FAIRFAX-FALLS CHURCH COMMUNITY SERVICES BOARD Suzette … · 2/22/2017 · Suzette Kern, Vice...

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FAIRFAX-FALLS CHURCH COMMUNITY SERVICES BOARD

Suzette Kern, Vice Chair Merrifield Center

8221 Willow Oaks Corporate Drive Level 3 - Room 409A

Fairfax, Virginia 22031

Wednesday, February 22, 2017 5:00 p.m.

1. Meeting Called to Order Suzette Kern

2. Matters of the Public Suzette Kern

3. Recognition Suzette Kern

4. Amendments to the Meeting Agenda Suzette Kern

5. Approval of CSB January 25, 2017 Board Meeting Minutes Suzette Kern

6. Matters of the Board

7. Committee Reports

A. Behavioral Health Oversight Committee

B. Fiscal Oversight Committee

C. Legislative Committee

D. Intellectual and Developmental Disability Committee

E. Other Reports

Diane Tuininga

Ken Garnes

Kat Kehoe

Lori Stillman

8. CSB Policy 1401 Executive Director’s Line of Succession – Opportunity for Comment

Bettina Lawton

9. Action Item

A. Approval CSB Board Policy 1401 – Executive Director’s Line of Succession

Bettina Lawton

10. Directors Report Tisha Deeghan

11. Adjournment

January 25, 2017 CSB Board Minutes Page 1 of 5

Fairfax-Falls Church Community Services Board January 25, 2017

The Board met in regular session at the Merrifield Center, 8221 Willow Oaks Corporate Drive,

Fairfax, VA.

The following CSB members were present: Gary Ambrose, Chair; Daria Akers, Basilio ‘Sonny’

Cachuela Jr., Ken Garnes, Sheila Coplan Jonas, Kat Kehoe, Suzette Kern, Bettina Lawton, Molly

Long, Paul Luisada, Sarah Meiburg, Edward Rose, Lori Stillman, and Diane Tuininga

The following CSB members were absent: Jane Woods

The following CSB staff was present: Tisha Deeghan, Daryl Washington, G. Michael Lane,

Belinda Buescher, Lucy Caldwell, Marisa Farina-Morse, Evan Jones, Lakeisha Kennedy-Flores,

Victor Mealy, Jerome Newsome, Lisa Potter, Lyn Tomlinson, and Laura Yager

1. Meeting Called to Order

Gary Ambrose called the meeting to order at 5:01 p.m.

2. Matters of the Public

There were no speakers.

3. Amendments to the Meeting Agenda

The agenda was presented and passed.

4. Approval of the Minutes

Lori Stillman made a motion for approval of the December 14 2016 Board meeting minutes

of the Fairfax-Falls Church Community Services Board as presented, which was seconded

and passed.

5. Matters of the Board.

Kat Kehoe spoke positively of a recent CSB Board member tour of the Tim Harmon Campus

which encompasses the CSB facilities, Fairfax Detoxification Center, Crossroads, and A New

Beginning.

Molly Long noted Supervisor John Cook, representing the Braddock District and Chairman

of the Board of Supervisors (BOS) Public Safety Committee has a keen interest in the budget

and has issued a survey to Braddock District constituents. Some survey questions involve

topics such as Diversion First, mental health services, and criminal justice. The survey results

will be requested for review at a future board meeting.

Gary Ambrose offered a reminder of the CSB Board Compliance Training scheduled for

February 22, 2017 from 6:00 p.m. to 7:30 p.m., directly following the CSB Board Meeting.

6. Committee Reports

A. Behavioral Health Oversight Committee:

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Diane Tuininga offered highlights of the January meeting to include:

Ginny Atwood with the Chris Atwood Foundation reported continuing efforts to

legislate administration of Naloxone through community organizations.

Daryl Washington provided an update of the challenges and opportunities for the

CSB in 2017 including such topics as Revision of Strategic Plan, Revision of

Priority Populations, Implementation of ARTS, Implementing Diversion First

Efforts, Assessing Impact of Youth and Adult walk-in on service delivery and

problem solving next steps, Implementation of Commonwealth Coordinated

Care Plus (CCC+), Integrating a sustainable primary care plan into the CSB, and

Implementation of IDD services. Vigorous discussion followed each topic.

Several suggestions for topics meriting further discussion were received

following a request for feedback.

The next meeting is Wednesday, February 8th, 5:00 p.m. at the Merrifield Center,

Level 3-Room 409A.

B. Fiscal Oversight Committee:

Ken Garnes provided details of the recent meeting to include:

As the second half of the fiscal year begins, a report of positive fiscal projections

is primarily attributed to Medicaid Option and CSA revenue combined with 146

vacant positions and delayed implementation of the DD Medicaid Waiver

Redesign. The CSB and the Department of Management and Budget (DMB) are

working together to identify FY 2018 needs. Some suggestions include

psychiatrist pay and DD Waiver Redesign.

The Human Resources (HR) Update included information for critical position

recruitment including recent hires, ongoing interviews, and advertisements

posted.

Referring to the Human Services Council letter requesting board representation

at a meeting scheduled for Saturday, February 4, 2017, Mr. Garnes shared that

he, Gary Ambrose, and Suzette Kern will attend. On the agenda is a discussion

of anticipated budget reductions, advocacy strategies and plans for Boards,

Authorities, and Commissions (BACs) to work more collaboratively with the

Human Services Council.

The meeting is Wednesday, February 17th, 9:00 a.m. at the Pennino Building, Room

836A.

C. Legislative Committee:

Molly Long, noting the Legislative meeting is scheduled to follow this board meeting,

provided details of the agenda:

Noting that the Legislative Session has started, board member visits with

assigned Legislators are ongoing. Congratulations were offered to Sonny

Cachuela, Sheila Coplan Jonas, and Sarah Meiburg for successfully arranging

face-to-face meetings with their assigned legislators.

Board members were reminded to forward meeting details to Ms. Long for

further distribution to the County Legislative Office.

Kat Kehoe accepted the nomination to Chair of the Committee, which will be

effective at the February meeting. A reminder was offered that the next meeting

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will be in March due to a conflict with the Board Compliance Training. Ms.

Long confirmed she will continue to serve on the committee.

Note: it was decided to move the meetings to the third Wednesday of the month,

directly following the Executive Committee meeting. This change removes the

conflict with the compliance training, allowing for the committee to meet in

February.

The next meeting is Wednesday. February 15th, 6:30 p.m. at the Merrifield Center

D. Intellectual and Developmental Disability (IDD) Committee:

Lori Stillman, noting the last meeting was in November, provided an overview of the

activities of the committee to include:

Highlights of the VACSB Public Policy Conference included

o Discussions related to budget priorities and upcoming legislation of interest

to the CSB.

o Virginia Secretary of Health and Human Resources, William Hazel spoke

optimistically on the General Assembly session and the FY 2018 budget.

o Attendees were afforded the opportunity for advocacy with many of the

No. VA. Legislators.

o Public concern was expressed over the Governor’s proposed budget

amendments which included changes to the I/DD waivers resulting in a

funding loss of $10,000,000, reportedly lower SIS (Supports Intensity

Scale) scores and delays in support coordination access.

The ARC of Northern Virginia provided information on DD Advocacy Day in

Richmond on Tuesday, January 31st. This is an opportunity to advocate for

community-based services for individuals with disabilities. Those interested in

attending should contact the ARC or Ms. Stillman to request transportation

information.

Discussion of topics for future committee presentations included transportation,

Medicaid Waivers, CCC+ managed care, descriptions of Federal and State

disability programs, and the State transition plan.

A CSB Orientation to DD services is planned for February 7th, time to be

determined. Once confirmed, meeting details will be forwarded to the board.

Additionally, site visits to a residential and a day program site will be scheduled.

Jean Hartman announced that four providers have been selected for DD case

management in Region 2 and that the CSB has contracted with private providers

to deliver the Cooperative Employment Program (CEP). This realignment creates

staff availability for provision of support coordination services in response to the

influx of DD individuals needing services.

Evan Jones indicated there may be a new state transition plan in the summer of

2017.

Barbara Wadley-Young shared information on the challenges facing the nursing

staff due to the increase in hospice patients and related ethical concerns. Ms.

Wadley-Young also shared that a new assistant director of residential services,

Mr. Joseph Reinich, has been hired.

Victor Mealy reported the number of Fairfax individuals at the training centers,

the number of new waivers for Fairfax (38 Community Living - ID and 18

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Family and Individual Supports - DD), the waiver wait list numbers, and the

upcoming schedule for the volunteer waiver slot allocation committee. In

response to questions, it was reported that the waiver slot allocation committee is

a volunteer committee selected to assign waivers following assessment. The

expected time spent in assessment is 4 hours per session/waiver. There are

currently 77 waivers for a pool of 150-170 applicants.

Jean Post reported the current status of the adult and youth REACH (Regional,

Education, Assessment, Crisis Services, Habilitation) crisis assistance services

for the region. Adult REACH is fully operational while youth REACH is in the

process of recruiting staff.

The next meeting is Wednesday, March 1, 5:30 p.m. at the Merrifield Center, Level

3-Room 409A

7. Information Item

A. Proposed Revision to CSB Board Policy Executive Director’s Line of Succession

Bettina Lawson presented CSB Board Policy 1401, Executive Director’s Line of

Succession, noting further revisions as recommended in December to clearly identify

responsibility for appointing an interim successor.

As proposed policy revisions require time for review, it is being recommended to

issue the proposed updated policy for a comment period, followed by presentation to

the board for final action at the February 2017 meeting.

8. Directors Report

Tisha Deeghan provided the following updates:

There is a Diversion First stakeholders meeting Tuesday, February 7, 2017, 7:00 p.m.

at the Government Center, Rooms 2 & 3. Topics include a review of achievements in

2016 including an annual report and the proposed focus for 2017 which will support

intercept points two and three.

In follow up to a letter emailed January 18, 2017 to the Board, staff, and stakeholders,

it was reported that the date for the Human Service Committee is Tuesday, February

21, 2017 beginning at 10:00 a.m. in rooms 9 & 10. Ms. Deeghan is on the agenda to

provide an update to the committee on the anticipated needs of Employment & Day

Services and Support Coordination programs.

A copy of the 2016 Annual Report that was provided in the board packets with an

offer for additional copies upon request. A link to the report was provided to the

Board of Supervisors (BOS) and a hard copy will be distributed to BOS at the

February meeting. Thanks were offered to Lucy Caldwell, Belinda Buescher, and

Lara Larson with the members remarking the report was especially well done and is a

valuable tool for board members.

Michael Lane introduced Lakeisha Kennedy-Flores, recently hired Business Operations

Director noting her areas of responsibility include all of the business support staff including

the Financial Assessment & Screening Team (FAST) for benefits and eligibility, the Patient

Assistance Program (PAP), and Medical Records. Ms. Kennedy-Flores will also be very

involved in insurance related contracts and fee policy.

Daryl Washington supplied information on the following:

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Referring to the Diversion First Housing flier provided in the board folders it was

reported the contract with New Hope Housing has been finalized. New Hope provides

the leases for Permanent Supported Housing (approximately 17 beds) with CSB staff

providing clinical services. It was noted that roughly 20% of the funding is set aside

for emergency housing needs with the option of utilizing unspent funds for additional

supported housing beds if needed.

It was further noted that the state housing grant is near completion and once finalized,

will provide double the beds for Permanent Supported Housing, highlighting that

there is significant overlap in the needs of the populations served.

Youth Walk-in has had a very successful ‘soft launch’ since October 31, 2016, with

an increased demand for services each month. It was noted that the primary referral

sources remain the Department of Family Services(DFS) and Fairfax County Public

Schools (FCPS). Staff is preparing for the public launch scheduled to occur on

February 1, 201. Preparations include an expectation of further increases in demand

as additional referral sources become aware of the program.

Details of a public dialogue focusing on the heroin and opioid abuse public health

crisis were provided. Attended by Supervisor Pat Herrity, individuals receiving

services, and members of the public, information was provided on CSB services

available to the public, highlighting the Intensive Outpatient Program (IOP). Existing

IOP services have been realigned into a new program titled CORE (Coordinated

Opioid Recovery and Empowerment), that is designed to combat prescription drug

and heroin abuse in individuals with an identified higher level of care.

Laura Yager and Marissa Farina-Morse, Diversion First Service Director, provided an update

to Diversion First efforts highlighting the collaborative efforts of Diversion First staff, court

services staff and the Sheriff’s office.

Lyn Tomlinson shared the imminent retirement of Allan Phillips after 38 years with the CSB.

Plans for a celebration of service on February 7th will be forwarded to the board.

There being no further business to come before the Board, a motion to adjourn was offered,

seconded and carried. The meeting was adjourned at 6:00 p.m.

Date Staff to Board

Actions Taken--

The December 14, 2016 meeting minutes were approved.

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Behavioral Health Oversight Committee Meeting Minutes

Date: January 11, 2017 Location: Merrifield Center Attendees: Diane Tuininga, Chair; CSB Board Member Daria Akers; CSB Board Member Gary Ambrose; CSB Board Member Suzette Kern; Terry Atkinson, Gartlan Advisory Board; Peter Clark, No. Virginia Mental Health Foundation; Ginny Atwood, The Chris Atwood Foundation; Wendy Gradison, PRS, Inc.; Sylisa Lambert-Woodward, Pathway Homes, Inc.; Deanne Mullins, Community Residences, Inc.; Heather Peck, LMECC; Bill Taylor, Concerned Fairfax; Daryl Washington, CSB Deputy Director; Jean Hartman, Assistant Deputy Dir., Community Living Treatment and Supports; Lyn Tomlinson, Assistant Deputy Dir., Acute & Therapeutic Treatment Services; Lucy Caldwell, CSB Communications Director; Peggy Cook, Director, Residential Treatment Services; Evan Jones, CSB Service Director; Also present were other private sector staff as well as members of the public.

Topic Action Responsible Party

Due Date

Behavioral Health Oversight Committee Page 1 of 3 January 11, 2017

Meeting Call to Order

Meeting was called to order at 5:00 p.m. Diana Tuininga, Chair

Minutes Gary Ambrose moved that the December 2016 Behavioral Health Oversight Committee minutes be approved as presented.

The motion was seconded by Suzette Kern and unanimously carried.

Behavioral Health Oversight Committee

Associate Member Presentations and Concerns

Bill Taylor announced Concerned Fairfax had offered testimony before the House Appropriations and Senate

Finance Committees of the Virginia General Assembly in support of Governor McAuliffe’s mental health budget

proposals. Mr. Taylor further shared that the next meeting of Concerned Fairfax is the second Monday of the

month, Monday, February 13, 2017.

Terry Atkinson provided a brief update on the January 10th meeting of the Gartlan Center Advisory Board noting an

excellent presentation on the Children’s Behavioral Health System of Care “Blueprint” was provided by Betty

Petersilia

Ginny Atwood noted continued efforts in support of legislation through the Virginia General Assembly to allow

community organizations such as the Chris Atwood Foundation to dispense naloxone.

Associate Members

Opportunities

and Challenges

for 2017

Daryl Washington provided an overview of the challenges and opportunities of the CSB in 2017, prompting a lively

discussion. The topics presented included:

Revision of Strategic Plan; items of consideration include the FY 2018 budget challenges and the external impact

on the community related to services provided.

Revision of Priority Populations; in preparation for the review and revision process, CSB staff will collect data from

multiple sources including Fairfax County Public Schools, Human Services agencies, the CSB Assessment Unit, CSB

contracted private providers, stakeholders, and court services. It was noted that CSB Board Members Suzette Kern

and Ken Garnes have volunteered to represent the board during the revision process.

Daryl Washington

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Implementation of the new Virginia Medicaid Addiction and Recovery Treatment Services (ARTS) Benefit: the ARTS

program expands Medicaid benefits to address substance use disorder (SUD) treatment including business

management and clinical delivery models. Preparation efforts, which have begun in anticipation of the launch date

of April 1, 2017, including the impact of the current opioid epidemic and the need for creating and providing new

services resulting in increased staffing needs.

Implementing Diversion First Efforts: The Merrifield Crisis Response Center (MCRC) has been operating successfully

for a full year. As meaningful data from the past year is being collected, identification of next steps is moving

forward to include addressing Substance Use Disorders (SUD) in the Adult Detention Center (ADC). It was also

reported that the Diversion First housing contract was established in partnership with New Hope Housing. The

contract will provide approximately 18 supportive housing beds for individuals discharging from the ADC with CSB

staff providing the clinical services.

Youth and Adult Walk-in, assessing impact on service delivery and problem solving next steps; Adult Walk-In has

been active for one year. The Youth Walk-In ‘soft launch’ was October 31, 2016, with a ‘hard launch’ planned for

February 1, 2017. Staff continues to refine the assessment/intake process, gathering and utilizing information on

Behavioral Health Outpatient (BHOP) and Youth Outpatient (YOP) impact to services, triage practices, and trends,

including busiest hours and highest demand for services at all locations to address staffing availability.

Implementation of the Commonwealth Coordinated Care Plus (CCC Plus) program; a new Virginia Medicaid

managed care model for long term services and support designed to serve individuals with complex care needs.

Utilizing the integration of primary and behavioral health care, CCC Plus has a proposed launch date of December 1,

2017. Planning efforts for management of health care integration in a sustainable model for CSB service delivery

system are ongoing.

Integration of a Sustainable Primary Care Plan into the CSB; efforts are underway to identify and design a

sustainable plan for use in the CSB delivery system noting that the BeWell grant program, already underway at the

CSB, provides a model of primary and behavioral healthcare integration.

Implementation of IDD Services; noting frequent updates from the state on DD waiver redesign, efforts to

implement the updates continue. Noting further that as of July 1, 2016 CSBs became the single point of entry for

IDD services, including individuals on the autism spectrum, work with private providers is ongoing for delivery of DD

Case Management services under CSB licensure.

Staff Reports

Daryl Washington, CSB Deputy Director provided the following updates:

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Staff Reports (Cont’d)

In an ongoing effort to refine the service delivery system, analysis of service provision by means of directly

operated programs vs. contracted partners continues.

Jean Hartman, Assistant Deputy Dir., Community Living Treatment and Supports reported:

Acknowledging the emerging treatment needs of individuals with opioid dependence, Behavioral Health Outpatient

(BHOP) staff is designing an opioid track for Intensive Outpatient (IOP) services, which is anticipated to be launched

shortly.

Ms. Hartman noted several CSB staff members had received Outstanding Performance Awards (OPA) at the award

ceremony in December.

Evan Jones, CSB Service Director noted the following:

Noting the frequent revisions to waiver redesign, also noted above, staff was praised for their efforts to keep up with the many changes.

Substance Abuse and Mental Health Services Administration (SAMHSA) is scheduled to visit the successful Turning Point program on Tuesday, January 24th.

Lyn Tomlinson, Assistant Deputy Dir., Acute & Therapeutic Treatment Services shared information on two community events:

Tuesday, January 17th, from 7-9 p.m. is a public information session for people who know someone who has opioid or heroin dependency and are looking for help.

Saturday, March 11th is an interfaith event covering several topics including addiction, recovery, and resources for family members.

Lucy Caldwell, CSB Communications Director, reported on recent communications team efforts to include:

Outreach efforts on the January 17th public information session noted above, about CSB substance use services for

people seeking help for loved ones, as well as a March 11 forum that will target the faith communities, primarily in

the Western portion of Fairfax County

Peggy Cook, Director, Residential Treatment Services reported on recent activities noting:

Six CSB Board members and three staff from the Fairfax County Department of Management and Budget (DMB)

attended a tour of the Tim Harmon Campus.

Reporting on recent recruitment included the hiring of Stacey Lawson for Crossroads and Tina Kavarligos for A New

Beginning.

Adjournment There being no further business to come before the Committee, the meeting was adjourned at 6:17 p.m. Diana Tuininga, Chair

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March 8, 2017

Date Approved Prepared by Erin Bloom

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Behavioral Health Oversight Committee Page 1 of 4 February 8, 2017

Date: February 8, 2017 Location: Merrifield Center, Third Floor, Room 3-409A East Attendees: Diane Tuininga, Chair; CSB Board Member Daria Akers; CSB Board Member Gary Ambrose; CSB Board Member Basilio ‘Sonny’ Cachuela, Jr; CSB Board Member Sheila Jonas; CSB Board Member Suzette Kern; Terry Atkinson, Gartlan Advisory Board; Peter Clark, No. Virginia Mental Health Foundation; Lauren Goldschmidt, ServiceSource, Inc. Wendy Gradison, PRS, Inc.; Sylisa Lambert-Woodward, Pathway Homes, Inc.; Heather Peck, LMECC; Daryl Washington, CSB Deputy Director; Lyn Tomlinson, Assistant Deputy Dir., Acute & Therapeutic Treatment Services; Lucy Caldwell, CSB Communications Director; Evan Jones, CSB Service Director; Jean Post, No. VA. Regional Projects. Also present were other private sector staff as well as members of the public


Due Date

Meeting Call to Order

Meeting was called to order at 5:00 p.m. Diane Tuininga, Chair

Introduction CSB Board Member Sheila Coplan Jonas was introduced and welcomed to the meeting. Diane Tuininga, Chair

Announcement Suzette Kern shared that Gary Ambrose, CSB Chair was commended by the VA General Assembly in House Joint Resolution No. 771 for his many advocacy efforts.

Committee Members

Minutes

Following review of the December 2016 Behavioral Health Oversight Committee draft minutes Suzette Kern made a motion to approve the minutes as presented, which Gary Ambrose seconded. The motion carried unanimously.

Committee Members

Associate Member Presentations and Concerns

There were no presentations or concerns shared by the associate members. Associate Members

Priority Populations

Daryl Washington, referring to documentation included in the agenda packets, offered a brief overview of the Guidelines for Assigning Priority Access to CSB Services. Summarizing the process for updating The Guidelines, it was noted that many sources provide input including the CSB Board, community members via public comment/community dialogues, and consultation with Human Services partners including Fairfax County Public Schools to determine the impact of the current guidelines on access to services. An engaged discussion ensued, to include:

• Some of the criteria which determines priority access includes a primary diagnosis or co-occurring primary diagnoses of severe mental illness/emotional distress, which may also include those at risk of severe mental illness/emotional distress; severe and persistent mental illness and associated functional deficits; and Substance Use Disorder or significant substance use issues with substantial impairment.

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Due Date

• Reported miscommunication about the array and availability of CSB services and funding options, including whether or not the CSB accepts third party insurance. It was clarified that the CSB accepts some third party insurance. However, it was noted that an individual with third party insurance may be referred to non-CSB resources based on level of need at assessment.

• It was further noted that if needed services are not available at the CSB, staff works with the individual in locating these services in the community.

• Assessment includes both a clinical and a business (financial/insurance) assessment. Observing that some services may not be covered by insurance, it was made clear that an individual’s payment responsibility is assessed on a sliding fee scale.

• Feedback on the walk-in assessment was primarily positive. There were some reports of a longer than anticipated wait time with no assessment appointments made available. It was clarified that assessment appointments for both youth and adult walk-in are available and offered if needed.

• As of the July 1, 2016 implementation of the CSB as the single point of entry for individuals with Intellectual and Development Disability (IDD), screening/assessment requests have increased, impacting priority access. Staff continues efforts to accommodate the anticipated additional increases in the number of individuals seeking IDD services.

• Addressing the impact of Diversion First on priority access, it was noted that Diversion First services are accessed through Emergency Services rather than through the walk-in assessment process. It was acknowledged that additional discussion is required to determine the impact to priority access when assigning Diversion First services.

• Associate members were consulted for feedback on the current guidelines and how they may be impacting access to services. Some recommendations included:

o Ensure the guidelines contain verbiage that clearly demonstrates an effort towards ‘whole person treatment’.

o Tracking the time between assessment and access to services, as well no-show appointments. o Reaching out to more individuals in need of services through continued collaboration with public

and private partners. Include organizations where access to services based on language or immigration status may be a barrier.

o Provide literature on available services and funding options at primary care centers and partner locations.

o Continue efforts to establish a system for the confidential exchange of information, i.e. updates on treatment and medications.

o Request feedback from individuals who have recently accessed services. A suggestion was offered that perhaps a survey could be issued.

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Due Date

Staff Reports

Daryl Washington, CSB Deputy Director provided the following updates:

• The public launch for Youth Walk-in Assessment occurred on February 1, 2017. Acknowledging only one week since the public launch, it was noted that Fairfax County Public Schools continues to be the primary referral source.

• An update on recent Diversion First efforts included: o The Diversion First Stakeholders meeting on Tuesday, Feb. 7th was well attended. It was noted

that substantial progress has been made with leadership working together to affect significant changes and to identify and fill in gaps in services. Documentation provided included the Diversion Fist Stakeholders Update Diversion-Oriented System of Care Collaborative and the Diversion First Annual Report. Both documents are available on the Fairfax County website at www.fairfaxcounty.gov/diversionfirst/.

o CSB staff including Daryl Washington and Laura Yager as well as several law enforcement partners had a successful trip to San Antonio, TX for the purpose of observing a progressive approach to diversion efforts at a local jail.

o Difficulty with obtaining timely medical clearances, required for Diversion First, remain a challenge for Merrifield staff and law enforcement officers.

o Working with court services, efforts are ongoing to minimize the time between intake at the Adult Detention Center (ADC) and discharge to treatment services.

o Diversion First Housing initiatives include a partnership with New Hope Housing providing 18 beds for individuals receiving Diversion First services or discharging from the jail. Additionally, funding from the Department of Behavioral Health and Developmental Services (DBHDS) provides for 32 beds over two years, primarily for individuals who are homeless or at risk of homelessness, exiting an institution/state hospital, or are in a long term treatment program.

• It was announced that a Director of Consumer and Family Affairs has been hired. Mark Blackwell, previously with DBHDS, will start March 6, 2017.

• Evan Jones, CSB Service Director reported a visit from the Substance Abuse and Mental Health Services Administration (SAMHSA) to observe the success of the Turning Point program. Marla Zometsky provided an excellent overview of the program including insight into the use of Peer Specialists and testimony from some graduates of the program. It was noted the program has been established for approximately one year and is receiving an increasing number of referrals.

Adjournment There being no further business to come before the Committee, the meeting was adjourned at 6:32 p.m. Diane Tuininga, Chair

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Date Approved Prepared by Erin Bloom

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CSB Fiscal Committee Meeting Notes

January 19, 2017

Fiscal Oversight Committee Page 1 of 2 January 19, 2017

Attending: Ken Garnes, Chair; Basilio ‘Sonny’ Cachuela, Jr., Suzette Kern, Lori Stillman

Staff: Tisha Deeghan, Daryl Washington, G. Michael Lane, Marta Cruz, and Lisa Witt

Summary of Information Shared/Decisions:

Review of meeting notes

The committee reviewed and approved the notes of the December 9, 2016 committee meeting as presented.

Financial Status

Lisa Witt, referring to fiscal handouts included in the meeting packet, provided the following update:

Position Status: o As of Jan, 17, 2017, CSB has 146 Fund 400 vacant general merit positions, 46 over the

Vacant Breakeven Point (VBP) of 100.

FY 2017 Pay Period Metrics: o The PP Metrics Report now reflects the FY2017 Revised Budget Plan, a $2.9M increase over

the FY2017 Adopted Budget Plan. As a result of the revised budget, PP25 reflects accumulated Compensation and Fringe Benefits savings of approximately $$4.4M, a decrease of approximately $0.8M due to the need to increase the per pay period target for fringe benefits based on the rates in effect as of the first full pay period in 2017.

o It was noted that PP2 actuals will reflect the increased fringe benefit rates.

FY 2017 Modified Fund Statement: o Staff project that FY2017 non-County revenues will meet or exceed budgeted targets, due in

part to matching credentialed staff with payer sources and monitoring pre-authorization/ re-authorization of services.

Human Resources (HR) Updates

Marta Cruz provided an overview of Human Resources activities to include:

Current (regular Merit) Vacancies as of January 9, 2017 totaled 149 with 82 open positions vacant and approved to fill.

Noting the HR handout included in the committee packet, which provided employment data for January through December 2016, it was reported there were 267 appointments and 145 terminations. Terminations include resignations, and retirements.

Recruitment and retention activities include o Emergency Services: Two merit and one non-merit Crisis Intervention Specialist positions

recently filled, interviews are ongoing for additional specialist positions. o Youth & Family Services: Both the Behavioral Health Nurse (BHN) and the Manager positions

have been filled. Senior Clinician recruitment is ongoing. o Support Coordination: A total of 25 Support Coordinators were hired in 2016, with four more

positions scheduled to be filled. Recruitment for additional positions is ongoing. o Diversion First: The Senior Clinician position has been filled with ongoing recruitment for the

vacant Emergency Supervisor position.

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CSB Fiscal Committee Meeting Notes

January 19, 2017

Fiscal Oversight Committee Page 2 of 2 January 19, 2017

Diversion First

o Due to anticipated reductions in the FY 2018 proposed budget, it is unlikely that new funding will be approved.

o Announced at the recent Diversion First meeting, the contract with New Hope Housing for Diversion First housing was finalized. The project provides 17 emergency housing beds for individuals discharging from incarceration.

o A problem solving team, comprised of Daryl Washington, police, and CSB staff, has been created to address the needs of incarcerated individuals that are not being met by Diversion First efforts.

o It was reported there has been some difficulty obtaining the required medical assessments at the Merrifield Crisis Response Center (MCRC) in support of Diversion First efforts. Laura Yager is working with the Community Health Care Network (CHCN) and INOVA to address this concern. Efforts include recruitment and hiring of required staff and access to or purchase of testing equipment.

Human Services Council Letter – FY 2018 Budget o Ken Garnes provided a brief overview to the letter from the Human Services Council to leadership of

Fairfax County Boards, Authorities, and Commissions (BACs), which was emailed to CSB Board members earlier in the month. The letter concerned the FY 2018 Budget Forecast and asked for attendance at a meeting to be held on February 4, 2017. In response, it was reported that Gary Ambrose, Ken Garnes, and Suzette Kern would attend to represent the CSB Board.

Action Items/Responsible Party Required Prior to Next Meeting:

Issues to Communicate to CSB Board:

Agenda Items for Next Meeting on February 17, 2017:

February 2017 Fiscal Oversight Committee meeting Friday, February 17, 2017 at 9:00 a.m. Pennino Building, 12011 Government Center Parkway, Room 836A

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Legislative Committee Page 1 of 2 January 25, 2017

Fairfax-Falls Church Community Services Board

Legislative Committee January 25, 2017

The Legislative Committee of the Fairfax-Falls Church Community Services Board met in

regular session at the Merrifield Center, 8221 Willow Oaks Corporate Drive, Fairfax, VA.

The following Committee members were present: Molly Long, Chair; Kat Kehoe, and Bettina

Lawton

The following Committee members were absent: Diane Tuininga and Jane Woods

The following staff was present: Tisha Deeghan and Daryl Washington

1. Meeting Called to Order

Molly Long called the meeting to order at 6:06 p.m.

2. Matters of the Public

No matters were presented

3. Amendments to the Meeting Agenda

There were no amendments offered.

4. Approval of the Minutes

Kat Kehoe offered a motion for approval of the December 14, 2016 Board meeting minutes

of the Legislative Committee, which was seconded and passed.

5. Matters of the Committee

It was announced that committee member Kat Kehoe accepted the nomination to Committee Chair effective at the February meeting. Molly Long, retiring Chair, announced that she will continue to serve on the committee.

Ms. Long provided highlights of a recent meeting with Claudia Arko, County Legislative Director and Tisha Deeghan to include: support of CSB advocacy efforts by the Legislative Office including a request for details of CSB Board Member visits with members of the VA legislature. It was noted that in addition to providing useful data to the Legislative Office, the visit data will inform future CSB board member assignments and the involvement level of legislators with CSB interests and priorities.

Staff and members entered into a discussion identifying the purpose of the Legislative Committee as a sub-group that works with the ‘content heavy’ matters including drafting legislative and budgetary priorities and testimony which is then presented to the full board for review.

Further discussion included a review of the Legislative Planning Calendar which prompted discussion of a new direction for the committee. Remarking on the likely

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Legislative Committee Page 2 of 2 January 25, 2017

benefits from an increased focus on communication with the Board of Supervisors (BOS) several suggestions were offered to include:

o Quarterly visits with their Board of Supervisor (BOS) representative including face-to-face, email and telephone contact with a focus on informing the supervisor, and through the supervisor’s office the community, of the array of services offered by the CSB.

o Suggested education efforts include training opportunities in Mental Health First Aid and REVIVE, quarterly packets of literature updated to include recent activities and priorities, and opportunities offered through the CSB.

o Daryl Washington provided insight on scheduling visits based on the county budget cycle. It was noted that scheduling visits in mid-January following the conclusion of state testimony and prior to the release of the proposed county budget by the County Executive’s office would capitalize on the supervisor’s probable availability.

There being no further business, the meeting was adjourned at 6:41 p.m.

Actions Taken –

Approval of the December 14th committee minutes

February 15, 2017

Date Approved Clerk to the Board

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COMMUNITY SERVICES BOARD Item: 9A Type: Action Date: 2/22/17

Proposed Revision to CSB Board Policy Executive Director’s Line of Succession

Issue To update CSB Board Policy 1401, Executive Director’s Line of Succession, to reflect appropriate procedures.

Recommended Motion I move that the Fairfax-Falls Church Community Services Board approve revised Policy 1401 as presented.

Background Following review of CSB Board Policy 1401, Executive Director’s Line of Succession at the January session of the Fairfax-Falls Church Community Services Board, the policy was posted for public comment. No comments were received during the public review period prior to the February 22, 2017 CSB Board meeting. The policy outlines the delegation of CSB functions during catastrophic emergency events should the Executive Director be unavailable to carry out the duties and responsibilities. The proposed revisions being presented are to clearly outline the line of succession with a focus on the scope of clinical operations as well as remove staff that would not be appropriate to serve in this capacity.

Fiscal Impact None.

Enclosed Document Attachment A: Proposed CSB Policy 1401, Executive Director’s Line of Succession

CSB Board Member Bettina Lawton, CSB Board Secretary

Staff Tisha Deeghan, CSB Executive Director

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ATTACHMENT A Policy Number: 1401 Policy Title: Executive Director’s Line of

Succession Date Adopted: February 22, 2017

Purpose

To establish a line of succession for the position of Executive Director during catastrophic emergency events. Policy

The Executive Director has overall responsibility for managing the CSB and has the authority to delegate functions to other CSB staff. The Executive Director is also responsible for ensuring the continuous ability of the CSB to carry out emergency duties and responsibilities during catastrophic emergency events. During a declared state of emergency the Executive Director may be unavailable to carry out the duties and responsibilities. Emergency interim successors may be appointed by the Deputy County Executive to carry out identified duties and responsibilities of the Executive Director or their successors. The emergency interim successor, may exercise the authority and responsibilities of the Executive Director until a successor is appointed or hired, or until the incumbent is able to resume the exercise of the authority and responsibilities of the Executive Director. Emergency interim successors in the order of the succession shall have full powers of the Executive Director’s position to commit CSB resources during a time of emergency or disaster if the person normally exercising the position becomes unavailable. The following line of succession shall apply:

1. Executive Director 2. Deputy Director, Clinical Operations 3. Deputy Director, Administrative Operations 4. Assistant Deputy, Community Living Treatment & Supports 5. Assistant Deputy, Acute & Therapeutic Treatment Services

Approved

February 22, 2017

Secretary Date

Policy Adopted: November 19, 2003 Policy Readopted: March 25, 2009 Policy Revised: December 16, 2015 Policy Revised: February 22, 2017 Reference: CSB Policy 1400: Executive Director

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