CFAC (Consumer And Family Advisory Committee)
Meeting Minutes
MINUTES OF CFAC MEETING
February 5, 2007
Members Present: Bill Cook, Donna Tatnall, Howard Graves, Janet Price-Ferrell,
Leslie Huntley, Mona Cornwell, Nancy Baker
Absent: Kelly Boone, Rosemary Weaver
Staff Present: Anne Doucette, Melissa Faulkner
Guests: Bob Huntley, Jim Greer
Community Connections
Bill- Met with clinical director at Alpha Omega. Getting report of service
needs. Planning to attend legislative. CFAC members take issue with
scheduling of breakfast. Several (WHN) counties are not represented.
Howard- None to report.
Janet- Training case managers on IEP process.
Donna- Arc of Rutherford: suffered loss of revenue (Funding from Knights
of Columbus). Will affect adult DD services in Rutherford/ Polk. Will
find other avenues for funding.
Leslie- Polk County planning to develop plan to submit with dissolution
funds. Concerns on internal communication with Family Preservation. Suspicious
that services are not being delivered appropriately, services being delivered
according to payment, not necessarily what’s in the best interest
of the consumer. Family Preservation not opening cases for Magnolia House,
may be break down in communication. Proposing development of “Friends
of Magnolia House” as a 501c3, fund raising entity.
I. Welcome and Introduction
II.Guests Comments
Bob- Comment that New Vistas may have over exaggerated number of clients
and this could have given other providers the false impression that
there were more clients to serve. Result being that they did not pick
up as many clients as they had anticipated, and are scrabbling fiscally.
Jim- New Mountain Council; funding was assistance came from LME and CFAC.
Working on getting approval to award CEU’s for contact hours for
SA training. Statistical data of service needs in western North Carolina.
Will send Bill more information.
Suggested youth leadership training; What it means to be a good advocate.
Age range proposed15-21, don’t want to set strict limits in the
beginning. Need food and space. Maybe have youth from leadership training
attend CFAC meeting to offer feedback.
III.Ground Rules
On display.
IV. Approval of Agenda (Any additions by Committee
Members – what
do you want to know?)
Bill request Anne discuss PCR department, hiring new positions. Will
do with LME update.
V. Review of the Meeting Minutes for January 22, 2007
Approved, with minor changes to Committee Reports- Nominating Committee.
VI. Committee Reports
Executive – Leslie Huntley
CFAC Executive Committee met with WHN board executive committee. Discussed
several issues that need to be addressed. CFAC is supposed to compose list
of concerns to WHN board. Wanting to become more involved in board committee
meetings; Board Meetings (9:30 on third Friday), Finance (8:30 day of WHN
board meetings), Personnel (no standing time), Quality Improvement
(12:00 on day of board meetings), CQI: Continuous Quality Improvement
(9:30 on 3rd Tuesday, Looks at internal and external systems and
problem solves). Need CFAC observer at each committee meeting.
Volunteers; CQI- Janet, Quality Improvement – Leslie, Finance-
Bill
Membership – Donna Tatnall
Committee recommend Bob Carey as new member. Application
from December Harris received. Planning presentation on
recruitment by Jim Greer in March meeting. Need approximately
30 minutes. Will do another CFAC orientation once new members
are confirmed. Is disability representation required? No, recommended.
Need new officers by June.
Finance – Bill Cook
Pre-imbursement Form (for CFAC members). Complete and turn in to WHN two weeks
prior to event to get pre-paid for training/ meetings attended. Reconcile receipts
on return. Need budget. Leslie will bring old budget to next meeting.
Parliamentary – Janet Price-Ferrell
Executive Committee recommended suspending calendar in by laws. Approved.
Status of by-laws revision
By laws need updating. Janet and Jim will work on updating.
VII. LOC Report – Larry Thompson
Priorities for legislative action asked to develop list advise the committee
on.
Suggestions:
- Concerns with decline in number of substance abuse providers.
- (#3)DD services are all geared towards rehabilitative,
need habilitative services.
- Best practice.
- Crisis services.
- (#9) Expand flexibility for single stream funding (all
money comes down from one pot and LME distributes moneys appropriately,
where the need is most prevalent.) to additional LMEs also need to
be more accessible. Current mechanism for accessing funds has caused
a shift in services delivered because providers are bogged down
with paper work and documentation, not appropriate services.
- (#2) Outreach for substance abuse.
- (#14) Common fee schedule. Would this have a greater impact
where the cost of living is higher?
- (#13) Training programs for consumers. Seems repetitive,
there are already many programs in place. Not sure this should be a
division role. Could be a conflicting position. Also concerned that
this is not best use of funds. Shifting task of the division’s
role with consumers.
- (#7) Process of using nurse practioners, social workers,
etc.
- (16) Transportation.
- (15) Care Coordinators with LME. LME staff follows consumer
for the first month after they enter the system in emergent or urgent
situations, until they are appropriately referred to services. Intensive,
short term case management. WHN currently has 2 care coordinators,
but their focus is on hospital discharges.
- (4) Need more prevention, then maybe don’t need so much crisis
services. Particularly child crisis services. State suggesting
that with success of mental health reform there will not be such a
high demand for crisis beds.
- Outcomes vs. details around funding. Action plan: Feedback to Larry
by 2/14/07. Email suggestions to larryt@blueridgehomes.com and
Cc: Leslie and Nancy.
VIII. LME Report – Anne Doucette
Survey Distribution by LME staff. NAMI Four Seasons will receive through
email distribution. Leslie will see if there is time in agenda for
Anne to come and speak at next NAMI meeting (2/17/07). Northern counties
are only being contacted through collaborative and JCPCs. Anne requesting
info on any existing organizations that Anne can present to. Transylvania
County has coordinated a forum. MH advisory board in Polk, Rose will
attend. Other venues: Resource Council with Polk County; next meeting
in March; Polk stakeholders meeting on Wednesday; 8:30 (suggested Arthur
attend; Mental health advisory board & Arc of Rutherford, very
small meetings, usually same attendance; Human Rights tomorrow.
New staff: 11 positions approved. Holding on more positions until we
have budget from the state.
Provider & Consumer Relations: Support Staff, SA Provider Specialist,
General Provider Specialist
Access: 3 positions
Business Office: 2 positions
COO
Community Relations: Jen (Community, southern counties), Karen (Guardianship),
Lynn (Human rights, grievances), Rose (Community, northern counties)
Leslie suggested community relations specialist should be from and out
in the community they are representing.
IX. Update on CIT
Plan for coordinating crisis intervention services with law enforcement.
Planning 8-12 months of development. Customizing for each community.
Wanting WHN support. Leslie drafting letter to board for Executive
Committee in support of program.
X. Report Form to State CFAC
No time to address. Each person should complete form and return to Melissa
by fax (225-2800), email (faul0852@westernhighlands.org) or mail (356
Biltmore Ave, Asheville, 28801) deadline of 2/14/07.
Other Items
CFAC planning to request WHN staff monitor appropriateness in consumer
placement (level of care), particularly in Rutherford/ Polk. Anne suggest
being very specific so WHN can address concerns directly through focused
provider reviews.
Concern with Arc in Rutherford.
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