Human Services Board

hsb0118_minutes.pdf (270 KB)

SAUK COUNTY BOARD OF HUMAN SERVICES

Meeting:                       January 8, 2018, 4:15 p.m., Room 213, West Square Building, Baraboo, WI

Members Present:      Joan Fordham, John Miller, James Bowers, Peter Vedro, Julie Fleming, Jean Berlin, Clark Pettersen, Beverly Vertein

Members Excused:     John Deitrich

Members Absent:             

Others Present:           Brattset, Box, Boesl, Lori Dee, David Zeller, Cindy Jones, Nick Cibulka

Chair, Joan Fordham called the meeting to order and certified compliance with the Open Meeting Law.

Motion by Beverly Vertein, seconded by James Bowers to adopt agenda.  Motion Carried.

Motion by Peter Vedro, seconded by Jean Berlin to approve the minutes for the previous Human Services Board meeting held on December 11, 2017.  Motion Carried.

Public Comment:

None

Communication:

Board Materials:  Distributed electronically

Business Items:

Review and Approve Monthly Vouchers:  Distributed electronically.  Stephanie Box reviewed the Monthly Voucher Report.  Motion by Jean Berlin, seconded by James Bowers to approve monthly vouchers in the amount of $1,209,746.12.  Motion carried.  

Accounts Receivable Report:  Stephanie Box distributed and reviewed the Accounts Receivable Report for November 2017.

John Miller arrived at 4:18 p.m.

Approval for Collection Requests:  No requests.

Monthly Reports:  Distributed electronically.  Stephanie Box discussed the November 2017 Volatile line report.

Approve 2018 State County Child Welfare Contract:  Stephanie discussed the contract money is used for Kinship, promoting Safe and Stable Families, Juvenile Justice:  AODA and Youth Aids.  Motion by Peter Vedro, seconded by John Miller to approve 2018 State County Child Welfare Contract in the amount of $1,479,818.00.  Motion carried.

Approve Post-Reunification Support Program Contract for 01/01/2018 – 06/29/2019:  Stephanie discussed this contract requires us to provide a match for this grant.  If we enroll two kids, we have to provide one as a match.  Funds will be taken back if we can’t enroll enough kids to provide match for this grant.  Expenses such as rent can be claimed after the child is returned home but these funds cannot be used prior to the reunification.  Motion by Peter Vedro, seconded by Jean Berlin to approve Post-Reunification Support Program Contract for 01/01/2018 – 06/29/2019 in the amount of $39,600.00.  Motion carried.

Reappoint Julie Eckert to the Comprehensive Community Services/Families Come First Coordinating Committee (citizen member) 2 year term:  Dan Brattset explained the participants’ role on the committee. 

Reappoint Ryan Catterson to the Comprehensive Community Services/Families Come First Coordinating Committee (citizen member) 2 year term:  Motion by James Bowers, seconded by Julie Fleming to reappoint Julie Eckert and Ryan Catterson to the Comprehensive Community Services/Families Come First Coordinating Committee (citizen member) 2 year terms.  Motion carried.

Resolution Authorizing to Join the Woodland Enhanced Health Services Commission:  Sharon Boesl explained the commission.  Clark County had a rehabilitation and living center which was willing to expand and define services for dementia, early Alzheimer’s, and individuals who need specialized nursing care in order to be safe in a non-hospital setting.  Standard nursing homes often cannot meet the needs of these individuals.  We had many facilities in Sauk County decline to take these patients because of these additional needs.  Dan Brattset indicated this facility gives us another placement option for people who are difficult to place.  The initial buy-in is $5,000, a one-time fee.  We would recoup that in about a 60 day stay.  Dan stated the social worker who is working on a particular case called as many as eight other facilities and they would not take the consumer.

Motion by John Miller, seconded by Clark Pettersen to approve Resolution Authorizing to Join the Woodland Enhanced Health Services Commission.  Motion carried.

Department Updates:

Presentation on the Community Support Program – Nick Cibulka:  Dan Brattset introduced Nick Cibulka.  Nick started as a psychotherapist in the Community Support Program (CSP) program in April 2017 before expressing the desire to lead the CSP team.  Nick has worked in behavioral health field for a little over a decade.  Nick explained CSP is a multi disciplinary team that very intensively meets with consumers, all with serious chronic mental illness.  The team delivers frequent services, monitors medication, and administers injections and attempts to do everything they can to give consumers an opportunity to stay stable and safe in the community.  Over 130 consumers are served in the CSP program; only one of those is currently in a psychiatric hospital which says a lot about the skill in delivering services.  Some consumers are moving into the Comprehensive Community Services (CCS) program.  CSP is very intensive; it’s all inclusive, all of our professionals are on one team.  As consumers are moved into CCS, that gives more freedom for the facilitator to branch out and bring in other providers and specialists. 

Peter Vedro stated the board is supportive and asked what their needs might be.  Nick mentioned there are a lot of group home placements and he has seen the number of transient individuals increasing.  An area of need is for providers.  A barrier for moving more consumers to CCS is a shortage of providers that are able to meet their needs, specifically need more dual diagnosis providers.

Tax Reform:  Dan Brattset stated it’s early on with the tax reform and it’s been a challenge to understand the bill.  One impact could be on the Affordable Care Act and subsidies that are provided for individuals to help them keep their health insurance.  WCHSA and Counties Association may be looking at the impact this has on health insurance.

Sharon Boesl will give an update on the Medication Assisted Treatment (MAT) grant for opiate addiction at the next meeting.  Sharon spoke about what has come to their attention through the grant and treatment court.  Individuals are able to get on Medicaid to start treatment.  As they get sober and become more stable, they get employed but are offered minimal insurance coverage, and then the individual can’t pay either the deductible or copays.  Once they lose their Medicaid coverage, they lose their ability to have access to their medical provider to get their naltrexone or Suboxone shot and they have huge deductibles.  Then we lose them in treatment. 

John Miller asked about direct negotiation with the drug companies.  Dan stated all but a few counties in Wisconsin have entered a lawsuit.  Sharon said the counties are going after the pharmaceutical companies for accountability about over prescribing these medications, the danger of them, and hiding the addictive quality of these medications with the intent to put responsibility on them in terms of aftercare.  The article from the Wisconsin Counties Association magazine regarding the lawsuit will be sent to the board members. 

Next Meeting: 

The next meeting of the Sauk County Human Services Board will be February 5, 2018, at 4:15 p.m. in Room 213.  Joan Fordham discussed Julie Fleming’s request for a list of the Human Services board meetings for the rest of the year.  Joan indicated meetings are not always held on the first Monday of the month; she asked Lori Dee to put together a list of the meetings for the rest of the year and email to the board members.

Public Comment

Lori Dee informed the board members of remodeling taking place in Room 213 later this month but should be completed prior to the next Human Services Board meeting.  If the room it not ready, Lori will notify the board members by e-mail.

Motion by James Bowers, seconded by Clark Pettersen, to adjourn at 5:20 p.m.  Motion Carried.