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Meeting Minutes - December 13, 2004 |
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Members Present Susan Garrett, Chairman
Carole Wernstrom, RN (excused)
Philip Campbell, Executive Director
Ms. Garrett, Chairman, called the meeting to order at 6:00 p.m. II. WELCOME AND INTRODUCTIONS Ms. Garrett welcomed everyone to the December 13th Board meeting. III. COMMENTS FROM THE PUBLIC Ms. Garrett asked if there were any comments from the public. There were none. IV. SPECIFICATION OF OTHER ITEMS TO BE ADDED TO THE AGENDA Ms. Garrett asked if there were other items that needed to be added
to the agenda. There was one item added to the agenda: the VACSB
report. Ms. Garrett stated that the Executive Director’s and Division Directors’ Reports were very good. Ms. Garrett stated that the Recovery article written by Dr. William Anthony was very interesting. VI. APPROVAL OF THE NOVEMBER 8th, 2004, BOARD MEETING MINUTES Mr. Stern noted that there were several grammatical changes that needed to be made. ON A MOTION BY MR. BELAIR, SECONDED BY MR. STERN, THE MINUTES OF THE NOVEMBER 8th, 2004 BOARD MEEETING WERE VOTED UNANIMOUSLY APPROVED AS CORRECTED. VII. EXECUTIVE DIRECTOR’S REPORT Mr. Campbell thanked Ms. Barrett for strongly suggesting that he attend the House Appropriation Committee Retreat, held at the Boar’s Head Inn in Charlottesville, VA on November 10th. Ms. Garrett stated that the report titled “Restructuring the Mental Health, Mental Retardation, Mental Retardation & Substance Abuse Services System Report”, by Susan Massart, was very helpful and educational. Mr. Campbell stated that he has highlighted some important points
from the report in his Executive Director’s report to contrast
the costs between providing supports at the institutional versus
community level. According to the report, for somebody in one of
the Mental Health facilities the cost per year is a little less
than $170,000.00: whereas on the community side it is a little more
than $30,000.00. Similar contrasts exist in the Mental Retardation
field. Mr. Stern asked what could be concluded from the data and
whether it would be inappropriate to assume that one of those people
that cost you $170,000.00, would only cost $30,000.00 if put in
the community. Mr. Stern raised the question of how do we control
selection effects. Mr. Belair stated that one of the concerns that we have to live with is that all of these institutions that have been in existence for many years have generated a great deal of money, which locals depend on for salaries, jobs, and so forth. Mr. Belair stated that one thing that concerns him is that when they started this movement from the beginning, people were told that the institutions would be closed down and, whenever possible, the clients would be sent into the community and the money would follow them. The number of people who are on the street and not getting any care is growing, however. Mr. Belair stated that the question we need to ask is “ How do we configure the system?” Ms. Garrett stated that the census has gone way down in the facilities and the cost has gone up by 25% over the last ten years. Mr. Campbell stated that Ms. Massart was pretty skilled in identifying that there is a political question here. Mr. Campbell stated that he had met with Mary Ann Bergeron from the VACSB and discussed this issue. Mr. Campbell stated that Region Ten has returned to Louisa County $1.8 million dollars of services. Ms. Hammond asked whether Substance Abuse and Mental Health were included in the report, as she didn’t see it done separately. Mr. Campbell stated that at the October agency-wide Director’s Meeting he introduced the Quality of Life Areas that forms the basis for quality assurance systems and standards in other locations. The six areas that were discussed were Rights and Dignity; Individual Control; Community Membership; Relationships; Personal Goals and Accomplishments; and Personal Well-Being, Health and Safety, and Economic Security. The Directors were asked to continue the discussion with their staff. Mr. Campbell stated that an article entitled “A Recovery-Oriented Service System: Setting Some System Level Standards,” by William A. Anthony, Ph.D., was the best overview of the Recovery model of support provided to people with serious mental illness. The response to this article from Region Ten staff has been very positive. The staff was also glad to see that treatment was included in this article. Mr. Campbell stated that Mr. Pezzoli has agreed to chair a group assembled to develop guiding principles to be attached to the mission statement already approved by the Board. Mr. Campbell stated that, starting in January, the Division Directors would provide to the Board a comparison of the statistics from each division for the three previous months. Mr. Campbell stated that Board members could contact Division Directors to arrange visits to their programs. Mr. Campbell stated that a copy of the annual “Employment Services Outcome Report” has been provided for the Board so that they could review it for January’s Board Meeting. Reed Banks, Program Director of Rehabilitative Services for Region Ten, compiled the report. Mr. Banks will be at the January board meeting to present the report and answer any questions. Mr. Campbell stated that he has provided the May, 2004 Strategic Plan for the Board to review. Mr. Campbell stated that he had included a status column to show the status of each task. The next step will be to review with the Directors the areas not yet addressed, the issues involved, and provide the status for those tasks. Ms. Maltais reported that the Amherst group home opened on November
1, 2004. Mr. Campbell reported that over $30,000.00 has been raised for the Pergola project. Mr. Campbell stated that Owie Samuels raised the money for the Pergola and he wanted to thank her for her volunteering efforts and great work. Mr. Belair stated that he would like to see more effort being made to be sure that other Region Ten areas are looked at when projects like this are being developed. Mr. Belair stated that he would like to see some projects offered or developed in the Mineral area of Louisa County. Mr. Brown reported that the FY04 audit has been completed. The Finance Committee reviewed the audit report on November 29, 2004. The Department of Mental Health, Mental Retardation and Substance Abuse has completed their review of the “Fourth Quarter End of the Year Performance Contract Report.” The Department was complimentary of both the staff’s ability to meet the projected targets as well as the staff’s preparation of the report. Mr. Campbell reported that a timeline is being prepared to outline the FY06 staff budget development process. Mr. Campbell reported that on December 3rd there was an incident in the Mental Retardation Division involving a person with biting behaviors. As part of the follow-up to the incident, the person involved tested positive for HIV. Mr. Campbell also reported that the gentleman in question has been in crisis and recently placed at the Central Virginia Training Center for a 21-day respite period. Mr. Campbell reported that he met with staff members last Friday evening to review appropriate guidelines for both privacy and universal precautions. Dr. Sheras stated that the incident raised two questions for him: one, if the person had been known to be HIV positive before would s/he have been treated any differently and two, what are our rights in terms of getting that information and in terms of client medical history confidentially when receiving services from us. Ms. Barrett asked if other consumers in the group home are all right and whether other incidents could have occurred that staff wasn’t aware of. Mr. Campbell replied that he was not aware of other consumers being tested. Ms. Maltais stated that there was a biting incident back in August. Both people involved were tested and the results were negative. Ms. Barrett stated she assumed that staff has looked at the issues raised by the incident and whether we needed to make changes to some of our practices or policies to keep staff and consumers safe. Mr. Murphy asked who gave permission for the consumer to be tested. Ms. Maltais stated that the client was his own guardian. Mr. Murphy stated that laws aren’t very clear from state to state on this issue and that it would be prudent for Region Ten to consult counsel before we decide it is all right to alert staff of someone’s status. Mr. Campbell replied that an attorney had not been consulted prior to the Friday evening meeting with staff. He and Ms. Maltais had reviewed Region Ten policies and felt they (staff) had a need to know due to the exposure. Mr. Campbell stated that he had called the attorney who handles Region Ten Employment labor issues and they had been missing each other. Mr. Campbell was getting an overview on some of the employment and privacy issues. Dr. Becker reported that the front desk gets over 275 calls a day. Mr. Campbell reported that Dr. Becker has included a copy of Region Ten’s response to a statewide survey of CSB’s about the availability of options for an individual once an evaluation had determined that a temporary detention order was required. Dr. Becker stated that 63% (47 of 75) of the people evaluated required this service and that, of that number, Region Ten was unable to find the services within a four-hour period for 25% (12 of the 47) of those needing a TDO. Mr. Campbell stated that DMHMRSAS has chosen the Region Ten Outpatient Program as one of the pilot sites for the implementation of their CO_SIG grant. The grant is to develop an infrastructure to serve persons with co-occurring disorders and is to be implemented in the spring of 2005. Mr. Campbell reported that the VACSB has appointed Ms. Davis as the HPR I Liaison for the Substance Abuse Legislative Initiative. Mr. Campbell requested that, following the Region Ten, Inc. meeting, the Board go into Executive Session to discuss a legal matter. VIII. EXECUTIVE COMMITTEE REPORT Ms. Garrett reported that the Executive Committee had decided to go into Executive Session to discuss a legal matter. ON A MOTION MADE BY DR. SHERAS, SECONDED BY MR. STERN, THE REGION TEN BOARD MEETING WILL CONVENE INTO AN EXECUTIVE SESSION AFTER THE REGION TEN, INC. MEETING. IX. PERSONNEL COMMITTEE REPORT Ms. Hammond stated that an Inclement Weather Policy had been implemented and a hotline created for employees to call to see when Region Ten county offices would be closed. Dr. Lewis reported to the Personnel Committee that all the Class/Comp study surveys had been collected and returned to MGT of America. The results should be returned to Region Ten by January and presented to the Personnel Committee by February. Ms. Hammond reported that Dr. Lewis’s staff was still in the process of gathering data to review for the staff satisfaction survey. Ms. Hammond reported that Dr. Lewis’s staff was still gathering data for how to proceed with the exit interview. Currently staff has the option of either an exit interview with their supervisor or the Executive Director, whether they are terminated or have resigned. Ms. Hammond stated that the salaries for direct care staff were
discussed. Ms. Hammond stated that she was very upset to learn that
direct care staff has a starting salary of $9.00 per hour. Mr. Campbell
stated that those salaries, along with others, were being looked
at in the Class/Comp study. Ms. White reported that the Finance Committee had received the audit review from Hantzmon, Wiebel, and Company. Ms. White reported this was an unqualified audit. Ms. White reported that on page 7 of the audit report there was an increase in net assets from $5,285,955.00 to $6,321,444.00. Ms White reported an increase in revenues from the previous year. A question was raised as to why personnel had increased. Mr. Brown responded that most of the increase in staff was due to growth in children services.
A. Review Board Policy #15 Accessibility B. Review Board Policy #22 Budget Preparation and Revise Process ON A MOTION MADE BY MR. BELAIR, SECONDED BY MS. BARRETT, EACH YEAR THE ADOPTED BUDGET WILL BE APPROVED AT THE MAY BOARD MEETING.
Mr. Campbell stated that the Outcome Management Report was informational and would be discussed at the January Board meeting. XIII. VACSB REPORT Ms. Barrett provided the Board with the VACSB annual report. Ms. Barrett stated that the VACSB priorities for consumer services were the issues about which people really needed to see their Legislators. Ms. Barrett reminded everyone that the VACSB Legislative Conference would be held on January 18th-19th in Richmond, VA. XIV. LEGISLATIVE VISITS Ms. Barrett stated that she would volunteer to help set up visits between the local and state legislators and Board members. It was decided that each Board member would schedule their own visits with Legislators. XV. OTHER BUSINESS Ms. Garrett asked if there was other business and there was none. Respectfully submitted,
Secretary
December 13th, 2004, BOARD MEETING MINUTES Members Present Susan Garrett, Chairman Members Absent Others Present Philip Campbell, Executive Director
ON A MOTION BY MS. BARRETT, SECONDED BY DR. SHERAS, THE NOVEMBER 8TH, 2004 BOARD MINUTES WERE UNANIMOUSLY APPROVED AS CORRECTED. XIV. CONVENE INTO CLOSED SESSION Ms. Garrett announced that a request has been made for the Board to enter into a Closed Meeting to receive information on legal matters. The meeting is warranted and complies with Section 2.2-3112 of the Code of Virginia. ON A MOTION MADE BY MS. BARRETT, SECONDED BY MS. JOHNSTON, IT WAS UNANIMOUSLY VOTED TO ENTER INTO A CLOSED MEETING TO RECEIVE INFORMATION ON A LEGAL MATTER. Ms. Garrett stated that no resolution, ordinance, rule, contract, regulation, or motion was adopted, passed, or agreed to in the Closed meeting. The Region Ten Community Services Board hereby certifies that to the best of each Member’s knowledge (i) only public business matters lawfully exempted from Open Meeting requirements by Virginia pursuant to Section 2.2-3112 of the Code of Virginia were discussed in the Closed Meeting to which this certification applies and (ii) only such public business matters as were identified in the motion convening the Closed Meeting were heard, discussed, or considered by the Region Ten Community Services Board. Respectfully submitted, Carol Johnston
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