CESSA - Region 2 Committee Meeting Approved Minutes 01/24/2023

Community Emergency Services and Support Act (CESSA) Region 2 Advisory Committee

Meeting Minutes- January 24, 2023 - 1:00-2:00 via Teams

Meeting Minutes - Approved by Members 02/15/2023

  • Call to Order/Introductions
    • Call meeting to Order by Dennis Duke at 1:02pm
    • Attendees:
      • Via MS Teams: Dennis Duke, Michael Barr, Latricia Seye, Luke Tomsha, Sarah Stasik, Zachary Gittrich, Ryan Beck, Travis Noyd, Todd Noe, Sarah Stuepfert, Christopher Watkins, Darren Gault, Jamal Simington, Meghan Moser, Sarah Scruggs, Jodi Mahoney, Allen Haeffner, Brian Murphy, Rhonda Flegel
      • Absences: Pat Moreno, Donald Miskowiec, Anthony Walraven, Jake Herbert, Chris Rogers, Wayne Gallops, Michael Daley, Steve Delis, Imad Khan
      • Matthew Jackson joined at 1:04pm
      • Julie Lewis joined at 1:10pm
      • Darren Wolf joined at 1:24pm
      • Lorrie Jones joined at 1:34pm
      • Brenda Hampton joined at 1:45pm
  • Approval of Minutes
    • Regional Advisory Committee - Region 2 Kickoff Meeting - no minutes to approve
    • Proposed meeting schedule date/time: February 15, 2023 at 2:00pm virtual, then 2nd Wednesday of every month from 1-2pm, virtually
  • Proposed Motion on Rules for Member and/or Public Comment
    • Hold comments until later or at end of the presentation.
    • Raise hand feature will be utilized for Teams; phone lines will be unmuted when called upon or can send a chat messaging.
    • Additional means to submit comments via email Angie Clark at Angela.Clark@unitypoint.org
  • Proposed Charter review & discussion
    • Proposed Charter (included in the meeting material) provided prior to this meeting which referenced the goals, deliverables and the memberships that are associated with the regional advisory committee.
    • Discussion - what makes up consensus and majority rule. Members determined if consensus not met, then can move to majority vote for ultimate ruling.
    • Discussion whether to have RAC 2 subcommittees developed. Decision to form subcommittees and develop a list of leads for them. Consensus of subcommittees to develop include:
      • Protocols and Standards
      • Technology, Systems Integration, Data Management and Quality Assurance
      • Training and Education 
      • Communications and Public Messaging
    • Motion to Approve Proposed Charter made by Member Zachary Gittrich, second by Member Sarah Stasik
    • Motion Approved by all members present
  • Review of tasks:
    • Members will email Angie Clark or Dennis Duke with preference of subcommittee lead or participant, and we'll organize the committees effectively.
  • Committee members open discussion:
    • Zachary Gittrich - Request review of the Deflection Act, which focuses on Co-responder models, simply because the Deflection Act overlaps with the section 40 of CESSA regarding the exceptions that are allowed for law enforcement.
    • Zachary Gittrich - reminded the committee that the spirit and language of CESSA is that an alternative (non-police) response is expected to be the norm, while a co-responder involving police is intended to be the exception.
  • State Updates:
    • Date adjusted to accomplish the CESSA goals and requirements, initial legislation was January 1st and now has been changed to July 1st to complete the work.
    • State Planning Partners has a new project plan - which provides a road map of how to theoretically accomplish the work by July 1st timeline. Very aggressive, some regions may not be able to accomplish.
    • Calendar of major deliverables by the RAC on a month-to-month basis to July 1st was presented to the Statewide Advisory Committee which provides toolkits, templates and guides that are available to members. Chairs/cochairs may want to bring to next meeting as it's behind the scenes work. Example given development of a risk matrix involving incident & response time which may include conducting a survey on the average response times for mobile crisis response teams to review incidents for appropriate level of delay. Providing each region with the forms to complete explaining the requirement of the statue and specific deliverables which are listed in the Charter.
    • Questions/Comments:
      • Dennis Duke - My understanding is the region work and that not all regions will be operationalized in the same way but will all be aligned with CESSA Legislation.
        • Lorrie Jones: The structures and process will be very similar, for example with protocols and standards you must know the way that we've conceptualized this to adopt a risk matrix. We've been looking at risk matrices from all over the country and will be providing that information to the regions if requested. The statewide committee will be recommending that for Illinois after the risk matrix is approved. Then we'll go to the vendors. The priority dispatch, power phone and folks that are doing the protocols and scripts to make sure that they can adapt their protocols and scripts to the Illinois risk matrix for resources or considerations of your region. Same process for training. The Statewide Advisory Committee will be recommending what kind of training is necessary for the 911 dispatch centers regarding these changes for the 590 programs and the 988 call centers. Now each region will have its own training plan and the state will be providing some training. Training may be acquired in other places. So again, yes, the training plan will be individualized for each region
      • Dennis Duke - Would the timeline be extended again.
        • Lorrie Jones: There may be some additional negotiations regarding change to the legislation this spring, but that's not how we're operating. We have our mandate which is to try to complete by July 1st and we have a road map to use. Some regions may be more successful than others.
      • Darrin Gault - Is the committee supposed to view these challenges in our region with any type of funding in mind, for example a lot of these protocols are changing response, but may be the private entity, private ambulance service or a municipality if they have an ambulance service to need to increase staffing equipment. Is that available or are we to try to not take that into consideration, just work on the protocols or are we looking at this from a holistic standpoint of that this could create some financial burden to a variety of different areas.
        • Lorrie Jones: State legislation was passed without a Fiscal Note and that means the funding accompanies it. Therefore, there is no funding that was accompanied the passage of the Statute on a regional level. Law enforcement, for example is funded locally, so that's something that would probably have to be taken up at the regional level to figure out what the solutions are. But the state partners could be part of that discussion. There's no money that came with the legislation.
      • Darrin Gault - I think just for fellow committee members that's something we must discuss so that we're at least cognizant of the burdens that our fellow entities are going incur.
      • Zachary Gittrich - Dispatching a mobile crisis unit and they need to transport someone to a 24-hour place, for example, they're not institutionalizing them, but they transport it. Are they allowed to transport them themselves, or do they have to call in and actual EMT to do that.
        • Brenda Hampton: Depends on the agency. Some agencies legal staff have adamantly prohibited them from transporting individuals in their cars. Some agencies have agency vehicles, so it depends on the situation of the crisis. If a person is voluntarily agreeing to go to the hospital, they can transport in an agency vehicle. However, if that individual has behaviors that are threatening or could be potentially dangerous, they are not allowed. Again, it depends on the agency, their legal counsel and what resources they have available as well as the situation.
      • Zachary Gittrich - Situations where it is completely voluntary, right where there's no violence, where we wouldn't have to call police. Is that something that we can mandate these 590s do that they have some type of transportation?
        • Brenda Hampton: It depends on the agency as some are very small. Some have good resources, or they don't have an agency vehicle and if they did have an agency vehicle, it depends on their legal counsel and what the agencies policies are. It can vary tremendously across regions, across agencies and the circumstances.
      • Zachary Gittrich comment - in response to what the Chair said earlier regarding the deadline, if there is an area that doesn't meet all requirements, the law does allow to respond prior to CESSA in being in place.
        • Lorrie Jones: Yes, we have to communicate with partners and the public therefore, now it is business as usual until we go live to clear confusion.
      • Ryan Beck - who are the responding providers for the mobile crisis teams - are those assets already in place or is that being funded through this Public Act.
        • Lorrie Jones: Not funded through the Public Act. It's funded through Division of Mental Health DHS. There are 590 programs funded throughout the state - 66 providers across the state that are funded for 590 programs. Region 2 has 6 providers.
  • No Public Comments noted.
  • Next meeting's agenda will be sent out via email with subcommittee list.
  • Next meeting February 15, 2023 at 2pm, then the second Wednesday of every month at 1:00pm.
  • Meeting adjourned at 2:01pm by Brian Murphy and seconded by Zachary Gittrich.