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HomeMy WebLinkAboutMinutes 1986EV►NSTON MSNT►L HEALTH BOARD MINUTES THURSDA7, J►NUARY 9, 1986 (Minutes approved) Bum MEMBERS Carol Hones, Chairperson; ►m Graff, ►lderna PRESINTS Davidson Rem, Marcia Nelson, Gene Weiss, Michael Buren, Lee Leggette BOARD MEMBERS Janice Jones A STAFF: Jeanne M. Fox, Maria Cobin, Irene Vgmer, Susan Austin CONKUNrTY Carol [immel, League of Women Voters; Barbara Bidell- RSlAE WTATIMES: Vatkins, Mental Health Association; Sue Dersold, ACORN; Mie 811iott, Commission On Aging; Frederic ►rtwick Introductions and Community Comments Ms. Hens convened the meeting at 7:40 p.m., asking the audience to introduce themselves. (Michael Buren absent). Mo. Hones then stated that the Mental health Hoard was going to give special recognition to former Board member, Frederic ►rtwick, who had been a Mental Health Board member from February, 1982 to December, 1985. Ms. Hanes read a special tribute to Mr. Artwick stating: Mr. Artwick came highly recommended by a former Boatel member, Natasha Deutsch, for his work on the United Way Community Services Hoard. As a Mental Health Hoard member, Rick could be counted on to olarity very complex issues, " to gather the facts", and to objectively problem - solve. He was Vice -Chairman of the Mental Health Board for two and one half years, reviewed the policy guidelines of the Mental Health Board, served on the personnel committee, and guided the Board through the Group and Residential Care Ordinance legal concerns. !tick was a model Board member - always ready - "ready for what" be would say. He read his material, did his homework and actively partici- pated. Ms. Hones than presented Mr. Artwick with a paper weight which read "Thanks for a job well done, February, 1982 - December, 1985, Mental Health Board", and a certificate of appreciation. Mr. Artwick responded that he appreciated the kind words of He. Hones, and urged the Board to continue to represent the constituents in the oommunity in the way that you feel is right, regardless of whether it is a popular position or not. The Mental Health Board is looked on politically and by the community at large as an expert source of information on the four target populations of mentally ill, developmentally disabled, and substanoe abusers, i.e., alcohol and drug abuse. it is important that the Hoard con- tinue to recognize its leadership and to pursue what it thinks is right. He stated he has appreciated the work of the professional staff of the Mental Health Board and looks forward to continuing his relationship with in- dividual Board members. -2- The Mental Health Board then adjourned for coffee and oaks with Mr. ArtwIck. mutes of the November 14, 1985 Meatin& The Board reconvened at 7:55 p.m. and reviewed the November 149 1965 minutes. Alderman Ream moved with a second by Gene Weise to approve the minutes as submitted. The motion passed unanimously. HB J458 - A New Conoeot to- Mental Health Care in Illinois Mr. Dick Lookhart, Social Engineering, Ind., joined the Mental Health Board for a special presentation regarding House Bill 2458. Mr. Lockhart stated that the Illinois Association of Community Mental Health Authorities UACMHA), wants to improve the delivery system for the mentally ill, developmentally disabled, alcohol and substance abusers. Basloalli the Bill channels all funds on a per capita basis, from the Department of Mental Health and Developmental Disabilities (DMHDD) to counties, townships, and the City of Chicago. It is anticipated that the chief local officials will appoint a local Board to distribute the funds. He then went through the process of how the Mental Health Board might receive allocations from the State. The Township Supervisor would appoint the Evanston Mental Health Board and the Evanston Mental Health Board would contract for services to citizens. The dollars from the State of Illinois would be based on the population of the community. Evanston would get dollars from the State to equal the amount of dollars generated by local taut revenues for mental health services. Local taxes would not increase. However, services would be better funded, and there would be local control, not through Springfield. Iour local tax dollars for mental health services would be matched if you adopt a local tax in excess of what you are given by the State. The effect of 3B 2458, is that it gives greater ability by local government to be responsive to the needs of the mentally ill, develop- mentally disabled, and substance abusers, via local channels that are closer to the needs and problems of the area. He further stated that the Association of Mental Health Authorities envisioned a growth of local pro - grow throughout the State, so that services are close to where they are needed, and provided for by people who best understand the conditions they serve. In answer to a question of Where the Bill in in legislation, Hr. Lockhart stated that the bill is still in Committee and amendments are very likely. It is expected that the Bill will not pass as it is now currently formulated. Ms. Weiss asked what happens if the community does not use all of its dollars? Mr. Lockhart responded that issue has never been considered before, however, he will take the issue back for exploration. leis. Graff asked if this House Bill would ensure that all services that were delivered in local aommunities were of high quality, and if standards for services were consistent? Mr. Lockhart responded that the Mental Health Code and other service standards would not change as a result of this legislation �3- This is basically a funding msobanism legislation. It resoves dooUlao making and oortrols frorl the state and puts them into the local governmental units. No. Hones asked when was the Bill introduced? Hr. Lockhart responded in 1985. However, it is only being studied in committee at this point. Mr. Weiss stated that there arc a great number of dollars going to state hospitals now. Therefore, ghat will happen to the patients and the away in the future under this bill? Hr. Lockhart responded that the scaler will be taken out of the hospital coat and administration and will be given to the ooamunities to contract back with State hospitals for its aervioes. The daily rate would be determined by local governmental entities. The number of hospital days and who would be bospitalised, would be determined locally. Mr. alias than asked what would happen if the local government doom not want to buy the state services, where will the mentally ill patients go? Ms. Graff than asked how you define residents of your locality? Mr. Lockhart replied that those were all escelleat questionns, and that it was a local responsibility to determine those issues. It is up to the local authority to determine where they want to buy the services, bow =nob services they would buy, and for whom they would buy those servioss. Mr. Via ss stated that be saw a problem with those oosdnities that do not want to take can of the mentally ill, developmentally disabled, and substance abusers, and refused therefore to enact this legislation or to provide the services, and therefore, shift the burden to surrounding communities. Mr. Lockhart said that those issues need to be explored further, and that this legislation, of oourse, as well as the system changes, would not take place for quite some time. Bowever, it has worked In Wisconsin and Miohigan. He stated that basically, this is a choice of status quo or moving forward. Alderman Ream asked if there was a chance of passages in 198T, and who backed it? Mr. tcek part responded that it is not expected to be passed In 1987, as the Bill has such work to be done, many amendments will be made. senator Rock of Oak Park backed it, and local officials to whose be has spoken backed it. Bowever, Representative John Dunn, Decatur, is the official sponsor. Ms. Graff responded that ahe was interested in the Wisconsin experience. Mr. Lockhart stated that be has a staff person exploring how the Wisoonsin experience is working, and that he will have additional information to be passed out to all 708 boards. (Michael Buren joined the Board at this time). No. Hanes thanked Mr. Lockhart for his presentation, and stated that the Board will be following this legislation and its development. -#- Mr. Jack Lynch bus been Introduced as a Mental Health Board somber. It is ezpected that bs Will join the Board at its February soetIn. Mr. Michael. Buren has been appointed Tioe-Chairman of the ltianstca !Mental Health Board to complete Mr. Lrtwickla tenure. A Committee will be appointed for seleoting new officers in the summer, and elections will take place June, 1946. Cttw N -- Servicsr tLe Me. woes stated that as a result of the request by the Mental '!Health Board to the ewman Services Comittee, a Sn an 9ervioe Plan will be developed. Tonight the Board will consider a process called Begotiated investsont strata", which was researched by Jeanne Fox, and will be preaeated to tbo Bean Services Committee on Monday, Jaau&ry 13, 1986. Me. Fox stated that the Department of Health and Busan Sernioes staff 'is coas:itted to the •welloeas model* of community plannir�. This model locks toward the future, irnolves Way people, and aims to tuna conflicts Into solutions. i Buman Sarvices Plan is necoum may for several reasons: to solicit consumer opinions of current service&; provide guidelines for Connoil decisions; to allocate declining resources more efficiently; and to bring together many resources is a timely manner. She staff recommmds that the Negotiated Investment Strategy (RS) metbod to develop a ilunaa Services Plan. This process will bring tog•tber three tease: !under&, providers, and consumers, to negotiate the plan. g mediator will facilitate the decision malting. after the plan is written, the public will review it and a monitoring process will be implemented. The steps in the NIS process are: 1. Prelialaary plaaatog by the Plante` Committee, which are made up of representatives of fenders, providers and consumers; 2. ftotiating the plan with the facilitator; 3. !reviewing the plan; t. Adapting it for use by the Unified Budgeting Panel and City Council. Ms. Foal warned that this process is very time conauaing, but the result is a oommuaity's own set of priorities and guidelines. Ms. Hones stated that she was pleased with this process because it would give a community plan to which all fenders will be able to relate, and the providers will have more ability to interact with the process. Mr. Buren asked what problems do we now have that this plan will help us to respond to? Na. Fox responded that the five different fenders of human services in the community: the United Way, the Community Development Block Grant, the Mental Health Board, the Township and the City's purchased services all have different priorities, and each sake their own funding decisions based on those priorities. The current process is fine when I= have consistently now reeourcest bomaver, with declining resources the System can easily be eroded without an agreed upon plan of services. Mt. burn stated that be realm that we do a good job In hitting the total oommunity's needs and we don't have a problem. This Is a significant change and we don't seen to have a need for it. Ma. Irox responded that this Daman Sarvioe Man will be such like the Capital Improvement Plan or the Ccmprebansive City-wide Plan that would provide guidelines for the City Council to mare decisions. Mr. wren asked w0ether the Council would give up decision making powers? Ms. foot responded that the City Council never guns up its decision making powers. However, with Suldolines provided and andorsed, tbey do seem to follow them. No. Fm responded that it is also intended that this be a win -win aitustim for all, and that the providers, consumers and the rwders having invented in the development of this plan, will be willing to abide by it. Mr. Vaiss staled that it was important that the wboie system is writing in tandem. It will break down if representatives aren't flexible and if oompromises leave someone out. Mr. Baren asked what is the a perienoe of other municipal- ities? Susan Austin, student from the Oniversity of Chicago, Social Sarvioe Administration, stated that she is researching this Isaac and has looked at several ooamunitles. Sbe will send more infbrmatim to the board. Mr. Buren stated that a negotiator which this experiewe is dependent upon is very costly. Me. !ox responded that three people have beet approached regarding being facilitators, and acts of tbem were arpensive because they were interested in having this axperienoe with the Evanston ty. Mr. Leggette asked where the authority comes from for doing this? Me. Pox responded that the Mental Health Hoard, last spring, had gone to the Human Services Committee and stated that there were three issues that needed to be addressed on a oosmunity pride basis: 1) the definition of Evanston residency, which has been tabled due to the City's letigation process; 2) the need for City -aide human services plan; 3) regional housing plan for mentally ill and developmentally disabled, which is now currently being staffed. Those three issues were endorsed by the canna Services Committee and given book to the Mental Health Board for implementation. The City Hinman Services staff and brought basic to the Susan Services Committee for its endorsement. This process is being looked at as a method to develop a plan. We are not wedded to the NUotiated Investment Strategy; however, we are wedded to the factors which were stated previously of involvement of consumers, providers, and funders together in developing a plan. Mr. Ream stated that this is a good idea, and will influence the Council's deoision. The Plan will provide guidelines. Ms. Graff asked if it would change the percentage of monies available for human services. Mr. Ream responded that this eras a tough question because raising the percentage of money for any category is very hard during these times. Mr. Heise stated that this process in not for that purpose. Ms. Fox responded that this is true. It is intended to provide guidelines to help make those choices to determine what can be reduced and what cannot be. . -6- Mie. Genes asked whether or not this OMW has been endorsed by the Nmen 3ervioea Committee? Ms. lox responded that the Huse 3ervioes C =lttee bed it an its agenda, however, it will not be considered until 1-13-66. Mr. Duren stated that be does not rant to approve it until be sees it working at a municipal level. Me. Graff stated that she would like to ses the so Is considered in the picture, Mr. bliss asked if we don't agree Mat happens? Ms. lox said that we wcule abort the process and tall back an ■ ocatingemay planning process because for this D13 to work, all onnstituents must be truly represented. Mr. Duren asked if this is like. sero based budgeting where all needs are looked at as fresb? No. Fax responded no. This process starts with values regarding what it is we mat the community to look like is a fw i►Mars 9 and using those values to develop a human services plan with priorities which will suede runding decisions. Me. Hanes then stated that this is a big change, and is not sure that it can be completed by the ocaing year. Mr. Assm questioned whether the time table was realistic. Discussion followed concerning the Mental 8ealth Board endorsement of the use of the R3 process in the development of a human services plan for the City of tvanston. Motions were made and vItbdrara about this issue. No. lock stated that we would be at the same point next year with de- deoliaing resources if no process for planning is endorsed. No. Soon asked to have a suboosmittee look into the process with Ms. lox. Me. Graff asked if there were other groups supporting this methodology. lie. Fox responded that other groups have not Dad a chance to meet. Ma. Benes stated that *be would volunteer to look into this, and also brigg back Duman Services Committee recommendations to the Board. Alderman Ream stated that be expects the Human Services Committee to endorse the concept and direct a long term planning process to begin. It is supported by the City Manager. Mr. Buren stated all are supportive of a plannin8 proaesa. Perhaps, however, not this process. Mr. Buren than reintroduced his motion that the Mental Health Board endorses the concept of human services planning and request staff to research the utilisation of 1I3 process for future decision regarding its application to Evanston. Alderman Ream seconded the motion. There was some discussion about the relationship between the HIS and the Unified Budgeting Panel. The concern was whether Unified Budgeting is the same as M and if so, should we begin the process concurrent with Unified Budgeting? Ms. Fox replied that united Way will not be included in NIS because the process will produce the City's plan. However, this plan will provide guidelines to help Unified Budgeting, but will not allocate specific funds. This plan should not deal with specific funding issues, but site a broad comprehensive vier of the Human 9ervioss needs in Evanston. -T- Me. Heass called for a vote. The motion passed T-li Graff abstaining. Mal awth Center The Mental Health Board reviewed its third quarter line item budgets and its need for transfer of some line item changes due to staff vacancies, and needs in other areas. Mr. Baron. moved that $59000 from 1302.102 (personnel oost) be transferred to 1502.229 (Other professional services) to pal' for part Lime, 20 bourlweek administrative assistant, Irene V gner, and (clerical help). The motion vas seoonded by inn Graff and passed nmanimously. Mr. Buren then moved that "00W from 1502.101 to 1503.515 for a Vukg Computer. The motion was seconded by Ann Graft. Mr. Wise asked why a VMS Computer? No. Fox explained that that was an administrative decision by the City Manager, to have all computers coning into the building to be hooked up with the main frame, which is a Vang. The total oast of the unit is $3,000 but with the booicups and telephone lines, the total cost for everything is $5,000. The printer is not included as there are several prints» in the building to which we can be connected. The motion passed unanimously. Letter from the Mental Bsalth Association The Mental Health Board considered a draft letter, requesting a joint signature by the Mental Health Board and the Mental Health Association in the solicitation of community member for support of the Mental Health Association. Me. Fox gave background as to why the Mental Health Association drafted this letter, stating that in review of the significant out by the Mental Health Board of the Mental Health ►ssociation an it is closing out its current fiscal year, it is necessary for a fund raising endeavor to take place immediately to make up the difference. No. Fox stated that since the Board had so strongly supported this agency and so reluctantly reduced its allocation, that perhaps it wanted to jointly sign a fund raising letter with the Mental Health Association. She further stated that this has policy implications whioh used to be discussed by the Board, and is a deviation from its previous policy. However, it is a unique agency that is not a member of United Way, does not receive funding from other City sources, and provides a service which is utilized by a vide range of human services. To sign a joint letter with an agency, however, does set a precedent which needs to be reviewed by the Board. Mr. Buren asked who composed the letter? Ms. Fox responded that the Mental Health Aasociation did. Mr. Buren stated that he thought that there were several areas that could be stated stronger in the letter, as he was in support of this mutual endeavor, and he gave suggestions for additions to the letter. Ms. GWf, however, stated that if we don't send it, we don't have to edit it. She had many concerns about this, even though she supports the organization. It particularly would be a precedent setting endeavor and would give other agencies the opportunity to use us also in a fund raising endeavor. Mr. Veins suggested that we formalize a standardized letter for all agencies for fund raising, that would not open us up to a special treatment charge. Mr. Leggette stated that he had trouble with the concept and he would like to see a more positive statement about the support of the Mental Health Hoard of all agencies rather than a particular agency. -a - Barbara Bedell-Nattias of the Mental Health Assooiation stated that the Mental Health Association always has a difficulty in raising fuadsf as they bavo an intangible product. MMowever, they serve all human service agmales with their volunteers. 3Mis urged the Board to at least yaks a statement that the reduction In funding is not an implied lack of endorsement of the agency. She believes that the Mental Health Board's action Mould aigaifloantly impact the ability of the Mental Health Association to seek rwds elaewbsre. Ms. Heoea questioned wbere would the Mental Health Board standardised letter go? Mr. wise stated that agencies am decide that. They can use the letter or the statammat scoording to their need. Aldermen Aesm stated that this is a good ageooy and valuable sad should be supported. Statement of general support is auffloient. Ms. Graff stated that they could have a seal of approval, it would be an indication of our approval. Mr. Wei" stated that he did not want the Board to be open to the charge of specialised treatment, and mated a statement that could be utilised by all agencies. Mr. Mlaren roved that we cosign the letter to help the Mental Health lasociation to fundraise. The notion failed for lack of a second. Mr. Yeiss roved that the staff create a stock formal paragraph that can be provided in this budget season to any agency so that they can use it is their fund raising efforta. Mir. Duren seconded the notion. Mr. Leggette clarified that he has no problem supporting this for this year only. The motion paved # yes, 3 Days. MM"l Health Center d !t for rx-!H=„1', Me. Bens than renewed the current status of the Mental Health Board budget as presented by the City Manager, and urged the Mental Health Hoard members. to lobby their City Council Members regarding the need for as assistant director position. issignamts for contacting lldermw were made. Me. Hines reviewed the Mental Health Hoard's priorities for staffing. The first level is assistant director, full time, with multiple skills and multiple responsibilities, who will enable the Board to continue its pro- active atanoe. The cost is $33,000 with fridge package. The second priority would be, if the first level is not possible, adainiatrative assistant, which is a !till time task oriented person who is responsible for Office management issues and helps to monitor contracts, however, this person will not be expected to have the skills necessary to problem solve and take initiative regarding system issues. The coat for this position is $23,000. The third option which was presented by staff would be a re- organization of the Department of Health and Human Services Staff to include a position in the Mental health Board's budget of a contraot monitor who would be responsible for all the contracts of the City purchased services and the Mental Health Board. Ms. Fox stated that this is currently being done, and has been done in the past, therefore, it would not be a major change. However, it is a major change in emphasis by the Dental Health Board. Thin position could also be a full time equivalent that could be contractual with no fringe package. It would be a major savings to the City. . . " 9' 1r. !oz stated that alms the Director of the Comaissioa on Aging is leavings the poteattal for redesigning two Department of Daalth and Omen 3ervioss start positions is being reviewed. This is a fall back position which we my need to ocrosider if monies are not available at the current level for both positions in the ooatng year's budget. Ms. Boom then thanked Jeanne Toak, Bweoutive Director of the Mental Maltb Board for the eaktrao diaary amount of work that she has been able to produce in the face of depleted staff. Other board sembers concurred. Daft Letter Ms. Beres reviewed last month's discussion about the Mental Swath board's oawern for mental health services to the indigent. Mr. Wise stated that this issue has been brought to our attention and we ought to go on record, and to remind the agency oared of its responai- bility. - Me. Belacn stated that she wanted clarification from the claimant re- garding this lame beoawe she has qualms about our need to respond to bear. say. Mr. Weis moved that we send a letter stating that we have bad a public co"lalat regarding an agency's service and that we would like to have it resolved by their investigation. Ms. Xeres stated that she would like'to see a draft of the letter with Mr . Veiss's intent. No. row stated that to her knowledge, the alledged incident has been reviewed through the different appeal systems of the agency, but due to confidentiality laws, the Infor a- tion cannot be released to the public. Motion passed 6-1. (Oraff noted no). 401Q.. Ms. Genes stated that our purchase service contracts, City and Mental Bealth board, were being reviewed by the City'* corporation lawyers to determine if they meet all of the City's nseds. She then stated that abe was appointing Janine .cones mW Lee Leggett* as a Suboommittee of the Mental osalth board to review our 1986-ST contracts, and to determine future contract parameters. No. Graff stated that a visit to Elgin was made by Me. Fear, Ms. Baleen, and Ms. Lerman, of the Zvanston tidgeview, to discuss the foreosio alleoU lase. the Director of tee Forensic program and amity Placement Staff as wall as the Grunts Coordinator, Ernie Nkrquez, were present. She stated that it was a valuable agwrieooe. The numbers of forensic olienta being released to the long tern care facilities in the community does not mean to be a current problem. Bowever, there are a number of Nanston residents wbo are released to their families; this can also be difficult. At this time there is the verbal agreement with Ridgeview, and American Plaza, to voluntarily not to Labe forensic clients until we can assess this problem further. Ms. Brow stated that Family Counseling Services is having their annual orientation meeting January 25th, and asked if a board member was able to attand. Ms. gaff said that she would go to represent the Hoard. She further stated that bylaws need to be reviewed and changed. Mr. Buren and No. chaff were appointed to the Committee to recommend changes is the by -lawn. jAIPurnment Mr. Leggett* moved that the meeting be adjourned. The motion w seconded by Mr. Yaiss. She action paled unanimously. The Board adjourned at 10:53 P.M. Respectfully submitted, J e M Fos VALSTON MMAL HEALTH HOARD MINMES T8OISDAY, FEBRUARY 13, 1986 (Minutes approved) 1VO DOM NEKIM Carol Hones, Chairperson; inn Graff, Janice Jones, PRDDM: Lee Leggette, Jack Lynch, Marcia Nelson and Dmvidscm•Deam DOIRD IDS ADSM: MLab"i Dairen and Gene Yeisa STAFF: . Joanne Foz, Irmo Vaguer, Merin Cobin, Robin Finnegan CmemOUff Sylvan Yiley, Mental Health Association of Z.amston, 11 01QlITIIRS: and 3m Mbersold, ACORN The meeting was called to order at 7:35 p.a. by Chairperson, Carol HMes. No. %ones weloamed Jack Lynch, the new Dowd somber, who told the Doat ebont himself. Be Is in banking; be had previously been a Mental aealth Association of Stanton Board member for 6 Years, and bas served as Treasurer and Vice President. Mir. Leggette moved that the minutes of January be approved as corrected pending agreement from mr. Yeiss. Ms. Nelson seconded the notion. The motion passed unanimously. Ms. Fox stated that the Assistant Director's position has been put bask in the City beet. If Suburban United Way Rinds the case manager for the boseleea for $12,000, this will enable the City's $12,000 to be re- allocated for human services. Decision will be made by 2-18-86 through the Unif ud Budgeting Process. Alderman Ream entered at 7:48 p.m. He stag that he will be watching opportunities for increasing human services funding. February 24th will be the final budget meeting with City Council. Purchase of Service Contract i Poliev Oui.delines Ms. Wegner reviewed the Mental health Board funding cycle and than reviewed the development of contracts for services. The Subcommittee of the Board on purchase service contracts, Leggetto and Jones, gave an overview of their work. Kr. Leggette gave an overview of the changes in contracts suggested by the City's Legal Department. Discussion followed of the Subeommittee'a reeoaaendattons. Ms. Jones amended recommendation 04 by adding "for their fiscal year*, and withdrew recommendation 05, (already covered by legal quality). Ms. .Tones moved with a second by Ms. Graff to approve recommendations #1 - 4 which are: -2- 1. Perfornsoco objectives will be requested frog a limited number of agencies in the 87-68 fiscal year as a pilot progrmm. Evaluation will occur at the end of this period and future use be dotermined. 2. The pilot project shall emphasise the joint venture aspect of staff and participating agencies working together to form objectives and measurement standards. 3. ill nearly funded agencies shall have performs=* objectives. The Mental Realth Board reserves the right to exclude them from t"s r quiremsat. #. Staff shall develop a aroaitWIM system which will offiolently trssk y@rsy objectivm/siotnal attainment of the" objectives for their fiscal years Ifs. fox reviewed the contract procedure form as it is now. Mr. Leggette suggested these obmages be tested in a pilot project with a limited number, of agencies. No. Graff moved with a second by No. Nolson that a pilot pro. jest be carried out far 6 months. Ms. Jones and Mr. Leggette will work with staff to evaluate pilot project. Vote: 7 ayes and 0 nay. no. !aa Save sm update an the development of a hump servioss plan. g"M Service* Comtittee andorsed the concept and appointed 2 members as re- presentatives for the Committee to plan the process. Staff have explored the Magotiated Investment Stratep (HIS) in other communication. The need for planning still exists, but the EIS model too time cans11-4n for the short-range. The Unified Budgeting Panel (U1BP) would be a natural group for beginning abort-reag• planing for !T '87-88. The hope is the Community Development Block Grant Committee will join UJBP process and that the U1BP will endorse the idea of a planning process in early March. It is thought that providers, consumers and an outside mediator would be involved in the process. Ms. Hanes called for volunteers to serve on both short and long- range planning groups. Board members are to oall her if interested. letter to 3vanston Hosvitak Ms. Oraff and fir. Leggette suggested changes in the letter. See attachment. Discussion followed. No. Jones moved to accept the letter as amended, seconded by Alderman Beam. Vote: 7-0. Letter to &aencies Me. Graff and Mr. Leggett* suggested changes in the letter. See attachment. Its. Graff moved that the letter be seat as changed, seconded by Alderman Ream. Vote: 7-0. r Recuest to Recreation Board On Behalf of Community ChronioallY Mentally Ill - Ms. Pox gave background, and reviewed her memo to the Mental Health Board. Ms. Graff moved with a second by Ms. Jones, that the Mental Health Board communicate directly with the Recreation Board to endorse and support the mainstreaming of mentally ill clients into the community. Vote: 6 ayes; 0 no; 1 abstain. .03- Ma. Fox sod Ms. Baca gave background concerning need for screening criteria, noting work already done by Me. Nelson and No. Graff. Ms. Mallon sowed that the Committee Met with the Legal Department. Mr. Lynob seconded the action. Vote 7-0. Mrs. Fax thanked Hoard members for attending budget hearings. Mr. L,ymeh attended the First step Program Open House. No. Omi'f visited lsaily Counseling sarvice and Nave an overview of their sarvioes . ' Me. Nelson attended the public hearing concerning Maryville neighbors and dCORM's small group horsing project. The Teen Leadership Conference will replace the annual Substance Abuse Spring Conference. Mr. Lai otte is the Board representative to the group sponsoring the Yea Leadership Conference and to the tvanston substance Abuse Prevention CMUnail. DIw Ribbon Homeless CgISk tee Mr. Lynch will be the Board representative. The Committee has not nos and is developing long and abort -range plans for the homeless. Ms. Fox is staff for the Committee. ¢ern and Learn Earn and Learn will be profiled on Channel Z this Sunday, 10:30 p.m. There was also an article in the February 13, 1986 v$ oton Review. Personnel Review Process All Hoard swbers are to fill out review forms. Mr. Loggette will aggregate them. Ms. Hensa, Ms. Graff and Mr. Leggette will discuss the findings. An executive sseaion will follow the Board meeting. The three Board members will then nest with No. Fox for follow-up and will share their findings with Mr. Asprooth. Forme should be sailed in by the end of the month. No. Tax broopt rp teat miantom have Decor very long. No. Jaoaa sotad twat traditional aimutar of aotioas and VOt.. takao and higbllOts WWAId be suffiaimt. Me. Graff aamownd. unn lot tmrr vIU be sent to Board mambars l w * ab*ad of time, and oamman" am be mued b"k. Thu Will sa m mooting time. As sreUM "Jars" at 32=3 P.m. laroeatlblly wbmitted, t .�..• �t % i91 .- • M. fox I EVANSTON MENTAL HEALTH BOARD MEETING MINUTES THURSDA?, MARCH 13, 1986 (Minutes approved) Members Present: Carol Bones, Michael Buren, Lee Leggetto, Gear Weiss, Jack Lynch, Ann Graff, Davidson Ream Members Absent: Janice Jones, Marcia Nelson Staff: Jeanne Fox, Robin Finnegan, Irene Wegner, Maria Cobin Guests: Carol Kimmel, League of Women Voters; Sue E'bersold, ACORN; Nancy Duke, Community Alternatives Unlimited The meetlzg was called to order at 7:40 p.m. by Chairperson, Carol Hones. Minutes Mr. Buren moved with a second by Mr. Leggette to approve the January minutes as corrected. The motion passed with a vote of 7-0. Mr. Buren moved with a second by Mr. Lynch to approve the February minutes as corrected. The motion passed with a vote of 7-0. Agency Presentation Joe Anna Sullivan, Mary McCarter and Hollis Settles of the Compre- hensive Drug Treatment Program joined the Mental Health Board. They shared the Drug Treatment program, goals and accomplishments, and pointed to how it needs to be funded and supported to stay strong. The Drug Treatment program is starting a youth program called *In Touch", which is funded by the State Department of Alcohol and Drug Abuse. No community money will be sought to fund this program; however, overhead cost for this program was made possible because of the funds coming into the agency. Reduction of funding by the Mental Health Hoard reduces flexibility of the agency to meet new needs and to plan youth services. Discussion ensued regarding rationale for reduction of funding, community priorities and how the agency will continue to provide services on limited funds. Unified Bud et Process Ms. Fox gave the background and an overview of the history of the Mental Health Board. She went into the background of the Unified Budgeting Process (UBP), its purpose, the funders involved and the funding cycle. She went into the status of human norvices planning at this stage then discussed common funding and human service priorities, as well as services to special target populations. A community needs assessment is being done. If there is a commitment to planning, the UBP panel will be asked to establish common funding priorities for the community. Discussion followed. Mental Health Board members were selected to go to the Monday UBP meeting. They are: Ms. Graff, Mr. Leggette, and Ms. Henes. S -2- Mental Health Board Funding Goals. Ob_fectives and Policies Ms. Henes explained the rationale for taking stock of where the Board is and where it is going. She suggested the Board go back to its original mandate, and see how it had been translated over the years into goals, objectives, activities, etc. Mir. Graff and tor. Buren are reviewing the administrative manual, and presented the work they have done so far on a mission statement and goals. Mr. Buren proposed each board member examine one goal in light of the pertinent materials handed out, and that they work on these iudepth at the April Board meeting. The Board agreed to do so. Goals assigned: #1 Mr. Weiss; 02 Ms. hones; #3 Ald. Ream; #4 Mr. Leggette; #5 Ms. Graff; #6 Mr. Buren; #7 tis. Jones. Informational Items Ms. Fox reviewed the history of the Regionalized Housing Plan Committee. She stated that a Regionalized Sousing Conference will be held Saturday, May 10, 1986. Ms. Fox asked the Board to be a co-sponsor. Ald. Ream so moved. Mr. Leggette seconded the motion. Discussion followed. Vote: Aye: 7; Nay: 0. Blue Ribbon Homeless Committee: A report was given by Jack Lynch, Mental Health Board representative who related events of the last three meetings. He stated the Committee is working on the development of a community plan for the homeless. Draft goals, objectives and policies will be ready soon for community review. Teen Leadership Conference The Annual Teen Substance Abuse Conference has been combined into a Teen Leadership Conference on 5-18-86. Lee Leggette is the Mental Health Board representative for planning for this conference. Mr. Buren moved with a second by Ald. Ream that the Mental Health Board co-sponsor this conference. Vote: Aye: 7; Nay: 0. Women in Mental Health Conference Ms. Finnegan gave an overview of the conference that came about as the result of the Mental Health Association initiation and planning based on a national report of the issue. Mr. Buren moved with a second by Ms. Graff that the Mental Health Board co-sponsor this conference. Vote: Aye: 7; - Nay: 0. Ms. Fox reminded the Board about Illinois Income Tax box for Mental Health Education. Ms. Fox informed the Board that purchase of service performance contracts will be done with Alliance for Mentally I11, Niles Township Sheltered Workshop, ACORN, Early Childhood Development Center, Drug Treatment Program and the North Shore Association for the Retarded. The meeting adjourned into executive session at 9:55 p.m. regarding a Personnel issue. Ald. Ream so moved. Hs. Graff seoonded. Aye: 7; Nay: 0. Respectfully submitted, J �eH. FdX 974 MINUTES EVANSTON MENTAL HEALTH BOARD MEETINGS April 10, 1986 (Minutes approved) Present: Carol Hones, Boatel Chairperson; Michael Buret:, Vice Chairperson; Members: Ann Graff, Janice Jones, Lee Leggette, Alderman Davidson Ream, Gone Weiss Absent: Marcia Nelson, Jack Lynch Staff: Joanne H. Fox, Irene Wagner, Robin Finnegan Quests: Susan Kilpatrick, Eve S. Adelman, candidates for Assistant Dirootor's position; Jim Kaufman, Mental Health Association of Evanston The meeting was called to order at 7:10 p.m. by Chairperson Hones. Coasiunity members were acknowledged. It was moved by Ms. Graff and seconded by Ms. Jones that the minutes of the March 13, 1986 meeting be approved as corrected. Vote! 5 ayes; 0 may. Informational I t etas : Teen Conference: Mav IOth Ms. Fox gave background information on this event. It will be held at Evanston Township High School and all Mental Health Board members are urged to attend. Date and time will be confirmed for the Board. A Symposium On Creating Housing for Peoole with Sneoial Needs: Saturday,. May loth. Hs. Hanes noted that the board is among the chief sponsors of this symposium. It is hoped that a network of concerned citizens will join together to expand housing options on the North Shore for people with special needs. The conference will be from 9:00 - 1:00 p.m., Saturday, May 313t, at the Evanston Civic Center. (Alderman Ream entered at 7:17 p.m.). Homeless Blue Ribbon Committee Ms. Fox reported that the Committee now has a draft of goals, objectives and policies. A public hearing will be held Wednesday, April 30th at the Civic Center. The possibility of ;testimony by the Mental Health Board was raised. Discussion followed. It was decided not to plan on giving testimony at this time. Recuest to Co-Soonsor Education Proxram Its. Fox presented a proposal from the dental Health Association of Evanston and the Alliance for the 'Ientally Ill of Greater Chicago to co- sponsor with tfiem a co=unity education program on mental illness in the fall. Included in the sp7nsorship mould be a financial donation of up to -2- $250.00. Mr. Jim Kaufman of the Mental Health Association of Evanston spoke of the qualifications of the speaker, Dr. Fuller Torrey. Additional background information will be forthcoming. Ms. Jones moved that the Mental Health Board financially support, up to $250.00, for a fall educational pro- grm on mental illness as a oo-sponsor with the Mental Health Association of Evanston and the Alliance for the Mentally Ill of Greater Chicago. The notion was seconded by Alderman Ream. Discussion followed. Vote: 6 ayes, 1 nay. JQ01rd Member Mews Ms. Jones was congratulated on her recent promotion to Interim Assistant Director of Personnel for School District 202. It was noted that No. Graff was named Chairperson of the Evanston Residential Crime Prevention Committee. Administrative Issues Ms. Ranee reported that Me. Jones and she along with staff had interviewed three candidates for the Assistant Director job. Two of the candidates were present. She stated that the Board will go into executive session to discuss these candidates. met Transfer Ms. Fox stated that in order to pay for contractual services during the vacancy of the Assistant Director, $4,300 needs to be transfered from 1502.101 Personnel to 1502.109 Temporary Salaries. Michael Buren moved, with a second by Alderman Davidson Ream to transfer $4,300 as requested. The motion passed unanimously. Mr. Buren moved that the Board move into executive session for the purpose of personnel discussion. Mr. Weiss seconded the notion. The Board moved into executive session at 7:40 p.m. The Board resumed its open session at 8:15 p.m. Review of Mission. Goals and Objectives Ms. Senes introduced the main focus of tonight's meeting. She explained what and why the Board is reviewing its structure and responsi- bilities. The process to be followed was reviewed. Mr. Buren introduced and contrasted the various concepts of a mission, goal, and objective. Discussion of these terms followed. It was agreed to use the definitions of these terms as given in Mr. Buren's handout. The Mental health Board goals were then discussed. Basically it Was agreed that the key goals are: 1. planning 2. insuring delivery of service 3. insure accountability of public funds 4. coordinate the network 5. advocacy -3- 6. provide community education. Activities and mandates of these goals were then listed via each board amber's assignment. Ms. Hanes summed up the goals thus far. Ms. Fox presented the present framework of how these goals are now administered. She discussed how the Mental Health Hoard system goals relate to the City budget process. (Mr. Leggette entered at 9:34 p.m.). Discussion then centered on Mental Health Board's goals, process goals, and systems goals. "(coal" terminology Was investigated and a search for oomoon vocabulary ensued. Ms. Fox agreed to prepare a statement for each of the 6 goals as she had done for the accountability (evaluation) goal. Me. Finnegan Will send a summation of undated and budget goals to Board members. Mr. bliss raised the issue of quality. It was decided that its proper place would be in the mission statement. Advooso-Y Letter Ms. Fox brought the Board's attention to the letter of advocacy concerning the hiring of a full time family therapist for the St. Francis OATBS program. It was noted that letters of this type are an example of Board direction to staff in the area of advocacy. Mr. Buren noted and appreciated the effort made by Mr. Leggette to attend the meeting. li3. genes thanked Mr. Buren for his guidance thorugh the meeting's process. She thanked Ms. Wagner for the chart work. Aldersan Ream moved to adjourn the meeting. Ms. Jones seconded the motion. The meeting was adjourned at 9:58 p.m. Respectfully subaitted, J &anne M. Fox MINUTES MENTAL HEALTH BOARD THURSDAY, MAY 8, 1986 7:30 p.m. (Minutes approved) Present: Corot Hones, Chairperson; Ann Graff, Janice Jones, Lee Leggette, Jack Lynch, Marcia Nelson, Alderman Davidson Ream, Gene Weiss Absent: Michael Buren Staff: Jeanne M. Fcoc, Harvey Saver, Irene Wegner, Robin Finnegan Cos>aun i ty Nw*ersI Nancy Duke, Co=unity Alternatives; Carol Kimmel, League of Iloman Voters. The meeting was called to order at 7:36 p.m. by Chairperson Carol Hanes. Ms. Hones Introduced Harvey Saver who will join the Mental Health Board as its Assistant Director on May 19th. Ms. Graff moved with a second by Ms. Jones to approve the minutes of the April 10, 1986 meeting as corrected. Vote: Aye: 6 Nay: 0. Ca rl ltx Presentation Nancy Duke, case manager for Community Alternatives Unlimited presented an overview of the agency to the Board. She stated that case - management Is a service for people who have a developmental dlsabiIIty and for their families. In the State of Illinois the term Developmentally Disabled refers to Individuals who have Mental Retardation, Autism, Cerebral Palsy and/or Epilepsy with occurred before the age of 18. The aim of casemanagement is to link consumers with the services they need. Without that linkage, consumers often feel that they are "being shuffled around, waiting in the wrong IIno, or getting caught In red tape." (Alderman Davidson Ream and Lee Leggette arrived at 7:40 p.m.). Casemanagement Involves a personal, one-to-one relationship between the casemanager and the person. Casemanagement is not Just a referral service: casemanagers develop a comprehensive service plan for each person. Then the casemanager identifies and IInks the person to the services they need such as: - a place to live - a place to go to school - work skills training - medical and learning evaluations - professional help In dealing with behavior problems - financial assistance through Social Security, Public Aid, the Illinois Department of Mental Health and Developmental Disabilities, or other Federal, State, and local agencies. -2- The office located at 2010 Dewey Is Community Alternatives of Northern Cook County. Its mission is to provide services supporting people who have mental and/or physical disabilities to better enable them to live, work, and thrive In their natural communities with Independence and dignity, Community Alternatives of Northern Cook County is a part of Community Alternatives Unlimited (CAU). It Is a private, not -for -profit organ IzatIon incorporated within the State of Illinois. CAU has been serving its consumers since AprlI of 1980. Regular hours are from 9- 500 Monday through Friday. However, evening and weekend appointments may be scheduled. A 24 hour answering machine is available for consumers to leave messages when offices are not open. CAU provides services through four _ programs: - Casemanagement services - Evaluation Services: provides program evaluation and systems level services such as the Human Rights Com- mittee and the Service Options Review Teams or SORT teams. - Community Resource Services: provides the Friendly Neighbor and the Able Volunteer Programs and identifies community services utilizing resource exchange networking. - Consortium Servlcest provides a mechanism that helps many agencies work cooperatively to better serve In- dividuals with developmental disabilities. CAU's present funding is from the Department of Mental Health and Developmental Disabilities. The caseload presently is 19 clients, of which 12 are Evanston residents. Ms. Duke hopes to expand to 45 clients by FY 187. Ms. Fox noted that a need for developmentally disabled case - :management services was Identified by the Evanston Mental Health Board three years ago and advocated for CAU to be established in the community when Northshore Association for the Retarded lost Its funding for casemanagement. It was asked If there were enough services to which to refer clients. Ms. Duke answered yes but that the challenges are linking a variety of services together and transportation for the developmentally dis- abled adult. She also noted that programming for the young adult Is greatly needed. Ms. Hones thanked Ms. Duke for her presentation. Ms. Hones requested that the Board address Informational items before working on the goal formations. Various questions and clarifications were requested concerning informational items In the "Administrative Issues" portion of the Mental Health Board packet. J -3- Additional Items brought to the Board's attention Included: Mr. Lynch reported on the 4-30-86 public forum. It was reported in the Evanston Review. He felt that the forum participants only presented one side of the issue. Ms. Nelson also attended the forum and concurred. Mr. Lynch stated that the Committee rill continue Its work on misslons/goals and that the whole Committee will decide by June 30th what their long and short term recommendations w111 be. The issue of requiring shelters which request city funding to apply for Unified budgeting will need to be explored. The Toen conference wlII be held on May 31st, 9:00 - 2:00 p.m. The Board was urged to attend this conference. Mr. leggette Is our nelson to this group. This conference replaces the annual Substance Abuse Conference. The Human Services Committee asked that a regionalized plan be developed to look at this issue. This symposium is hoped to be an Impetus toward a development of a Northshore coalition for_ the development of housing options for people with special needs. Ms. Fox gave an overview of the program. Everyone was urged to attend. Mr. Weiss attended one of the hearings and reported on It. He noted that the State sets the rates for day care and thus the budget bullds Itself. He noted that there are different qualities of programming. A now concern was identified - the issue of bonding in day care programs with mothers over age 30. Ms. Hones attended the ACORN open house. Ms. Fox reported on the grant negotiation process for community services with DMHDD and stated that DM DD Is moving toward purchase of service contracts Instead of grants. The amount of new monies available is limited to I%. Ms. Fox stated that we hope to have new Information on this budget soon. Ms. Graff noted that the 708 Report and Newsletter of the Association of Community Mental Health Authorities of Illlols was timely Information on legislative matters. She also stated that she thought It courageous of the Evanston Hospital Psychiatric Department to share Its minutes. She commended them for doing so. -4- Ms. Hones reviewed the work accomplished at the last Mental Health Board meeting. She noted the new goals and the outcomes of this process for the Mental Health Board are: we would be better educated, have a new manual and develop new funding decision guidelines. Each goal will be stated In terms of policy, objectives, and activities. She noted Ms. Fox's Inclusion of these material In the Mental Health Board packet. Ms. Jones, Ms. Nelson, and Mr. Leggette, will use these goals to propose funding guidelines and criteria with a process for decision making at the June Mental Health Board meting. The Board then reviewed each goal and made changes and added outcomes where appropriate asking Ms. Fox to Incorporate these changes in the final document. Ms. Graff and W. Buren hope to have a revised manual for review by the Board at the July meeting. The June meeting will be devoted to a discussion of funding guidelines and criteria with a process for funding decislons. Three counseling agencies will be asked to discuss with us in July their Individual and family counseling programs. Mr. Weiss suggested that a speaker with a'definition of what mental Illness Is and differentiation of the different types of mental illness oar to a future meeting. Beard Ms■brr News Ms. Jones shared with us her delight In being selected as one of the recipients of the Evanaston Township High School 1986 Teacher Excellence Award. The Board congratulated her on her award. The meeting was adjourned by Ms. Hones at 10:12 p.m. Respectfully submitted, Jeanne M. Fox MINUTES EVANSTON MENTAL HEALTH BOARD June 12. 1986 (Minutes approved) Presents Carol Hanes, Chairperson; Ann Graff, Janice Jones, Lee Loggette, Jack Lynch, Marcia Nelson, Alderman Davidson Roam Absent: Michael Buren, Gene Weiss Staffs Harvey Saver, Irene Wegner Community Members: Ron Rozensky, Karen DeCola. Evanston Hospital; Muriel Goodfriend, John J. Roploquet, Family Counseling Service Evanston and Skokie Valley; Jim Stavish, Niles Township Sheltered Workshop; Nancy Duke, Joanell Volght, Com- munity Alternatives; Delores A. Holmes, Family Focus; Claire McCarthy Peterson, Mental Health Association of Evanston; Helene Lome, First Step; Diane Goodson, Ph.D., Early Childhood Development Center; Kathy Swanson, Code County Legal Assistance Foundation; Allce Kreiman, Richard J. Welland, Project Earn and Learn; JoeAnne Sullivan, Evanston Comprehensive Drug Treatment Program; Janine Knops, ACORN; Ray Ganey, St. Francis Hospital Adult & Child Guidance Center The meeting was called to order at 7:40 by Chairperson Henes. She reviewed the agenda and asked for community members to Introduce themselves. Ms. Hones then noted Ms. Fox's absence due to the recent death of her mother, and the presence of Mr. Harvey Saver, new Assistant Director of the Mental Health Board. lis. Henes recognized the three Mental Health Board Interns who have Worked as staff this past year. She described their work accomplishments and presented Robin Finnegan and Irene Wegner, Roosevelt University Interns with plaques. Intern Maria Cobin was absent because of Illness. Mr. Leggette moved that the minutes be approved as recorded. its. Graff seconded the motion. Vote: 5 ayes; 0 - nay. The minutes were approved. (Alderman Ream entered at 7:48 p.m.). Ms. Henes noted that the Mental Health Board heard a presentation about Community Alternatives Unlimited (CAU) at the iaay meeting. Agency repre- sentatives declined to add additional information and Ms. Henes asked for Board questions. Ms. Graff asked if other community agencles provide case management services similar to CAU. Various agency representatives responded. (Mr. Lynch entered at 7:50 p.m.). Joanell Volght, Executive Director of CAU noted the distinction between inter and Intra-agency help. All concurred that there are different types and levels of case management. -2- Ms. Nelson moved that the Mental Health Board not encourage this agency to submit a budget to the Unifled Budgeting Process. Ms. Graff seconded the motion. Discussion followed. The vote was 5 - ayes, 2 - nays. The Board therefore suggests that CAU not apply for funding. Ms. Hones gave an overview of the process thus far. She stated that the Funding Committee has met and will share their progress with the Board. The agencies were requested to attend tonight to give testimony on this Issue. Ten agencies gave testimony. They included: 1. John Ropiquet, Family Counseling of Evanston 2. Jim Stavish, Niles Township Sheltered Workshop 3. Ray Goney. St. Francis 4, Alberta Porges, 4 C's S. Rick Welland, Alice Kreleman, Project Earn and Learn 6. Jonelle Volght, Community Alternatives 7. Ron Rozensky, Evanston Hospital S. Jerry Gulley, North Shore Association for the Retarded 9. Diane Goodson, Early Childhood Development Center 10. Janine Knopps, ACORN Ms. Hanes summarized their comments noting trends expressed by the providers. These include: I) importance of continuity of service to the community; 2) concern for funding new, experimental programs when It involves cutting established, proven agencies; 3) criteria should be con- sistent over time; 4) Board should consider taxing at Its maximum amount; 5) the Board should curtall spending money on programs that are not specifically mental health services; 6) provide staff assistance in locating, applying for and supporting applications for new grants for the agencies. Written testimony was submitted from both St. Francis and Evanston Hospital. Ms. Nelson then gave a report of the Funding Committee consisting of Ms. Nelson, Ms. Jones, and Mr. Leggette. The Committee presented two options to the Board: 1) The Board can fund exactly as last year based on the assumption that there Is no increase in available funds or 2) make decisions on rank/service areas In accord with funding criteria. Ms. Nelson distributed a funding criteria grid. The Board was asked If It wanted to consider option one. Discussion followed. The consensus of the Board was that it would like to consider option two. In using option two the Board would Individually rank criteria and service areas and then have a basis for discussion. in-depth discussion followed. Service priorities from last year have been re -ordered by the Sub -committee. They are: 1) Community Mental Health System management; 2) Crisis Mangement; 3) Growth services; 4) Sustenance services; 5) Primary prevention services for individuals. -3- As discussion evolved It was noted that a weighted system would be used. Mr. Lynch noted that there were really two groups of ranking criteria: 1) those that could be ranked before hearing the agency presentation and 2) criteria that could be ranked after hearing the agency. W. Saver noted that some criteria could be ranked under both service and provider categories. These categories Includeds Service priority Mead Evanston resident Priority clients Unique service Impact of funding on unity Cost-effectiveness Quality of program Service Provider Funding sources Match S Contract compliance Other service providers The Board agreed to use this process. They will Individually rank the funding criteria with a weight of 1-10. It wrz agreed that the Committee would take the grid and devise a blueprint for the Board's use. The Committee wlII send the grid and suggestions to the Board. Mr. Lynch asked to be Included In this process. Ms. Hones reviewed the Unified Budgeting Process (UBP) format changes. She asked the Board for consensus on the memo outlining the process changes. Concerns about the process were discussed. The Board agreed to recommend that no agency be heard on the last Thursday night before the Saturday discussion session. The Board further requested a time extension in filling out the Human Services ranking form as they felt they needed to decide on their own priorities first, and that they needed additional data about incidence and levels of need for the Board's mandated populations In order to rank the services. Ms. Graff stated she would like a time limit to be set for staff time devoted to the Kumar Service Plan, and that It be pro- portlonate to other duties. Ms. Henes reviewed the Individual and family counseling services available to Evanstonians. Because these providers have been requested to attend the July Mental Health Board meeting, Ms. Henes requested questions from the Board that the providers would be ready to discuss. Suggestions for questions to be Included were: Il What are their referral sources? 2) Where do their clients live: long term care facilities or family households? 3) How do they evaluate their agency? 4) How do they measure outcomes? 5) What type of Internal quality control measures do they use? 6) Now much communication and coordination Is there between the 3 agencies? 7) what needs do their programs address? 8) Is there a duplication of clients? 9) What +rends do they see occurring? 10) Is there a possibility of specialization? min Mr. Saver was requested to devise a process for obtaining this Information, discussion followed concerning this presentation as compared to 4BP presentations. It was decided to give the agencies mtmaximum flexibility in answering these questions. Electlan of.Officera Ms. Jones, Chair of the Nominating Committee presented the following Slate of offlcers for the next year: Chairperson: Ms. Carol Hones Vice -Chairperson: Mr. Lee Leggette Additional names for both positions were requested by Ms. Jones. Hearing none she requested a white ballot for both positions. Mr. Lynch moved and Ms. Graff seconded a white ballot. The slate was approved by acclamation. AUgUtit Heat I nQ Ms. Hones suggested an orientation meeting for August that would deal with the administrative manual draft, and a discussion about staff res- ponslblllties and activities In the areas of the Board's goals. The Board concurred. The meting will be Thursday, August 14, 1986 at 7:30 p.m. Informational items. Ms. Graff and Mr. Buren are working on the goals and will present a report at the August meeting. TeBn Can farenee Mr. Leggette reported that the Teen Conference was a success. It was unique because of the community support. The Teen Committee will continue to meet in some form. Attendance at the conference Included 265 students. Mr. Saver noted that many of the teens came with their parents. Housing Symsos l uM Ms. Hones reported that the Symposium was well attended and that positive evaluations were being received. The Evanston Regional Housing Committee has since met and has decided that community based coalitions were needed. However, the followup meeting for this group was not successful. They will therefore ask surrounding municipalities to appoint members. Rlua Ribbon Ho melass Commmittee Mr. Lynch reported that there will be a public forum Monday, June 16, 1986 at 7:30 p.m. Summary copies of the entire plan will be available In the City Clerk's Office. The Committee will hold a final meeting on June 18th to finalize its recommendations for the Aldermen. -'5- Month Sham Assnlatfai for +he Retarded Annual MastIna Alderman Rom reported that he had attended this meeting Sunday, June 8th. The focus of the meeting was the proposed budget of the Illinois Department of Mental Health. Representative Woods Bowman was at the meeting to hear the testimony given by Alderman Ream and others concerning these budget cuts. Representative Bowman told the group he would try to maintain the present spending level determined by the Senate and mould try to restore cuts. Far enair- C�� i ttme S atli'.LfllilAart Ms. Nelson reviewed the present agreements we have with long term care facilities and Elgin State Hospital. We have a legal opinion on screening criteria. The Committee wishes to meet with Mark Schneider for a pro- fessional viewpoint of this Issue. Ms. Graff noted that she had attended a People, Environment, and Programs (PEP) meeting concerning "Crime and the Mentally ill: What are the Facts." Executive Qirmc-tor+s_Ranart Ms. Hones distributed a report from Ms. Fox that related the staff work done during the month of May in relatlon to the Mental Health Board goals. The Board agreed to make a donation to the American Cancer Society in memm y of Ms. Fox's mother who died on Friday, June 6th. Ms. Hones commended Mr. Saver for his yeoman duty as a new employee during this most hectic month. The meeting was adjourned at IOs4O p.m. Respectfully submitted, Harvey Saver EVANSTON MENTAL HEALTH BOARD MEETING MINUTES Thursday, July 10, 1996 (Minutes approved) Members Pressatt Michael Buren, Ann Graff, Carol Hanes, Janice Jonas,, Lealre Leggetto, Jack Lynch, Marcia Nelson, Aid. Davidson Ream, Dr. Gene Weiss Staf f t Jeanne Fcoc, Harvey Saver Gusstst Ray Caney, (St. Francis Hospital Adult and Child 6uldence Center)= John Buckley, Jane Berlin, Fannie Weingartner, (Family Counseling Service of Evanston and Skokie Valley)j Helen Lae, (First Step, Miles Township Sheltered Workshop)j Mary McMahon, Georgette LePage, Nancy Jensen, John Sozoday, Donald Spitzer -Cahn, Ron Razensky, Lynn Barnett, Karen DeCols, (Evanston Hospltal, Department of Psychiatry). The meeting was called to order at 7:33 p.m. by Chairperson Carol Hens. She reviewed the agenda, and welcomed Jeanne Fox back from her well -deserved vacation. ntrndu-t l on O�ty Cnm■enti Ms. Hones expressed the Board's congratulations to Gene Weiss at the recent birth of his daughter. A thank you note was read from Maria Cob i n to the Board, express I ng appreciation for the support during her student internship. Jerry Gulley, director of North Shore Association for the Retarded, sent a thank you letter to the Board for their support and Davidson Ream's testimony at the Town meeting about the State Department of Mental Health and Developmental Disabilities budget. Ms. Fox thanked the Board members for their donation to the Cancer Society and expression of sympathy due to the death of her mother. 11. Mlnutas of Junk, 12. 1986 Ms. Graff moved to approve the June minutes as corrected. The motion passed with a vote of 8-0. iI1. Dialogue with QQU nse11ng SarYlcs Agencies Ray Ganey, St. Francis Hospital Adult b Child Guidance Center, Ron Rozensky, Director of Outpatient Psychiatry, Evanston Hospital and John Buckiey, Family Counseling Services of Evanston and Skokie Valley, ,joined the Mental Health Board. Ms. Hanes expressed the Board's interests and purpose in discussing Issues related to counseling services. W2- Mr. Rozensky explained that Evanston Hospital's clinical programs have grown along with the mental health needs of the community. Total outpatient psychiatric procedures sore than doubled from January, 1984 to May, 1986. The Outpatient Center recently added 3 full time staff due to an increased caseload. (AlI the program management staff were Introduced). The Outpatient Psychiatry Center of the Department of Psychiatry provides a comprehensive range of mental health services to the Evanston caimrunity. Services offered Include emergency/crisis intervention, psychotherapy for high risk individuals as well as those coping with "problems In ilving", and extended care services for those in need of psychotropic medication, supportive psychotherapy and/or care management. Professional staff members also provide educational and ci inical consultation to public and private agencies in our community. He described the following servicess A. Crisis Intervention and Referal Services The Crisis Team provides emergency mental health services 24 hours a day, seven days a week. immediate ln-person caunsellag, emergency room consultation, and telephone "hot line" services re avaialble. Referral questions pertaining to choosing a psychotherapist or other human services agency are answered. Crisis provides back up on Meek ends and after hours for 12 other community programs. B. Psychotherapy Services The Outpatient psychiatric Center provides Individual, group, family, and marital/couples psychotherapy. Specialists in adult, adolescent, and child psyyhotherapy are on staff. Group psychotherapy programs are available for adolescents, young adults, adults, and older adults coping with am! tonal and developmental Issues across the age ranges. Psycho- logical, Intellectual, and neuropsychological assessments are available along with psychiatric evaluations. C. Extended Care Extended care program Includes a ride range of psychiatric services such as psychopharmacologica] treatment, supportive psychotherapy, and case management. Special clinics are available for the assessment and treatment of manic-depressive disorders and schizophrenia. information was highlighted from a manual which was distributed: 40% of medical social work clients are low Income; approximately $273,000 of free care is provided to Evanston residents; psychiatric services have been extended to geriatric clients; a new position has been funnded In Sustaining Care for the chronic mentally Ili; the ACCESS Programs has proven to be successful, and has received additional funding for a new position. Mr. Rozensky described Qualtly Assurance forams and activities, and Indicated that all Individuals completing outpatient treatment complete a satisfaction survey. -3- Me. Hanes asked why there was such an increase in utilization rate? Dr. Rozensky stated that this was due to greater accuracy In statistical reporting, greater availability of staff to the community, +sate education of community professionals, and staff activity in reaching out for referrals. Mr. Buren requested responses to questions the Board circulated prior to the meeting. Dr. iozensky stated that the majority of services provided we other, -than crisis. The community's most critical mental health needs are crisis services and services for acute high risk cases. The major gaps In service are for primary prevention counseling,, and ambulatory drug end alcohol counseling (especially for dual dlognoeis). (Dow Ream joined the meeting at a s i 0 ) Mr. Ganey of St. Francis Adult and Child Guidance Center Indicated that he was presenting from the perspective of programs which focus upon the mental health needs of the largest group of people In the cormun I tys the middle class and the working poor who cannot afford private treatment. St. Francis Hospital Adult. and Child Guidance Center's (ACOC) largest client group we people who are unsatisfied with and unrealized In their potential. ACOC has a contract with Evanston's office of General Assistance, working together on some cases, to evaluate work skills. Much of ACOC work is focused upon meeting basic human needs before working on emiotional and psychiatric problems, e.g., advocating for housing and food for families. Growth programs are provided for children -ate -risk, behaviorally disturbed and a large number of single parent families. Groups are run for children from II-13 years and 14 - 16 years. Low Income and working poor need help with drug and alcohol problems. Because the programs are hospital -based, they have some ability to generate Income. They are trying to reestablish relationships with an HMO; 7 - 10$ of families are reimbursable from insurance. Low income clients are 73$ of the Evanston residents served. Services provided are the backbone for any mental health program in the communityi family counseling to keep families together; counseling for kids with behavioral disorders; counseling to keep kids in school; support for people with mild problems. They use three Quality Assurance measures; attempt to assign case within 7 days; patient response form sent to every other closed Case (25$ are returned); program managers assess degree to which a person Is helped for every closed case. Mr. Buckley passed out a new, descriptive programs brochure. His presentation focused upon their individual and family counseling programs. These are generally short term, for IQ or fewer sessions; some are longer. Their clients don't have as much access to Insurance payments for counseling. There is a psychiatrist on staff, to consult with the counselors and therapists, and to carry an occassionai client load. while Family Counseling Service Is not a crisis agency, if they are approached for help they see the client as in -crisis. They have recently developed a waiting list, but they try to respond within 2-3 weeks. In addition to paid staff, they have 3 part-time volunteer professionals. Primary referral sources are schools, self -referrals and friends. Their major emphasis is planned short-term treatment. A new trend in cases is people with long- term chronic Illnesses who cone In at the time the disease Is diagnosed. Increasingly, clients are foreign -born, have problems with alcohol and substance abuse, and need basic advocacy and case management to deal with "the system". They see a wide range of family and life-style types; primarily seeing domiciles# individuals, with some folks from the Ridgeview. -4- Quality Assurance begins with the hiring proms; there is a regular re- vive of records, and clients are Included In an assessment of progress (Evaluation and assessment forms were distributed). They have ex- perlenced an Increase in Intake, and a 3-4 week waiting Ilst. Last year's Mental Health Board funding cut has meant that Family Counseling Service has not been able to provide any staff salary Increases. There Is a steteslde concern being expressed for a loss of local support for family and Individual counseling services. These dollars are the backbone of support for these services. Foundations are not interested because they we looking for programs in a *trendy area*, something new. This leaves the agency in a position of not serving clients. Family Counseling Service still sees meny people who do not rent to go into a hospital based program. In response to a question about areas where the 3 agencies* services overlap, W. Garrey Indicated that while one person might rely upon programs in several agencies, they would not be receiving the same service in 2 places. W. Rozensky sold that there was a large area of overlap In counseling programs, but that specialized programs would show up *around the edges* of the overlapping areas. Mr. Buckley said that all 3 agencies may provide similar services, but they we doing It for different people. While 2 agencies, may be seeing the same family, they are not doing the same thing. Mr. Buren suggested It might be useful, In the future, to develop a schematic of Interlocking circles to show where the counseling agencies overlap and what "specialized" services are provided. All 3 presentors indicated growing waiting lists. Right now, there Is an Increased need for advocacy for basic needs in conjunction with counseling. If growth services were not funded or provided, the Individuals not served would become future crisis cases, i.e., more families in distress, more people seen in emergency rooms and by police. All agreed that, if one agency were severely cut back or closed down, the other agencies would need more funding to pick up the additional caseload. V. FUnding G, I el i nes and Cr j±r I a for ! 987-88 and Bdget Process Mr. Lynch explained the Funding Guidelines Committee's recommendations for developing funding priorities. He presented a methodology which included several rating corponents and weighting factors. These would result In rankings for service areas and for programs, and would give a relationship between an agency program and its Impact upon Mental Health Board service priority areas. Ms. Graff suggested that measures for number of procedures, number of people seen for W times, etc., be considered as factors under program effectiveness. All factors should be able to be measured. Mr. Weiss suggested that the total ranking could be useful In he:ping to make funding decisions. -5- Mr. Buren sold that the proposed system seemed to hang together. Mhlle the ranking could provide direction, the Mental Health Board wlII stlII need to exercise professional judgement and discretion In making funding de- clsions. The C =Ittee was asked to fine tune the Iist of service areas and welghtings, and do a simulation with 3 program from last year's Unified Budgeting Program Information to sae her the model works. No. Graff asked for clearer, more Individual deflnitlons for service areas, and consistency In the ray each service area/servlce population is described. a= :,. ... - Bylaws and Administrative Manuals Ms. Graff Indicated that a first draft rill be available for review at the August meeting. Forensic Issue: Ms. Graff and Ms. Nelson not with Marc Schneider, psychologist, to get a professional perspective from someone who is seeing the strengths and weaknesses of the system. Research will be done about what other communities are doing. - Unifiad Budget Panel: Mr. Leggette rev Iowed the Unified Budgeting Panel meeting and discussed the Panel's concern that the Mental Health Board did not choose to rank service priorities In the pro- posed format. Changes were made in the previously distributed calendar: Thursday, October 30 Mental Health Board meeting to direct Board representatives for their parti- cipation In the Unlfled Budgeting funding decisions. Monday. November 24 Human Services Committee to hear Mental Health Board funding recommendations. ISM MMISTIM17-1 Ms. Fox discussed the Blue Ribbon Committee's referrer to the Mental Health Board. The item wlII be forwarded by City Council to the Mental Health Board for implementation once the plan is accepted. 1 . ■n - .i1 - M.fZ Regionalized Housing Plan Committee. Ms. Foot will no longer staff the Committee. This responsIbiIIty will be turned over to Housing Commission staff person, Laurel Talkington. - Report to Recreation Board. Irene Wegner presented an analysis to the Evanston Recreation Department of what other communities Recreation Boards are doing for people with special needs. Ms. Foot indicated that the Recreation Board will continue to discuss this issue. Director/Staf t Paporting For et. The Board asked that the Director continua to provide estlo tes of her staff time Is being utilized, broken down by staff positlon. August Board meeting. Items for the sieeting rill Includes discussion with staff about work activities related to Mental Health Board goals; review of odolnlstrativo eanualj funding cr i ter I a. Me. Fac will also present Information about the dewlopmrnt Of the City Budget, and will need direction for Mental Health Board staff involvement in the budget building process. Meeting adjourned at Iasis p.m. Respectfully subsitted, IgVe Fax 9=ut!l1v4;* Director MINUTES EVANSTON MENTAL HEALTH BOARD Thursday, August 14. 1986 (Minutes approved) Present: Carol Henes, Chairperson; Ann Graff, Janice Jones, Lee Leggette, Jack Lynch, Marcia Nelson, Ald. Davidson Ream, Gene Weiss Absent: Michael Buren Staff: Jeanne Fox, Harvey Saver Community Fran Bukrey, School District 65• Sue Ebersold, ACORN; Members: Angela Schwartz, Mental Health Association of Evanston Special Guests: Joel Asprooth, City Manager; Bruce Zimmerman, Aset. City Manager The meeting was called to order at 7:00 p.m. by Chairperson Henes. She reviewed the evening's agenda and asked for community members to introduce themselves. I. Minutes of July 10, 1986 Meeting Ms. Graff moved that the minutes of the July 10, 1986 meeting be approved with corrections. Mr. Lynch seconded the motion. Vote: 8 ayes; 0 nays. The minutes were approved as corrected. II. City Budget Process Chairperson Henes invited the City Manager, Joel Asprooth, and the Assistant City Manager, Bruce Zimmerman, to join the Board to discuss the role of the Mental Health Board and its staff in the process of developing the City budget. Mr. Asprooth thanked the Board for the opportunity to speak about the budget process with them. He emphasized his wanting open communications with all the City's boards and commissions in developing 1987-88 budget priorities and options. The budget process begins in June, when staff estimate non - property tax revenues, costs for a continuation budget and capital equipment costs for the coming budget year. Discussion and materials were presented about revenue and expenditures forecasts. City Council is making a one-time, S.5 million increase in the property tax levy to partially cover the anticipated loss of Revenue Sharing. This will still leave a projected $800,000 short -fall in the 1987-88 budget. As a result, each Board and budget group was being asked to develop a list of options for possible budget cuts totalling 10% of last year's appropria- tion. Mr. Asprooth indicated that, in the end, City Council would make all decisions about which options would be accepted. The City anticipates needing to discontinue some programs, or program aspects, given the current projected deficit. Mr. Asprooth said that he would not submit any budget options to Council for the Mental Health Board budget which were not approved by the Board. The Mental Health Board staff will - 2 - be involved in the budget development process through work with other program area staff (Health, Human Relations, Aging). They will be asked to assign program priorities to all areas which are funded. Mr. Asprooth responded to questions from the Hoard: (3. Will Council consider recommendations for each funded purchase of ser- vice agency outside of the Unified Budget Process (UBP)? A. The City Council process precedes UBP. The MHB will define, in their budget, what an "option" is for consideration for being cut, based upon Board priorities. Council will consider submitted options from all departments and boards. The MHB's guidelines would be very adapt- able to the City's budget process and criteria. S. The budget process puts the MRB in an awkward position as the City's advocate for mental health needs. A. The conflict is clear and understood, but it is the same position for everybody who is delivering services to Evanston residents. 4. What will happen if the MiB does not send anything as an "option"? A. While it is hoped that everyone will cooperate, at some point the Hunan Services Committee will have to decide what to do about this type of problem. The budget recommendations for the Mental Health Board ultimately come from the Human Services Committee. The budget development process will not be one-way. City Council members may also suggest options to be considered and evaluated by staff. (Chairperson Henes deferred discussion about the Board's recommenda- tions until after consideration of the Board's funding guidelines later in the meeting.) 111. Community Comment Angela Schwartz extended an invitation from the Mental Health Association of Evanston to their September 18, 1986 meeting. There will be a special presentation on problems of tardive dyskinesia. Rosalyn Carter will be speaking at their November meeting. More information will be provided. 1V. Funding Guidelines Ms. Nelson and Mr. Lynch led a discussion about the report and model for Lund -making decisions from the Funding Guidelines Committee. This included a revised list of service categories, a rank ordering of community services priorities and two assessment scales to evaluate agency programs. Mr. Weiss asked for clarification about where prevention programs would be located in the service area/mandated popula 0 on categories. Ms. Nelson indicated that any programs in this area would be categorized under high risk. Mr. Leggette and Mr. Weiss both expressed concern that there be room for some open-ended, unstructured, response from Board members. Concern was - 3 - also expressed that the final program score be only one component in the considerations made about program funding. Ms. Graff moved that the MHB adopt the framework and weighted ranking for developing mental health service priorities for Evanston (Items 1.2 and 3 in the Committee packet). She clarified that the definition of "high risk" would include emotional problems and prevention for those groups which did not fall under other mandated populations. Ms. Nelson seconded the motion; motion passed by a vote of 7 ayes, 1 nay. The Board considered staff recommendations for the assignment of agency programs to service area/mandated population categories for the purposes of developing final program scores. Recommendations were based upon program descriptions from 1986--87 funding proposals. Discussion was held about individual program assignments. Mr. Lynch moved acceptance of the program assignments; Mr. Ream seconded the motion. The program assign- ments were accepted unanimously. Mr. Lynch moved that the Board adopt the Quantitative Program Assessment scale, as revised. Ms. Jones seconded the motion; motion passed unani- mously. Discussion about the Qualitative Program Assessment scale included a change in the name to Board Program Assessment; changing the weight of the Responsiveness category to 50%; and addition of a criterion related to ongoing supervision and training of staff. Mr. Lynch moved that the Board Program Assessment scale be adopted. Ms. Jones seconded the motion; motion passed unanimously. Ms. Henes led a discussion about the different ways in which the newly adopted model could be used for making funding decisions. It was agreed that the scores would be used as a tool in making decisions. The Board agreed to use the following weighting to develop a final program score: Service Area/Mandated Population - 30%; Quantitative Program Assessment - 20%; Board Program Assessment - 50%. 11. (Continued) City Budget Process The Board discussed several alternatives in responding to Mr. Asprooth's request for budget options to be submitted from the MHB budget. After consideration of the impact of recently announced State budget cuts, which would affect purchase of service agencies, the MHB unanimously agreed that they could not recommend, at this time, any further budget reductions for community mental health services and requested that staff prepare a draft memo to Mr. Asprooth for consideration at the September Board meeting. V. Admininstrative Issues Ms. Fox announced that an additional MHB. meeting was scheduled for Tuesday, October 14, to hear funding proposals from Alliance for the Mentally 111, Mental Health Association and Early Childhood Development Center. Staff will develop a form for the Board to gather information about the new program assessment items from agency budget hearings. Ms. Fox discussed problems with collecting accurate and comparable data - 4 - from agency accountability forms. Work is being done with those agencies which are providing data inaccurately, or are having problems with the accountability forms. No monthly payments are being processed unless the accountability forms have been submitted. Ms. Graff moved that the MHB should continue to insist upon timely and accurate information, as spelled out in the agency contracts, and that processing of vouchers be tied to the submittal of monthly data. Ms. Nelson seconded the motion; motion passed unanimously. VI. other Business Chairperson Renee thanked the Funding Guidelines Committee for all of their work and extra meetings over a four month period to refine the Board's decision -making tool for funding decisions. She also thanked all of the Board members for the time spent in contacts with community agencies. Ms. Jones and Mr. Weiss announced that they would be unable to attend the September meeting. Meeting adjourned at 11:00 p.m. REspectfully submitted, 4cuti ne M.Fox ve Director, MRB EVANSTON MENTAL HEALTH BOARD MINUTES OF MEETING September 11, 1986 (Minutes Approved) Present: Carol Dienes (Chairperson), ;-ilchael Buren, Alderman Davidson Ream, Jack Lynch, Marcia Nelson, Ann Graff, Lee Leggette Absent: Janice Jones, Gene Weiss Staff: Jeanne Fox, Harvey Saver, Eric Carpenter Community Representatives: Lonnie Wiebe, ACORN; Rick Weiland, Project Earn and Learn; Helene Lome, First Step/Niles Township Sheltered workshop Meeting called to order at 7:40 p.m. Carol Henes asked community representatives to Introduce themselves. Jeanne Fox introduced Eric Carpenter, a student from Roosevelt University, who will be working with the Board through the academic year. II. Minutes of Aucust__14, 198E Mr. Leggette moved to accept the minutes of August 14, 1986 as they were delivered to the Board. Mr. Lynch seconded. Motion passed: 7 ayes, 0 nos. Ill. Infor atlonal Items > Regional dousing Plan Ms. Fox reported that the Regional Housing Plan Is In process of being written by staff or the Housing Commisslon. It wlII be presented to the Board at a future date. > Unified Budgeting Process Schedule Ms. Penes reported that one person was sti11 needed to represent the Board at the November 8 final meeting for UBP. She requested those Individuals who were not scheduled for that meeting to check their calendars and let her know if they might -be able to attend. > Letter fro;-, ifanue l I s qu i erdo ids. Fox reviewed the request for a staff person from the Mental Health Board to coord;nete all mental health -related teen Issues in the City. The ;Board recommended that Gene Pl'e€ss and Staff meet with I•Ianuel Isquierdc and youth agency directors to Clscuss what would be ? +c re;.o-; c1 +fie 4c4'cbr3- -2- I V. The Board discussed several options on how to utilize the Board Program Assessment forms. The proposed form was accepted as presented, with the addition of 2 Items% Include the weighting for each category on the form; and, a section Identifying whether or not the rater had visited, or was going to visit, the agency being rated. Ms. Nelson moved to accept the 2nd staff recommendation that all Board members would rate all agency programs. Ms. Graff seconded the motion. In discussion, clarification was provided that If a Board member d I d not have information about an Item related to a program, they could choose not to rank that Item. It was also emphasized that it was everyone's responsIbl- Ilty to educate themselves about all the proposals and agencies, and that they could call the agency, other Board members or staff to get additional information. Motion passed: 7 ayes, 0 nos. V. gdminIstrative Ma_n_unt/By laws Ms. Graff led the Board through a discussion about the Administrative Manual and revised Bylaws. The Bylaws would be used as an Internal docu- ment laying out the Board's operating structure. The manual would be or- ganized in a loose - loaf notebook, In order to be revised annually with current staff, board, relevant actors, etc.; and, revised goals, objectives and activities. Mr. Buren presented the revised mission statement and goals. He In- dicated that there would be a separate section for each goal, as adopted, inc'Lding the pertinent objectives and activities, standing objectives and target/annual objectives. All comments, opinions, changes and additions should be forwarded to the office by October 1. Staff will be requested to collect available materials for the manual. The target date for completion and discussion of the manual, Bylaws and re- vised mission and goals was set for the January meeting. V1. 1987 1.1en to 1 Health Board Ob i gctves l4s. Fox led the Board through a discussion about current Board objectives and activities, and their status. The objectives were Identified by the Mental Health Board planning goal areas. The Board began a discussion about proposed objectives for FY 187-88. They were identified as ongoing, City Council -mandated and/or new objectives. It was requested that a work plan, with estimates of time and a list of activities, be developed for inclusion In the November Board packets. 0 -3- VII. Ms. Fox presented the proposed budget for the Mental Health Center for 1987-88. It was noted thzt this budget total was $2.00 less than last year. Mr. Lynch moved that the budget be accepted as presented. Ms. Nelson seconded the motion. Motion passed: 7 ayes, 0 nos. VIII. City budget Process Issues Ms. Henes presented the draft letter to the City Manager regarding the Board's commitment to a maintenance budget, minimally, and the decision not to recommend budget options at this time. Ms. Graff moved to accept the letter as drafted. Mr. Buren seconded the motion. Motion passed: 7 ayes, 0 nos. IX. (DMHDD) Budget and Issues Ms. Fox explained the implications for the dissolution of the Regional Structure for DMHDD. The State will be using fewer people In the central and Springfield offices to do the job for which the Regional Office was responsible. She Indicated that It would be more difficult to have local community issues heard and considered by State decision makers. ibis makes it Important that the Board have an objective for next year to develop working relationships with the new offices In the DMHDD configuration. The Board reviewed a letter to the Governor expressing its concerns about DMHDD's budget for the current year, and the new regional structure. Mr. Buren moved that the Board direct the chairperson to send the letter, with revisions, to the Governor with copies to Senator Arthur Berman and Representative Woods Bowman. Ms. Graff seconded the motion. Motion passed: 7 ayes, 0 nos. X. Announcements > Ms. Fox has coupon books available for sale from the Mental Health Association of Evanston. > Ms. Fox reminded all that the Board has 2 meetings in October: October 14 Budget hearings for Mental Health Board (Tuesday) funded agencies: Early Childhood Development Center, Mental Health Association of Evanston, and Alliance for the Mentally Ill. October 30 Discussion about proposed funding levels (Thursday) for agencies. Meeting adjourned at 10:10 p.m, Respectfully Submitted, Jeanne V.. Fox EVANSTON MENTAL HEALTH BOARD MEETING MINUTES October 14, 1986 (Minutes Approved) Members Presents Buren, Weiss, Henes, Leggette, Jones, Graff, Nelson, Ream, Lynch Staff: Fox, Saver, Pappas, Carpenter, Lim Comwnity Representatives: Marge Sandier, Mary Ann Diehl, Rosalie Greenberg, Barbara Watkins, Patti Baldwin, Mental Health Association of Evanston; Bob Wolf, Les Inch, Diane Goodson, Early Childhood Development Center; Maryanne Segal, Laura Gullfoyle, Alliance for the Mentally ills Rick Welland, Alice Krleman, Project Earn and Learn. Lee Leggette, Vice Chairman called the meeting to order at 7:40 p.m. He asked Individuals In the audience to I nrroduce t.ientse I ves . Fie then Introduced and welcomed the Mental Health Board's two Interns from the University of Chicago School of Social Work Administration, Melissa Pappas and Carolyn Lim. Mr. Leggette noted that the Board had three items In front of them: a brochure of Women and Menta; Health, which the i•lental Health Board Is co- sponsoring with the '-lental Health Association and others; a coupon book from the Mental health Association available for $15.00; and a copy of the letter from the Board to Governor Thompson regarding the Illinois Department of ?dental Health and Developmental Disabilities budget reduction. Alderman Davidson Ream moved to approve the minutes as presented. The motion was seconded by Ann Graff and passed unanimously. The Mental Health Board then heard the following agency request for funding: Early Childhood Development Center, Alliance for the Mentally III of Greater Chicago, and Mental Health Association of Evanston. (Working notes are available upon request.) (Carol Henes entered at 8:30; Janice Jones at 8:40 p.m.) Ms. Henes reviewed the remaining Items on the agenda and stated that the Mental Health Board will go Into Executive session at the end of Its regular meeting regarding a personnel matter. -2- The City Manager's budget guidelines allow a Department to Increase Its budget 1.5$. Since the Mental Health Centerfs budget is the same as last year's, minus two dollars, the Board has $7,724 available to add to pur- chased services for a total allocation of $418,007. .tack Lynch moved to add the 1.5$ increase to purchased services for a total of $418,007. The motion was seconded by Gene Weiss and passed unanimously. The Mental Health Board reviewed the purpose of the Serive Area/ Mandated Population Classification and Its weight within the total computer score, which is only ma of the components being utilized to determine allocations. Ann Graff moved with a second by Lee Leggette to hear appeals of agency service area/mandated population classification. The motion passed unanimously. The Board then considered two agency appeals: Early Childhood Development Center and Earn and Learn. Early Childhood Development Center (ECDC) presented documentation of DSM IiI diagnosis for clients. Janice Jones moved with a second by Lee Leggette to change the classification for ECDC from Counseling High Risk to Counseling Mentally 111. The Initial classification decision of the Mental Health Board for the Earn and Learn program was discussed. Although the Board agreed It Is not a traditional counseling program, the Mental Health Board is funding the Social Work component, a counsel Ina component. Therefore, Michael Buren moved with a second by Janice Jones to reclassify Earn and Learn from Day Treatment/High Risk to Counseling High Risk. Mr. Lynch asked staff to review all classifications to insure they reflect funding of programs by the Mental Health Board. Ms. Henes thanked Jack Lynch for his time and commitment to putting the funding guidelines and criteria on computer. Mr. Saver joined the Board to discuss how funding guidelines will be utilized for new programs. There are four new programs for which funds were not previously requested, or were not previously funded. The quantitative Information in the rating scheme Is based upon post/actual data, which is not available in ail cases for these programs. After a brief discussion of options presented, Michael Buren moved to utilize available data or assume the program would have achieved 100% which will give an average score for those items. The motion was seconded by Jack Lynch and passed 8-I. -3- The Board then reviewed staff recommendations for service area classifications determination for the following new programs as: Pram > Mentally III - Case Management - Elgin Project (St. Francis ACGC) > Youth Services - Early Intervention (Ev. Comp. Drug Treatment Program) > Individual and Family Counseling (Family Focus Kingsley) > Community Companions (Mental Health Association) Case Management/ MI Counseling/HR Counseling/HR Counseling/MI Michael Buren moved to accept the classifications as presented. The motion was seconded by Ann Graft and passed 9-1 RogCd. Assessment Forms Ms. Henes reviewed the deadline for Board submission of Board Assessment Forms for agencies/programs. She urged the Board to meet the deadlines In order to allow staff and Jack Lynch to enter the data. unified Budggt. ing Process Ms. Fox reviewed the Unified Budgeting Process (UBP) for this year. The process Is a little different than other years. The last Thursday night (10-23-86) has been set aside to discuss Issues and concerns of the Panel regarding agencies and service needs. This meeting will then give direction to funding sources for their allocation recommendations for November 8, 1986. This Is an attempt to utilize the UBP process as a community planning process. The following questions were discussed by the Board: a. Will the Mental Health Board consider funding a new program this year? b. Will the Mental Health Board take Into account community planning Issues from the Unified Budgeting Panel In determining Its re- commended allocations? c. Will the Mental Health Board consider dropping a current program for next year? Michael Buren moved with a second by Ann Graff to take into account the community planning Issues from the UBP in determining Its recommended allocations. The motion passed unanimously, 8-1. 1 ' a —4- 141chael Buren moved that the Mental Health Board would consider funding new program(s) this year or dropping a current program for funding next year In determining funding allocations. The motion was seconded Dy Gene Weiss and passed unanimously. Comimittea Renport_$es Youth Mental Health Wed5 Mr. Weiss reviewed the meeting held In response to a request from Manuel Isquierdo to the Mental Health Board. The issue Is: with limited staff time and and resources how can the community accomplish the objectives of coordination of youth services and planning to meet new needs. He stated that consensus was reached that Don Baker, Executive Director of Y.O.U., will ask the Evanston Youth Service System (EYSS) to determine whether they would become the community coordinating body for youth services and will also add to their charge prevention planning. Don Baiter has agreed to call a special meeting of the group to discuss this Idea. The results of this meeting will then be shared with this Committee. Y.O.U. is certified as the recognized local service system for Evanston by the Illinois Department of Children and Family Services, with some responsibility for coordinating youth services. We are waiting for the results of this meeting. Ann Graff moved wirh a second by Jack Lynch to adjourn the meeting and move into executive session. The motion passed unanimously. Respectfully Submitted, Q44c"O—a— -�—z Bdanne M. Fox EVANSTON MENTAL HEALTH BOARD MEETING MINUTES OCTOBER 30,1986 (Minutes Arrrcn l) Present: Carol- Hones, Chairperson; Michael Buren, Alderman Davidson Ream, Jack Lynch, Marcia Nelson, Ann Graff, Lee Leggette, Janice Jones, Gene Weiss Staff: Jeanne Fox, Harvey Saver, Melissa Pappas, Eric Carpenter, Carolyn Lim Community JoeAnna Sullivan, Evanston Drug Treatment Program; Representatives: Bob Roy, Community Defender's Office; John Bozeday, Evanston Hospital Department of Psychiatry; Karen Yroegh, Jeanie Young, Rosalie Greenburger, Angela Schwartz and Mary Anne Diehl, Mental Health Association of Evanston; Shirley Dare and Pat Cunningham, ACORN; Kate Mahoney, Evanston Drug Treatment Program; John Buckley, Family Counseling Service; Rids Welland, Earn and Learn; Ray Ganey, St. Francis Hospital Adult and Child Guidance Center; and Alberta Porges, Com- munity Coordinated Child Care. introductions: Carol Henes, Chairperson called the meeting to order at 6:45 p.m. and asked the people In the audience to introduce themselves. (Alderman Ream was excused). Minutes of Qctaber 14. 1986I-leetina Ann Graff moved that the minutes be accepted as corrected. Jack Lynch seconded the notion. Motion passed 8-0. Mental Health Board Purchased Services Budget Ms. Henes stated that the blental Health Board will be malting decisions about how to allocate Its purchased services dollars. These decisions viII be used by Men taI Health Board representatives at the final Unified Budgeting meeting on November 8, 1986. The Mental Health Board current purchased services allocation total is $410,283. It has $418,007 for 187-88 which Is a $7,724 increase. Agencies are requesting $471,613, which Is $53,603 more than the Board has to allocate. In addition to some agencies requesting increases, two new pro- grams are requesting allocations. This year the i•lental Health Board got more specific about Its priorities, criteria and funding guidelines. Weights were assigned to each criterion and guideline. Each program was reviewed. A final score was computed for each program. -2- Some of the Board members felt more comfortable than others about the scores and how they would be used. It was decided as a Board that the scores would be one source of Input for making final funding allocation decisions. Ms. Manes reminded the Board of Its decisions made over a four month period in preparation for funding decisions: I. Appointed a Committee to review the funding guidelines -and criteria and to make recommendations for a process for funding decisions. The Committee recommended an approach which was accepted by the Board. 2. Decided on service areas and mandated priorities. 3. Decldca on the specific criteria for Qualitative, Assessment and Board Assessment. 4. Decided on weights for each criterion and on sets of criteria. All Board members read all proposals, went to hearings assigned, and made agency visits. Each Board member filled out an assessment sheet for each program. Scores were tallied averaging all Board assess.-ments of a program. This score has a weight of 505 of the total score. A five :member Committee of the Board met on Friday,. October 24, 1986 from 7;30 a.m. - 12:03 p.m. to prepare the recom-nendatIons. Ms. Henes asked Jack Lynch to review the Committee's process and how they came to the proposed recommendations. Mr. Lynch stated *hat the program's total score was utilized to rank programs. The Con-91ttee divided the programs Into three groups: programs requesting no increase, programs requesting Increase and new programs. The Committee utilized the scores as a starting point to discuss allocations. Mr. Buren asked for a review of how the scores were determined, and how the final score was computed. Mr. Lynch stated that the final score was nade up of three weighted scores: W(jr#1,1iFA1F11FrM-1 Service Area/Mandated Population (Board determined) 30% Quantttative Progr an Assessment (Data from agencies' budget proposals) 205' Board Program Assessment 505P (Each Board member had the opportunity to fill one out or, each program) logo, -3- ttr. Buren wanted to know If the Quantitative program Information was based or staff judgement. tas. Fox and Mr. Lynch both affirmed that the information used for Quantitative Board Assessment was taken directly from the agency proposals. Mr. Lynch stated that as the Committee reviewed the data, several Issues were identified which will need further attention. it'was agreed that the Board will need to evaluate the funding guidelines and criteria at another time. Mr. Weiss raised several questions as to how the final score was utilized to rank programs: How did the Committee decide 7.0 was cut off point? What would an agency have to change In order to receive a higher score? Are we having one population compete against another? How was staff involved In the decision process? Board members Leggette, Graff, Lynch and Nelson responded to Mr. kieiss' questions, stating that scores were only used to rank programs, and that the process was used as one step in the evaluation of programs. All Board members had input through the Board assessment form which weighted 5Oa of total score. Staff was utilized as a resource for the Board and did participate In the Committee's process. However, specific staff recom- nendations were not made, as in previous years. Ms. Henes stated that the Board was trying something new and the process was not perfect the first time. It will be evaluated thoroughly. The Committee's reca^Lmendations are only a starting point for the Board. Everything Is open for discussion. She then stated that she would like to recommend the followin3 process: 1. Go through the prepared material program by program, make preliminary allocation and vote; keeping track of the total. 2. After all progra.^►s are reviewed go back and discuss ones which do not have concensus or majority vote. 3. Take final vote. The `,ental Health Board then went through prepared information on each program which included rationale, assessment scores and history of I'ental Health Board funding: Current funding: 57,609, Request: 511,5O3f Board Recommendation: 57,609. --4- Concern for impact on program If Increase not granted; program serves a significant number of homeless and chronically mentally 111; concern for number of Evanston residents served and number of undomiciled. Vote: 8-0 to accept Board Committee recommendation. Current Funding: $2,000; Request: S2,000; Board Committee Recommendation: S2,000. Vote: 7-1 to accept Board Commlttee recommendation. Curent Funding: $7,000; Request: $7,210; Board Committee Recom- mendation: $7,000. Vote: 7 - yes to accept Board recommendation.; I abstain. N Current Funding: $3,000; Request: $4,500; Board Committee Recom- mendation: $2,000. Number of Evanston residents served Is small; possible duplication of service; concern that agency has changed its focus from family support to individual support. Agency's budget is much larger than last year. Do they need our money? Vote: 5-3 to accept 3oard Commmittee recommendation. Current Funding: S18,561; Request: S19,525; Board Committee Recom- mendation: $18,561. Vote: 8-0 to accept Board Committee recommendation. ragrMITTARM ■ 'INNEM Current Funding: S2,603; Request: $3,000; Board Committee Recom- commendation: $3,000 Agency needs a larger community match in order to match new state rate Increase. Currently S3,000 of the Mental Health 2oard monies are not being utilized for the match because It subsidizes day care for children with special needs. This $3,000 can be put into the community hatch with other local funding to help Meet the need for an increase In community :match dollars. It is a one time only solution. Need to ensure that specialized day care will continue to be available. A -5- Current Funding: $1,500; Request $1,500; Board Committee Reconw mendatlon: 0. Agency has other dollars available to support service. Service to clients will not be effected; agency provides a valuable service. Vote: 7-1 to accept Board Committee recommendation. E&C,ly,Shildhood Development Qenter Individual and Family Coungallon Current Funding: $35,550; Request: $37,000; Board Committee Recom- mendation: $37,00O. They do a super job. This a unique program for this target population. Vote: 8-0 to accept Board Comrittee recommendation. Current Funding: 52,130; Request: $2,130; Board Committee Recom- mendation: $2,130. i This program is different from Cook County Legal Assistance Foundation. it Is a unique community legal program with a social work component. The Mental Health Board funding supports the social work component. 95" of their budget Is supported by local funding sources. Vote: 8-0 to accept the Board Committee recommendation. Current Funding: 532,165; P.equest: f32,I65; Board Committee Recom- mendation: 527,265. Board Committee recommendation based on providing support for Evanston residents. Only 28009 of services Is to Evanston residents. 2815 of total agency budget of $295,085 is $82,624. Evanston's fair share divided 3 ways is 527,255 for each funder. This agency serves a mandated population. Tnis is the second year of cutting' this program for the same reason. If agency serves more Evanston residents will Board increase funding? If agency is In economic difficulty should 'lentil Health Board su; Dort new prDgra-,. am Ist Vote: To accept Board Committee recommendation of $27,265 - 4-4. 2nd Vote: To allocate $30,0O0 to drug counseling. Vote: 4-4. 3rd Vote: To fund program at current level of $32,165 - Vote: 4-4. Board numbers agreed to cone back to this program after reviewing all other programs. CgMprehenslyg QCUg Treatment Program/Yputh Outreach Current Funding: 0; Requested: 57,86O; Board Committee Reco~da- tion: $5,102. DisFu, sion: We asked for a program to be developed. We need to support our request. To fund this program means we have to take money from another program. Communitty needs a program which is not in the school or in a hospital. Agency is one of the best administered programs In the community. Does program need all monies requested or can the program start sma:l' With state and federal dollars promising to be available wilt agency receive monies for this program? Ist Vote: To allocate 55,102 - I abstain, 5 no, 2 yes. 2nd Vote: To allocate 57,860 - 4 yes, 3 no. Board members agreed to come back to this program after reviewing all other programs. Evan;ton Hose+ I to I /Access Current Funding: $5,000; Requested: 55,O00; Board Committee Recommendation: 55,O00. Discussion• Very Intense service with good results. Vote: To accept Committee recommendation 7 yes, I abstain. EXanston Hosroltai Crisis Intervention Current Funding: $52,50O; Requested: 552,500; Board Committee Recommendation: $52,500. Discussion: Crisis Intervention is a mandated program and Is ranked as our number one priority. This program backs up many other community services after hours and on holidays and weekends. Vote: To accept Committee recommendation: 7 yes, I abstain. -7- Current Funding: 545,000; Requested: $45,000; Board Committee Recommendation: S45,000. Vote: To accept Board Committee recommendation 7 yes,•1 abstain. Current Funding: S4,500; Requested: $4,500; Board Committee Recommendation: $4,500. service. Refocus program Is a day treatment program and provides an intense Vote: To accept Committee recommendation: 7 yes, I abstain. Board members noted that Evanston Hospital is receiving a large portion of Its purchased service budget. It was noted that Evanston Hospital Department of Psychiatry has a range of services available to Evanston residents for which they are not requesting local support. The Mental Health Board is the only local (under of Evanston Hospital. All programs ranked high by score. They did not request an increase. Current Funding: $24,457; Requested: $24,457; Board Committee Recommendation: S24,457. Vote: To accept Board Committee recommendation: 8-0. Individual and Family Counseling Current Funding: $12,325; Requested: $22,325; Board Committee Recommendations: $12,325. Discusslon• Board Committee recommendation was based on Unified Budgeting service statistics which showed services to Evanston residents and to low Income Evanston residents were low. This was the same rationale as last year. Mr. Buckley has since revised his statistics stating that his percentages were based on cases served not Individuals, and that service to Evanston residents Is much higher. Mr. Buckleyts statistics are not comparable year to year because each year information Is presented differently. The community needs this service. It is not hospital based and does not have an Institution to support It. Vote: To accept Board Committee recommendation: 6 yes, 2 no. -g- SanlQC Counseling Current Funding: $16,230; Requested: S16,230; Board Committee Recommended: S15,230. Qlscussi n: This Is the Major counseling service for senior citizens, Aren't seniors included In our mandated population. The statistics shorn less service to Evanston residents and low income Evanston residents. Vote: To accept Committee recommendation: 5 yes, I no, I abstain. Current Funding: $17,050; Requested: $20,460; Board Committee Recommended: S17,900. 0 Mental Health Board fund supports the social work component of this program. Vote: To accept Board Committee recommendation 8-0. Current Funding: 0; Requested: $3,277; Board Committee Recom- mended: 0. The funding Is supporting a social work component. Could social ' worker from Our Place or other social workers in the system assist them? Director said population was not high risk. They are doing a great Job, but next year will be very trying without additional funding. Vote: To accept Board Committee recommendation: 7 yes, I no. 1-leptal Health 65,5= l zt i on of Evanston/CM-nun i ty Connan i on Current Funding: 51,000; Requested: S5,500; Board Committee Recom- mended: $2,000. Discusslon This program Is a new program which provides friendly visitors to chronically mentally III living In long tern care facilities. This is a very worthwhile program. Vote: Accept Board Corzmfttee recommendation: 6 yes, 2 no. -9- I This is one of the Board's highest ranked mandated population; local funding is only 2$ of total budget. DMHDD is a major funder. Vote: To accept Board Committee recommendation 8-0. Current Funding: $15,228; Requested: $16,740; Board Committee recommended:f $16,740. Vote: 8-0. ECQiect_Earn and Lenrn[Xouth 3arvices Currant Funding: $4,628; Requested: $14,071; Board Committed Recommended: $4,628. Qiscusslon_ Mental Health Board reduced this program by $5,000 last year and had Informed program of need to seek other sources of revenue, parti- cularly from District 202. Is the social work component a District 165 service or a separate support service for Earn and Learn? ifith new administrators at both District 165 and District 0202 perhaps more support will be forthcoming. Progran lost its social work component for a few months after last year's budget reduction. Hopefully, new foundation will be able to generate enough monies to help support the social work component. This agency should be more be more Independent of our funds. This Is not one of our legally mandated population. District 165 Is a taxing body and can support the extension of this program. Vote: To accept Board Committee recommendation 7 yes, I no. Current Funding: 521,000; Requested: S22,000; Board Committee Recommended: S22,000. Vote: To accept Board Committee recommendation: 8-0. Current Funding: S1,500; Requested: S1,500; Board Committee Recornendation: 0. This Is a unique service in the comnunity. it Is the only out- patient counseling program for this population. Perhaps St. Francis can use other funds Ti:, support this program. North Shore Association for the Rerarded does have some social work services available to thair develop- entally olier'_ Iivin:� i^ rc;id:�rrial se'tin,s but not treat- ment services. -10- Ist Vote: To accept Board Committee recommendation: 3 yes, 5 no. (Davidson Ream joined the Board) 2nd Vote: To allocate S1,600 to DD counseling - 6 yes, 3 no. Outpatient/Elgin Project_ Current Funding: $5,000; Requested: $5,600; Board Committee Recommended: S5,600. Vote: To accept Board Committee recommendation: 9-0. Individual _ -And Family Couni@lin�a,w Current Funding: $20,000; Requested: $21,000; Board Committee Recommended: S21,000. Vote: To accept Board Committee recommendation: 9-0. Current Funding: $10,000; Requested: $10,000; Board Committee Recommended: S10.000. Vote: To accept Board Commlttee recommendation: 9-0. Police Outreach Current Funding: $11,200; Requested: $11,800; Board Committee Recommendation: S11,800. Vote: To accept Board Committee recommendation: 9-0. After review of all programs the following motions were made: 1. To reduce Earn and Learn to S2,000. The motion failed for lack of a second. 2. Hiles Township Sheltered Workshop First Step Program - to reduce funding to current level of S5,000. Vote: 5 yes, 4 no. 3. Mental Health Association/Volunteer Corps - to reduce recommended allocation of S13,500 to S11,500. Vote: 5 yes, 4 no. 4. Alliance for Mentally III - to reduce recommended allocation from S2,000 to $1,000. Vote: 6 yes 3 no. 5. To reduce allocation to Family Counseling Individual and Family Counseling Programs ty SI,COO and give It to ACORN Drop -In Center. Votes 5 no, 3 yes. n -II- 6. Comprehensive Drug Treatment Program/Youth Service (Early Intervention): a. To give no money to program - vote: 6 no, 2 yes, I abstain. b. To allocate $5,602 to program - vote: 6 no, 3 yes. 7. Comarehenslys Qrua Treatment_PrQgramlDrug_Counselina a. To allocate $27,265 to this program - vote: 4 yes, 5 no. b. To allocate $32,165 to this program - vote: 5 yes, 4 no. Ms. Henes then asked for a motion to approve all recommended allocations. Ann Graff moved with a second by Alderman Davidson Ream to approve allocations as recommended. The vote was: 6 yes, 3 no. Ms. Henes then asked for Board direction for the Mental Health Board representatives to Unified Budgeting Process if reductions were requested by other funders. After a brief discussion the Board agreed that the representatives should use their judgement based on the discussion of the programs. The Board, having no further business, adjourned at 10:40 p.m. Respectfully submitted, e no M. Fox EVANSTON MENTAL HEALTH BOARD MEETING MINUTES NOVEMBER 13, 1986 (Minutes Approved) Members Present: Weiss, Graff, Leggette, Hones, Nelson, Lynch, Jones Members Absent: Ream, Buren Staff: Foot, Saver, Pappas, Carpenter, Llm Community Representatives: Shirley Dare, Vaughn Gordy (ACORN)] Ron Rozensky (Evanston Hospital); Kate Mahoney (Evanston Comprehensive Drug Treatment Program); Laura Gullfoyle, Joan Rosner (Alliance for the Mentally 111); Marge Sondler, Mary Ann Diehl (Mental Health Association of Evanston). Ms. Hones, Chairperson, called the meeting to order at 7:33 p.m. She Invited members of the audience to Introduce themselves. 177,1r-MYRIMP.T.TOW101111111111T. The minutes were reviewed, with corrections. The recommendation was made to use them only for agency appeal hearings. The members requested that, to be consistent with previous practice, the minutes be summarized for final distribution. They thanked the students for their recording of the detailed minutes. They will be considered for approval at the January Board meeting. Ms. Henes reported that the UBP panel supported all of the recom- mendations of the Mental Health Board. She also stated that the Unified Budgetng Panel requested that the Mental Health Board consider Increasing funding to ACORN by reducing allocation to Evanston Hospital by $2,000.- Ms. Henes recommended that this be taken under consideration In context of the appeal hearings. > ACORN. Representatives: Shirley Dare, Board Chairperson; Vaughn Gordy, Board Treasurer. The agency stated that their Board had not been able to grant staff salary Increases this past year and that the agency had ended the year with a S4,000 deficit. The ACORN Board had assessed this problem and determined the amount needed from local funding sources was $43,142. Without a substantial increase the board estimated that services would have to be reduced. Each increment of $2,000 additional funding would support 2 hours of center time a week. r -2- The Center is currently open seven days a week and three hours on holidays. The agency has not determined what hours of service will be cut, but they will attempt to minimize the Impact on ACORN's participants. Ms. Dare Indicated that the entire member- ship of the agency would be Involved In making that decision. (Ms. Jones Joined the meeting). The Mental Health Board noted that, although It had not granted the agency the Increase requested, United way/Community Services had only given an increase of $1,551 when the request to It was for an additional $3,844. The agency noted that these funds were Intended for volunteer supervision and recruitment, and that they would not be able to make up this difference elsewhere. > Alliance for the Mentally III. Representatives: Laura Gullfoyle, Executive Director; Joan Rosner, Program Director. At Its appeal the Alliance for the Mentally ill (AM1) explained that monies from the local community meant they prioritized their services to Evanston residents and were able to offer additional support services, e.g., stipends, to residents to help them live In the Evanston community. AMI was particularly concerned about the Mental Health Board's lack of priority for residential services for the mentally ill. The Mental Health Board when reviewing the Alliance for the Mentally III/Better Living Aplartment Program noted that the program ranked low in Its final score by the Board's funding guidelines, and that It served only seven Evanston residents. In addition, the Alliance for the Mentally III has been able to expand Its funding base, and 1s currently more financially able to support this program. Concern was expressed as to how much case management services the Board can support, and about possible duplication of services with ACORN. > Mental Health Association of Evanston (MHAE). Representatives: Mary Ann Diehl, Board President; Marge Sondler, Executive Director At their appeal, MHAE representatives stated that they did not have multiple funding sources, so that the Mental Health Board's reduction would be difficult to replace. They have already responded to previous suggestions from Mental Health Board to expand their fundraising efforts. Each volunteer paid for a membership in MHAE, but a random survey of volunteers taking the course found that the volunteers would not also be willing to pay to take the course. The community provider agencies were polled to see If they would pay to have their volunteers take the training. They replied that with reduced funding from several sources, there was no additional monies available to reimburse MHAE. The providers wrote letters of support for the work MHAE does to train volunteers for the network, and to meet the Individual agency needs. -3- The agency representatives noted that the cost of providing training for the human services network from MHAE Is $5,000 - $10,000 less than I volunteer coordinator for a single agency. They will have to curtall efforts at recruitment and training. They expressed concern that the Mental Health Board recommendations reflect a change in values about the use of volunteers for the Evanston mental health service system. The Mental Health Board stated that although the Volunteer program was an excellent program and helped providers to extend their service, the agency had been advised over the past few years to become less dependent on the Mental Health Board for funding and for this program to become more self supporting. The Companionship program is a unique direct service program. Both programs were ranked high by the Board's funding guidelines. Ms. Henes asked the Board whether they wanted to reconsider tV.�Ir funding recommendations, based upon the appeals or any other informai'on. After discussion, Ms. Jones moved that the Mental Health Board malntai,i funding levels from their original allocations and IJBP final recommenda- tions. Ms. Nelson seconded the motion. In discussion, concern was raised about needing a means, In the future, during the appeals process, to consider how to change funding to programs if an appeal Is granted. This is required because the Mental Health Board budget must usually be given to Human Services Committee within a week. It was also mentioned that, while It was important to hear from agencies about the Impact of cuts, any agency which did not receive the total amount of their request would be able to project the same scenario. On the motion: passed 6 aye - I no. The Board agreed that the appeal process should be evaluated. Mr. Leggette suggested that the Mental Health Board should think about reglonalization related to funding decisions, and how to steer agencies to other funding. Ms. Fox suggested that, If PHB Is considering the removal of any agencies from their list of funded agencies, they notify them as soon as possible to enable them to begin to look for additional sources. V. MENTAL HEALM BOARD OBJECTIVES FOR F'Y 1987-88 Ms.Fox led the Board through a discussions of the outcomes related to 86/87 objectives, and of the activities and objectives for 1987/88. Mr. Lynch ,moved to add as an objective under Goal D, to aid agencies whose funding should come from outside of the Mental Health Board to secure non -local funding. Ms. Graff seconded. Motlon passed: 5 aye - 0 no - 2 abstain. Mr. Leggette moved to reconsider the motion. Ms. Jones seconded. Motion assed: 6 aye - I no. . . . -4- In reconsideration of the original motion, the motion fallede I aye - 3 no - 3 abstain. i•1s. Graff moved to include as an objective under Goal E, to assess and evaluate the i•lental Health Board funding guidelines and criteria and the process of allocating public funds, with the outcome of making recom- mendations for the FY 85-89 process of allocations. I -Is. Nelson seconded. Motion passed: 7 aye - 0 no. Mr. Lynch roved to adopt the 87/88 Mental Health Board objectives as revised and amended. I.Is. Nelson seconded. Moton passed unanimously: 7 aye - 0 no. VI. Unified Budgeting Becorimendatlons Mr. Leggette moved to adopt the recomnendations returned to dental Health Board from Unifled Budgeting Panel. Mr. Lynch seconded. Motion passed: 5 aye - I no. VII. dental Health Board Jodii Bu,'net Ms. Nelson moved to adopt the 1987/88 total budget (purchased services and Mental Health Center) for the dental Health Board. ifir. Leggette seconded. Motion passed unanimously: 7 aye - 0 no. Vill. Planning and Future Agenda Items Ms. Henes reviewed the calendar of planned agenda Items for 1987 and asked for comments. It was decided to reflect the report on forensic client Issues to be completed by February, consistent with the Board's work plan. Youth service needs will be handled under strategic planning. las. Henes "recruited" volunteers to evaluate the funding process and guidelines. Tree Co.=i ttee will consist of f•!r. Lynch, 1•1s. Henes, Ids. Graff, and fis. Nelson. i•ir. 4eiss wi l l consider this assignment. Mr. Lynch moved to accept the calendar of meeting dates and agenda Items. Mr. Weiss seconded. !-lotion passed: 7 aye - 0 no. Meeting adjourned at 9:55 p.m. Respectfully submitted, C�ti 1?, - JearmO I1. Fox