CESSA - Region 3 Committee Meeting Approved Minutes 05/16/2023

Community Emergency Services and Support Act (CESSA) Region 3 Advisory Committee

Meeting Minutes - May 16, 2023 - 8:30-10:00 via Teams

Meeting Minutes - Approved by Members 06/20/2023

Call to Order/Introductions

  • Diana Knaebe called the meeting to order at 8:34am.
  • Member Attendees: Matthew Johnston, MD, Diana Knaebe, Kristen Chiaro, Jessica Douglas, Olivia Mefford, Christopher Mueller, Mark Schmitz, Katrina Moseley
  • Public Attendees: Nathan Shotton, Gabriela Vo
  • Absences: Andrew Dennis, MD, Chad Dooley, Brenda Hampton, Trenda Hedges, Daniel Hough, Scott Hough, MD, Raymond Hughes, MD, Devron Ohrn, Scott Pasichow, MD, Sara Rolando, John Simon, Amy Toberman, Andrew Wade

Meeting Logistics/Open Meetings Act

  • Open Meetings Act site at the Office of the Illinois Attorney General
  • Meetings are recorded. You may choose to turn off your camera.
  • Minutes will be posted at the Illinois Department of Human Services Division of Mental Health on the Open Meetings page.
  • Minutes will be posted after they have been approved at the following RAC meeting.
  • Please remain on mute during the meeting unless you want to have some discussion. If you would like to speak, please raise your hand to get the presenters attention.
  • Only appointed members may contribute to the discussion at any point during the meeting. Members of the public will be able to speak during the "Public Comment" session of the meeting.

Approval of Minutes from March 21st, 2023 & April 18th, 2023 Meeting

  • Due to Region 3 not meeting quorum, the March 21st & April 18th meeting minutes could not be voted upon and will be voted on at the June 20th meeting.

Progress on Developing RAC Recommendations for the Interim Risk Level Matrix- Diana Knaebe

  • The statewide group has asked that the co-chairs to start talking with membership about this, as we are looking at these recommendations on the interim risk level matrix, do we have the right people working on it? Do we need to have some smaller groups? do have information about the areas that they provide and can fill out those matrixes and send them on to those providers and the PSAPs in their areas to make sure that what we have on them from the survey is correct and that the PSAPS are aware of who is providing services in their area.
  • Mark, Diana will send you the responses that we have received from the PSAPs in your areas so that you can take a look at those and make sure that it is consistent with what you had given and where things are still at.
  • Jessica will reach out to the PSAPs that are specifically in her and Mark's areas that we have not heard from yet.
  • The major task at this point is to work on interim risk levels 2 and 3 of the 4 part Interim Risk Matrix that the State Advisory Council has passed on to the regions. Want to work on how 590 responders are going to respond with law enforcement and with the PSAPS. On level 2, we have the ability within each of those PSAPs to personalize the response based on those of us on the mental health side and what we are able to respond in each of those areas. The task is in each of the PSAPs, how will the individuals, that are mental health centers, be able to help and respond to mental health crisis in our areas, either along with EMS or with law enforcement.
    • Mark - That is the goal. It depends on how many calls we have at a time and the extremes of our area. It could be a bit longer than 90 minutes for us.
    • The determination is probably per call, the circumstances of what is going on and discussion with your team as to how quickly they can get there and those kinds of things. Same with the Memorial team and other teams.
  • Dr Johnston - what is there is more than one call out? I don't know how many teams we have on it, could sometimes the depth of our, how much, how many resources we have. That could change our response time too.
    • In some of those cases, we could offer a virtual response.
  • Mark - Are we still on a June 30th goal? What time frame are we on at this point and his still at the level of developing general things region wise?
    • Our understanding is that we can personalize it based on each of the PSAPS, so within the region, we can further personalize it to each of the PSAPs to have a separate response depending on what is going on and what the resources are in each of those PSAPs. Right now we are trying to figure out what the time frame will be. There is a bill that passed in both the House and the Senate.

State Updates - Diana Knaebe

  • The SAC tasked the Technical Assistance Committee to develop a process to address local alternative response. There is flexibility in the response decisions based on local conditions for level 2 & 3. We are not to modify the Risk Matrix, but the response in our areas.
  • Communication to the public will not go live until decisions are made.
  • Working on completing the dispatch modifiers on the Mobile Crisis Response times. They really need our PSAP pieces back in order to be able to fully complete the dispatch modifiers for the nonviolent misdemeanors.
  • Currently looking at the training piece for Mobile Crisis Response, 988 Crisis and 911 communications.

Next Meeting on June 20th, 2023 at 8:30am.

Public Comment

  • Gabriela Vo - Something that I noticed from attending the CESSA meetings and discussion on the response times for Level 2 and 3, a question was raised about a similar situation of figuring out that risk level and response time. What is the estimate that we are going with? Considering that there are providers that might be far away and there are rural areas that might be far away from the provider.
    • Diana - Mark has brought this up. It will be somewhat of an issue, not as much an issue for Cass County but that is certainly a concern about the amount of time that it will take.
    • Mark - If you were to take Quincy and draw an hour and half circle around us, that is our coverage area. Some of these counties had no coverage and we are picking them up in July because we went for two years with the 590 program and there was no willing provider. There is no other community mental health centers in those counties that was prepared to be able to provide that response, so we are going to.
    • Diana - this will certainly fit in the decision tree. 911 systems and law enforcement need to know that at a minimum, if we are responding in certain areas, it is going to take 90 minutes or more for teams on the Mobile Crisis Response, in the best of times, to get there. Mark, you may want to go a little bit farther out than 90 minutes if you think 90 minutes would be the minimum, knowing that it will take a few minutes to get the call, know where you are going, etc.
    • Mark - I want everyone to know, we know that this is not optimum. We know that this will cause significant rubs with law enforcement who may have to wait at the scene for an hour and half for MCR to arrive.

Dismissal

  • Diana Knaebe adjourned the meeting at 9:02am.