Comprehensive Community Services

NORTH CENTRAL REGION COMPREHENSIVE COMMUNITY SERVICES PROGRAM COORDINATION COMMITTEE December 17, 2024 Call Meeting to Order: The North Central Region Comprehensive Community Services Program Coordination Committee meeting was called to order by Chair Cally Bucknell at 3:03 p.m. on December 17, 2024, via Zoom and in person in Taylor County. Voting Members Present: From Iron County: Cally Bucknell From Taylor County: Catherine Taber, Adam Schnabel, Scott Mildbrand From Sawyer County: Alicia Carlson From Price County: None Voting Members Absent: Cody Miller, Heather Spinler, Brianna Thomas, Hailey Sands Others Present: Taylor Reinhardt NCR - CCS Administrator; Katie Voss, CCS Clinical Services Manager, Taylor County; Jenn Arndt, Administrative Assistant, Taylor County; Hallie Reynolds, Service Facilitator, Taylor County; Chana Rymarkiewicz, Behavioral Health Supervisor, Price County Human Services; Austyn Ocker, Service Facilitator, Price County; Sarah Reese-Socha, Director, Price County Human Services; Karlie Pierson, DHS. Participant Introduction/Attendance Recording: Completed and recorded as indicated above. Approve Agenda: Scott Mildbrand motioned to approve the agenda of 14 items. Catherine Taber seconded the motion. Motion carried. Approve Minutes of the August 20, 2024 Meeting : Alicia Carlson motioned to approve the minutes from the August 20, 2024 meeting . Adam Schnabel seconded the motion. Motion carried. Public Comments: None. 2024 Quality Improvement Plan: Mr. Reinhardt provided updates to the 2024 Quality Improvement Plan. Action steps that were incomplete in 2024 and continuing in 2025 were highlighted: • Program Goal #4: Bolster community / consumer engagement and participation on the NCR-CCS Coordinating Committee to align with administrative code and program policy. UPDATE: Action Step #3: Contact CCS programs/Administrators with strong committee representation to garner recommendations; incomplete. Action Step #4 : Develop and implement orientation material and training to build member capacity; incomplete. • Program Goal #5: Improve consumer community engagement and social inclusion through the development of group treatment activities and programming. UPDATE: Action Step #1: Contact CCS programs/Administrators and contracted providers to inquire capacity to deliver group treatment services within the CCS service array; Group rate for ISDE, Equine Assisted Learning Services with Up There, LLC and Group Self-Empowerment Courses (ISDE) through Midstate Independent Living Choices. Action Step #5 : Contact vendors and non-profit agencies within the region to inquire about consumer volunteer opportunities; incomplete. Program Goal #6: By 08/2024, NCR -CCS will increase the number of contracted mental health professionals available to deliver in-person psychotherapy services across the NCR- CCS Region. UPDATE: Action Step #1: CCS Administrator to contact community providers within region to determine capacity to provide in-person psychotherapy services through the CCS benefit; Ongoing with Newfound Land Counseling, LLC, Charis Counseling, LLC, ThedaCare Behavioral Health, Sy napse Solutions, Credence Therapy Associates, Integrity Counseling, LLC. Action Step #2: Work with providers, interested in joining the NCR-CCS network, to develop rates amenable to partnering counties; Contract negotiation with Redeemed Services, LLC. Action Step #3 : Credential providers qualified to deliver psychotherapy services, through review of documents as required by DHS Chapter 36; Two providers credentialed with Northland Counseling, four providers credentialed with Caillier Clinic, and one provider credentialed with The Centre for Well Being, Inc. Mental Health Statistical Improvement Plan (MHSIP) Satisfaction Survey Results: Mr. Reinhardt presented the results of the 2024 Mental Health Statistical Improvement Plan (MHSIP) Satisfaction Survey. Counties and tribes across the state use these surveys to gauge and improve satisfaction among participants who receive mental health and/or substance use services through Comprehensive Community Services (CCS) programs, Coordinated Services Teams (CST) Initiatives, Community Support Programs (CSP) , and Coordinated Specialty Care (CSC) programs. Taylor County Service Facilitators hand -delivered the surveys this year, participants that didn’t receive hand-delivery were mailed surveys. 15 surveys were returned: 11 adult surveys, 1 family survey, and 3 youth surveys, which is a 7% increase in response rate from the year prior. Regional statistics were not available due to no response across the other three participating counties. Develop 2025 Quality Improvement Plan: Mr. Reinhardt requested input in development of the 2025 Quality Improvement Plan. Items that will continue in 2025 from the 2024 Quality Improvement Plan are: • Service Facilitator Satisfaction Surveys distributed to consumers enrolled in NCR-CCS, for at least six months, will respond “Agree or Strongly Agree” to 90% of the survey statements. • Provider Satisfaction Surveys distributed to consumers enrolled in NCR -CCS, for at least six months, will respond “Agree or Strongly Agree” to 90% of the survey statements. • NCR-CCS will increase the number of contracted mental health professionals available to deliver in-person psychotherapy services across the NCR-CCS Region. Discussion was had regarding provider recruitment for evidence-based practices (EBD), and some of the barriers to providing EBD to fidelity. Mr. Reinhardt will develop a 2025 Quality Improvement Plan and will bring it to the next North Central Region Comprehensive Community Services Program Coordination Committee for consideration and approval. CCS Plan Policy and Procedure Update: a. Telehealth Policy: Mr. Reinhardt presented the North Central Region CCS Program Policy and Procedure, Appendix XXX, Telehealth Services. Adam Schnabel made a motion to accept the North Central Region CCS Program Policy and Procedure, Appendix XXX, Telehealth Services. Alicia Carlson seconded the motion. Motion carried. b. Service Planning: Mr. Reinhardt presented the North Central Region CCS Program Policy and Procedure, Appendix VI, Service Planning. Alicia Carlson made a motion to accept the update to the North Central Region CCS Program Policy and Procedure, Appendix VI, Service Planning. Catherine Taber seconded the motion. Motion carried. Revisions to Service Planning Meeting Roster: Mr. Reinhardt presented revisions to the Service Planning Meeting Roster. Alicia Carlson made a motion to accept the revisions to the Service Planning Meeting Roster. Adam Schnabel seconded the motion. Motion carried. 2025 CCS Contract Exhibit: Mr. Reinhardt presented the 2025 CCS Contract Exhibit. Revisions were made under Safety of CCS Consumers, Orientation and Training, Authorization of Services, Billing and Documentation, Interpretive Services, Telehealth Services, and CCS Provider Staff Records. Alicia Carlson made a motion to accept the 2025 CCS Contract Exhibit. Scott Mildbrand seconded the motion. Motion carried. New Business: Alicia Carlson updated that Sawyer County recently completed their Chapter 75 / Chapter 35 onsite survey. There is now confusion regarding which program to open clients with a dual Mental Health and AODA diagnosis. Karlie Pierson, DHS, offered to connect with Ms. Carlson to clear up the confusion. Ms. Carlson also updated that Joe Bodo, MED, LPC, CSAC, ICS, IDP-AT, Sawyer County and Julie Glynn, LCSW, Northland Counseling, are both retiring in January of 2025. Mr. Bodo will continue to provide AODA services in Iron County. Adam Schnabel suggested adding a list of vendors that have waitlists to the QI Plan for 2025. This will help with recruiting providers to help fill in the gaps. Mr. Reinhardt explained that a Memorandum of Understanding is being circulated to each County for 2025-2027. Schedule Meeting Dates for 2025: • Tuesday, February 18, 2025 – 3:00 pm to 4:30 pm • Tuesday, April 15, 2025 – 3:00 pm to 4:30 pm • Tuesday, June 17, 2025 – 3:00 pm to 4:30 pm • Tuesday, August 19, 2025 – 3:00 pm to 4:30 pm • Tuesday, October 21, 2025 – 3:00 pm to 4:30 pm • Tuesday, December 16, 2025 – 3:00 pm to 4:30 pm Adjourn: A motion was made by Alicia Carlson to adjourn. Adam Schnabel seconded the motion. The motion carried. The meeting was adjourned at 3:54 p.m. The next meeting is scheduled for Tuesday, February 18, 2025 at 3:00 pm. Respectfully Submitted, Jenn Arndt, TCHSD Administrative Assistant NORTH CENTRAL REGION COMPREHENSIVE COMMUNITY SERVICES PROGRAM COORDINATION COMMITTEE August 20, 2024 Call Meeting to Order: The North Central Region Comprehensive Community Services Program Coordination Committee meeting was called to order by Vice Chair Scott Mildbrand at 3:02 p.m. on August 20, 2024, via Zoom and in person in Taylor County. Voting Members Present: From Iron County: None From Taylor County: Catherine Taber, Cody Miller, Adam Schnabel, Heather Spinler, Scott Mildbrand From Sawyer County: Alicia Carlson, Hailey Sands From Price County: None Voting Members Absent: Cally Bucknell, Brianna Thomas Others Present: Taylor Reinhardt NCR- CCS Administrator; Jenn Arndt, Administrative Assistant, Taylor County; Rachael Loucks, Provider, Up There, LLC; Sarah Reese-Socha, Director, Price County Human Services; True Lor, DHS. Participant Introduction/Attendance Recording: Completed and recorded as indicated above. Approve Agenda: Cody Miller motioned to approve the agenda of 10 items. Alicia Carlson seconded the motion. Motion carried. Approve Minutes of the June 18, 2024 Meeting : Catherine Taber motioned to approve the minutes from the June 18, 2024 meeting. Adam Schnabel seconded the motion. Motion carried. Public Comments: None. Progress Updates: 2024 Quality Improvement Plan: Mr. Reinhardt provided updates to the 2024 Quality Improvement Plan. • Program Goal #1: By 9/2024, Service Facilitator Satisfaction Surveys distributed to consumers enrolled in NCR-CCS, for at least six months, will respond “Agree or Strongly Agree” to 90% of the survey statements. UPDATE: Surveys have been returned, resul ts have been compiled, and responses indicate a response of 90% “Agree or Strongly Agree”. • Program Goal #2: By 9/2024, Provider Satisfaction Surveys distributed to consumers enrolled in NCR -CCS, for at least six months, will respond “Agree or Strongly Agree” to 90% of the survey statements. UPDATE: Surveys have been returned, results have been compiled, and responses indicate a response of 90% “Agree or Strongly Agree”. • Program Goal #4: Bolster community / consumer engagement and participation on the NCR-CCS Coordinating Committee to align with administrative code and program policy. UPDATE: Recruitment of two new members brings the committee closer to aligning with administrative code and program policy. • Program Goal #6: By 08/2024, NCR -CCS will increase the number of contracted mental health professionals available to deliver in-person psychotherapy services across the NCR- CCS Region. UPDATE: Contract negotiations are taking place with Redeemed Service s, LLC. Two more providers with Northland Counseling and four providers with Caillier Clinic have been credentialed to provide services within the NCR-CCS Region. 2024 Service Provider/Service Facilitator Satisfaction Surveys: Mr. Reinhardt presented the 2024 Service Provider/Service Facilitator Satisfaction Survey results. Mr. Reinhardt questioned if the committee had any ideas to elicit a stronger response from consumers. Suggestions included completing the surveys at a reco very team meeting, completing the surveys in person, and considering the length of the survey to be more concise and convenient for the participants. This topic will continue to be explored. Review and Approve Text Messaging/E -Mail Informed Consent Form: Mr. Reinhardt presented an updated Text Messaging/E-Mail Informed Consent Form. Ms. Carlson requested to have information specific to Taylor County removed and replaced with specific information for Iron County, Price County, and Sawyer County. Mr. Reinhardt will make those changes. Catherine Taber made a motion to approve the Text Messaging/E -Mail Informed Consent Form. Alicia Carlson seconded the motion. The motion carried. CCS Plan Policy and Procedure Update: Monitoring and Documentation / Records: Mr. Reinhardt presented the North Central Region CCS Program Policy and Procedure, Appendix XV, Monitoring and Documentation and North Central Region CCS Program Policy and Procedure, Appendix XXV, Records. Language has been added to each policy regarding medication informed consent forms, which are required to be maintained in the consumer service record if the CCS program is involved in administering or handling medications, regardless of the prescriber’s affiliation with CCS. Adam Schnabel made a motion to accept the update to North Central Region CCS Program Policy and Procedure, Appendix XV, Monitoring and Documentation. Catherine Taber seconded the motion. Motion carried. Alicia Carlson made a motion to accept the update to North Central Region CCS Program Policy and Procedure, Appendix XXV, Records. Heather Spinler seconded the motion. Motion carried. Adjourn: A motion was made by Adam Schnabel to adjourn. Heather Spinler seconded the motion. The motion carried. The meeting was adjourned at 3:27 p.m. The next meeting is scheduled for Tuesday, October 15, 2024 at 3:00 pm. Respectfully Submitted, Jenn Arndt, TCHSD Administrative Assistant NORTH CENTRAL REGION COMPREHENSIVE COMMUNITY SERVICES PROGRAM COORDINATION COMMITTEE June 18, 2024 Call Meeting to Order: The North Central Region Comprehensive Community Services Program Coordination Committee meeting was called to order by Chair Cally Bucknell at 3:00 p.m. on June 18, 2024, via Zoom and in person in Taylor County. Voting Members Present: From Iron County: Cally Bucknell From Taylor County: Catherine Taber, Cody Miller, Scott Mildbrand From Sawyer County: Alicia Carlson, Hailey Sands From Price County: None Voting Members Absent: Chana Rymarkiewicz, Brianna Thomas Others Present: Taylor Reinhardt NCR - CCS Administrator; Katie Voss, CCS Clinical Services Manager; Suzanne Stanfley, Director, Taylor County; Karlie Pierson, DHS; Jenn Arndt, Administrative Assistant, Taylor County; Rachael Loucks, Provider, Up There; Sarah Reese -Socha, Director, Price County Human Services; Shannon Budimlija, community member; Heather Spinler, community member. Participant Introduction/Attendance Recording: Completed and recorded as indicated above. Approve Agenda: Scott Mildbrand motioned to approve the agenda of 11 items. Catherine Taber seconded the motion. Motion carried. Approve Minutes of the April 16, 2024 Meeting : Scott Mildbrand motioned to approve the minutes from the April 16, 2024 meeting. Alicia Carlson seconded the motion. Motion carried. Public Comments: None. Progress Updates: 2024 Quality Improvement Plan: Mr. Reinhardt provided updates to the 2024 Quality Improvement Plan. • Program Goal #1: By 9/2024, Service Facilitator Satisfaction Surveys distributed to consumers enrolled in NCR-CCS, for at least six months, will respond “Agree or Strongly Agree” to 90% of the survey statements. UPDATE: Surveys were distributed on 06/07/2024. • Program Goal #2: By 9/2024, Provider Satisfaction Surveys distributed to consumers enrolled in NCR -CCS, for at least six months, will respond “Agree or Strongly Agree” to 90% of the survey statements. UPDATE: Surveys were distributed on 06/07/2024. • Program Goal #4: Bolster community / consumer engagement and participation on the NCR-CCS Coordinating Committee to align with administrative code and program policy. UPDATE: Letters were mailed to CCS consumers soliciting membership. Advertisement for membership was posted through social media and local news outlets. 2023 CCS Program Survey Statistics: Mr. Reinhardt presented the 2023 CCS Program Survey Statistics. Mr. Mildbrand questioned if the statistics were compared to cross -data from other counties or regions, noting it seemed as though the Taylor County Veteran population may not know about the CCS Program. Mr. Reinhardt will reach out to the local VSO and VFW to provide program information. Ms. Voss reminded that CCS is a Medicaid Program and that could be the barrier. CCS Plan Update – DHS 36.15 Substance Abuse Signature: Mr. Reinhardt presented a change to the North Central Region CCS Program Policy and Procedure, Appendix VI, Service Planning. Currently, under 2. Service Planning Documentation, a, iv, (c), it is written “if the applicant has or may have a substance use disorder, a substance abuse professional shall also sign the authorization for services.” The change would read “if the applicant has or may have a substance use disorder, demonstrated by a problematic use of a substance(s), leading to clinically significant impairment or distress, which impacts their daily living, a substance abuse professional shall also sign the authorization for services.” This is from DSM-5. Questions were asked and discussion was had. Catherine Taber made a motion to accept the policy change. Scott Mildbrand seconded the motion. Motion carried. Suicide Prevention and Screening: Mr. Reinhardt presented the North Central Region CCS Program Policy and Procedure, Appendix XXIX, Crisis Prevention and Screening. CCS staff are responsible for referring participants to crisis intervention services when experiencing a potential crisis situation. Pre-approved tools for screening suicide risk to help inform decision-making and structure conversation may be administered at the discretion of the staff member provided adequate training, competency, and the pr ovider is acting within their scope of practice. This policy is not intended to replace the provision of emergency mental health services. Each County will notify Mr. Reinhardt of the screening tool they will be using. Cody Miller made a motion to accept the Crisis Prevention and Screening Policy and Procedure. Catherine Taber seconded the motion. Motion carried. Certified Peer Specialist Quality Improvement Project: Mr. Reinhardt updated that the State has created additional access to Certified Peer Specialist trainings and would be free of cost to the individuals selected. Two peers will be selected from the North Central Region. Taylor County will select one CCS participant or provider. Mr. Reinhardt asked the other NCR counties to be in contact with him regarding any of their participants or providers. Adjourn: A motion was made by Scott Mildbrand to adjourn. Cody Miller seconded the motion. The motion carried. The meeting was adjourned at 3:23 p.m. The next meeting is scheduled for Tuesday, August 20, 2024 at 3:00 pm. Respectfully Submitted, Jenn Arndt, TCHSD Administrative Assistant COMPREHENSIVE COMMUNITY SERVICES (CCS) COORDINATING COMMITTEE (NORTH CENTRAL REGION) April 16, 2024 Call Meeting to Order: Chairman Cally Bucknell called the meeting to order at 3:02pm Attendance Recording Members Present: Cally Bucknell, Scott Mildbrand, Catherine Taber, Cody Miller, Chana Rymarkiewicz, Alicia Carlson, Brianna Thomas, and Hailey Sands. Members Absent: Richard Austin. Other Attendees: Taylor Reinhardt, Katie Voss, Suzanne Stanfley, and Paula Johnson. Approve Agenda: SCOTT MILDBRAND MADE A MOTION TO APPROVE THE CCS COORDINATIONG COMMITTEE AGENDA FOR APRIL 16, 2024. ALICIA CARLSON SECONDED THE MOTION. THE MOTION CARRIED. Approve Minutes of the February 20, 2024, Meeting: ALICIA CARLSON MADE A MOTION TO APPROVE THE FEBRUARY 20, 2024, MEETING MINUTES. CATHERINE TABER SECONDED THE MOTION. THE MOTION CARRIED. Public Comment: None. Progress Updates: 2024 Quality Improvement Plan: Taylor Reinhardt, CCS Coordinator reported progress updates to the 2024 QIP plan. Implementation of the new crisis template is going well. Discussed crisis planning requirements, per the NCR -CCS Policy and Procedures Handbook. Mr. Reinhardt reinforced the need to complete crisis plans at enrollment and review/update at minimum every six months thereafter. No recommended changes to the policy at this time. He also discussed progress toward consumer and family recruit to join the NCR -CCS committee. Letters h ave been mailed to all NCR -CCS participants, which exception of Sawyer County. Committee recruitment efforts will also be posted to county social media webpages within the coming weeks. QIP updates will remain a running agenda item throughout the year. Review and Approve changes to the Recovery and Service Plan Template: Mr. Reinhardt proposed technical revisions to the Recovery and Service Plan Template to make the document more user friendly for Service Facilitators, while maintaining compliance with DHS 36. Questions were asked, discussion was had. ALICIA CARLSON MADE A MOTION TO APPROVE THE REVISIONS OF THE RECOVERY AND SERVICE PLAN TEMPLATE. CODY MILLER SECONDED THE MOTION. THE MOTION CARRIED WITH EIGHT AYES. Update Committee on Service Authorizations: Mr. Reinhardt discussed the programs’ responsibility to identify frequency and duration of services when authorizing treatment interventions, to ensure services remain medically necessary. Historically, the program has been explicit in authorizing services on a weekly basis, subsequently restricting consumer/provider activity. In an effort to promote client centered, self -directed supports and services, service hours will be authorized monthly, promoting consumer autonomy in scheduling depending on life circumstances. Mr. Reinhardt also discussed requiring psychotherapy providers to document the therapeutic reason for rendering services outside of an office setting. In addition, to reduce financial liability to counties within the NCR-CCS region, Mr. Reinhardt has asked that contracted vendors not bill more travel time than what would be expected from the branch office to consumer residence. This may happen in the event a provider is traveling from a remote location, or out of county residence. Exceptions may be made for providers prior to contracting, if approved by the NCR -CCS administrator. The aforementioned changes will be communicated to vendors and reflected in the 2025 CCS contract exhibit and provider expectations, which will be reviewed by the Coordinating Committee at a future date. Quarter 4 Enrollment Statistics: Mr. Reinhardt reported that there were 41 CCS consumers enrolled in the NCR -CCS region as of December 31, 2023. For participants attempting to access CCS services through Taylor County, there is a waitlist of 10 to 15 adults and 10-15 children. Onsite Survey Summary of Findings: Mr. Reinhardt reported that DQA issued a statement of no deficiencies for the 2022-2023 calendar year. He shared that to remain in compliance, there will be an annual checklist for service facilitators to utilize to ensure admission agreements and teleheal th consents are renewed annually. This will guarantee participants receive proper notice of rights, informed consent, and privacy practices. Adjourn: A MOTION WAS MADE BY ALICIA CARLSON TO ADJOURN. CHANA RYMARKIEWICZ SECONDED THE MOTION. THE MOTION CARRIED. The meeting was adjourned at 3:30pm. Respectfully submitted, Paula Johnson Administrative Assistant, TCHS NORTH CENTRAL REGION COMPREHENSIVE COMMUNITY SERVICES PROGRAM COORDINATION COMMITTEE February 20, 2024 Call Meeting to Order: The North Central Region Comprehensive Community Services Program Coordination Committee meeting was called to order by Chair Cally Bucknell at 3:01 p.m. on February 20, 2024, via Zoom and in person in Taylor County. Voting Members Present: From Iron County: Cally Bucknell, Brianna Thomas From Taylor County: Catherine Taber, Cody Miller, Scott Mildbrand From Sawyer County: Hailey Sands From Price County: Chana Rymarkiewicz Voting Members Absent: Richard Austin, Alicia Carlson Others Present: Taylor Reinhardt NCR - CCS Administrator; Katie Voss, CCS Clinical Services Manager; Suzanne Stanfley, Director, Taylor County; Karlie Pierson, DHS; Tammy Dahl, Service Facilitator, Taylor County; Jenn Arndt, Administrative Assistant, Taylor County; Erin Me yer, Provider, Black River Industries. Participant Introduction/Attendance Recording: Completed and recorded as indicated above. Approve Agenda: Scott Mildbrand motioned to approve the agenda of 9 items. Chana Rymarkiewicz seconded the motion. Motion carried. Approve Minutes of the January 9, 2024 Meeting: Scott Mildbrand motioned to approve the minutes from the January 9, 2024 meeting. Cody Miller seconded the motion. Motion carried. Public Comments: None. 2024 Quality Improvement Plan: Mr. Reinhardt presented the 2024 Quality Improvement Plan. The plan contains the following goals for 2024: 1. By 9/2024, Service Facilitator Satisfaction Surveys distributed to consumers enrolled in NCR-CCS, for at least six months, will respond “Agree or Strongly Agree” to 90% of the survey statements. 2. By 9/2024, Provider Satisfaction Surveys distributed to consumers enrolled in NCR -CCS, for at least six months, will respond “Agree or Strongly Agree” to 90% of the survey statements. 3. By 06/30, all consumers enrolled in the NCR-CCS program will have established crisis plans to assist in crisis preparation and response. 4. Bolster community/consumer engagement and participation on the NCR -CCS Coordinating Committee to align with administrative code and program policy. 5. Improve consumer community engagement and social inclusion through the development of group treatment activities and programming. 6. By 8/2024, NCR-CCS will increase the number of contracted mental health professionals available to deliver in-person psychotherapy services across the NCR-CCS Region. Catherine Taber motioned to approve the 2024 Quality Improvement Plan. Cody Miller seconded the motion. Motion carried. Review and Approve New Crisis Plan: Mr. Reinhardt explained that the current Crisis Plan needs to be replaced with a more comprehensive plan that will better support consumers. The new Crisis Plan was presented. The Crisis Plan will be created at the initial Recovery Team meeting and will be reviewed at each meeting thereafter. Mr. Miller suggested adding a reference card that included a glossary index for the acronyms used on the plan. Chana Rymarkiewicz motioned to approve the new Crisis Plan. Brianna Thomas seconded the motion. Motion carried. Review and Approve Amendment to CCS Job Descriptions: Service Facilitator, Clinical Manager, Coordinator: Mr. Reinhardt explained that Taylor County is in the process of updating all job descriptions and presented proposed changes for the Service Facilitator, Clinical Manager, and Coordinator. Ms. Stanfley read the following changes to Knowledge and Abiliti es for Staff aloud for the Service Facilitator and Clinical Manager job descriptions: 1. Display exemplary professional conduct in all interactions with clients and professionals, maintaining ethical standards that reflect the National Association of Social Workers Code of Ethics or similar professional organization. 2. Ability to comprehend and comply with a variety of local, State and Federal reports, policies/procedures, statutes, etc. 3. Ability to use and interpret legal terminology. 4. Ability to comprehend, interpret and/or prepare a variety of professional or legal documents, including referrals from other internal and external agencies. 5. Ability to effectively present information in one -on-one and small group situations to customers, clients, and others. 6. Ability to apply critical thinking to carry out instructions in written, oral, or diagram form. 7. Ability to use the judgment, decisiveness, creativity and tact required in situations involving the processing and evaluation of information against measurable criteria. 8. Ability to use a trauma-informed approach to communicate effectively orally and in writing with clients/consumers, local government agencies/departments, legal agencies, law enforcement agencies, contracted providers, State personnel, and others. 9. Ability to build positive relationships with clients, their families, and fellow team members through effective listening, empathy, and collaboration. Questions were asked and discussion was had. Chana Rymarkiewicz motioned to approve the Service Facilitator Job Description. Scott Mildbrand seconded the motion. Motion carried. Chana Rymarkiewicz motioned to approve the Clinical Manager Job Descriptio n. Catherine Taber seconded the motion. Motion carried. Ms. Stanfley reviewed the Coordinator job description and explained that the job title will be changed to Community Services Coordinator/CCS Administrator to encompass all programs that are supervi sed by this position. Ms. Stanfley read the following changes to Knowledge and Abilities for Coordinators aloud for the Community Services Coordinator/CCS Administrator job description: 1. Ability to decide the time, place and sequence of operations within an organizational framework, as well as the ability to oversee their execution. Ability to analyze and categorize data and information using established criteria to determine consequences and to identify and select alternatives. 2. Ability to advise and provide interpretation regarding the application of policies, procedures and standards to specific situations. 3. Ability to use reasoning to perform such functions as supervising, managing, leading, teaching, directing, and monitoring. 4. Ability to exercise judgment, decisiveness and creativity required in situations involving the direction, control and planning of an entire program or multiple programs. 5. Ability to use a trauma-informed approach to communicate effectively orally and in writing with clients/consumers, local government agencies/departments, legal agencies, law enforcement agencies, contracted providers, State personnel, and others. 6. Demonstrate strong interpersonal communication skills and a high degree of integrity and honesty. 7. Strong organizational skills to meet deadlines and the ability to work under pressure. Chana Rymarkiewicz motioned to approve the Community Services Coordinator/CCS Administrator Job Description. Catherine Taber seconded the motion. Motion carried. Adjourn: A motion was made by Chana Rymarkiewicz to adjourn. Brianna Thomas seconded the motion. The motion carried. The meeting was adjourned at 3:30 p.m. The next meeting is scheduled for Tuesday, April 16, 2024 at 3:00 pm. Respectfully Submitted, Jenn Arndt, TCHSD Administrative Assistant NORTH CENTRAL REGION COMPREHENSIVE COMMUNITY SERVICES PROGRAM COORDINATION COMMITTEE January 9, 2024 Call Meeting to Order: The North Central Region Comprehensive Community Services Program Coordination Committee meeting was called to order by Chair Cally Bucknell at 3:05 p.m. on January 9, 2024, via Zoom and in person in Taylor County. Voting Members Present: From Iron County: Cally Bucknell, Brianna Thomas From Taylor County: Catherine Taber, Cody Miller, Scott Mildbrand From Sawyer County: From Price County: Chana Rymarkiewicz Voting Members Absent: Richard Austin, Alicia Carlson, Hailey Sands Others Present: Taylor Reinhardt NCR - CCS Administrator; Katie Voss, CCS Clinical Services Manager; Karlie Pierson, DHS; Ashley Wilkinson, Service Facilitator, Taylor County; Jenn Arndt, Administrative Assistant, Taylor County Human Services; Chanel Levra, Service Facilit ator, Iron County. Participant Introduction/Attendance Recording: Completed and recorded as indicated above. Approve Agenda: Chana Rymarkiewicz motioned to approve the agenda of 11 items. Scott Mildbrand seconded the motion. Motion carried. Approve Minutes of the October 17, 2023 and November 14, 2023 Meeting : Cody Miller motioned to approve the minutes from the October 17, 2023 and November 14, 2023 meeting . Catherine Taber seconded the motion. Motion carried. Public Comments: None. Quality Improvement Plan: Mr. Reinhardt updated on the final progress toward attaining the goals identified on the 2023 Quality Improvement Plan, including review of quarter three enrollment and hospitalization statistics across the region. Mr. Reinhardt also updated and reviewed the results of the 2023 DHS Mental Health Statistical Improvement Plan (MHSIP) surveys. Mr. Reinhardt requested the committee’s input in formulating new quality improvement goals in 2024, although received no input. The followin g suggestions were made by Mr. Reinhardt and agreed upon by the committee: • Increase the number of contracted Mental Health Professionals available to deliver psychotherapy services across the NCR-CCS Region. • By 03/31, all participant enrolled in the NCR -CCS program will have established safety plans to assist in crisis preparation and response. • Bolster community/consumer engagement and participation on the Coordinating Committee to align with administrative code and program policy. • Improve NCR-CCS participant community engagement and social inclusion through the development of group treatment activities and programming. Mr. Reinhardt will present the proposed revisions to the 2024 Quality Improvement Plan for approval at the next meeting. Brianna Thomas also suggested facilitating an event for NCR Staff to meet with contracted providers to gain knowledge of the provider, what services they offer, and what platform is used to provide services. Informed Consent for Treatment: Mr. Reinhardt explained that he anticipates receiving a deficiency from DQA following their onsite survey in December for not providing an Informed Consent for Treatment at enrollment and annually thereafter. When the final findings are received, corrective action will be taken. 2024 CCS Contract Exhibit Approval: Mr. Reinhardt presented the changes and additions to the 2024 Comprehensive Community Services (CCS) Exhibit. Catherine Taber made a motion to approve the 2024 Comprehensive Community Services (CCS) Exhibit. Cody Miller seconded the motion. The motion carried with 6 ayes. Approve Amendment to the Service Provider Orientation Checklist: Mr. Reinhardt explained that, based on feedback from DQA, the Service Provider Orientation Checklist has been updated. Chana Rymarkiewicz made a motion to approve the Service Provider Orientation Checklist. Scott Mildbrand seconded the motion. The motion carried with 6 ayes. Schedule Meeting Dates for 2024: • February 20, 2024 • April 16, 2024 • June 18, 2024 • August 20, 2024 • October 15, 2024 • December 17, 2024 Adjourn: A motion was made by Scott Mildbrand to adjourn. Chana Rymarkiewicz seconded the motion. The motion carried. The meeting was adjourned at 3:35 p.m. The next meeting is scheduled for Tuesday, February 20, 2024 at 3:00 pm. Respectfully Submitted, Jenn Arndt, TCHSD Administrative Assistant