Health & Human Services Board Agenda Packet (PDF)

In compliance with the Americans with Disabilities Act, any person needing assistance to participate in this meeting, should contact the Office of the County Clerk at (920)746 2200. Notification 72 hours prior to a meeting will enable the County to make reasonable arrangements to ensure accessibility to that meeting. Posted 2025 AGENDA PUBLIC HEARING The purpose of the meeting is to provide the public with opportunities to offer comments to the Depart ment of Health and Human Services Board members and staff regarding any aspect of the agency administration, programming, or budget for 2027. 1. Call Public Hearing to Order at 10:30 A.M. 2. Establish Quorum and Introductions 3. Ground Rules for Public Hearing 4. Public Comments 5. Close Public Comments 6. Discussion of Public Input 7. Adjourn the Public Hearing HEALTH AND HUMAN SERVICES BOARD MEETING 1. Call Meeting to Order 2. Roll Call – Establishing Quorum 3. New Board Member(s) Introductions 4. Elect Chair and Vice Chair 5. Adopt Agenda 6. Approve Minutes a) April 13, 2026 Health and Human Services Board Meeting 7. Correspondence 8. Public Comment 9. Supervisor Response 10. Public Health a) Public Health Division Updates 11. Health and Human Services a) Crisis – Jamie Lowis b) Department Overview c) Staff Updates d) 1st Quarter Budget Recap e) Donations (FYI) I) ADRC II) H&HS 12. Introductory Period Completion a) Kristin Deprey b) Zoe Wilda 13. Sustainability Matters to be Considered 14. Legislative Matters to be Considered 15. Matters to be Placed on a Future Agenda or Referred to a Committee, Official or Employee 16. Set Next Meeting Date a) Public Participation - June 8, 2026 at 3:00 P.M. 17. Meeting Per Diem Code 18. Adjourn Meeting Monday, May 11, 2026 10:30 AM Health and Human Services Board Door County Government Center County Board Room 1st floor 421 Nebraska Street, Sturgeon Bay, WI Oversight Board for the Department of Health and Human Services Participants may join this meeting will in person, by teleconference or video conference. Members of the public may join the meeting remotely or in-person in the County Board Room, First Floor Government Center. When: May 11, 2026 10:30 AM Central Time (US and Canada) Topic: Health & Human Services Board Meeting Join from PC, Mac, iPad, or Android: https://us02web.zoom.us/j/894524 19214?pwd=AhodrSdwLgthM4Xzn 5nC3bk2wjIgR9.1 Webinar ID: 894 5241 9214 Passcode: 172061 Phone: 1 312 626 6799 1 DOOR COUNTY HEALTH AND HUMAN SERIVCES BOARD MINUTES Monday, April 13, 2026 at 3:00 pm 1. Call Meeting to Order The meeting was called to order by Health and Human Services Chair, Nissa Norton, at 3:00 p.m. at the Door County Government Center. 2. Roll Call – Establishing Quorum Present: Collin Jeanquart; Mark Moeller; Dr Mark Kehrberg; Deb Doyle; Christa Krause; Vinni Hancock; Nissa Norton Absent: Phillip Rockwell; Ryan Shaw Quorum established. Staff Present: Julie Behnke, Business Manager; Joseph Krebsbach, Director; Katie VanLaanen, Interim PHO; Rebecca DenHollander, Intern; Shauna Blackledge, PH Strategist; Holly Neri, PH Nurse; Susan Eisenhauer, Interim PH Manager; Kristin Deprey, BH Clinical Supervisor; Kevin Brennan, Deputy Director; Ken Pabich, Administrator; Kathy Zak, Recording Secretary Adopt Agenda A motion was made by M Moeller and seconded by C Krause to accept the agenda. Motion carried by unanimous voice vote. 3. Approve Minutes A motion was made by N Norton and seconded by D Doyle to accept the minutes from the March 9, 2026 Health and Human Services Board Meeting. Motion carried by unanimous voice vote. 4. Correspondence None 5. Public Comment None 6. Supervisor Response None 7. Public Health a. Strategic Planning Report S Blackledge gave an overview of the Strategic Planning Day. Working on community trust and image, self-care for staff, team building and training. b. Nursing Update H Neri gave an update on the rotavirus that spread through one of the long-term care facilities up here. Four individuals were hospitalized. At this time everyone has recovered. c. Leadership Planning These minutes have not been reviewed by the oversight board and are subject to approval or revision at the regular meeting. 2 S Eisenhauer has been the interim PH manager for six months. At this time, we are posting the Public Health Officer job for recruitment at the same time we continue to consider other options. 8. Health and Human Services a. Clinical Services K Deprey gave an overview of the different services that DCDHHS has to offer. Spoke about the sober living house and working with other groups to get it up and running again. Working on setting up different groups, including some for the adolescents. Currently a waitlist but working on getting that down. b. Staff Updates J Krebsbach reviewed current vacancies, new hires and recruitment efforts. c. 2025 Budget Recap Review of the 2025 budget was given. Bothe the ADRC and HHS budgets have come in under budget. The HHS one was primarily under due to staff vacancies. Any questions were answered by staff d. Grant Update J Krebsbach reports grant funding has been approved for various programs until the end of the year. e. Wisconsin Act 116 Passed (Note: Agenda stated Act 113 – this was an error) J Krebsbach stated the Act passed for Economic Support across the State. Funding is good through next year. f. Guardianship Policy J Krebsbach shared the Guardianship Policy as an FYI. Staff is in the process of updating policies for the agency. 10. Sustainability Matters to be Considered None 11. Legislative Matters to be Considered None 12. Matters to be Placed on a Future Agenda or Referred to a Committee, Official or Employee Sober Living House 13. Set Next Meeting Date May 11, 2026 at 10:30 a.m. Government Center 14. Meeting Per Diem Code 413 15. Adjourn Meeting A motion was made by N Norton and seconded by M Moeller to adjourn. Motion carried by unanimous voice vote. The meeting was adjourned at 4:07 p.m. Respectfully submitted, Kathy Zak, Recording Secretary 3 HEALTH AND HUMAN SERVICES STATISTICS - ADRC UNIT 2025 1st QTR 2025 2nd QTR 2025 3rd Quarter 2025 4th Quarter 2025 YTD % of Previous Year 2026 1st QTR 2026 YTD % of Previous Year Notes AGING & DISABILITY RESOURCE CENTER (ADRC) Total New memberships 100 148 100 122 470 107% 79 79 17% Total participation-Activities and Events (check-ins) 8,035 7,556 7,950 6,919 30,460 109% 7,788 7,788 26% Volunteer Hours (# of volunteers/hours) 118/ 3119 126/ 1900 134/ 1963 134/ 2095 9,077 109% 3,000 3,000 33% Total Volunteer Hours ADRC Specialist 310 263 264 283 1,120 313 313 28% # Contacts Elderly Benefits Specialist (EBS) - Cases Open/Active Consumers 157 91 92 250 590 85 85 14% # Contacts ; 4th qtr Medicare Opren Enrollment Disability Benefits Specialist (DBS) - Cases Open/Active Consumers 88 79 76 94 337 115 115 34% # Consumers Dementia Care Specialist (DCS) - Total Consumers  (NEW) 433 300 385 442 1,560 133% 316 316 20% Not individuals - counted by attendance at workshops/events/classes Meals-Congregate Baileys Harbor 325 289 291 274 1,179 81% 309 309 26% Liberty Grove 161 227 276 163 827 118% 199 199 24% Sturgeon Bay 3,741 3,537 4,635 3,707 15,620 96% 3,565 3,565 23% Washington Island 175 204 263 224 866 86% 158 158 18% Meals Congregate TOTAL 4,610 4,484 5,550 4,368 19,012 94% 4,229 4,229 22% Meals on Wheels Sturgeon Bay - MOW 3,751 3,411 3,660 3,118 13,940 101% 3,553 3,553 25% Baileys Harbor – MOW - New 85 104 146 198 533 181% 119 119 22% Liberty Grove (Formerly Scand) 483 386 215 177 1,261 83% 199 199 16% Washington Island - MOW 416 426 539 484 1,865 72% 456 456 24% Meals on Wheels TOTAL 4,875 4,448 4,577 3,977 17,877 96% 4,327 4,327 24% 1.1.25 includes Frozen Meals All meals TOTAL 9,485 8,932 10,127 8,345 36,889 86% 8,556 8,556 23% HEALTH AND HUMAN SERVICES STATISTICS - HHS UNIT 2025 1st QTR 2025 2nd QTR 2025 3rd Quarter 2025 4th Quarter 2025 YTD % of Previous Year 2026 1st QTR 2026 YTD % of Previous Year Notes Adult Protective Service (APS) Adults at Risk (age 18-59) - Total 11 7 9 3 18 138% 9 9 50% Adults at Risk (age 18-59) - New 9 2 6 1 18 200% 5 5 28% Elder Abuse/Neglect (age 60 and up) - Total 44 37 38 7 97 152% 25 25 26% Elder Abuse/Neglect (age 60 and up) - New 31 20 20 11 82 139% 17 17 21% Active Cases (WATTS) - Total 51 48 51 50 59 104% 55 55 93% Active Cases (WATTS) - New 3 1 4 4 12 120% 4 4 33% Emergency Protective Placements/Guardianships - Total 18 15 10 24 41 111% 21 21 51% Emergency Protective Placements/Guardianships - New 9 5 9 9 32 110% 8 8 25% Targeted Case Management - Total 3 3 2 2 3 60% 2 2 67% Targeted Case Management - New 0 0 0 0 0 0% 0 0 #DIV/0! BEHAVIORAL HEALTH (BH) 4 Psychiatry- Total Clients Served 246 264 242 225 295 95% 244 244 83% Unduplicated - DO NOT ADD Psychiatry- New Clients 14 11 13 7 45 63% 12 12 27% Psychiatry- Contacts 444 391 394 401 1,630 104% 371 371 23% Mental Health-Total Clients 82 100 89 94 156 86% 104 104 67% Unduplicated - DO NOT ADD Mental Health-New Clients Served 18 8 18 17 61 69% 7 7 11% Mental Health-Total Contacts 862 658 498 653 2,671 84% 546 546 20% Psychological Care (Dr. Haker) 1 4 1 1 7 117% 2 2 29% Unduplicated - DO NOT ADD AODA-Clients 56 76 63 62 127 85% 75 75 59% Unduplicated - DO NOT ADD AODA-New Clients 13 17 11 13 54 60% 10 10 19% AODA-Total Contacts 620 548 378 380 1,926 86% 284 284 15% Intoxicated Driver Program (IDP)- Total Clients 13 20 19 30 54 98% 35 35 65% Unduplicated - DO NOT ADD Intoxicated Driver Program (IDP)-New Clients 10 5 6 13 34 117% 5 5 15% Intoxicated Driver Program (IDP)-Total Contacts 224 139 119 223 705 88% 190 190 27% Therapy CCS - Clients 11 8 6 9 15 71% 6 6 40% Therapy CCS - Total Contacts 107 138 55 62 362 81% 47 47 13% OWI Assessments 23 21 23 28 95 96% 24 24 25% Crisis-DCDHS Mobile Face to Face 18 27 25 30 100 92% 29 29 29% Crisis Call to Family Services 122 174 176 136 608 89% 199 199 33% Mobile Out Crisis resulting in EM-1 10 10 New 2026 Court Services Youth Diversion - Total 10 34 8 20 88 104% 55 55 63% Unduplicated - DO NOT ADD Youth Diversion - New 20 17 4 32 73 112% 31 31 42% Youth Diversion - Completed 11 7 7 11 36 82% 5 5 14% Count = successful completions Treatment Court (total participants) 11 13 8 2 13 81% 3 0 0% Unduplicated - DO NOT ADD Treatment Court - New 1 0 0 0 0 0% 0 0 UNIT 2025 1st QTR 2025 2nd QTR 2025 3rd Quarter 2025 4th Quarter 2025 YTD % of Previous Year 2026 1st QTR 2026 YTD % of Previous Year Notes COMMUNITY SUPPORT PROGRAM (CSP) Consumers Enrolled 51 51 49 46 54 100% 48 48 89% Consumers Enrolled - New 0 1 1 1 3 38% 1 1 33% Comprehensive Community Services (CCS) Comprehensive Community Support (CCS) - Total Clients 13 19 11 13 21 111% 9 9 43% Unduplicated - DO NOT ADD Comprehensive Community Support (CCS) - New Clients 4 5 0 1 10 77% 3 3 30% Community Support Teams (CST) - Total 4 4 2 1 4 133% 1 1 25% Unduplicated - DO NOT ADD Community Support Teams (CST) - New 2 1 0 0 3 100% 0 0 0% CCS/CST (dually enrolled) - Total 35 48 35 46 62 100% 49 49 79% Unduplicated - DO NOT ADD CCS/CST (dually enrolled) - New 2 9 0 6 17 106% 2 2 12% Total CCS/CST Clients Served 52 71 48 60 87 3 59 59 68% Unduplicated - DO NOT ADD Inpatient - Residential Costs Client Inpatient Admissions 17 23 27 22 89 120% 17 17 19% Inpatient Costs 77,514.00 142,709.28 171,921.00 377,562.86 769,707.14 135% 102,391.00$ 102,391.00 13% Total Days of Admission 196 218 199 417 1,030 127% 213 213 21% AFH and CBRF Clients 6 7 5 6 6 4 4 67% Average not cumulative AFH and CBRF Costs 108,085.00 149,394.00 137,785.00 79,389.59 474,653.59 98% 90,607.00$ 90,607.00 19% AODA Residential and Sober Living Costs 1,690.00 37,248.50 22,310.00 38,426.14 99,674.64 230% 700.00$ 700.00 1% Total Days in Residential and Sober Living 751 732 436 161 2,080 206% 50 50 2% CHILDREN & FAMILY SERVICES Child Welfare Referrals 112 136 123 109 480 121% 127 127 26% Youth Service Referrals (Juvenile Justice) 24 28 11 11 74 172% 7 7 9% Use youth referred not total referrals Foster Care Placements # Youth in Foster Care/Kinship Care 38 37 24 24 31 73% 21 21 68% Average not cumulative; includes Kinship Care Cost of Out of home placements in Foster, Kinship Care and Sub Guardianship 136,792 78,517.97 61,648.00 36,425.48 313,383.45 57% 49,519.00$ 49,519.00 16% Children's' Long-Term Case Management: CLTS- Total 88 92 90 95 106 110% 103 103 97% Unduplicated CLTS - New 3 7 4 7 21 105% 8 8 38% Birth-Three Participants - Total 45 62 57 37 97 164% 38 38 39% Unduplicated Birth-Three Participants - New 24 22 16 13 75 242% 10 10 13% 5 UNIT 2025 1st QTR 2025 2nd QTR 2025 3rd Quarter 2025 4th Quarter 2025 YTD % of Previous Year 2026 1st QTR 2026 YTD % of Previous Year Notes Economic Support Badger Care (BC) Total 4,391 3,125 2,996 4,110 4,874 130% 2,998 999 21% Annual total is average - not cumulative FoodShare (FS) Total 2,088 2,093 2,052 1,896 2,032 101% 1,952 488 24% 4th Qtr data not available at time of reporting; Annual total is average - not cumulative Consortium Calls 34,638 31,078 30,611 30,464 126,791 87% 33,245 33,245 26% Cumulative 6 Donation: Defined as dollars that are given to a department for a specific use. Gift: Defined as a physical item. Example: equipment, food, land, etc. Grant: Grants funds received for a project or program and must be used to match the grant requirements. Date Department Type Received From Description or Purpose Amount or Estimated Value 01/07/26 Human Services - ADRC Gift DC Comm Foundation-Adam Peronto $50 pounds of yellow onions 30.00$ 01/12/26 Human Services - ADRC Donation D&L Iding Specified Cash Donation-MOW Northern Door 200.00$ 01/12/26 Human Services - ADRC Donation P&C Stratton Specified Education/Events Cash Donation-In memory of Verna Anderson 75.00$ 01/12/26 Human Services - ADRC Donation P&C Stratton Specified Arts & Crafts Cash Donation-In memory of Verna Anderson 75.00$ 01/26/26 Human Services - ADRC Donation Forestville-Maplewood Lions Club Specified Cash Donation - MOW 1,000.00$ 02/02/26 Human Services - ADRC Donation Katie Malvitz/DC Comm Found Annual Distribution 7,672.77$ 02/09/26 Human Services - ADRC Donation Miriam Haen Unspecified Cash Donation 20.00$ 02/16/26 Human Services - ADRC Donation Louise Wenzel Specified Cash Donation-Coffee 200.00$ 02/09/26 Human Services - ADRC Gift Target Bingo Prizes 556.43$ 04/01/26 Human Services - ADRC Donation Thomas Pollock and Christine GritzmacherSpecified Cash Donation for an ADRC LTE DCS position and supplies - 4 year coverage. 60,000.00$ 04/05/26 Human Services - ADRC Donation Tracey Hoy Specified Cash Donation for Memory Café. 50.00$ 2026 Door County Gift, Grant or Donation Form 7 Donation: Defined as dollars that are given to a department for a specific use. Gift: Defined as a physical item. Example: equipment, food, land, etc. Grant: Grants funds received for a project or program and must be used to match the grant requirements. 2026 2,589.80$ DATE Department TYPE Received From DESCRIPTION OR PURPOSE Non-Cash 4/29/2026 Children and FamiliesSpecified-Children & FamiliesWG&R 10 twin mattresses @128.99 each 1,289.90$ 4/29/2026 Children and FamiliesSpecified-Children & FamiliesWG&R 10 high profile box springs at 129.99 each 1,299.90$ GENERAL JOURNAL - DONATIONS RECEIVED/DONATIONS USED Door County Department of Health and Human Services 8 9 Door County Health and Human Services County Government Center 421 Nebraska Street Sturgeon Bay, WI 54235 Joseph Krebsbach, Director First Floor Fax 920-746-2355 Second Floor Fax 920-746-2349 dhs@co.door.wi.us April 1, 2025 Door County Human Resources 421 Nebraska St. Sturgeon Bay, WI 54235 Re: Completion of Introductory Period Name: Zoe Wilda Start Date: 10/2/2025 Dear Human Resources, I am pleased to confirm that Zoe Wilda has successfully completed the introductory period in the position of Social Worker. The position provides assessment and case management services for families referred to child welfare. Zoe has demonstrated a strong willingness to learn and grow in her new position. She has many innate strengths that make her a gifted social worker and takes on challenges with an impressive level of open-mindedness. Zoe has formed strong relationships with every family she has worked with thus far. She takes a strength-based and trauma-informed approach to the work as well and I’m excited to see her continue to learn and grow in this role. Zoe has seamlessly transitioned nicely into the existing team. She brings a positive attitude to the work and all team members report high regards for Zoe. Zoe is an asset to the team, the Department, and the County of Door. Sincerely, Samuel Kramer Manager 10 DOOR COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES – STAFFING Organization Chart 05/04/2026 Door County Board of Supervisors Health and Human Services Board Joe Krebsbach - Director Kevin Brennan – Deputy Director BEHAVIORAL HEALTH Behavioral Health Manager – Jamie Lowis Medical Director/Psychiatrist – Dr. Ann Miller Service Facilitators -Elizabeth Bertrand -Anna Calhoun -Kathy Schultz -Sara Moegenburg -Holly Ahlin Community Support Program Workers -Ashley Bongle -Brianna Armstrong -Megan Sinclair Registered Nurse -Scott Davis Case Manager – Crisis & Outreach -VACANT After Hours Crisis Case Manager -James Baker -Carrie Doell Behavioral Health Therapists -Dani Nyman -Alina (Karuzas) Rivera -VACANT Substance Use Disorder Therapist, DTE - Scott Dadam Behavioral Health Case Manager - VACANT ADMINISTRATION Client Account Specialist – Accounts Receivable -Chris Wroblewski Financial Admin Assistant II - Accounts Payable -Casey Frangipane Financial Admin Assistant II - Accounts Receivable -Cassandra Olson System Analyst Specialist -Susan Fernandez Admin Assistant II - Receptionist -Kathleen Doering Admin Assistant II- Support - Carla Ritter Admin Assistant II – Records Management -Kathy Zak Business Manager Julie Behnke Total Quality Management Specialist Shannon Lauder Diversion Case Manager -Elizabeth Junion Court Services AODA Therapist-DTE -VACANT Case Manager -DTE -VACANT Behavioral Health Therapist – DTE -VACANT Contracted workers Dr. Lydia Haker – Ph.D Peg Kubiak-OWI Rene Domask - Therapist Community Services Coordinator Sarah Purzycki Behavioral Health Clinical Supervisor Kristin Deprey CCS Regional Coordinator Dallas Glodoski 11 DOOR COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES – STAFFING (continued) Organization Chart 05/04/2026 ECONOMIC SUPPORT Economic Support Manager Carol Wautlet Economic Support Specialists -Jessica Ingersoll -Eric Olson -Mikala Herlache -Emily Luedtke -Breanna Smith -Ashley Dessart Children & Family Support Services Children’s Services Manager Debra Kehrberg Door County Board of Supervisors Health and Human Services Board Joe Krebsbach - Director Administrative Assistant III -Robin Mark Disability Benefit Specialist -Mary Ann Salmon (1/9/23) Elderly Benefit Specialist -Jessica Flores Information & Assistance Workers -Melissa Walz -Cheri VanDenBogart -Heather Geiger Dementia Care Specialist -Sierra Witczak Adult Protective Services Lead (new 9/2025) - Taylor Jandrin Adult Protective Services -Amber Wheat -Emma Walsh Office Assistant -Barb Snow AGING & DISABILITY RESOURCE CENTER ADRC/Aging Program Director Jennifer Fitzgerald ADRC Advisory Board & SSAC & NAC Board Volunteer/Activities Coordinator -Dawn Thiry-Herlache Office Assistant -Wendy Schubert Nutrition Site Manager -Candy Haslam .40 Nutrition Site Manager / Cook – Washington Island -Nelvie Cauldwell .50 Cook -Autumn Cihlar 1.0 -Kathy Ash 1.0 -Michael Mallien 1.0 -Bong Yun Hong LTE Assistant ADRC/Aging Program Director Nicole Scharrig PUBLIC HEALTH Public Health Nurses -Katie Van Laanen -Stormy Gale -Holly Neri Community Health Educator -Teri Van Lieshout Environmental Health Specialist -Allison Reckelberg Public Health Strategist -Shauna Blackledge WIC Director/Nutritionist -Teresa Mertens Administrative Assistant-WIC -Pam Robillard Administrative Assistant -April Grosbeier CHILDREN AND FAMLY SERVICES Child Protection & Juvenile Justice Children & Families Manager Samuel Kramer Child Welfare Lead Social Worker -Amy Lehman Social Workers -Brett Hayner -Alyssa Reske -Kelly Lewens -Emily Schwark -Alexus Burich -Zoe WIlda -Sarah O’Donnell Foster Care Coordinator -Haley Rohr Children & Family Aide -Angela Tenor 3 After Hours On-Call – LTE 2 Drivers - LTE Birth to Three Coordinator / Educator -Naomi Spritka Case Managers -Ceara Brockman -Karlee Bertrand -Michelle Bouche -Jamie Hernandez Kevin Brennan – Deputy Director Health Officer/Manager Katie Van Laanen, Interim Public Health Officer Susan B. Eisenhauer, Manager, LTE 12