CESSA - Region 10 Committee Meeting Approved Minutes 12/19/2022

Community Emergency Services and Support Act (CESSA) Region 10 Advisory Committee

Meeting Minutes- December 19, 2022 - 10:00 - 11:30 AM via Zoom

Meeting Minutes - Approved by Members 01/12/2023

  • Call to Order/Introductions
    • Meeting called to order at 10:01 am by Co-chair Dr. Ben Feinzimer
    • Attendees:
      • Via Zoom: Dr. Ben Feinzimer, Sam Johnson, Jennifer Brothers, Miriam Smith, Jodi Newmark, Laura Banks, Elizabeth Moss, Brian Baker, Jeremy Gaughan, Jason Seeley, Thomas Jones, Christopher Mayer, Emily Mysel, Alicia Atkinson, Christopher Voss
    • Absences - Nancy Vaccaro, Noy Frial-Lopez, Mary Anne Glowacz
  • CESSA Legislation and Structure
    • CESSA Structure PowerPoint was presented
    • If you have individuals, you think would be perfect to serve on this committee and give valuable insight, please send those names to co-chairs Ben and Sam. There are open spots for advocates, those with lived experience, will be so important to us. We also do not have any EMS union reps. The state has the ultimate approval of all new committee members. There is a vetting process before they can be approved.
    • Questions and Comments:
      • Alicia Atkinson: There are six Lifeline centers in Illinois? Can we get a list of those?
        • Members were directed to the map in the PowerPoint which lists all the centers. They are: Memorial Behavioral, Lake County Health Department, DuPage County Health Department, Suicide Prevention Services of America, PATH, Community Counseling Centers of Chicago.
      • Jody Newmark: How has the Lifeline been publicized?
        • Lifeline has been publicized on the news, in the papers. The state did a soft rollout as to not overwhelm the system. Lifeline was previously the suicide hotline now the number is 988, shorter for people to remember.
      • Christopher Mayer: How will the communications between regions work? Many providers will be split into two regions and how will that work if protocols are dramatically different?
        • You can attend region specific meetings as a member of the public. Also, you can attend the monthly statewide advisory committee meeting. Sam and Ben have the regional co-chairs meetings and have had a lot of communication. All the links for the regional committee meetings should be posted to the state's website. This committee is the tentacles for outreach. If we are doing something and coming upon a decision in region 10 and someone who's familiar with region 9 or 11 that's different, we need to know that and be sensitive to those changes. This is part of everyone's concerns. The statewide committee will be setting parameters.
      • Alicia Atkinson: With the PSAPs, some cover both region 9 and 10 and have the same person answering calls and dispatching to different regions. Everything will depend on the protocol system the PSAPs are using. How are they handling the call when it is determined by the protocol system and on how the questions they ask are answered by the caller?
        • The PSAP representatives will just have to keep raising the point. If we come up with a solution and you know it's not going to work when dispatching a fire department or law enforcement that will cross into a different region, we will just have to be flexible.
      • Alicia Atkinson: Lake County is in the process of a very large PSAP consolidation so a lot of the PSAPs on the map will not exist in two years. They are moving towards a consolidating center. I believe they have a project manager but not leadership yet. I think its important for this committee to reach out to them and get somebody who can represent them and what the consolidated center is going to look like. That center will serve a large area of region 10. Alicia and Sam will attempt to find a contact in the consolidation workgroup.
  • Proposed Charter review & discussion
    • Members were emailed a copy of the draft charter
    • Plan to meet monthly through June 2023.
    • If we identify a need, we can create four subcommittees for our region.
    • Please read the charter and the Committee will ratify the charter at the January meeting
  • Proposed Motion on Rules for Public Comment
    • Raise hand feature will be used on Zoom and phonelines will be unmuted for those joining via phone
    • All comments will be limited up to 4 minutes or a maximum of 40 minutes total in the meeting
    • Motion proposed by Co-chair Ben Feinzimer, second by Member Brian Baker
    • Motion approved by all members present
  • State Updates, provide by Dr. Lorrie Jones:
    • CESSA
      • Completion date extended to July 1, 2023
      • Spring legislative session could make modification to the bill
      • Guidelines for how it could be possible to make this happen by July 1st
      • Hopefully by the next meeting we will be able to layout steps and completion dates
      • SAC has four technical subcommittees, and the intent of the subcommittees is to provide guidance to the RACs.
      • Might have to split RAC into subcommittees to get all the items done
      • SAC communication subcommittee has had to work quickly to try to create some information to clarify myths and misinformation about law enforcement and what CESSA says they can and cannot do. The major message is that CESSA has not yet gone into effect.
      • CESSA will not go into effect until each region has met certain criteria. We are in a planning phase. As of right now, it is business as usual. Guidance will be pushed out to the regions shortly and you can share it to make sure people know CESSA is not a barrier to law enforcement involvement at this time.
      • Dr. Jones is our contact for the UIC hub and will be working alongside the region.
    • 988
      • Slowly ramped up and you will start to see more information to come via radio, tv and print
      • Wanted to make sure we had the capacity to answer all the calls
      • On the SAMHSA website, there are resources to use to help get the word out to the public
      • Answering 81-87% in state calls. With the prior vendor, we were only answering about 19% of in-state calls
      • There is an in-state backup system and an out of state backup system
      • Average time on a call is 20 minutes
      • National data shows 90% of issues resolved on the call
      • On occasion, 988 calls will need to be transferred to 911. Will need to start collecting data on this once CESSA is up and running
    • Questions and Comments:
      • Jodi Newmark: We really need to get the word out about 988 to high school and college students and making certain we cover those populations in communications.
      • Alicia Atkinson: Are we going to be updated or informed what the criteria will be for 988 calls to be transferred to 911?
        • Yes, we are looking at the criteria they are using now to transfer calls to 911 and will adjust to what this committee decides which types of calls 911 will transfer to 988. Subcommittee coming up with a risk matrix for determining how calls should be considered, what is the acuity level of the caller to know which type of response is appropriate for each call and which calls would be transferred to 988. The statewide committee will give the regional committees guidance to decide on which codes will be in which risk levels.
      • Chris Voss: With PSAPs, you are able to transfer all call data including location from 911 to 911, will 988 be able to transfer caller information to 911?
        • It is something that we should consider down the line. If that is something you all want to jump out there and try to move forward with, I think that's a great idea. When calling 988, the caller has to self-identify their location. It's an opportunity for sure.
  • Sam Johnson: If we decide we want to have subcommittees, only members of our RAC can be a part of those committees, or can we invite others that are not members?
    • Only RAC committee members can be on the subcommittees as voting members, but the RAC can also have an expert consulting group, which if you have experts, you can appoint them to the expert consulting group. They cannot vote, but they can be on the subcommittees. They also do not need a formal appointment.
  • Open for Public Comment
    • Matt Fishback - I wanted to give you some information on some of the questions asked. For the 988 locational data, the FCC had a hearing on it but did not vote. There was a significant objection to it as advocates are worried about involuntary commitments because of location being provided or law enforcement arriving unless it's absolutely necessary. Also, the Region 9 committee meets today at 2:00 pm. Region 7 meets Thursday. Region 8 was last Thursday, and Region 11 doesn't have a meeting scheduled yet but should be in early January. The statewide subcommittees meet every two weeks. The data and tech systems integration subcommittee is trying to get a lot of the data from 988 so they are looking at avenues on how they collect it. I believe they have a presentation today at 2:30 pm at their meeting. The public messaging, I think are meeting every two weeks, protocols and standards is every two weeks, and the training subcommittee hasn't started yet. I attend all these meetings.
  • Schedule of subsequent meetings
    • Next meeting will be on January 12th, 2023, from 9:00-10:30 am. Meeting invite will go out shortly.
  • Adjournment time and by whom
    • Motion to adjourn proposed by Co-chair Ben Feinzimer, second by Member Jeremy Gaughan. Meeting adjourned at 11:30 pm