CESSA - Region 2 Committee Meeting Approved Minutes 02/15/2023

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

Meeting Minutes- February 15, 2023 - 1:00-2:00 via Teams

Meeting Minutes - Approved by Members 03/08/2023

  • Call to Order/Introductions
    • Call meeting to Order by Dennis Duke at 2:02 PM
    • Attendees:
      • Via MS Teams: Dennis Duke, Michael Barr, Luke Tomsha, Zachary Gittrich, Ryan Beck, Travis Noyd, Sarah Stuepfert, Darren Gault, Jamal Simington, Meghan Moser, Sarah Scruggs, Eileen Williams proxy for Jodi Mahoney, Brian Murphy, Rhonda Flegel, Anthony Walraven, Imad Khan, Donald Miskowiec
    • Absences
      • Allen Haeffner, Sarah Stasik, Latricia Seye, Sheila Stokowski, Todd Noe, Christopher Watkins, Jake Herbert, Chris Rogers, Wayne Gallops, Michael Daley, Steve Delis
    • Guests:
      • Michael Lau, Tom Kammerer, Faith Bonham, Gabriela Vo, Mike Epping, Susan Schafer
  • Approval of Minutes
    • Correction/addition noted to the January 24, 2023 Minutes: Under Committee Comments - 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.
    • Next RAC Region 2 meeting will be March 8, 2023 at 1:00 PM
      • Motion by Member Darren Gault, second by Member Rhonda Flegel
      • Motion Approved by all members present
      • Note: Added comment will be inserted to approved Minutes for posting.
  • Subcommittee Review
    • RAC Region 2 Subcommittee list was included in meeting materials.
    • Lead is needed for Subcommittee Training and Education - Rhonda Flegel agreed to Lead.
    • The CESSA Statewide Advisory Subcommittees Link was sent to all RAC 2 Subcommittee members & encouraged to attend their respective subcommittee as Public Comment.
    • Subcommittee Leads were asked to arrange RAC 2 Subcommittee meetings with their members. If need assistance in communication, they can reach out to Angie Clark to assist them.
    • Expectation of RAC 2 Subcommittee is to report to the larger RAC 2 meeting on progress or identified issues.
  • Introduction to System Partners and Roles
    • IDPH / EMS Systems - presented by Michael Barr, MD - Chair
      • Comments: None noted
    • DHS / Mental Health - presented by Dennis Duke - Co-Chair
      • Comments: Eileen Williams proxy for Jodi Mahoney - North Central basically has same set up as the Quad Cities which respond to all individuals regardless of location (home, schools, hospitals, jails & community). We go into ED's frequently due to police intervention or EMS or family has taken them there. We've seen an escalation and a lot more crises related to youth and Pediatrics both in ED's and in schools. Ability to provide de-escalation and safety plans, then linking them with services to avoid hospitalization has been beneficial to them.
        • Zachary Gittrich inquired from Eileen Williams what is the average response time and the percentages of response?
      • Eileen Williams : Due to geographical area average response time is between 30-60 minutes as we cover seven counties. The percentage is between 30-50% of the community-based calls or ED calls with the co-responder teams. We continue to recruit & hire people with lived experiences.
      • Meghan Moser for McLean County - We've had mobile crisis in existence before 590. We're in local emergency departments and pretty much anywhere in the community, have gone out with law enforcement and in people's homes. We receive 988 calls as one of the PATH hub is in our county. We haven't had an increase in calls since 988 as most of our calls are local emergency rooms.
      • Gabriela Vo from PATH Quality Assurance Supervisor discussed procedures and protocols within their teams. Through 988 expectation is to de-escalate and utilize the least invasive interventions. Procedure of calls is to de-escalate and safety plan with individual and provide follow up to safety check. Ultimately goal is to transfer caller to the ID Team but stay connected for continuous support. High intensity cases involving firearm weapons contact with Team, EMS and law enforcement.
        • Anthony Walraven - Inquired regarding 911 dispatch calls for suicidal ideation where no weapons involved, dispatch only has the phone number and caller location is unknown. Peoria County PSAPS is contacted due to 309 area code. Frequently dispatch traces the call and it's Bloomington and not Rock Island. Concern noted the lag in time with case of suicidal ideation is problematic. Any thought of 988 tracing these calls themselves to contact the proper agency and reduce lag time.
      • Gabriela Vo Responded - Yes they do have some capability of tracing calls. However, referencing situation of suicidal ideation are highly intense and can be disconnected without obtaining needed information. Those types of calls are perceived with highest level of lethality and with technology involved, we have not received update from the state yet on tools and technology that I thought would be provided.
        • Anthony Walraven inquired if there was any funding in the bill for Peoria County to get more Emergency Response Services (ERS).
        • Dennis Duke responded at this time there is no funding and that part of the initial CESSA legislation. This item was addressed in the last meeting and suggest tracking this to make a case for possible funding.
        • Jamal Simington - Inquired from PATH if there was a Decision Map utilized to decipher when law enforcement to be notified in contrast to EMS or a 590 provider.
        • Gabriela Vo responded yes. There is an assessment for what level of intensity interventions is appropriate. There is also a feedback form where the Crisis Council will document their own interventions and reasoning that leads to the intensifications of interventions. The protocol ensures if there are any refinement needed.
    • ISP / Public Service Answering Points (PSAPs) - presented by: Allen Haeffner, Brian Murphy and Rhonda Flegel
      • Comments: Darren Gault - inquired if any civil liability protection for the risk matrix decision making. Meaning if a dispatcher elects to not send police and an EMT or social worker is killed, does the law provide any protection from civil liability for them?
        • Brian Murphy responded - uncertain and to follow the protocols written regarding individual civil liability.
        • Dennis Duke commented that question will be placed in our report to the state level committee and will request feedback from them.
        • Anthony Walraven inquired 911 dispatch using a protocol to determine a call should go to 988 or continue taking the call. Once it goes to 988 Center will they be physically dispatching or will that go back to 911?
        • Brian Murphy responded the current direction from the statewide advisory committee is the 590 providers (MH response teams) will go out from the 988 system, not the 911 system.
  • State Updates
    • Risk Matrix - 4-Level document is in a draft format, working its way through the SAC Standards & Protocols committee and the SAC membership body.
    • Co-chairs will receive more information on the Risk Matrix and the accompanying Toolkit at the March co-chairs' meeting. Finalization of the draft Toolkit is working its way through the SAC Protocols and Standards subcommittee.
    • RACs will receive a Landscape Analysis (and ToolKit) request which will need to be worked at the local level. The data needed is information on the different co-response models operating within the EMS regions.
    • The six months plan > Sprint to July, is still moving forward.
  • Review of tasks:
    • RAC 2 Subcommittee Leads will organize their meetings. Angie Clark to assist with email addresses.
    • RAC 2 Subcommittee member will attend the Statewide Advisory Subcommittee meetings as Public Comment & report back to larger RAC 2 meeting of any progress or identified issues.
    • Monthly reporting to SAC.
  • Committee members open discussion - Questions/Answers
    • Technology Concern for suicidal ideation calls lag in response time due to no location available for caller. Once a trace is placed and it is out of their region, it's a delay in response time - problematic regarding suicidal caller.
    • Is there any funding in the bill for Peoria County to get more Emergency Response Services (ERS).
    • Is there any civil liability protection for the risk matrix decision making.
  • Open for Public Comment - none noted.
  • Meeting was Adjourned at 3:01 PM by Rhonda Flegel, seconded by Zachary Gittrich