CESSA - Region 2 Committee Meeting Approved Minutes 06/14/2023

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

Meeting Minutes- June 14, 2023 - 1:00 pm via Teams

Meeting Minutes - Approved by Members 11/20/2023

  • Call to Order/Introductions
    • Call meeting to Order by Dennis Duke at 1:01 PM
    • Attendees:
      • Via MS Teams: Dennis Duke, Michael Barr, Brian Murphy, Zachary Gittrich, Ryan Beck, Latricia Seye, Darren Gault, Jamal Simington, Michael Lau proxy for Sarah Scruggs, Julie Lewis, Luke Tomsha, Travis Noyd, Rhonda Flegel, Jodi Mahoney, Matthew Jackson
    • Absences
      • Sarah Stasik, Sheila Stokowski, Todd Noe, Anthony Walraven, Donald Miskowiec, Christopher Watkins, Jake Herbert, Imad Khan, Chris Rogers, Meghan Moser, Wayne Gallops, Michael Daley, Allen Haeffner, Steve Delis, Brandon Miller-Gus
    • Guests:
      • Gabriela Vo, James Harryman, Bobby Leebold, Gene Seamen, Bernard Butler, Brenda Hampton, Stacy Brown, Mary A. Petersen
  • Open Meetings Act - Read and notified meeting is being recorded.
  • Approval of Minutes
    • Correction/addition noted to the May 10, 2023 Minutes - With noted corrections (removal of duplicate word "cannot" and added in "However 988 will eventually be able to dispatch 590s" - Minutes were approved.
      • Motion by Member Zachary Gittrich, second by Member Rhonda Flegel
      • Motion Approved by all members present
    • Next RAC Region 2 meeting will be July 12, 2023 at 1:00 PM
  • State Updates:
    • Legislation to extend to July 1, 2024 passed to allow work to be continued
    • Crisis services will remain as business as usual
      • Out of State Visits: Mesa, Arizona; Oklahoma, Philadelphia (virtual) and later July Richmond, VA to inquire on their crisis transition process and the work taking place within their state.
    • Discussion of recommitment of the process through next year regarding staffing, timeline & retainment of all the resources necessary to complete the work.
    • At the last State Advisory Call, 4 regions provided updates: region 3, 4, 7 & 8.
    • The state retained a consultant who will be working with the crisis hub as well as with the SAC and rack on visioning for the next 13 months to meet the full intent of the legislation.
    • Reminder to collect all the outstanding Landscape Analysis for your RAC to collect the process and aggregate the information to send to the crisis hub.
  • Progress on developing RAC recommendations for the Interim Risk Level Matrix - Dennis asked Zachary Gittrich to provide an update on the RAC 2 Standards and Protocol Subcommittee meeting and to keep the below questions in mind:
    • Do we have the right people working on the Risk Level Matrix?
    • Do we need to devote any extra time or resources to completing it - if so, what do we need from the UI Crisis Hub?
    • Zachary Gittrich reported from the meeting last week a shared draft Risk Level Matrix he developed and presented to the RAC 2 Subcommittee. Slides were placed for members to view and compare the changes. Zachary Gittrich reviewed the legislation regarding police prohibition being involved in mental health crises - noting unless there is a crime or unless there is risk to self or others that police are not able to respond with the mobile crisis teams unless determined the mobile crisis team cannot respond in the time set by the RAC. Noted changes were as followed:
      • Make complete non police response - have EMS and mobile crisis teams respond together & later changed to only have mobile crisis team respond unless EMS is requested.
      • Response time would be up to 60 minutes
      • Risk Level 3 recommended changes include, no lights, sirens or uniform law enforcement (when possible).
      • Risk Level 2 transport to a hospital if necessary.
      • Risk Level 1 transport by mobile crisis team to crisis stabilization units like drug rehab or living room.
      • Risk Level 4 added items specifically to violent crime been committed. Zachary share there was a lot of information/discussion and members decided to take the information back and review with their teams for their recommendations. Next for RAC 2 subcommittee is July 11th at 1PM and encourage participation.
        • Dennis Duke responded about the timeline and how it varies based on the provider resources within the sub regions of Region 2 and inquired if all of the 590 and EMS providers within the sub regions represented within this subcommittee work?
        • Zachary Gittrich shared he doesn't believe they are.
        • Dennis Duke asked that if one of the providers are missing, need to ensure we receive feedback from them regarding meeting response times.
        • Zachary Gittrich shared Risk Level 2 had an immediate response time for EMS and law enforcement. The concern was having immediate response and then waiting up to an hour for mobile crisis to respond.
        • Darren Gault noted significant concerns regarding Level 3 title urgent risk to health and safety and response time - states no lights, sirens or uniform for law enforcement. Noting this violates the state law for emergency response regarding lights and sirens and can put responders in significant civil liability.
        • Jamal Simington agreed with Darren Gault noting Urgent risk means it's an emergency and there are protocols in place for responding to an emergency. Also noted not having a uniform law enforcement officerespond is concerning.
        • Matthew Jackson responded he's also in agreement with law enforcement, Darren Gault and Jamal Simington. Also noted within his experience, having law enforcement on the scene is helpful in completing the job.
        • Zachary Gittrich noted a presentation on the Deflection Act would be welcomed as it explicitly requires a co-response model.
        • Brenda Hampton reminded members what the intent of the interim Risk Level Matrix is for and instead of trying to change the document, make recommendations on the document. Then the recommendations would go back to the RAC. If the RAC is in agreement, it would go back to the Standards and Protocol committee. Further noted this is not a stand-alone document, but it would need protocols and training to accommodate it.
        • Brenda Hampton reminded members that the interim Risk Level Matrix recommendations were due the end of May and inquired if the next meeting date in July could be pushed up some.
  • Robert Young Center Education Presentation - Mental Health Inpatient Commitment Process by Mary A. Petersen, MSN, RN, Chief Operations Officer
    • Dennis Duke Introduced Mary Petersen, COO of the Robert Young Center to provide a presentation on the Inpatient Commitment process.
    • Mary Petersen provided a disclaimer and then shared the following topics:
      • The Illinois Mental Health and Developmental Disabilities Code
      • Substance Use Disorder Treatment
      • Mental Health Voluntary & Mental Health
        • Zachary Gittrich inquired unless law enforcement is actively involved in detaining the individual, then they're not allowed to fill out the request for involuntary commitment form.
        • Mary Petersen responded for the petition the statute states they may. Anybody that has firsthand knowledge may fill it out. If the officer was on the premises with Mobile or arrived on the scene first, they may start, but the must component is if they've delivered them to document officer's badge and what department they were working in.
        • Zachary Gittrich asked to hear from the 590 teams in the meeting what their experience with involuntary commitment. How often they have to use it.
        • Mary Petersen shared from Robert Young Center perspective. Involuntary commitments at the Rock Island facility for inpatient is infrequently used. There have been some occasions where the petition and certificates have arrived with the individual and received on the inpatient unit, but then the individual has converted to voluntary; meaning they have stated they wanted to be voluntary and is allowed in the code. There are very few court hearings, uncertain of the number but would say less than 25 court hearings a year out of a couple thousand patients that are admitted.
        • James Harryman, Tazwell Mobile Crisis Response shared they typically have 4 or 5 petitions weekly. Even though their working to do less anddo more in the community and do more safety plans.
        • Bernard Butler, Peoria Mobile Crisis shared they probably do about 8 to 10 petitions a week.
  • Committee members open discussion - Questions/Answers
    • Dennis Duke inquired of any other questions/discussion related to the involuntary commitment process or the frequency. None were noted.
  • Schedule Remaining RAC Meeting
    • Next RAC 2 Meeting Date: July 12th
  • Open for Public Comment - none noted.
  • Meeting was Adjourned at 2:00 PM by Zachary Gittrich, seconded by Jamal Simington.