Coordinated Services

TAYLOR COUNTY CST COORDINATING COMMITTEE Monday, December 4, 2023 TAYLOR COUNTY HUMAN SERVICES DEPARTMENT (BOARD ROOM) Call Meeting to Order: Chair, Amber Fallos, called the meeting to order at 12:00 pm. Members Present: Amber Fallos, Jean Nuernberger, Taylor Reinhardt , Jon Dallmann, Lisa Carbaugh. Via Zoom: Kylie Weiler, Julie Clarkson, Jacob Borman. Members Absent: Lori Willner, Jason Lang, Michelle Cahoon, Jen Meyer. Other Attendees: (for all or a portion of the meeting) Brad Eidsen and Jenn Arndt. Approve Minutes from the September 11, 2023 meeting: LISA CARBAUGH MADE A MOTION TO APPROVE THE MINUTES FROM THE SEPTEMBER 11 , 2023 MEETING. JON DALLMANN SECONDED THE MOTION. THE MOTION CARRIED. Approve the Agenda: JEAN NUERNBERGER MADE A MOTION TO APPROVE THE AGENDA CONTAINING 10 ITEMS. LISA CARBAUGH SECONDED THE MOTION. THE MOTION CARRIED. Public Comment: None. CST Initiative Coordinator’s Report: Taylor Reinhardt, CST Initiative Coordinator , explained that current CST enrollment remains at 1 participant. This participant is also being served through the CCS Program. There are currently 26 children/youth, who have been determined functionally eligible for CCS/CLTS services that remain on the waitlist due to staff capacity. The CCS Service Facilitator position has been filled and the new CCS/CLTS Case Manager position has been approved with hopes for a new hire to begin in the new year. Youth Services Waitlist Policy : Taylor Reinhardt, CST Initiative Coordinator , presented the Children & Youth Services Waitlist (CCS/CLTS/CST/CCOP) Policy. Questions were asked and discussion was had. Mental Health Statistical Improvement Program (MHSIP) Survey Distribution : Taylor Reinhardt, CST Initiative Coordinator, explained the surveys are sent to active participants who have received CST services for at least six months or CST participants who were discharged no more than three months ago . The surveys fulfill statutory requirements of Chapter 46 for the CST Program. Three administration methods were attempted this year: email, self -administered mail survey, and phone interview. With this, there was very little increase in responses. Staff are trying to think of creative ways for incentives to be offered upon completion, such as grant writing or approaching local businesses. Interagency Partnership Agreement : Taylor Reinhardt, CST Initiative Coordinator , presented the need to form a sub -committee to identify program scope in 2024, and review the guiding principles for the CST Program. This will build an intent and purpose for the program along with identifying gaps in service. The hope would be to have CST staff present weekly in the Medford School District and monthly in the Gilman School District and Rib Lake School District. Potential members of the sub-committee include: Gilman School District: Wally Leipart Rib Lake School District: Jon Dallmann Medford School District: Joe Greget, Michelle Deml, Kylie Weiler, Delaney Skelding Questions were asked and discussion was had. Mr. Reinhardt will begin communication with hopes to meet in January of 2024. Schedule Meeting Dates 2024: • February 5, 2024 • May 6, 2024 • September 2, 2024 • December 2, 2024 Adjourn: A MOTION WAS MADE BY JON DALLMANN TO ADJOURN. SECONDED BY LISA CARBAUGH. THE MOTION CARRIED. MEETING WAS ADJOURNED AT 12:37 pm. Handouts distributed : September 11 , 2023 Draft Meeting Minutes, November 2023 Taylor County Coordinated Services Team Initiative Enrollment Status Report , Children & Youth Services Waitlist (CCS/CLTS/CST/CCOP) Policy, and The Coordinated Services Team Initiative Interagency Service Agreement. Respectfully submitted, Jenn Arndt TAYLOR COUNTY CST COORDINATING COMMITTEE Monday, September 11, 2023 TAYLOR COUNTY HUMAN SERVICES DEPARTMENT (BOARD ROOM) Call Meeting to Order: Vice Chair, Amber Fallos, called the meeting to order at 12:17 pm. Members Present: Amber Fallos, Taylor Reinhardt , Kylie Weiler, Lisa Carbaugh, Peggy Kellnhofer, and Jacob Borman. Via Zoom: None. Members Absent: Jean Nuernberge r, Lori Willner, Jon Dallmann, Jason Lang, Julie Clarkson, Michelle Cahoon, Jen Meyer, and Brad Eidsen. Other Attendees: (for all or a portion of the meeting) Jenn Arndt and Suzanne Stanfley. Approve Minutes from the May 8 , 2023 meeting: LISA CARBAUGH MADE A MOTION TO APPROVE THE MINUTES FROM THE MAY 8 , 2023 MEETING. KYLIE WEILER SECONDED THE MOTION. THE MOTION CARRIED. Approve the Agenda: LISA CARBAUGH MADE A MOTION TO APPROVE THE AGENDA CONTAINING 13 ITEMS. KYLIE WEILER SECONDED THE MOTION. THE MOTION CARRIED. Public Comment: None. CST Initiative Coordinator’s Report: Taylor Reinhardt, CST Initiative Coordinator, explained that he will be the primary contact for meetings now that a distinction between CST Initiative Coordinator and CST Service Coordinator has been made. Mr. Reinhardt also explained that he is not comfortable enrolling participants into the CST Program until a clear directive/scope for the program has been established. He would like focus to be on quality rather than quantity. Program Performance Report: Taylor Reinhardt, CST Initiative Coordinator, reviewed highlights of the DCTS Program Performance Report for report period 01/01/2023-06/30/2023. This report is submitted bi-annually. Goal 1: Ensuring reporting to track program performance • Objective 4: Administer and gather the DHS satisfaction surveys ➢ Multiple methods of delivery are being used this year, email, mail, phone call. Goal 2: Enrollment ➢ Mr. Reinhardt explained that work will continue to establish clear directive of the CST Program. He would rather focus on quality of enrollments rather than quantity of enrollments at this time. Goal 4: Effectiveness and Impact • Objective 2: Child/youth will meet all goals and successfully complete their plan of care ➢ Mr. Reinhardt explained that one participant successfully transitioned to adult long-term care services. 2024 CST County Application: Taylor Reinhardt, CST Initiative Coordinator, reviewed the 2024 DCTS Annual Grant/Contract Application. The total budget amount requested is $60,000, with a total dollar match of $12,000. Ms. Stanfley explained that the State CST Administrator aided in the development of this document. Highlights are as stated: Goal 2: Enrollment • Objective 1: Taylor County’s CST initiative will better operationalize referral/screening procedures to determine enrollment criteria to avoid duplication of activities, services, and resources with other service coordination programs. ➢ CST requires that the child/youth with needs be involved with two types of services, that the child/youth has not made progress using other services, that the families are likely to benefit from working as a team and commit to the process voluntarily, and that the child/youth may be at risk for placement outside of the home. TCHSD would like a 5th requirement for target group. This could be an indicator on the referral to know if the child/youth would be a fit for CST. Questions were asked and discussion was had regarding screening tools that could be used. Goal 3: System Development • Objective 2: Taylor County CST will identify innovative ideas for the application of funding to enhance available resources, unique to the program initiative. ➢ Staff will continue to identify gaps in funding for other service-based programs, such as those that screen eligible for CCS; however, do not have Medical Assistance. Or those that are in a suspended status for CCS or CLTS, due to living in an ineligible setting. • Objective 3: Taylor County CST will bolster parent engagement on the coordinating committee. ➢ Mr. Reinhardt explained that there is a need for more parents on the coordinating committee to meet statutory requirements. Questions were asked and discussion was had. Youth Services Lead Position: Taylor Reinhardt, CST Initiative Coordinator, explained following a review of the job description for the CST Coordinator position, a new Youth Services Lead position was created to capture what is being done on a day-to-day basis. This position will be the first line of supervision for youth services. Youth Services Waitlist Policy: Taylor Reinhardt, CST Initiative Coordinator, updated that a waitlist policy is currently being developed for the Children’s Community Options Program, Children’s Long-Term Support Program, Coordinated Services Teams, and Comprehensive Community Services Program. This policy will operationalize waitlist procedures and identify participants which may be prioritized for enrollment based on crisis or urgent need. The policy will be shared at the next CST Coordinating Committee meeting. Mr. Reinhardt updated that there are currently 22 children on the CST/CLTS/CCS waitlist. Of those 22 children, 5 are currently engaged in other programming, but 17 are in need of services. Revisions to the Rules and Bylaws of the Taylor County Coordinated Services Team Committee: Taylor Reinhardt, CST Initiative Coordinator , went over changes he would like approved to the Rules and Bylaws of the Taylor County Coordinated Services Team Committee. • Article II: Committee Composition and Terms ➢ Section D: REMOVE “Committee members may serve for additional terms of office once their original appointment expires.” • Article III: Officers ➢ REMOVE: Section D. • Article IV: Meetings ➢ Section D: ADD “The CST Initiative Coordinator shall be responsible for developing the agenda, arranging the location, and publishing notice of the meeting as required.” ➢ ADD: Section E: Secretary of the committee shall be designated by the CST Initiative Coordinator and will be responsible for taking the minutes of the meeting and determining that the minutes are complete and accurate. The secretary will also be responsible for disbursement of the meeting agenda and minutes to all Committee members, while maintaining appropriate records of the Committee. Ms. Fallos asked if a secretary was required by administrative code. Mr. Reinhardt explained that administrative code doesn’t identify or require specific committee positions/designations. LISA CARBAUGH MADE A MOTION TO APPROVE THE REVISIONS TO THE RULES AND BYLAWS OF THE TAYLOR COUNTY COORDINATED SERVICES TEAM COMMITTEE . KYLIE WEILER SECONDED THE MOTION. THE MOTION CARRIED. Appointment of Committee Member: Taylor Reinhardt, CST Initiative Coordinator, requested that Peggy Kellnhofer, Economic Support Coordinator, be appointed to the Coordinated Services Team Committee. AMBER FALLOS NOMINATED PEGGY KELLENHOFER TO BE APPOINTED TO THE COORDINATED SERVICES TEAM COMMITTEE. ALL IN FAVOR. Election of Officers: Taylor Reinhardt, CST Initiative Coordinator , explained that Jean Nuernberger, Chair, and Amber Fallos, Vice Chair, terms were now expired. KYLIE WEILER NOMINATED AMBER FALLOS TO BE APPOINTED CHAIR OF THE COORDINATED SERVICES TEAM COMMITTEE. ALL IN FAVOR. KYLIE WEILER NOMINATED JEAN NUERNBERGER TO BE APPOINTED VICE CHAIR OF THE COORDINATED SERVICES TEAM COMMITTEE. ALL IN FAVOR. Set Next Meeting Date and Time: The next meeting is scheduled for Monday, December 4, 2023 at 12:00 pm. The meeting will be held at the Taylor County Human Services Department; a Zoom link will be provided as well. Adjourn: A MOTION WAS MADE BY LISA CARBAUGH TO ADJOURN. SECONDED BY KYLIE WEILER. THE MOTION CARRIED. MEETING WAS ADJOURNED AT 12:45 pm. Handouts distributed: May 8, 2023 Draft Meeting Minutes, DCTS Program Performance Report, DCTS Annual Grant/Contract Application, September 2023 Taylor County Coordinated Services Team Initiative Enrollment Status Report , and Rules and Bylaws of the Taylor County Coordinated Services Team Committee. Respectfully submitted, Jenn Arndt TAYLOR COUNTY CST COORDINATING COMMITTEE Monday, May 8, 2023 TAYLOR COUNTY EDUCATION CENTER – ROOM 101A/B Call Meeting to Order: Chairman Jean Nuernberger called the meeting to order at 12:05 pm. Members Present: Jean Nuernberger, Taylor Reinhardt , Kylie Weiler, Lisa Carbaugh, and Suzanne Stanfley. Via Zoom: Amber Fallos, Michelle Cahoon, Lori Willner, Jen Meyer, and Peggy Kellnhofer. Members Absent: Jon Dallmann, Jacob Borman, Jason Lang, Julie Clarkson, and Brad Eidsen. Other Attendees: (for all or a portion of the meeting) Jenn Arndt and Jordan Klinger. Approve Minutes from the February 6, 2023 meeting: KYLIE WEILER MADE A MOTION TO APPROVE THE MINUTES FROM THE FEBRUARY 6, 2023 MEETING. LISA CARBAUGH SECONDED THE MOTION. THE MOTION CARRIED. Approve the Agenda: LISA CARBAUGH MADE A MOTION TO APPROVE THE AGENDA CONTAINING 10 ITEMS. KYLIE WEILER SECONDED THE MOTION. THE MOTION CARRIED. Public Comment: None. CST Coordinator’s Report: Taylor Reinhardt , CCS/CST/CLTS/CCOP/B-3 Administrator , discussed and reviewed the Taylor County Coordinated Services Team Initiative Enrollment Status Report with the committee. There has been one recent discharge due to the consumer aging out of the program. This can be viewed as a voluntary discharge and the consumer is now involved with long-term care services. Youth Services Waitlist: Taylor Reinhardt, CCS/CST/CLTS/CCOP/B-3 Administrator, updated that there are currently 33 children on the CST/CLTS/CCS waitlist. Of those children, approximately 10 are no lon ger in contact or are engaged in services within the agency and remain on the waitlist for dual enrollment. These children will be removed from the waitlist with the public health emergency coming to an end. Children will then be removed from the waitlist based on staff capacity. Children being removed will be prioritized based on recurrent contact with the agency or urgent/crisis needs. Questions were asked and discussion was had. CST Partner / Collaboration: Taylor Reinhardt , CCS/CST/CLTS/CCOP/B-3 A dministrator, updated that there is a need to fill in the gaps of services offered. In collaboration with this committee, he is hoping to implement wrap around services, identify teaming needs, develop resources, and incentivize families to engage in CST. Jen Meyer, Protective Services Coordinator, updated on the Survivors of Suicide Support Group that meets on the last Sunday of the month at 6:00 pm at St. Paul’s Lutheran Church in Medford. Questions were asked and discussion was had. Kylie Weiler, Sch ool Social Worker, updated on the possibility of a day treatment program to come to Medford. Questions were asked and discussion was had. Set Next Meeting Date and Time: The next two meetings were scheduled for Monday, September 11, 2023, at 12:00 pm and Monday, December 4, 2023 at 12:00 pm . Both meetings will be held at the Taylor County Human Services Department; a Zoom link will be provided as well. Possible Agenda Items for Next Meeting: Agenda topics can be sent to Mr. Reinhardt. Adjourn: A MOTION WAS MADE BY JEN MEYER TO ADJOURN. SECONDED BY LISA CARBAUGH. THE MOTION CARRIED. MEETING WAS ADJOURNED AT 12:30 pm. Handouts distributed : February 6, 2023 Draft Meeting Minutes, May 2023 Taylor County Coordinated Services Team Initiative Enrollment Status Report. Respectfully submitted, Jenn Arndt TAYLOR COUNTY CST COORDINATING COMMITTEE Monday, February 6, 2023 TAYLOR COUNTY EDUCATION CENTER – ROOM 101A/B – Via Zoom Call Meeting to Order: Chairman Jean Nuernberger called the meeting to order at 12:01p.m. Members Present: Jean Nuernberger, Lori Willner, Taylor Reinhardt, and Marisa Radloff Via Zoom: Amber Fallos, Julie Clarkson, Michelle Cahoon , Brad Eidsen, True Lor, Jen Meyer, Peggy Kellnhofer. Members Absent: Jon Dallmann, Lisa Carbaugh, Jacob Borman, Kylie Weiler, Jason Lang, and Suzanne Stanfley Approve Minutes from the December 5, 2022, meeting: JULIE CLARKSON MADE A MOTION TO APPROVE THE MINUTES FROM THE DECEMBER 5 , 2022, MEETING. LORI WILLNER SECONDED THE MOTION. THE MOTION CARRIED. Approve the Agenda: LORI WILLNER MADE A MOTION TO APPROVE THE AGENDA CONTAINING 8 ITEMS. JEN MEYER SECONDED THE MOTION. THE MOTION CARRIED. Public Comment: None. CST Coordinator’s Report: Taylor Reinhardt CCS/CST/CLTS/CCOP/B-3 Administrator discussed and reviewed the Taylor County Coordinated Services T eam Initiative Enrollment Status Report with the committee. The report is essentially the same as in December of 2022, as there are no new enrollments . A planned discharge was delayed due to c lient need; therefore, enrollment remains at 3 . Taylor discussed that there is a wait list for CST enrollment, as well as Comprehensive Community Services (CCS) and Children’s Long -Term Support (CLTS). Taylor County has successfully hired an additional st aff member to primarily work with youth to help reduce waitlist requirements . Of note, other community partners, specifically Counseling agencies, also have wait lists due to client demand. In review of the DCTS Program Performance Report, Taylor indicated that it remains the goal of the CST program to enroll 10 children/family teams. In regard to satisfaction surveys distributed in 2022, TCHSD received no response from enrolled families . Taylor discussed opportunity for improvement with eliciting engageme nt. Questions were asked and discussion was had. Jen Meyer went on to discuss the up peak in youth crisis in Taylor County recently. Questions were asked and d iscussion was had on how to help promote and prevent further up peak in youth crisis through local businesses and schools. Set Next Meeting Date and Time: The next meeting was scheduled for Monday, May 1, 2023, at 12:00 pm. It will be held at the Education Center in Room 101A/B, but a Zoom link will be provided as well. Possible Agenda Items for Next Meeting: It was suggested that Jacob provide two updates: • Update on the waitlists, how children are added and removed. • How does CST partner/collaborate with other systems of care to fill unmet gaps in services. Adjourn: A MOTION WAS MADE BY JEN MEYER TO ADJOURN. SECONDED BY BRAD EIDSEN. THE MOTION CARRIED. MEETING WAS ADJOURNED AT 12:29 P.M Handouts distributed: December 5, 2022 Draft Meeting Minutes, February 2023 Taylor County Coordinated Services Team Initiative Enrollment Status Report. Respectfully submitted: Marisa Radloff