HomeMy WebLinkAboutMinutes 1990Members Present:
Presiding:
Staff:
Community
EVANSTON MENTAL HEALTH BOARD
MEETING MINUTES
THURSDAY, JANUARY 11, 1990
(Minutes approved)
Ann Graf-f, Alderman Gene Feldman, Marcia Nelson,
Carol Henes, Ellen Browne, Florence Winfield, Art
Diers
Ann Graff, Chairporson
Jeanne Foy;. Harvey Saver, Suzanne Tarlov, Emma
Wrencher
Representatives: Tom Pollock (H.O.M.E.), Mary Siebel (Housing for
Mentally III/Project for Educating Evanston
Residents)
1. CALL TO ORDER
Ms. Graff called the meeting to order at 6:Z5 p.m.
Ms. Hones moved and Alderman Feldman seconded a motion to go into closed
session to discuss pending litigation. Motion passed unanimously (6-0).
The Mental Health Board convened in Executive Session at 6:37 p.m.
(Mr. Diers joined the MHB meeting at 6:55 p.m.)
(Alderman Feldman left the MHB meeting at 7:�0 p.m.)
The Mental Health Board went out of Executive Session at 7:45 p.m.
II. MINUTES OF 10/31/89 AND 1114/89
Ms. Hones moved and Mr. Diers seconded a motion to approve the minutes
of October 31, 1969 an delivered. Motion passed unanimously (6-0).
Ms. Hones moved and Mr. Diers seconded a motion to approve the minutes
of November 4. 1989 as corrected. Motion passed unanimously (6-0).
III. PLANNING FOR THE DEVELOPMENT OF HOUSING FOR THE MENTALLY ILL
IN EVANSTON
Tom Pollock. Executive Director of H.O.M.E. (Housing Options for
Mentally Ill in Evanston), and Mary Siebel. from the Steering Committee
of Housing for Mentally III/Project for Educating Evanston Residents
(HMI/PEER), joined the Mental Health Board.
Mr. Pollock presented H.O.M.E.'a mission and goals. He indicated that
the organization had been started by and has spun off from the Mental
Health Association of Evanston. It received an initial planning grant
from GMHDD to start a staff office and begin to develop housing options.
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In response to questions. Mr. Pollock provided the following: H.O.M.E.
assume, that the DMH grant will continue after the first year. The
office was recently opened in Family FOCLIS' building. H.O.M.E. will be
invitinq the MHB to an open house on January 24. The agency will serve
Evanston residents, but they will develop/locate housing for their
clients wherever it can be found. H.O.M.E.'s concern is not only for
housing but also for the quality of services which are to be available
for the support of the residents. Whale H.O.M.E. may apply for
preferred provider status with DMHDD in the future, it is currently not
a part of their planning. They will be looking for funding for down
paymentti for a building by way of grant:, gifts, loans and/or family
memberts.
Ms. Sik-hel introduced herself as both a representative of AMI Ond a
member of the community coalition HMI/PEER- The mission of the 1 -A tter
is to educate Evanston about the impact of new laws and reoulation-i for
housing in Evanston for individuals with mental illness . They will also
assist with the implementation of such housing in a manner which will
maintain the quality of the community in Evanston. They hope to provide
a forum for dialogue in the community. Currently. they have $41_11) from
the Leaque of Women Voters, and are submitting a grant proposal to the
Evanston Community Foundation (ECF) for workshops and materials. Ms.
Fox indicated that she had been providing staff support to the coalition
and had assisted in developing the grant to ECF. Ms. Henes moved and
Ms. Browne seconded a motion to send a letter of support to ECF to
endorse the grant request. Motion passed unanimously (6-0).
IV. QUALITY ASSURANCE FOR COMMUNITY INTEGRATED LIVING
ARRANGEMENTS (CILA'S)
Ms. Henes presented the CILA Review Committee's report on issues related
to monitoring for quality assurance for CILA's. The committee requested
additional direction about the degree of involvement the MHB wanted to
have in developing and implementing a review process. In a consensus
decision after discussion. the MHB directed staff to monitor issues with
CILA's as they develop and to begin to identify possible strategies for
use in assuring quality in the CILA housing and support services,
(Mr. Diers left the MHB meeting AT 8:40 P.M.)
V. MENTAL HEALTH BOARD OBJECTIVES FOR FY90-91
t1s. Browne reviewed the steps for the performance appraisal of the
E;cecutive Director. She asked the MHB to return their evaluation forms
as soon as possible. They will be used to evaluate the past 4 months
and to plan for the coming program year.
In a consensus decision. the MHB agreed to incorporate into FY90-91
Purchase of Service Agreements the following as a mutual endeavor of the
MHB and purchase of service agencies: "All funded agencies shall submit at least two measurable performance ❑utcome objectives for each program _
for the next fiscal year in their UBP/MHB budget proposal" (Monitoring
and Evaluation/Objective C). �E
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Ms. Nelson moved and Ms. Browne seconded a motion to revise Objective
CH] under Promoting System Improvement to read: "To have assisted
H e-.H:E: an agency to develop plans...", and to revise the priority from
Important to Desired. Motion passed 4-1 (Henes). Ms. Browne reminded
the MHS that the objectives will be reviewed again at the February
meeting for final adoption for FY90-91.
VI. LONG TERM CARE ISSUES
Ms. Fox reported that the Judge in the receivership case had ordered the
closing of the Sherwood in Niles and the transfer of 96 individuals with
developmental disabilities to tho Saratoga. She said that, in
preparation for the move. City stiff were recruiting volunteers to
monitor services for these .individuals. identifyinq additional concerns
with management and staffing and identifying unmet equipment needs at
the facility. Ms. Henes moved and Ms. Nelson seconded a motion for the
MHB to communicate with the City Manager Ell the need for the Health
Department and the Mental Health Board to continue to aggressively
monitor conditions at the Saratoga and to document and create a specific
record of problems; C23 the need to keep the Judge informed in a timely
fashion about changes which negatively effect the facility: and. 133
concern about the State's abdication of its role with regard to the
transfer of individuals from the Sherwood and the identification of
residential alternatives. Motion passed unanimously 5-0.
Ms. Browne moved and Ms. Henes seconded a motion that the MHB urge the
City Manager to request that the Judge order the State agencies to
reimburse the City for the additional monitoring which will be required
at the Saratoga. Motion passed unanimously 5-0.
VII. RESOLUTION
By acclamation the MHB requested that the following be communicated:
"Marge Sandler, as you leave the position of Executive Director of
the Mental Health Association, the Evanston Mental Health Board
wants you to know that we recognize your significant professional
contribution to the enhancement of quality services for Evanston
residents who have mental illness. We have appreciated your
tenacious efforts to keep us informed and focused an the needs of
this population. Your creative leadership, which resulted in the
development of the Community Companion Program at the Albany House
will be remembered. Hest wishes in your new endeavors. We will
miss you."
VIII. INFORMATIONAL ITEMS
Ms. Fox reported that Early Childhood development Center had begun to
look at the issues to be resolved to enable them to obtain other
local funding, as had been recommended by the MHB. They currently do
not have a separate board of directors, and are trying to work
through some of the issues involved.
r . .
<> Ms. Fox reported that there would be a training program an the
implementation of individual care plans an February 2 to be provided
by the City for the Staff of long term care facilities in Evanston.
? Ms. Graff reported that the Police Department has receivod funding
for and would begin a Project D.A.R.E. Proqram with in officer
providing drug education in the schools' classrooms.
The Mental Health Board adjourned at 9:30 p.m.
Respectfully submitted.
J rnne M. Fox
EVANSTON MENTAL HEALTH BOARD
MEETING MINUTES
THURSDAY, MARCH 8, 1990
(Minutes recorded - not yet approved)
Members Present: Ann Graff, Marcia Nelson, Ellen
Lynch, Art Dierts, Nicki Pearson
Presiding: Ann Graff, Chairperson
Staff: Jeanne Fox, Harvey Saver
Community
Representatives: (None present)
I. CALL TO ORDER
Ms. Graff called the meeting to order at 6:35 p.m.
Browne, Jack
Ms. Graff introduced and welcomed Nicki Pearson as the new Mental
Health Board (MHB) member. Ms. Nelson moved and Mr. Lynch seconded a
motion to waive, for 120 days, Article IV, Section 2(b) of the MHB
Bylaws which forbids a member from an agency funded by the MHS to
serve as an MHE member, so that Ms. Pearson may fulfill her
responsibilities with the Mental Health Association of Evanston.
Motion passed 4 aye, 1 abstain (Pearson).
II. MINUTES OF JANUARY 11, 1990
Ms. Lynch moved and Ms. Nelson seconded a motion to approve the
minutes of January 11, 1990 as corrected. Motion passed unanimously
(5-0).
III. REVIEW OF FUNDING GUIDELINES FOR FY91-92
Mr. Saver distributed and reviewed an updated evaluation report about
the FYI?(:,-91 Funding GuUdelines. He reported that there was a strong
cans?nsus among all MH5 members responding and a very high degree of
satisfaction with the guidelines. After discussion, the MH9 decided
to reviQw and diSCtess specific recommendations about the weighting
nT, and 33riorities and rankings in. the Service Area/Mandated
Foot;lation category at the April meeting prior to approvinq the
Funding Guidelines for u -em in the 1'?9r-i allocation process frar
FY91-9w.
IV. REVIEW OF POLICY GUIDELINES FOR FY90-91
PURCHASE OF SERVICE CONTRACTS
After reviewing the staff report. Ms. Nelson moved and Mr. Lynch
seconded a motion to approve the current Contract Policy Guidelines
for use with FY90-91 Purchase of Service Contracts. Motion passed
Unanimously 5-0.
(her. Biers joined the MHB at 6:55 p.m.)
V. TRIENNIAL REVIEW PROCESS
Ms. Fox discussed the Triennial review Process. Staff was requested
to prepare a draft report that the MHS will review at the April
meeting.
VI. END OF YEAR REPORT ON MHB BUDGET
Mr. Lynch moved and Mr. Diers seconded a motion to authorize the
transfer of $980 from Regular Salaries to Temporary Salaries in the
FY89-90 budget. Motion approved unanimously 6-0.
Mr. Lynch moved and Ms. Nelson seconded a motion to authorize the
transfer of $40U from Regular Salaries to Office Supplies in the
FY89-90 Budget. Motion approved unanimously 6--4).
11r. Saver reported an the financial arrangements for the 2-part
tr�intnq ror Evanston long term care providers, sponsored by the MHE.
Commissicn on Aoino and Health Department. He said th.,t the eXpenses
*or me trainina in both FY139-90 and FY'70--91 were, not anticipated or
planned far In the development of anv ai the apon_or's J'UdOetS. In
a.n Attempt to keep the financial record-kernping as simple a•L
psssinIe. *ne HCCOUnting Of71ce arranged chat 311 :-eve-noes f►nm
conrerenr_e registration would be credited to a Ci"•r General Revenue
Accol nt_. :-11 of the e::penses would be handled through the MHE'; line
itUM e!!Mense accounts. A, a result. the MHn is acing to overspend in
its nudger. This administrative discussion will be recorded
as a otirt of the budget process in order to track these monies.
VII. UPDATE ON SPECIAL RECREATION
11s. Fo- updated the MHB about special recreation programming needs
for the MHB'a target populations. She discussed concerns which were
raised about DMHDD not having earmarked any funds for leisure time
programming in the rates that were established for CILAs. She said
that she believed it was good that Orchard Village had agreed to
begin to plan in advance for this issue in seeking fends for
individuals they will be serving in CILAs from the Saratoga. Special
recreation is being identified as a new need as planning is initiated
for people living in the community. Ms. Browne moved and Ms. Nelson
seconded a motion to encourage Orchard Village to seek funds for
special recreation for individuals in CILAs from whatever sources are
appropriate. and for the MHB to write letters of support. Motion
passed unanimously 6-0.
Mr. Lynch moved and Ms. Nelson seconded a motion to have the MHB
support and provide technical assistance to the Recreation Department
to solicit funding for special recreation programming for the MHB's
target populations.. Motion passed unanimously 6-1).
Mr. Lynch moved and Mr. Diers seconded a motion to recommend to DMHDD
that funds for appropriate recreational and leisure time activities
be included in the rates for CILAs. Motion passed unanimously 6-0.
51!
VIII. UPDATE ON LONG TERM CARE ISSUES
Ms. Fo:. reported that the new owners have renamed th.At Saratoga as
Kensington Mannor. She indicated that there had already been several
serious incidents at this facility since the time that the new
operating group had assumed control. Judge Sklodc,wy:*i is retaining
oversight of the four facilities during the probationary license
period even though the receivership is over. This will enable the
Health Department to report directly to him about At:'l issues that
arise. Mr. Saver distributod a letter from SHORE to the new owners
indicating that they might be forced to terminate the provision of DT
services to residents at Kensington. He reported r;hat SHORE had
encountered some of the same financial problems with the changeover
in ownership as they had several times in the past.
(At Ms. Graff's request Mr. Lynch assumed the role o* Chairperson at
8-1Y: p.rn. )
Ms. Graff moved and Ms. Browne seconded a motion to urge the Human
Services Committee, in light of recent events in long term care
facilities housing individuals with mental .illness and/or
developmental disabilities, to address the apparent inability of the
City to assure quality care for these residents; to further urge the
Committee to communicate to the State of Illinois the City's strong
feeling that the State has not been responsive in the current
situation; and, in response to these issues, to urge the Committee to
study the ranee of options that we have as a community. Motion
passed unanimously 6-0 .
Ms. Graff moved and Ms. Nelson seconded a motion that the MHB
communicate to all officeholders and candidates for state office who
have any impact upon the care of individuals with mental illness or
developmentaL disabilities the MHB's deep concern about the dismal
record of the mental health system in Illinois as evidenced by the
situation in Evanston's facilities. We will urge a stronger
commitment to the people for whom the system is supposed to serve and
protect, and request specific proposals for improvement of the
system. Motion passed unanimously 6-0.
(Mr. Lynch returned the role of Chairperson to Ms. Graff at 8:235
p.,n. )
IX. EXECUTIVE SESSION
Mr. Lynch moved and Mr. Diers seconded a motion to go into closed
session to discuss a personnel matter. Motion passed unanimously
6-0. The Mental Health Board convened in E;,eCLttive Session at 6:27
o.m.
The Mental Health Board reconvened into public session at 9:2.5 p.m.
X. MENTAL HEALTH BOARD OBJECTIVES FOR FY90-91
Ns. Fo;; reviewed the changes made in the proposed FY90-91 MHB
Objectives per the MHB discussion at the January meeting. Ms. Browne
moved and N r. Lynch seconded a motion'to adopt the FY90-91 MHB
Objectives as presented in the packet. Motion passed unanimously
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XI. BOARD LIAISON ASSIGNMENTS
In a consensus decision the MHB affirmed the use of the same
procedures an in previous years. Individual MHO members will study
selected issues and act as liaison to assigned agencies. The members
reviewed and signed up for issue and agency assignments for FY90-91.
XII. NEEDS ASSESS11ENT
Ms. Fox reviewed the rt+port an needs assessment and indicated that
work won in progress 4:sn the MHB objective. She emphasized that for
the 11HU to do a needs, o-,, -.essment would require sufficient staff time,
enallah rlonney -3;1d a sr_indardized data collection. She will proceed
with inLerviewa with the MHD about what they would want to find out
throuc711 a needs assessment.
XIII. INFORMATIONAL ITEMS
N-3. Fa:; reminded the MHE- about the conference being held in late
rnt.rah by the association or Community Mental HAalth Authorities in
1 1 1 irIQ L E5 tar ?i. s? board members.
Meeting adjourned at; 9:50 p.m.
Respectfully submitted,
Jeanne M. Fox
to.
EVANSTON MENTAL HEALTH BOARD
MEETING MINUTES
THURSDAY, APRIL 120 1990
(Minutes approved)
Members Present: Ann Graff, Marcia Nelson, Ellen Browne, Jack
Lynch, Art Diers, Nicki Pearson, Alderman Gene
Feldman, Florence Winfield, Carol Henes
Presiding: Ann Graf#, Chairperson
Staff: Jeanne Fox, Harvey Saver, Suzanne Tarlov, Emma
Wrencher
Community
Representatives: Carey Wright (Youth Advocacy Program), Dr. Diane
Goodson (Early Childhooc Development Center),
JoAnne Harford (Mental Health Association of
Evanston)
1. CALL TO ORDER
Ms. Graff called the meeting to order at 7:30 p.m.
The community representatives introduced themselves. Dr.
Goodson announced that Early Childhood Development Center was having
an open house on May 19.
II. MINUTES OF MARCH S, 1990
Mr. Diers moved and Ms. Nelson seconded a motion to approve the
minutes of March 8, 1990 as corrected. Motion passed unanimously
(S-0).
(Alderman Feldman joined the meeting at 7:39 p.m.)
III. DISCUSSION ABOUT YOUTH ADVOCACY PROGRAM
Carey Wright, Director of the Youth Advocacy Program (YAP),
Joined tMe Mental Health board. He discussed the history a YAP's
first C year's operations. he said that tre purpose of this City
program is to coordinate services for "yard-to--deg;-witrs" youth wno
.are involved with a number o- agencies, to coordinate multi -agency
s a4i inns and to uevelop a ccmpreMensive service plan wnich avoils
coplica4ion. The intent was to avoid the creation aO anatrer agency
to simply provide the same services. Mr. Wright said tnatthe
program is eery staff intensive; YAP can serve no mare than of south
and tneir families at one time. Tneir clients typically =c not use
or benefit from the mare traditional types oz services. Trey require
a creative, non-traditional, more aggressive aparoacn.
- 1 -
Ail of YAP's clients come through referrals. Mr. Wright said
that he believes that there are some kids who are even more disturbed
than the ones they have been serving who could benefit from YAP.
Many of these kids have been given up on by agencies or the schools.
YAP is not seeing this group of youth in their Caseload because they
are not being referred.
Mr. Wright presented a vignette from a video documentary to give
some examples of the types of life circumstances of YAP's clients.
He said that, as was evidenced in the video, there is a big gap in
appropriate direct services available to the youth and families being
served.
Mr. Wright provided the following infarmatior, in response to
questions: Appro:cimately 90% of YAP's clients are &lack. Howevor,
there are a number of lower middle income families, iron all racial
and ethnic backgrounds who could also benefit from YAP's services.
Most of the families will be with YAP for some time. The Youth
Advocate's job is to work with the families even when they are not
actively receiving ongoing services +ram an agency. YAP has a strong
relationship with the schools -- they have an oiiice at ETH5; their
stuffings are conducted at a school building; over 50 of YAP's E35
referrals have been from schools. YAP's approach, with a coordinated
service plan, helps avoid a situation where 15 people from different
agencies are serving the family, possibly at cross purposes. YAP's
goal is to empower families to change. They encourage parents to be
responsible for their own family and offer them the support to do so.
YAP is a secondary prevention program because the kids already have
multiple, serious problems. YAP is currently working to strengthen
the multi --agency staffings and make them more productive. The
program starts with the current situation of the gamily, and attempts
to get it involved with the case planning. if YAP cannot get the
adult members involved. YAP may become part of the gamily support
structure for the kids 1f the family's agrees, Mr. 1,4rignt said that
he was not interested in having his own staff of service providers
because he believes that it has been effective to involve as many
people from different areas to provide a wide range of support. Mr.
Wright Was questioned as to now "coordination". "staffing", "case
management", etc. directly effects kids and their families and
changes behavior; whether social workers in at`1er agendas could dry
the same work; and, wnetner YAP is dealing with the right population"
He was commended for the good results that were produced with the
advocates' personal involvement with the youth.
Mr. .Jria7t said Gnat YAP is deginninc tc deg=!cg a unique
purchase o+ service agreement with some tir?rtl?s xa- that
their clients migi t need nut are CUrrentl-/ Ltrava—iIamlle to YiLr'', e.g.,
a mental health professional `o go with the advcca_e into ~ne home to
do an assessment initially, rather than when things get worse. He
said that YAP has enccuntered several proo!ems in _ne system: lack of
adequate training in professional schools to enaele 7tA4+ to do
aggressive outreach. Cysfunctienal families tnat are e;:tremely
difficult to deal with. very tew acolescents anb lies are neing
referred from schools for mental health services anC a loci: or ethnic
diversity in the staff in the service system.
V.
IV. PREPARATION FOR TRIENNIAL REVIEW
Ms. Fox reviewed the draft of the Triennial Review Report.
Ms. Nelson m vad and Ms. Henes seconded a motion to add an
objective to advocate to help strengthen and empower families to help
themselves to the list of Primary Objectives in the Triennial Review.
Motion passed 7 yes -- 1 no (Diers)'- 1 abstain (Pearson).
Ms. Winfield moved and Ms. Pearson seconded a motion to add an
objective to advocate for an increase in the ethnic diversity of the
employees and board members of the MHB-funded agencies to the list of
Primary Objectives in the Triennial Review. Motion passed
unanimously 9 yes - O no.
SUBSTANCE ABUSE ISSUES UPDATE
Mr. Saver reviewed the update on substance abuse issues. He
asked that anyone interested in attending the Regional Prevention
Group's recognition event for prevention programs on May 14 let him
know. Alderman Feldman requested that the minutes from the Mayor's
Task Force on Substance Abuse regularly be distributed to the MHb.
VI. LONG TERM CARE UPDATE
Ms. Fox provided an update about Albany House and Kensington
Manor. She reported that she had met with Robert Wright, Deputy
Director of IDPA, to discuss the system issues and funding problems
with long term care facilities, and with the implementation of OBRA.
Mr. Diers moved and Ms. Pearson seconded a motion to approve for
transmittal the draft letter to the Human Services Committee (Henes
4/12/90) about problems in long term care facilities. Motion passed
unanimously 9 yes - 0 no.
V11. FY91-92 FUNDING GUIDELINES
Mr. Saver reviewed the MHB's development of service priorities
for the Funding Guidelines. Mr. Lynch moved and Ms. Nelson seconded
a motion to reaffirm the order of the Service Area/Mandated
Population categories for the FY91--92 Funding Guidelines. Motion
passed unanimously 9 yes - 0 no.
Ms. Nelson moved and Mr. Lynch seconded a motion to adopt the
FYTI-92 Funding Guidelines as a draft for distribution to MH--iunded
agencies for review and comment. Motion passed unanimously 9 yes - 0
no. The FY91-92 Funding Guidelines fcr US-2 -.-- ._ ' 99r
process will be considered for rl,nal adoption at `ne june meeting.
1,
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VIII. INFORMATIONAL ITEMS
- Ms. Henes discussed the UHP Task Force (TF)p and plans for a tour of
UHF agencies during the Spring and Summer. She also said that t:tie TF
was going to try to sponsor a training for the agencies vri the
development of performance objectives on either June 1,-_5 or June ��1•
- Mr. Diers reported on 4C's budget hearings for day care centerv. He
said that all of the centers are becoming more efficient in using all
Of the Title XX slots and fees, however it still does not provides for
the need. He also reported on his discussions with Teen Baby PlUrsery
aoout case consultation. 4C's has worked out good arrangements for 1
afternoon/month for consultation.
Foy provided an update on Housing for the Mentally ! 11 : project
to Educate Evanston Residents. She said that the group was going to
request financial assistance from DMHDD from their lapsing funds to
underwrite the cost of the community forums.
-- Mr. Saver reported on the training which was provided in conjunction
with Crisis Intervention for 140 of the officers from the Police
Department.
Meeting adjourned at 10:15 p.m.
Respectfully submitted,
J3 a ran e M . Fox
4 _ _
May, 1990 MHB Meeting Minutes
Page 1
EVANSTON MENTAL HKALTH BOARD
MEETING MINUTES
THURSDAY, MAY 10. 1990
(Minutes approved)
Members Present: Ann Graff, Marcia Nelson, Carol Henes, Florence
Winfield, Alderman Gene Feldman, Ellen Browne,
Jack Lynch, Art Die rs, Nicki Pearson
Presiding: Ann Graff, Chairperson
Staff: Jeanne Fox, Harvey Saver, Suzanne Tarlov, Emma
Wrencher
Community
Representatives: Jim Happenstahl, Becky Robinson (Orchard Village)
I. CALL TO ORDER
Ms. Graff called the meeting to order at 7:35 p.m.
II. DEVELOPMENT OF CILAS IN EVANSTON BY ORCHARD VILLAGE
Jim Happenstahl (Acting Director) and Becky Robinson (CILA Director)
of Orchard Village (OV) joined the Mental Health Board (MHB). Mr.
Happenstahl thanked the MHB for the opportunity to discuss OV"s plans
to develop CILAs in Evanston. He reviewed the agency's history and
said that they are currently providing residential services to 75
individuals: 59 people are being served at in a range of different
programs at their campus in Skokie; 16 people are being served
off -campus in Skokie and Niles. OV currently has a contract to serve
an additional 17 people in through the current round of CILA
allocations.
(Ms. Nelson joined the MHB at 7:50 P.M.)
Mr. Happenstahl said that OV is planning to open 3 CILA locations for
a total of 9 people in Evanston. Eight of the people will be from
the Kensington, while 1 is currently living in the community in
Evanston. All of the individuals will have some type of
developmental disability. The locations are planned to be open in
June, on the 1100 block of Maple. He said that, pile they did not
want too many people clustered in one area, they chose these sites
close together for this first effort so that they could ensure
adequate backup and support. Each site will provide 24-hour
supervision, which will require that there be at least 1 staff person
in each apartment whenever the residents are there. OV will have 9
FTE to cover the 3 apartments for 3 shifts. This will allow for
"floating staff" to fill in at one of the apartments when the primary
staff person is taking someone on a trip of to go shoYping.
Alderman Feldman asked if anyone in Evanston had been informed that
OV had been looking in Evanston? Ms. Fox said that the MHB had only
been made aware of the specific sites 2 days prior to the MHB
meeting. However, the agency's former director had been providing
information to the MHB about OV's intention to locate some CILAs in
Evanston. Some of it had been discussed at the MHB meeting in
relation to potential CILA clients needing special recreation
May, 1990 MHB Meeting Minutes Page 2
services. Alderman Feldman said that in the future it would be good
to have a vehicle to insure that there is coordination about the
agency plans with local input. This is difficult to do when the
apartment lease has already been signed.
The following were provided in response to questions. OV's initial
CILAs in this round are being developed in Evanston because, while
they looked for apartments in other areas, landlords in Skokie had
not been accommodating. In addition, they had difficulty finding
affordable places in Skokie and Niles. OV would rely upon direction
from the MHB for advice and strategies on how to proceed with
discussing the program with people in the community. These first 3
apartments will not need to be adapted because all of the clients are
ambulatory, and have no physical limitations. The agency has been
going through some major changes in staff, however the CILA
initiative has the strong backing of OV's Board of Directors. OV has
already developed housing for 10 CILA placements in the previous
year; Becky Robinson has been the CILA administrator since the
program's inception. Staff will begin to talk to people in the
neighborhood after their clients move into the apartments. They will
try to develop arrangements for informal introductions. OV has not
had complaints from neighbors in any of their other community
residential programs. They attempt to encourage integration on an
individual basis, where there are people who have a natural point of
reference with their clients, e.g., through a class at the Y, or
where an individual shops or does banking.
OV has managed 3 other apartments for the past 9 years. The staff in
the CILAs will have previous experience in either residential or
vocational programming with the population to be served. They will
have to be able to provide training in daily living skills to assist
each person with their specific program plan's goals. Research has
indicated that individuals who are the most severely impaired will
benefit most from this type of environment. The staff will receive
40 hours of training in the first 6 months. After that they will
receive 40 hours of training a year. OV is paying higher wages for
their CILA staff because they will have higher expectations for them,
and will be looking for individuals who are able to perform more
independently. OV has had only 2 placements in community program not
work out in 6 years. Those individuals were brought back to the OV
residential programs an the Skokie campus. If there is a problem
with staffing levels, 07 will add more staff. OV has not had
complaints from neighbors in any of their other community residential
programs. They attempt to encourage integration on an individual
basis, where there are people who have a natural point of reference
with their clients, e.g., through a class at the Y, or where an
individual shops or does banking. All of the individuals will be in
some type of day programming at SHORE; they were all previously in
programming there. OV goal is to not segregate the individuals in
any special services, so they will be looking to the individuals'
personal funds, other agency revenues or targeted grants for funds to
provide additional recreational and leisure time activities. The
community will know whether quality services are being provided at
the CILA locations through word-of-mouth from the people who see the
residents, through a review of OV's quality assurance goals and
through reports from the monitor that DMH sends to review the
program. OV would also like recommendations from the MHB on how make
quality assurance work_
N 1 10 *i A6 ^ ' I AI
May, 1990 MHB Meeting Minutes
Page 3
Ms. Fox explained that CILAs were authorized in 1988 under state
legislation which the MHB had supported. DMHDD has established
Preferred Provider Organizations (PPO) to provide the CILA services.
They will have to operate under standards and rules which are
currently being developed. Currently, there are 2 bills being
proposed in the Legislature which are attempting to place distance
and size restrictions on CILAs. In anticipation of the development
of CILAs in Evanston, the M11B's CILA Committee has already done some
research on how the community might get involved in ensuring quality.
In addition, the Mental Health Association of Evanston has been
discussing the possibility of doing CILA monitoring. Mr. Diers said
that the MHB has a policy of supporting small, residential programs
for people with special needs. Ms. Graff expressed concern that the
3 new CILAs were to be located 2 blocks from Albany House and 1
block from Brewer House, a residential group home for girls, all on
Maple Avenue. Ms. Fox said that, as individuals are placed into
ICF/DDs and CILAs, OKRA will not permit their beds to be filled with
other individuals with DD unless they have medical needs. Ms. Graff
asked the CILA Committee (Lynch, Henes, Nelson, Pearson) to reconvene
and develop a plan on how to respond to CILAs in the future, and how
to ensure that quality is being assured in the programs. Alderman
Feldman requested that the 2 aldermen in the area of the CILAs should
be provided with the information the MHB has about CILAs and about
OV.
III. MINUTES OF APRIL 12, 1990
Mr. Lynch moved and Ms. Winfield seconded a motion to approve the
minutes of April 12, 1990 as corrected. Motion passed unanimously
(9-0).
IV. ADOLESCENT SUBSTANCE ABUSE TREATMENT SERVICES
Ms. Tarlov discussed the findings in the draft. report on the need for
adolescent substance abuse treatment services in Evanston. She said
that she had encountered a substantial problem in trying to obtain
data from the respondents in her survey because the numbers are not
kept for the purpose of identifying how many youth need treatment
services. There is no general agreement about what to count and
where to focus attention. Service providers have reported that they
are seeing many youth who are in a potential treatment population.
However, at least one of the survey respondents said that, while they
had made quite a few referrals, very few of the youth pursued the
referrals. The DASA formula for identifying the need for services
focuses upon those adolescents who are actually seeking treatment.
Alderman Feldman said that the report was a good explanation, but
that there was a lot of speculation. He expressed concern that in
the community there was not sufficient data to be more definitive
about this issue. Mr. Diers said the he was impressed with the
report. It was a good presentation of the complicated issues and
ambiguity in treating adolescents. In response to questions from Ms.
Pearson and Mr. Lynch, Ms. Tarlov provided the following: DASA's
definition for at risk in adolescents was very vague; DASA's formula
for projecting the need for treatment services is for a much larger
area than Evanston, and may not be totally accurate. In a consensus
decision the MHB accepted the report with changes as noted in the
May, 1990 MHB Meeting Minutes
page 4
discussion, and agreed to send the report to the Substance Abuse Task
Force, Human Services Committee, UBP and the Evanston Community
Foundation.
V. TRIENNIAL REVIEW
The MHB reviewed and revised the draft of the Triennial Review. Mr.
Diers moved and Ms. Nelson seconded a motion to include an additional
3 year objective in the Triennial Review to seek funding and staff to
conduct a community wide needs assessment for all human services.
Motion passed 8 yes - 1 no (Herres). After further discussion
Alderman Feldman moved and Ms. Henes seconded a motion to reconsider
the previous motion. Motion failed 3 yes (Henes, Feldman, Browne) --
5 no - 1 abstain (Lynch).
VI. MEMO TO HUMAN SERVICE COMMITTEE (HSC)
REGARDING LONG TERM CARE ISSUES
The MHB reviewed and revised the draft of the memo to HSC about
issues in long term care facilities serving the MHB's target
populations. Ms. Fox said that the Health Department has indicated
that they will soon have the complete 1 year summary of all
violations at all facilities. In a consensus decision the MHB
approved sending the memo about issues in long term care facilities
serving the MHB"s target populations to HSC.
VII. APPOINTMENT TO THE NOMINATING COMMITTEE
Ms. Graff appointed a committee of Ms. Winfield, Ms. Henes and Ms.
Nelson to develop a slate of officers to be nominated at the June
meeting to serve during the term beginning July 1, 1990.
Vill. INFORMATIONAL ITEMS
> Ms. Fox reviewed the statement about day care needs that Mr. Diers
would be delivering on behalf of the MHB at the Human Services
Committee (HSC) hearing on day care issues. By consensus decision
the MHB approved presenting the statement about day care needs at the
Human Services Committee's hearing on day care issues.
> Ms. Fox reviewed the calendar of future events and tours, and
reminded the MHB about the Mental Health Association's "Walk for
Mental Health" on May 19.
Meeting adjourned at 10:15 p.m.
Respectfully submitted
Jeanne M. Fox
Jung. 1990 MHB Meeting Minutes
EVANSTON MENTAL HEALTH BOARD
MEETING MINUTES
THURSDAY, JUNE 140 1990
(Minutes approved)
Members Present: Ann Graff, Marcia Nelson, Carol Henes, Florence
Winfield, Ellen Browne, Jack Lynch, Art Diers, Nicki
Pearson
Presiding: Ann Graff, Chairperson
Staff: Jeanne Fox, Harvey Saver
Community
Representatives: Barbara Cleveland, Joanne Harford (Mental Health
Association of Evanston); Lorraine Ganz, Pamela
Watson. Rhonda Davis (Rimland Services)
I. CALL TO ORDER
Ms. Graff called the meeting to order at 7:ZA p.m.
II. INTRODUCTION AND COMMUNITY COMMENTS
The mem oers of the aUdience introduced themselves. Barbara
Cleveland, new E::ecutsve Director of the dental Health Association of
Evanston (MHAE) was introduced. She said tnat her position would
necome full-time as of September 1. She also said that the MHAE is
currently evaluating its programs and where they allocate volunteer
and staff time. and invited the MHB to provide input to their
planning process.
III. MINUTES OF MAY 10 AND MAY 229 1990
Ms. Browne moved and Ms. Pearson seconded a motion to approve the
minutes of the May 11), 1990 meeting as read. Motion passed
unanimously 8 aye -- t1 no.
Ms. Browne moved and Ms. Nelson seconded a motion to approve the
minutes of the May 22, 1990 meeting as read. Motion passed
unanimously B aye - 0 no.
IV. ELECTION OF MENTAL HEALTH BOARD OFFICERS
his. Henes presented the report from the Nominating Committee. T'^c
Committee zntraduced 1--he ,late of Art Diem as Chairperson and Ellen
Browne as :ice -Chairperson, to ta',-.e e+fect at the MHB mee
ting in
July. Ms. Henes moved and Mr. Lynch seconded a motion to accept the
Nominating Committee's recommendations by acclamation. Motion passed
by acclamation.
3 ...;,......co
V. ADOPTION OF FUNDING GUIDELINES FOR FY1991-92
Mr. Lynch reviewed the staff report on feedback received from the
agency review and comment about the proposed FY1991-92 Funding
Guidelines. Mr. Lynch moved and Ms. Winfield seconded a motion to
reclassify the Service Area/Mandated Population category for Evanston
Hospital/Outpatient Psychotherapy to Counseling/High Risk. Motion
passed unanimously 8 aye - O no.
Mr. Lynch moved and Ms. Nelson seconded a motion to adopt the
FY1991-92 Funding Guidelines as revised for the 1990 MHB allocation
process. Motion passed unanimously 8 aye - Q no.
VI. CONSIDERATION OF RIMLAND SERVICES LETTER OF INTENT TO
REQUEST FUNDS FROM THE MHB FOR FY1991-92
The MHB reviewed the letter of intent from Rimland Services to apply
for MHB funds for FY1991-92. Lorraine Ganz (Board President). Prarr,c,la
Watson (Enecutive Director) and Rhonda Davis (Development Director;
from RLMland Services joined the MHB. Ms. Watson said that
individuals in Rimland's summer camp were previously excluded from
all other special education summer camps. Up until recently they
have retied entirely upon parental support. They have had dzfiic"I ty
getting the State to fund the program because DMHDD classifies the
activitiQu as leisure, while they are providing respite services.
The program is provided at Hoover Outdoor Educational Center for 4
weeks. In response to questions Mn. Matson provided the following:
The staff are vary highly trained; 10 campers go every 2 weeks; there
are 6 staff and interns for 1f7 campers: Rimland has provided respite
services at camp for 10 years.
Ms. Ganz said that toe camp was the first in the Mid west for
individuals with autism. She described haw parents started the
program to provide them with some respite and some temporary relief
+ram the hardship of taking card of a family member with autism. Tno
cost is "h900/camper for a 2-week session. In the past, the board of
Directors had raised funds to support kids from families who ccul—i
not nf4ord the camp. As a result of program changes Rimland's
financial circumstances changed and recent %ndrvi7ing nod to go ion � -
operating eficlta. That .is why their ecard dec.id,•d to approach the _
MHO at this point for supoort. Mr. Diers moved and Ms. Nelson
seconded a motion to allow Rimland Services for Autistic Citizens to
suomit a full application to the MH8 for consideration during the
1990 allocation process. Motion passed unanimously 8 aye - h no.
VII. REVIEW PROCESS FOR CILAS
Ms. f'ow provided an update an the CILAS being developed by Orchard
Village (OV). she reported that the Health Department had visited
the CILA where the initial placements were being made and had been
pleased with what they had observed and with the staffing ratios.
Page 2
June, 1,?9Q MHB Meeting Minutes
Mr. Lynch reviewed the report and recommendations of the CILA
Committee. Mr. Lynch moved and Mr. Diers seconded a motion to adopt
the following goals and objectives for the Committee's work:
Goal: To ensure the provision of quality care and services for
individuals with developmental disabilities and/or mental
health problems who are living in CILA% in the community.
Objectives:
1. To provide a method to protect the rights of individuals
living in CILAs;
2. To provide a system for monitoring the care provided within
the CILAs, i.e., quality assurance.
3. To develop an application process for operators of CILAs in
Evanston.
4. To provide a mechanism to ensure the maintenance of the
intrinsic nature, viability and stability of the neighborhoods.
Motion passed unanimously 6 aye - 0 no.
Mr. Lynch moved and Ms. Nelson seconded a motion to communicate with
DMHDD and PPO's that the MHB is developing a review process for CILAs
in Evanston; to ask PPO's to inform the MHB about their CILA
development plans before any sites are developed in Evanston; and to
indicate that the MHB expects that they will participate in a quality
assurance review process for CILAs in Evanston. Motion passed
unanimously B aye - 0 no.
The MHOS discussed the Committee's report about Lts wor4; plan and
operational values. There was general agreement that any process
which is developed should not be paper intensive* and should be
simple. outcome --oriented, and support and focus upon the qualitative
and homelike aspects of the CILA as opposed to regulatory and/or
licensing issues.
VIII. LONG TERM CARE ISSUES UPDATE
Ms. Fq., reported that the Kensington received a probationary license
from the Health Department. She said that Judge Sklodowski agreed to
nape a surprise visit to observe the facility, and that the MHB will
be invited to join him in the visit. Ms. Fo:: also said that the City
Manager agreed to have the MHB play a larger advoracy role during the
Judge's visit to the Kensington. The Judge also agreed to continue
nis monitoring or the f-.ensingtcn until the ft.cility receives a. full
1 ic•snae. t1s. Fri;: said that some tningz at Kens.Ln,gton a.re better. the
environment is cleaner and the operator nas already obtained some
specialized wheelchairs.
I's. Graff reported on the MHB's discussion with the Human Services
Committee (HSC). The HSC has charged the MHP to begin to research
its suggestions about guardianship and other actions to be taE:en on
behalf of the City. A lawyer will be at the July meeting to discuss
what is possible for the MHB.
r-. - - - --
June, 19911 MHB Neeting Minutes
X.
r
IX• LEGISLATIVE ADVOCACY ISSUES
Mr. Saver provided an update an DMHDD's budget and proposed
legislation in Springfield. He said that attompts to place size
limitations and distance requirements an CILA. had been defeated, but
that legislators were attempting to implement these same issues
through the rulemaking procoss. It appears that the C1LA rules and
regulations will be pub 1 i _,hed without an oppor tun t ty for comment on
some additional substantive changes which are being proposed. Ms.
Henes moved and Mr. Lynch oeconded a motion to sond a letter to the
Joint Committee on Administrative Rules to encourage them to make
available for community review and comment the substantive changes in
the proposed CILA rules bafore they are published. Motion passed
unanimously 8 aye 4 no.
INFORMATIONAL ITEMS
> t1s. Fox, said that the Rules Committee r~eviowed, accepted and
praised the MHB's Triennial Review.
Ms. Browne repotted on the discussion at the UBP Task Force (TF)
meeting with Jim Winters about community planning Issues. He also
provided training sessions for agencies on the development of
per+ormanca outcome abjectivas. She also said that the TF had
felt the UBP ,gency visits had been very warthwnile, (Is. Browne
;A1.0 tnat the T-= had reromatended that IJBFI wort; with agencies 1 1 )
to dovelGp a Model program for families which are utllIZIng
multiple agencies and services, and (2) to inztia.te a service
system for high r_sk families with children ii fne rP suggested
that this would be a way to encourage better cooperation and
collaboration. They also insisted that Outside-�undzng be
researcmeo, and that no funds be taken from other _<oencies to
start these new _- "forts.
Mr. Saver provided a final report on the ESA'C Foster Contest for
School District 465 and thanked the MHE for their supF=-rc for the
crnt?st. He tnaicated that the contest winners warm cn display
ano said that thc- contest had been used to nominate the design for
`hs 1991 Evanston City Vehicle Sticker.
The Mental HeEzl _h Board cona_ratulatad
Chaff rperrc-n .
meeting adjourned at 9:15 p.m.
Ann Graff on her term as
Respectfully submitted,
. A 1?
1-y-
J�,�ne IM M. Fo.,
Page 4
EVANSTON MENTAL HEALTH BOARD
MEETING MINUTES
THURSDAY, JULY 12, 1990
(Minutes recorded - not yet approved.)
Members Present: Art Diers, Chairperson. Ellen Browne, Vice
Chairman, Alderman Gene Feldman, Marcia Nelson.
Ann Graff, Carol Henes, Florence Winfield, Nicki
Pearson, Jack Lynch
Presiding: Art Diers, Chairperson
Staff: Joanne M. Fox, Harvey Saver. Jane Volberding
community
Representatives: Joanne Hartford and-C.J. Dombrowski
Call to order
Mr. Diers called the meeting to order at 7:32 p.m.
Mr. Diers stated that tonight we are going to take time to
recognize Ann Graff for her chairmanship of the Mental Health Board
(MHB) for the past two years.
Alderman Feldman stated the following: "Tonight we are here to
pay tribute to Ann Graff, who has served as chairman of the Mental
Health Board from June 1988 - June 1990. Under her leadership and
due to her caring, the Mental Health Board has completed revisions
to its By -Laws and Policies and the Evanston Long Term Care
Ordinances; held Community meetings to assess the needs of the
chronically mentally ill; provided testimony to Illinois House
Appropriations II Committee on the Reform of the Illinois Mental
Health and Developmental Disabilities service delivery system;
completed the Triennial Review for City Council Rules Committee; and
monitored the implementation of OBRA and all the subsequent system
changes such as CILAs.
However, any litiney of accomplishments really does not talk
about the force and energy, the committment and passion and absolute
dedication to the efforts of this Board by Ann. Ann with her
sensitive leadership helped us to do all that we could do to help
solve the problems of those we are responsible for and the community
is better as a result of these efforts."
Alderman Feldman then told the following story. "A young father
came home from work very tired and just wanted to sit and read his
paper and relax, but his four year old boy wanted him to play with
him. After several interruptions the father, seeing a picture of
the world in a magazine, decided he would tear up the picture of the
world into small pieces and ask his son to put it back together
again like a puzzle. Within a few minutes the son again interrupted
the father. The father asked him how he was able to complete the
picture so soon. The son stated that a picture of a man was on the
other side and by making the man whole, the world came together. `
Ann has focused on how to make individuals whole and thereby making
the world betterf"
Alderman Feldman then presented a silver engraved plate with the
following inscription:
CHAIRMAN
EVANSTON MENTAL, HEALTH BOARD
1988--90
Thank you for your leadership on
Long Term Care Issues
"Please accept this gift on behalf of the Mental Health Board as a
token of our exteem and thanks". Alderman Feldman then led the
Board in a toast (non alcoholic) to Ann.
Joanne Hartford, a representative of the Mental Health
Association of Evanston rose to thank Ann for her leadership in the
past two years stating: "There have been a lot of things to tackle
during these last two years and you have done a really good job. On
behalf of the Mental Health Association of Evanston -- Thank you."
Jeanne Fox presented a chocolate rose to Ann on behalf of staff
and stated: "Thank you Ann for you leadership and for being there
to back us up and, of course, for your editing skills."
Art Diers then read a letter from Diane Goodson, Director of the
Early Childhood Development Center. "I would like to express my
heartfelt appreciation of Ann Graff. As Chairperson of the Board,
she has been keenly perceptive, organized, and highly focused, and I
never doubted that she was hearing and responding to concerns about
children's services .... A big warm 'thank you' to Ann Graff, from me
and the Early Childhood Development Center staffl"
Ann Graff thanked everyone for their kind words of appreciation
and stated that this is an ,all star team" who represent people who
cannot speak for themselves.
The Board then raised their glasses again in a salute to Ann
Graff.
Minutes of June 7th and June 14th Mental Health Board Meeting,
Marcia Nelson moved with a second by Ann Graff to accept the
minutes of June 7th and June 14th as corrected. Motion passed,
unanimously 8 to 0.
Guardianship Issues
(Jack Lynch joined the Board at 7:45 p.m.)
Jane Volberding, the Director of the Evanston Commission on
Aging, joined the Board to present information on the types of
guardians and the responsibilities of the guardians. Ms. Volberding
-2-
,
was formerly the Regional Coordinator of the Human Rights
Authorities for the Guardianship and Advocacy Commission.
Ms. Volberding gave a history of the Guardianship Act. who may
act as a guardian and how a guardian is appointed. The caseload for
most State guardians is 150 - 200 persons. Due to the requirements
of OBRA the caseloads have increased and even though all but one DD
person at the Kensington have a guardian now; the issue is are they
effective guardians.
Ms. Volberding presented two options for possible ways to
enhance the guardianship process:
1.) Develop a coalition to act as guardians
2.) Develop a community core of volunteers who could assist the
the guardians in carrying out responsibilities.
Marcia Nelson asked when the Board would receive the legal
opinions requested. Staff responded that they did not know.
Ann Graff and Alderman Feldman asked how can we intervene to
empower the residents and raise the level of care provided and to
ensure that the facilities recognize they must "deal" with someone
who will pursue quality care on behalf of the residents? Ms. Graff
gave an example of a successful class action suit in Mississippi
which was recently settled.
Ms. Volberding gave an example of a class action suit which was
not successful. She also spoke about the development of PACT. Inc.
and it's attempt at developing volunteer guardians as result of
obtaining a grant. The endeavor was not successful due to concerns
of the potential volunteers regarding liability issues and
responsibilities.
After further discussion the Board focused on the next steps.
Ann Graff reminded the Board that the Human Service Committee had
asked the Mental Health Board to research the guardianship issues
and to provide a report on their findings. This request was the
result of the MHB presenting to the Human Services Committee a list
of options to consider for the improvement of care in the Kensington.
Alderman Feldman moved with a second by Ann Graff to direct
staff to investigate further the issue of quardianship and the legal
implications, and to develon a presentation for a forum for
community representatives on this issue in order to seek people who
might be interested in beinq quardians. The motion failed (3 ves. 6
no .
Ellen Browne moved with a second by Ann Graff that staff be
directed to continue to research this issue and to present models
and options at the next Board meeting. The motion passed
unanimously 9 to o.
Cooperative Child Care Review
Tom Jager. Director of UW/CS joined the Mental Health Board to
discuss the proposed cooperative child care review supported by the
4C's Board and the United Way Community Services.
-3-
Florence Winfield asked what would be benefits of this change '
for Title XX children? Mr. Yager responded that the objectives of
this review are:
To develop :i review process of child care funding in
Evanston that:
1. directs money to services for the neediest (Title XX
children);
2. encourages agencies to accept Title XX children;
3. rewards agencies for quality of services and good
management:
4. establishes a strong child care network of fenders and
providers: and
S. prepares Evanston to expand child care services if and when
new government funds are available.
The 4Cs would continue to go through Unified Budgeting each fall
so that all funders can determine the amount of child care matching
funds needed for the community.
In January, all other formal and informal review processes would
be combined into a single Cooperative Child Care Review. All child
care agencies serving five or more Title XX children would be heard
by a panel consisting of representatives of the 4Cs, the City of
Evanston, the Mental Health Board, and the Evanston United Way. At
the end of the hearings, as in Unified Budgeting, all participants
may make comments and recommendations as to all funding decisions.
The final allocation decisions. however, will be the responsibility
of each funder.
Currently there are 12 agencies that would participate in these
hearings. It is hoped that the review hearings could be held on
four consecutive Thursday nights in January, with two representa-
tives per funding source. A final meeting for discussion and
funding recommendations would follow.
This proposed process would allow all funders to have direct
contact with child care providers and to gain a broader perspective
on the services being provided. It would create a forum for all
funders to address some of the issues that have developed over the
years concerning child care; and to share thoughts, concerns and
insights on both day care issues in general and allocations to
specific child care providers.
Ms. Nelson stated that it seems like an idea which has merit and
we should try.
-4-
Jack Lynch asked how much Day Care is supported by public
funds? Ms. Fox and Mr. Jager stated that including both State and
local dollars, it is probably about 25%.
Art Diers shared his experience as a participant of the ACs
review of Day Care Programs for the past 3 years and stated he
thought this new review process would benefit all parties.
Florence Winfield moved with a second by Nicki Pearson to
support this new Cooperative Review Process for Day Care. The
motion passed unanimously 4 to 0.
Mr. Diers then asked for MHB members to represent the Board at
these hearing's in January. Florence Winfield and Nicki Pearson
volunteered to represent the Board.
Report from the CILA Committee
Ms. C.J. Dombrowski, Executive Director of the Alliance for the
Mentally Ill of Illinois (AMI-I), joined the Board.
Mr. Lynch, chairman of the CILA Committee stated that Ms.
Dombrowski is here tonight to share with the Board a plan regarding
quality assurance for CILAs.
Ms. Dombromski stated she was going to digress for a moment.
She wanted to state that due to the advocacy leadership of Jeanne
Fox, the Evanston Mental Health Board is well known across the State
for its leadership on Mental Health issues. Jeanne has formed a
coalition of statewide advocates and taught us how to work together.
Ms. Dombrowski then shared information about her organization.
It is a voluntary organization consisting of 38 chapters with over
8,000 members who are consumers, family members and interested
persons who are committed to assuring high quality of mental health
services for mentally -ill persons.
The AMI-i was glad to receive a copy of the letter sent by the
Board to William Murphy, Acting Director of Illinois Department of
Mental Health and Developmental Disabilities (DMHDD), on this
Board's interest in developing a quality assurance process for CILAS
In Evanston. The AMI-I has a similar statewide goal to ensure the
provision of quality care and services for individuals with mental
illness regardless of their place of residence. AMI-1 objectives
are to.
I. Develop tools for assessing quality of care in state
operated facilities.
2. Develop tools for assessing quality of care in nursing
homes. _
3. Develop tools for assessing quality of care in community
residential settings.
-5-
4. Initiate an evaluation process for quality assurance reviews.
S. Train consumers, advocates, and professionals to provide
quality assurance reviews.
6. Establish a protocol for the compilation of recommendations
from each quality assurance review team.
She stated to accomplish this goal the AMI-I is planning to
develop a statewide coalition of advocates both DD and MI and
consumers to develop a quality assurance task force and would like
tho Evanston MHB to join us to give the local perspective and to
pilot implementation of the process.
Ann Graff asked if the quality assurance protocol is for CILAs
only? Ms. Dombrowski stated no, however the quality assurance
process for CILA's would be the first task so that we can make sure
these new residential endeavors fulfill their promises for the
mentally ill and developmentally disabled persons.
Alderman Feldman asked how do we achieve this Quality assurance
in long term care (LTC) facilities when nothing we've been able to
do to the present has been effective.
Ms. Dombrowski responded that LTC facilities have a different
set of problems and we know what is wrong, but the history and
funding of LTC facilities is a major part of the problem. We have
been unable to gather objective data to state the problem.
Advocates (Ombudsman) are just beginning to go into LTC facilities
and that is making a difference.
Ellen Browne stated that the quality assurance efforts regarding
CILAs would enable us to be effective because we will be in on the
beginning before bad habits are formed.
Jack Lynch moved with a second by Ann Graff to direct staff to
work with Alliance for the Mentally Ill of Illinois to develop a
statewide quality assurance protocol and implementation for CILAs in
line with the Board's objective to provide a system for assurinq
that quality the care is provided within Evanston CILAs. The motion
passed unanimously (9-0).
Mr. Diers thanked Mo. Dombrowski for coming and for her energy,
commitment, and enthusiasm for these issues.
Ms. Graff asked if we should talk about H.O.M.E.'s position
statement concerning the Fair Housing Amendments Act of 1988 and
their application to Evanston Zoning Ordinance. Jack Lynch
suggested that all members should read the documents. as it is just
one perspective. We need to wait until we see the Zoning Amendment
Committee recommendations to discuss fully these issues.
Nicki Pearson reported on the meeting that she and Jeanne had
with Claire McCarthy Peterson and Thom Pollock, of H.O.M.E., today
and stated their concern with Objective No. 4 of the Board regarding
CILAs. The Board directed staff to prepare possible changes for
this objective for consideration at the next Board's CILA Committee
meeting. ==
-6-
. ' The Unified Budqetina Process
Harvey Saver presented the schedule of the UBP Panel and the
fall meetings of MHB.
The Board by consensus agreed to change their planned September
12th meeting to Tuesday September llth.
Carol Henes raised the concern that with no new dollars from the
City or Mental Health Board for the UBP process, that the process is
too much work for everyone; the agencies, the staff and panel: and
what is the point; couldn't we fund agencies for 2 - 3 years at a
time?
Members remembered that thin issue had been considered several
years ago and that City UBP members had said that due the City's
budget process this was not possible.
Ellen Browne moved with a second by Nicki Pearson to raise this
issue at the next task force meetinq. The motion passed unanimousiv
9 to O.
Quarterly Review of Mental Health Board's Obiectives
Alderman Feldman explained that when Bob Bannister left the
Township there was a need for an Interim Acting Director. Harvey
was well qualified and will be there until September 4th. Ms. Fox
shared the details regarding how the MHB will be reimbursed for
Harvey's time at the Township office.
The Board then reviewed the first quarterly report on the MHB's
objectives. Ann Graff asked if the Federal amendments for LTC/MI
had been passed? Staff answered no. Ms. Graff then stated we will
not really be behind then by not focusing on the amendments at this
time because we cannot work on them.
The Board then discussed the staff recommendation regarding
priorities for the next three months. The Board by consensus
accepted staff recommendations.
Mental Health Board Advocacv Issues
Ms. Graff reviewed the March MHB's motion regarding advocacy:
"Communicate to all office holders and candidates for State office
who have any impact upon the care of individuals with mental illness
or developmental disabilities the MHB's deep concern about the
dismal record of the mental health system in Illinois as evidenced
by the situation in Evanston LTC facilities. We will urge a
stronger commitment to the people for whom the system is supposed to
serve and protect, and request specific proposals for improvement of
the system."
In reviewing the staff recommendation regarding advocacy issues,
Ms. Graff stated that she really had wanted to have a written
document prepared and did not agree to the idea of broadening the
advocacy
-7-
issue for this purpose. She stated she would like to develop a
position paper and will ask for input from the Board for this paper
before submission to the candidates for governor and state
representative. The Board by consensus agreed to have Ms. Graff
develop a position paper on behalf of the Board. Ann agreed to
represent the Hoard at a meeting with Mayor Joan Barr, who is a
candidate for State Representative. staff will seek other Board
representation for meetings with other candidates according to thoir
availability.
Meeting adjourned at 9:55 p.m..
Respectfully submitted,
+-.e )-h . —4ve-
J ne M. Fox
EVANSTON MENTAL HEALTH BOARD
MEETING MINUTES
Tuesday, September 11, 1990
(Minutes recorded - not yet approved)
Members Present: Art Diers, Marcia Nelson, Nicki Pearson,
Carol Henan, Ann Graff, Florence Winfield
Presiding: Art Diers, Chairperson
Staff: Jeanne For., Harvey Saver
Community
Representatives: Phyllis Arist, League of Women Voters
Rhonda Davis, Rimland Services
ra I I = Ord
Mr. Diers called the meeting to order at 7:32 p.m. and asked the
persons in the audience to introduce themselves.
sjvly 12?, 1990 M nu2s
ih= mi nritas 01 thy. July 1.2,. 199.0 Mental Health Board were
unanimously apprQyad as corrected (5-0).
Mental Hee-aLth Board BUdg.. EY 91-92
The Board reviewed the information prepared by the City Manager
regarding the City's budget process for City Council. They noted
that the City Council will be ranking human services as will the
UBP Panel and the Mental Health Board. How these processes interface
for the final decision regarding funding of agency services is yet to
be determined.
11 Tj= Mental Health Board np-edn = staff Perzons =Ld at
least 3 half-time secretarial pP� ta acnomg? i sh i is irk..
2.L Puz: acn- S—ryiCo-q ohonhould nj t ba Ctlt ±La maintain tha M!'n .al
Health Qanta-r Budget_
Marcia Nelson moved with a second by Nicki Pearson to accpnt JIM
Mental Health, renter budget as presented with = . n seas _ _ Tim
m.Qtinn Pa-9Sed unanimous I v f F-n) . It was noted that this is only a
preliminary vote as a fj.:_al vote cannot be taken until the end of the
MHB's budget process in November.
-2-
rrr,a T -at S u a:3, undaLe
Nicki Pearson on behalf of the. tWJJ/S LA CommIttPA, moyed that the_
M A' a Alh QUA O}b.}ectye not ha chai=d« b" 11M P.hra= "per the
Mesta Health1Board's ' s Promos on Q f: fin._ . ['a,� Pn 1_v_' ba
addf-d ±a -1 ari. y t,hL-L oh. lec .i vP MSrQla Nalson. seconded tha mQti a
amd j,.t, was annr Lyed unanimQuzl y (6-O) . This objective was reviewed
by the MHB/CILA Committee at the requer.r of the Board due to conenrns
expressed by representatives of Housing Options for the Mentally III
(H.O.M.E.).
Ms. Pearson then stated the Committee reviewed the draft and
outline of a state -Wide protocol for citizen monitoring of CILAs,
prepared by Jeanne Fox and C.J.Dombrowaki, which is being developed
with a state-wide coalition. The coalition consists of the
Alliance for the Mentally Ill of Illinois, Association of Retarded
Citizens of Illinois (ARC -I), League of Women Voters, Mental Health
Associates of Illinois, National Association for Down's Syndrome,
Protection and Advocacy, and the Evanston Mental Health Board.
Locally the Mental Health Association has agreed to provide
volunteers to monitor MI CILAs and Lekotek is assisting ARC --I to
recruit citizen advocates to monitor DD CILAs.
The CILA Committee has set a special meeting to gather more
information regarding the group horse section of the 3rd draft of the
Zoning Commission in order to prepare recommendations for
consideration of the full Board at its October 9th meeting.
Staff reviewed the UBP Process and the funding guidelines
process for the Board members.
Ms. Fox shared that Kensington will not be decertified, but that
they have announced a plan to close the facility within 18 months.
This plan is based on the availability of an increased Illinois
Department of Public Aid (IDPA) rate for IFC/DD (small 9-15)
facilities, which will allow for development of beds for DD persons
requiring skilled care. The second probationary license for the
Kensington is up on October 9th. The Board expressed concern about
where the residents will go; what will the Kensington be used for;
can the community limit or stop the use of this facility for a
nursing facility.
The Boarr. discussed the background of the Youth Advocacy Program -
(YAP) Advisory Board's minutes included in the packet. They noted
that when the YAP Advisory Board presents its report to the Human
Service:. Committee, November 19, 1990, the discussion could impact on
priority setting for funding of human services.
. , `
-•3-
At 819 p . m .. Marcia Na I S a moved that th.a MHO adjourn into
Executive Session ta di scung a p.�Msonnei matter. s8nonded hM E orenr.P
WiIIf fel.d anti passed unanimny- 1y (6 0 ) ..
The Board adjourned the Executive Session at 8:27 p.m. and voted
to adjourn at 8:30 p.m.
Respectfully submitted,
h'
anne M. Fox
xecutive Director
AST/MIN-SEPT.
F 9 '1 V
EVANSTON MENTAL HEALTH BOARD
MEETING MINUTES
TUESDAY, OCTOBER 9, 1990
(Minutes approved)
Present: Art piers, Carol Henes, Marcia Nelson and
Nicki Pearson
Presiding: Art Diers, Chairperson
Staff: Harvey Saver and Jeanne Fox
Community
Represetati,ves: Phylis Artist, League of Women Voters
I. Call to Order
Art Diers, Chairman, called the meeting to order at 7:40 p.m. in
Room 2401 and asked Ms. Artist to introduce herself.
II. Budget Hearings for FY 91-92
David Seaman, Vice President of Finance for Children's Home and
Aid Society of Illinois (CHASI) and Diane Goodson, Ph.D., Executive
Director of Early Childhood Development Center (ECDC) joined the
Board to review their request for funding from the Mental Health
Board (MHB) for the ECDC Program. (Working Notes of this hearing are
available upon request from the MHB office.)
At 8:15 p.m., Pamela Watson, Executive Director; Rhonda Davis,
Development Director; and Lorraine Ganz, President of Rimland
Services, joined the Board to review their request for funding from
the Mental Health Board. (This agency is requesting funding for the
first time from the MH3.) (Working Notes of this budget hearing are
available upon request from the MHB office.)
Minutes n`- S-Rt-mh-- 11 1 y 1024 202-.-� Meeting:
Due to the lack of a quorum, the minutes of the September 11.
1990 meeting will be held until the ,loveriber 6. 1990 meeting for
approval.
Ms. Fox reviewed in=ormational items and updated the Board on
Long Te-m. Care issues and CILA issues.
Having no further business, the Board adjourned at 8:55 p.m.
Respectfully submitted,
• I' T
Je ne M. Fox, Executive Director
EVANSTON 14ENTAL HEALTH BOARD*
SPECIAL MEETING
Juno 7, 1990
(Minutes Approved)
Present: Ann Graff, Nicki Pearson, Florence Winfield,
Ellen Browne, Marcia Nelson
Staff: Joel Asprooth, City Manager and Joanne.Fox
Ann Graff, Chairperson, opened the meeting at 7:35 p.m. and stated
this special meeting was called to discuss long term care issues and
pending litigation, Ellen Browne moved with a second by Nicki
Pearson that the Board go into Executive Session to discuss oending
litigation. The motion passed 6-0.
The Board voted unaminously at 9:20 p.m to adjourn the Executive
Session.
Ms. Graff thanked Mr. Asprooth for attending this special meeting of
the Board.
The meeting adjourned at 9:25 p.m.
Respectfully submitted,
i1 WL
14.
MHB: 10/#18
EVANSTON MENTAL HEALTH BOARD
MEETING MINUTES
Saturday, November 10, 1990
(Minutes recorded - not yet approved)
Members P Q.r�sent_ Alderman Gene Feldman, Carol Henes, Art Diers,
Nicki Pearson, Ann Graff
Presiding: Art Diers, Chairperson
S Jeanne M. Fox, Harvey Saver, Lisa Boulden
community
$enrPgPntati_-ye Phyllis Arist, League Women Voters
Call tQ rder:
Mr. Diers called the meeting order at 11:15 a.m., immediately
after the Unified Budgeting Panel in the Council Chambers.
The only items on the agenda Were the final decisions
regarding the Mental Health Board's budget. TL- fn1loging mott ns
k2me, made and P� � n an i- mo. u z I v LOLL.
Ta rZl QratP a 1jat 1 QJ $4g7.75�1 fDX all pWX:(-ha,SF±d ; aryiryas
at tha F � HP,L +.h JJoard_
r, TA al 1 a_eate g,570.550 f= tha Mental Health Bo_ard total
The Board thanked the staff for its excellent work during the
budgeting process.
Having no further business the Board adjourned at 11:25 a.m.
Respectfully submitted,
Jeanne M. Fox, Executive Director