HomeMy WebLinkAboutMinutes 1985MENTAL HEALTH BOARD
MINUTES
JANUARY 10, 1985
(Minutes recorded, not yet approved)
Members Present: Chairperson Mary Lu O'Malley,.Vice Chairperson
Frederick Artwick, Alderperson Davidson Ream,
Michael Buren, Natasha Deutsch, Carol Henes,
Lee Leggette, Morris Robinson, Gene Weiss
Staff Present: Jeanne M. Fox, Dorothy Lloyd -Still, Pam Glaser,
Glenn Mandel
Community
Representatives: A.lderperson Jack Korshak; Bob Seidenberg, Evanston
Review; Ray Ganey, Adult and gild Guidance Center;
Tina Herpe, Task Force on Zoning and Special Housing;
Alison Greaves, Consumer; John Buckley, Family
Counseling Service; Diane Goodson, Early Childhood
Development Centex; Marge Sandler, Mental Health
Association of Evanston; Ann Graff and Olga Bairn,
citizens; Don Baker, Y.O.U.
Presiding
Official: Mary Lu O'Malley, Chairperson
I. introduction and Cam unity Cemnesnts
The meeting was called to order at 7:40 P.M. by Mary Lu O'Malley,
Chairperson. She asked individuals to introduce themselves but re-
quested that cc mints regarding agenda items be held until the items
came up for discussion.
II. Minutes of November 19, 1984 Mental Health Board Meeting
Ms. O'Malley asked for approval of the minutes of November 19,
1984. Michael Buren moved that the minutes be approved as submitted.
The motion was seconded by Rick Artwick with a vote of (8-0), Robinson
absent).
III. Licensing standards for residential care and group care haves
Ms. O',%IaIley stated that the Board and staff had carefully con-
sidered the canments made both at the November 19th meeting, and the
comments made to individual board members and staff since that time.
She asked if there were additional ccmrrnsnts from persons present this
evening.
Tina Herpe, Co -chairperson of the Task Force on Zoning and Special
Housing, stated that the Task Force, which had disbanded in January,
1984 following passage of the amendment to the zoning ordinance, had
reconvened in December, 1984 to ensure passage of implementing
standards that are consistent with the original intent of the zoning
amendment. She expressed appreciation for the work of the Mental
Health Board.
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Anne Graff, citizen, commended the Board for the improvements
reflected in Draft III. She stated that her suggestions were made only
in the interest of protecting vulnerable people.
Alderperson Jack Korshak requested that the Board consider six
suggestions proposed by Carol Heise:
1. Proposal: Section 8-19-3-1(B)
Add "The Evanston Fire Department shall conduct an annual
fire drill with each group hone to determine that there
are sufficient staff to evacuate the residents from the
building in 2 1/2 minutes."
Rationale: "The National Fire Safety Board of the U.S.
Commerce Department voted in October, 1984 to make the
above standard the new national fire safety code for
Board and Care Homes..."
Board discussion: The Evanston Fire Department is re-
quired to certify each new Home (8-19-3-1-B). Com-
pliance with "all applicable requirements of those
ordinances of the City and the statutes of the Stare"
is required. (Section 8-19-3-2). If indeed a federal
standard is passed that will effect the State of Illinois
and City of Evanston fire safety standards, this
eventuality is provided for under the terms of the
Ordir. 3nce .
2. Proposal: Require 24 hour staffing for Homes for the
mentally ill, as well as for Homes for the developmentally
disabled.
Board discussion: This requirement is made in Section
8-19-10-7-C on page MI0 of Draft III.
3. Proposal: Sections 8-19-9-14 and 8-19-10-13 "10d: Staff
shall assist residents with food prerxaraticn to the extent
necessary. Substitute: This me -al shall provide at least
fifty percent of the daily minimal nutritional needs..."
Board discussion: Asked to have this item referred to the
Health Department for review and agreed to accept the recom-
mendation of the Health Department.
4. Proposal: Sections 8-19-9-10 and 8-19-10-9. "Add:
Staff licensed by the State of Illinois shall monitor
and guide the self -administration of medication as
necessary and appropriate and ordered by the attending
physician."
Board discussion: A requirement for "licensed personnel",
e.g., a nurse, for more than a temporary period, makes
the Home a long term care facility and subject to the
Long Term Care ordinance. People needing nursing care
or supervision on an ongoing basis are not eligible for
admission.
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5. proposal: 8-19-9-8(B) "substitute: This individual
shall be a psychiatrist, psychologist, psychiatric nurse,
certified social worker, educator, physical therapist
or occupational therapist who is a qualified mental
retardation professional as defined herein."
Board discussion: The definition of qualified mental
retardation professional includes an educator, physical
or occupational therapist, physician, registered nurse,
speech pathologist or audiologist, registered social worker,
therapeutic recreation specialist, and rehabilitation
counselor. The Board agreed by consensus not to change
the definition of qualified mental retardation professional.
6. 8-19--1-2 "Add to definitions of applicant and licensee ---
shall be an established not for profit or bona fide
religious organization."
Board discussion: Stated that the Board had voted at
their November 19, 1984 meeting not to require not for
profit status, but rather to rely on enforcement of
standards. Mr. Artwick asked Alderperson Korshak if he
would like to present argurrents in support of requiring
not -for -profit status and he declined to do so.
The Board then turned to discussing the specific suggestions of
Anne Graff.
1. Add age requirement to definition of elderly.
Board discussion: Referred to Commission on Aging.
2. Shorten time for investigation of caplaints from 30 days
to 14 days.
Board discussion: Leggette: Concerned with the effects
on the thoroughness of the investigation if the time is
shortened.
Weiss: Need to respect imrestigative sources. Board will
have responsibility to ensure that staff does their job.
If a real emergency exists, 14 days is no better than 34
days.
Artwick: Investigation can take place within one day.
Abuse complaints are required to be investigated within
48 hours.
Board agreed by consensus not to shorten investigation
time.
3. Licensee should be required to screen all staff for past
criminal record.
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Board discussion: After lengthy Board discussion, Carol
Henes asked Tina Herpe her opinion of this proposal.
rls. Herpe replied that although she agrees completely
with the bottom line of Ms. Graff's concern, there is
a philosophical question that the Board has to decide.
To what extent does the City became involved in the
day to day operation of the Home? Where do you draw
the line? Once you have screened the licensee, when
will you give the licensee responsibility for his staff
and the operation of the Home?
Vote: Mr. Artwick moved to leave the licensee the
responsibility for properly screening staff. Ms. Deutsch
seconded the motion, which passed by a vote of 8-1
(Henes opposed).
Olga Balch, citizen, then made the following statement:
"I wish to thank Helen McCarthy, Director of Health and Human
Services, for arranging a meeting with her and Jeanne Fox, Executive
Director of the Mental Health Board and Mary Gibb, Director of the
Commission on Aging.
It offered an opportunity for Phyllis Horton, Judy Pigozzi and
me to present item by item our concerns about Draft #2 which I was
not able to do at the Mental Health Board December meeting through
an unfortunate set of circLumtances.
I appreciate the consideration given to our presentation and
am aware that a number of the questions we raised have been addressed
in the present Draft U .
Since I just picked up my copy of Draft #3 yesterday I have made
only a cursory review and am not prepared to carment specifically on
it."
The Hoard then turned to review of Draft III and the staff rec-
artnendations:
1. Alderperson Ream moved, with a second by Ms. Deutsch, to
accept the addition of minimsm qualifications for the staff
person "ultimately responsible for the day to day operation
of the Hann." (Sections 8-19-9--8 and 8-19-10-7.) in a
Home for the develcpmentally disabled, this person is re-
quired to be a qualified mental retardation professional,
as defined. In a Home for the mentally ill, this person
is required to have a rasters degree in a mental health
discipline, as approved by the Director. The motion
passed by a vote of 9-0.
2. Natasha Deutsch moved, with a second by Mr. Artwick, to
accept the deletion of the State standards for Internediate
Care Facilities for the Developmentally Disabled for 15
persons and under from the adoption by reference of State
standards, since Homes in this category are licensed
under the Evanston Long Term Care Ordinance. The motion
passed by a vote of 9-0.
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3. Carol Henes moved, with a second by Mr. Ream, to
accept the addition of a section on food service re-
quirements. it was clarified that the Board would
defer to the Heath Department on the issue raised by
M. Heise. The motion passed by a vote of 9-0.
4. Frederic Artwick moved, with a second by Natasha Deutsch,
that the Mental Health Board approve and endorse the
licensing standards for residential care homes and group
care homes serving the developmentally disabled and homes
serving the mentally ill. The motion passed by a vote
of 9-0.
S. Carol Henes moved, with a second by Michael Buren, that
the dental Health Board forward the standards to Hunan
Services Committee and recommend their approval of the
standards. The motion passed by a vote of 9-0.
Mary Lu O'Malley thanked staff, hers of the Task Force on
Zoning and Special Housing, and other comet ity members who have spent
so much time on and been so helpful in this endeavor. Draft III rep-
resents a real collaborative effort and compromises all around, and she
is proud to have the Mental Health Board send it on to Human Services
Committee.
IV. Deinstitutionalization Issues and ReccmTendations
Ms. O'Malley referred to the draft, prepared by staff, of a state-
ment fram the Board to Human Services Committee. She asked for any
suggested changes on the draft or comments on the work to be done,
timetable, statistics, etc. in the packet. She asked for a vote by the
Board on the material and reminded the Board that in voting for these
recommendations they commit themselves to a lot of work.
Mr. Artwick stated that there are many provocative n=1-Y--rs in the
paper and then expressed the vie-,r that it is important that a document
like this go to the Human Services canmittee.
Ms. O'Malley asked the Board to review charges on page 7 of draft.
It was then discussed whether to use an Evanston resident or a
consultant from outside Evanston to facilitate and mediate a town
meeting in May, 1985 on the subject of the homeless mentally ill.
Two opinions were presented; 1) Ms. Deutsch felt an Evanston
resident facilitator would be optimal for the type of meeting for
Evanston and its unique problems. 2) lets. O'Malley felt that a skilled
facilitator, objective to the issues and with no vested interest in the
discussion, would be best suited for this type of town meeting. Ms.
Fox pointed out that a facilitator should be someone who is a
recognized expert in the field, can lay out all the major issues and
help decide on issues that really need to be addressed. She named a
few possible candidates. Dr. Weiss pointed out that an outside
facilitator would be objective and keep this from becoming a fist
fight.
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Questions were raised as to whether services as well as housing
needs would be addressed at the town meeting. The discussion focused
next on the topic for the May, 1985 town meeting. Again two main
opinions were expressed. They were as follows: 1) Ms. Deutsch stated
that we should be addressing the needs of homeless people who are de-
velopmentally disabled, alcoholic, mentally ill, elderly and children
and not just mentally ill. By focusing our efforts and publicity on
the chronically mentally ill we confuse the public into thinking that
they are the only population that is homeless and in need of help.
Deinstitutionalization affects all the populations mentioned above and
not just the chronically mentally ill. 2) Ms. O'Malley expressed that
the problem is too large for the Board to handle alone. This is a
city wide problem that need-, city wide planning. The need for this
discussion is not necessarily the result of deinstituticnalization but
is effected by deinstitutionalization. The mentally ill population on
the streets is increasing and they are becoming a larger problem at the
tmrnt. Street people have always been there and may always be there
but we need to focus on the mentally ill now as they are perceived to
be a growing problem.
Ms. Fox stated that H=an Services C mnittee is especially con-
cerned with the mentally ill because they are very visible in Evanston.
Dr. Weiss stated that we have to focus our efforts because
otherwise nothing gets done. We have to focus our efforts on one goal.
Our job as leaders is to point out to the general population what the
full problem is and how we're handling it.
Ms. Deutsch stated that there is currently confusion in the minds
of the public as to who these people are wandering the streets. We
need to let them know that it is many different types of people. The
average citizen believes that most homeless people are chronically
mentally ill. We need to focus on unconfusinq the public.
Dr. Weiss stated that by focusing the issue on one group we will
clarify for the public where the problem lies.
Mr. Artrtick stated that we are not passing legislation here, it
is only a format for a town meeting.
After a discussion of whether to call this a town meeting, or
public hearing it was decided to call it a tcwn ruing. No decision
was made as to whether speakers would be limited in any way.
Dr. Weiss moved to have a town meting in May, 1985 on the
subject of the homeless chronically mentally ill. Mr. Amaick seconded
the motion.
Ms. O'Malley stated that the meeting would be publicized by
notifying any one interested and posting a public notice. Mr. Robinson
stated that an open invitation may bring more expertise.
Ms. Fox stated that it would be a structured meeting and not a
free-for-all and various organizations would be asked to be joint
sponsors. This is a major board project; it will probably be on a
Saturday.
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The vote was 7 in favor, 0 opposed, 2 abstentions (Buren and
Deutsch).
Further discussion led to reconsidering the motion. A second
proposal was put forth by Mr. Artwick to reconsider the original
motion and add a different plan to recommend to the Human Services
Committee to form a task force on this problem.. This would emphasize
that the Mental Health Board can not handle this problem alone and that
we need help from other sources. Ms. Herres seconded the motion.
Ms. Fox stated that she has heard three things in the discussion
concerning a task force 1) we need something in writing; 2) we don't
want a one sided presentation; 3) it needs to be action oriented. The
task force would have to identify the issues and agree on those areas
that would go into consideration for the cormiunitty plan.
A motion was made to recommend that Human Services Committee
convene a Task Force to plan a process for addressing camunity issues
related to deinstitutionalization. 8 in favor, 0 opposed, 1 abstention
(teggette).
Ms. Deutsch then moved, with a second by Morris Robinson, to
reccmm nd that the Human Services Ccnrnittee work with Mental Health
Board in establishing a process for regionalized planning with sur-
rounding townships for the housing needs of the developmentally dis-
abled and the mentally ill.
V. Funding of Mental Health Services for Youth
Ms. O'Malley asked if people in the audience had ccam ents about
the staff recamondation that the Mental Health Board approach the YOU
Board and request that the Board be given the opportunity to review and
comment on any funding of mental health services for youth.
Don Baker, Director of YOU stated that YOU has been chosen by the
Departn-.nt of Children and Family Services (DCFS) to be the lead agency
in the development of a network of services for children in -"anston as
mandated by SS 1500. A contract has been created between DCFS and
YCU's Board of Directors. in turn, You has delegated authority to an
advisory council.
Ms. O'Malley stated that because of their mandate in the
community, the Mental Health Board (MHB) would like to be involved with
the process of determining how the funding for mental health services
for youth will be spent.
Dr. Diane Goodson, Director of Early Childhood Development Center ,
stated that SB 1500 monies are not for mental health services. This
funding source is distinct fran the KM, and should be kept separate.
Three sources of funding exist for children in the state: Department
of Mental Health and Developmental Disabilities (DMHDD), DCFS, and
Office of Education.
Ms. O'Malley stated that if mental health dollars are included in
SB 1500 legislation, then the MHB would like to have input into the
decision making process.
Mr. Baker stated that SB 1500 addresses a specific population
which does not include the mental health population. The concern of
the MHB over the consolidation of the two funding sources is premature.
Mental health funds are not likely to be shifted to DCFS via SB 1500.
Ms. Deutsch stated that the MHB should let it be known to the
state that they do not want to see the two funding sources be combined.
Ms. Fox stated that the MHB has requested a formal comnunication
with the Youth Services Board because of its desire to impact on youth
mental health. .
Ms. Deutsch asked who else serves on the advisory board, and rep-
resents mental health services? Ms. Fox answered that Marge Sondler,
Mental Health Association, is chairperson; Evanston Hospital (Crisis);
Ray Ganey, Adult and gild Guidance Center.
Ms. Deutsch asked if there were members of the mental Health
Board that would like to alternate with Ms. Fox on the advisory board
so there is greater citizen participation. Mr. Artwick prefers not to
have additional MHB members on the advisory board.
John Buckley, Director, Family Counseling Service: Whatever
potential funding that comes into the camunity would be revio ed by
the Evanston Youth Service System for mutual determination and
consensus. It is a group planning process.
Don Bakes stated that the only money which is part of YOU's
contract with the state represents SB 1500 targeted dollars. The
Advisory Council has discussed who will submit proposals to the state
so that there would not be multiple proposals coming from Evanston
that would cancel each other out.
hls. O'Malley stated that she still feels that there should be
citizen input into the funding of mental health services for youth.
Ms. Deutsch stated that Mental Health Board should make a statement
that it does not want to see the mixing of funds for youth and mental
health services.
Ms. o'r•Salley affirmed that there is consensus on the reed to send
a letter to the Governor about b20 position on mixing of funds.
VI. Review and Comment on the Cam miry Services and Funding Task
Force of the Illinois CanTdasion on Mental Health and Developmental
Disabilities
Ms. Fox reviewed the committee work to date for the Board, stating
that Woods Ba%vw, State Representative, and Shirley Starr, Alliance
for the Mentally Ill of Greater Chicago, are on this task force.
This task force is considering many of the same issues that we
are: that is, who will be served, how much services, and what type of
services.
VII . Informational Items
Ms. Fox reminded the Mental Health Board of the special maeting
with Human Services Carmittee on January 21, 1985 at 7:30 P.M.
regarding the deinstitutionalization reccmP-ndations. She also stated
that the C=aittee will begin reviewing the group and residential care
licensing standards.
These being no further business, the meeting was adjourned at
10:40 P.M.
Respectfully submitted,
*FoxeM.
n
Members Present:
Members Absent:
Staff Present:
Comm inity
Representatives:
Presiding
Official:
Summary of Action:
EVANS ON MENTAL HEALTH BOARD
MINLUES
(Minutes recorded, not yet approved)
February 14, 1985
Chairperson Mary Lu O'Malley, Vice Chairperson
Frederick Artwick, Alderperson Davidson Ream,
Natasha Deutsch, Carol Henes, Lee Leggette
Michael Buren, Morris Robinson, Gene Weiss
Jeanne M. Fox, Dorothy Lloyd -Still, Glenn Mandel
Paul Geitner, Medill Graduate School of Journalism;
Pat Fahey and Marcia A. Maloney, Evanston Ecumenical
Action Council; Bruce Copeland, ACORN; Carol Kimmel,
League of Waxen Voters
Mary Lu O'Malley, Chairperson
Mary Lu O'Malley, Chairperson, called the meeting to order at 7:35 P.M.
I. Introductions and Co m u ity Comments
Ms. O'Malley asked people present in the audience to introduce
themselves. Marcia Maloney asked for an opportunity to address the Board.
II. Minutes of January 10, 1985 meeting
Ms. O'Malley asked for approval of the minutes of the January 10, 1985
meeting. Frederic Artwick asked for clarification of section V on page 7,
regarding action on proposals for mental health services for youth. It was
agreed that the Board, at the January 10th meeting, did not act upon the
staff recomrendation that the Mental Health Board make a request to the
YOU Board that the Mental Health Board be allowed to review and ccrmv_nt on
any proposals for funding for mental health services for youth that might
be submitted through the SB1500 process. The Board also agreed that they -
had directed staff to send a letter to the Governor urging that funds for
mental health services not be mixed with funds for youth services. In
response to a question from Ms. O'Malley, Jeanne Fox responded that staff
was waiting for the appropriate time in the state budget process to send
this letter.
Davidson Ream moved approval of the minutes, with a second by Mr.
Artwick. The motion passed by a vote of 5-0 (Deutsch absent).
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III. Policy Guidelines for Contracts
The Board reviewed the policy guidelines. Mr. Ream moved to reaffirm
the guidelines, with a second by Lee Leggette. In response to a question by
Mr. Artwick, Ms. Fox reviewed the budget and contract process. The motion
passed by a vote of 6-0.
IV. Crnmunity Comments Continued
Ms. O'Malley asked Marcia Maloney and Pat Fahey, Evanston Ecumenical
Action Council Task Force on the Homeless, to join the Board at the table.
Ms. Maloney and Ms. Fahey shared with the Board their concerns about a
proposal of the Illinois DeparbTent of Mental Health and Developmental
Disabilities (DMHDD) to build two specialized living facilities (SLF) of 100
beds each. Ms. Maloney and Ms. Fahey are concerned about the proposed
staff/resident ratio and about the limitations on length of stay that DMHDD
is, according to their understanding, proposing. They feel that this pro-
posal will affect Evanston because some of the people who will be placed in
SLFs from the State institutions will be Evanston residents, will not be
allowed to remain in the SLF past a predetermined time, will not be allowed
to return to the State institution, will not meet the admission criteria for
a group home in Evanston, and will end up on the street homeless. Following
further discussion of this issue, Mr. Artwick asked what action Ms. Maloney
and Ms. Fahey would like the Mental Health Board to take. They responded
that they are requesting at this time that the Baord be aware of the issue
and monitor further developments.
Ms. Maloney stated that they arre concerned about the possible
placement of time limits by DMHDD on residency in both SLFs and in group
homes for the mentally ill. Ms. Fox stated that DMHDD is attempting to
develop a continuun of care. She further stated that it is her understanding
that it is not the intent of DMHDD to kick people out of either
SLF's or group homes. DMHDD will not, however, be able to provide funds
for some individuals for the rest of their lives. DMHDD expects funding
responsibility to be assumed by other appropriate sources such as Public Aid
and Social Security. The proposed licensing ordinance for group hares in
Evanston prohibits inappropriate involuntary discharge. DMkW has scheduled
a public hearing an SLF's on March 1st, and Ms. Fox encouraged Ms. Maloney
and Ms. Fahey to express their concerns at that hearing.
Ms. O'Malley thanked Ms. Maloney and Ms. Fahey, and stated that the
Mental Health Board is canrdtted both to a continuum of care and to high
standards.
V. Evanston Substance Abuse Prevention Council Conference
A review of the progress made to date in planning the March 9th
conference was given by Glenn Mandel. Mr. Mandel also informed the Board
that there are already 40 people registered to attend the conference, that
the grant proposal to the Department of Alcoholism and Substance Abuse
(DASA) had been accepted, and that Cablevision was planning to do taped
interviews about the conference.
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A motion was made by Mr. Rea*n to grant $100 to the Council to be used
for conference honorariums. The motion was seconded by Mr. Leggette.
Mr. Artwick asked for clarification of how the money would be spent.
Dorothy Lloyd -Still replied that the Mental Health Board money will be
allocated directly to paying for a speaker at the conference. Any money
that comes from conference participant's registration that exceeded the
costs of the conference will be used to support future efforts of the
Evanston Substance Abuse Prevention Council (ESAPC). The motion passed by
a vote of 6-0.
Mr. Mandel then reviewed the request of Operation Snowball for the
Mental Health Board to sponsor one youth participant. Carol Henes made
a motion to grant $50.00 to Operation Snowball to sponsor one youth
participant for their upcoming teen weekend. Mr. Leggette seconded the
motion.
Natasha Deutsch asked from where in our budget this money is coning.
Ms. Fox replied that it will come from funds unused at the end of the
fiscal year. We r^ceived volunteer services from students this year which
saved us some money. The $100 honorarium and $50 to Snowball would cane
from this money. Ms. Deutsch asked whether we lose this money if we don't
use it before March lst. rts. Fox replied that this is correct. The motion
passed 6-0.
Ms. Artwick asked what organizations are doing prevention in Evanston?
Mts. Lloyd -Still replied that the ESAPC is a coordinating body that brings
together many different agencies and members of the Evanston camrunity to do
prevention. Everyone who is a member of the Council is involved in or con-
cerned about prevention.
VI. Review of Association for Comnianit,y Mental Health Authorities Purpose
and Strategic Plan
Ms. Fox stated that the Association for Community Mental Health
Authorities had requested that each member board review and affirm the
proposed statement of purpose. his. Deutsch moved that the Board affirm
the statement of purpose. Mr. Ream seconded the motion, which passed by a
vote of 6-0.
The mission statement approved is as follows: The purpose of the
Association of Community Mental Health Authorities of Illinois is to advance
local governmental decision -nuking and control in meeting the need of the
citizens with mental disabilities (developmentally disabled, mental illness,
and substance abuse) by developing and expanding local mental health
authorities into an effective state-wide organization.
VII. Process for Comuunity Planning For Services to the Chroncially
Mentally Ill
Ms. O'Malley reviewed with the Board the progress regarding this
agenda item since their last Board meeting. Rosemary Pabst had been named
by the Human Services Committee to be the Aldermanic liaison to the Mental
Health Board. Alderman Pabst and Ms. Fox had met to discuss the four issues
which represent barriers to services for the mentally ill. It was agreed
that these four issues would be considered separately. The following four
issues, with draft processes, were then discussed:
1. Determine how to integrate and plan services for
the mentally ill in the ccaru ity when they have a
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right to refuse medication, to refuse treatment and
hospitalizaton, and have the right to use public
places regardless of the appropriateness of dress or
behavior.
This issue identifies the need for community education and change
of attitude by the general public regarding the mentally ill. Com-
nmity education would be focused on increasing the tolerance level
of the general public toward persons with aberrant behavior.
2. Determine for whom the community is responsible.
There is a need for an agreement by policy makers
on who is an Evansston resident.
If an individual lived here before and wants to return
is she/he an Evanston resident? What length of residence
in Evanston enables a claim to services? If undomiciled,
and one receives service in Evanston, is that person an
Evanston resident? Taxing bodies such as school districts
have a more defined residency requirement which ressults in
a differential fee for the same services. Can this be
applied to human services?
This is a policy decision which needs guidelines which are
supported by the cammmi ty.
3. Determine how much service, for haq many people, and
the level of quality of those services, will be funded
with the c munity's limited fiscal resources.
The mentally ill need adequate funds for food, clothing,
and shelter w as do all people. They have particular need
for a range of housing alternatives to meet individualized
needs.
As fiscal resources for human services continue to decrease,
can Evasntan maintain its carmitment to improving the quality
of life for Evanston residents as well as providing for the
basic needs of food, clothing and shelter? How do we keep
a balanced community i.e., economically, racially, by age
and by family composition?
How many mentally ill persons can Evanston care for? How
many services should be available?
4. Determine how the Illinois Department of Mental Health
and Developmental Disabilities and the Evanston Ccnrunity
can resolve conflicts of priorities and funding. A major
(under of services for the mentally ill in Evanston is
the Illinois Department of Mental Health and Developmental
Disabilities {MOM}. These funds are used to purchase
specific services from Providers for a large geographical
area. These agencies need these funds in order to provide
services. Therefore agencies try to adapt to meet funders
requirements. These funding requirements can be in conflict
with the Evanston community's needs and priorities. At
present, the Mental Health Board represents the community
or public interest as well as advocating for its target
populations. Sane of the current and potential conflicts
are: funding rates for residential services; responsibility
for mentally ill in long term care facilities; need for more
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workshop slots for mentally ill, and, where does the state
responsibility stop and the ccm;Tunity responsibility begin
for mentally ill persons returning to the community?
Therefore, this is an advocacy issue which needs to be addressed by
all concerned about the needs of the mentally ill. The Board then
discussed a variety of options as to how to deal with these issues.
The Board by consensus agreed to request that the Human Services Com-
mittee appoint a Task Force to develop policy options and recommendations
by October 1, 1985.
Regional Planninq Process for the Housing Needs of the mentally Ill
and Oevelopnentally Disabled (Mentally Disabled)
M. O'Malley stated that the Evanston community, as it continues to be
responsive to needs of the mentally disabled, could become overburdened. It
is important that surrounding canninities also develop housing to meet the
needs of the mentally ill and developmentally disabled. Therefore, as a
Board, we are advocating for the development of a regional planning
process for the housing needs of the mentally ill and developmentally
disabled.
She further stated that we envision a process whereby the Human
Services Cc mi.ttee will ask City Council to formally request a regionl
housing plan for the chronically mentally ill and developmentally disabled.
This plan will ensure that the range of housing needed is developed, and
that the burden of care is distributed.
Ms. Fox recommended that the iicusing Commission be asked to join us in
initiating the development of this regional housing plan. A•draft of
possible objectives and time lines was reviewed. Mr. Artwick moved that
the Mental Health Board request the Iiousing Commission to join the Mental
Health Board in cosponsoring a resolution which would be introduced to City
Council on 3-11-85. The resolution would formally request a regional
housing plan to be developed with our neighboring townships, and would
requesst that the Director of the Illinois Department of Mental Health and
Developmental Disabilities provide staff to work with the City of Evanston,
because the majority of fuming for housing comes from the Department and
the mandated populations are theirs as well. The motion was seconded by
Mr. Ream and unanimously accepted by a vote of 6-0.
The Board also agreed to ask the Human Services Committee to approve a
resolution cosponsored by the M ntal Health Board and the Housing Commission
that requests a regional planning process to be developed for the housing
neeris of the mentally disabled. Ms. O'Malley stated that these two items
(Regional Housing Plan and Policy Issues) are to be presented to the
Human Services Committee at their 2-25-85 meeting.
ViII. Membership in Association for Retarded Citizens of Illinois (ARC-r)
Ms. O'Malley reported to the Board about the discussion of this issue
held by the Administration and Public Wroks (A&PW) Committee on February
llth. Alderperson Rainey made a compromise proposal whereby the Board would
be members of ARC -I for purposes of information and technical assistance
only. The Board discussed this suggestion and unanimously agreed that it
was critical that the Board affirm the legitimacy of its advocacy function.
Ms. Artwick asked if City Council has had any discussion about a
general policy regarding memberships of Boards and Commissions in
Associations. Mr. Ream replied that Council has not done so. Following
-6-
further discussion of this issue, Ms. Deutsch moved that the Baord send a
n nm to A&PW that would include further information about benefits of the
membership, would acknowledge Alderpersscn Rainey's suggestion, would re-
affirm the Baord's commitment to its advvcacy function, and Gould request
that A&PW bring the question to the Council floor. Mr. Ream seconded the
motion, which passed by a vote of 6-0.
IX. Information Items
A. Opening of First Step/Access
Ms. Fox reported that this program is now in operation.
The May issue of the Evanston Hospital publication
"Pilot" will include an article about the program.
B. Public Hearing on the Homeless
Ms. Fox reported that a public hearing on hcmelesness
would be held on February 16th at the First Baptist Church.
Ms. O'Malley and Ms. Fox are scheduled to testify.
X. Residential Care and Group Care Homes Licensing Ordinance
Discussion was held about the current status of this ordinance.
Ms. Lloyd -Still reported that Human Services Camni.ttee had introduced the
ordinance to City Council on February llth, and it was anticipated that
Council discussion would commence on February 25th.
Ms. O'Malley asked the Board to authorize an advocacy c undttee for
action on this issue, with herself, Ms. Deutsch, and Ms. Henes as members.
Mr. Ream moved to authorize such a eazmittee, with a seocnd by Mr. Artwick.
The motion passed by a vote of 6-0. It was agreed that the actions of
the committee would include a guest essay in the Review,_ a memo to City
Council, and Aldermanic contacts as appropriate.
There being no further business to conduct, the meeting was adjourned
at 10:10 P.M. by Ms. O'Malley.
Respectfully submitted,
eanne M. Foxf�-
W-z�bers Present.:
Members Absent:
Staff:
Co munity
Representatives:
Presiding
Official:
Summary of Action:
EVANSTON MENIAL HEALTH BOARD
MINUTES
bT,RCH 14, 1985
(Minutes recorded, not yet approved)
Chairperson Mary Lu 'malley, slice -Chairperson
Frederic Artwick, Natasha Deutsch, Carol Henes,
Lee Leggette, Morris Robinson, Gene Weiss
Alderperscn Davidson Ream, Michael Buren
Jeanne M. Fox, Dorothy Lloyd -Still, Glenn Mandel,
Pam Glaser
Tina Herpe, Claire McCarthy Peterson, Alison
Greaves, Angela Schwartz, Marge SQndler, Lois
Mazor, Charles Worthington, and Rita Sheinen,
Task Force on zoning and Special Housing;
Sue Ebersold, ACORN; Carol Kimmel, League of
i anon Voters.
Mary Lu O'Malley, Chairperson
The meeting was called to order at 7:45 p.m. by Mary Lu O'Malley,
Chairperson.
I. Introduction and Can=ity Comments
Nis. O'Malley made the following cannents: "This is a very special
night, because groups of people workdng together for a common cause have
enabled the passage of licensing standards for group care and
residential care hares. It was a vote of 17-1 by City Council on
March 11, 1985 - a vote which signifies the level of ccmrmitment to group
care and residential care homes - and, we believe, the level of
understanding regarding the housing needs of persons with rental illness
and developmental disabilities - an understanding which occurred as a
direct result of the efforts of many, but particularly, the Task Force
on Zoning and Special mousing.
Although we are celebrating an end to this process, it is only the
beginning step of the develogrent of group care and residential care
hares. Ca r.uruty awareness and understanding regarding the housing
needs of persons with mental illness and developmental disabilities must
continue so that in two years or so, when a have is developed, it will
not meet ccmmnity resistance.
But tonight is a night to celebrate and to say thank you. The
Mental Health Board wants to recognize formally the many groups and
individuals who have enabled the passage of ordinance 91-0-84, licensing
standards for group care and residential care homes."
-2-
Ms. O'Malley they: asked Tina Herpe to come forward, and presented
her with a paperweight with the following inscription:
"The Evarstcn IM-antil 1:ealth Uoard
acknowledges with appreciation
Tina D. Herpe
Cc -Chairperson, Task Force On Zoning
and Special Housing
for her leadership and consistent effort
towards the establishment of small group
home in this community
March, 1985''
his. O'Malley then asked Claire McCarthy Peterson to come forward,
and presented her with a paperweight with the following inscription:
"The Evanston Mental Health Board
acknowledges with appreciation
Claire McCarthy Peterson
Co --Chairperson, Task Force on Zoning
and Special Housing
for her advocacy and support
towards the establishment of small
group homes in this comity
torch, 1985''
The Board then agreed by consensus to send letters of appreciation
and comrendation to the following groups and individuals: Tony Valukas,
Sheila Hebein, Montal Health Association of Evanston, Alliance for the
Mentally Ill, North Shore Association for the Retarded, Park School,
ACORN, Alison Greaves, Bob Adams, League of Warnn Voters, Evanston
Review. Ms. O'Malley read the letters and presented then to those
individuals and groups that were present.
Ms. O'Malley then read a metro from the Mental Health Board to the
Human Services Committee, Commending there for their leadership and care-
ful deliberations. The Board agreed by consensus to transmit the Ticamm
to the Committee.
Tina Herpe and Claire McCarthy Peterson then thanked the Board for
their advocacy and support and especially for the work of Dorothy Lioyd-
Still.
Ms. O'Malley, on behalf of the Board, then turned to staff. "Svc
want to recognize Dorothy Lloyd -Still, our staff persson whose technical
knowledge and professional skills led us through this long and tedious
process. She was always very thorough and committed to a level of
excellence in all her work. She persevered in the midst of personal and
professional attack, and provided staff support to the Task Force On
Zoning and Special Housing. A job well done, Dorrie."
-3-
Ms. O'Malley then recognized Jeanne Fox for her support of board
nwnbers and staff, her work with cam=ity groups, and her efforts
throughout the process. She ac'vmaaledged Josephine Meighan's con-
tributions and her "repeated typing of innumerable drafts!"
Jeanne Fox then rose and recognized the following Board ors:
"Rick Artwick, as 'lice 0irperscn, took our mressage to the
Dewey Cc^nmunity Conference and to Aldermen. His clear pre-
sentation of the facts and support during these past months
is much appreciated."
"Carol Henes, a new Board member, who comet ni.tted herself
immediately to this issue and came to endless meetings to
support us through the process - thanks."
"We want to especially thank Natasha Deutsch, the woman
behind the scenes whose political savvy helped us get out
our votes. As the kiental Health Board Chairperson in 1983,
she started this whole thing! An in her usual competent
manner, she saw this issue through its ups and downs and kept
us focused on our coal even when we were discouraged.
Thanks Natasha."
"Mary Lu O'Malley, as our Chairperson during the past two
years, has provided leadership for the Board and endless
support for the staff as we endlessly strategized how to
meet each new crisis, deal with special interest groups,
and aldermanic concerns. Her calm, objective, problem -
solving approach and clear blinking, when confronting
negativism and attacks, enabled us to persevere and win
the battle - thanks Mary Lu."
Ms. O'Malley stated that the Housing Commission had asked her to
convey to the Board their appreciation for the work of the Board on
ordinance 91-0-84.
The Board agreed by consensus to send a letter to the Evanston
Review thanking all the groups and individuals who expressed their
views on the ordinance for their participation and requesting that they
remain involved and work with the Board on the issues still facing us.
II. Minutes of the February 14, 1985 t•ieeting
Ms. O'Malley asked that the minutes of the February 14th meeting be
corrected as follows. The last paragraph on page 3 should be changed to
state that Alderperson Pabst was designated as Human Services Committee
liaison "on this issue". t•Sorris Robinson moved approval of the minutes
as corrected, with a second by Lee Leggette. The motion passed by a
vote of 5-0 (Artwick and Deutsch absent).
Ms. O'Malley announced that the check for the Board's merbership
in the Association for Retarded Citizens of Illinois was approved by the
Administration and Public Works Cammittee and by City Council on
February 25, 1985.
-4-
III. Resolution for Regionalized Housing plan for the Mentally Ill and
Developmentally Disabled
Ms. 01�lilley stated that this resolution is the final product of
our work over the past month. what ,.as previously approved in concept
is now put on paper. She rrgtiested that the Board formally approve the
resolution. The resolution was approved by City Council on t•Ionday,
March llth. At that meeting, City Council did not discuss the strategy
needed to implement the resolution. A motion For formal adoption of the
resolution by the Mental Health Board was :Wade by Gene Weiss and
seconded by Mr. Leggette. The motion eased by a vote of 5-0 (Deutsch
and Artwick absent).
Carol Henes asked if anyone had contacted state or municipal
officials yet concerning the regionalized plan. Ms. Fox replied that
the state knows about the adoption of the residential care and group
care ham ordinance, and is aware of our intent to develop a regional
plan. Hoar the plan will be developed and e:•:actly who will Yfi involved
is not yet determined.
Ms. O'Malley stated that the Hunan Services Committee has not yet
discussed the process for the regional plan. They have only affirmAd a
resolution in favor of such a plan. Concei,.-ably, there may be
additiar-kal changes.
Ms. Henes asked if the issue would be discussed at the next City
Council meeting. Ms. Fox replied that is is unlikely that it will
because of the timing of the meeting which is just before the election.
Ms. O'Malley stated that the Mayor may appoint a committee to
develop a plan because he has been involved with this issue, and that he
will try to move the process along.
fir. Robinson asked if any of -the surrounding ccm runities have
manb;rs who are already interested in a regional plan, or is the
resolution an inpetus to get there interested. INLS. Fox replied that
the timing is right to get thco involved, and that we believe they are
interested.
;pis. O'Malley asked how we will approach then. Ms. Fox replied
through City Managers and the Illinois Cam rent of rental Health and
Developmental Disabilities Mvl-IDDl and tcwnship officials. Ms. O',mLalley
stated that she w-as unclear about exactly what 5'-ge we are at in terms
of c��ing up with a regional plan.
ris. Fox stated that we are at the stage of bringing people together
to see whether they are interested in working with us to develop the
plan. We are ccnmitting the Mental Health Board to a 3-year process in
creating a regional plan. ive will need one or more Board maTbers to
participate in the planning process.
Ms. O'Malley stated that we will also want to enlist the assistance
of city Council representatives. ;pis. Henes asked if we are asking sannthing
specific of the Human Services ConTnittee, or do we just want the to dis-
cuss the issue. Ms. O'Malley asked if April 1st is a realistic deadline.
-5-
Ms. Fox replied that it is realistic if the Human Services
Committee will work with us. Ms. O'Malley stated that Human Services
Committee may want to discuss this further. There is no need for us to
approve formally the process tonight.
IV. Community Plan for Services for the Mentally Ill
The Mental Health Hoard received the draft of the specific
objectives which address the four issues/barriers to the develo_nTent
of a full range of services for mentally ill clients in the
Evanston community. Ms. O'Malley reviewed the four issues:
1. How to integrate and plan services for the mentally ill
in the'cammunity when they have a right to refuse
medication, to refuse treatment, and to use public
places regardless of dress or behavior.
2. For wham is the community resrcnsible? Who is an Evanston
resident?
3. How much service and for ham many people will be funded
by the can=ity's limited fiscal resources?
4. How can we work with the State to resolve conflicts
of priorities and funding?
The following goals and objectives to address these issues were
then discussed:
Goal:
By November, 1987 to have developed a plan for a continuum of
services for the mentally ill which is sunnorted by the can-
munity, the providers, and the funders.
Objective 1:
By May, 1987, to develop a level of community acceptance that
will allow for the development of needed services and full
participation in the carm=ty by persons who are mentally
ill. (This relates to issue No. 1)
Objective 2:
By June, 1985 to develop an Evanston coalition of individuals
and organizations to advocate for the needs of the mentally
ill regarding the issues of housing, funding guidelines, and
priorities. (This relates to how can we work with the State
agencies to resolve conflicts of priorities and funding?
Quarterly reports regarding issues and actions taken will be made
to the Human Services Committee by the Mental Health Board.
-6-
Objective 3:
By October, 1985 to develop funding policy guidelines for
mental health services which are supported by the coat
munity regarding who will be served, how much service, and for
how many people will the City's fiscal resources be able to
provide.
This objective relates to the two ccvn.unity wide/funding policy
issues, issues 2 and 3, i.e., who is an Evanston resident and how much
service and for licw many people will the City's fiscal resources be able
to provide?
hbrris Robinson stated he was concerned that objective No. 1 as
stated was not feasible. After a lengthy discussion of the intent of
the objective, it was referred back to the Mental Health Board Sub-can-
mittee for rewriting. Cbjective No. 2 was accepted as presented.
Objective No. 3 was than discussed.
Since the local funderss of trentai health services are the City,
the Tcroship, the Mental Health Board and the United way, and each of
these aroups develop funding policy guidelines for the use of their
monies, the staff had recannerded that the Unified Budgeting Panel, of
which all the fenders are members, be convened. However, Natasha
Deutsch questionod ubether the panel me.Tlers who represent the funders
at Unified Budgeting Panel should be the ones to discuss these issues,
or should the fenders choose their representatives for this purpose.
After a brief discussion, the Board agreed by consensus to recommend
that Human Services Ccm ittee convene representatives of these funders
to address these issues with a process for input by the ca=jnity.
Ms. 0't-Salley reminded the Board that these three objectives would ncid
be added to the list of 1985-86 objectives.
V. Substance Abuse Conference
Glenn Iardel gave a report to the Berard on the March 9th E'ranstcn
Substance Abuse Prevention Conference. :sir. Mandel began by giving a
breakdown of the conference participants and stating that 28 comrunity
groups and organizations were represented at the conference. He also
stated that the total attendance was 81 ceople, 60 adult participants
and 21 youth. Itr. Mandel thanked Mary W O'Malley, Rick Art*jick and
Lee Legectte for attending the ccnference and showing Board support.
NIr. Mandel reported that the conference evaluation shot.�,_d that the
conference was a great success, that people felt the conference had met
their expectations, and that personal networking and invitations on the
part of the conference planning ccarittee merbers had succeeded in
bringing people to the conference. I%tr. I'andel reported that the con-
ference has 1) generated mcn-entum in the cc�rmunity (inquiries have been
made from MS to have Jizr. Lew, a conference speaker, give inservices to
ERTS teachers); 2) brought more ccmn ity people into the prevention
network and trained people that have an irT;act on youth and; 3)
heightened ca=munity awareresss on the problem of teen substance abuse
in Evanston, and disseminated information on the subject of adolescent
substance abuse.
-7-
Also noted was that the Long Range Planning Carmittee of the
Evanston Substance Abuse Prevention Council was due to meet on March
20th to discuss future plans and the use of the momentum fran the con-
ference.
Mr. hIandel then reported that he is evaluating the possibility of
writing a proposal to the Department of Alcoholism and Substance Abuse
(DASA) for the.�m to fund a Substance Abuse Prevention Coordinator in
Evanston. Mr. Mandel has also had discussion with relevant service
providers in the ccmTunity on where this proposed person would be based
and their specific functions, stating that this is still under
consideration.
Mr. Artwick asked if we are starting a new agency with this
proposal. Mr. Mandel replied, "No, only a new person to work i�
Evanston. Statewide the idea of prevention is just budding."
Ms. O'Malley asked where would this person be based. Ms. Fox
replied that we will be having discussions with Joe Anna Sullivan from
Evanston Ccmprehensive Drug Treatment Program and bon Baker from YOU to
look into possibly coordinating the efforts of their agencies and the
Board, but a meeting won't be held for a few weeks yet.
Isis. O'Malley stated that Jan Sigman from United Way put a lot of
time and effort into the conference and deserves comiiendation. Ms.
O'Malley then received consensus from the board to send a letter to
the Substance Abuse Prevention Council expressing appreciation and
carmendation for the conference, and noting Jan Sigmtian's contribution as
conference chair in particular.
VI. Revised Objectives for 1985-86
The Board discussed a revision of objectives necessitated by the
decision to pursue the regional housing plan and the community plan for
services Eor the mentally ill. The revised objectives were approved as
revised.
VII. Informational Items
A. ms. Fox announced that Family Focus and the Coalition for Human
Sexuality are spons,.iring a conference on teen-age sexuality on
April 27th. The Coalition is asking the Board for a letter of
support and a contribution of $50.00. Mr. Artwick moved that
the Board endorse the conference and make a $50.00 contribution
Dr. Weiss seconded the motion, which passed by a vote of 7-0.
B. Ms. Fox announced that First Step/Access will hold an open
house on April 12th.
C. Ms. Fox announced that contract negotiations are being
finalized.
VIII. Executive Sesion
The Board then held an executive sesicn to discuss a personnel
matter.
There being no further business to conduct, the meeting was ad-
journed at 10:10p.m. l J
"riaa P y Fox
EVANS70N MENTAL HEALTH BOARD
MINUTES
April 11, 1985
(Minutes recorded, not yet approved)
Members Present: Chairperson Mary Lu O'Malley, Vice -chairperson
Frederic Artwick, Michael Buren, Natasha Deutsch,
Lee Leggette, Gene Weiss
Members Absent: Alderperson Davidson Ream, Carol Henes,
Morris Robinson
Staff: Dorothy Lloyd -Still, Pam Glaser
Cam unity
Representatives: Stuart Ferst, The Center for the Rehabilitation and.
Training of the Disabled; Jerry Gulley and Jean
Vondriska, North Shore Association for the Retarded;
Don Mass, Association for Retarded Citizens of
Illinois; Patricia Fahey, Evanston Ecumenical Action
Council; Carol Kimmel, League of Women Voters;
Bruce Copeland and Sue Ebersold, ACORN; Corinne
Lerman and Gil Cohen, Quality Health Care, Inc.;
Leslie Kaplan, Jan Hoosin, and R. Schneider,
Evanston Hospital; Richard Haar, Niles 'Township
Sheltered Workshop; Tan Jager, United Way/Commi.:nity
Services; Bonnie Hibben
Presiding
Official: Mary Lu O'Malley, Chairperson
Summary of Action:
The meeting was called to order at 7:40 p.m. by Mary Lu O'Malley,
Chairperson.
I. Introduction and Community Comments
Ms. O'Malley asked people in the audience to introduce themselves.
Angela Schwartz announced that the Mental Health Association is sponsoring a
panel discussion on the hameless mentally ill on May 16th at 7:30 p.m. at
St. Matthews Church.
II. Minutes of the March 14, 1985 meeting
Ms. O'Malley requested that a correction be made on page 4, seventh
paragraph, last line of the minutes, to read " Ms. O'Malley requested clari-
fication Mr. Artwick moved adoption of the miutes as corrected, with
a second by Natasha Deutsch. The motion passed by a vote of 6-0.
-2-
III. Medicaid Reimbursement for structured day programming for persons
with developmental disabilities residing in long term care settings
Don Moss, Executive Director of the Association for Retarded Citizens
of Illinois, (ARC -I) joined the Board at the table. He stated that his
purpose in meeting with the Board was to provide information about the plan
as proposed by the State, and not as a proponent of the plan. ARC -I is
engaged in intensive negotiations with State authorities around imple-
mentation of the plan. The Health Care Financing Administration (HCFA)
of the U.S. Department of Health and Human Services is paying increasing
attention to long term care facilities that serve persons with develop-
mental disabilities. These facilities represent the fastest growing
line item in the Medicaid budget and will receive increased federal
scrutiny, including increased inspections. The federal government is con-
cerned that residents are not receiving the treatment necessary to enable
them to reach their developmental potential.
Many residents of long term care facilities are not receiving appro-
priate habilitative services. In order to address this issue and to
capture Medicaid dollars for habilitation services, $10 million of cur-
rent Department of Mental Health and Developmental Disabilities (WHDD)
funding will be shifted to the Department of Public Aid (DPA) and a new
$10 million will be added. An additional 2,000 residents will be served.
Implementation issues include;
- Change of funding mechanism from grant-in-aid to
purchase of care will create cash flow problems
- Developmental model vs medical model
- Basic distrust between private not -for -profit
service providers and proprietary facilities
- Fiscal integrity of community agencies
- Day program, priority to long term care facility
residents neglects need of community residents for day
programs
- Means of quality controls for day program providers
Ms. O'Malley asked if people in the audience had convents or questions.
Stuart Ferst stated that the overriding goal of cannunity day programs is
to enable people to move to the next level of independence. If day pro-
gram providers become service vendors for the long term care facilities,
there is often a disincentive to move towards independence. Gil Cohen
stated that day programs belong outside of residential facilities, that it
is beneficial to both residents and staff to have day programs outside.
Ms. O'Malley stated that the Mental Health Board wants to see
Evanston long terra care facilities and community service providers working
together for the best interests of the residents, and expects to be in-
volved in the implementation of this forthccming shift. in Evanston.
-3-
IV. Discussion of homeless mentally ill
Ms. O'Malley introduced Helen McCarthy, Director of the Department
of Health and Human Services, and asked her to airing the Board up to date
on the activities of the City surrounding the issue of homelessness.
Ms. McCarthy said that the primary things have occurred since the
First Baptist Church opened its shelter.
1. The Zoning Amendment Committee (ZAC) is proposing an
amendment to the city zoning ordinance which would allow
a shelter for the homeless to operate in Evanston. The
Cotrmittee proposal will be sent to Planning and Develop-
ment (P&D) Committee for their May 6th meeting.
As a result of the ZAC deliberations, the ZAC report makes
several recommendations concerning the operation of
shelters in Evanston:
- limit the length of stay in a shelter on
a given day to 12 hours
- limit length of stay to 12 consecutive days with
a week in between any additional 12 days
- shelters would operate only 6 months of the year,
from October 15 - April 15
- shelter would be limited to up to 20 persons
- amend the City Code to make regulatory provisions
for staffing and other operating requirements
of the shelter. These regualtions would be
modelled after those contained in the Chicago
ordinance for harmless shelters.
- Shelter allowed only in churches in R7 district
- Amendment to be reviewed every two years
The Planning and Development Committee will discuss this report on
May 6, and may refer certain parts to the Human Services Committee for
further discussion. This will allow the Mental Health Board time to
make any recamrendations it may have.
2. Another major activity of the City has been to convene service
agencies that serve the homeless population, including EEAC, and the Center
for Public Ministry, to look for a solution to the problem. They were asked
to keep data for the month of February for all their requests for shelter
from the homeless. The staff of the Department of Health and Human Services
simultaneously did a survey of those in shelters on several evenings in
February. This survey found, among other things, that:
1. of the 34 people interviewed, 14 had lived in
Evanston at some time in the past
2. of those 14, half of them did not show obvious
signs of mental illness, and the other half had
a combination of mental illness and other problems.
-4-
This finding did not correspond to the ge.•:sal perception that 80%
of the homeless population have psychiatric problems.
Mr. Artwick asked who were the other 20 persons in the shelter?
Ms. McCarthy replied that a higher number of these non Evanston connected
people had a psychiatric history.
Dr. Weiss stated that statistics are codex. To say, for example,
that 50% of a certain population was not hospitalized does not mean
that 50% did not have psychological pathology.
Ms. McCarthy responded that judgements about mental illness were
based on self -reporting, and any indications of obvious pathology.
Ms. Artwick stated that it seems staff was trying to identify
whether there is merit to the public perception that homelessness has
been caused by the recent deinstitutionalization of the mentally ill popu-
lation. He asked if ZAC considered the dichotomy between Evanston and
non -Evanston based homelessness.
Ms. McCarthy replied that they did not do so in terms of a definition.
No distinction in residency was made in the final report. Residency was
discussed, however. A concern was raised about a shelter with easy
access to the el, for example, that might attract more homeless.
Mr. Buren asked how long were the people in the shelter inter-
viewed.
Ms. McCarthy replied about 10 minutes.
Mr. Buren stated that only knowledge of their past history would
provide an accurate assessment of psychological problems.
Ms. McCarthy stated, in summary, the City is considering the
following:
1. Whether to support the establishment of a temporary shelter
2. whether to support a more permanent, transitional shelter,
maybe not in a church but in an apartment building or some
other location which would allow pri,;ate rooms
3. To make a reccmny--ndation in terms of current assistance
programs for different types of housing options, e.g.,
make a change in the City's emergency assistance program
4. Development of more housing options, e.g., small group hones
5. Other programs such as a clearinghouse or matchup between
those with roams and those who need a place to stay
b. Long term problems which are at the root of the problem
of homelessness, e.g., serious medical problems, availability
of other low income housing, assistance with finding jobs.
--5-
Ms. O'Malley asked who are members of the Committee meeting to dis-
cuss solutions? Ms. McCarthy replied, EEAC and the Center for Public
Ministry, Evanston Hospital, General Assistance, Emergency Assistance,
Mental Health Board, ACORN, Salvation Army, United «y, and Family Fa -.us.
Mr. Artwick asked if the permit for the present shelter expires
at the end of April? Ms. McCarthy replied that the City originally in-
tended for the shelter to operate for the 1984-85 winter season. No dates
were set. There has been no formal reco mPandation made to City Council,
but staff will probably make a recoriendation to allow the shelter to
remain open until there is some formal action to close it.
Mr. Artwick asked if there are fewer people who use the shelter as it
gets warmer. Ms. McCarthy replied no, there are more.
Mr. Artwick inquired why. Ms. McCarthy replied when it was cold, it
seems that many people were unwilling or unable to wait outside until
10 p.m. when the shelter opened. Now that it's warmer, people are willing
to wait.
Mr. Buren asked if the staff research is the only effort that has been
made to talk to these people. Ms. McCarthy replied ye6, in terms of any
formal dialogue. The shelter staff knows some of the people well, but
they have made no attempt to record information about them.
Ms. O'Malley asked if the shelter staff agrees with City staff
findings. Ms. McCarthy replied that they don't disagree.
Mr. Buren stated that it's unusual and unfortunate that more time
has not been spent talking to these people. We need to find out why
people come to the shelter. Fewer cane at the beginning of the month,
Eor example, after welfare checks arrive.
Ms. O'Malley stated that she talked to Bob Thatpson, First Baptist
Church, today. He was unable to be here tonight. He thinks the shelter
should continue, and that it should not be seasonal or tirm limited.
Dr. Weiss stated that part of the reason why it's important to
determine why these people are in the shelter is to determine whether they
may need the services of scrm other facility. We need to carefully de-
fine what services the shelters gill provide. Title limits, for example,
may help to linit the type of population served, which may be a good
thing.
Ms. Lloyd -Still stated that one option was that the dental Health
Board be given the ZAC report as soon as it is sent to P&D so that the
Board can review and make any reco nendations it thinks appropriate.
Mr. Buren asked if the VIC reccrm endations are accepted, will the
City commit more funds to the shelter? Ms. McCarthy replied that right
now the discussion of the establishment of a shelter and the funding needed
for it are separate issues. Pat Fahey, Executive Director of EEAC is here,
and she may have sotto things she'd like to add to this discussion.
-6-
Ms. Fahey stated that she would like to address same of the caamnents
made by Board members.
1. That the existence of a shelter in Evanston will attract
people from the City -- First of all, there were homeless
in Evanston before the shelter opened. People who came
to the soup kitchens said they needed a place to stay, and
emergency shelters were opened after that.
2. That Chicago emergency room workers would give people
money to ride pulbic transportation and come to a shelter
here in Evanston. Emergency roan workers in Evanston
have been doing the same thing for years to Chicago
shelters.
3. We have sane problems with the ZAC report. We don't think
the shelter should be seasonal. We don't know what will
happen this summer because there is no history on which
to base our assessment.
In relation to the questions of the limits of stay:
1. EEAC's original proposal included a limited length of
stay.
2. However, included in this limitation was the existence of
intensive social work services.
3. Those social work services are not being provided now.
4. Until some sort of hook-up or referral system is set up,
there should be no limit of stay imposed by the shelter.
S. The shelter needs a case manager or social worker.
In relation to the question of what will happen to the homeless
mentally ill without additional funding for the shelter:
1. Mentally ill now in the shelters will probably be forced to
leave involuntarily. They may have an episode, disturb the
shelter, and niy be asked to leave.
2. Unless there are additional funds, they will once again be
homeless mentally ill.
Mr. Buren stated that he is bothered by the proposed 20 person limit.
Why was that number chosen? bps. McCarthy replied that limiting the number
to 20 was an arbitrary limit. It was believed that a shelter with 20
persons would not have a negative impact on the surrounding community.
OFM
Ms. Deutsch stated that she objects entirely to the ZAC recom-
mendations. I object to the fact that the shelter is becoming a govern-
mental problem and therefore there are all sorts of arbitrary limitations
being placed on the shelter.
We are dealing with an insufficiently researched market. We don't
know why people are homeless. How can we as human beings let another
human being stay out in the cold all night long?
I don't understand why the Mental Health Board is involved with this
issue at all. I don't believe that the people in the shelter are there
because they're mentally ill. They are there because they're homeless.
Dr. Weiss stated that other research has found that psychopathology
is a cause of homelessness.
Ms. Deutsch stated that right now we only have a variety of theories.
I don't think it's appropriate for us to have been bought into this issue.
Mr. Buren stated, "I don't think the Mental Health Board should be
involved with this issue, either."
Dr. Weiss stated that New York City has found legal reasons to be
providing health services in homeless shelters. It is a disservice not
to provide social work services. People are homeless for a reason, and
they need to be provided services.
Ms. Deutsch stated that the comity has fallen into a trap of
providing service, but this is not necessarily a mental health problem.
There is a population in need, but it is not necessarily a mental health
need.
Nis. Lloyd -Still stated that some percentage of the homeless popu-
lation at the shelter does have legitimate ties to Evanston and does have
mental health problems.
Mir. Buren stated that he would like to see more data collected.
Does EEAC have a stance on a temporary or a more permanent facility? There
was a proposal last summer for a permanent facility. If there were adequate
services at the First Baptist Church, it would be a satisfactory shelter.
Leslie Kaplan, staff of Crisis Intervention at Evanston Hospital,
stated that many people at the shelter are getting services. Crisis
has been working with ACORN to provide housing.
Bruce Copeland, ACORN volunteer, stated that a survey was done in
February at ACORN. Thirty-six people who were hornless did not respond to
the survey correctly. More people are homeless than would show up on a
survey. Sre've referred most of our people to Chicago shelters. Chicago
has done better than Evanston in housing the homeless. The need for shelter
is year round; I agree with EE'AC. The goal should be preventitive. We
shouldn't wait until people are institutionalized to say that they need
help. The Miental Health Board should look at this problem as part of a
continuum of care, and provide service with other regions. The focus should
be on how to support this effort through research, more time, data, the
involvement of more people and organizations. The Mental Health Board
should provide leadership and input.
-8-
Mr. Artwick asked, "Do you think public funds should support
these shelters?"
Mr. Copeland replied, " Yes, there should be a ccmbination of public
and private funds."
Mr. Artwick asked, "Do you have any problem with providing public
funds in Evanston for Chicago residents?"
Mr. Copeland replied, "No, because Chicago is providing housing and
services to Evanston residents."
Pat Fahey stated that there is a definite turnover in the shelter
that is not reflected by the statistics.
Ms. Deutsch stated that the definition of homeless makes it impossible
to determine residency. We should be concerned with services being pro-
vided by the shelter mcre importantly than whether there should be a
shelter.
The Board agreed by consensus to review the ZAC recommendations at the
May Board meeting.
V. Corm mity planning issues for services for the mentally ill
Ms. O'Malley announced that she and Carol Henes will represent the
Mental Health Board in developing a regional housing plan, and Michael Buren
and Lee Leggette will participate in defining issues of residency for
funding purposes.
VI. Nominating Committee
Ms. O'Maalley apc�inted to the nominating ccnTnittee: Natasha Deutsch,
Chair; Lee Leggette, Davidson Ream, and Mary Lu O'Malley (alternate).
VII. Informational Items
A. Access/First Step will hold an open house at Foster School
on April 12th.
S. Board metrbers were reminded to return their financial disclosure
forms to the City Clerk's office.
There being no further business to conduct, the meeting was adjourned
at 9:30 p.m.
Respectfully submitted,
,/.leanne M. Fox' /ti' •� '•�
W, IZTON MIINrAL HEALTH BOARD
. MINUTES
MAY 9, 1985
(Minutes recorded, not yet approved)
Members Present: Chairperson Mary Lu O'Malley, Alderperson Davidson Ream,
Carol Henes, Michael Buren, Gene Weiss
Members Absent: Frederic Artwick, Natasha Deutsch, Lee Leggette,
Morris Robinson
Staff: Jeanne M. Fox, Dorothy Lloyd -Still, Glenn Mandel
Community Marvin A. Schneider; Richard Haar, Niles Township
Representatives: Sheltered Workshop; Angela Schwartz, Mental Health
Association of Evanston; Sue Ebersold, Shirley Dare,
and Bruce Copeland, ACORN; Carol Kimmel, League of
Women Voters; Bob Lynn, Center for Public Ministry;
Donna Ceravolo and Cary Steinbuck, Evanston YWCA
Shelter for Battered Women.
Presiding Official: Mary Lu O'Malley, chairperson
Summery of Action:
The meeting was called to order at 7:40 p.m. by Mary Lu O'Malley,
Chairperson.
I. Introduction and Cam:rmunity Comrents
Ms. O'Malley asked people in the audience to introduce themselves.
She then announced, on behalf of the Board, that this was the last Board
meeting at which Glenn Mandel, graduate student at the University of Chicago
School of Social Service Adfninistratian and administrative intern with the
Mental Health Board, would be present. She ccmended Glenn for the contribution
he had made to the Board, particularly in the area of substance abuse
prevention, and presented him with a certificate of recognition.
II. Minutes of April 11, 1985 meeting
Ms. O'Malley asked if there were corrections or additions to the minutes.
Dorothy Lloyd -Still stated that Angela Schwartz was present at the meeting, and
her name should be added to the list of community representatives present.
Michael Buren moved approval of the minutes as corrected, with a second by Gene
Weiss. The motion Passed unanimously.
III. Communications
Ms. O'Malley called the Board's attention to a letter of resignation from
Morris Robinson. She read to the Board a note of thanks from Dr. Ira Sloan for
the Board's recognition of his appointment as Chair of Psychiatry at Evanston
Hospital.
Ms. O'Malley then referred the Board to the staff memo from Dorothy
Lloyd -Still. She asked for a motion regarding support for increased State
funding for expanded day services for adults with developmental disabilities.
Michael Buren so moved, with a second by Davidson Ream. Ms. Lloyd -Still
reported that staff had just received the news that the House Appropriations
_z_
Committee had taken two positive actions. They voted to add two million dollars
to the budget of the Illinois Department of Mental Health and Developmental
Disabilities (IDMHDD) for adult day services. They also voted to keep funds for
day services for residents of long termcare facilities in the DMHDD budget
rather than allowing it to be transferred to the budget of the Illinois
Department of Public Aid (IDPA). The motion passed unanimously.
. Ms. O'Malley then asked for a motion regarding U.S. SB873, the 1985 bill
that revises the 1984 SB2053, the proposal that would shift medicaid funding
for residential services for persons with developmental disabilities, away fram
large institutions towards small group haves. She noted that the Association
for Retarded Citizens of Illinois continues to oppose SB873, primarily because
it does not "grandfather" existing facilities. Alderperson Ream moved, with a
second by Mr. Buren, that the Mental Health Beard reaffirm its 1984 position`
opposing SB2053, that revisions in the 1985 legislative proposal SB873 are not
sufficient, that the Mental Health Board supports a continuum of services. The
motion passed unanimously.
Alderperson Ream raised the question of cc mnnity reaction to the proposal
to move Park School to the Central School site. It was agreed that the Mental
Health Board would monitor the develogrelt of this proposal.
IV. Agency Presentation - ACORN
Susan Ebersold, Administrative Coordinator, Bruce Copeland, ACORN Board
Member, and Shirley Dare, ACORN Board President, joined the Mental Health
Board for discussion of ACCRN's past and its future. Mr. Copeland reviewed the
history of the ACORN program and how it got started. It was the result of a
group of persons fran the Wheadon United Methodist Church, who wanted to have
the church get involved in local community issues. He stated that five persons
met with a variety of carmunity leaders regarding the cracks in services, and
assessed the greatest needs in Evanston. It became apparent to them that there
were two things that were missing. Many persons with psychiatric histories were
falling through the cracks, and needed somehting that was different than that
which was available at the present; particularly, on evenings, weekends, and
holidays. They wanted a place that was easy to get into, which had no entrance
criteria, and no difficult admission processes. It should not be treatment
oriented, and must be a holistic program, interested in the total person. With
these parameters, they then set forth a program that was not based on a hiearchy
structure, but administered as a team, with the participants being equally
involved in the decision malting of the operation of the ACORN program.
A store front was opened on Noyes Street in 1978. The S.headon Church
spun off this program. It developed into a not -far -profit corporation with
support from the Church. The program was and still continues to be supported
by two to three hundred hours of volunteers from the 4+beadon Methodist Church
and other ca =-Lity churches. It originally was able to begin as a result of
City funding of $5,000 which enabled Title XX matching funds to be obtained.
Washington National gave $1,500 and the church $500.00.
The basic vision of the program was to help to keep people out of hospitals,
and to link persons to all needed services. The Mental Health Board was
deeply involved in the beginning of this program. Because of two CETA staff
obtained by Jeanne Fox through the Helping Hands program, the Drop -In Center was
able to be opened.
-3-
Sue Ebersold then discussed the current program which is located
Foster Street, and is open seven days a week, Monday through Friday
9:00 p.m.; Saturday and Sunday from 12:00 - 6:00 p.m.; and 12:00 to
all major holidays.
at 909
from 1:00 to
3:00 p.m. an
ACORN housing program also includes a shared apartment program with five
apartments, for twelve participants. All residents in the shared apartment
program attend ACORN. Ms. Ebersold stated that they have served one hundred and
ten persons in their regular housing program in 1984, and just through March of
this year, have already served one hundred and eighteen persons. The housing
program also helps persons to obtain housing in the community. In addition to
these two programs, Ms. Ebersold stated that ACORN has a resale shop called
Great Oaks, which provide training for participants, income for the program, and
clothing for participants. She then passed out charts showing center
participation hours at the Drop -in Center, which illustrated a major increase in
the past few months, due to the Shelter being open.
The ACORN program is administered with three coordinators: Janine Knops,
Housing Coordinator; Kim Couderc, Drop -In Center Coordinator; Susan Ebersold,
Adrunistrative Coordinator. Together they use a concensus model for decision
making. The funding for the ACORN program comes from businesses, Department of
Mental Health, the City, and United Way. ACORN, as a program, is very concerned
about networking with the cc nunity agencies, and meets regularly through the
Elgin Project/Evanston Network with all agencies serving the chronically
mentally ill.
Bruce Copeland then spoke about the next stps for ACORN and its future.
ACORN has been concerned about housing for low income individuals, particularly
persons with psychiatric histories, since their inception. He stated that ACORN
was the initiator of the discussions which led to the development of the Group
and Residential Care Ordinance. However, we must continue to push forward for
the development of housing for this population. ACORN, at present, is exploring
the development of a home care program where one or two persons can live with a
foster family for a period of time. It will be experimenting with the
development of a pilot program on a limited basis. ACORN, through its long term
planning efforts, continues to look at jobs, space needs, the use of food for
participants, personnel and finances. The present ACORN is housed in a building
purchased by friends of ACORN. Through the use of $60,000 from Community
Development monies, the building has been renovated.
-4-
Mr. Ream asked the location of the shared apartments. Mr. Copeland replied
that that information was confidential and could not be shared. Mr. Steam asked
how decisions are made when there are conflicts with the three coordinators.
Ms. Ebersold replied that a consultant has been used and will be used to help T
the three coordinators to work through any conflicts. Ms. Dare then stated that
although this staff configuration was somewhat different than previous ones,
they have always had three coordinators with different types of jobs working
together to run ACORN. They feel, that this is the best administrative model for
the work of ACORN.
Dr. Weiss asked how the budget is distributed among the three different
programs. Ms. Ebersold stated that there has been no conflict in regards to
distribution of monies, although, of course, there is never enough. Mr.
Copeland stated that the Finance C.amiittee develops the budget, and with the
Baord determines how the monies will be allocated. Of course, staff has input.
Dr. Weiss asked what is the level of functioning of participants in relationship
to the Niles Township Sheltered Workshop participants. Ms. Ebersold replied
that these participants are higher functioning level because of their ability to
came and go to the program by themselves, and to negotiate for themselves.
Mr. Ream asked what it is that ACORN program would like from the Mental
Health Hoard. Mr. Copeland stated that ACORN has made a concerted effort during
the past few months to share with significant groups in the ccm unity the work
of ACORN, and to upadate them on their current programming. It is particularly
important to ACORN that the Mental Health Baird support the work of ACORN, and
advocate for their participants' needs.
Ms. O'Malley questioned whether or not the 75% of participants being
Evanston residents would continue with the Homeless Shelter situation. Mr.
Copeland stated that since the Homeless persons does not have an address that
they would not be counted as Evanston residents, and therefore, the 75% ratio
would continue.
Mr. Buren asked what the two floors above the Drop -in Center were being used
for. Mr. Copeland replied that administrative offices and group rooms are
utilized in one area and that the two apartments are rented to individuals who
are not participants of ACORN.
Ms. O'Malley thanked Mr. Copeland, Ms. Dare, and Ms. Ebersold for their
presentation, and stated that the Mental Health Board was very grateful for the
work of ACORN, an behalf of the chronically mentally ill.
V. New Request for Funding From the Mental Health Board for 1986-87
Niles Township Sheltered Workshop (NM)
Richard Haar joined the Mental Health Board and reviewed his letter of
intent, requesting $20,000 from the Mal Health Board for the First Step
Program.
After a discussion of the program, Mr. Ream moved that the Mental Health
Board encourage the Niles Township Sheltered Workshop/First Step Program to
prepare the necessary budget documents to seek funding from the Mental Health
Board for the budget year 1986-87. Dr. -Weiss seconded the motion. The motion
ti+
cv1S i unaniFTYl' .- ,!ith the iiixi(:-.rshandi*TKi that ws4 would qa through the Unified
-5-
Unified Budgeting Process for its request and that the Mental Health Board by
its agreement to hear the agency, did not guarantee funding or a level of
funding. (See attached working notes)
Center for Public Ministry
Bob Lynn, Executive Director of the Center for Public Ministry, joined the
Board to discuss his letter of intent to request $25,000 from the Mental Health
Board for an on site case manager.
After a lengthy discussion, Mr. Ream moved that the Center for Public
Ministry be encouraged to go through the Unified Budgeting Process for the
purpose of asking for Mental Health funds and possible City funds, and directed
staff to explore with Mr. Lynn other funding possibilities. The motion was
seceded by Michael Buren and passed unanimously (5-0). (See attache working
notes.)
YMCA Shelter for Battered Women
Donna Ceravolo, Interim Executive Director and Carey Steinbuck, Director of
the Shelter for Battered Women, joined the Board at the table for discussion of
their intent to request monies from the Mental Health Board for 1986-87.
After a brief discussion of the program and issues; Mr. Buren moved that the
following staff recamendations be accepted, with a second by Mr. Ream. Those
staff recommendations were as follows:
1. That the Mental Health Board acknowledge the
important service provided by the Evanston
Shelter in meeting a service need of a significant
number of Evanston residents.
2. That the Mental Health Hoard offer to support
and endorse funding proposals to other sources.
3. That the Mental Health Board direct its staff to
explore with the Evanston Shelter possible service
options from other community agencies for the
residents of the Shelter and their children,
e.g., consultation, evaluation and treatment
The motion passed unanimously. (See attached working notes)
VI. Homeless Mentally Ill
Ms. O'Malley drew the attention of the Mental Health Board to the Zoning
Amendment Comnittee report prepared for the Planning and Development Comni.ttee
of the City Council, and to the memo dated May 2, from Joel Asprooth, City
Manager, and Helen McCarthy, Director of Health and Human Services. Mr. Buren
opened the discussion by saying that he felt that the Mental Health Board should
endorse the following changes to the ZAC report as recc mtiended: That the
Shelter should be allowed to remain open all year, that the number of days of
stay should be changed from 12 days to 30 days limit, that the special use
should be renewable every two years, and that the Human Services Cannittee
should be the body to review the non --land use issues regarding the operation of
• After a brief discussion: about the rationale for these i,:,,.,,.t.=ndations,
Mr. Ream seconded the motion and there was unanimous vote by the Hoard of 5--0 to
accept the recanmernded changes to the ZAC report, and to convey their
reccmTendation to the Planning and Development Committee, and to all others
concerned.
VI. Proposed kwrArents to Evanston Long Term Care Ordinance
Mr. Buren moved, with a second by Alderpersan Ream, that the Board endorse
the technical tents to the Evanston Long Term Care Ordinance recommended by
staff. These revisions include:
1. A requirement that a qualified mental retardation
professional with experience in planning for develop-
mental needs be on staff or on contract and participate in
treatment planning at facilities serving residents with
developmental disabilities.
2. Continuing education requirements for long term care
facility administrators.
3. In-service training requirements for nursing aides and
assistants.
4. Revisions to the requirements regarding individual
care planning.
The motion passed unanimously.
VII. Substance Abuse
Glenn Mandel reviewed with the Board the history of the Substance Abuse
Prevention Council, a coalition of community groups, organizations, and agencies
working to prevent alcohol and drug abuse by youth.
As a member of the organization, the following policy statement was
reviewed:
The Evanston Substance Abuse Prevention Council
does not condone either the use of, or the experimentation
= with, alcohol or other mood -altering drugs by youth.
The use of experimentation with alcohol and other mood -
altering drugs is not necessary to develop or maintain a
healthful lifestyle. The Evanston Substance Abuse
Prevention Council prammmtes a prevention process that provides
youth with personal skills and support to choose responsible
_ and healthy alternatives to use of or experimentation with
alcohol or other drugs.
The Board agreed by consensus to support this policy statement.
Mr. Mandel stated that the Mental Health Board had identified youth substance
abuse prevention as a priority concern in 1983, as a result of a carmunity
needs assessment process. Since that time, the Mental Health Board has aided
community prevention activities, provided leadership for two ccmrmmi.ty
conferences, disseminated information on adolescent substance abuse prevention
(Newsletter), coordinated community resources to aid the prevention effort, and
analyzed legislation that aims at preventing youth substance abuse.
"7_
The Mental Health Board then reviewed the proposed Parental Responsibility
Ordinance and voted unanimously to support this ordinance stating: "This
proposed ordinance is an excellent example of a local ordinance that can aid in
preventing adolescent substance abuse and its consequences. The Parental
Responsibility Ordinance will enhance the prevention of teen drinking and
harmful behavior from the use of substances." The Board then directed staff to
convey their support for this ordinance to the Mayor and Aldermen.
VUI. Informational Items
Ms. O'Malley reported that the Mayor has sent a letter to the Mental Health
Board requesting the name of the Mental Health Board nominee for the Evanston
Committee for the Regional Planning Process for Housing for Persons with Mental
Illness and Developmental Disabilities. A letter has been sent to the Mayor
nominating Carol Henes as the Mental Health Board representative on this
Committee.
Ms. O'Malley asked Alderperson Ream to give the report of the Nominating
Committee. Alderperson Ream stated that the slate of the Nominating Committee
is as follows: Chairperson, Carol Hens, Vice -Chairperson, Fredric Artwick.
Ms. O'Malley stated that the Board will vote at the June Board meeting on this
s late .
Ms. O'Malley referred the Board to the draft of the letter from herself to
Mr. Edwin Goldman, Administrator of Region II of the Illinois Departrent of
Mental Health and Developmental Disabilities, regarding DiMW's actions
regarding case coordination services in Evanst_cn. The Board disucssed this
letter, and agreed unanimously to express their displeasure to DmHDD re-
garding the fact that DMHDD had made significant decisions regarding case
coordination services in Evanston without consulting with the Mental Health
Board or staff. Mr. Buren roved that the Board strongly endorse the letter
that Ms. O'Malley is planning to send to Mr. Goldman. Ms. Henes seconded the
motion. The motion passed unanimously.
There being no further business to conduct, the meeting was adjourned at
10:20 p.m.
Respectfully submitted,
6�11"deanne M. Fox `-'r
i
. f
EVANS'Ii W MENTAL. HEALTH BOARD
MINUPESS
June 13, 1985
(Minutes recorded, not yet approved)
Members Present: Chairperson Mary Lu O'Malley, Vice Chairperson
Frederic Artwick, Alderperson Davidson Ream, Carol Henes,
Lee Leggette, Gene Weiss and Natasha Deutsch
Members Absent: Michael Buren, Ann Graff
Staff: Jeanne M. Fox, Dorothy Lloyd -Still
Cmmnuzity
Representatives: Jerry Gulley and Lois Mk3zor, North Shore Association for
the Retarded; Hill Dittman, DMHDD; Mark Schneider,
private practitioner; Jim Kauffman, tl4iry Anne Diehl,
and Angela Schwartz, Mental Health Association of
Evanston; Sue Ebersold, ACORN; Carol Kimml, League of
Wcmen Voters
Presiding Official: Mary Lu O'Malley, Chairperson
Sumnary of Action:
rrhe meeting was called to order at 7:35 p.m. by Mary Lu O'Malley,
Chairperson.
I. Introduction and Comminity Comments
Ms. O'Malley asked people in the audience to introduce themselves.
II. Minutes f J�i�cs 3 , 1985 meeting
Davidson Ream moved, with a second by Lee Leggetee, to approve the minutes
as mailed. The motion passed unanimously.
111. lg85-86 Service Priorities and Criteria
Mr. Ream moved, with a second by Gene Weiss, to continue with the 1984-85
priorities and criteria for 1985-86. -cam discussion was held, clarifying that
the listing is in priority order, laying out what is most important to the Board
for use of its total resources, both funding and staff time. The motion passed
unanimously.
IV. Case Management Services for Developmentally Disabled
Joanell Voigt, Executive Director of CcmuLmity Alternatives Unlimited
(CAU), and William Dittman, Ph.D., DD Coordinator, Region Ii MIHDD, joined the
Board at the table. Ms. Voigt explained briefly the concept of free standing
case management. CAU provides no service other than case management. This
mrdel is preferable since it permits staff to keep a client focus, rather than
focusing on agency need. The case management agency, hawever, is not able to
work without the support of all the cc miunity service providers.
-2-
Nis. O'Malley asked. how CAU would handle the budget deficit for the Evanston
unit. Ms. Voigt stated that some FY 85 start up funds would be used to secure
office space, and the agency will slow the hiring of staff. The Evanston unit
will be operational by the first of October. They will work to develop other
donor resources. Administrative and supervisory support will be provided by the
Chicago office. The agency feels it is undertaking a difficult task but that a
reasonable risk is entailed. In response to a question from Carol Henes, Dr.
Dittman stated that DMVDD would consider all persons with developmental
disabilities appropriate for CAU services. Ms. Voigt stated that CAU will begin
their work in Evanston by establishing relationships with existing service
providers, and will relate to some of the needs assessment work that has been
done here. Discussion was held about CAU's experiences with Evanston agencies.
They plan to lease 600 square feet of office space at the Family Focus Carmunity
Cetner, and to have a staff of 2 based in Evanston. In resposne to a question
from Ms. O'Malley, Dr. Dittman stated that he has surveyed all the case
management services available around the State and is convinced that an in-
dependent model is the only way to go. Frederic Axtwick asked how CAU envisions
the role of a 708 Board in working with their agency. Ms. Voigt replied that
the Board has already played an important role in terms of bringing people
together and adressing issues. She envisions working with the Board around
planning and information sharing.
Ms. Voigt clarified that the CAU case management service for the develop -
tally disabled is different from the ACCESS case management service for the
mentally ill in three significant ways:
1. CAU is an independent case management service
2. DKW funds enable a much smaller caseload for MI case managers
3. CAU does not provide therapy as a direct role
ns. O'Malley asked about requests for assistance with housincr. Ms. Voigt
replied that 70% of their service requests are for housing assistance; 44% of
these requests result in eventual appropriate placement. Dr. Dittman replied
that virtually all service requests to his staff are for housing assistance,
and only 20% result in appropriate placement.
The Board then discussed the proposal of the Depart3ment of Mental Health
and Developmental Disabilities to establish an inderP�dent case mangement
service, for persons with developmental disabilities, in Evanston. In response
to a question from Natasha Deutsch, Dorothy Lloyd -Still replied that she would
anticipate that CAU would seek Mental Health Board funding for FY 87-88.
Ms. Deutsch moved, with a second by Lee leqgette, that the W-ntal Health
Board endorse the establishment of a case management unit in Evanston by
Ccmmmity Alternatives Unlimited. The motion passed unanimously.
V. Communications
Ms. O'Malley reported receipt of the following ccmminications: a thank
you note from Alderperson Ruth Thiel for the Mental Health Board orientation,
and a thank you letter from the Evanston Coalition on Human Sexuality for Mental
Health Board support of their conference.
M
-3-
Ms. O'malley called the Board's attention to the mein with information about
the case challenging the General Assistance definition of residency.
Ms. O'Malley reminded the Board of the Hunan services Committee request to
ccnvene the Unified Budgeting funding sources to discuss definition of res-
idency for purposes of program funding. Because of the pending litigation in-
volving Township and City Council, it is recommended that this meeting be
delayed.
VI. Informational Items
Ms. Fox reviewed for the Board the current status of legislation of interest
to the Mental Health Board, noting that HB934 - the Social Work Practice Act,
did not pass the house.
VII. Election of Officers
The following slate of officers were presented: •
Carol Henes, Chairperson
Frederic Artwick, Vice'Chairperson
David Ream moved, with a second by Natasha Deutsch to accept the slate of
officers as presented. The motion passed unanimously.
VIII. Special Recognition
Ms. O'Malley stated although it was expected that we would be saying
gccd-bye to Board members tonight, we are also saying good-bye to Dorothy Lloyd -
Still, who has tenured her resignation, effective June ZB, 1985. ,
Ms. O'Malley then stated "The Mental Health Board has appreciated your
contribution to the work of the Mental Health Board. Particularly, the clear
camrsnciation both in writing and verbally that has enabled the Board to go
through difficult material. You are held in high, regard by providers and
camrunity members for your professional skills." Ms. O'Malley then presented Ms.
Lloyd -Still with a gift.
Other Comments:
Jim Kaufman, Mental Health Association of Evanston - "A real pleasure
to work with Dorothy, and we will muss her."
Angela Schwartz, Mental Health Association - "Her work with the Task
Force on Housing regarding zoning and residential care was wrcnderfui -
she is my heroine!"
Artwick - "Dorrie, I admire the way you particularly handled a period
of time when you were in a precarious position, yet you conducted yourself
admirably and helped steer the ordinance through - which, without your help,
I dent know if we could have done it."
Ream - "I have relied on your professional skills and have appreciated
your help. I'll miss you."
Natasha - "The Hoard will indeed miss Dorrie."
•�� ��. c•�t1 rh,nked the Board for their torments and gifts.
1
I
-4-
Recognition of Mary Lu O'Malley
Fredric Artwick: "Mary Lu O'Malley Joined the Mental Health Board in 1978 -
seven years ago. She has been Chairperson of the Mental Health Board from June
1983 to present. Under her leadership, the Mental Health Board has resolved its
issues with Evanston Hospital, has shepherded the Group and Residential Care
Ordinance through the political process, and has begun a process for Regional
Planning for Housing Needs of Mentally Ill and Developmentally Disabled. In
addition, substance abuse has been added to the focus of the Mental Health
Board.
I have been impressed with the way you have handled this Board and sometimes
the very vocal public in a way I could not; in a way that was polite, gentle,
firm and yet, allowed for a full discussion of the issues and moved the Board to
a decision; decisions that largely were the right decisions. Fran all Board
members and staff, we appreciate your gettinq us through these two very
difficult years; two years in which quantum steps forward were taken because of
you." Mr. Artwick then presented Ms. O'Malley a gift recognizing her role as
chairman, and a certificate of recognition.
Carol Henes: "Mary Lu you will be a hard act to follow - you have
set the standard: Ms. Henes presented Ms. O'Malley a gift recognizing her 7
years of service.
Ream: We needed a leader and you were there and guided us through.
Mary Lu O'Malley then thanked the Mental Health Board for the gifts and
recognition, stating she was proud of all that has been accemplished and urged
the Board to take some risks and go with your instincts. I
Recognition of Natasha Deutsch
Mary Lu O'Malley: "The Evanston Mental Health Board City Ordinance was
changed in 1977 to increase the number of Mental Health Board mr nbers from 7 to
9. Natasha was one of the two new Board members joining us in August, 1977,
yes - eight years ago.
When Natahsa makes a commitment she sets out to make a difference. The.
following are issues which had her special attention:
- Accountability issues with Evanston Hospital
Department of Psychiatry
- Expanded housing for developmentally disabled
(Patricia Lloyd Townhcros)
- ElQin Grant Process
- Group and Residential Care Ordinance
- Unified Budgeting Panel
Natasha was Chairperson of the Mental Health Board from June, 1981 to June,
1983. Her creative response to a question by Human Services Cannittee on the
night of our budget in 1982, generated an additional $10,000 for our budget.
-5-
She is well known for her political savvy! She was always willing to get on the
phone and move things along. In addition, her Pool parties will long be
remembered. Your wisdom and your chuckles will be missed." Ms. O'Malley then
presented Ms. Deutsch with a certificate of recognition and a gift.
The Board adjourned for coffee aand cake at 9:20 p.m.
Respectfully submitted,
LVANSTIM
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EVANSTON MENTAL HEALTH BOARD MINUTES
September 12, 1985
(Minutes recorded, not yet approved)
MEMBERS PRESENT: Chairperson Carol Henes, Vice Chairperson,
Alderman Davidson Ream, Michael Buren,
Janice Jones, Gene Weiss, Lee Leggette,
Ann Graff and Marcia Nelson.
COMMUNITY Shirley Starr, Executive Director, Alliance
REPRESENTATIVES: for the Mentally 111; Claire McCarthy --Peterson,
Sue Ebersoid, ACORN; Carol Kimmel, League of
Women Voters.
PRESIDING Carol Henes, Chairperson
OFFICIAL:
Highliqhts and Summary of Action
The meeting was called to order at 7:40 p.m. by Carol Henes,
Chairperson. (Leggette and Ream not present)
Introduction and Community Comments
Ms. Henes introduced and welcomed Janice Jones and Marcia Nelson
to the Mental Health Board. Ms. Nelson shared with the Board her
work with the Mental Health Association in developing the Listening
Skills classes; her previous job as a specialized counselor at the
Illinois Job Center and as a private practitioner. (Lee Leggette
and Davidson Ream joined the Board).
Alliance for the Mentally Ill
Ms. Shirley Starr, Executive Director of the Alliance for the
Mentally Ill, joined the Board to discuss the letter of intent to
apply for a grant of $5,000 for 1986-87 from the Evanston Mental
Health Board.
Ms. Starr explained that the Alliance for the Mentally Ill of
Greater Chicago is a family advocacy movement of families who have
mentally ill relatives. Activities include support for families in
coping with mental illness, housing for the mentally ill, and in-
formation, education and referral services. The agency is a part of
the National Alliance for the Mentally Ill which has chapters in all
fifty states with a membership of more than 30,000 families.
She further stated that in order for the Alliance to continue
providing housing for the seriously mentally ill of a quality nature,
staffed by competent and well -trained individuals, additional funding
is needed to supplement the grant which we receive from the Illinois
Department of Mental Health. The Better Living Apartments serves
ten individuals living in discrete apartments in Evanston and in
the north side of Chicago. There is a long waiting list of persons
seeking housing who are residents of Evanston, living presently with
their families or in the intermediate care facilities in Evanston.
Most of the individuals would be more appropriately placed in a
-2-
shared apartment with supervision by competent and caring staff.
The additional funds will enable the Alliance to attract qualified
professionals to increase the accessibility of staff and to increase
the number of hours to be provided by staff.
In response to a question, Ms. Starr said that 60 names of
persons are on a waiting list who need this type of housing,
many of whom are Evanston residents.
Mr. Buren asked staff what other housing programs are supported
by the Mental Health Board. Ms. Fox responded that North Shore
Association for the Retarded and ACORN are supported by the Mental
Health Board.
Mr. Buren then moved that the Alliance for the Mentally Ill be
encouraged to apply for funding from the Mental Health Board for
1986-87, understanding that application does not guarantee funding.
The motion was seconded by Rick Artwick and passed unanimously (9-0).
Ms. Starr thanked the Board for the opportunity to be considered for
funding.
Administrative Issues
Ms. Henes stated how pleased she was with the Board's orientation
meeting on August 22, 1985. She thanked Janice Jones for representing the
Mental Health Board at the League of Women Voters meeting, Ann Graff
for her participation in Homeless issues planning meetings and
Michael Buren and Ann Graff for their work with the Executive Com-
mittee regarding the Mental Health Board budget.
Minutes of July 11, 1985 meeting
The first line of the last paragraph of the minutes was corrected
to read: " Ms. Fox stated that the last meeting of this Committee was
Wednesday, July 10, 1985....." Michael Buren moved with a second by
Ann Graff to approve the corrected minutes. The motion passed
unanimously (9-0). Ms. Fox informed the Board that copies of the
July 11, 1985 minutes were not mailed to the community because of
the breakdown of the printer for the word processor. (Davidson Ream
was excused).
Mental Health Board objectives for 1986-87
The Mental Health Board reviewed the proposed objectives as
presented by staff which included new objectives and ongoing objectives.
Discussion ensued regarding which activities are mandated, which
activities would not be able to be done if Board only had one staff
person., and the need to set priorities; do available staff determine
what is necessary to be done or does the Board determine what needs
to be done and obtain resources to accomplish objectives. The Board
reviewed all the responsibilities of the Board which are carried out
by staff, noting those that are mandated and those which are optional.
Particularly noted, were the two new responsibilities given by
Human Services Committee and City Council:
1. To develop a Regional Plan for developmentally disabled;
2. to monitor the training programs for 4 long term care
facilities serving the developmentally disabled and
mentally ill.
-3-
Michael Buren moved that the proposed objectives for 1986-87 be
accepted. The motion was seconded by Rick Artwick. The motion passed
unanimously (8-0).
Mental Health Budget for 1986-87
Carol Henes reviewed the City's administrative process for de-
velopment of recommendations -by the City Manager for the City Council
to meet the projected 2 million dollar short fall. The City Manager
had requested that Teams consisting of several departments, as de-
signated by him, present budgets with a 0% increase. In order to
do this, each department was requested to develop a continuation
budget.
The Mental Health Board's continuation Fnirlr+et is $1, 00A 1Pss
than last year due to personnel change. The Human Services Team
consisted of Human Relations Commission, Mental Health Board, Com-
mission on Aging, Department of Health and Human Services, purchased
services, Health Department and Emergency Assistance. Ms. Fox,
not wanting to recommend reducing purchased services and concern for
other departments' ability to make cuts without affecting services
to low income or senior citizens, recommended reluctantly that the
position of Assistant Director of the Mental Health Board be eliminated
for a cost of $31,363 in order to help meet the Team goal reduction
of $68,592.
Ms. Fox outlined the City Budget process and how the Mental
Health Board interacted with this process.
Ms. Henes laid out the following options for the Board to
consider:
1. Accept Team decision
2. Go it alone/ no cut necessary
3. Reduce amount of contribution to the Team
4. Reduce purchased services
5. Ask Team to reconsider reducing all purchased services
(City and Mental Health Board) as part of reduction.
Michael Buren moved not to accept the Team decision. The motion
was seconded by Gene Weiss. The discussion then focused on the res-
ponsibilities of the Mental Health Board and the need for 2 staff
persons to carry out work of the Board.
Hiqhlights of discussion
Graff: What are the ramifications for the Board?
Weiss: Without 2 staff all we will do is to take money
and give it out to the community without any concern
for impact on community.
Jones: Once a position is gone, it usually is never replaced.
Graff: How will we address our responsibility to reduce
City budget.
-4-
Artwick: Team process was not an adversary process; all pro-
fessionals looked at what could be cut; Team decision
did involve 3 Commission with autono ny - problematic -
but Team recommendation should be respected.
Weiss: We have essential services too.
Gra-ff:' We must concern ourselves with the good and welfare of
the total community.
Weiss: The Mental Health Board cannot function effectively
without 2 staff - sometimes 3. Students have helped
us a lot - elimiantion of the Assistant Director is not
negotiable.
The Board then voted on the motion. 4 yes, 2 no, 2 abstain.
Michael Buren asked where the Board could make some cuts. He
asked for a straw vote to determine Board's feeling regarding cutting
purchased services. It was agreed that recommending reducing pur-
chased services at this time, before the Unified Budgeting Process
and our budget process was complete was not acceptable.
Gene Weiss recommended that the Board develop another option to
take to the Team. He suggested an amount be set to be cut without
predetermining where it would be cut. He reminded the,Board that the
Team decision may not be supported by the Human Relations Commission
then we would have sacrificed for nothing.
Rick Artwick stated that in order to be fiscally responsible,
programs, services and/or personnel need to be cut - not line items.
(Artwick excused) .
Lee Leggette stated that the Team had assessed what impact
reducations would have.
Michael Buren stated that we need to take a stand on what the
Mental Health Board needs to provide services in line with its
mandate.
Gene Weiss stated that Ms. Fox be directed to go back to the
Team to renegotiate amount of contribution.
Michael Buren moved that $10,000 be reduced from the Mental
Health Board' budget and offered to the Human Services Team, reser-
ving the right to determine where the monies would be cut. Janice
Jones seconded the motion. Ms. Graff stated this was not a meaningful
figure. The vote was 5 yes, 1 No, 1 abstain (Graff). If this al-
ternative was not acceptable, then the Mental Health Board would go
it alone.
Unified Budgetinq Process
Ms. Fox reviewed the Unified Budgeting Process, the role of the
Mental Health Board and the expectation of the panel members.
-5-
Mayor's City Council Community Forum September 23rd
A draft of a statement for the Mental Health Board to present to
the Forum was reviewed. After a brief discussion, Ann Graff offered
to redraft the statement with input from other Board members.
Gene Weiss will present it for the Board.
Guidelines for City Fundinq of Human Services
At the request of Ms. Fox and Ms. McCarthy, Ms. Henes will
join the Human Services Committee on September 16 to discuss develop-
ment of joint funding guidelines for City purchased services.
Having no further business, the Board adjourned at 10:40 p.m.
Respectfully submitted,
J anne M. Fox
ecutive Director
EVANSTON MENTAL HEALTH BOARD MINUTES
Members Present:
Members Absent:
Community
Representatives:
Staff:
October 8, 1985
(Minutes recorded, not yet approved)
Chairperson, Carol Henes; Vice Chairperson,
Rick Artwick; Michael Buren, Janice Jones,
Gene Weiss, Lee Leggette, and Ann Graff
Marcia Nelson, Alderman Davidson Ream
Marge Sondler, Mary Anne Diehl, Jim Kauffman,
Jeanie Young, Angela Schwartz, Rosalie Greenberger,
Barbara Watkins, Millie Funk, and Patti Baldwin,'
Mental Health Association of Evanston; Scott Sanders
and Paul Rosen, Evanston Alternative Tevelision;
Carol Kimmel, League of Women Voters; Nancy Donovan,
Dr. Diane Goodson, and Bob Wolf, Early Childhood
Development Center; Shirley Starr and Gary Schwartz,
Alliance for the Mentally Ill; Rick Weiland,
Earn and Learn.
Jeanne M. Fox, Irene Wegner and Maria Cobin
Presiding Official: Carol Henes, Chairperson
Highlights and Summary of Action
The meeting was called to order at 7:10 p.m. by Carol Henes.
Introductions and Community Comments
Ms. Henes asked the audience to introduce themselves, and to
limit public comments to 5 minutes.
Mr. Paul Rosen, Research Director of Evanston Alternative Television,
presented a statement to the Board highlighting his concern for the
system of care for indigent mentally ill and proposed four action steps:
1. Require notification and approval by an agent of the
Mental Health Board before a patient is committed to Elgin;
2. An ordinance delineating the responsibility of local mental
health services to patients;
3. A complete review of all social service agencies;
4. A campaign to educate the public about the needs of
the mentally ill and the homeless.
(A copy of his complete statement is available upon request).
Ms. Henes thanked Mr. Rosen for his comments and stated that a sub-
committee of the Board will be in contact with Mr. Rosen. She asked
Mr. Rosen to realize that the Board is in the midst of its budgeting
process with the City and Unified Budgeting and therefore the meeting
may not take place until November.
MHB Minutes
Page 2
+Z
Minutes of October--8, 1985
The following corrections to the minutes as submitted were
noted: Rick Artwick was in attendance at the September 12th meeting;
Ms. Henes noted that other budget process options were considered by
the Board. "If the Board did not accept the Team decision, an al-
ternative budget option would be developed for presentation to the
Team. A process for making decisions was presented by Ms. Henes."
Mental Health Center Budqet
Ms. Henes stated that City Council had requested that the Mental
Health Board consider the option of a half time Assistant Director
position.
Ms. Henes asked the Board to reconsider its need for two full
time. staff positions.
The Board reviewed staff prepared material regarding Board work
that was being done and tasks not able to be accomplished since July
when the Assistant Director position became vacant.
Questions considered:
1. What would be done if the position were only half time
or 18 hours a week?
2. Could full time position be reclassified to Administrative
Assistant and what would be done?
3. What cost saving would be made with these two options vs
a full time position?
4. Should purchased services be reduced to meet Mental Health
Center staffing needs?
After a lengthly discussion regarding these questions, Mr. Buren
moved with a second by Mr. Leggette that the Mental Health Board maintain
or increase its funding for mental health services. The motion passed
5 yes, 2 no.
Ms. Henes stated that this clarifies then that monies from pur-
chased services will not be utilized to fund staff.
Mr. Buren moved with a second by Mr. Leggette that the Mental
Health Center position be reclassified to a full time Administrative
Assistant.
Discussion ensued regarding this position's task vs a full time
Assistant Director and the potential impact on the community. Ms. Graff
moved, with a second by Mr. Artwick, that this motion be tabled until
after the City Council budget hearings. The motion passed unanimously.
MHB Minutes
Page 3
Ms. Henes asked whether we are ready to say we don't need a full
time Assistant Director? Ms. Jones responded that the Mental Health
Board needs at least a full time position, and prefers a full time
Assistant Director. If this is not possible, then our second choice
would be to reclassify the position to full time Administrative
Assistant.
The Board, by consensus, agreed to convey to the City Council its
need and rationale for a full time Assistant Director. However, if this
is not possible, the Mental Health Board would rather have a full time
Administrative Assistant than a half time Assistant Director position.
Budqet Hearinq
The following agencies were heard by the Mental Health Board:
- Mental Health Association of Evanston
- Early Childhood Development Center
- Alliance for the Mentally Ill
Working notes of these budget hearings are available upon request.
Information Items
Ms. Henes then reviewed with the Board available dollars for
purchased services ($410,283). Total requests of $521,775 and noted
that new request totaled $111,492. She then reviewed the decision
making process by the Board for purchased services. She stated that
a questionnaire has been developed for the Board which when answered,
will give direction to staff for development of options for the October
29th meeting. In addition staff is preparing analysis of all the
budgets for review by the Board. A Committee of the Board will work
with staff to develop the option. Members of the Committee are
Graff, Weiss, Buren, Artwick and Henes.
Executive Director's Report
Ms. Graff, having reviewed staff prepared information regarding
screening of forensic clients returning to the community, stated that
this is a Mental Health Board policy issue which needs to be discussed
as a special agenda item. Ms. Fox stated that indeed, this is true;
however in the interim, the Health Department's Director and herself
could ask the American Plaza, Ridgeview and Ridgeview Pavilion to
voluntarily not to accept Forensic clients until screening criteria
can be developed by the Mental Health Board.
The Board agreed to this process and directed staff to convey
its intention to the long term care facilities.
Having no further business, the Board adjourned at 11:40 p.m.
Respectfully submitted,
Jeaeilte M. Fox
EVANSTON MENTAL HEALTH BOARD MINUTES
October 29, 1985
(Minutes approved November 14, 1985)
Board members Present: Chairperson Carol Henes, Ann Graff , Alderman
Davidson Ream, Marcia Nelson,.Gene Weiss,
Michael Buren, Lee Leggette, Janice Jones
Board Members Absent: Frederic Artwick
Staff: Jeanne M. Fox, Maria Cabin, Irene Wegner
Community
Representatives: Carol Kimmel, League of Women Voters;
Janine Knops, ACORN; Marge Sandler,
Mary Diehl, Jean Young, Angela Schwartz,
Mental Health Association; Paul Rosen
and Scott Sanders, Evanston Alternative
Television
Introductions and Community Comments
Ms. Henes convened the meeting at 7:40 p.m. asking the audience to
introduce themselves. (Leggette not present)
Minutes of October 8, 1985
The following corrections to the minutes were made: "Ms. Graff,
having reviewed staff prepared information regarding screening of
forensic clients returning to the community, stated that this is a Mental
Health Board policy issue which needs to be discussd as a special agenda
item. Forensic clients should not be accepted until screening criteria
can be developed and made a part of the Long Term Care Ordinance
Ms. Henes then reviewed with the Board available dollars for purchased
services ($410,283). Total request of $521,775 exceed available funds by
S111,492.
Mental Health Board Purchased Services
Ms. Henes reviewed the Mental Health Board' process for recommending
allocations for purchased services. Each Mental Health Board member was
assigned agencies. Agency visits were made by Board members. Each agency
had a budget hearing before Unified Budgeting or Mental Health Board. A
questionnaire was developed to poll Mental Health Board members regarding
their budget options. Staff recommendation were developed from the answers
to this questionnaire which resulted in the following guidelines: Fund new
programs by reducing non -mandated programs and/or rearranging present
allocations. A committee of the Board (Graff, Henes and Weiss) reviewed the
staff recommendations and then developed recommendations for full Board con-
sideration. These are recommendations which were considered.
Ms. Henes pointed out that the Mental Health Board has only $410,283 to
dispense this year, which is the same as last year. Requests exceed
available monies by $111,492. She then reviewed the service priorities and
funding guidelines of the Board. Michael Bure noted that funding guidelines
were not ranked.
0
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Ms. Henes reminded the Board that the recommended allocations from this
meeting will be used to direct the vote of the Mental Health Board repre-
sentatives at the Unified Budgeting (UBP) meeting on Saturday, November 9,
1985. The UBP decisions are then sent back to the Mental Health Board for
final vote which will be the November 14, 1985 meeting. Ms. Henes then
outlined the recommended process for reviewing the agencies for this
meeting:
1. Review the prepared material by program;
2. Take a preliminary vote by program; keeping a
running tally of dollars allocated ;
3. Takes a final vote.
(Lee Leggette present).
Highlights and Summary of Action
ACORN
Program recommended allocations were reviewed::
Drop -In Center $16,016
Shared Apartment 570
Case Management 3,023
$19,609 total
Mr. Buren stated that the need for this position is reasonable; need
to show concern for the homeless mentally ill by significantly increasing
the contributions for the Drop -In Center staff. He agrees and supports
this position.
Ms. Nelson questioned the demand for the additional Case Manager with
Emmanuel Lutheran opening a morning Drop -In Center. If the City is funding
a Case Manager full time, does the ACORN staff need one too? Is this
duplication of services? Could this money go to another agency or this need
be met by other groups?
Ms. Fox explained the difference between the two case manager
positions, and how the title of case manager means different things to
different agencies.
Ms. Jones noted that even with the $I0,000 increase it is still 4%
less than requested.
Mr. Buren stated he had visited the agency and feels they have a
genuine need.
Ms. Graff stated that this was not duplication of service as this
Drop -In Center is not the same time as Emmanuel Drop -In Center.
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Mr. Buren moved with a second by Alderman Ream to allocate to ACORN
$19,609. Vote: 5 yes; 3 no.
Alliance for the Mentally I11
Mr. Buren asked why $5,000 was not recommended instead of $3,000 by
staff. Ms. Fox stated that money is needed to provide community match, and
to add to staff salaries for housing services. With other needs, this was
all the monies that were available to be allocated.
Ms. Graff stated that to take on a new program will mean commitment
to fund it in the future.
Mr. Buren stated he would like to see what they can do with the money.
Mr. Weiss stated that it was important that we address new needs, and
fund new programs. We need to be more flexible about cutting agencies so
that funding an agency one year does not automatically mean continued
funding. Alliance is dealing with a population that others don't want to
deal with.
Mr. Buren moved with a second by Ms. Nelson to allocate $3,000 to
Alliance for the Mentally I11. Vote: 7 yes; 1 no.
Community Coordinated Child Care (4 C's)
Ms. Fox reviewed the history of Special Account A and the need for
increased community match due to State rate increase. Ms. Jones noted that
the recommended allocation is 10% less than their request.
Mr. Buren stated that the need has been demonstrated. Ms. Graff moved
with a second by Alderman Ream to allocate $21,164 to 4 C's. Vote: 8 yes,
0 no.
Cook County Leqal Assistance Foundation
Alderman Ream moved with a second by Lee Leggette to allocate $1,500 to
Cook County Legal Assistance Foundation.
Mr. Buren asked why do we recommend increasing the funding to this
agency by 501v? Ms. Weiss answered that the percentage is insignificant when
one considers the dollar amount. (S500).
Alderman Ream stated that the contribution of this agency to the
community is valued; this is only a token. Ms. Fox stated that this agency
is very effective in generating money back into the community, as an
example, appealing Social Security disability rulings. Vote: 8 yes,
0 no.
Early Childhood Development Center
Janice Jones moved with a second by Ms. Nelson to allocate $35,550 to
Early Childhood Development Center. Mr. Weiss noted that this agency does
a great job, and provides a unique service. Alderman Ream stated that the
presentation was excellent. Vote: 8 yes, 0 no.
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0
Earn and Learn
Alderman Ream asked what component would be effected by the $5,000
recommended reduction? Ms. Jones stated that the recommendation is 40% less
than asked for and that it is a prevention program for youth. -.
Mr. Weiss stated that it had excellent evaluation data; was a
prevention program and is needed in the community. We support the social
worker. Can this support be made up by district 65?
Mr. Leggette stated that we wrestled with this issue last year. We
need to indicate to the agency to look for other funding.
Mr. Weiss stated that he felt bad about this reduction; it is not a
non -mandated program, it is for youth and it is prevention; it is an
extremely important program. Will another funding source pick it up?
Adlerman Ream recommended cutting it only if other funding sources are
available.
Mr. Buren disagreed. He questioned whether the Board should be in-
volved with the agency at all, stating we have greater needs for use of
these monies.
Mr. Weiss disagreed. This is a high need - we will pay later if
program like this is not available.
Mr. Buren moved with a second by Carol Henes to allocate $1,500 to
Earn and Learn. Vote: 2 yes - 6 no.
Alderman Ream moved with a second by Ms. Graff to allocate $4,628
to Earn and Learn. Vote: 1 abstain; 6 yes; 1 no.
Comprehensive Drug Treatment Program (INVICTUS)
Ms. Graff is concerned about the number of Evanston residents (30)
using the program when 50 new slots that opened up were for non -Evanston
residents.
Mr. Leggette asked did other communities fund Drug program?
Ms. Fox stated that she was not aware that other communities are
funding Drug program. Evanston has supported the program since its
inception.
Mr. Buren stated that this is one of our targeted population.
Ms. Nelson asked did we review their request for additional slots?
Ms. Fox replied no.
Ms. Nelson asked whey didn't they ask for Evanston Mental Health board
review?
Ms. Fox replied that she did not know. She expressed concern that if
the Mental Health Board is to be the "gate keeper" for the community, we
need to be a part of the planning for new or additional services. By local
and state ordinance the Mental Health Board is to review and comment on all
state grants coming into the community.
Mr. Buren moved with a second by Ms. Nelson to allocate S33,950 to the
Comprehensive drug Treatment Program. Vote: 7 yes; 1 no.
Community Defender
Ms. Graff moved with a second by Alderman Ream to allocate $2,130 to
Community Defender.
Alderman Ream stated that he was impressed with the program because it
is well organized, economical, and serving a population in an impressive
way.
Mr. Buren asked how is this service different than Cook County Legal
Assistance Foundation; should we be funding them at the same level?
Mr. Leggette stated that this program has a unique approach to
providing legal services to clientele. They are concerned about the total
person. The program has a social worker and has a more precarious
population to serve than Cook County Legal Assistance Foundation. Vote: 8
yes; 0 no.
Family Focus
Mr. Buren stated that he is concerned about the large increase for
salary. Ms. Fox stated that the Mental Health Board funds services, not
salaries. Mental Health Board funds the social work services.
Ms. Graff stated that they provide a unique service, and is a
prevention program for youth.
Mr. Buren moved with a second by Ms. Nelson to allocate 516,000 to
Family Focus/Our Place. Vote: 1 yes; 6 no; 1 abstain.
Ms. Jones moved with a second by Ms. Graff to allocate $17,050 to
Family Focus/Our Place. Vote: 6 yes; 1 no; 1 abstain.
Mental Health Association
Mr. Buren stated that the Mental Health Association is a good agency;
the recommendation is a big cut.
Ms. Graff stated that public funds are a large percentage of the total
budget.
Mr. Weiss noted that volunteers have value for whom they work; maybe
agencies could help with cost of training the volunteers.
Ms. Nelson stated that from previous personal experience with agency,
volunteers would be willing to pay for training.
Mr. Buren stated that this is like seed money; a reduction would be a
turn around in the attitude of the Mental Health Board.
5-11
Ms. Sondler stated that they can't ask potential volunteers to pay for
training as many are senior citizens or Northwestern students; can't ask the
agencies to pay because they want the product but can't afford the time/cost
to train. Mental Health.Association volunteers all have a good track
record.
Ms. Graff stated that screening of the volunteers is the agencies most
important function.
Mr. Weiss stated that it cost $239 to train a volunteer; can agencies
pick up some of the cost? It is hard to put a dollar value on volunteers.
Ms. Sondler stated that the Mental Health Association now operates on a
very tight budget.
Ms. Nelson moved with a second by Ms. Jones to allocate $10,575 to the
Mental Health Association.
Mr. Buren questioned why the reduction when the agency met our funding
guidelines?
Ms. Fox stated that the recommendations were made using the guidelines
from the Board. It was a reluctant cut. Monies were needed to fund other
programs.
Mr. Weiss stated that other populations needed it more.
Mr. leggette stated that this is a unique agency; should consider this
cut seriously; the program's impact on other agencies and other sources of
revenues are different here.
Ms. Nelson stated that when listening skills classes began 11 - 12
years ago, I did it all with volunteers. Feels objectives can be met
through volunteers not salaried trainers.
Ms. Graff stated that this means less percentage of public funding for
the agency. Vote: 5 yes; 3 no.
North Shore Association for the Retarded
Mr. Buren stated that this was a mandated population; excellent
service.
Ms. Graff moved with a second by Alderman Ream to allocate $27,200 to
North Shore Association for the Retarded. Vote: 8 yes; 0 no.
St. Francis Adult and Child Guidance Center
Ms. Graff stated that there was a high percentage of indigent clients.
Staff providing unusual services to Evanston residents.
Mr. Buren stated that the Police Outreach program is very important.
Ms. Graff stated that the case management position should be funded;
agency needs the extra staff.
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Ms. Nelson asked if this case manager will do.the same work as the City
funded case manager for the homeless?
Ms. Fox stated that it is not clear if these two positions are uniquely
different since the opportunity to fund the homeless case manager came after
UBP budgets were in.
Ms. Buren moved with a second by Ms. Nelson to allocate $68,700 to St.
Francis for the following programs:
Adult Outpatient $23,000
Child & Adolescent $23,000
Police Outreach $11,200
Developmentally Disabled $1,500
OATES $10,000
Vote: 8 yes; 0 no.
Case Management Service
Ms. Graff moved with a second by Alderman Ream to fund the half-time
case management position. Vote: 2 yes; 6 no.
Evanston Hospital
Crisis Program
Mr. Buren asked if the requested half time crisis worker is the same
worker as St. Francis case manager?
Ms. Fox replied that Evanston Hospital requested a half time Crisis
worker and a full time case manager for ACCESS. The Crisis worker is needed
due to the increase in the services for the homeless. Evanston Hospital may
also be submitting a request for a case manager for the homeless from the
City.
Mr. Buren moved with a second by Lee Leggette to allocate $52,500 to
Crisis Services. Vote: 5 yes; 2 no; 1 abstain (Weiss)
Refocus Program
Ms. Graff stated that Mental Health Board monies provide support for a
service to a population that can't afford help.
Ms. Graff moved with a second by Ms. Nelson to allocate $4,500 to
Refocus Program. Vote: 7 yes, 1 abstain (Weiss)
Outpatient
Ms. Graff felt that ACCESS program mainly meets the need of the
Ridgeview people and they they should get their services and monies from the
State and owners of long term care facilities, recognizing that these per-
sons need the services , but it should not be funded by local dollars.
Mr. Buren stated that if we fund this program we need to recognize the
connection between ACCESS and First Step program of Niles Township Sheltered
Workshop, and be prepared to give them money too.
10
Ms. Fox stated that Ridgeview does support program; program does serve
the community; initial pilot project focused on Ridgeview and American
Plaza.
Evanston Hospital has a full range of psychiatric services available to
Evanston residents, but only receives funding from the Mental Health board.
Mr. Buren moved with a second by Ms. Nelson that $5,000 be allocated to
ACCESS and $45,000 to outpatient services. Vote: 6 yes; 1 abstain; 1 no.
Niles Township Sheltered Workshop
Mr. Buren moved that $5,000 be allocated to First Step Program. The
motion was seconded by Davidson Ream.
Ms. Graff stated that the program is intensely funded by the state,
is the responsibility of Illinois Department of Mental Health.
Mr. Buren questioned how will agency use $5,000 when they asked for
$20,000?
Ms. Fox replied that the monies will be used as community match to
generate grants from other sources, and will show our support for this
creative new program. Vote: 7 yes; 1 no.
Family+ Counselinq Service
Individual and Family Counseling.
Mr. Buren stated that this is a big cut being recommended. Why?
Is this a duplication of service.
Ms. Fox replied that the rationale for recommending the cut is
reflected in the Counseling service memo; serves fewer Evanston residents
and low income Evanston residents than St. Francis and Evanston Hospital but
receives 39% of their total agency funds from Evanston funders.
Ms. Henes stated that she would like to see cuts from hospitals before
cuts from small agencies.
Mr. Buren moved with a second by Mr. Weiss to allocate S12,325 to
Individual and Family Counseling. Vote: 6 yes; 2 no.
Child Abuse Services
Ms. Graff stated that this service is needed. She moved with a second
by Alderman Ream to allocate $24,457 to Child Abuse Services.
Mr. Weiss stated that this essential service should be increased.
The Department of Children and Family Services should be funding more of
this program not just formal cases. Vote: 8 yes; 0 no.
Senior Services
Ms. Fox stated this program provided less service to Evanston residents
this past year, receives more support from Area Agency on Aging. It is the
only agency focusing of elderly and is very effective.
Mr. Buren moved with a second by Ms. Nelson to allocate $16,230 to
Senior Services. Vote: 8 yes; 0 no.
Final Vote
Ms. Henes then reviewed agreed process to go through each program and
make a final vote.
Mr. Weiss moved with second by Ms. Graff to accept preliminary vote for
programs as final vote.
Mr. Leggette clarified that this means preliminary vote was final vote.
Mr. Buren stated that some of us voted in a certain way thinking the
Board would come back to it again.
Mr. Weiss and Ms. Graff agreed to withdraw motion.
Ms. Henes then led the Board through a review of each agency:
ACORN: Consensus.
Alliance for the Mentally Ill: As voted; Ms. Graff noted again no new
program should be funded.
4 C`s: Consensus.
Cook County Legal Assistance Foundation: Consensus
Early Childhood Development Center: Consensus.
Earn and Learn: As voted; Ms. Jones stated that any additional monies
be added to this program, if available.
Comprehensive Druq Treatment Program: Mr. Buren moved that $5,000 be
decreased from this program and added to Mental Health Association. The
motion was seconded by Ms. Graff for a total allocation of $28,950. Vote:
1 yes; 7 no.
Mental Health Association: Mr. Buren stated that cut will have high
impact; Mr. Leggette agreed. Mr. Buren moved with a second by Mr. Leggette
to increase Mental Health Association allocation to $15,557 from $10,575,
taking $5,000 from ACORN, giving them a total of $14,609.
Alderman Ream stated that this would be a heavy blow to ACORN. Vote: 7
no; 1 yes.
Alderman Ream stated we only need $4,775 since we have 225 more
decrease than needed. Mr. Buren moved with a second by Alderman Ream to
reduce $3,000 from ACORN allocation, that is, from $19,609 to $16.609, and
to reduce Comprehensive Drug Treatment Program by $1,785 for a total of
$32,165. Vote: 6 yes; 2 no.
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Community Defender: Consensus
Evanston Hospital: As voted; Ms. Graff noted the need to convey to
long term care facilities the need to provide and support services for their
clients.
Family Counseling Service: As voted
Individual and Family: Consensus
Child Abuse: Consensus
Senior Services: Consensus
Family Focus/Our Place: Consensus
Niles Township Sheltered Workshop/First Step: Consensus
Ms. Graff noted same comment as for Evanston Hospital ACCESS program,
North Shore Association for the Retarded: Consensus
St. Francis Hospital: As voted, Ms. Graff asked that case manager
position be clarified for Unified Budgeting.
Executive Director Report
Ms. Graff moved that the Chairman appoint an ad hoc committee to
study the issue of forensic patients discharged from Elgin State Mental
Health Hospital into Evanston nursing homes, and to make appropriate
recommendations to ammend the Long Term Care Ordinance, if necessary,
(This committee should consult with members of the legal profession,
criminal justice system, mental health, and public health fields and elected
officials.) and, review the covenant with Ridgeview with the aim of in-
corporating parts of it into the Long Term Care Ordinance.
Mr. Leggette stated that he could support the appointment of the
Committee but not the development of recommendation to the Long Term Care
Ordinance. This indeed may be an outcome of the committee, but it should
not be predetermined. Mr. Buren agreed.
Ms. Graff agreed to amend her motion. It was seconded by Mr. Buren.
It passed unanimously. Committee members are: Nelson and Graff.
Ms. Henes reviewed the testimony of Paul Rosen and stated that Ms.
Graff and Ms. Nelson will meet with Mr. Rosen.
SB 873
Ms. Fox reviewed SB 873 which is revised SO 2053, After a brief
discussion the Board directed the staff to communicate to past policy
decision on this issue maintaining the need for support for a continuum of
housing needs for the developmentally disabled including institutional care.
Assistant Director Position
The Assistant Director position received 9 votes from City Council, so
it will be considered as an option. Ms. Henes stated and asked for
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affirmation that the Mental Health Board will submit a budget with the
position included as planned. All agreed.
Mental Health Board Meetinq Oates
The Board considered the proposed option of having the Mental Health
Board meetings on the second Thursday of the month instead of the second
Thursday. Having no consensus to change the meeting dates, the Mental
Health Board voted its 1986 meeting dates.
Ms. Henes commended the Board for their excellent work, for their
commitment and perseverance. Mr. Buren stated that it was a very democratic
meeting; Ms. Graff stated it was a well chaired meeting.
Having no further business, the Board adjourned at 12:10 a.m.
Respectfully submitted,
Jena �►ne �E . t ox �
lJ
EVANSTON MENTAL HEALTH BOARD MINUTES
NOVEMBER 14, 1985
(Minutes recorded, not yet approved)
Board Members Present: Carol Henes, Chairperson; Gene Weiss; Lee Leggette;
Michael Buren; Janice Jones; Ann Graff; Alderman
Davidson Ream, Marcia Nelson
Board Members Absent: Frederic Artwick
Staff: Jeanne M. Fox, Maria Cobin, Irene Wegner
Community Paul Rosen, Scott Sanders, Evanston Alternative
Representatives: Television; Janine Knops, ACORN; Mary Ann Diehl
and Marge Sondler, Mental Health Association
Hid hlights and Summary of Action:
The meeting was called to order at 7:40 p.m. by Chairperson, Carol
Henes. Ms. Henes asked people in the audience to introduce themselves.
Minutes of October 29, 1985
The draft minutes of the 10-29-85 meeting were reviewed and corrections
were made. Ann Graff moved with a second by Davidson Ream to accept the
minutes as corrected. The motion passed unanimously.
Appeal of Mental Health Board funding for 1986-87 for Mental Health
Association of Evanston WHAE)
Mary Ann Diehl thanked the Board for the opportunity to be able to
appeal the Mental Health Board funding decision for their agency. stating
that they were here because the Executive Committee agreed that the Mental
Health Association should appeal the allocation decision and advocate for an
increase.
Marge Sondler stated that although she appreciated the difficult
decisions and financial restraints of the Board, the impact of this re-
duction on the Mental Health Association would mean that 6,800 less hours of
volunteer service would be provided, equaling S22,000 reduction in service
to community agencies and programs. Currently 13,000 hours are being
provided, which equals 6 1/2 staff for a total contribution of $60,000 to
the community.
Mental Health Association is the only agency that has a volunteer
training program. Follow-up is done with agencies where volunteers are
placed. She further stated that other agencies' reductions were made
because of their potential for getting funds elsewhere. No warning was
given to Mental Health Association of this potential cut.
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Agencies will not pay for training for volunteers. Without an agency
with the specific purpose of training volunteers, volunteers will not be
placed and utilized. This will have a major impact on the community. Also,
the agency was not notified to expect this cut.
In answer to a question by Marcia Nelson, Ms. Sondler stated that only
one volunteer was available for training volunteers. They have not
approached Northwestern. Training is only one component of the volunteer
program. Money is used to support follow-up of volunteers - a very im-
portant function. Most people work during the day, and it is very difficult
to find someone to accept this type of commitment without pay.
Michael Buren asked the Board to review the rationale for this cut, as
it is a major change from previous years.
Carol Henes explained that although the Board valued the contribution
of volunteers to the community, it was not a direct service program and it
was not a mandated program according to our guidelines.
Ms. Fox stated that although this reduction is major, the Mental Health
Board has discussed in the past, the Mental Health Association dependence on
the funding from the Mental Health Board for its programs.
Marcia Nelson asked if the Mental Health Association Board had
considered other sources of funding for personnel. Mary Ann Diehl responded
that the Executive Committee made a decision to appeal, as the Board has not
met.
Ms. Fox asked if the Mental Health Association has assessed its
priorities, i.e., is the volunteer training program more important than the
advocacy work. Ms. Diehl responded that a subcommittee has been appointed
to refigure the budget, no doubt the volunteer training program will be
reduced.
Ms. Sondler stated that the Mental Health Association is a community
group with only community goodwill in mind, not specific mental health area,
but total area of mental health.
Ms. Fox then reviewed the budget process, stating that the Human
Services Committee will hear the Mental Health Board's budget on 11/18/85,
and then City Council will consider the budget in January and February.
Citizen input is possible in all these processes.
Michael Buren moved with a second by Lee Leggette to fund Mental Health
Association at last year's level of $22,452.
Ms. Henes asked where would the money come from?
Mr. Buren recommended that Comprehensive Drug Treatment and Earn and
Learn be reduced more.
Ms. Nelson stated that other sources of volunteers should be pursued.
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Ms. Diehl stated that a University of Chicago intern has been used as
volunteer Coordinator.
Ms. Jones asked if we vote not to give Mental Health Association this
cut, what is their appeal process? Ms. Fox responded that the next level
of appeal is to the Human Services Committee.
Michael Buren called the question. The motion was defeated with a
vote of 2 yes and 5 no.
Ms. Henes asked if there were any other motions to be considered,
hearing none, the funding allocation remains as stated. She stated that the
Board had reluctantly reduce Mental Health Association and hoped the vol-
unteer program could be maintained.
Committee Reports
Ms. Nelson and Ms. Graff were called upon by Ms. Henes to report on
their meeting with Paul Rosen regarding his ideas for improving the system
of care for the indigent, mentally ill.
Ms. Nelson reported that they had met with with Scott Sanders and Paul
Rosen of Alternative Television. The four issues considered were:
1. Require notification and approval by an agent of the
Mental Health Board before a patient is committed to Elgin.
2. To develop an ordinance delineating the responsibility of
local mental health services to patients.
3. A complete review of all social services.
4. A campaign to educate the public about the needs of the
mentally ill and the homeless.
Ms. Nelson stated that the Evanston Hospital Crisis Team is designated
by the State to be the screening point for all conmiunity residents before
their entrance to Elgin. Services are governed by State standards, and
hospital accreditation standards. The Unified Budgeting Process and our
budget process reviews all the social service agencies, and in addition,
these services are monitored by our staff during the year. Educating the
public about the need of the mentally ill and homeless has been occurring
through the efforts of the Mental Health Association and coverage of the
homeless issues facing the community. The board does not have the resources
for this endeavor and it is hoped that other organizations like Alternative
Television will help with this process.
Mr. Rosen thanked the Committee for meeting with them. However, it
appears that there is a two class system for mentally ill, that indigent
clients have no one to advocate for them and that is the Mental Health
Board's job. He further stated that the services are constantly violating
the Mental Health Code and that the Unified Budgeting Process does not
adequately review agency services, only their budgets. Education of the
community is not occurring, old attitudes are prevailing. Alternative
Television will be presenting a special program on these issues.
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Scott Sanders stated that the time and care taken with the group home
ordinance should be taken with these issues. Group homes could be answer
to the homeless, and he doesn't see Evanston exploring this solution.
Mr. Buren stated that he was uncomfortable with the attitude he
perceives the Mental Health Board is exhibiting. Ms. Nelson responded that
the Committee felt the issues were being taken care of. Ms. Graff added
that some of the questions raised are mental health code or medical in
nature and shouldn't be the consideration of a lay board; she thought the
meeting with Mr. Rosen and Mr. Sanders was a friendly, productive
discussion.
Mr. Weiss stated that he doesn't feel that the Mental Health Board
is the proper authority to deal with issue No. 1; that agencies are
monitored all through the year, not just during Unified Budgeting Process,
and we have increased and improved a difficult process.
Mr. Rosen stated that perhaps the Mental Health Board can remind the
State about deficiencies. Mr. Weiss stated that yes, we can do that
through our agencies and the State can be asked to justify their
procedures.
Mr. Leggette stated that he still has a problem with number 1. it
raises the point that there are set procedures but if they are not being
followed, and we find evidence of this, then we should follow up. Mr.
Buren suggested that a letter be sent to Evanston Hospital.
Mr. Weiss agreed with the suggestion to send a letter to Evanston
Hospital requesting an explanation of their procedures. Ms. Nelson stated
that steps or procedures are in Unified Budgeting Process information.
Mr. Buren stated that we should let Evanston Hospital know that they have
been discussed. Ms. Fox stated that the appeal process has begun with
Evanston Hospital regarding the case and they are aware of this.
Mr. Rosen stated that the individual in question is pursuing the
issue. He asked if the Board was concerned about Evanston residents having
to travel for over an hour to the State Hospital?
Ms. Fox stated that the Mental Health Board advocated with the support
of many community groups that our State Hospital not be Elgin, however, we
were not successful. It is hard on families who want to visit and hard on
clients because of distance. The community therefore, sends out 2 staff
persons, one on Monday and one on Thursday to see all Evanston residents.
Ms. Henes asked that the minutes show we acknowledge that there are
problems and we should advocate to solve these problems.
Mr. Weiss requested that the Board write a letter to Evanston Hospital
and have them present their side of the complaint.
Ms. Fox cautioned the Board about involvement in this case before the
Hospital appeal process is finished. Ms. Graff urged Mr. Sanders and Mr.
Rosen to keep the Board informed about the process of this case.
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Ms. Jones stated that Evanston Hospital needs to know that the Mental
Health Board is aware of the problem. She endorses the idea of writing a
letter requesting their procedures, but it should not involve the
particular case.
Mr. Weiss stated that we can look up procedures on our own. We want
Evanston Hospital to ensure us that what they do is humane, and that the
process is followed. It puts them on notice.
Ms. Henes asked the Committee to draft a letter. Ms. Graff stated
that the Committee is not in favor of sending the letter and therefore
should not be asked to write the letter.
Ms. Fox suggested that she prepare informational background material
regarding these issues for the January Board meeting. Mr. Buren asked Ms.
Fox to draft the letter to Evanston Hospital for the January meeting.
Ms. Graff and Ms. Nelson, Forensic Sub -committee, reported that they
were still gathering facts and examining issues. The Committee is
recommending that the Mental Health Board direct staff to seek a legal
opinion regarding the addition of Screening Criteria to the Long Term Care
Ordinance. The Board accepted this recommendation as a motion and it was
seconded by Ms. Jones.
Ms. Fox explained the City's covenant with Ridgeview and current
screening process for clients entering long term care facilities. The
motion passed with a vote of 8-0.
Mental Health Board Budget
Ms. Fox reviewed the City's budget process and the process for review
before Human Services Committee on 11-18-85.
Ms. Henes reviewed the Unified Budgeting Panel decision and noted
there were no changes in the Mental Health Board's recommendations. Ms.
Jones moved with a second by Ann Graff that the purchased service budget as
presented be approved. The motion passed with a vote of 8-0.
Ms. Henes reviewed the Mental Health Center budget, calling to the
attention of the Board, the inclusion of the Assistant Director position.
Mr. buren moved with a second by Lee Leggette to accept the Mental Health
Center budget as approved.
Ms. Henes then stated that the Board should be commended for the
length of its discussions, the homework that was done, and the criteria
and rationale which were well thought out. She was proud of the process.
She noted that agencies were informed of the meeting. She then thanked
Josephine Meighan, Jeanne Fox, Irene Wegner and Darnell Jefferson for their
work with the budget process.
Ms. Henes then stated that Mr. Buren would lead the Board thorugh an
evaluation of the budget process.
Mr. Buren reviewed 10 aspects of effective groups which emphasizes the
process of reaching decisions as well as content. He asked the Board to
think about what worked well and what could be improved.
Members responded that all knew what was expected, were committed,
fulfilled their objectives, were willing to compromise, and were
knowledgeable - having done their homework. Information sent out by staff
was excellent.
All agreed that next year the budget decision meeting should start
earlier, that evaluation of process should occur immediately after this
meeting. Lee Leggette recommended that allocations be rounded.
Executive Director's Report
Ms. Fox reviewed her meeting with Lillian Pickup, Executive Director
of Drug and Alchol Abuse for the State of Illinois. She highlighted the
the letter of resignation of Rick Artwick from the Board due to other
commitments. She asked the Board members to submit any names for
consideration to the Mayor.
Ms. Jones asked how the Board can advocate with City Council regarding
the Mental Health Board budget. Ms. Henes responded that will be a major
issue for our January meeting. Ms. Jones asked if postage cost and
telephone cost will be included in this year's budget. Ms. Fox responded
that those costs will need to be figured in 1987-88 budget.
Ms. Graff stated that Ms. Nelson and she were going to visit Elgin and
talk with the State regarding the Forensic clients returning to the
community.
Ms. Fox thanked the Board members for their commitment and deligent
work during the budget process. She presented a bouquet to Chairperson
Carol Henes thanking her for her support during this difficult time.
Having no further business, the Board adjouned at 9:30 p.m.
Respectfully submitted,
Jeanne M. Fox