichita Falls. The last planning cycle we went out for bids for CBT (Cognitive Behavioral Therapy) and this time for Service Packages. We have met with two of the three. Avail Solutions was interested in the Crisis Hotline and Crisis Intervention Services. We are not interested in contracting that out at this time. We will put together a proposal for the Planning and Network Advisory Committee to look at to contract out Service Package 1 and 2 services. It will have to be cost neutral for it to work. Once we make the proposal it does not mean that the people will accept the contract. Part of it will depend on whether the physician is inclusive or not. 5)Mental Health Services We are working with the Faith Mission on a CDBG (Community Development Block Grant) funding from the City. We are proposing to house a clinician for behavioral health and substance abuse full time at the Faith Mission. John Welter from Faith Million, Lynn and I had an opportunity to present the proposal. There was a lot of recognition of the need. We are working with the FQHC (Federally Qualified Health Care) here on the integration of Physical Health and Behavioral Health. Our goal is to place a Behavioral Health clinician at the Community HealthCare Clinic and have them place a Primary Care Physician here at our Behavioral Health Clinic. We had been working on an Incubator Grant but have put it on hold because we do not think it is what we want at this point. We are now working on a proposal for a local grant. We want it to be fiscally able to stand alone. Health care should encompass behavioral health as well as physical health. We are working on a business plan business model. Our focus is to start small, in Wichita, Archer, and Clay Counties, and once we make that work expand it. We will start working on that in July for the October Grant Cycle. 6)Staff Appreciation At the Annual United Way Awards Banquet, Lynn Hartje was awarded the Outstanding Neighbor Award from United Way for his work on the Disaster Relief Committee that raised 2.4 million dollars to help rebuild after the floods. 7) Texas Council Board of Directors and Executive Directors'Consortium The Texas Council Board of Directors voted to change their policy to ensure that every Community Center is represented on a committee. Board of Trustee Meeting Minutes 5 May 6,2010 8) Veterans We are moving forward with addressing the Veterans Mental Health issues. We received a$70,000.00 Grant from the Governor's Office to provide Peer to Peer support. The support is aimed at combat veterans and current military. It is a combination of support for the Veteran and their families. We have 12 licensed employees who received CPT (Cognitive Processing Therapy) Training. We are working on a large newspaper article to help get the word out. 9) Budget We presented our budget request at the Wichita County Budget Hearing. Last year Judge Gossom asked for information about the economic impact numbers for Wichita County. I worked with Tim Chase and Dr. Martinez from Midwestern State University to give him those numbers this year. They acknowledged their appreciation of the work we do. I do not anticipate any cuts from Wichita County. The city we will have to see. I will be providing training to the City Council members to educate them on their role; that is is set up in law under their taxing authority. The intent was that tax money would help to fund services. There are a couple of authorities that have a tax rate for Behavioral Health Services. We will do what we can. The cities are in worse shape than the Counties because the cities rely on sales taxes and the sales tax revenue is down by 10%.. I will continue to ask for money plus funding for the PESC (Psychiatric Emergency Services Center) funds. Robert Clement asked, how do we deal with questions about the shooting? Roddy Atkins it is a conflict of interest for us to do a Competency Evauation and to provide services. Competency issues are handled through the District Attorney's office and the District Court. The Judge can order a Mental Health Evaluation. In this instance, there was no history of Mental Ilness. The definition of Mental Illness is cited in law. Violent behavior is very hard to predict. The Judge makes his call on what is presented and Bond is based on the charges. Being charged is not a conviction. There are people with criminal minds that you might be able to argue Mental Health issues,but are not Mentally Ill. You can not predict,they are impulsive at the moment. They become so overwhelmed and angry with the circumstances. 050610-10 ANNOUNCEMENTS A)Next Meeting Ken Andrews announced the next meeting is scheduled for 11 A.M., Thursday, June 3, 2010, at Child and Adolescent Services, 516 Denver, Wichita Falls. 050610-11 OTHER BUSINESS None 050610-12 ADJOURN The Board of Trustees' meeting adjourned at 1:18 PM. Approved as presented: Approved as corrected: June 03, 2010 Board of Trustee Meeting Minutes 6 May 6,2010 H E L E N FARAB E E Wichita Falls Administrative Office Ww. P. O. Box 8266, Wichita Falls, TX 76307-8266 1000 Brook Street, Wichita Falls, TX 76301 Regional MHMR Centers Phone (940) 397-3100 Fax (940) 397-3150 June 14, 2010 Darron Leiker City Manager City of Wichita Falls P.O. Box 1431 Wichita Falls, Texas 76307-1431 Dear Mr. Leiker: In accordance with the provisions of Senate Bill 112, a copy of the minutes of the Board of Trustees of Helen Farabee Regional MHMR Centers is enclosed for the regularly scheduled meeting held on May 06, 2010. These minutes were approved by the Board at its meeting held on June 03, 2010. Sincerel , Jan W Ad istrative Assistant/Board Liaison /jw enclosure RECEIVED IN CITY CLERK'S OFFICE Date 6 _11.i b By ._�_ Time at 45 4