CESSA Statewide Advisory Committee Meeting Minutes 04/10/2023

Approved by Committee Members 05/08/2023

Community Emergency Services and Support Act (CESSA) Statewide Advisory Committee

Meeting Minutes - Monday, April 10, 2023 - 1:00 pm-3:00 pm via WebEx

This meeting was recorded.?


  • The April meeting was called to order by DHS Secretary Grace Hou at 1:02 p.m.?
  • Members present via WebEx:? Jim Kaitschuk, Richard Manthy, David Albert, Cindy Barbera-Brelle, Christopher Huff, Drew Hansen, Brent Reynolds, Alice Cary, Blanca Campos, Pooja Nagpal, Ashley Thoele, Curtis Harris (joined at 1:17), Shelley Dallas (after roll call)
  • Members absent: Emily Miller, Erika Freeman (Resigned)
  • Lee Ann Reinert reviewed procedures around the Open Meetings Act and meeting logistics.?
  • Secretary Hou called for a motion to approve the March 13, 2023, minutes.? A motion was made to approve the minutes by Member Brent Reynolds and seconded by Member Drew Hansen.??Approved by present 11 members.

State Updates

  • Lee Ann Reinert: Closed notice of funding opportunity and completed the merit based review for a new call center joining the network in the city of Chicago. Will announce them at the next meeting. 4pm - 8 am greatest volume of calls comes in this area/time. Funding for this comes from SAMHSA. It will take a few months from the center to get onboarded through Vibrant.
  • Did not receive additional questions for comments from the public since the last meeting, therefore no response today.
  • Brenda Hampton: RACS 1, 2, 3, 7 are working on compiling data for the Landscape Analysis. They are still working with PSAPS to get this in. Questions from RACs: Who controls the scene if LE, EMS, MCRT's all show up at the same time? Ongoing functionality of 988, 911 and differences in systems.
  • Peter Eckart: RACS 4, 5, 6 are working on compiling data from the Landscape Analysis and will be working on the Interim Risk Level Matrix. Smaller groups of members of their RACs along with experts from the community to work on the IRLM. Have given guidance on OMA and quorum numbers.
  • Lorrie: RACS 8, 9, 10, 11 also working on Landscape Analysis and IRLM. Have had a few questions regarding some of the language in the IRLM and we are working on clarification of definitions. Needing training for developmental disabilities, questions about data sets. In the process of identifying another Behavior Health Lead for RAC 11. Bobby E. Wright leadership will continue to work with the EMS medical director until we have new leadership Dr. Saffir will assist with this transition.

Importance of Lived Expertise (Nanette Larson)

  • The importance of lived experience/expertise can be overlooked, disregarded, or misunderstood. Sharing the work of individuals shapes the system. It is the expectation now in 2023. All of the work we do must incorporate individuals being served.
  • Retrain your Brain: It takes intentional effort to change the way we think about individuals with mental or developmental disabilities due to societal bias and representation. It is important to see the individuals dealing with a challenge at a specific moment in their lives.
  • Stereotypes are part of the bias. Oversimplified ideas or assumptions around different people
  • These affect both us and others: if built on stereotypes it can affect how the person in crisis sees themselves and their reactions
  • Results in automatic thoughts and responses or behaviors
  • Critical that we recognize we have these internal oversimplified ideas or assumptions, so we can accurately develop policy
  • Curtis Harris (Q): What are we going to do to destigmatize mental health issues?
  • Nannette (A): One of the things research shows is that interacting with a person in a stigmatized population helps reduce the stigma. Speaking out and doing presentations like this
  • Kevin Richardson: Thank you Nannette. At PATH we have an entire unit around this. The US v THEM rhetoric is huge, and we are not that far away from these places.

Technology, Systems Integration and Data Management

  • Brent Reynolds: Overarching responsibility: Guidance and Recommendations to the SAC
    • Documentation and evaluation of current data collection processes and systems by PSAPs, Lifeline Centers, LE and MCRTs
    • Planning for development of systems and processes to collect new data and indicators to monitor system performance.
    • Investigation and research into call transfer methodology
  • Overarching deliverable: What recommendations are necessary to implement CESSA Standards and Protocols statewide and regionally.
  • Data collection plan for aggregate statewide data and regional data
  • Sample reports, benchmarks to measure system performance, call transfer technology recommendation, and recommendations regarding phased implementation.
  • Peter Eckart: Challenges in front of us - 1) no existing crisis response systems were designed for or envisioned CESSA, 2) There is no statewide standard for collecting, exchanging or reporting crisis response data, 3) The rest of the multi-sector and multi-organization system is a disconnected collection of heterogenous paper and computerized mechanisms, 4) There is no common standard for a multi-sector system and the expense to create and all-provider system would be enormous
  • What was mandated by CESSA legislation does not necessarily include all of the data we would like to gather.
    • (1) and (2) Restated: The volume, type and disposition of calls between 9-1-1, 9-8-8 and 590 providers.
    • (3) Restated: The volume, type and disposition of calls appropriate for referral to community mental health providers but not served.
    • (4) and (5) Restated: information to improve the community mental health crisis response system, including 9-1-1, 9-8-8, 590 and other providers.
  • 6-month Sprint. Final three months: co-convene with Protocols and Standards, approve draft metrics and sample reports, discuss current and future system requirements, approve draft recommendations for data monitoring approach and phased system development recommendations.

Protocols and Standards

  • Cindy Barbera-Brelle: the Landscape Survey was due and we are compiling the results now. Hoping for as close to 100% as possible from PSAPs
  • Priority dispatch - working with three major providers and will continue to update
  • Chris Huff (Q): Was the risk matrix approved by the state committee?
  • Lorrie Jones: P&S voted on this a few weeks ago. In order to keep pace with the work being done it needed to be voted on before the next month's meeting. Subcommittees can move information to the regions by the vote of the subcommittee.


  • Lorrie Jones: Subcommittee passed a vote that the communications subcommittee be disbanded and will become a standing agenda item on SAC. There has been a lack of quorum for several meeting and it has stalled the work of the committee. A lot of the work for Communications is appropriate for the SAC. This is now being brought to the SAC.
  • Motion to disband: Cindy Barbera-Brelle makes motion.
  • Brent Reynolds: In light of the challenges of the unrealistic timeline, we can get some of these things that are moving slowly back on track.
  • Vote: Yes - Alice Cary, Ashley Thoele, Blanca Campos, Brent Reynolds, Cindy Barbera-Brelle, Curtis Harris, Dave Albert, Drew Hansen, Jim Kaitschuk, Pooja Nagpal, Richard Manthy, Shelly Dallas. Passed with 12 votes

Public Comment

  • Grace Hou: We recognize the difficulty in this legislation. We are hearing and listening to responses and will use this feedback to direct our actions.
  • No further public comment

The meeting is adjourned at 2:28 PM by Grace Hou