JCCMHFBBoard MeetingSeptember 10, 2018

Arnold CAFE

FMMSC0112 Approved 8/14/2013

JCCMHFB Meeting Agenda

Meeting Date: September 10, 2018 Time: 9:00 am Location: Arnold office – Cafe

1. Approval of Agenda

2. Approval of June 18, 2018 Meeting Minutes

3. Financial Report

4. RFP’s

a. Update on 2018 RFP Awards

b. Review of 2019 RFP Timeline & Proposals Submitted

i. Proposals Due – September 1, 2018

ii. Approval of Funding Recommendations to Board

iii. Funding – January 1, 2019

5. Update on Diversion Pilot Program

6. Approval of County Pro Forma & Tax Rate (continues to be 0.0915)

7. Approval of COMTREA Board Actions

8. Old Business

9. Adjournment

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JCCMHFB Meeting Minutes

Meeting Date: June 18, 2018 Time: 9:00 am Location: Arnold office – Cafe Board Attendees: Jerry Rogers; Kelly Steffens; Elizabeth Diveley; Mark Mertens; Dr. Josh

Isaacson and Audrey Mitchell

Staff in Attendance: Sue Curfman, CEO; Margo Pigg and Amy Rhodes, CFO

Not in Attendance: Dr. Steven Crawford and Ken Waller

The JCCMHFB Meeting was called to order by Beth Diveley at 8:55am. 1. Approval of Agenda

The June 18, 2018 meeting agenda were reviewed with no changes requested.

Recommendations: “I, Jerry Rogers move that the June 18, 2018 agenda be approved as

presented.” Josh Isaacson seconded the motion. The motion carried.

2. Approval of April 9, 2018 Meeting Minutes

The April 9, 2018 meeting minutes were reviewed with no changes requested.

Recommendations: “I, Josh Isaacson move that the April 9, 2018 meeting minutes be

approved as presented.” Mark Mertens seconded the motion. The motion carried.

3. Financial Report

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The financial report was sent out ahead of time for the board members to review.

Recommendations: “I, Jerry Rogers move that the JCCMHFB approve the financials as

presented” Josh Isaacson seconded the motion. The motion carried.

4. Approval of JCCMHFB contract

The updated JCCMHFB contract with the county was presented for approval and signatures.

Recommendations: “I, Josh Isaacson move that the JCCMHFB Board approve the contract

with the county.” Kelly Steffens seconded the motion. The motion carried with Mark Mertens

abstaining.

5. RFP Update and Award Notifications

Beth Diveley updated the board informing that the award letters were sent out and signed by

the agencies receiving them there was no questions.

6. Next RFP Schedule

Beth Diveley stated that the next RFP will open up on July 1, 2018 and the amount would be

$250,000. It will be posted in the leader for July 12 and Lisa Wigger will look into posting it in

the Countian. The schedule for the RFP’s was reviewed by Beth Diveley with the board.

Jerry Rogers asked if anyone asks regarding the funds that the board state that the $250,000

comes from the sales tax

• Issuance of RFP – July 1, 2018

• Deadline for Questions & Clarifications – August 1, 2018

• Issuance of Final Addendum – August 15, 2018

• Proposals Due – September 1, 2018

• Funding Recommendations to Board – November 1, 2018

JCCMHFB QUARTERLY MEETING 3 | P a g e

• Funding – January 1, 2019

7. Update on Diversion Pilot Program

Sue Curfman stated that Margo Pigg and she met with Jefferson R7 last Thursday and a job

description was developed for the Assessment Diversion Specialist. There was 4 candidates

that interviewed for the position and an interview panel. The individual selected will start in

that role August 1st what has driven this is changes at the state level to help avoid labeling

students. They are in the process of evaluating metrix and protocols. Sue Curfman stated

her role is to write up the data as they look to duplicate the program with hopes to present at

the state level. They will be looking at how to measure success. This is a program that is

really looking at how to do things differently. Jerry Rogers asked who is involved. Sue

Curfman stated that COMTREA, Jefferson RVII and Mercy Jefferson will partner together to

work on the pilot program. (Sue Curfman, Eric Ammons and Clint Johnston). Jerry Rogers

asked Dr. Isaacson’s take on the program, he stated that he finds it appealing. Audrey

Mitchell asked who is involved, Sue Curfman stated that judges and the juvenile office are

involved and very supportive of the pilot. Audrey Mitchell spoke of a situation in the school

she used to work with and a situation of success. Sue Curfman stated that the individual that

will be doing this is currently getting all the connections and scope of services listed for the

county. Sue Curfman also spoke of the school liaisons program and the increase in

personnel and changes that will be happening with that program. The goal with the diversion

program is to create and be able to duplicate for additional schools. Kelly Steffens asked

what the age is for this program. Sue Curfman stated that it is for any age. Sue Curfman

also spoke of trying to get in front of the superintendents meeting in August to share about

the welcome center. Margo Pigg also spoke that they will be looking at evening house at the

welcome center or having assessors go out to schools to evaluate students if needed. There

was discussion of having a greater connection between school liaisons and the behavioral

JCCMHFB QUARTERLY MEETING 4 | P a g e

health side. Margo Pigg stated that they are seeing children and want to look at how to make

access easier. Dr. Isaacson stated that looking at the road blocks that are in the way and

how to take those away to be successful. Margo Pigg also spoke of the support that parents

and faculty need and taking that support to them directly.

8. Legal Review of JCCMHFB Board Nominations

Sue Curfman stated that one of the recommendations that came out of meetings in March

was to look at how appointments are made to the different boards in the county. Sue

Curfman stated that she was first made aware when Ken Waller called her in January 2018.

This was a large concern and the recommendation from the board was to get a legal opinion.

Meagan Breeze provided a legal review on the authority. The review looked at numerous

documents including bylaws the County Charter, state regulations and the board has been

provided with a letter that outlines her review of the documents. The change to the charter

form of government did not change the way the appointments would be done. The current

process of county council or county executive appointing is legal. Dr. Isaacson thanked Sue

Curfman for the legal review. Jerry Rogers stated that the board has nothing to do with the

appointments but wanted to get a clarification. Beth Diveley stated that the validity of

members on the Board is not an issue based on the legal review completed by Meagan

Breeze. Sue Curfman read a portion of the legal letter for everyone to hear the finding. Mark

Mertens spoke of how the county executive has always appointed with the county council

approval. The key issue is the county council appointing with the county executive approval.

Mark Mertens stated that there are a lot of people that disagree with the legal review. He

brought up the conflict of interest of sitting on the JCCMHFB and COMTREA Board and

voting for funds to be used. Sue Curfman stated that members on the JCCMHFB represent

the MHFB primarily. Mark Mertens stated that voting to give money is a conflict of interest.

JCCMHFB QUARTERLY MEETING 5 | P a g e

Dr. Isaacson stated that COMTREA auditors or state auditors could answer if this was an

issue. Beth Diveley stated that the practice has been in place for years. Mark Mertens

stated that because it’s been in place doesn’t mean it’s correct. Beth Diveley stated that in

the years she has been on there was nothing brought up until recently. Mark Mertens stated

about self-funding, Jerry Rogers stated that there is no self-funding and there is an

agreement between the mental health board and COMTREA regarding the funding that is

given. Margo Pigg stated that the other county boards there was some differences that came

about that are not the same as COMTREA. Mark Mertens stated that he is not saying that

what was done in the past is right or wrong and in the past there was no other providers and

now there are other providers that are in the county and want to know why COMTREA gets

all the money. Mark Mertens stated that sitting on one board and giving money to another

board is a conflict and thinks it’s a matter of time before the board gets sued. Beth Diveley

stated that the RFP process is allowing other agencies to get funding for things COMTREA

doesn’t do is at capacity. Dr. Isaacson stated that the matter is very complex and the legal

statute was poorly written and everyone on the board volunteers their time. Sue Curfman

stated that the state law was sent out earlier and COMTREA is in compliance and the

contract between the JCCMHFB and COMTREA and it states all the services that the agency

(COMTREA) needs to provide. Sue Curfman went over the services that are to be provided

and how more than what the county provides. Sue Curfman stated that she is a stickler for

regulations. Jerry Rogers stated that the answer is not in this room.

9. Approval of COMTREA Board Actions

Recommendations: “I, Josh Isaacson move that the JCCMHFB approve the actions of the

COMTREA board.” Kelly Steffens seconded the motion. The motion carried.

JCCMHFB QUARTERLY MEETING 6 | P a g e

10. Old Business

Jerry Rogers stated that in the past this Board was a quick meeting does a different time and

date need to be considered. Beth Diveley asked everyone to consider this and it will be

discussed. Josh Isaacson asked if everyone on this board was part of the COMTREA Board.

That was confirmed.

11. Adjournment

With no other business to discuss.

Recommendations: “I, Mark Mertens move to adjourn.” Josh Isaacson seconded the

motion. The motion carried.

Minutes approved

(Signature of JCCMHFB President) (Date)

Community Treatment IncMIL Tax and Sales Tax UsageFISCAL YEAR 2018 - Through July, 2018

MIL TAXPROGRAM PROGRAM COST 2018 BUDGETPsychiatry 321,045 3,545,286 Includes:

Physician ServicesAPN Services

Adult Behavioral Health 379,501 5,111,107 Includes:

PSRCommunity SupportCounseling

Adult Substance Use 181,291 1,975,948 Includes:

CounselingDay TreatmentCourt Services

A Safe Place 52,932 654,284 Programs using MIL Tax 934,769 11,286,625

SALES TAXPROGRAM PROGRAM COST 2018 BUDGETChildren Behavioral Health Services 149,002 1,773,841 Includes:

Community SupportCounseling

Children Substance Use 58,898 752,313 Includes:

CounselingDay Treatment

School Liasion Services 41,091 504,132 CAC - Jefferson County Location 19,620 280,718 Tails with Tales 6,567 93,720 Reserved for outside RFP 200,000 200,000

Programs using Sales Tax 475,178 3,604,724

TOTAL COSTS (both MIL TAX & SALES TAX PROGRAMS) 1,409,947 14,891,349

TOTAL MIL TAX Received to Date 241,667 2,900,000 TOTAL SALES TAX Received to Date 295,705 2,800,000

TOTAL TAX RECEIVED BY COMTREA 537,372 5,700,000

Percentage of total cost 38.1% 38.3%

**also utilizes Sales Tax ($215,000)

**also utilizes Sales Tax ($32,000)**Total budget for MIL TAX Programs (less sales tax) = $11,039,625

**TOTAL BUDGET FOR SALES TAX Budget (including above) = $3,851,724

**Does not include Administration - COMTREA Admin is 16%

FMMSC0112 Approved 8/14/2013

JCCMHFB RFP Request Overview

Funds Requested By: Lutheran Family Counseling Services

Amount Requested: $78,000

Funds will provide: Cover the cost of MH counseling services for one year for residents of Jefferson County. Pay for one full-time counselor, expect to provide services to 95 children, youth and families in Jefferson County during that year.

Prior amount Funded: $78,000 in previous cycle

Diversion Program Update

1. First intervention process began within the first 30 of school on the first day.

Complicated case, many team members involved: Intervention Specialist, CSS,

counselor, supervisor, DJO, APN and others.

2. Margo and Tony also met with Steve Horn to discuss team planning, communication

methods and timing; Tony and Margo will be writing up this process for Comtrea as a

partner and referral source for our Program Manuals.

3. Tony, Margo and Steve also agreed to meet regularly for a while, monthly, as the

program gets up and moving. Then, also set up quarterly meeting to review full process,

workflow and make changes/modifications as needed.

Off to a good start, need justified on the first day.

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0.0915

President Jefferson County Community Mental Health Fund Board

Jefferson

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