CESSA - Region 11 Committee Meeting Approved Minutes 02/26/2024

Community Emergency Services and Support Act (CESSA) Region 11 Advisory Committee

Meeting Minutes- 02/26/2024- 1:00 PM

Meeting Minutes - Approved by Members 02/26/24

Attendees Present: Dr. Eddie Markul, Eugene Humphrey, Cosette Ayele , Jennifer Tomke, Jonathan Zaentz, Matthew Fishback, Peggy Flaherty, Karah Kohler, Kelsey DiPirrro represented by Claudia Carpentar, Nestor Flores, Jeffrey Jamrok, , Sandra Heidt, Jessica Gimeno

Absentees: Pamela Esposito, Peggy Flaherty, Jenique Dean, Tiffany Patton Burnside, Carla Orlandini, Joseph Schuler, Matthew Tokarz

Agenda Items: Introduction, Roll Call, CESSA Update, Discussion & Public Comment.

Call to Order/Introductions:

Meeting Logistics/Open Meetings Act:

  • Meeting recorded in accordance with the Open Meetings Act site at the Office of the Illinois Attorney General
  • Minutes to be provided to the Illinois Department of Human Services Division of Mental Health
  • 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.

Meeting Discussion Highlights:

  • Roll call and Approval of previous meeting minutes for January Meeting
  • Discussion on the initiative of transferring low-risk 911 calls to 988, with concerns about liability and potential impact on mental health response capabilities in Chicago.

State updates from Asantewaa Darkwa:

  • Bills were filed before the deadline Feb 9. Some of the EMS Regions due the MD requirement felt it difficult to fill spots as Co- Chair and put in a request for another trusted member in the community to fill those roles in place of the MD, and the MD still able to join meetings but necessarily required to hold that chair roll.
  • Another bill was filed regarding implementation, trying to focus on a hyper local structure focusing on PSAP's, Fire, EMS and Law Enforcement rather that the region because the changes have to be done at the PSAP level appear to work out easier for more engagement at that level.
  • Working on a proposed training plan that has been distributed, further information will be provided.

Initiative Discussion:

  • Draft for Educational Standards for 988, 911 and 590 is a proposed training plan for all 3 groups that will be provided for feedback. Feedback including the content of the training as well as the time required for trainings for the organizations.
  • The training is extensive and there is concern of having efficient capacity to go through the training track. It is broken down into categories making it easier to navigate and go through.
  • In the 590 Mobile Crisis Response Team training, the first category is Training in De- Escalation Techniques that is about 4. 5 hours. The next category is Knowledge of local community supports and services which is about 9.5 hours of training. The next category is Training in respectful interaction with people experiencing mental or behavioral health crisis, including concepts of stigma and respectful language which is 21.5 hours of training. The total training is a little over 40 hours, 29 courses in total.
  • For 590 the Core curriculum needs to be completed within 90 days of the individual's hire date and before working independently
  • For 911 training there is 30 plus hours of training that is going to be required. It would be done in conjunction with the UIC crisis hub as well as the Statewide 911 administrator.
  • Timeline for completion is TBD
  • 988 has a proposed 46 hours and 32 courses timeline is 2 years of implementation.
  • All providers must comply with the Division of Mental Health, Vibrant and Healthcare Family Services Training Requirements
  • Trainings are standardized, mainly with the UIC HUB
  • April 15th is the deadline for feedback.

590 Crisis Care System Update/Mobile Crisis Response Teams:

  • Reports identifying minimum and maximum time spent on calls, greatest range traveled, greatest time traveled to and from calls, greatest amount of time spent on a call and events providers experienced.
  • Average response team ranged from 15 min to 60 mins depending on geographical locations.
  • Response time from the low in 20 minutes to 1 hour depending on the geographical location.
  • Response time spent on a call can be as low as 4 min to an hour and 45 mins
  • Travel distance can be as far as 60 miles to service individual.
  • Maturity of the 590 have a dedicated vehicle used when going out to the call (not a personalized vehicle)
  • Other trainings tools, can be used through an internet site called RELIAS and extra helpful subjects to give provide teams with other vital information that can be used during engagement.
  • Sending MCRT out to local police departments, local schools and providing more information to the areas to get the word out about 988 and the 590 centers.
  • Trainings for the staff for self-care and having a safe place when they feel overwhelmed.
  • Having a translation app on phones to help with language barriers.

988 Update:

  • NAMI Chicago recently launched a lifeline call center that went live in January, taking calls in Chicago area codes between the hours of 4p and 8a
  • Calls prior to the 4p time frame will be taken by the 988 statewide backup call centers in Bloomington, IL
  • 988 is run through a national network called Vibrant and there are trainings in order to become a lifeline call center.
  • Calls are coming in and being resolved with the least restrictive setting. Calls are being resolved over the phone at about 90% with intervention and no need for further interventions such as 590 team or crisis stabilization unit
  • Using empathetic approach and active listening and motivational interviewing are effective tools being used to resolve in the least restrictive settings as well as providing other resources.
  • Most of the caller are getting to 988 are not experiencing suicide ideation after being provided a safety plan. Callers are calling in reporting crisis not related to suicide ideation.
  • Team has 4 weeks of trainings to provided emotional support as well as assess the situation and use the clinical assessment tool as well as safety tool and deploy the proper divisions based on the caller (590 team or ambulance). Asking at least twice in the first five minutes about suicide ideation
  • Suicide Ideation is about 34% of the calls received in the last 4 weeks.
  • Asking if a follow up call is wanted from the caller after the initial call as well asking the caller if they would like to receive extra resources.
  • 988 is an intervention, of compassion and empathy and active listing to someone who needs emotion support.
  • The network that the 988 was built on was known for suicide intervention and once it meshed with Vibrant there are calls for all crisis and helping others understand that 988 line is for not only suicide ideation but a person cell service for anyone needing crisis care.
  • 988 calls are filtered by the persons area code they are calling from through the Vibrant system. That call is routed to the nearest 988 call center and if can't be reached sent to the next closest center. There are calls that are routed back to the 988 Bloomington center if a call center has not picked up.
  • If there is a need to provide a caller to a closer call center that can be done on the back after de escalation is attempted
  • Bringing to the conversation of having more face-to-face interaction with a MCRT rather than Call Center intervention and resolution
  • Providing the Language line when needed and calling in 988 has a Spanish option.

Chicago CARE Pilot Update:

  • Transitioning to all Alternate Response Teams consisting of a mental health clinician
  • Long term goal to be self-contained with the Chicago Department of Public Health, they'll be a Chicago Mental Health and a Chicago Department of Public Health EMT that is licensure level (one step lower than a paramedic)
  • Transition will take over sometime in 2024
  • Hours are Monday through Friday 1030a to 4p if fully staffed

Questions from the Committee:

  • How do you support those that suffer with dual diagnosis of mental health and intellectual/developmental disabilities?
    • There are individuals trained in the 590 that work with those with the dual diagnosis and developmental disabilities. There are also trainings to help with resources as well as engagements for those who have dual diagnosis and intellectual/ developmental disabilities.

Public Comment:

  • Jenny Schaefer District Council Member 19th District Police Dept (jennifer.schaffer@cityofchicago.org):
    • What the interaction with the CARE teal and how you see yourself moving forward if they were to expand?
      • Response (Heather HRDI): There were no issues with the team, they follow the individual for a certain amount of time and provides those wraps around services. Their purpose to insure the person is receiving services after the crisis has been resolved. Its kind of like a partnership, they work with the company that is nearest them at the time of response to the caller.
  • Jenny Schaefer: 19th district holds monthly meetings and wants to the community to be aware of what's happening and want to make sure everyone stays update with any changes and assist and be a support when possible.

Next Steps:

  • Discussion on the next steps involving conversations about trainings for 590, 988 and 911
  • Next meeting March 18, 2024

Meeting adjourned at 2:24PM