CESSA Statewide Advisory Committee Meeting Minutes 04/08/2024

Approved by Committee Members 05/13/2024

Community Emergency Services and Support Act (CESSA) Statewide Advisory Committee

Meeting Minutes - Monday, April 08, 2024 - 01:00 pm-3:00 pm via WebEx

Call to Order/Roll Call

  • David Albert called meeting to order at 1:02pm.
  • Approval of Minutes from March 11, 2024: Cindy Barbera-Brelle moved, Brent Reynolds seconded.
  • Members Present: Cindy Barbera-Brelle (present and approved), Candace Coleman (present and approved), Curtis Harris (present), Justin Houcek (present and approved), Pooja Nagpal (present and approved), Shelley Dallas (present and approved), Brent Reynolds (present and approved), David Albert (present and approved), Richard Manthy (present and approved), Jim Kaitschuk (present and approved), Blanca Campos (present and approved), Emily Miller (present and approved)
  • Members Not Present: Bobby Van Bebber (Designee for Ashley Thoele), Drew Hansen, Rachael Ahart
  • Justin Houcek, the newest member of SAC, introduced himself.

State Updates (Lee Ann)

  • There was a typo in the previous CESSA Quarterly Report. We have addressed this in the most recent Quarterly Report.
    • Motion from December 7, 2023 Protocols and Standards Meeting: "SAC will initiate a review and possible changes to the Interim Risk Level Matrix no later than six months after the implementation of two or more pilots by PSAPs utilizing PowerPhone, Priority Dispatch, or APCO/Independents." [emphasis added]
    • Motion from December 11, 2023 SAC Meeting: "I am asking that the SAC approve the Protocols and Standards vote which amended the IRLM to include co-response as an option in Risk Level 4, and that the SAC will initiate a review no later than six months after the implementation of two or more pilots of PSAPS that are using PowerPhone, Priority Dispatch, APCO, or an independent PSAP." [emphasis added]
    • January 1, 2024 report: "The PSTSC approved a requirement to consider other modifications to the IRLM six months after the current matrix has been implemented in a minimum of two pilots from each of the vendor types." [emphasis added]
    • April 1, 2024 report: Acknowledges the mistake and corrects it.
    • The motion says or, but the report says and. We'll move forward with the or.
  • Work of CESSA revisions is continuing to move forward and we anticipate that they will move through for approval.
  • Asantewaa Darkwa will be defending her doctoral dissertation next week and moving forward to a new position. She does a lot of support for the regions as well as the SAC, so we just wanted to publicly congratulate and acknowledge her.

Presentation from Deflection and Pre-Arrest Diversion Initiative (DPAD) (Stephanie Frank)

  • Deflection is a collaborative intervention connecting public safety and public health systems to create community-based pathways to treatment and other services to address social determinants of health without entry into the legal system.
  • Difference between deflection and diversion:
    • Deflection provides an opportunity for individuals to receive the services they need as an alternative to entering the criminal legal system.
    • Diversion happens after an individual has entered the criminal legal system, such as in jail or prison or mandated by a judge.
  • Deflection refers people to services before a crisis recurs, which makes it complimentary to other things that are going on in the state like the crisis response system. With deflection, there's no wrong door. Someone could access services through 988, law enforcement, EMS, social services, or fire stations.
  • It's helpful to think about deflection as a bridge.
    • It provides an access point through law enforcement in a place where there was not previously a way for people to access services.
    • It builds a network of community services which police are then able to access. Also, more providers now know about each other and can make referrals to each other.
  • Deflection projects across the state:
    • Legislation Community, Law Enforcement and Other First Responder Partnership for Deflection that allocates funding specifically to the Illinois Criminal Justice Information Authority (ICJIA) to support deflection projects.
  • ICJA funding for 5 programs in 4 cities: Elk Grove Village, Mundelein, Arlington Heights, Taylorville, and Kane County.
    • Department of Human Services (DHS) and Illinois State Police (ISP) partnership to increase opportunities to access social services and treatment for at-risk individuals identified by the ISP's Drug and Violent Crimes Task Force.
  • DHS Division of Substance Use Prevention and Recovery (SUPR) and ISP have partnered with ICJIA and Treatment Alternatives for Safe Communities (TASC) Center for Health and Justice.
  • Currently 11different DHS deflection programs are in various stages.
  • ICJIA provides research and evaluation support.
  • Southern Illinois Community Engagement Response Team (SI CERT):
  • This project engaged 39 counties and 3 municipalities.
    • There are other deflection projects going on across the state that are not currently affiliated with either state agency initiative. They have received federal or local funding. These include programs like The Way Out program in Lake County or Safe Passages in Will County.
    • There are also programs where local law enforcement has made an agreement with local treatment providers and makes referrals directly to the treatment provider. These kinds of local deflection units cover about 16 counties.
  • Lake County Study:
    • Study found that the Lake County program reduced fatal overdosed, non-fatal overdoses, fatal opioid overdoses, and property arrests.
    • Another study to understand Naloxone provision nationally found that 81% of officers in the study reported they were equipped with Naloxone and over half of the officers had an EMS partner or community response team provide follow up services after a person was saved by Naloxone.
  • Lorrie Jones: We are looking forward to advancing conversations with you and SUPR about how CESSA may leverage the infrastructure of the deflection initiative as we think about how to deflect individuals with mental illness who may be engaged in activities that could result in misdemeanor charges.

Discussion and Vote on Vision and Values Statement

  • Proposed vision statement: Whenever and wherever a person experiences a mental health or substance use related emergency, that person is connected to services and supports that enable the individual to recover, heal, and thrive.
  • Proposed values statement:
    • Demonstrate that behavioral health emergencies require responses consistent with emergency physical health care.
    • Ensure the safety and well-being of all people present.
      • Revision in meeting: Ensure the safety and well-being of all people present and/or involved in the entire process.
    • Provide responses that are timely, welcoming, and coordinated, that are informed by latest research, and that reflect an appreciation for people's desire to self-direct what type of care they receive and where they receive it.
    • Ensure that responses to behavioral health emergencies requiring on-scene assistance and transportation to a service provider reflect a commitment to community-based supports; jail is used as a last resort, only when required to protect the public.
      • Revision in meeting: Ensure that responses to behavioral health emergencies requiring on-scene assistance and transportation to a service provider reflect a commitment to community-based supports; custodial arrests are made only as appropriate based on the totality of the circumstances.
    • Design systems and ensure quality using the insight and perspective of people with lived experiences.
    • Tailor strategies to the uniqueness of each community.
    • Ground all efforts in equity, and an understanding that care must be responsive to a person's age, gender, culture, sexual orientation, disabilities, and other needs.
  • Motion: Brent Reynolds moved to accept the proposed and revised vision and values statements. Curtis Harris seconded the motion.
    • Members present who voted to approve: Cindy Barbera-Brelle, Shelley Dallas, Drew Hansen, Rick Manthy, Jim Kaitschuk, Brent Reynolds,
    • Members present who abstained: Candace Coleman, Curtis Harris, Pooja Nagpal
    • Members present who voted against: David Albert, Blanca Campos, Emily Miller, Justin Houcek
    • Candace Coleman, Curtis Harris, Pooja Nagpal changed their vote to oppose.
    • Motion did not carry.
  • Members were asked to submit new revised language by April 26, 2024 to the CESSA inbox. Lorrie Jones agreed that revised language would be emailed to members.

UIC Crisis Hub Updates (Dr. Lorrie Jones)

  • The Crisis Hub is hiring. Job announcements are on Indeed and LinkedIn.
  • Acronyms and quarterly updates are posted on the website. Glossary and list of mental health initiatives in the crisis continuum are coming soon. We're still doing internal vetting with sister agencies.
  • Forum will be June 11, 2024 titled "Illinois Behavioral Health Crisis Continuum: Knowledge, Innovation, Action. We Have the Power to Change Our Community."
    • We are hosting around 200 folks by invitation. We are asking co-chairs to identify 10 individuals from the regions, in addition to people around this table, expert consultants, members of the Policy Academy.
    • There will be national experts including Margie Balfour and Brian Hepburn.
    • Save the dates will go out this week and invitation will follow shortly.
  • The Crisis Hub is doing a cost analysis as required by the Strengthening and Transforming the Behavioral Health Crisis Care Continuum in Illinois Act.
  • We're working with the City of Chicago to coordinate how their teams will coordinate with the 590 teams.

Direct Albert motioned for a recess. All in favor. 10-minute recess occurred.

Updates from Technical Subcommittees

Protocols and Standards (Mary Smith)

  • Each vendor has a subject matter expert (SME) workgroup comprised of actual users.
  • PowerPhone: PowerPhone is working on developing an Illinois specific database incorporating SME workgroup recommendation.
  • Priority Dispatch: The SME workgroup met with Priority Dispatch in late March.
    • An on-site meeting at one of the PSAPs who is a member of the Priority Dispatch SME workgroup, and who is a Priority Dispatch user, is scheduled for early May. The focus will be on mapping the interim risk level matrix (IRLM) risk factors and acuity to Priority Dispatch protocols and determining scope of recommendations as/if necessary.
  • APCO: The SME workgroup met with APCO in late March. APCO is supplying protocols for review. Recommendations that comport with IRLM risk factors/acuity will be provided to APCO for consideration for inclusion in their protocols.
  • Independents: Initial meeting to be scheduled in April or May.

Technology and Data (Pete Eckart)

  • We have been looking at a set of recommendations required to support the transfer of callers and information from 911 to 988 and from 988 to the mobile crisis teams. Those conversations are ongoing outside of our subcommittee so it's possible that work will not be completed before June, so we'll be able to make recommendations from the tech subcommittee regarding the pieces that are in place.

Training and Education (Terry Solomon)

  • Last month we shared the training plans with the RACs and asked that they review them with their committee members and send us comments by April 15th. In consultation with DMH, we will develop a response to all the questions.
  • One comment was that training coordination is critical across all entities. How will you eliminate duplicate trainings? In preparing a response, we developed a crosswalk of the trainings.
  • Of the UIC 32 proposed courses in the draft 988 Suicide and Crisis Lifeline Training Plan, Vibrant Recommends at least 12 of the courses.
  • Of the UIC 39 proposed courses in the draft 590 Mobile Crisis Response Team Training Plan, Healthcare Family Services recommends 3 of the courses.
  • Of the 39 proposed courses in the draft 911 Telecommunicator Training Plan, National Emergency Number Association (NENA) recommends 3 of the courses.

Updates on Regional Advisory Committees (Brenda Hampton)

  • The majority of RACs held a March meeting.
  • The Crisis Hub held two half hour discussions with RAC co-chairs about the forum and

what topics they'd like to see on March 26 and 28, 2024.

  • On March 27, 2024, RAC 2 held a Summit in Moline. There were over 56 people there.
  • On March 28, 2024, RAC 7 held a Townhall in Chicago Heights.
  • The week of April 1 through April 5, Hub conducted follow-up meetings with each co-chair about what is working and what other information and focus is needed.
  • Rac 1 has a Summit scheduled for April 12, 2024, in DeKalb.

Discussion on Joint SAC/RAC Meeting (Dr. Lorrie Jones)

  • Scheduled for May 13, 2024, from 1-4pm at Memorial Learning Center in Springfield, IL.
  • Suggestions from the SAC March Meeting:
    • Discuss challenges and success
    • Ask where SAC members might be able to assist
    • Outline where each RAC is in the process
    • Review data from the PSAPs about the types of mental health calls they receive. This last piece we aren't sure if we will be able to get for this meeting.
  • Suggestions from RAC Co-Chairs March Meeting:
    • Review deliverables and goals
    • Understand implementation timeline
  • It's time to reconsider our structure.
    • We are hoping to have the pilots up and running shortly and proliferate them across the state. Do we have the structures in place to do this?
    • The feedback from the RACs was that we need to have more of a focus on rural communities. Maybe we should start meeting with PSAPs by vendor type. That's being considered.
    • The Hub and the state will be having a white board session soon to think about what will support implementation, and we can add that to the May 13th agenda.

SAC Next Steps

  • Next in-person meeting date: May 13, 2024
  • June 10, 2024, meeting:
    • We are concerned that with the Hub's Forum on June 11, 2024, it will be hard to have attendance at the June 10, 2024, SAC meeting. Would you like to cancel or reschedule the June 10th meeting?
    • Shelley Dallas, Blanca Campos, Brent Reynolds, Candace Coleman, Curtis Harris agree with cancellation. No one opposed. Meeting cancelled.
  • Since we are starting a new fiscal year in July 2024, Melissa can send out new calendar invites for any meetings after June 2024 once they are scheduled.

Public Comment: No hands raised and no one on the phone. No public comment today.

Adjournment: Meeting adjourned by David Albert at 2:37pm