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MH Commission Packet June 27, 2013
Office: 3282 Adeline Street, Berkeley, CA 94703 • [email protected] (510) 981-7721 • (510) 981-5255 FAX
Health, Housing & Community Services Mental Health Commission
To: Mental Health Commissioners From: Carol Patterson, Commission Secretary Date: June 18, 2013 Documents Pertaining to 5/23/13 Agenda items: Agenda Item
Description Page
3.A. June 27, 2013 Agenda 1 3.B. May 23, 2013 Unadopted Minutes 3 3.C. Staff Memo on Change in Commission Minutes 6 9. Alameda County Mental Health Board Minutes 4/8/13 7 9.A. Peer Run Respite – Second Story House webpage 17 12. July Agenda Item Tracking Form 19 Documents Pertaining to items not agenda
Description Page June Commission Communications 22 Commission Membership Grid 23 Subcommittee Membership 24 Corrected April 25, 2013 Minutes 25
Office: 3282 Adeline St. • Berkeley, CA 94703 • (510) 981-5217 • (510) 981-5255 FAX
Health, Housing & Community Services Department Mental Health Commission
Berkeley/Albany Mental Health Commission Agenda
North Berkeley Senior Center Regular Meeting 1901 Hearst St. Classroom A & B June 27, 2013 7pm – 9pm
The Commission may take action on any agenda item. 7:00 1. Roll Call 7:05 2. Public Comment on items not on the agenda
(Speakers will be limited to 3 minutes or less dependent on time availability.) 7:10 3. Preliminary Business
A. Action Item: Approval of the June 27, 2013 agenda B. Action Item: Approval of the May 23, 2013 minutes C. Staff Announcements/Updates
7:15 4. Discussion and Possible Action Item: Commission recommendation in
response to February 12, 2013 Berkeley Police Department in-custody death
7:25 5. Report from Mental Health Division (Kelly or Jane)
7:45 6. Commission Retreat Planning A. Focus/purpose of retreat B. Date
8:00 7. Subcommittee Reports A. Oversight B. By-Laws C. Safety D. Informed Consent 8:20 8. Liaison Reports
A. Berkeley CIT Council (Paul) B. MHSA Advisory Committee (Chuck) C. Safety (Anna Mae) D. City Council (Jesse)
8:40 9. Alameda County Mental Health Board Liaison Report (Carole)
A. Action Item: Authorize Commissioner Marasovic to discuss with Alameda County MH Board, on behalf of the Commission, the exploration of the
1
3282 Adeline St. • Berkeley, CA 94703 • (510) 981-7721 • (510) 981-5255 FAX
development of a respite house as an alternative to incarceration or hospitalization.
8:45 10. California Association of Local Mental Health Boards/Commissions (Carole) 8:50 12. Prioritizing Future Agenda Items 9:00 13. Adjournment Communications to Berkeley boards, commissions or committees are public record and will become part of the City’s electronic records, which are accessible through the City’s website. Please note: e-mail addresses, names, addresses, and other contact information are not required, but if included in any communication to a City board, commission or committee, will become part of the public record. If you do not want your e-mail address or any other contact information to be made public, you may deliver communications via U.S. Postal Service or in person to the secretary of the relevant board, commission or committee. If you do not want your contact information included in the public record, please do not include that information in your communication. Please contact the secretary to the relevant board, commission or committee for further information. The Health, Housing and Community Services Department does not take a position as to the content.
Contact person: Carol Patterson, Mental Health Commission Secretary at 981-7721 or [email protected].
Communication Access Information: This meeting is being held in a wheelchair accessible location. To request a disability-related accommodation(s) to participate in the meeting, including auxiliary aids or services, please contact the Disability Services specialist at 981-6342 (V) or 981-6345 (TDD) at least three business days before the meeting date. Please refrain from wearing scented products to this meeting. Attendees at trainings are reminded that other attendees may be sensitive to various scents, whether natural or manufactured, in products and materials. Please help the City respect these needs. Thank you. SB 343 Disclaimer Any writings or documents provided to a majority of the Commission regarding any item on this agenda will be made available for public inspection in the SB 343 Communications Binder located at the Family, Youth and Children’s Clinic at 3282 Adeline Street, Berkeley.
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3282 Adeline St. Berkeley, CA 94704 Tel: 510.981-7721 Fax: 510.981-5255 TDD: 510.981-6903
Department of Health Services Mental Health Commission
Berkeley/Albany Mental Health Commission Unadopted Minutes
North Berkeley Senior Center Regular Meeting 1901 Hearst Ave. Workshop B May 23, 2013 at 7:00 pm Members of the Public Present: Carl Butler, Alan Cohen, Michael Diehl, Pat Mapps, Jonah Markowitz, Maria Moore, Jean-Marie Herve Michel, Jr. Staff Present: Jane Micallef, Carol Patterson, Ofc. Jeff Shannon 1. Call to Order at 7:10 pm
Commissioners Present: Jesse Arreguin (Chair), Jeffrey Davis (arrived at 7:10 pm), Shelby Heda (arrived at 7:10 pm), Paul Kealoha-Blake, Carole Marasovic, Shirley Posey. Commissioners Absent: Charles Black, Kim Nemirow, Anna Mae Stanley.
2. Public Comment
1 member of the public commented on the recent May Is Mental Health Month event and Commissioner attendance.
3. Preliminary Business
A. Approval of May 23, 2013 Agenda M/S/C (Marasovic, Davis) Move to approve the May 23, 2013 Agenda with the elimination of Item #9, Subcommittee reports. Ayes: Arreguin, Davis, Heda, Kealoha-Blake, Marasovic, Posey, Noes: None; Abstentions: None; Absent: Black, Nemirow, Stanley. 1 member of the public commented on the agenda regarding the Safety Plan.
B. Approval of the April 25, 2013 minutes
M/S/C (Marasovic, _______) To approve the April 25, 2013 minutes with the following modifications: 1. Under Items #2 Public Comment &, #6 Response to February 12, 2013
Berkeley Police department in-custody death: Commissioner Kealoha-Blake distributed Policy GD C-66 and the original press release pertaining to the in-custody death as well as a handout on Excited Delirium.
2. Item #5, May Is Mental Health Month Planning should read: “Commissioner Posey stated she believed she was excluded from the planning process because all the meetings were held on days she worked. She would like the Commission to be polled as to availability for planning meetings. Commissioner Heda expressed interest in providing an opportunity for the public to express their concerns and be referred to agencies. Commissioner Marasovic expressed interest in having a public forum where the public could provide feedback about mental health services in Berkeley.”
3
Mental Health Commission May 23, 2013
3. Under Item #11, California Association of Local Mental Health Boards/Commissions (CALMHB/C), sentence 2: “Commissioner Marasovic relayed that Richard Van Horn, Chair of the Oversight and Accountability Commission, stated at the April CALMHB/C meeting that local Mental Health Boards needed training in law, advocacy and assertiveness…”
Ayes: Arreguin, Davis, Heda, Kealoha-Blake, Marasovic, Posey; Noes: None; Abstentions: None; Absent: Black, Nemirow, Stanley.
C. Staff Announcements
4. Presentation on the Berkeley Crisis Intervention Team – Ofc. Jeff Shannon Ofc. Shannon outlined the history of Crisis Intervention Training (CIT) and development of the Berkeley Crisis Intervention Team. In the Berkeley Police Department, 25 personnel have been identified for the Crisis Intervention Team and, at this point, 12 have been CIT trained. Ofc. Shannon responded to comments and questions and distributed the CIT brochure, the Crisis Intervention Team roster, and the course summaries for the comprehensive CIT offered in Oakland. 5 members of the public asked questions about and commented on the Berkeley Crisis Intervention Team The Commissioners agreed to extend the meeting until 9:30 pm.
5. Action Item: Recommendation to City Council to create a Task Force to address
police response and services for persons with mental health crises M/S/C (Arreguin, Kealoha-Blake) The Mental Health Commission recommends City Council create a Task Force to address police response and services for people experiencing mental health crises, including individuals who have a history of non-compliance with treatment, have been unable to reach and engage in ongoing treatment, or have displayed aggressive behavior that is potentially harmful to themselves or others. This task force should be comprised of representatives of the Mental Health Commission, Mental Health Division staff, Police Department staff, consumers, families, service providers, consumer advocates, County representatives and other stakeholders, with the goal of developing a set of recommendations for improving police response and the delivery of services to this population. 4 members of the public commented on the need for a task force. Ayes: Arreguin, Davis, Heda, Kealoha-Blake, Marasovic, Posey; Noes: None; Abstentions: None; Absent: Black, Nemirow, Stanley.
6. Discussion and Possible Action Item: Commission recommendation in response to February 12, 2013 Berkeley Police Department in-custody death No action taken.
7. May Is Mental Health Month Debriefing
8. Planning for a Commission Retreat There was a general consensus that the Commission wanted to have a retreat.
10. Liaison Reports – tabled due to lack of time
4
Mental Health Commission May 23, 2013
11. Alameda County Mental Health Board Liaison Report – tabled due to lack of time
12. California Association of Local Mental Health Boards/Commissions (CALMB/C) – tabled due to lack of time
Prioritizing agenda Items for next month: identifying focus of a Commission retreat and a Division report.
Adjournment at 9:30 pm. Minutes submitted by: ____________________________________ Carol Patterson, Commission Secretary
5
1
Memorandum
To: Mental Health Commissioners
From: Carol Patterson, Mental Health Commission Secretary
Date: 6/18/2013
Re: Change in Commission minutes
While the City of Berkeley has advocated that all Commission minutes be strictly action minutes, I have attempted to provide a level of detail similar to that of other local mental health boards.
Despite my taking notes during the meeting, and then listening to the recording of the meeting one or more times, there continues to be a great deal of discussion, debate, amendment and rewording by Commissioners of the draft minutes.
Rather than the detail (and my hard work) being used to further the work of the Commission, the debate and amendment of the draft minutes cuts into an already full agenda. At the last meeting, it took over 15 minutes to approve the minutes, which in part created the need to extend the meeting an additional 30 minutes.
It is for these reasons, that the May 2013 minutes have been reduced to action minutes. It is my hope that in addition in being in alignment with other City Commissions, this will assist the Mental Health Commission in moving expeditiously through their Preliminary Business and onto the purpose of the meeting.
6
1
Ala
med
a C
ou
nty
Men
tal
Hea
lth
Board
Min
ute
s
Apri
l 8
, 2013 ◊
12:0
0pm
-2:0
0pm
Fir
st 5
Off
ice
Su
ite
130, 1100 S
an
Lea
ndro
Bou
leva
rd
San
Lea
ndro
, C
A 9
4578
Mee
ting c
all
ed t
o o
rder
@ 1
2:0
3P
M b
y C
hair
Pa
tric
ia S
wee
twin
e
H
OU
SE
KE
EP
ING
R
oll
Call
/Intr
oduct
ion o
f G
ues
ts
M
enta
l H
ealt
h B
oard
Mem
ber
s:
P
rese
nt:
P
atr
icia
Sw
eetw
ine,
Luve
nia
Jones
, Shel
don K
oil
es, A
lane
Fri
edri
ch, Jo
e R
ose
, D
r. L
aura
Maso
n, and
Kati
e R
odri
guez
(B
OS A
lter
nate
-Dis
tric
t 3
)
Excu
sed
:
Roch
elle
Eli
as,
Lis
a G
iffo
rd, D
oro
thy
Kin
g a
nd D
r. J
eff
Davi
dso
n
BH
CS
Sta
ff:
A
gne s
Cato
los,
Barr
y H
all
, D
r. M
ary
e T
hom
as,
Khate
ra A
slam
i, R
osa
Ward
er a
nd T
oni
Tull
ys
P
ubli
c:
Gin
ny
DeM
art
ini
(BO
S D
istr
ict
2),
Marg
ot
Dash
iell
(A
CF
C),
Den
nis
Rom
ano (
AC
CM
HA
), M
ars
ha
McI
nnis
(BH
R C
orp
.), Je
nnif
er J
imen
ez (
Unit
y C
oun
cil)
, M
ichael
Die
hl
(BO
SS/P
OC
C),
Josh
Thurm
an (
BO
S D
istr
ict
1),
Caro
le M
ara
sovi
c (B
MH
), J
anel
le O
’Hara
(M
HA
AC
), J
effr
ey D
avi
s (M
HA
AC
), L
isa S
mit
h, C
arm
en B
ali
ngit
,
PE
ER
S (
Charl
ene
Jim
erso
n, L
etty
Ele
nes
, B
re W
illi
am
s, K
imber
ly M
arq
uez
, K
ennet
h K
ozi
Arr
ingto
n, G
race
Malk
i and J
ader
Tadef
a)
ITE
M
DIS
CU
SS
ION
A
CT
ION
Wel
com
e an
d
Intr
odu
ctio
ns
Ms.
Sw
eetw
ine
wel
com
ed e
very
on
e and t
alk
ed a
bo
ut
the
foll
ow
ing:
Com
pli
ant
wit
h m
enta
l hea
lth t
reatm
ent
has
bee
n a
rec
ent
and g
row
ing c
once
rn e
xpre
ssed
by
mem
ber
s of
the
com
munit
y and t
his
board
.
The
Hea
lth C
om
mit
tee
of
the
Board
of
Super
viso
r (B
OS
) hel
d a
hea
ring
on M
arc
h 1
8th
about
AB
1421
-Laura
’s L
aw
pa
ssed
by
CA
Leg
isla
ture
in 2
002 t
o i
nfo
rm t
hem
selv
es a
nd t
o
hea
r div
erse
vie
ws
conce
rnin
g t
his
law
.
Sup. C
han i
nst
ruct
ed B
HC
S t
o r
evie
w t
esti
monie
s giv
en a
s w
ell
as
any
stake
hold
er i
nput
and t
o c
om
eback
in 3
0-4
5 d
ays
wit
h r
ecom
men
da
tion t
o t
he
Hea
lth C
om
mit
tee
regard
ing
ways
to m
eet
the
nee
ds
of
this
part
icula
r popula
tion
The
MH
B E
xec.
Com
mit
tee
dec
ided
to h
ave
a m
eeti
ng
wit
h a
spec
ial
focu
s on A
B1421
Laura
’s L
aw
bec
ause
not
all
board
mem
ber
s w
ere
able
to a
tten
d t
he
Hea
lth C
om
mit
tee
hea
ring
. T
he
purp
ose
of
today’
s m
eeti
ng i
s not
to h
old
a h
eari
ng b
ut
to a
cquain
t board
mem
ber
s w
ith L
aura
’s L
aw
, to
cove
r th
e in
tent
of
the
law
, it
’s p
urp
ose
, w
ho i
s it
des
ign t
o
serv
e, w
ha
t th
e cr
iter
ia a
re f
or
elig
ibil
ity,
the
clin
ical
and l
egal
pro
cess
.
What
the
board
wil
l not
do t
oday
is n
ot
to t
ake
a p
osi
tion o
n t
he
law
, th
ey w
ill
hea
r and
report
publi
c co
mm
ents
, th
e co
mm
ents
wil
l be
refl
ecte
d i
n t
he
min
ute
s.
7
2
ITE
M
DIS
CU
SS
ION
A
CT
ION
Wel
com
e an
d
Intr
odu
ctio
ns
The
board
wil
l not
resp
onse
to a
ny
com
men
ts o
r en
gage
in d
ialo
gu
e but
to b
e ed
uca
ted
and t
o h
ear
what
the
publi
c co
mm
ents
are
.
In t
he
inte
rest
of
tim
e, t
he
board
wil
l im
pose
a t
ime
lim
it o
n a
ll c
om
men
ts f
or
3 m
inute
s
and f
or
publi
c w
ho w
ish t
o c
om
men
t nee
d t
o f
ill
out
the
yell
ow
form
. T
her
e is
a t
imek
eep
er
to a
dher
e to
the
tim
e li
mit
.
Dir
ecto
r’s
Rep
ort
Dr.
Thom
as
pro
vided
the
foll
ow
ing i
nfo
:
Announce
men
t: T
he
BO
S i
s ha
ving a
n e
arl
y budget
work
ses
sion s
tart
ing t
om
orr
ow
,
Tues
day
at
9am
. T
he
CA
O w
ill
start
wit
h a
15 m
in p
rese
nta
tion, H
ealt
h C
are
im
med
iate
ly
foll
ow
s, a
nd A
lex
Bri
scoe
wil
l pre
sent
an o
verv
iew
of
the
HC
SA
req
ues
ted b
udget
for
this
year.
Intr
oduce
d D
r. A
aro
n C
hapm
an (
BH
CS M
edic
al
Dir
ecto
r) w
ho w
ill
be
the
inte
rim
BH
CS
Dir
ecto
r un
til
a n
ew p
erm
anen
t dir
ecto
r is
iden
tifi
ed a
nd h
ired
. D
r. C
hapm
an t
alk
ed a
bout
his
ba
ckgro
und
in B
HC
fie
ld.
An
Ove
rvie
w o
f
AB
1421/L
au
ra’s
Law
Dr.
Thom
as
and M
s. T
ull
ys p
rovi
ded
an o
verv
iew
of
AB
1421/L
aura
’s L
aw
:
AB
1421/L
aura
’s L
aw
Des
crip
tion:
▫ L
aura
’s L
aw
was
enact
ed i
n 2
002, fo
llow
ing t
he
murd
er o
f L
aura
Wil
cox
in N
evada
County
an
d i
t’s
base
d o
n K
endra
’s L
aw
in N
ew Y
ork
.
▫ It
is
des
igned
to p
rovi
de
ass
iste
d o
utp
ati
ent
trea
tmen
t (A
OT
) fo
r p
eople
who t
ypic
all
y
are
non-c
om
pli
ant
and i
t all
ow
s co
unti
es t
o c
hoose
whet
her
or
not
to i
mple
men
t co
urt
ord
ered
AO
T p
rogra
ms
Inte
nt:
▫ T
o p
rovi
de
a b
ridge
to r
ecove
ry f
or
adult
s w
ho h
ave
bee
n n
on
-com
pli
ant
wit
h t
hei
r
trea
tmen
t, f
ail
ed t
o e
ngage
in s
ervi
ces,
ha
ve b
een i
nca
rcer
ate
d a
nd/o
r hosp
itali
zed a
nd
are
det
erio
rati
ng a
s a r
esult
of
inabil
ity
to m
ain
tain
thei
r ow
n t
reatm
ent.
Req
uir
emen
ts:
▫ T
her
e are
spec
ific
eli
gib
ilit
y cr
iter
ia a
nd t
her
e are
def
ined
cate
gori
es o
f outp
ati
ent
serv
ices
that
have
bee
n o
rder
ed b
y a c
ourt
▫ In
cludes
addit
ional
court
pro
cess
es a
nd p
rovi
des
180 d
ays
of
trea
tmen
t w
ith o
ne
opti
on f
or
anoth
er 1
80 d
ay
exte
nsi
on
Eli
gib
ilit
y C
rite
ria
e.g
.
▫ 18 y
ears
of
age
or
old
er,
exper
ien
cing s
ignif
icant
issu
es r
elate
d t
o t
hei
r m
enta
l il
lnes
s
and u
nli
kely
to s
urv
ive
safe
ly i
n t
he
com
munit
y w
ithout
super
visi
on b
ase
d o
n c
linic
al
det
erm
inati
on
▫ H
ave
a h
isto
ry o
f non
-co
mpli
ant
wit
h t
reatm
ent
that
has
bee
n a
sig
nif
icant
fact
or
in
bei
ng i
n a
hosp
ital,
pri
son o
r ja
il a
t le
ast
tw
ice
ove
r 36 m
onth
s per
iod o
r re
sult
ed i
n
one
or
more
act
s, a
ttem
pts
or
thre
ats
or
seri
ous
viole
nt
beh
avi
or
tow
ard
sel
f or
oth
ers
wit
hin
the
last
48 m
onth
s.
Init
iati
on o
f Ser
vice
s e.
g.
8
3
ITE
M
DIS
CU
SS
ION
A
CT
ION
An
Ove
rvie
w o
f
AB
1421/L
au
ra’s
Law
(Con
t.)
▫ P
etit
ion t
o i
mpose
AO
T c
an b
e fi
led b
y va
riet
y of
peo
ple
, in
cludin
g f
am
ily
mem
ber
s,
poli
ce, pro
bati
on o
ffic
ers
and t
reatm
ent
pro
vider
s.
Tre
atm
ent
Model
e.g
.
▫ A
sser
tive
Com
munit
y A
ct M
odel
-wra
ppin
g f
ull
ser
vice
s aro
und
a p
erso
n w
ith m
enta
l
illn
ess
Imple
men
tati
on
e.g
.
▫ R
equir
es B
OS r
esolu
tion
and r
equir
es p
lannin
g m
eeti
ngs
and d
evel
opm
ent
of
educa
tion
al
pro
gra
m f
or
the
com
munit
y and
sta
kehold
ers
Imple
men
tati
on C
hall
enges
e.g
.
▫ In
volu
nta
ry t
reatm
ent
rais
es i
ssues
of
peo
ple
’s r
ights
▫ C
onta
ins
no p
rovi
sion f
or
forc
ed t
reatm
ent
incl
ud
ing m
edic
ati
ons
▫ E
xist
ing L
PS l
aw
def
ines
invo
lunta
ry t
reatm
ent
pro
cess
es
▫ F
undin
g c
annot
com
e fr
om
curr
ent
volu
nta
ry m
enta
l hea
lth s
ervi
ces
County
Im
ple
men
tati
on
▫ O
nly
Nev
ada c
ounty
has
full
y im
ple
men
ted a
Laura
’s L
aw
AO
T p
rogra
m a
s it
’s w
ritt
en
▫ T
hre
e co
unti
es h
ave
dev
eloped
volu
nta
ry, m
odif
ied L
aura
’s L
aw
pro
gra
ms:
1)L
os
Angel
es 2
) San F
ranci
sco 3
) San D
iego
Dif
feri
ng P
ersp
ecti
ves
▫ T
her
e are
a l
ot
of
dif
fere
nt
opin
ions
not
only
in A
lam
eda C
ounty
but
acr
oss
CA
▫ T
he
law
co
nta
ins
no p
rovi
sions
for
forc
ed t
reatm
ent
incl
udin
g m
edic
ati
ons.
▫ A
OT
pro
gra
ms
dep
end u
pon t
he
pow
er o
f th
e co
urt
.
The
Lante
rma
n-P
etri
s-Short
(L
PS
) A
ct
▫ C
A L
egis
lati
on p
ass
ed i
n 1
967 a
nd i
mple
men
ted i
n 1
972
▫ Shif
ted f
ocu
s to
com
munit
y m
enta
l hea
lth s
etti
ng a
nd s
tren
gth
ened
cli
ents
’ ri
ghts
▫ R
egula
tions
for
invo
lunta
ry s
ervi
ces,
cli
ents
’ ri
ghts
, co
nse
rvato
rship
s
LP
S L
aw
an
d I
nvo
lunta
ry T
reatm
ent
e.g.
▫ U
nder
LP
S l
aw
, so
me
peo
ple
can b
e re
quir
ed t
o r
ecei
ve t
reatm
ent
▫ L
PS l
aw
was
dev
eloped
in c
onte
xt o
f abuse
s in
the
past
so i
t se
ts a
ver
y hig
h s
tandard
for
invo
lunta
ry t
reatm
ent
LP
S I
nvo
lunta
ry H
old
s
▫ 5150-7
2 h
our
hold
fo
r ev
alu
ati
on a
nd t
reatm
ent
▫ 5250-1
4 d
ay
hold
for
eva
luati
on a
nd t
reatm
ent
▫ 5270-a
ddit
ional
hold
for
inte
nsi
ve t
reatm
ent
▫ 5300-1
80 d
ay
hold
if
danger
to o
ther
s
▫ 5350-5
372
-tem
pora
ry (
30 d
ays
to 6
month
s) a
nd p
erm
anen
t (o
ne
year
ren
ewable
)
conse
rvato
rship
s fo
r gra
vely
dis
able
d i
ndiv
iduals
Most
eff
ecti
ve s
trate
gy
for
long
-ter
m r
ecove
ry i
s to
have
cli
ents
eng
ag
e in
thei
r tr
eatm
ent
volu
nta
rily
9
4
ITE
M
DIS
CU
SS
ION
A
CT
ION
An
Ove
rvie
w o
f
AB
1421/L
au
ra’s
Law
(Con
t.)
▫ A
dva
nce
s in
tre
atm
ent
pro
vide
new
appro
ach
es t
o t
reat
indiv
idu
als
liv
ing w
ith s
erio
us
men
tal
illn
ess
▫ M
edic
ati
ons
now
exi
st t
hat
can c
ontr
ol
sym
pto
ms
for
most
cli
ents
▫ T
her
e are
many
effe
ctiv
e tr
eatm
ent
and p
rogra
m m
odel
s e.
g. F
SP
s. B
eha
viora
l H
ealt
h
Court
, P
eer
and f
am
ily
support
s
BH
CS A
dult
Sys
tem
of
Care
Ser
vice
s in
clude:
FS
Ps;
Adult
Ser
vice
Tea
ms;
Housi
ng a
nd
Em
plo
ymen
t P
rogra
ms;
Com
munit
y B
ase
d W
elln
ess
Cen
ters
; P
eer
support
s and
ser
vice
s;
Indiv
idual
men
tal
hea
lth p
rovi
der
s and F
am
ily
Ed
uca
tion R
esourc
e C
ente
r
BH
CS P
rogra
ms
tha
t Support
Laura
’s L
aw
Popula
tion
▫ C
ourt
Advo
cacy
Pro
ject
-cli
nic
ians
iden
tify
cli
ents
that
would
ben
efit
fro
m f
ore
nsi
c
pro
gra
ms
▫ B
ehavi
ora
l H
ealt
h C
ou
rt-a
part
ner
ship
bet
wee
n B
HC
S, C
ourt
, P
ubli
c D
efen
der
,
Dis
tric
t A
ttorn
eys
and c
lien
ts
▫ 2 F
SP
s aff
ilia
ted w
ith
BH
court
:
1)
TrA
CT
is
a o
ne
year
transi
tional
pro
gra
m t
o s
tabil
ize
indiv
iduals
rel
ease
d f
rom
jail
2)
FA
CT
1-2
yea
r fo
rensi
c pro
gra
m t
o s
upport
rei
nte
gra
tion i
nto
com
munit
y
Tota
l cl
ient
serv
ed:
FY
11/1
2-3
65 F
Y 1
2/1
3 t
o d
ate
-318
Incr
easi
ng
Un
der
standin
g o
f M
enta
l Il
lnes
s in
Ala
med
a C
ounty
▫ C
risi
s In
terv
enti
on T
rain
ing
-272 o
ffic
ers
train
ed f
rom
13 d
iffe
rent
poli
ce d
epts
.
▫ M
enta
l H
ealt
h F
irst
Aid
-40 p
rese
nta
tions;
513 A
lam
eda C
ounty
res
iden
ts t
rain
ed
2013 P
ropose
d L
egis
lati
on o
n L
aura
’s L
aw
▫ SB
585 (
auth
ore
d b
y D
arr
yl S
tein
ber
g)
would
all
ow
the
use
of
MH
SA
fundin
g f
or
Laura
’s L
aw
ser
vice
s. A
s of
this
morn
ing, th
ere
was
a p
ress
rel
ease
d w
ith l
anguage
bei
ng c
hanged
to a
ll a
vail
able
fundin
g w
ithin
MH
Dep
t. w
ill
be
able
to b
e use
d f
or
Laura
’s L
aw
ser
vice
s.
▫ SB
664 (
Lel
and Y
ee)
would
enable
counti
es t
o i
mple
men
t L
aura
’s L
aw
wit
hout
a v
ote
of
BO
S a
nd a
llow
ing c
ounti
es t
o c
ap t
he
num
ber
of
peo
ple
in a
n A
OT
pro
gra
m a
nd
clari
fy t
hat
counti
es c
an u
se M
HSA
Fundin
g f
or
Laura
’s L
aw
ser
vice
s.
▫ A
B1265 (
Conw
ay)
would
ext
end t
he
init
ial
per
iod o
f co
urt
ord
ered
tre
atm
ent
under
Laura
’s L
aw
fro
m 6
month
s to
1 y
ear
and w
ould
req
uir
e th
at
indiv
iduals
rel
ease
d f
rom
invo
lunta
ry c
ivil
com
mit
men
ts b
e ev
alu
ate
d f
or
AO
T i
n t
he
counti
es t
hat
have
imple
men
ted t
hes
e pro
gra
ms.
▫ A
B1367 (
Manso
or)
would
enable
counti
es t
o u
se M
HSA
fundin
g f
or
Laura
’s L
aw
serv
ices
.
Nex
t Ste
ps:
▫ B
OS a
sked
BH
CS A
dm
in.
to c
om
eback
wit
hin
30
-45 d
ays
wit
h r
ecom
men
da
tion
▫ T
hey
are
lis
tenin
g t
o t
esti
mony
and w
ill
take
them
into
acc
ount
▫ T
hey
are
havi
ng c
on
vers
ati
ons
wit
h C
onse
rvato
r’s
Off
ice
and o
ther
sta
keh
old
ers
10
5
ITE
M
DIS
CU
SS
ION
A
CT
ION
An
Ove
rvie
w o
f
AB
1421/L
au
ra’s
Law
(Con
t.)
▫ T
hey
wil
l be
looki
ng a
t oth
er p
rogra
ms
that
have
bee
n i
mple
men
ted
Board
Com
men
ts:
Ms.
Fri
edri
ch a
sked
for
clari
fica
tion o
n A
B1265 a
bout
the
phra
se “
indiv
iduals
rel
ease
d
from
invo
lunta
ry c
ivil
co
mm
itm
ents
” i
f it
’s t
alk
ing a
bout
Santa
Rit
a.
Dr.
Thom
as
resp
onded
that
civi
l co
mm
itm
ent
is u
nder
LP
S o
r it
cou
ld b
e a 2
4 h
our
or
14
day
hold
. S
anta
Rit
a i
s in
volu
nta
ry b
ut
it’s
not
civi
l co
mm
itm
ent.
Mr.
Koil
es w
ould
lik
e a c
lari
fica
tion w
her
e it
was
state
d t
hat
ther
e is
no
forc
ed t
reatm
ent
on m
edic
ati
on o
r any
oth
er t
reatm
ent.
What
if t
he
consu
mer
does
n’t
want
trea
tmen
t, w
hat
can h
appen
to c
onsu
mer
and w
hat
furt
her
ste
ps
are
take
n b
y co
urt
or
county
.
Dr.
Thom
as
resp
onded
that
they
pro
bably
nee
d t
o a
sk t
he
counti
es t
hat
have
done
part
ial
imple
men
tati
on.
She
bel
ieve
d t
hat
if t
he
consu
mer
is
no
t w
illi
ng t
o e
nte
r in
to a
nd g
o
thro
ugh v
ari
ou
s st
eps
or
have
n’t
bee
n a
ssig
ned
to a
n A
OT
, re
fusi
ng t
reatm
ent
and
conti
nues
to d
eter
iora
te t
hey
wil
l go b
ack
to t
he
LP
S c
om
mit
men
t pro
cess
.
Mr.
Koil
es f
elt
that
AO
T s
ounds
like
it
mig
ht
be
consi
der
ed k
ind o
f tr
eatm
ent
in i
tsel
f. I
t
has
an
eff
ect
in o
rder
to m
ayb
e put
the
consu
mer
on n
oti
ce t
hat
he
mig
ht
be
com
mit
ted o
n
LP
S a
nd m
ight
make
the
consu
mer
shape
up o
r pu
t th
emse
lves
toget
her
. T
his
pro
gra
m
sounds
like
it
mig
ht
make
com
mit
men
t le
ss r
ath
er m
ore
.
Dr.
Thom
as
resp
onded
that
they
have
cer
tain
ly h
eard
that
som
etim
es j
ust
havi
ng t
he
court
inte
rven
e and i
n t
he
back
gro
und t
her
e’s
enough t
o d
o t
o h
ave
the
per
son s
hape
up a
nd b
e
more
com
pli
ant
but
it d
oes
not
forc
e anyt
hin
g.
Mr.
Rose
sta
ted t
hat
as
a C
hair
of
Leg
isla
tive
Com
mit
tee,
they
only
ha
ve a
bout
4 p
eople
att
endin
g L
egis
lati
ve C
om
mit
tee
regula
rly.
He
do
esn’t
see
wher
e th
e L
egis
lati
ve
Com
mit
tee
wil
l be
com
ing b
ack
wit
h a
posi
tion;
they
may
com
e ba
ck w
ith s
om
e per
sonal
opin
ion b
ut
felt
that
they
don’t
have
enough f
oru
ms
to c
om
e back
to t
he
board
at
least
at
this
poin
t in
tim
e.
Ms.
Sw
eetw
ine
resp
onded
that
it’s
fin
e bec
ause
she
would
just
lik
e to
make
sure
that
the
board
is
educa
ted r
egard
ing L
aura
’s L
aw
.
11
6
ITE
M
DIS
CU
SS
ION
A
CT
ION
An
Ove
rvie
w o
f
AB
1421/L
au
ra’s
Law
(Con
t.)
Publi
c C
om
men
ts:
Gra
ce M
alk
i-a r
esid
ent
in A
lbany,
born
and r
ais
ed i
n B
erke
ley.
She’
s a c
onsu
mer
wit
h
post
-tra
um
ati
c st
ress
dis
ord
er a
nd s
he’
s in
rec
ove
ry f
or
alc
oholi
sm. She’
s a t
her
apis
t in
train
ing, w
ork
ing
in a
counse
ling c
ente
r in
Ber
kele
y w
her
e sh
e pro
vides
th
erapeu
tic
serv
ices
to i
nd
ivid
uals
, co
uple
s, a
dole
scen
ts a
nd f
am
ilie
s. S
he
rela
ted h
er o
wn e
xper
ience
in a
n i
nvo
lunta
ry t
reatm
ent
wher
e sh
e re
ceiv
ed a
lot
of
stig
mati
zing w
ord
s and w
as
sexu
all
y hara
ssed
. S
he
work
s w
ith m
andate
d c
lien
ts a
lot
and s
he
finds
that
mandate
d
clie
nts
do
much
poore
r th
an c
lien
ts w
ho r
eall
y w
ant
to b
e th
ere.
She
stand
s ve
ry s
trongly
for
volu
nta
ry t
reatm
ent
and w
hen
she
work
s w
ith m
andate
d c
lien
ts, sh
e em
pow
ers
them
to
make
thei
r ow
n h
ealt
hy
dec
isio
ns
and t
o f
ind t
hei
r ow
n w
ays
to v
olu
nta
rily
be
pre
sent.
Jader
Tadef
a-h
as
bee
n a
consu
mer
of
the
men
tal
hea
lth s
yste
m f
or
ove
r 20 y
ears
now
. H
is
dia
gnosi
s is
psy
cho
-eff
ecti
ve d
isord
er a
s w
ell
as
addic
tion t
o a
lcohol
issu
es. H
e has
bee
n
hom
eles
s se
vera
l ti
mes
and h
e has
bee
n i
n p
sych
faci
liti
es c
ountl
ess
tim
es s
uch
as
John
Geo
rge,
Vil
la F
air
mont,
Her
rick
, and G
ladm
an w
her
e he
has
bee
n p
ut
in f
ull
res
train
t and
ove
r m
edic
ate
d s
ever
al
tim
es. H
e’s
now
in 4
yea
rs o
f to
tal
abst
inen
ce f
or
dru
gs
and
alc
ohol.
He
bel
ieve
d t
hat
the
last
thin
g p
eople
nee
d c
om
ing o
ut
of
traum
ati
c ex
per
ience
of
bei
ng i
n a
hosp
ital
is t
o b
e fo
rced
into
tre
atm
ent.
He
bel
ieve
d t
hat
the
bes
t w
ay
for
anyo
ne
to r
ecove
r is
for
them
to b
e able
to m
ake
th
eir
ow
n c
hoic
es i
n t
reatm
ent.
He
has
bee
n
work
ing i
n m
enta
l hea
lth f
ield
for
2 y
ears
now
and l
ivin
g i
ndep
enden
tly
on
his
ow
n. H
e
rela
ted t
hat
ther
e are
sev
eral
pla
ces
in t
he
county
that
can h
elp c
onsu
mer
s get
volu
nta
ry
trea
tmen
t and b
e su
cces
sful
in r
ecove
ry e
.g. B
onit
a H
ouse
, C
asa
Del
a V
ida, B
AC
S,
Wel
lnes
s C
ente
rs, O
pti
ons
Rec
ove
ry C
ente
r, e
tc.
Bre
Wil
liam
s-sh
e has
bee
n a
consu
mer
sin
ce 2
004 a
nd a
t th
e hei
ght
of
her
chall
enges
she
felt
that
she
would
have
fit
the
crit
eria
to g
et c
ourt
ord
ered
tre
atm
ent
under
Laura
’s L
aw
.
She
rela
ted h
ow
her
moth
er t
ried
hel
pin
g w
ith h
er m
enta
l hea
lth c
hall
enges
but
she
felt
that
they
forc
ed t
hei
r ch
oic
es o
f w
hat
they
thought
she
nee
ded
. S
he
was
oft
en s
tigm
ati
zed
and f
elt
that
the
situ
ati
ons
wer
e w
ors
e th
an w
hat
they
wer
e. H
er r
oad t
o r
ecove
ry b
egan
when
her
moth
er g
ot
into
men
tal
hea
lth f
ield
and f
ound o
ut
about
Wel
lnes
s R
ecove
ry
Act
ion P
lan (
WR
AP
). S
he
learn
ed f
rom
WR
AP
th
at
she
had t
o f
ind w
hat
was
right
wit
hin
her
and b
uil
d u
p t
hose
str
ength
s so
ther
e’s
no r
oo
m f
or
anyt
hin
g t
o b
e w
rong. She
bel
ieve
d
that
any
per
son c
an a
nd w
ill
reco
ver,
if
they
bel
ieve
that
ther
e is
ho
pe,
if
they
are
com
pet
ent,
if
they
take
ca
re o
f th
emse
lves
acc
ord
ingly
whic
h i
s per
sonal
resp
onsi
bil
ity,
if
they
know
what
thei
r dia
gnosi
s is
and f
ind o
ut
what
tools
and s
uppo
rts
can h
elp t
hem
lik
e
educa
tion a
nd
what
thin
gs
don’t
hel
p t
hem
. She
urg
es t
he
BO
S t
o e
xpand m
ore
volu
nta
ry
trea
tmen
t opti
ons
wit
hin
the
com
munit
y.
Mic
hael
Die
hl-
he’
s a p
eer
counse
lor
since
1990 f
rom
Ber
kele
y fr
ee c
linic
, a c
om
munit
y
org
aniz
er w
ith B
OSS
doin
g s
tree
t outr
each
, a c
on
sum
er a
nd w
as
hom
eles
s. H
e st
ate
d t
hat
ther
e are
a l
ot
of
good p
rogra
ms
that
are
work
ing. H
e’s
support
ing a
lot
of
alt
ernati
ves
to
12
7
ITE
M
DIS
CU
SS
ION
A
CT
ION
An
Ove
rvie
w o
f
AB
1421/L
au
ra’s
Law
(Con
t.)
invo
lunta
ry o
utp
ati
ent,
he’
s in
support
of
AC
T a
nd b
een i
nvo
lved
wit
h t
he
CIT
. H
e’s
part
of
giv
ing i
nput
to H
OST
and F
AC
T P
rogra
m. T
her
e is
men
tal
hea
lth c
ourt
and
conse
rvato
rship
so
he
felt
that
ther
e is
no
nee
d f
or
more
invo
lunta
ry p
rogra
ms.
He
state
d
that
the
thin
gs
that
peo
ple
are
co
nce
rn a
bout
like
the
viole
nce
again
st s
om
ebody
is
cove
red u
nd
er 5
150. H
e fe
lt t
hat
ther
e is
no
nee
d t
o t
ake
ext
ra s
teps
and h
e does
n’t
want
to
see
fundin
g t
ake
n a
wa
y fr
om
the
pro
gra
ms
that
are
work
ing.
Charl
ene
Jim
erso
n-s
he’
s a c
onsu
mer
, a W
RA
P f
aci
lita
tor
and a
cli
ent
of
Bonit
a H
ouse
.
She
addre
ssed
vari
ou
s co
nce
rns
e.g. housi
ng s
ubsi
dy
take
n a
wa
y fr
om
her
bec
ause
the
pro
vider
thou
ght
she
wasn
’t c
ooper
ati
ng. She
felt
that
the
pow
er t
hat
pro
vider
s have
is
maki
ng M
HSA
not
work
for
consu
mer
s. S
he
felt
th
at
they
have
too m
uch
lee
way,
they
don’t
giv
e pre
set
guid
elin
es,
an
d t
hey
don’t
tel
l co
nsu
mer
s w
hat
thei
r ri
ghts
are
. She
felt
that
if
Laura
’s L
aw
was
pass
ed i
t w
ould
be
the
sam
e th
ing;
ther
e w
ill
be
no g
uid
elin
es f
or
consu
mer
rig
hts
on h
ow
they
wo
uld
be
com
mit
ted i
nto
tre
atm
ent
and s
he
felt
it
would
take
aw
ay
free
dom
of
choic
e and t
he
gri
evance
pro
cess
. S
he
addre
ssed
that
BH
CS h
as
only
one
gri
evance
per
son, sh
e w
ould
lik
e to
know
why
it’s
only
one
for
all
the
pro
vider
s. S
he
felt
that
it’s
inef
fect
ive
and t
hat
consu
mer
s are
not
bei
ng h
eard
.
Joe
Rose
spoke
as
a p
ubli
c. H
e’s
the
pre
siden
t of
NA
MI
Ala
med
a C
ounty
South
. H
e w
ould
like
to t
hank
Dr.
Thom
as
for
doin
g t
he
Innova
tion G
rant
bec
ause
he
felt
that
ther
e are
a
lot
of
po
siti
ve t
hin
gs
that
cam
e out
of
the
gra
nt
pro
cess
. O
ne
of
the
gra
nte
es t
hat
he
was
invo
lved
per
sonall
y w
as
on t
he
Men
tor
on D
isch
arg
e P
rogra
m i
n J
ohn G
eorg
e. B
y havi
ng
men
tors
com
e to
the
hosp
ital
and m
eet
wit
h p
ati
ents
pri
or
to d
isch
arg
e re
duce
d
hosp
itali
zati
on r
ate
s w
ithin
12 m
onth
s by
72.3
%. H
e re
late
d t
hat
NA
MI
AC
South
board
just
vote
d t
o t
ake
on t
he
resp
onsi
bil
ity
of
pro
vidin
g m
ento
rs a
nd t
hey
are
in t
he
pro
cess
of
rees
tabli
shin
g a
rel
ati
onsh
ip w
ith J
ohn G
eorg
e to
sta
rt p
rovi
din
g m
ento
rs a
gain
to t
he
hosp
ital
and t
hey
are
als
o t
alk
ing w
ith s
om
e pri
vate
faci
liti
es a
bout
men
tor
pro
gra
m.
Agen
da R
evie
w
Ms.
Jones
mad
e a
moti
on t
o a
ccep
t th
e M
HB
Apri
l 2013 a
gen
da a
s su
bm
itte
d.
M
/S/C
Ms.
Jones
/
Ms.
Buch
anan
All
favo
red
Moti
on p
ass
ed
App
rova
l of
MH
B
Feb
. an
d M
ar.
2013
min
ute
s
Ms.
Fri
edri
ch m
ade
a m
oti
on t
o a
ppro
ve F
eb. and M
ar.
2013 M
HB
min
ute
s.
M/S
/C M
s. F
ried
rich
/
Ms.
Jones
All
favo
red
Moti
on p
ass
ed
Dis
cuss
ion I
tem
s:
Foll
ow
-up M
HB
Tra
inin
g o
n
Imple
men
tati
on o
f
MH
B R
ole
s and
Ms.
Sw
eetw
ine
state
d t
hat
she
was
not
able
to a
tten
d t
he
board
tra
inin
g b
ut
she
got
a c
ouple
of
com
men
ts f
rom
the
MH
B m
ember
s, t
hey
fel
t th
at
the
train
ing w
as
very
hel
pfu
l and t
hey
would
like
to s
ugges
t to
take
a s
econd s
tep t
o i
t to
have
im
ple
men
tati
on o
f m
eeti
ng b
oard
goals
and
obje
ctiv
es t
o d
evel
op a
work
pla
n f
or
the
rem
ain
der
of
the
year.
She
wo
uld
lik
e to
get
input
and f
eedback
fro
m t
he
bo
ard
who a
tten
ded
the
train
ing
.
13
8
ITE
M
DIS
CU
SS
ION
A
CT
ION
Res
ponsi
bil
itie
s and
BH
CS R
ole
s and
Res
ponsi
bil
itie
s
Dr.
Maso
n f
elt
that
it w
as
reall
y hel
pfu
l tr
ain
ing, ve
ry i
nfo
rmati
ve a
nd i
t w
as
reall
y w
ell
done.
One
thin
g s
he
had
rea
lize
d a
s a b
oard
, one
of
the
way
to g
et f
eedback
to t
he
BO
S i
s pic
k an
issu
e, s
pen
d t
ime
work
ing o
n i
t and c
om
e up w
ith e
ither
rec
om
men
dati
on o
r a p
osi
tion t
hat
the
board
would
com
munic
ate
to t
he
BO
S, w
hic
h s
he
felt
would
kin
d o
f ch
ange
the
board
’s f
orm
at
inst
ead o
f havi
ng p
rese
nta
tion e
very
month
, th
e bo
ard
wil
l w
ork
ove
rtim
e on i
ssues
that
they
’ve
chose
n.
Ms.
Jones
sta
ted t
hat
they
rea
lly
nee
d t
o m
ove
forw
ard
as
a b
oard
in c
hoosi
ng c
erta
in t
hin
gs
that
they
nee
d t
o l
ook
at
and w
ork
on.
Mr.
Koil
es f
elt
that
it w
as
a g
ood r
evie
w o
f w
hat
the
board
’s r
ole
s and r
esp
onsi
bil
itie
s are
but
he
felt
that
what
was
left
out
was
how
the
boa
rd c
an e
xecu
te t
hei
r ro
les
an
d r
esponsi
bil
itie
s.
He
thought
mayb
e ha
ve a
pra
ctic
e se
ssio
n o
n s
om
ethin
g t
hat
they
could
exe
cute
rath
er t
han
just
be
told
of
wha
t th
eir
role
s and r
esponsi
bil
itie
s are
.
Dr.
Maso
n a
gre
ed w
ith M
r. K
oil
es, sh
e w
ould
lik
e to
have
foll
ow
-up r
etre
at
and w
ould
lik
e to
find a
way
to l
earn
more
how
to i
mple
men
t th
e th
ings
that
they
’ve
learn
ed.
Mr.
Koil
es a
dded
that
anoth
er t
opic
that
was
left
out
was
what
are
the
role
s and
resp
onsi
bil
itie
s of
the
county
adm
in.
tow
ard
s th
e board
e.g
. guid
elin
es a
bout
what
the
Dir
ecto
r re
port
is
suppose
d t
o b
e. H
e le
arn
ed t
hat
ther
e are
no g
uid
elin
es a
nd t
hat
it’s
up t
o
the
board
to p
robe
as
they
don’t
alw
ays
know
what
to a
sk a
nd t
hey
don’t
kn
ow
what
is g
oin
g
on a
ll o
ver
the
county
.
Ms.
Sw
eetw
ine
sta
ted t
hat
Mr.
Koil
es c
once
rn i
s w
ell
take
n t
o a
poin
t, s
he
rela
ted t
hat
one
of
the
resp
onsi
bil
itie
s of
the
chair
is
to m
eet
wit
h t
he
Dir
. of
Men
tal
Hea
lth o
n a
month
ly b
asi
s.
She
get
s in
put
fro
m t
he
Exe
c. C
om
mit
tee
and t
he
full
board
to h
ave
som
e dir
ecti
on a
s to
wha
t
kind o
f ques
tions
or
conce
rns
that
they
would
lik
e th
e D
ir. of
Men
tal
Hea
lth t
o t
alk
about.
It
is
a d
ialo
gue
even
though t
her
e is
no
wri
tten
guid
elin
e pri
nci
ple
s; t
he
con
vers
ati
on i
s base
d o
n
info
rmati
on t
hat
is c
oll
ecte
d t
hro
ugh t
he
body
of
the
board
and t
he
Exe
c. C
om
mit
tee
ther
e is
som
e act
ual
dia
logue
back
and f
ort
h. If
the
board
would
lik
e to
have
som
ethin
g i
n w
riti
ng t
hat
spec
ify
what
should
be
incl
uded
in t
he
MH
Dir
ecto
r’s
report
, it
is
som
ethin
g t
hat
the
board
can w
ork
on.
Ms.
Jones
mad
e a m
oti
on f
or
the
Exe
c. C
om
mit
tee
to l
ook
at
what
the
imple
men
tati
on w
ould
be,
what
topic
s to
focu
s and t
o b
ring i
t back
to t
he
full
board
.
M/S
Ms.
Jones
/
Dr.
Maso
n
It w
as
unanim
ous
vote
for
the
Exe
c. t
o t
ake
this
topic
on a
t th
e
nex
t m
eeti
ng a
nd t
o
bri
ng
back
som
e
sugges
tions
and
reco
mm
endati
ons
to
the
board
.
Ch
air
Rep
ort
Ms.
Sw
eetw
ine
state
d t
hat
they
are
in t
he
pro
cess
of
work
ing o
n t
he
annual
report
for
the
BO
S
to b
e su
bm
itte
d i
n M
ay.
Marg
are
t W
alk
ove
r is
the
staff
per
son w
ho h
as
the
exp
erti
se o
f putt
ing
14
9
ITE
M
DIS
CU
SS
ION
A
CT
ION
Cha
ir R
eport
(C
ont.
)
toget
her
rep
ort
s and w
ill
get
in c
onta
ct w
ith E
xec.
com
mit
tee
mem
ber
s to
ask
spec
ific
ques
tions
that
would
hel
p t
he
board
in b
eing i
ncl
usi
ve i
n t
he
report
. Sh
e h
as
giv
en t
he
board
a
very
str
ict
gu
idel
ine
and d
eadli
ne.
M
s. S
wee
twin
e and M
s. W
alk
ove
r w
ill
be
mee
ting
tom
orr
ow
to l
ook
at
the
text
and p
hoto
s. T
he
Exe
c. C
om
mit
tee
wil
l go o
ver
the
report
.
Mr.
Hall
sta
ted t
hat
the
annual
report
wil
l be
pre
sente
d a
t th
e H
ealt
h C
om
mit
tee
on M
ay
13
th.
Ms.
Sw
eetw
ine
would
lik
e to
make
sure
that
the
board
is
aw
are
of
what
they
are
pre
senti
ng a
s
a b
oard
and s
he
wants
to h
ave
eve
rybod
y th
ere
in f
ull
forc
e. E
ach
board
mem
ber
wil
l get
copie
s to
rev
iew
the
repo
rt. Sh
e re
late
d t
hat
she
has
a d
eadli
ne
to m
eet.
Com
mit
tee
Ch
air
Rep
ort
Adu
lt C
om
mit
tee
Ms.
Fri
edri
ch r
elate
d t
ha
t at
the
last
Adult
Com
mit
tee,
they
had a
pre
senta
tion a
bout
CIT
train
ing t
hat
invo
lves
vari
ous
poli
ce d
epts
. e.
g. O
akl
and, B
AR
T, San L
eandro
, San F
ranci
sco,
etc.
CIT
is
40 h
our
train
ing. T
he
Oakl
and C
hie
f is
com
mit
ted t
o h
ave
all
OP
D t
rain
ed.
They
als
o t
alk
ed a
bout
Laura
’s L
aw
. A
t th
e nex
t A
dult
Com
mit
tee
mee
tin
g, th
ey w
ill
be
looki
ng a
t…
Fro
nt
Door
reco
mm
enda
tions
to s
ee h
ow
many
of
those
rec
om
men
dati
ons
have
bee
n p
ut
in
pla
ce t
hro
ugh M
HSA
an
d t
o l
ook
at
som
e of
the
reco
mm
endati
ons
that
have
n’t
gott
en t
o b
e
imple
men
ted y
et t
hat
would
hel
p t
o a
ddre
ss f
ull
bed
s at
John G
eorg
e.
Laura
’s L
aw
an
d t
alk
about
what
can b
e done
to f
urt
her
hel
p i
ndiv
iduals
who d
on’t
bel
ieve
they
are
men
tall
y il
l, w
ho
do n
ot
want
to t
ake
med
icati
on
and e
nd u
p b
eing h
osp
itali
zed.
Leg
isla
tive
Com
mit
tee
Mr.
Rose
talk
ed a
bout
the
foll
ow
ing
:
1)
Leg
isla
tive
att
endan
ce i
s pre
tty
small
and h
e pro
vides
wri
tten
sum
mary
to E
xec.
and t
ake
s it
as
min
ute
s to
the
board
.
2)
Leg
isla
tive
Ag
enda f
or
Apri
l 15
th i
ncl
udes
:
◦ A
ppro
ve M
arc
h 1
8, 2013
Min
ute
s (M
arc
h 2
7, 201
3 S
um
mary
rep
ort
to E
xec.
Cm
te.)
◦ A
lam
eda C
ounty
Leg
isla
tive
Analy
st/L
obbyi
st (
Sta
tus)
◦ R
evie
w S
B 2
2 P
ari
ty L
aw
◦ M
s. J
ones
wil
l re
view
SB
127 r
elati
ng t
o f
irea
rms/
men
tal
hea
lth
◦ M
s. F
ried
rich
wil
l be
looki
ng a
t SB
585 r
egard
ing L
aura
’s L
aw
for
revi
ew
◦ A
sses
s bil
l sc
an f
or
bil
ls r
elati
ng t
o f
irea
rms
◦ A
ny
oth
er b
ills
to c
onsi
der
: SB
585/S
B664/A
B1265/A
B1367
Ms.
Jones
rel
ate
d t
hat
she
has
bee
n b
usy
rea
din
g t
he
bil
l on f
irea
rms.
She
expre
ssed
that
it’s
com
pli
cate
d, it
’s d
iffi
cult
to f
igure
out
and i
t’s
not
an e
asy
task
.
Chil
dre
n’s
Advi
sory
Com
mit
tee
(CA
C)
Ms.
Novo
sel
rela
ted t
hat
at
the
last
CA
C m
eeti
ng, th
ey t
alk
ed a
bout
school
base
d b
ehavi
ora
l
init
iati
ve i
n c
om
munit
y sc
hools
. It
was
a j
oin
t pre
senta
tion w
ith C
hil
dre
n’s
Ser
vice
s st
aff
and
HC
SA
. T
hey
are
curr
entl
y doin
g a
lot
of
coll
abora
tive
part
ner
ship
in t
he
schools
to s
ort
of
make
a h
ealt
hy
envi
ronm
ent
that
studen
t w
ill
learn
and t
each
ers
wil
l w
ant
to t
each
. It
’s a
wel
l-
att
ended
mee
ting.
15
10
ITE
M
DIS
CU
SS
ION
A
CT
ION
MH
B L
iais
on
Cm
te.
Quali
ty I
mpro
vem
ent
Com
mit
tee
(QIC
)
Ms.
Sw
eetw
ine
state
d t
hat
QIC
met
on M
arc
h 2
5th
, th
ey h
ad f
ull
agen
da a
nd s
om
e of
the
item
s
wer
e: P
ow
erP
oin
t pre
sen
tati
on o
n P
erfo
rmance
Im
pro
vem
ent
Pro
ject
and a
pre
senta
tion o
n
Com
munit
y A
sses
smen
t P
lannin
g E
duca
tion a
nd E
valu
ati
on U
nit
for
Ala
med
a C
ounty
. It
was
a p
rese
nta
tion o
n r
esult
base
d a
nd a
ccounta
bil
ity
whic
h i
s a
pro
gra
m t
hat
is g
oin
g t
o b
e
syst
em w
ide
for
the
county
and i
t w
as
an i
ntr
od
uct
ion o
f w
hat
it’s
goin
g t
o b
e.
Sta
kehold
er C
om
mit
tee
Ms.
Fri
edri
ch r
elate
d t
ha
t Sta
kehold
er C
om
mit
tee
is b
roke
n u
p w
ith d
iffe
rent
com
mit
tees
e.g
.
Innova
tions
and C
om
munic
ati
ons.
They
are
rev
iew
ing a
nd e
valu
ati
ng p
rogra
ms.
They
have
bee
n d
oin
g s
om
e si
te v
isit
s and
they
have
bee
n l
iste
nin
g t
o p
rese
nta
tions
on t
he
dif
fere
nt
pro
gra
ms.
Ther
e are
3 q
ues
tions
that
each
com
mit
tee
is e
xpec
ted t
o a
nsw
er. T
he
Com
munic
ati
ons
Com
mit
tee
has
bee
n w
ork
ing o
n a
ser
ies
of
pro
ject
s to
pre
sent
to t
he
Sta
kehold
er C
om
mit
tee,
wil
l pre
sent
reco
mm
enda
tions
to a
dm
in. and p
oss
ibly
to B
OS. A
fin
al
report
wil
l be
subm
itte
d t
o M
HO
AC
. K
hate
ra A
slam
i is
the
county
rep
rese
nta
tive
to M
HO
AC
.
Lia
ison C
om
mit
tee:
Ala
med
a C
ounty
Fam
ily
Coali
tion
(AC
FC
)
Ms.
Dash
iell
rel
ate
d t
he
foll
ow
ing:
Wh
en A
CF
C s
tart
ed o
ff t
he
gro
und 7
yea
rs a
go, o
ne
of
thei
r fi
rst
pri
ori
ties
was
the
revo
lvin
g d
oor
thro
ugh J
ohn G
eorg
e or
oth
er i
nvo
lunta
ry c
om
mit
men
t fa
cili
ties
and f
or
them
, it
conti
nues
to b
e a p
riori
ty.
Update
about
the
inci
den
t th
at
occ
urr
ed i
n B
erke
ley
about
a m
an w
ho w
as
take
n t
o J
ohn
Geo
rge
but
rele
ase
d a
fter
48 h
ours
. H
e w
as
pic
ked u
p a
gain
and s
ent
to F
rem
ont
for
72
days
, back
on
the
stre
et a
gain
and t
ake
n t
o P
ES a
nd w
as
rele
ase
d w
hen
he
calm
dow
n.
He’
s back
on t
he
stre
et a
gain
and t
he
fam
ily
hasn
’t s
een h
im a
gain
and t
hey
don’t
know
wher
e he
is.
She
addre
ssed
that
this
inci
den
t co
nti
nues
to h
appen
, sh
e ex
pre
ssed
that
ther
e are
peo
ple
who m
ayb
e hel
ped
by
a m
ento
rship
pro
gra
m o
r by
exte
nsi
on o
f co
nse
rvato
rship
but
she
rela
ted t
hat
AC
FC
fel
t th
at
AO
T w
ould
be
an i
mport
ant
tool
to h
elp p
eople
shape
up a
nd
state
d t
hat
they
are
now
endors
ing L
aura
’s L
aw
.
Boa
rd C
om
men
ts
Ms.
Sw
eetw
ine
state
d t
ha
t th
is i
s D
r. T
hom
as’
last
MH
B m
eeti
ng. She
expre
ssed
her
appre
ciati
on o
f D
r. T
hom
as’
ove
r 30 y
ears
of
ha
rd w
ork
and c
om
mit
men
t and f
or
all
the
support
she
gave
to t
he
MH
B a
nd w
ished
her
wel
l.
Dr.
Thom
as
thanke
d t
he
board
too
. She
rela
ted t
hat
she
start
ed i
n A
lam
eda C
ounty
in 1
978
and o
ne
of
her
task
s w
as
to a
tten
d M
HB
. T
he
board
rea
lly
work
ed w
ith t
he
Dep
t. t
hro
ugh
vari
ou
s pro
ject
s, h
elp s
hape
the
syst
em a
nd h
elp t
o r
eall
y appre
ciate
and u
nder
stand t
he
valu
e
of
com
munit
y in
put.
She
rela
ted t
hat
she
wil
l be
movi
ng b
ack
to T
exas.
Adjo
urn
men
t M
r. R
ose
made
a m
oti
on t
o a
djo
urn
the
mee
tin
g.
M/S
/C M
r. R
ose
/
Ms.
Buch
anan
All
favo
red
Mee
ting w
as
adjo
urn
ed a
t 2
:00
PM
◊ M
inute
s su
bm
itte
d b
y A
gnes
Cato
los
16
About Second Story Respite House
Second Story is a short-stay sleeps six voluntary opportunity to learn to use relationships to move out of old roles and patterns. Staffed by peers (people with lived experience of mood swings,
consuming fear, voices, visions,...) who have learned to be with some discomfort, the household provides an opportunity to experience what change feels like, to learn new responses through relationships with each other. With the expectation that everyone is capable and competent and inherently knows what they need, both paid staff and people involved create a space for those qualities to surface. Along with creating a home, we share stories to connect and understand each others experiences, gently challenging each other to listen to the untold story. The hope is to not rebuild a culture of illness and instead generate some sparkling moments of connection and trust, lessons which will spill over into the future.
Second Story is not a substitute for psychiatric hospitalization. Those who are drawn to the program develop, with staff, ahead of need, a plan for dealing with feelings and behaviors that in the past have ended up in inpatient stays. The first contact with staff is the beginning of using different views, working together to figure out what might be different. The summary of this meeting is kept on file until a time comes when a potential guest wants to stay at Second Story. The plan is updated and used as a guide to get good results from the time together at Second Story.
The start-up has been funded by a 2010 Federal Transformation award and is open to Santa Cruz County Mental Health Clients 18 and over,
Page 1 of 2Second Story Respite House
6/13/2013http://www.secondstoryhouse.org/about.html
17
who have housing, and have completed a proactive interview (first contact interview).
Rigel Flaherty Program Manager 2nd Story Peer Run Respite
Second Story is a program of the
Santa Cruz Community Counseling Center
Page 2 of 2Second Story Respite House
6/13/2013http://www.secondstoryhouse.org/about.html
18
Mental Health Commission Agenda Item Tracking Form July 2013
Agenda Item Who Proposed Disposition
Discussion about Wrongful 5150’s (Civil Commitment)
Kim
Rights and Mobile Crisis Kim Mental Health needs of the Latino community
Staff Was placed on agenda but tabled due to lack of time.
Viewing of video “Voices: Latino Perspectives on Mental Health”
Staff Was placed on agenda but tabled due to lack of time.
Emergency Preparedness Presentation
Commission We previously had Gil Dong present the City plan with understanding that we would have his program come again so Commission could give input on MH consumer emergency needs.
Improving the Adult Clinic waiting room
Presentation from Employment Law Center
Carole M
Role of the MH Commission in the EQRO (External Quality Review Organization) process
Carole M
Identification of Performance Outcomes
“Review of Performance Outcomes” was placed on this list by Carole M. Division has requested clarification from Commission as to what they would like to see measured. Item was tabled to the July 2012 Retreat but not addressed at the Retreat.
Access to Medications Kim
Invite Deborah Badhia to speak about chronic mental health problems in the street community/access to services
Kim
Paratransit and how it serves persons with mental health issues
Anna Mae
Berkeley POCC 5150 Statement
Public Comment
Dual Recovery Housing Jeff
19
Mental Health Commission Agenda Item Tracking Form July 2013
Agenda Item Who Proposed Disposition
Pacific Center’s Invitation to Collaborate
Carole M 8/6/12
Presentation on the collaboration between Pacific Center and BMH deferred to January 2013 mtg. but the agenda was too full.
Have a follow up report on how BMH has improved its MediCal billing
Jeffrey 8/21/12
Develop Commission Workplan
Suggested at July 2012 retreat
Report on the new duties of the MH Commission
Carole M 1/14/13
Completed Items – Staff has removed the items below because they appear to have been completed or were delegated to a Subcommittee. If the latter, once the committee is ready to report back to the Commission, the item can be placed on the agenda. This is an attempt to organize the Commission’s agenda prioritization process
Presenting Howard King memorial board to Garry Bernhardt?
Staff 11/7/12
Memorial board presented to Garry Bernhardt on 5/31/13 by staff.
Have Berkeley PD representatives come to a MHC meeting
1/24/13 Ofc. Jeff Shannon presented at the May 2013 meeting
Safety Standards Kim The new Safety Plan was brought to the Commission for comment at January 24, 2013 meeting. A Safety Subcommittee was created to provide input from the Commission. The Division is waiting to receive input from the Commission.
Re-opening the Drop-In Café Public Comment
Letter written to MH Manager – re-opening can be considered upon Completion of Safety Policy.
Presentation on Due process, including a) Adequate and meaningful notice b) Rule/Standards as interpreted by BMH c) Fact finding d) Right to Confrontation e) Right to Appeal
Kim 8/13/12
Staff suggestion that this be brought to the Safety Plan Subcommittee.
20
Mental Health Commission Agenda Item Tracking Form July 2013
Agenda Item Who Proposed Disposition
f) ADA rights Commission discussion on requirements of due process compared to existing safety policy.
Kim 8/13/12
Staff suggestion that this be brought to the Safety Plan Subcommittee.
Recommending wording on Informing Materials/ Informed Consent
Kim
Staff suggestion that Kim bring this to the Informed Consent Subcommittee.
a. Review of Informed
Consent Principles
Kim 4/26/12
Staff suggestion that Kim bring this to the Informed Consent Subcommittee.
b. Review existing Informed Consent materials
Kim 4/26/12
Staff suggestion that Kim bring this to the Informed Consent Subcommittee.
c. Review of materials that Kim has submitted
Kim 4/26/12
Staff suggestion that Kim bring this to the Informed Consent Subcommittee.
Input into Medication Informed Consent Policy
Commission motion
Draft policy was presented at December 2012 Commission meeting. Informed Consent Subcommittee created at 1/24/13 meeting to gather additional input.
MHSA Updates FY 2012-13 Update was presented at March 2013 meeting in public hearing format. Future updates will come to the Commission.
Have a progress Report on the implementation of Management Partners’ recommendations
Jeffrey 9/27/12
Council Work session report 2/19/13 included in February packet
21
1
Memorandum
To: Mental Health Commissioners
From: Carol Patterson, Commission Secretary
Date: 6/18/2013
Re: Commission Correspondence June 2013
Below is a listing of correspondence to the Commission during this past month. If you are missing something, there are copies in the Commission Communications Binder kept at 3282 Adeline St and also brought to the Commission meeting.
5/24/13 Email: Request for Information – FY 09/10 MHSA Unexpended Funds
5/29/13 Article: Schizophrenic. Killer. My Cousin,
5/30/13 Announcement of Measure M Community meetings
6/10/13 Article: Sacbee- Nevada buses hundreds of mentally ill patients
6/10/13 Article: Politico - What mental health legislation stalled in Congress
6/10/13 Resignation Letter from Kim Nemirow
6/10/13 Mental Health Board June 10th Agenda
22
Mental Health Commission Membership Grid
Berkeley Special Interest
Name
Consumer 1 1) Anna Mae Stanley 2 2) Jeffrey Davis 3 Jean-Marie Herve Michel, Jr. (pending) Family 1 3) Shirley Posey 2 4) Shelby Heda 3 (open) Albany Special Interest Consumer OR Family 1 (open)
Berkeley General Interest
1 5) Carole Marasovic 2 6) Kim Nemirow 3 7) Paul Kealoha-Blake 4 8) Charles Black Albany General Interest 1 (open) Berkeley Mayor Appointee
1 9) Jesse Arreguin Commission Openings 6/13/13 Berkeley Special Interest: 1 family member Albany Special Interest: 1 consumer or family member Berkeley General Interest: 0 Albany General Interest: 1 Total Openings: 3
23
Updated 2/25/13
Mental Health Commission
Subcommittees 2012-13
Safety Plan: Anna Mae, Paul, Jesse & Shelby (Jesse will convene.)
Oversight: Shirley, Anna Mae, Shelby, Chuck
By-Laws: Paul, Carole & Kim
Informed Consent: Kim, Jesse & Paul
Liaisons/Representatives
MHSA Advisory Committee rep: Chuck
MH Manager Hiring Panel: Shirley
Berkeley CIT Organizational meeting: 1) Paul; 2) Dametrus; 3) Anna Mae; 4) Carole
California Association of Local Mental Health Boards/Commissions (CALMHB/C) rep: Carole Alameda County Mental Health Board Liaison: Carole with Kim as alternate BMH Safety Committee Liaison: Anna Mae
24
3282 Adeline St. Berkeley, CA 94704 Tel: 510.981-7721 Fax: 510.981-5255 TDD: 510.981-6903
Department of Health Services Mental Health Commission
Berkeley/Albany Mental Health Commission Corrected Minutes
North Berkeley Senior Center Regular Meeting 1901 Hearst Ave. Workshop B April 25, 2013 at 7:00 pm Members of the Public Present: Shirley Dean, Jonah Markowitz, April Wick. Staff Present: Jeff Johns, Jane Micallef, Tenli Yavneh 1. Call to Order by Chuck Black at 7:00 pm
Commissioners Present: Charles Black (Acting as Chair), Jeffrey Davis, Shelby Heda (arrived at 7:06 pm), Paul Kealoha-Blake, Carole Marasovic (arrived at 7:20 pm), Shirley Posey, Anna Mae Stanley. Commissioners Absent: Jesse Arreguin, Kim Nemirow.
2. Public Comment
April Wick – is the new Executive Director of Easy Does It and has noticed that Easy Does It serves people with physical disabilities and seniors providing emergency transportation, and wheelchair repair.. She believes that her organization and Berkeley Mental Health serve many of the same people and would like to dialogue about how to better those folks. Commissioner Kealoha-Blake distributed Policy GD C-66 and the original press release pertaining to the in-custody death as well as a handout on Excited Delirium. He had difficulty obtaining the CIT policy because he was told it would interfere with the investigation into the in-custody death.
3. Preliminary Business
A. Approval of April 25, 2013 Agenda M/S/C (Davis, Kealoha-Blake) Move to approve the April 25, 2013 Agenda as written. Ayes: Black, Davis, Heda, Kealoha-Blake, Posey, Stanley; Noes: None; Abstentions: None; Absent: Arreguin, Marasovic (arrived after the vote), Nemriow.
B. Approval of the March 28, 2013 minutes
M/S/C (Kealoha-Blake, Stanley) To approve the March 28, 2013 minutes as written. Ayes: Black, Davis, Heda, Kealoha-Blake, Posey, Stanley; Noes: None; Abstentions: None; Absent: Arreguin, Marasovic (arrived after the vote), Nemirow.
C. Staff Announcements Carol Patterson, the Secretary is on vacation.
25
Mental Health Commission April 25, 2013
The Division is starting over in its search for a Mental Health Manager. The City is putting out a Request for Proposal for outside consulting firms to recruit candidates.
4. Recommendation for Appointment to Mental Health Commission Mr. “Herve” Michel introduced himself as someone who originally had a background in finance. He has been helped by Berkeley Mental Health and wants to give back to the community. He currently volunteers at the South Berkeley Senior Center.
M/S/C (Davis, Kealoha-Blake) The Mental Health Commission recommends appointment of Jean Marie “Herve” Michel to the Mental Health Commission. Ayes: Black, Davis, Heda, Kealoha-Blake, Posey, Stanley; Noes: None; Abstentions: None; Absent: Arreguin, Marasovic (arrived after the vote), Nemirow. Mark Schwartz, the other candidate for the Commission was not present.
5. May Is Mental Health Month Planning Commissioner Posey stated she believed she was excluded from the planning process because all the meetings were held on days she worked. She would like the Commission to be polled as to availability for planning meetings. Commissioner Heda expressed interest in providing an opportunity for the public to express their concerns and be referred to agencies. Commissioner Marasovic expressed interest in having a public forum where the public could provide feedback about mental health services in Berkeley.
6. Response to February 12, 2013 Berkeley Police Department in-custody death
Commissioner Kealoha-Blake indicated that the Police had not yet released the coroner’s report. He distributed Policy GD C-66 and the original press release pertaining to the in-custody death as well as a handout on Excited Delirium because it seems to be coming up more often, nationally, in situations of in-custody death. He would like the Commission to advocate for having mental health trained personnel at all mental health calls.
7. Discussion of Laura’s Law
Shirley Dean, representing Beat 2 Crime Report, is concerned that there is a very small minority of mental health consumers who are violent and wants the Commission to recommend to City Council to set up a task force to make a recommendation to address this concern.
8. Subcommittee Reports
A. Oversight – Chuck will pull the subcommittee together when the semester is over B. By-Laws – no report C. Safety – attempted to meet but the chair was ill. The Safety Subcommittee needs to get
feedback from the full Commission. D. Informed Consent – no report
9. Liaison Reports
A. Berkeley CIT Council – has not met since the in-custody death. B. MHSA Advisory Committee – mainly they have been finalizing the MHSA Update. C. Safety – no additional report.
10. Alameda County Mental Health Board Liaison Report – they are discussing Laura’s Law. 11. California Association of Local Mental Health Boards/Commissions (CALMB/C) – may
be doing regional trainings again. Commissioner Marasovic relayed that Richard Van Horn, Chair of the Oversight and Accountability Commission, stated at the April CALMHB/C
26
Mental Health Commission April 25, 2013
meeting that local Mental Health Boards needed training in law, advocacy and assertiveness in order to go to our governing body. Carole distributed the April 2013 California Planning Council Agenda packet.
12. Prioritizing agenda Items for next month:
Presentation by Jeff Shannon Possible action on Laura’s Law’s discussion Review of the May Is Mental Health Month event Report from the Interim Mental Health Manager, Kelly Wallace Having a Public Forum in conjunction with the Homeless Commission Commission feedback on the draft Safety Plan Including consumer focus groups in the Alameda County External Quality Review -Organization process Planning another retreat and/or training Update on Mental Health Director hiring
Public Comment: Mark Schwartz presented himself as applying for a seat on the Mental Health Commission. He has experience in the San Francisco homeless community, is a public speaker and suggests that Commissioners speak to the Governor to advocate for access to mental health in jail. He is currently living in an RV that he plans to park next on Hearst Ave. Since the Commission filled the available seat earlier in the meeting, Mr. Schwartz is encouraged to attend meetings until such a time as a seat is available.
Adjournment at 9:00 pm. Minutes submitted by: ____________________________________ Carol Patterson, Commission Secretary
27
