CESSA Training and Education Subcommittee Meeting - Approved Minutes 6/13/2023

CESSA Subcommittee for Training and Education June 13, 2023, 10:30 am - 12:00 pm

Meeting Minutes - Approved by Members 06/27/2023

AGENDA

  1. Welcome & Call to Order
  2. Roll Call
  3. Approval of Minutes
  4. Meeting Logistics/OMA
  5. Old Business
    1. Credentials
  6. New Business
    1. Speaker: Ron Bruno, Chief Executive Officer, Crisis Response Programs And Training
  7. Wrap-Up / Next Meeting
  8. Public Comments
  9. Adjournment

The meeting was called to order by Cindy Barbera-Brelle at 10:33 am.

Roll Call:

Present: Michelle Churchey-Mims (Designee for Blanca Campos), Cindy Barbera-Brelle, Tonya Cooley (Designee for David Albert), Greg Atteberry, Pooja Nagpal

Absent: Candace Coleman, Emily Miller

Motion to approve minutes from 5/23/23 by Michelle Churchey Mims, seconded by Pooja Nagpal. Approved by: Michelle Churchey-Mims, Cindy Barbera-Brelle, Tanya Cooley, Greg Atteberry, Pooja Nagpal.

Discussion: Credentials

  • Recommendations from June 12, 2023 SAC Meeting
    • Received feedback from Nannette and Tonya re: language. Using the term "Engagement Specialist" rather than Peer Support Specialists
    • CRSS certification is required.
    • No licensing required outside of those with a bachelor's or master's degree in social work, psychology, counselling or related field. Licensed Practitioner of the Health Arts or LPHA - PCPC, LCSW, LCP, etc.
    • Tonya Cooley - Engagement specialists are not supposed to be doing assessments. Assessments "of" services would be better phrasing. And CPRS would be an included certification as well.
    • Michelle Churchey-Mims: Looking at the 590 0-2 years' experience credentials. It says bachelor's degree and 3 years of experience. In looking at the MHP it says bachelor's degree and 2 years of experience.
      • Terry Solomon: We can look at that and change the recommendations.
    • Requirements for PSAP telecommunicators
      • All telecommunicators that dispatch need IDPH licensure for EMS.
      • Working with telecommunicator training coordinators for certification needs.
        • Greg: If we are sending this out for review do we want to add the licensing level? They do need to be licensed through IDPH.
        • Cindy: We will add this.
  • Cindy: We will incorporate the comments and recommendations from this meeting into the credentialing and send this out to the committee members for approval vote for next meeting.

Monthly meetings through the end of 2023: 2nd and 4th Tuesday of each month. 10:30 am - 12:00 pm. 2023 Dates: 6/27, 7/11, 7/25, 8/8, 8/22, 9/12, 9/26, 10/10, 10/24, 11/14, 11/28, 12/12. 2024 Dates: 1/9/24.

Ron Bruno - CEO, Crisis Response Programs and Training. Best Practices in Crisis Response.

  • We want to keep the LE/911 separate from Mental Health Crisis Response, however, connect them when appropriate.
  • The majority of crisis calls that go into any 911 center do not require an armed, police response.
    • 1st, make a determination - Do we need to send an armed officer?
    • Hand off the call to the crisis line.
    • Warm line: Not under the time constraints of a crisis line. That person can generally make a connection and build rapport - hopefully this helps reduce crisis calls for service as the client would reach out to the warm line next time they are in need.
    • Non-LE crisis response teams - specially trained to respond in the community.
    • Co-responder models - Two different assets going out to handle a response.
    • Embedded co-response - Clinician with police to handle crisis calls.
  • Benefit of immediate response with LE, however CIT is only one component of training.
  • MCRTs are taught LE culture. If a situation arises, they can work together as needed, then LE can leave the scene and leave MCRT to continue response.
  • There should be an identified reason for the need to send LE to respond.
  • If we do need to take someone out of the community, where do they go?
    • Emergency Department - Not necessarily the best response due to lack of calming environment. Very busy scene. Someone in crisis trying to stabilize emotions may find this increasingly difficult. Additionally, all of the red tape that comes with ER visits.
      • Access Center - Part of the hospital system. Separate area where a person in crisis can go to (or get taken to) get help. Bypass ER, lowers cost, and provides them better care immediately and continued care once stabilized. Can typically make a determination within 24 hours.
      • Some hospital admins require one to go through the ER first to get to the Access Center, which causes increased cost and stress.
  • Terry Solomon: What general training do you think that MCRTs need in order to work with LE?
    • Ron: We recommend LE culture. Why do they do what they do? And understanding how LE is trained. If you were to take this model and embrace it, we are only going to be sending LE out to calls that have been identified with an articulable reason why LE would respond. If we do decide to have them co-respond, we need them to understand their role. And MCRTs would take a secondary response to LE.

Public Comment:

No hands raised.

Adjournment: Cindy Barbera-Brelle adjourned the meeting at 11:33 am.