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Mental Health and Addiction Ad Hoc Minutes 02/19/2019AMENDED MINUTES OF THE REGULAR MEETING OF THE COLLIER COUNTY Mental Health and Addiction Ad Hoc Committee Meeting February 19, 2019 Naples, Florida LET IT BE REMEMBERED that the Collier County Mental Health and Addiction Ad Hoc Committee met on this date at 8:30 A.M. at 3299 Tamiami Trail East, Building F, 5th Floor Training Room, Naples, Florida with the following Members Present: Also Present: Mental Health Committee Present: Not Present: Dale Mullin Lt. Leslie Weidenhammer Dr. Thomas Lansen Scott Burgess Honorable Janeice Maitin Reed Saunders Christine Welton Janice Rosen Dr. Michael D 'Amico Russell Budd Pat Batton Ge1Ty Godshaw Dr. Paul Simeone Dr. Emily Ptaszek Susan Kimper Michelle McLeod Dr. Pam Baker Bruce McAndrews Sean Callahan -Executive Director, Corporate Business Ops Heather Cartwright-Yilmaz -Sr. Operations Analyst Jim Morton -Project Manager, Facilities Management Mental Health and Addiction Ad Hoc Committee Meeting I Meeting M inutes Page 1 1. Call to Order & Pledge of Allegiance Chairman, Scott Burgess, called the meeting to order at 8:34 A.M. and led the pledge of allegiance. 3. Roll Call -Committee Members Thi1ieen (13) members of the Mental Health and Addiction Ad Hoc Committee were present representing a quorum. 4. Adoption of the Agenda The agenda was distributed to all present. Ms. Barton made a motion to approve the agenda which was unanimously adopted. 5. Public Comment There was no public comment. 6. Adoption of Minutes from Previous Meeting Following discussion, a motion was made, and Minutes from previous meeting were approved. 7. Staff Reports Mr. Callahan introduced himself to the Committee as the Staff Liaison. Mr. Callahan then explained the makeup of the committee and gave an overview of the establishing resolution and goals of the committee to create a strategic plan for the County. 8. New Business 8.1. Review of Committee Membership The Committee discussed the appointments made during the February 8, 2019 meetings and noted that the process was different from other County committees because the Board of County Commissioners made the initial appointments, but following those, the committee present was responsible for filling the remaining spots on the Committee. Mr. Burgess noted that the Committee left one vacancy for the purpose of filling any gaps in the existing capacity of knowledge on the conm1ittee should it be identified. Committee members present then introduced themselves to each other, highlighting their backgrounds and different interests in serving on the Committee. Mental Health and Addiction Ad Hoc Committee M eeting I M eeting Minutes Page 2 8.2. Committee History and Adopted Priorities Presentation Mr. Burgess gave a presentation of past BCC Mental Health Workshop priorities and the future goals of the committee, including the priorities that were adopted at the Committee's January 18, 2019 meeting for delivery in the strategic plan under development: 1. Centralized Receiving System 2. Permanent Suppmtive Housing 3. Behavioral Health Data Collaborative 4. Increased Use of Evidence Based Practices 5. Increase Capacity of Problem-Solving Courts 6. Baker Act/Marchman Act Transportation 7. CJMHSA Reinvestment Grant Sustainability During the presentation, Committee members discussed the central receiving system -and how 8 cunently exist in Florida. Mr. Godshaw asked if it should be considered a facility or a system, and committee members discussed that the answer was both. Committee members discussed the Senate bill that established the original facilities and that a request was pending before the Florida Legislature to add more. Funding contained in previous proposals required a local match of 50%. Mr. Burgess added that he thought the sales tax funds could be used to satisfy this local match should additional funding become available from the Legislature. Lt. Weidenhammer spoke about the Baker/Marchman Act transportation issue in the committee priorities and noted that the Sheriff's Office and other law enforcement agencies are the primary transportation network for mental health issues . Lt. Weidenhammer noted the negative stigmas associated with being transpo1ted to a mental health treatment facility by law enforcement but that the problem was always how to pay for another service . Committee m embers discussed that Florida was the worst funded state in the country from mental health issues. The Honorable Janeice Martin commented that the Marchman Act was almost exclusively confined to alcohol and not drugs, and discu ssion ensued about the challenges this presented. Mr. Saunders asked if there are holis tic systems like those being developed in other states. Dr. Simeone spoke about his experiences in Massachusetts and noted that while they had so me of the aspects being described in the Committee priorities, it was different from Florida. Ms. Welton discussed the priority of permanent and supportive housing and what the definition of that phrase should mean. Ms. Welton also commented on the lack of availability ofthis type of housing in Collier County. Discussion ensued from Committee members. Mental Health and Add icti on Ad Hoc Committee Meetin g I Meeting Minutes Page 3 Mr. Mullin asked what types of data should be considered by the Committee in the development of these priorities. Committee members discussed the data associated with the original draft strategic priorities that were developed for the last community workshop. Mr. Godshaw commented on the need for robust sets of data to make decisions, and the many sources that were available to the Committee. Dr. Simeone offered that Lee Health was currently in discussion with their attorneys about how to develop a data collaborative. Dr. Simeone advised that they had discussed the concept of a universal release for providers to secure from patients so that they could analyze and develop greater sets of data. The Committee then moved on to discussion more specifically about the centralized receiving system. 8.3. Priority 1 -Centralized Receiving System (CRS) Discussion The Committee fmthe r discussed the centralized receiving system. Mr. Burgess noted that staff from Manatee County and their facility would have the opportunity to Skype in for the next meeting on March 1 and answer questions of the Committee. Mr. Burgess also informed the committee that he and Commissioner Andy Solis would be taking a trip to Tampa to visit facilities in the area to hopefully inform the top priority of the Committee in defining the needs of a centralized system in Collier County. M s . Barton as ked if it had been decided where the facility will be located in Collier County. Mr. Burgess commented that the David Lawrence Center h ad five acres available adjacent to their site that they have always thought would be good for the facility. Ms. Batton noted that prope1iy was subject to a legal challenge and asked ifthere was any timeline for resolution. Mr. Burgess answered that they hop ed resolution would be s oon. Mr. Callahan clarified that nothing in the Sales Tax Ordinance and project list plac e d the facility on the David Lawrence Center property, and that other l o cations could be considered. Dr. Lanse n asked about the facility being stratified and the security associated with it. Committee m embers discussed that those issues would likely be pmi of the design of t he facility. 9. Old Business 9.1 Future Meeting Schedule • March 1 at 2:00 pm • March 19th at 8:30 am • April 2 nd at 8:30 am • April 16th at 8:30 am • April 30th at 8:30 am • M ay 14th at 8:30 am • May 28 th at 8:30 am M ental Health and Addiction Ad Hoc Committee M eet i ng I Meeting Minutes Page 4 9.2 February 25 Veterans Workshop Mr. Mullin informed the Committee that he will host a Veterans workshop on February 25, that will survey veterans and family members about the effectiveness of ser vices. 10. Announcements None 11. Committee Member Discussion Committee members discusse d further evaluating the priorities of a centralized receiving system at the next meeting and noted again that Manatee County staff would be available to answer questions. Mr. Callahan asked if there was any information that staff could provide to Committee members to h e lp facilitate the discussion. Committee members commented that the list of data sources the original priorities were based on would be helpful, as well as examples of what has worked or not for other facilities. 12. Next Meeting Time, Date and Location The next meeting is scheduled for March 1, 2019 at 2:00 P.M. in the F ifth Floor Training Room. 13. Adjournment The meeting was adjourned at 10:04 A.M. w ith nothing further to discuss. Collier County Mental Health and Addfotions Ad Hoc Advisory Committee Scott Burgess -Chairman The foregoing Minutes were approved by Committee Chair on March 1, 2019, "as submitted" [] or "as amended" [ ] Mental Heal th and Addiction Ad Hoc Comm ittee Meeting I Meeting Minutes Page 5 9.2 February 25 Veterans Workshop Mr. Mullin informed the Committee that he will host a Veterans workshop on February 25, that will survey veterans and family members about the effectiveness of services. 10. Announcements None 11. Committee Member Discussion Committee members discussed further evaluating the priorities of a centralized receiving system at the next meeting and noted again that Manatee County staff would be available to answer questions. Mr. Callahan asked if there was any information that staff could provide to Committee members to help facilitate the discussion. Committee members commented that the list of data sources the original priorities were based on would be helpful, as well as examples of what has worked or not for other facilities. 12. Next Meeting Time, Date and Location The next meeting is scheduled for March 1, 2019 at 2:00 P.M. in the Fifth Floor Training Room. 13. Adjournment The meeting was adjourned at 10:04 A.M. with nothing further to discuss. Collier County Mental Health and Addictions Ad Hoc Advisory Committee Scott Burgess -Chairman The foregoing Minutes were approved by Committee Chair on March 1, 2019, "as submitted" [ or "as amended" [ ] Mental Hea lth and Addiction Ad Hoc Committee Meeting I Meeting Minutes Page 5