CESSA - Region 9 Committee Meeting Approved Minutes 04/17/2023

Community Emergency Services and Support Act (CESSA) Region 9 Advisory Committee

Meeting Minutes -April 17, 2023 - 2:00 PM via WebEx

Meeting Minutes - Approved by Members 06/26/2023

Call to Order/Introductions
- Dr. Matthew Jordan called to order at 2:04pm
Approval of Minutes
- Minutes from 03/20/2023 meetings were approved at 2:08pm. Motion to approve - T. Rigano; seconded by R. Gonzalez
- Roll Call - Dave Gomel
  - Attendees: Matthew Jordan, David Gomel, Dalila Alegria, Frances Baker, Jennifer Brothers, Karen Bush, Julissa Gonzalez, Stephanie Hanson, Chris Harding, Grace Hong Duffin, Sam Johnson, Ariana Kitty, John Knebl, Aimee Knop, Joseph Kreul, Andrew Kunstler, Ryan Lettieri, Matthew Mannino, LaToya Marz, Bernadette May, Kimberly Mebane, Richard Neumann, Anthony Rigano, Leonetta Rizzi, Mike Rothecker, Tiki Schulte, Joe Schelstreet, Amanda Teachout
Meeting Agenda
- Welcome and Call to Order (Roll Call)
- Open Meetings Act
- Approval of the Minutes from previous meeting
- Landscape Survey and Risk Matrix toolkits
- State Updates
- Next Meeting Date: May 15, 2023
- Public Comment
- Adjournment
RAC Planning for Risk Level Matrix & Landscape Analysis
- Co-Chairs should work together to develop a high-level plan to accomplish tasks and request all members read the toolkits and brief guidance instructions.
- Deliverables:
  - Completed Landscape Survey Analysis
  - Completed Risk Level Matrices (for levels 2 and 3)
- The Risk Level Matrix is informed by:
  - Data from the landscape analysis identifying resources (e.g. co-responder models) in county areas within the region.
  - Data supplied from DMH on average response times for MCR in your region.
Working Groups for Risk Level Matrix & Landscape Analysis Activities
- Working groups may only meet with less than the majority of a quorum.
  - If there is a 9 person body, a quorum would be 5 people, so only 2 appointed members can meet together outside of a public meeting.
  - Non-members can participate in working groups, but will not have a vote on the RAC.
  - RAC # has # appointed members, so # members constitutes a quorum. Therefore, no more than # appointed members can meet outside of a posted meeting.
- Working groups will report back to the RAC and may be organized to do the following:
  - Landscape Analysis
    - Assure analyses are completed for each PSAP with information from law enforcement agencies
    - Take information gathered and develop summary document
  - Interim Risk Level Matrix
    - Completed worksheets incorporating data from landscape analysis, response times, etc.
Co-Response Landscape Survey Toolkit
- This survey is to be conducted by Public Safety Answering Point (PSAP) administrative staff within each EMS Region.
  - PSAP are reporting on their co-response models, as well as EMS within their region. They are also interviewing law enforcement agencies within their jurisdiction to complete the survey/interview.
- PSAPs will send completed surveys to RAC co-chairs.
  - We recommend co-chairs identify a point person or small workgroup to be responsible for receiving surveys and aggregating the data at a regional level.
Co-Response Landscape Survey Toolkit
- Expected Deliverable:
  - Inventory of available mental and behavioral health crisis response alternative services by PSAP jurisdiction.
- The data collected will provide a framework for discussing the Illinois Interim Risk Level Matrix. It will also provide a standardized approach for customizing Risk Matrix Level 2 (Moderate Risk) and Level 3 (Urgent Risk) response times and dispatch response types for the region overall, and/or for sub areas within regions, taking into consideration current circumstances and available resources to respond to mental health and behavioral health crisis calls.
Toolkit: Interim Risk Level Matrix for Use by PSAPs
- RAC Co-Chairs should initiate a focused and structured conversation with RAC members regarding the goal of customizing levels 2 and 3 of the Interim Risk Level Matrix.
- The first worksheet (see page 16 in the toolkit) should be used as a working document to capture initial discussion and recommendations for each PSAP coverage area. There should be a minimum of one worksheet per PSAP.
Toolkit: Interim Risk Level Matrix for Use by PSAPs
- The second worksheet (see page 19 in the toolkit) is to be submitted as a final document recording the RACs final recommendations for each PSAP within the region. This final document may also be duplicated as many times as necessary.
  - There should be one final recommendation for each PSAP.
- Expected deliverable:
  - Consensus agreement by each region regarding the customization of response time and response type for levels 2 and 3 of the Interim Risk Level Matrix that is used by PSAPs for assessing risk level and for making dispatch decisions for mental health/behavioral health crisis calls/communications.
Questions/Comments from the committee
- How are the surveys done without community professionals involved?
  - The survey is only looking for information about what each PSAP is doing (type of PSAP, coverage area, etc.)
- Mobil crisis response in non-PSAP started backwards after 18 month program -it is going backwards.
- PSAP focus on dispatch; 988 focus on caller process and more involved with caller to five resolution to the problem
State Updates
- Mentioned briefly "The Importance of Lived Expertise" presentation from Nanette Larson to address the myths around mental health
- We are in a Six-Month Sprint Plan that will most likely not be completed on the deadline and the state is analyzing an extension of the plan
- The SAC and the Subcommittees will meet (and you are welcome to attend)
Next Meeting Date:
- Next Meeting: May 15, 2023 at 2:00pm
Meeting adjourned at 3:03 pm. Motion to adjourn-T. Rigano; seconded by J. Kern.