CESSA - Region 11 Committee Meeting Approved Minutes 03/18/2024

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

Meeting Minutes- 03/18/2024- 1:00 PM

Meeting Minutes - Approved by Members 04/25/24

Attendees Present: Eugene Humphrey, Cosette Ayele , Jennifer McGowan-Tomke, Tiffany Patton- Burnside, Carla Orlandini, Matthew Fishback, Karah Kohler, Kelsey DiPirrro, Jeffrey Jamrok, Sandra Heidt, Jessica Gimeno, Peggy Flaherty

Absentees: Dr. Eddie Markuel, Pamela Esposito, Jenique Dean, Jonathan Zaentz , Joseph Schuler, Matthew Tokarz, Nestor Flores,

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 February Meeting

Discussion on Training plans for 988, 590 and 911

State updates from Dr Jones and Asantewaa Darkwa:

  • After several meetings with Access Living there have been requests for legislative review. Bills that will consolidate some of the recommended statutory changes and they'll be voted on in May when the budget patches pass for the, for the state.
  • There will be an in-person joint meeting between the RAC co-chairs and the SAC in May. It was recommended that because the SAC and the RAC don't have frequent opportunities to communicate with one another, that the, that the SAC is not fully aware of the RECS activities and what they've been able to accomplish and the challenges they're having that we would have this joint meeting in May in Springfield in person.
  • May 13th in Springfield joint meeting between RAC co-chairs and members of the statewide advisory committee. We are also in the very early stages of planning a meeting one-day forum in June for early phases. The goal would be to bring all other types of alternative response models from other jurisdictions here to be able to share their experience and their learnings from implementing these various alternative response models to Illinois. The meeting will be in Chicago hosted by the behavioral health crisis hub at UIC and stay tuned to dates and more information about that in the coming weeks and, and months.

Initiative Discussion:

  • Discussion regarding training plans that have been released. They're still in draft format but they do relate to 9 8 8 to 5 90 and to 9 1 1 the training plans helping us have a better understanding of how each of the respective modality's work.
  • Questions or suggestions can be submitted to Dr. Markuel or Mr. Humphrey to add to the survey that will be submitted by the deadline.
  • Deadline is April 15th
  • We do have a non-moveable deadline of submitting our surveys or responses to the surveys that have been posted for us to provide feedback regarding the training plans.
  • Survey being completed will be in regard to all 3 training programs.
  • Most trainings will need to be completed within the 90 day frame, before hitting the street and others soon after, not specific deadline is set at this time for completion.
  • Trainings will be provided from those with lived experiences.
  • Trainings presenters be multicultural to provide best experiences for cultural awareness.
  • Training guidance as it relates to the courses being provided and what are acceptable and what trainings are not acceptable.
  • All are welcome to attend the training and education subcommittee. The DMH link will be provided, and they are believed to meet every two weeks and access to learning materials and information would be from there. Meeting will be tomorrow (3/19) from 10:30a- 12:00p
  • CIT data is a requirement in the CAD environment when there is mental health crisis, are tracked. All those calls are grouped together.
  • DD population calls being pushed to 911 due to lack of proper crisis availability.
  • Seeking more trainings and avenues for those to assist the DD population.
  • Considering the pilots, the care teams been a crosswalk between the kinds of incidents that they respond to and the risk level matrix?
  • The city is trying to figure this out as we are now under the treatment not trauma ordinance and having to reimagine some things with the CARE program because of the ordinance to ensure that we are in alignment with the needs of the advocates and the needs of the individuals that we serve.
  • Calls have been responded within the levels two and three space . A lot of the work is co response which is working with the treatment and trauma ordinance to help because of the ordinance to ensure that we are in alignment with the needs of the advocates and the needs of the individuals that we serve.
  • Those calls that are falling within the level one space had it is identified that there was a need for a team in that space, but not necessarily a 911 response team.
  • Issues mentioned in the statewide group is that there's inconsistencies regarding how different telecommunicators identify, different identify a different call type itself. if a situation occurs and it's designated as one situation, but it's really another situation, it may end up falling into level two when it should be in level three or into level three when it should be in level one because there isn't a consistency of how things are identified.
  • The public and the state should be informed about what data sharing agreements different mobile crisis teams have with different entities. So be that the University of Chicago, be that the Chicago Police Department.
  • Those data sharing agreements should also be something the public knows about and has some input in too.
  • When it comes to jurisdictions, the union and what unions have, what union, the union aspect of it all as well because that plays a part into who can do what, when and where.
  • When specifically speaking to the CARE program. They have officers that are in a union different from the paramedics that are in a union, different from the clinicians that are in a whole different union, different from the police takers and dispatchers and call fire call takers and dispatchers that are in their own separate unions.
  • There is a team of people on a van and if the clinicians get an hour break, the paramedics don't get a break and the officers get 30-minute breaks, what does this look like and how do we not infringe upon union rights? Because all of the staff are unionized under different unions and other jurisdictions have very similar, if they don't have a private agency doing the work, if they're not contracted privately to do the work, they're guar they probably have a union involved too.

590 Crisis Care System /Mobile Crisis Response Teams:

  • Not having a crisis system in place for those with IDDD and what can be done.
  • Services for the DD population are mainly provided once the individual is diagnosed having a DD however at this time there is no specified crisis team that specializes in the IDDD population, and no mobile crisis team counterpart designed for that form of behavioral health.
  • Those with IDDD have regular treatment providers that can assist with needs of the population.

988 :

  • The autism and intellectual disability disorder, by through the nature of this work have had calls from family members who have tried to get support for their loved ones via 988 and discovered that that was a blind spot for 988 that there is no training in that space.
  • What has been mentioned in that meeting with U of C is this is like a national blind spot that quite a few, 988 providers don't provide training in the space of autism and intellectual disabilities.
  • It is definitely something that the state should look at because, C4 and Vibrant and NAMI Chicago, is what is available but also finding what is in the jurisdiction would also be helpful

Chicago CARE Pilot:

  • The CARES teams while different from the 590 teams it is assumed that the training would be very similar. There may be some things that the city is training the care teams on that may not necessarily have to train 590 programs on, however there may be an overlap.
  • There are areas were there was quite a bit of overlap, but there's also some areas in which we are gonna work together where the city can participate in or attend some trainings that are blind spots on the city side based off of what was found. And then the blind spots on the state side based off of where we were not lining up most of those things were coming in the, in the areas of safety and our work with NAMI Chicago.
  • Some of the safety training like situational awareness and personal safety, those are trainings we get specifically from CPD.
  • Also, some of the specialty trainings like autism training, personality disorder training, these are things that have been encountered over the two and a half years of the pilot that was not done in the beginning, but once it was realized there was a need it was added on the back end.

Questions from the Committee:

Public Comment:

Next Steps:

  • Next meeting April 15, 2024

Meeting adjourned at 1:58PM