CESSA - Region 11 Committee Meeting Approved Minutes 09/16/2024

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

Meeting Minutes- 09/16/2024- 1:00 PM

Meeting Minutes - Approved by Members 11/18/24

Attendees Present: Eugene Humphrey, Dr. Eddie Markul, Tiffany Patton-Burnside Matthew Fishback, Kelsey DiPirrro, Sandra Heidt, Jessica Gimeno, Johnathan Zaentz, Nestor Flores, Kenji Grandberry, Greg Lee, Jenique Dean, Jennifer McGowan-Tomke,

Absentees: Cosette Ayele, Joseph Schuler, Pamela Esposito, Matthew Tokarz, Karah Kohler, Carla Orlandini, Jeffrey Jamrok

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 June Meeting

Minutes were approved for the June Meeting by members who were in attendance.

Reference was made, no meeting took place in July and August

State updates:

  • Guidance Documents (non-pilot)
    • Edition 1.0 A - origination date 10/11/22
    • (outlines what 988 LCCs must do in transferring calls to MCRT)
    • Edition 1.0 B - origination date 10/11/22
    • (outlines what MCRT must do in accepting a warm transfer from 988)
    • MCRT is not dispatched by 988, can conduct their own assessment and determine to dispatch or not!
    • Edition 2.0 - origination date 11/01/22
    • (outlines MCRT status report back to 988 on the outcome of the crisis encountered transferred from 988)
  • Edition 5.0 - 911 transfer to Centerstone > MCRT (pilot)
    • MCRT must have a designated phone line for receipt of incoming calls from Centerstone (988). (Edition 1.0 B)
    • MCRT's designated phone line must be consistently monitored, managed, and answered within eight consecutive rings. (Edition 1.0B)
    • Calls to the designated phone line must not connect to an answering machine or answering service. (Edition 1.0B)
  • 911 transfer to Centerstone > MCRT
    • Centerstone will retrieve pertinent information from the 911 telecommunicator (warm transfer) and convey to the caller that an MCRT will be dispatched. (Edition 3.0)
    • Centerstone will not conduct an assessment, nor will Centerstone initiate crisis counseling. Centerstone will accept information from the 911 telecommunicator. (Edition 3.0)
    • Centerstone will immediately contact the respective MCRT-designated phone line for the area where the caller is physically located. (Edition 1.0)
  • 911 transfer to Centerstone > MCRT
    • Centerstone will notify MCRT that this call is a transfer from 911.
    • Centerstone will convey all information received from 911 to MCRT. (Edition 3.0)
    • MCRT will not do an assessment. MCRT will accept information from Centerstone, via 911, and dispatch a team to the location of the caller. (Edition 4.0)
    • MCRT should respond to the location as quickly as possible (adhering to all safety Rules of the Road).
  • 911 transfer to Centerstone > MCRT
    • MCRT Response time should not exceed 60 minutes. (IRLM)
    • If MCRT staff are attending to another community-based crisis and cannot respond within the designated time frame, then this information is to be conveyed to Centerstone. (Edition 5.0)
    • Centerstone will notify the originating 911 telecommunicator to redirect dispatch according to 911's standard protocol. (Edition 5.0)
    • MCRT will provide Centerstone (David.hunter@centerstone.org) with an email resolution of the crisis encounter within the designated time frame. (Edition 2.0, 3c.;3d)
  • Training for RAC and SAC Members
    • There are seven trainings that are required of all Boards, Commissions, Task Force members. If you have already taken a training due to another affiliation, you do not have to repeat. More information is forthcoming with details.
  • Vibrant (988) Geo-routing by County
    • Vibrant, the national overseer for 988, has approved geo-routing by Counties. That works well to better connect what county a person is calling from, but it is more complicated in Cook County. There will now be two 988 LCC that will cover all of Cook County, C4 and NAMI of Greater Chicago. Before, these 988 only had specific zip codes in Chicago. Centerstone (the statewide 988) will be their backup. This has just gone into effect on Monday, so there is no data. The FCC will not allow 988 to have geo-location as 911. 988 is a crisis counseling line. Callers to 988 must be assured that they can remain anonymous, if that is their desire.
  • June Forum - Behavioral Health Crisis Forum. Information from this forum - speakers' resumes, PowerPoint slides, video is on the UIC hub website. Link is https://bhch.uic.edu/forum/

Initiative Discussion:

  • None at this time

590 Crisis Care System /Mobile Crisis Response Teams:

  • Environmental scans need to be conducted to assess the impact that the Illinois CCBHC demo will have on providers that are not certified as CCBHC providers.
  • Assessment should include side by side comparisons across the MCRT ecosystem to determine if redundancies exist.
  • Training and workflows continue to be an ongoing concern amongst MCRT providers.

988/NAMI :

  • Call Volume Jan-Aug 2024 Total call volume: 17, 226, Average daily calls: 71, Inbound calls handled: 12,990; 75% of total call volume
  • Call Specifics:
    • Percent of total calls that are first party - 94%
    • Percent of total calls that are third party* (we identify anyone not the primary person as a third-party) - 6% *At this time, we have not received any bystander calls.
    • Many third-party callers are information seeking for resources for a loved one or are wanting to know if they took the right steps. There are about 25% that are receiving support in a present safety concern for another person.
  • Referrals to MCTs - Challenges
    • What is clinically appropriate? When all attempts at least invasive interventions have been tried but are not successful.
    • We need consent to refer to an MCT; callers may not want that level of intervention
    • Service area confusion; lack of up-to-date contact information and hours
    • We see a lower acuity than the general public expects. Most callers identify their primary need as anxiety, depression, family issues or suicidal ideation. For example, in August 2024 those primary needs made up 35% of calls, which means in 65% of the other legitimate calls there is another primary need the caller is calling about.
    • Our crisis counselors will sometimes provide MCTs as a resource to callers (from the publicly available list on DMH's website) as a way of supporting self-agency, connection to community, and utilizing least invasive intervention. Providing MCTs as a resource happens on around 2% of our calls.

Hyperlocal Level:

  • None at this time

Additional topics:

  • None at this time

Chicago CARE Pilot:

  • The CARE team will be transitioning to teams with a CDPH EMT provider and CDPH Clinician
    • CFD and CPD will be transitioning off the CARE team
  • The CARE team will continue to operate in its original districts with hopes to expand this year

Questions from the Committee:

  • None

Public Comment:

  • None

Next Steps:

  • Next meeting Nov 21, 2024
  • Location TBD

Meeting adjourned at 2PM