Members Present
Michael Kelley, Chair
Joe Szakos, Vice Chair
Katherine Tolton, Secretary
Angela Hammond
Roxanne White
Neal Walters
Steve Welsh
Myra Anderson

Members Absent
Carol Johnston
Barbara Barrett
Steven Stern
William Hale

Others Present
Robert Johnson, Executive Director
Caruso Brown, Deputy Executive Director
Jessica Spears, Administrative Assistant
Reed Banks, Adult Rehabilitative Services Director
Dr. David Moody, Medical Director
Kenneth Moore, Consumer Advocate
Lynn Shoen, Access & Case Management Director
Martha Maltais, MR/DD Services Director
Marcia Becker, Rural Services Director
Linda Hamilton, Adult Clinical Services Director
Jane Lewis, Quality and Improvement Standards Director
Ruthann Robinson
Jeff Sobel
Paul Patrick
Jane McGeorge
Diane Von Doren
Frank Blankenship
Debra Knighton
Charlie Harris
Stefano Siciliano

I. Call to Order
Mr. Kelley called the meeting to order at 6:03 PM.

II. Welcome
Mr. Kelley welcomed everyone to the meeting.

III. Comments from the Public
There were none at this time.

IV. Specification of Other Items to be added to the Agenda
There were none at this time.

V. Approval of the December 10, 2007 Minutes
Mr. Kelley asked for approval of the December 10, 2007 board minutes. Mr. Walters’ name is incorrectly spelled in the motion on the Inc. Minutes. In the Executive Director’s report, first paragraph, it should read “congregate care” instead of “cognitive care”.

On a motion made by Mr. Szakos and seconded by Ms. Hammond, the December 10, 2007 Board Minutes were unanimously approved as corrected.

VI. C.A.C. Presentation
C.A.C. members, Myra Anderson and Paul Patrick presented the past year’s efforts by the C.A.C.. On Wednesday, January 16 at 6:00 PM is the book release, Meet Me At The Mountaintop, by the C.A.C. members.

VII. Quarterly Reports
Each Action Committee presented a report to the board, providing updates on their committee’s objectives and action steps towards achieving these goals. Martha Maltais presented for the Services Committee, providing a draft version of the recently created Person-Centered Service Survey. Jane Lewis presented for the Workforce Committee. The committee is preparing a survey for the new class and comp study. Caruso Brown presented for the Organizational Effectiveness Committee. The committee is recommending to the Leadership Team to have two committees created, one to guide the new data system process and a second for an ongoing basis for needs that come up in the future. The committee will also be ask Human Resources and the Quality Improvement and Standards Division to provide training for the new data system. Reed Banks presented for the Partnership Committee. The committee will survey the staff in regards to community partnerships and resources. And David Moody presented for the Advocacy Committee. The committee had a statewide panel meet to discuss advocates and who qualified.

VIII. Executive Director Report
Mr. Johnson introduced Ruthann Robinson, Public Affairs Coordinator and Jeff Sobel, Development Coordinator to the Board Members. Ms. Robinson will coordinate all media, advertising, design of the website and logo, as well as make Region Ten and its story known to the community. Mr. Sobel will coordinate meeting our resource needs and fundraising for programs.

Mr. Johnson provided a legislative update. We have been very active with legislators. Several legislators have toured the Wellness Recovery Center and have been provided brochures that outline our accomplishments and challenges.

Currently Region Ten does not have a crisis drop off center for individuals who create behavioral problems for police in the community. A cost sheet for funding such a service was requested by Delegate Steve Landes and will be sent to all legislators who represent the Region Ten area. This would be a part of Emergency Services, open for drop offs and walk ins. Prevents jail settings, or hospitals when not needed.

Next week is the VACSB Legislative Conference in Richmond. Mr. Johnson noted the Governor’s 42 million dollar funding budget for mental health system improvements. These additional dollars will result in more psychiatric coverage, waiver slots, crisis stabilization beds and clinicians for emergency, outpatient and children’s services at each CSB.

Mr. Johnson noted statewide concern regarding coming changes to case management billing. This requires Medicaid be billed in 15 minute segements versus the current monthly bundled billing rate. Boards are concerned about the real possibility of losing significant resources as this change is implemented over the next several months.

Two letters were mailed to Governor Kaine requesting support for continued CSB services and bond funding for the new Western State Hospital facility. We received cordial responses from the office.

House Bill 499 by Delegate Hamilton and Senate Bill 246 by Senator Howell were discussed. CSBs will be require under this new language to provide 100 percent representation at commitment hearings.

Mr. Johnson provided a Strategic Plan Update. The framework is evolving. The reorganization is designed to eliminate silos. Q.I.S. Division is under Jane Lewis. There is the new Fiscal Director position, though this is not filled yet. With the strategic plan, Region Ten is working on moving away from State and Medicaid dollars, and finding the resources on our own.

The Senior Director meetings are now just that. They are now directing the meetings themselves, working together to create agendas and discuss topics. The Directors, just below the Leadership Team, are in the process of renaming/titling themselves. The Directors meet once a month to which the agenda is provided by them as well.

The Medical Director’s position, filled by Dr. Moody, has changed from a primarily clinical position to policy and medical decision making as well as fostering community partnerships. There is now more time spent in administrative duties (85%) and less in direct care (15%).

Mr. Johnson addressed impacts that have been seen thus far. We are going after a federal grant for $2.5 million per year for five years. Karen Rifkin is currently working on this. She will be submitting the proposal January 31st. We are also working with schools to have a Wellness Center placed in the schools. We are working on revamping the website. Ms. Robinson and Mr. Brown have been working together. The Mental Retardation Division is now named the Adult Developmental Services. The name was suggested by Ms. Maltais. Child and Family Services are now housed at 500 Old Lynchburg Rd.. The first and second floors of the Peterson building are now Case Management and Front End Services.

The PCE demos will be held at the end of this month for Directors and Senior Directors.

The C.A.C. is finalizing their bylaws. Mr. Banks has done tremendous work, definitely second to none. This will be an excellent addition to Region Ten.

Leadership skills have grown. They have moved from managers to leaders, showing both talents and strengths. The Leadership Team has met with both Charlie Harris and Stefano Siciliano in group sessions as well as individual sessions and this has produced a lot of progress. Communications have improved. And finally, there was a large outpouring at the All Staff Winter Party, with employees, friends and family joining us and having a wonderful time.

IX. Executive Committee
The committee is looking for board involvement in getting the local governments involved in funding. Mr. Szakos noted that they are working on building relationships as well as getting supervisors and administrators from local government to visit the programs, to meet personally with them, and to have consumers get involved by telling their stories and stating needs that are unmet.

X. Consultants
Charlie Harris and Stefano Siciliano spoke to the board, updating them on progress and transitions from before Mr. Johnson’s employment to current.

XI. Personnel Committee
There was no report at this time.

XII. Finance Committee
Ms. White noted that we are currently waiting for the completion of the audit. Mr. Brown updated the board on the Fiscal Director. The gentleman who was scheduled to start was unable to accept the position after all due to health concerns. Mr. Brown will continue searching for the right person, and will be in contact with a recent interested party.

XIII. Public Policy & Advocacy Committee
Mr. Szakos indicated that the fundraising letter was mailed out. We need $5,000 to make the 3-to-1 match. We are very close to meeting that goal. He further noted that he and Barbara Barrett will be meeting with Rob Bell. The subcommittee, which Delegate Bell chairs, meets every Friday through January, and consumer involvement is welcomed.

He went on to discuss the Charlottesville Housing Grant Task Force that was created last year. $850,000 was found, half of which was from an RFP, and Region Ten applied for this. Formal notice was given to us, though no contract was signed, that $238,000 will be provided to Region Ten.

XIV. VACSB Updates
There was none at this time.

XV. Other Business
There was none at this time.

XVI. Adjournment

On a motion made by Mr. Szakos and seconded by Mr. Welsh the January 14, 2008 Region Ten Board Meeting was adjourned at 8:10 PM and the Board moved into the Region Ten, Inc. Meeting.

REGION TEN COMMUNITY SERVICES BOARD, Inc.

Meeting Minutes
January 14, 2008
8:10 PM
502 Old Lynchburg Rd
Charlottesville, VA

Members Present

Mike Kelley, Chair
Joe Szakos, Vice Chair
Kathy Tolton, Secretary
Angela Hammond
Roxanne White
Neal Walters
Steve Welsh
Myra Anderson

Members Absent

Carol Johnston
Barbara Barrett
Steven Stern
William Hale

Others Present

Robert Johnson, Executive Director
Caruso Brown, Deputy Executive Director
Marcia Becker, Rural Services Director
Jessica Spears, Administrative Assistant
Jane Lewis, Quality Improvement and Standards Director
David Moody, Medical Director
Martha Maltais, MR/DD Services Director
Reed Banks, Adult Rehabilitation Services Director
Lynn Shoen, Access and Case Management Director
Linda Hamilton, Adult Clinical Services Director
Ken Moore, Consumer Advocate
Ruthann Robinson
Jeff Sobel
Paul Patrick
Jane McGeorge
Diane Von Doren
Frank Blankenship

I. Call to Order
Mr. Kelley called the meeting to order at 8:10 PM.

II. Approval of December 10, 2007 Region Ten, Inc. Minutes
Mr. Kelley asked for approval of the December 10, 2007 Meeting minutes.

On a motion made by Ms. Tolton and seconded by Ms. Hammond, the December 10, 2007 minutes were unanimously approved.

III. Other topics
Mr. Brown noted that the Louisa Groundbreaking was not official. The Grand Opening for Louisa is upcoming. The project is moving along. He also noted that the Nelson County Groundbreaking is on February 6th at 2:00 PM. Invitations will be forthcoming.

IV. Adjournment
A Motion was made by Ms. White and seconded by Mr. Welsh to adjourn the January 14, 2008 Region Ten Community Services Board, Inc Meeting at 8:15 PM and was unanimously approved.