Coordinated Services

TAYLOR COUNTY CST COORDINATING COMMITTEE Monday, December 5, 2022 TAYLOR COUNTY EDUCATION CENTER – ROOM 101A/B – Via Zoom Call Meeting to Order: Chairman Jean Nuernberger called the meeting to order at 12:00p.m. Members Present: Jean Nuernberger, Jacob Borman, Kylie Weiler, Jason Lang, Lori Willner, Amber Fallos, Julie Clarkson, Suzanne Stanfley, Cheryl Ketelhut, and Michelle Cahoon. Members Absent: Peggy Kellnhofer, Jon Dallmann, Jen Meyer, Lisa Carbaugh, M arisa Radloff and Brad Eidsen. Approve Minutes from the October 3, 2022, meeting: JULIE CLARKSON MADE A MOTION TO APPROVE THE MINUTES FROM THE OCTOBER 3, 2022, MEETING. KYLIE WEILER SECONDED THE MOTION. THE MOTION CARRIED. Approve the Agenda: JULIE CLARKSON MADE A MOTION T O APPROVE THE AGENDA CONTAINING 9 ITEMS. KYLIE WEILER SECONDED THE MOTION. THE MOTION CARRIED. Public Comment: None. CST Coordinator’s Report: Jacob, CST Coordinator discussed and reviewed the Taylor County Coordinated Services Team Initiative Enrollment Status Report with the committee. The report is essentially the same as in October as there are no new enrollments and the planned discharge will happen in December. Jacob 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 is in the process of hiring an additional staff member. Counselin g agencies have wait lists as well. The need for services is discussed at the local Mental Health Council meetings with possible solutions proposed. Jacob did say other counties have wait lists as well. Questions were asked and discussion was had. Jacob also discussed his attendance at the Children Come First Conference that was recently held in WI Dells. He, the Clinical Services Manager for CCS and a parent attended the conference. CST funds were used to cover costs of all attending. Importance of e ngagement with families and giving families a voice was the primary focus. The parent attending was able to network with other parents. Kylie Weiler attended the conference as well. Sample CST Discharge Planning: Jacob presented a form developed based on the CCS discharge form. Quite often CST and CCS share the same population. Form was reviewed. Questions were asked and discussion was had. Set Next Meeting Date and Time: The next meeting was scheduled for Mond ay, February 6, 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: • an update on the CST Program Plan • update on the waitlists, how children are added and removed Adjourn: A MOTION WAS MADE BY JULIE CLARKSON TO ADJOURN. SECONDED BY KYLIE WEILER. THE MOTION CARRIED. MEETING WAS ADJOURNED AT 12:26 P.M Handouts distributed: October 3, 2022, Draft Meeting Minutes, December 2022 Taylor County Coordinated Services Team Initiative Enrollment Status Report, Coordinated Services Team Discharge Summary. Respectfully submitted: Cheryl Ketelhut TAYLOR COUNTY CST COORDINATING COMMITEE October 3, 2022 Via Zoom Meeting Call Meeting to Order: Chairman Jean Nuernberger called the meeting to order at 12:02p.m. Members Present: Jean Nuernberger, Jacob Borman, Kylie Weiler, Jason Lang, Lori Willner, Brad Eidsen, Amber Fallos, Jon Dallmann, Julie Clarkson and Marisa Radloff. Members Absent: Cheryl Ketelhut, Suzanne Stanfley, Peggy Kellnhofer, Jen Meyer, Lisa Carbaugh, and Michelle Cahoon. Approve Minutes from the May 9 th, 2022, meeting: AMBER FALLOS MADE A MOTION TO APPROVE THE MINUTES FROM THE MAY 9 TH, 2022, MEETING. KYLIE WEILER SECONDED THE MOTION. THE MOTION CARRIED. Approve the Agenda: JULIE CLARKSON MADE A MOTION TO APPROVE THE AGENDA CONTAINING 9 ITEMS. AMBER FALLOS SECONDED THE MOTION. THE MOTION CARRIED. Public Comment: None. CST Coordinator’s Report: Jacob, CST Coordinator discussed and reviewed the Taylor County Coordinated Services Team Initiative Enrollment Status Report with the committee. In the report, Jacob explained that enro llment has gone up again with only two disch arges since the last meeting in May. But there is still a lengthy waitlist for children’s services. He goes into detail to explain since the May 2022 meeting, he has received 25 referrals with 20 of them being eligible, but because of staffing and caseload size some remain on the waitlist. Jacob stated 10 kids were enrolled in the last few months off the waitlist. Questions were asked and discussion was had. CST Plan of Care Review: Jacob, CST Coordinator exp lained the plan of care . Jacob then reiterated the team goal/mission statement; youth will not have any unneeded calls to law enforcement, youth will improve impulse control and emotional regulation, youth will increase positive and appropriate responses a nd actions, and youth will improve self -care. Currently the CLTS waitlist has 40 enrolled and 25 on the waitlist due to staffing. CLTS waitlist is approximately from 6 months to a yearlong, CST/CCS is approximately 6 months long. Questions were asked, and discussion was had. Set Next Meeting Date and Time: Jacob reports that w e need another meeting this year to meet criteria. Committee agreed and the next meeting was scheduled for Monday, December 5th, 2022, at 12 pm. It will be held at the Education Ce nter in Room 101A/B, but a Zoom link will be provided as well. Possible Agenda Items for Next Meeting: It was suggested that Jacob provides a sample of a discharge plan to review. Provide an update on the two open posi tions in CST, update on the waitlist and any discharges as well. Adjourn: A MOTION WAS MADE BY AMBER FALLOS , SECONDED BY JON DALLMANN TO ADJOURN. THE MOTION CARRIED. MEETING WAS ADJOURNED AT 12:46 P.M Handouts distributed : May 9, 2022, Draft Meeting Minutes, October 2022 Taylor County Coordinated Services Team Initiative Enrollment Status Report , The Coordinated Services Team Initiative Plan of Care. Respectfully submitted: Marisa Radloff, Secretary TAYLOR COUNTY CST COORDINATING COMMITTEE Monday, MAY 9TH, 2022 TAYLOR COUNTY EDUCATION CENTER – ROOM 101A/B – Via Zoom Call Meeting to Order: Chairman Jean Nuernberger called the meeting to order at 12:04p.m. Members Present: Jean Nuernberger, Cheryl Ketelhut, Suzanne Stanfley, Jacob Borman, Peggy Kellnhofer, Jen Meyer, Kylie Weiler, Li sa Carbaugh, Jason Lang, Michelle Cahoon, Lori Willner, Brad Eidsen, Amber Fallos and Tori Borman. Members Absent: Jon Dallmann, and Julie Clarkson. Approve Minutes from the February 7, 2022, meeting: KYLIE WEILER MADE A MOTION TO APPROVE THE MINUTES FROM THE FEBRUARY 7, 2022, MEETING. LORI WILLNER SECONDED THE MOTION. THE MOTION CARRIED. Approve the Agenda: JASON LANG MADE A MOTION TO APPROVE THE AGENDA CONTAINING 9 ITEMS. MICHELLE CAHOON SECONDED THE MOTION. THE MOTION CARRIED. Public Comment: None. CST Coordinator’s Report : Jacob, CST Coordinator discussed and reviewed the Taylor County Coordinated Services Team Initiative Enrollment Status Report with the committee. In the report, Jacob explained th at enrollment has remained the same with no closures but that there is a lengthy waitlist for children’s services. He goes into detail to explain since the February 2022 meeting, he has received 10 referrals with 5 of them being eligible, but because of staffing and caseload size they remain on the waitlist. The waitlist does consist of elementary, mid dle, and high school kids. Jacob stated the referral sources stay consistent and the current enrollees remain residing in their homes. Questions were asked and discussion was had. CST Enrollment Process: Jacob, CST Coordinator explained the process o f enrollment for the CST program. When the child is found eligible for the program, Jacob will reach out to the family and if they are still interested . Jacob, the child and child’s family will then meet to discuss the needs, start developing the support system, potential team members, the struggles and goals are identified. Essentially, CST serves the family and child to better connect them in order to provide that safety net for the individual enrol led in the program. Quest ions were asked and discussion was had. Set Next Meeting Date and Time: Jacob reports that with school being dismissed for the summer, it would be best to push the next meeting further back. Committee agreed and the next meeting was scheduled for Monda y, October 3 rd, 2022 at 12 pm. It will be held at the Education Center in Room 101A/B, but a Zoom link will be used as well. Possible Agenda Items for Next Meeting: It was suggested that Jacob provides a sample of Plan of Care to show the committee what that all entails. Brad Eidsen did suggest extending the invite to Rick Satterthwaite, LPC from Aspirus Medford Clinic. Adjourn: A MOTION WAS MADE BY JASON LANG, SECONDED BY KYLIE WEILER TO ADJOURN. THE MOTION CARRIED. MEETING WAS ADJOURNED AT 12:34 P.M Handouts distributed: May 9, 2022 Agenda, Draft Meeting Minutes from February 7, 2022, May 2022 Taylor County Coordinated Services Team Initiative Enrollment Status Report Respectfully submitted: Tori Borman, Secretary TAYLOR COUNTY CST COORDINATING COMMITEE February 7, 2022 Via Zoom Meeting Call Meeting to Order: Chairman Jean Nuernberger called the meeting to order at 12:01p.m. Members Present: Jean Nuernberger, Cheryl Ketelhut, Suzanne Stanfley, Kylie Weiler , Jacob Borman, Peggy Kellnhofer, Tammy Schreiber and Tori Borman. Members Absent: Jason Lang, Lori Willner, Jen Meyer, Amber Fallos, Jon Dallmann, Michelle Cahoon, Julie Clarkson, Lisa Carbaugh. Approve Minutes from the December 6, 2021, meeting: KYLIE WEILER MADE A MOTION TO APPROVE THE MINUTES FROM T HE DECEMBER 6 , 2021, MEETING. CHERYL KETELHUT SECONDED THE MOTION. THE MOTION CARRIED. Approve the Agenda: CHERYL KETELHUT 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: Jacob, CST Coordinator reviewed the February 2022 CST Enrollment Status Report for Taylor County. The report indicated five families are currently enrolled with all the children in their own homes with ten families being the target goal. It was noted that there is a possibility for another family to be enrolled into the CST Program. Jacob reports that the enrollees are commonly the middle school and high school ages, as that’s when the various needs are being noticed in the individual, by professionals. In the handout, it was stated one family was being homeschooled and Jacob explained the pros and cons of this, but feels in this aspect the pros outweigh the cons. Jacob also explained, he feels that it is fairly common to receive referrals from different sources and systems. Jacob discussed and explained the DCTS Program Performance Review that it is turned in every six months to the State. It is designed to ensure goals are being met and appropriate progress is being made within in the CST program. Children’s Program(s) Referral and Eligibility Process: Cheryl Ketelhut explained the referral process with how it starts in the Agency and it’s a good chance that it is an internal referral from, Mental Health, Children and Family Services or even the Economic Assistance Program. The process is further explained that a Fun ctional Screen is completed to determine eligibility for programs such as CLTS, CCOP, CCS . This tool re views the current level of functioning of each individual in various aspects of life (mental health, physical health, behaviors, school) . CST does not require a functional screen but instead a CANS (Child and Adolescent Needs & Strengths) tool is completed. CST Coordinator, Jacob will then meet with the family following completion of the assessment tool to have a conversation with them about their results. Jacob and family discuss, and review supports and/or services that are needed and which program(s) may be able to better assist the family . It is the family’s choice on which if any programs they would like to proceed with enrollment in. Jacob and Cheryl both explained the families get the choice to be dually enrolled in multiple programs, regarding the needs of the individual. Review of CST Committee Functions and Responsibilities: In the handouts that were provided, it lists the following repr esentatives to serve on the committee and does the coordinating committee meet the needs for the committee. Jacob explained that the committee struggles having the parent component to be a part of the committee due to the time the meetings are held, but also stated that different times were tried, but then lost more of the professional side due to the time change. The committee offered some encouragement of what could happen to try getting more feedback and participation within the committee members. Jake relayed he will take these considerations in and incorporate for the next meeting. Date of Next Meeting: The next CST Coordinating Committee Meeting was not scheduled at this time. Jacob Borman , CST Coordinator will be taking a poll to determine which date and times work best for committee members in order to see if more committee members can join. It was suggested to send the poll to CST families as well. Possible Agenda Items for Next Meeting: Suggestions were provided during the committee meeting with starting with possibly starting to come back to face to face, but not removing the Zoom option completely to still allow in other individuals schedules. Another suggestion was provided to get more input regarding the satisfaction surveys. Jacob took all suggestions and will look at incorporating for future meetings. Adjourn: A MOTION WAS MADE BY TAMMY SCHR EIBER, SECONDED BY KYLIE WEILER TO ADJOURN. THE MOTION CARRIED. THE MEETING ADJOURNED AT 12:56 P.M. Handouts distributed: Draft of Meeting Minutes from December 6, 2021, February 2022 Taylor County Coordinated Services Team Initiative Enrollment Status Re port, DCTS Program Performance Report through December 31, 2021, and Coordinating Committee Overview handout. Respectfully submitted: Tori Borman, Secretary